JP4373202B2 - Dental prosthesis manufacturing method and dental porcelain set - Google Patents

Description

  The present invention relates to a method for producing a dental prosthesis using a zirconia frame, and a dental porcelain set suitably used for the method.

Conventionally, a dental prosthesis to be installed in the oral cavity has been configured by coating a ceramic material (porcelain) adjusted to the color of natural teeth on the surface of a metal frame. An all-ceramic prosthesis constructed of the above has been used (see, for example, Patent Document 1). According to such an all-ceramic prosthesis, the original color tone of natural teeth cannot be obtained due to metal allergy caused by metal contact with a living body or an opaque base layer provided to hide the metal color. There is an advantage that problems such as these are solved or alleviated.
Japanese Patent No. 3351701

  As the all-ceramic prosthesis, for example, the whole is composed of crystallized glass such as lithium silicate glass, the frame is composed of a ceramic sintered body, and the exterior portion (that is, the ceramic layer) is made of glass porcelain on the surface. There is something that forms. For example, Patent Document 1 discloses a two-phase porcelain composition in which leucite crystal phases are dispersed in a feldspar glass matrix.

  By the way, the ceramic prosthesis composed entirely of the crystallized glass is relatively low in mechanical strength and toughness, and therefore cannot be used for a bridge or the like that requires strength, and its use is limited to a single crown. On the other hand, examples of the ceramic sintered body constituting the frame include spinel, alumina, zirconia and the like, and in particular, an alumina frame is frequently used. However, alumina and spinel are not sufficiently high in mechanical strength and toughness for bridge applications, and bridges can only be applied to the front teeth, and can only be used for single crowns in molars where a large masticatory force acts. It is.

On the other hand, since zirconia is excellent in mechanical strength and toughness among ceramics, not only three bridges including molar teeth but also a large number of bridges such as five or six and full mice are possible. Moreover, zirconia also has an advantage of having a preferable color tone for dental use. In particular, Y ₂ O ₃ in 3 (mol) solid solution and partially stabilized is most preferable in terms of mechanical strength, toughness, and color tone.

However, the coefficient of thermal expansion of the frame material used conventionally is about 7.8 × 10 ^{−6 for} titanium, 11.5 × 10 ⁻⁶ or more for other metals, and about 6.8 × 10 ⁻⁶ (/ ° C.) for alumina. On the other hand, zirconia is about 10 × 10 ⁻⁶ (/ ° C.), which is completely different. Therefore, if porcelain prepared according to the thermal expansion coefficient of the conventional frame material is used, the thermal expansion coefficient of the constituent material of the ceramic layer (i.e. porcelain) during the cooling process of heat treatment to fix the porcelain to the frame Is larger than that of zirconia, tensile stress is generated in the ceramic layer and cracks occur. Conversely, when the thermal expansion coefficient of the constituent material of the ceramic layer is smaller than that of zirconia, There is a disadvantage in that a tensile stress is generated and a crack is generated. Considering the shrinkage in the cooling process of the heat treatment, it is desirable for the ceramic layer to have a coefficient of thermal expansion equal to or slightly smaller than that of the frame to prevent these cracks. Therefore, there has been a demand for a porcelain material having an appropriate thermal expansion coefficient for a zirconia frame and capable of being adjusted as appropriate in accordance with the color tone of natural teeth.

  Moreover, the ceramic layer formed on the frame is generally composed of two or more layers for the purpose of obtaining the same color tone and transparency as natural teeth. Therefore, during the heat treatment for forming the upper layer of the ceramic layer, the lower layer previously formed is softened, and when it is caused to flow along with the flow of the porcelain for forming the upper layer, The thickness partially changes (in some cases, the frame is exposed), resulting in a portion where the desired color tone and transparency cannot be obtained, and the desired shape of the prosthesis cannot be obtained. Such a problem becomes prominent particularly when the ceramic layer is formed by a casting method.

  The present invention has been made in the background of the above circumstances, and the purpose thereof is to prevent the zirconia frame and the ceramic layer from cracking, and to provide a desired lower layer of the ceramic layer formed in two layers. An object of the present invention is to provide a method for producing a dental prosthesis that can be formed with a thickness dimension, and a dental porcelain set that can be suitably used for the method.

In order to achieve such an object, the gist of the first invention is a method of manufacturing a dental prosthesis by fixing at least two ceramic layers to the surface of a zirconia frame, and these ceramic layers (A) SiO ₂ in the range of 66.0 to 72.0 (mass%), Al ₂ O ₃ in the range of 13.5 to 17.8 (mass%), Li in the range of 0.05 to 0.31 (mass%) ₂ O, Na ₂ O in the range of 1.3 to 6.5 (mass%), K ₂ O in the range of 8.7 to 12.5 (mass%), CaO in the range of 0.1 to 0.5 (mass%), 0.01 to 0.22 ( MgO in the range of mass%), in the range of Sb ₂ O ₃ in the range of 0.1 to 0.6 (wt%), 0 to 3 (CeO ₂ in the range of mass%), 0-3 (mass%) A first step of fixing and forming a first ceramic layer having a predetermined first composition mainly composed of B ₂ O ₃ and SrO in the range of 0 to 3 (mass%) on the surface of the frame; (b) Range of 63.0 to 69.0 (mass%) SiO ₂ in the range, Al ₂ O ₃ in the range of 14.8 to 17.9 (% by mass), Li ₂ O in the range of 0.02 to 0.28 (% by mass), Na ₂ O in the range of 1.5 to 6.8 (% by mass) K ₂ O in the range of 8.0 to 14.0 (mass%), CaO in the range of 0.2 to 1.5 (mass%), MgO in the range of 0.05 to 0.55 (mass%), 0.2 to 2.2 (mass%) Sb ₂ O ₃ in the range, CeO ₂ in the range of 0.1 to 3 (mass%), B ₂ O ₃ in the range of 0.1 to 3 (mass%), and in the range of 0 to 3 (mass%) a second step of the second ceramic layer of a predetermined second composition whose main component is secured formed over a surface of the first ceramic layer SrO, seen including, (c) the first ceramic layer, the The heat treatment temperature for producing the second ceramic layer in the second step is higher in viscosity than the second ceramic layer .

The gist of the second invention is to form each of the ceramic layers used for manufacturing a dental prosthesis by fixing and forming at least two ceramic layers on the surface of the zirconia frame. A dental porcelain set consisting of at least two kinds of porcelain, (a) SiO ₂ in the range of 66.0 to 72.0 (mass%) in terms of oxide, and in the range of 13.5 to 17.8 (mass%) Al ₂ O ₃ , Li ₂ O in the range of 0.05 to 0.31 (mass%), Na ₂ O in the range of 1.3 to 6.5 (mass%), K ₂ O in the range of 8.7 to 12.5 (mass%), CaO in the range of 0.1 to 0.5 (mass%), MgO in the range of 0.01 to 0.22 (mass%), Sb ₂ O ₃ in the range of 0.1 to 0.6 (mass%), 0 to 3 (mass%) A first ceramic having a predetermined first composition mainly composed of CeO ₂ in the range, B ₂ O ₃ in the range of 0 to 3 (mass%), and SrO in the range of 0 to 3 (mass%). And (b) oxide conversion In SiO ₂ in the range of 63.0 to 69.0 (wt%), 14.8 to 17.9 Al ₂ O ₃ in the range of (wt%), Li ₂ O in the range of 0.02 to 0.28 (wt%), 1.5 to 6.8 ( Na ₂ O in the range of (mass%), K ₂ O in the range of 8.0 to 14.0 (mass%), CaO in the range of 0.2 to 1.5 (mass%), in the range of 0.05 to 0.55 (mass%) MgO, Sb ₂ O ₃ in the range of 0.2 to 2.2 (mass%), CeO ₂ in the range of 0.1 to 3 (mass%), B ₂ O ₃ in the range of 0.1 to 3 (mass%), and 0 or 3 and a second porcelain to be the predetermined second composition mainly comprising SrO in the range of (wt%), seen including, (c) the first porcelain, the from the second porcelain The viscosity is higher than that of the second porcelain at the heat treatment temperature for forming the ceramic layer .

  According to the first invention, in the first step of forming the ceramic layer for manufacturing the dental prosthesis, the first ceramic layer having the first composition is fixedly formed on the surface of the zirconia frame. Then, in the second step, the second ceramic layer having the second composition is fixedly formed over the first ceramic layer. For this reason, since the first ceramic layer and the second ceramic layer have the first composition and the second composition, respectively, they have the same thermal expansion coefficient as that of the zirconia frame. In the cooling process, the occurrence of cracks in the frame or the ceramic layer, that is, the exterior portion due to the difference in thermal expansion coefficient is suppressed. Therefore, a dental prosthesis can be manufactured without generating cracks in the zirconia frame and the ceramic layer. The first ceramic layer may be formed so as to cover the entire surface of the frame, or may be formed with a part thereof exposed. Further, “covering the first ceramic layer” is not limited to completely covering the first ceramic layer, but includes covering a part of the surface thereof.

Moreover, since the first ceramic layer has a higher viscosity than the second ceramic layer at the heat treatment temperature for generating the second ceramic layer in the second step , the first ceramic layer is first formed when the second ceramic layer is fixedly formed. It is suppressed that the formed first ceramic layer is softened to flow or deform. For this reason, a dental prosthesis can be manufactured with the lower layer of the two ceramic layers, that is, the first ceramic layer maintained at a predetermined thickness.

  In addition, according to the second invention, the dental porcelain set includes the first porcelain and the second porcelain generated in the first composition and the second composition, respectively, after firing or heat treatment. The method for producing a dental prosthesis of the first invention can be suitably used.

In the first ceramic layer (that is, the fired product or heat-treated product of the first porcelain), SiO ₂ is a basic component for forming a glass, but if it is less than 66.0 (mass%), casting or the like The viscosity at the operating temperature becomes too low, and if it exceeds 72.0 (% by mass), the glass softening point becomes too high. This ratio is determined so that the viscosity of the second ceramic layer is higher than that of the second ceramic layer at the use temperature (for example, casting temperature) of the second ceramic layer. In addition, Al ₂ O ₃ is a component for improving transparency and acid resistance and water resistance, and adjusting viscosity, but if it is less than 13.5 (mass%), transparency becomes insufficient and 17.8 (mass %), It becomes cloudy. In addition, Li ₂ O is a component for adjusting these because it increases the thermal expansion coefficient and lowers the softening point, and also has the effect of promoting the precipitation of leucite crystal (KAlSi ₂ O ₆ ) However, if it is less than 0.05 (mass%), the thermal expansion coefficient becomes small and the softening point becomes high, and if it exceeds 0.31 (mass%), the coefficient of thermal expansion becomes too large. Na ₂ O is a component for lowering the softening point, but if it is less than 1.3 (mass%), the softening point is high, and if it exceeds 6.5 (mass%), the water resistance is poor. K ₂ O is a component for adjusting the precipitation amount of leucite crystals, but if it is less than 8.7 (mass%), the amount of leucite precipitation decreases and an appropriate thermal expansion coefficient cannot be obtained, and 12.5 (mass %), The amount of leucite deposited becomes too large. Further, Ca, Mg, Sr is a component for improving the acid resistance and water resistance of the glass by being contained in an appropriate balance, and thereby stabilizing the glass, and in order to obtain such an effect, The range of is preferable. Sb ₂ O ₃ is a component for preventing yellowing of the glass due to Ag ions, and if it is less than 0.1 (mass%), almost no yellowing prevention effect can be obtained. The part which does not melt is generated. In addition, although Ag is not contained in the main component of this invention, since the prosthesis containing Ag is generally used in dentistry, this can become a contamination source. CeO ₂ is a component for adjusting the softening point, but when it exceeds 3 (% by mass), the glass is colored yellow. B ₂ O _{3 is} also a component for adjusting the softening point, but if it exceeds 3 (% by mass), the water resistance deteriorates. Therefore, it is necessary to be within the above-mentioned range.

Incidentally, SiO ₂ is 67-68 (mass%), Al ₂ O ₃ is from 15.5 to 16.5 (wt%), Li ₂ O is 0.08-0.12 (mass%), Na ₂ O is 4.5 to 5.2 (wt%), K ₂ O is 9 to 11 (mass%), CaO is 0.2 to 0.4 (mass%), MgO is 0.1 to 0.3 (mass%), SrO is 0.1 to 0.3 (mass%), Sb ₂ O ₃ is 0.1 to 0.3 (Mass%), CeO ₂ is 0 to 1 (mass%), and B ₂ O ₃ is 0 to 1 (mass%), more preferably in order to sufficiently obtain the effect of adding these components.

Further, the action of each main component in the second ceramic layer (that is, the fired product or heat-treated product of the second porcelain) is the same as in the case of the first ceramic layer, and the reason why the constituent ratio is determined Is substantially the same. However, in order to realize the correlation of the viscosity as described above, the ratio of the component having a large influence on the viscosity is different, and the ratio of the other constituent components is slightly different from that of the first ceramic layer. Is different. That is, the proportion of SiO ₂ is reduced and the proportion of Al ₂ O ₃ is increased.

Incidentally, SiO ₂ is from 63.5 to 64.5 (wt%), Al ₂ O ₃ is from 15.5 to 16.5 (wt%), Li ₂ O is 0.08-0.12 (mass%), Na ₂ O is 4.5 to 5.2 (wt%), K ₂ O is 9 to 11 (mass%), CaO is 0.6 to 0.8 (mass%), MgO is 0.6 to 0.8 (mass%), SrO is 0.1 to 0.3 (mass%), Sb ₂ O ₃ is 0.8 to 1.1 (Mass%), CeO ₂ is 0.5 to 1 (mass%), and B ₂ O ₃ is 0.8 to 1.4 (mass%), more preferably in order to sufficiently obtain the effect of adding these components.

  Here, preferably, the first ceramic layer has a higher viscosity than the second ceramic layer at a heat treatment temperature for generating the second ceramic layer in the second step. That is, the ceramic layer produced from the first porcelain has a higher viscosity than the ceramic layer produced from the second porcelain at the heat treatment temperature for producing the ceramic layer from the second porcelain. is there. That is, the first ceramic layer, the second ceramic layer, the first porcelain material, and the second porcelain material are preferably selected so as to satisfy such a condition within the range of the composition. The heat treatment temperature is determined according to the composition of the first ceramic layer and the second ceramic layer, and is, for example, in the range of 750 to 1100 (° C.), more preferably, 950 to 1050 (° C.). The temperature is within the range of.

  Preferably, in the second step, the second ceramic layer is formed by filling a predetermined fluidity material into a predetermined gap in which a part of the inner wall surface is formed by the surface of the first ceramic layer. To form. That is, in the second step, the second ceramic layer is formed by casting or injection molding a fluid material, that is, a second porcelain material on the first ceramic layer. The second step can be performed by a method in which powdered porcelain is kneaded with a predetermined solvent and built on the surface of the frame with a tool such as a brush. The present invention is particularly preferably applied to a manufacturing method for filling such voids. In such a manufacturing method, the ceramic layer can be provided with high shape accuracy and thickness accuracy, but the second porcelain is applied to the first ceramic layer for the purpose of spreading the second porcelain throughout the gap. It is pressed with a relatively strong force. Therefore, the effect determined so that the viscosity of the second ceramic layer at the same temperature is lower than that of the first ceramic layer becomes more prominent than in the case of building up.

  Preferably, in the second step, the fluid material whose fluidity is improved by heating is filled in the gap. In this way, since the fluidity material, that is, the second porcelain material is heated when filled, the fluidity is enhanced, so that the first ceramic layer formed in advance is also heated to a high temperature. The effect of determining the composition of the second ceramic layer (that is, the second porcelain) at the temperature during the second step so as to be sufficiently lower than the viscosity of the first ceramic layer becomes more remarkable. .

  In addition, when filling the second porcelain into the gap as described above, for example, a method in which an ingot having the second composition is inserted from the opening of the gap, heated and softened, and pressed into the gap is suitable. For example, a powder form may be filled from the opening. In the case of using an ingot, an appropriate heating time for softening the second porcelain is, for example, in the range of about 5 minutes to 3 hours, and more preferably in the range of 10 minutes to 1 hour. The pressing force at the time of pushing is in the range of 0.1 to 5 (MPa), more preferably 1 (MPa) or less. The heating temperature may be a temperature at which the second porcelain is sufficiently softened, and is, for example, in the range of 750 to 1100 (° C.), more preferably in the range of 950 to 1050 (° C.). The ingot can be produced by a known appropriate method. For example, after preparing and pulverizing and mixing raw materials prepared to have a desired composition, it is heated and melted and filled into a mold of a desired size. Can be obtained by cooling.

  Preferably, in the first step, the first ceramic layer is formed by filling a predetermined flowable material into a predetermined gap in which a part of the inner wall surface is constituted by the surface of the frame. It is. That is, in addition to the second ceramic layer, the first ceramic layer can also be formed by casting or injection molding.

  However, the first ceramic layer is not limited to casting or injection molding as described above, and may be formed by an appropriate method selected from various known methods. For example, the first porcelain can be applied and built on the surface of the frame using a brush or the like. In the case of build-up, a slurry or paste having properties suitable for coating is prepared by dispersing ceramic powder and necessary additives in a suitable solvent. Examples of the solvent include water, a dedicated liquid, and a resin. The dedicated liquid is, for example, propylene glycol, ethylene glycol, or glycerin. Examples of the resin include acrylic resins such as polymethyl methacrylate, polyethyl methacrylate, polyisobutyl methacrylate, and polynormal butyl methacrylate; vinyl resins such as polyvinyl acetate; and celluloses such as nitrocellulose, ethyl cellulose, and cellulose acetate butyrate. Resin.

  Further, the thickness dimension of the first ceramic layer is appropriately determined according to the shape and color tone required for the prosthesis, but in the case of dentures such as crowns and bridges, the thickness is 0.01 to 0.3 on the frame. Within a range of about (mm), for example, about 0.2 (mm).

  On the other hand, the thickness dimension of the second ceramic layer is also appropriately determined in order to achieve a desired color tone and transparency. For example, in the case of dentures such as crowns and bridges, the range is about 0.8 to 1.5 (mm). Among them, for example, a thickness dimension of about 1.0 (mm) is preferable.

  The second step includes forming a model layer having a predetermined shape made of a material that can be incinerated and removed on at least a part of the surface of the first ceramic layer, and burying the model layer in a predetermined mold constituent material. And a step of forming a mold provided with the gap corresponding to the model layer by incinerating and removing the model layer after curing the mold constituent material. The mold constituent material is preferably composed of, for example, a phosphate-based material, a gypsum-based material, an ethyl silicate-based material, an alumina cement-based material, or the like, which is called an investment material, and is hardened at room temperature. When a mold is manufactured by these steps and a second ceramic layer is formed using the mold, a mold having a void having a size and shape corresponding to the model layer can be formed.

  In addition, the said model layer needs to be comprised with the material which can be removed by incineration, and it is preferable that it is excellent in a moldability. For example, a suitable material is a wax or resin suitable for dental use. In particular, wax is preferable from the viewpoint of good moldability. Note that “incineration removal” means removal from the mold in an appropriate form such as burning in the firing process.

Preferably, the first ceramic layer and the second ceramic layer, i.e., the first porcelain and the second porcelain, adjust the color tone and the constituent components of the first composition and the second composition, respectively. For this purpose, and an inevitable impurity. That is, the ceramic layer and the porcelain of the present invention may include a subcomponent for adjusting the color tone in addition to the main component. As the inevitable impurities include, for example, Fe ₂ O ₃ traces.

Preferably, the subcomponent is at least one of a pigment, a fluorescent material, and an emulsion. Examples of the emulsion include ZrO ₂ , SnO ₂ , TiO ₂ , Al ₂ O ₃ , CeO _{2 and the} like.

Preferably, the first ceramic layer and the second ceramic layer each have a heat within a range of 9.1 × 10 ^{−6 to} 10.3 × 10 ⁻⁶ (/ ° C.) in a temperature range of 25 to 500 (° C.). It has an expansion coefficient. In this way, since the thermal expansion coefficient of zirconia is about 10 × 10 ⁻⁶ (/ ° C.) as described above, damage to the ceramic layer and the frame is suitably suppressed.

  Preferably, the subcomponents of the second ceramic layer are determined so that the second ceramic layer has higher transparency than the first ceramic layer. As a result, a dental prosthesis having an exterior portion that is excellent in aesthetics and that includes at least two first ceramic layers and second ceramic layers (decorative layers) can be obtained. Further, if necessary, a dental prosthesis closer to natural teeth and excellent in aesthetics can be obtained by further building up porcelain on part or all of the surface of the second ceramic layer. Such additional porcelain may be formed by build-up or may be formed by casting. In the case of forming by casting, it is preferable to select a material having a lower viscosity at the same temperature than the second ceramic layer.

  Further, the present invention can be applied to various dental prostheses provided with a ceramic layer on a frame and mounted in the oral cavity. Specifically, for example, a bridge, a full mouth, a crown (crown), A covering crown etc. are mentioned.

  The shape of the frame and the shape of the prosthesis provided with the ceramic layer are appropriately determined according to the position and shape of the tooth to be prosthetic. For example, it can be formed in accordance with the shape of a tooth that has been carved out of a decayed tooth or the like, or a damaged tooth. The manufacturing method of a flame | frame can use the appropriate thing from well-known various methods, such as casting.

  Preferably, in the first step and the second step, when the first ceramic layer and the second ceramic layer are formed on the frame or the first ceramic layer, respectively, heat treatment or firing treatment is performed. Is. That is, after being provided on the surface by coating or casting, the bonding force with the ceramic layer provided on the frame or the lower side can be increased by heating. For example, when the first porcelain and the second porcelain are used in a state where organic materials such as a resin and a solvent are mixed, the heat treatment is also a step of burning these organic materials.

  The heat treatment temperature is appropriately determined according to the composition of each of the first ceramic layer and the second ceramic layer. Preferably, both are within the range of 950 to 1100 (° C.), and more preferably. Is in the range of 1000 to 1050 (° C.). The treatment atmosphere is not particularly limited, but is, for example, in the air or under reduced pressure.

  Preferably, the first porcelain and the second porcelain are mixed with a compound that generates an oxide at a glass melting temperature within a range of 1000 to 1500 (° C.), for example, in the atmosphere (for example, 1000 (° C) or higher) and then recovered by cooling, further pulverized, and subjected to heat treatment at a temperature in the range of 800 to 1100 (° C) for about 30 to 60 minutes. Thus, an appropriate amount of leucite crystals is precipitated, and a pigment and a fluorescent material are added, further mixed, and pulverized. A ball mill, an Ishikawa crusher, a planetary mill, or the like is preferably used for the mixing and pulverizing step.

In the raw material synthesis as described above, examples of the supply source of each element constituting the porcelain include the following. For example, potassium feldspar as Si, Al, K, Na source, SiO ₂ as Si source, Al ₂ O ₃ , Al (OH) ₃ as Al source, Li ₂ CO ₃ as Li source, Na ₂ CO as Na source _3, NaOH, K ₂ CO ₃ as K source, KOH, MgO as a Mg _{source, MgCO 3, Mg (OH)} 2, CaCO 3 as a Ca source, Ca (OH) _2, as Sb source Sb ₂ O _3, Ce source As CeO ₂ and B source as H ₃ BO ₃ . The supply source is not limited to these, and any source can be used as long as it can constitute the composition.

  Preferably, the first ceramic layer and the second ceramic layer include leucite crystals. In this way, these toughnesses can be further enhanced, and the thermal expansion coefficient can be easily adjusted. Preferably, leucite crystals are included in a proportion in the range of 2 to 65 (% by mass).

  Hereinafter, an embodiment of the present invention will be described in detail with reference to the drawings. In the following embodiments, the drawings are appropriately simplified or modified, and the dimensional ratios, shapes, and the like of the respective parts are not necessarily drawn accurately.

  1A to 1G are views for explaining a method for manufacturing a crown 38 which is an example of a dental prosthesis according to an embodiment of the present invention. The crown 38 is attached to, for example, an upper front tooth of an adult. The present invention can be applied to all other teeth. In FIG. 1A, a separately manufactured zirconia frame (single crown frame) 10 is prepared. The zirconia frame 10 is manufactured, for example, by taking a tooth mold using gypsum and casting zirconia.

  Next, for example, the first porcelain shown in Table 1 below was uniformly applied (built) to the surface 12 of the frame 10 made of zirconia with a brush with a thickness of about 0.2 (mm). The first porcelain is a slurry prepared by mixing 100 (parts by weight) of propylene glycol aqueous solution with a total of 100 parts (parts by weight) of ceramic powder having the composition shown in Table 1 below. is there. After the build-up, this was fired at a temperature of about 1050 (° C.) to form a first ceramic layer (underlayer) 14 on the entire surface 12 of the frame 10 as shown in FIG.

[Table 1]
1st porcelain 2nd porcelain
SiO ₂ 67.5 64.2
Al ₂ O ₃ 15.9 15.9
Li ₂ O 0.1 0.1
Ingredient composition Na ₂ O 4.8 4.7
(% By mass) K ₂ O 10.0 10.0
CaO 0.3 0.7
MgO 0.2 0.7
Sb ₂ O ₃ 0.2 1.0
CeO ₂ 0 0.7
B ₂ O ₃ 0 1.2
ZrO ₂ 1.0 0
Thermal expansion coefficient (/ ° C) 9.8 × 10 ^-6 9.6 × 10 ^-6

  In addition, the said 1st porcelain is synthesize | combined according to the manufacturing process shown by FIG. 2, for example. That is, in the weighing step R1, for example, a compound that generates an oxide at a glass melting temperature in the range of 1000 to 1500 (° C.) is weighed, and mixed in a mixing step R2 using a ball mill or an Ishikawa crusher. . Next, in the heating and melting step R3, for example, the material is heated and melted in the atmosphere (for example, 1000 (° C.) or higher), and then cooled and recovered in the cooling and recovery step R4. Next, in the grinding step R5, this is further ground using a ball mill, a planetary mill or the like. Next, in the heat treatment step R6, the pulverized raw material is heat-treated at a temperature in the range of, for example, 800 to 1100 (° C.) for about 30 to 60 minutes. As a result, leucite crystals are precipitated, and the thermal expansion coefficient can be adjusted by controlling this. Next, in the pigment / fluorescent material addition mixing step R7, the pigment and the fluorescent material are mixed using a ball mill, an Ishikawa crusher, or the like, and then pulverized in the pulverizing step R8, whereby the first porcelain is obtained. The raw material used here is an appropriate material selected from various materials as the supply source of each element as described above. Further, the porcelain contains a fluorescent material and a pigment in addition to the main component.

  Next, as shown in FIG. 1 (c), a desired crown-shaped model layer is formed on the surface 16 of the obtained first ceramic layer 14 using a dental wax (for example, “Blue Inlay Wax” manufactured by GC Corporation). 20 was formed. As shown in FIG. 1 (d), a pin 22 called a sprue wire (for example, “Lady Casting Wax R20” manufactured by GC Co.) was attached thereto and moved to a base 26. Further, as shown in FIG. 1 (e), a casting ring 28 made of, for example, metal or rubber is installed on the pedestal 26, and a room-temperature-curing dental investment 30 (for example, a product “Selgo” manufactured by Degussa Dental Co., Ltd.). The model layer 20 was buried together with the frame 10. After the dental investment 30 was cured, the pins 22 and the pedestal 26 were removed, and the cured body made of the investment 30 with the frame 10 mounted therein was transferred into an electric furnace. Then, for example, heating was performed at a temperature of 800 ° C. for about 1 hour, for example, and as shown in FIG. 1 (f), the model layer 20 was incinerated and removed, and the mold 32 in which the model layer portion became the void portion 18 was produced. .

  Next, a glass powder having the composition shown in Table 1 is prepared as the second porcelain, and a glass composition (powder) crystallized in the same manner as the first porcelain is synthesized. For example, a cylindrical glass having a diameter of about 10 (mm) and a height of about 10 (mm) is formed, subjected to a baking treatment at a temperature of, for example, about 1050 (° C.), and gradually cooled to form a cylindrical glass Got an ingot.

Along with a plunger (not shown) for pushing the glass ingot into the mold 32, the glass ingot is mounted on a ceramic holding portion (portion where the pedestal is provided) 34 of the mold 32, which is attached to a high-temperature press furnace (for example, manufactured by Ivokura Corporation, model: EP500 ) Set inside. The press furnace is heated to 1050 (° C.) and held, for example, for 20 minutes, and then the softened ingot (ie, the second porcelain) is pressed in the direction of the mold 32 with a plunger (not shown) at a pressure of about 0.5 (MPa), for example. . As a result, the molten second porcelain was poured into the mold from the porcelain introduction path 24 (that is, the portion where the pin 22 was present), and filled in the gap 18. The viscosity of the second porcelain material, that is, the second ceramic layer (coat layer) 36 at the time of filling was about 1 × 10 ⁷ (cP). The viscosity of the first ceramic layer 14 at the same temperature is about 5 × 10 ⁶ (cP), which is a value sufficiently larger than this.

  After the cooling was completed, the mold 32 was broken and the crown 38 was taken out. Through the above process, a crown 38 having a second ceramic layer 36 formed on the surface 16 of the first ceramic layer 14 as shown in FIG. When the surface of the obtained crown 38 was observed, it was confirmed that no cracks were present and a desired crown shape was obtained. The crown 38 had an appearance close to that of natural teeth. Normally, the third ceramic layer covering a part or the whole of the surface of the second ceramic layer 36 is provided with a more transparent porcelain, so that the appearance can be made closer to natural teeth. Things are not essential and are omitted in the figure.

In short, according to the present embodiment, as the first porcelain for forming the first ceramic layer 14, the mass ratio of SiO ₂ is 67.5 (%), Al ₂ O ₃ is 15.9 (%), and Li ₂ O is 0.1 (%), Na ₂ O 4.8 (%), K ₂ O 10.0 (%), CaO 0.3 (%), MgO 0.2 (%), Sb ₂ O ₃ 0.2 (%), ZrO ₂ A composition having a composition of 1.0 (%) is used, and as a second porcelain for forming the second ceramic layer 36 thereon, SiO ₂ is 64.2 (%) and Al ₂ O ₃ is 15.9 (% by mass ratio). ), Li ₂ O 0.1 (%), Na ₂ O 4.7 (%), K ₂ O 10.0 (%), CaO 0.7 (%), MgO 0.7 (%), Sb ₂ O ₃ 1.0 ( %), CeO ₂ of 0.7 (%), and B ₂ O ₃ of 1.2 (%) are used, both of which have the same thermal expansion coefficient as the zirconia frame 10, so that heat treatment The generation of cracks is suppressed during the cooling process. In addition, since the first ceramic layer 14 previously formed on the lower side has a higher viscosity at the same temperature than the second ceramic layer 36 formed thereon, the first ceramic layer 14 is first formed when the second ceramic layer 36 is fixedly formed. It is suppressed that the first ceramic layer 14 formed on is softened and flows or deformed.

  In place of the glass ingot as described above, the second porcelain is prepared in a powder state, and is built on the first ceramic layer 14 in the same manner as the first porcelain, and has a temperature of about 930 (° C.), for example. A baking treatment was applied. It was confirmed that a similar crown 38 was obtained by such a manufacturing method, and there was no crack on the surface, and a desired crown shape was obtained.

  The test results using conventional porcelain instead of the first porcelain and the second porcelain will be described below.

  First, the third porcelain and the fourth porcelain shown in Table 2 below, which have been conventionally used for metal frames, were sequentially built and fired on the zirconia frame 10. The firing temperature is about 960 (° C.) for the third porcelain serving as the base layer, and about 930 (° C.) for the fourth porcelain serving as the coat layer. When the appearance of the obtained crown was observed after cooling, it was confirmed that the ceramic layer (that is, the base layer and the coat layer) had cracks. The porcelain contains a fluorescent material and a pigment in addition to the following main components.

[Table 2]
3rd porcelain 4th porcelain
SiO ₂ 52.2 65.6
Al ₂ O ₃ 11.6 14.6
Li ₂ O 0.3 0.4
Ingredient composition Na ₂ O 7.5 9.3
(% By mass) K ₂ O 7.1 8.8
CaO 0.6 0.7
MgO 0.5 0.6
SnO ₂ 20.2 0
Coefficient of thermal expansion (/ ° C) 12.3 × 10 ^-6 12.3 × 10 ^-6

  Next, using the 5th and 6th porcelain materials in the following Table 3 conventionally used for alumina frames, the zirconia frame 10 was sequentially built and fired in the same manner as described above. . The firing temperature is about 960 (° C.) for both the fifth porcelain serving as the base layer and the sixth porcelain serving as the coat layer. When the appearance of the obtained crown was observed after cooling, it was confirmed that the frame 10 had cracks. This porcelain also contains fluorescent materials and pigments in addition to the following main components.

[Table 3]
5th porcelain 6th porcelain
SiO ₂ 74.0 75.3
Al ₂ O ₃ 8.6 9.5
Li ₂ O 0.3 0.4
Ingredient composition Na ₂ O 5.7 6.3
(% By mass) K ₂ O 5.0 5.5
CaO 0.6 0.7
MgO 0.5 0.5
ZrO ₂ 2.7 0
CeO ₂ 0 1.1
Thermal expansion coefficient (/ ° C) 6.8 × 10 ^-6 6.8 × 10 ^-6

  In the above embodiment, the case where the present invention is applied to a single crown has been described. However, since the dental prosthesis of the present invention uses a high-strength zirconia frame 10, it includes molars. The present invention is also preferably applied to a bridge.

  FIGS. 3 and 4 are views for explaining a method of manufacturing the three bridges 68 for prosthesis of one missing tooth of an adult molar. In FIG. 3, (a) shows the principal part of the upper jaw 40 in which one tooth is missing, and the missing tooth 42 is indicated by a one-dot chain line in the center. (b) represents the stage where the abutment teeth 48 and 50 are formed by cutting the teeth 44 and 46 on both sides of the missing tooth 42. In the subsequent process, a frame (three-bridge frame) 52 having an inner surface shape slightly larger than the outer shape of the formed abutment teeth 48 and 50 is made of zirconia. (c) represents the cross section of the manufactured frame 52. The frame 52 is manufactured by a CAD / CAM method or the like that measures the shape of the upper jaw 40 on which the abutment teeth 48 and 50 are formed and scrapes the ceramic block. The frame 52 connects the core elements (namely, so-called coping part frames) 54, 56 corresponding to the abutment teeth 48, 50 and the core elements (namely, so-called pontic part frames) 58 corresponding to the missing teeth 42. Is.

  Next, in the stage shown in (d), the first ceramic layer 60 is built up on the surface of the frame 52 as in the case of the single crown. As shown in the drawing, the first ceramic layer 60 is provided so as to cover the outside of the core elements 54 and 56 and to cover the entire surface of the core element 58. Next, in the stage shown in FIG. 4 (e), a model layer 62 is formed on the surface in the form of teeth 44, 46 and missing teeth 42 with wax or the like, and is planted on the former 64. The formation method of the model layer 62 and the planting method on the former 64 are the same as in the case of the single crown. As in the case shown in FIG. 1 (e), a casting ring is placed around the mold and buried in a dental investment material, and the model layer 62, that is, the wax is burned away to burn the model layer 62. 4 (see FIG. 1 (f)), the second porcelain for forming the second ceramic layer 66 is filled in the void of the mold and is taken out from the mold. A bridge 68 as shown in f) is obtained. Of the manufactured bridge 68, a cross section (g-g cross section in (f)) of a portion (pontic) 70 corresponding to the missing tooth located in the center is shown in (g).

  The bridge 68 manufactured in this way has both the first ceramic layer 60 and the second ceramic layer 66 having the desired shape and thickness, and the frame 52 is completely free from cracks. I couldn't. Moreover, while having the external appearance close | similar to a natural tooth, it was equipped with sufficient intensity | strength and toughness as a molar. In such a bridge 68, a part of or the entire surface of the second ceramic layer 66 is provided with a third ceramic layer having higher transparency as necessary, but this is not essential. It is omitted in the figure.

  As mentioned above, although this invention was demonstrated in detail with reference to drawings, this invention can be implemented also in another aspect, A various change can be added in the range which does not deviate from the main point.

FIG. 2 is a process diagram schematically showing a method of manufacturing a crown according to an embodiment of the present invention, where (a) shows a cross section of the frame, and (b) shows a base layer (first ceramic layer) formed on the surface of the frame. (C) shows a state in which a model layer is formed on the surface of the underlayer, (d) shows a state in which the frame on which the underlayer and the model layer are formed is attached to the pedestal, and (e) shows a state in which the frame is formed on the pedestal. (F) shows a state where a casting layer is cast and a dental investment material is poured into the inside of the casting ring. g) shows crowns each having a coat layer (second ceramic layer) formed on the surface of the underlayer. It is process drawing explaining the manufacturing method of the ceramic layer used in order to manufacture the prosthesis of this invention. It is a figure for demonstrating typically the manufacturing method of the bridge | bridging of the other Example of this invention, (a) is a state of a missing tooth, (b) forms the abutment tooth for mounting | wearing a bridge. (C) shows the frame created in accordance with the prosthetic position, and (d) shows the stage where the first ceramic layer is formed on the surface of the frame. FIG. 4 is a diagram for explaining a manufacturing process subsequent to FIG. 3, where (e) shows a state in which a model layer is formed on a base layer and is planted in a former, and (f) shows a coat layer formed. The state (g) shows the cross section of the bridge pontic.

Explanation of symbols

10: frame, 14: first ceramic layer (underlying layer), 18: void, 20: model layer, 30: dental investment, 32: mold, 36: second ceramic layer (coat layer), 38: teeth Crown (dental prosthesis)

Claims (7)

A method of manufacturing a dental prosthesis by fixing at least two ceramic layers to the surface of a zirconia frame, wherein the steps of forming the ceramic layers include:
SiO ₂ in the range of 66.0 to 72.0 (mass%), Al ₂ O ₃ in the range of 13.5 to 17.8 (mass%), Li ₂ O in the range of 0.05 to 0.31 (mass%), 1.3 to 6.5 (mass) %) Na ₂ O, 8.7 to 12.5 (mass%) K ₂ O, 0.1 to 0.5 (mass%) CaO, 0.01 to 0.22 (mass%) MgO Sb ₂ O ₃ in the range of 0.1 to 0.6 (mass%), CeO ₂ in the range of 0 to 3 (mass%), B ₂ O ₃ in the range of 0 to 3 (mass%), and 0 to A first step of fixing and forming a first ceramic layer having a predetermined first composition mainly composed of SrO within a range of 3 (mass%) on the surface of the frame;
SiO ₂ in the range of 63.0 to 69.0 (mass%), Al ₂ O ₃ in the range of 14.8 to 17.9 (mass%), Li ₂ O in the range of 0.02 to 0.28 (mass%), 1.5 to 6.8 (mass) %) Na ₂ O in the range of 8.0 to 14.0 (mass%), K ₂ O in the range of 0.2 to 1.5 (mass%), MgO in the range of 0.05 to 0.55 (mass%) Sb ₂ O ₃ in the range of 0.2 to 2.2 (mass%), CeO ₂ in the range of 0.1 to 3 (mass%), B ₂ O ₃ in the range of 0.1 to 3 (mass%), and 0 to 3 and a second step of fixing formed over a surface of the first ceramic layer and the second ceramic layer of a predetermined second composition mainly containing SrO in the range of (% by weight), wherein
The method for producing a dental prosthesis, wherein the first ceramic layer has a viscosity higher than that of the second ceramic layer at a heat treatment temperature for generating the second ceramic layer in the second step .   In the second step, the second ceramic layer is formed by filling a predetermined fluid material into a predetermined gap in which a part of an inner wall surface is constituted by the surface of the first ceramic layer. A method for producing a dental prosthesis according to Item 1. The method of manufacturing a dental prosthesis according to claim 2 , wherein the second step is to fill the gap with the fluid material whose fluidity has been improved by heating. The first step, according to claim 2 forms a first ceramic layer is by filling a predetermined flowable material to the surface within a predetermined gap is part of the inner wall surface constituted by the frame A method for producing a dental prosthesis. The first ceramic layer and the second ceramic layer have a thermal expansion coefficient within a range of 9.1 × 10 ^{−6 to} 10.3 × 10 ⁻⁶ (/ ° C.) in a temperature range of 25 to 500 (° C.), respectively. The method for manufacturing a dental prosthesis according to claim 1. Dental porcelain comprising at least two porcelains for forming each of the ceramic layers used to manufacture a dental prosthesis by anchoring at least two ceramic layers on the surface of a zirconia frame A set of materials,
SiO ₂ in the range of 66.0 to 72.0 (mass%) in terms of oxide, Al ₂ O ₃ in the range of 13.5 to 17.8 (mass%), Li ₂ O in the range of 0.05 to 0.31 (mass%), 1.3 Na ₂ O in the range of ˜6.5 (mass%), K ₂ O in the range of 8.7 to 12.5 (mass%), CaO in the range of 0.1 to 0.5 (mass%), 0.01 to 0.22 (mass%) MgO in the range, Sb ₂ O ₃ in the range of 0.1 to 0.6 (mass%), CeO ₂ in the range of 0 to 3 (mass%), B ₂ O ₃ in the range of 0 to 3 (mass%) And a first porcelain having a predetermined first composition mainly composed of SrO in the range of 0 to 3 (% by mass);
SiO ₂ in the range of 63.0 to 69.0 (mass%) in terms of oxide, Al ₂ O ₃ in the range of 14.8 to 17.9 (mass%), Li ₂ O in the range of 0.02 to 0.28 (mass%), 1.5 Na ₂ O in the range of 6.8 to 6.8 (mass%), K ₂ O in the range of 8.0 to 14.0 (mass%), CaO in the range of 0.2 to 1.5 (mass%), 0.05 to 0.55 (mass%) MgO in the range, Sb ₂ O ₃ in the range of 0.2 to 2.2 (mass%), CeO ₂ in the range of 0.1 to 3 (mass%), B ₂ O ₃ in the range of 0.1 to 3 (mass%) And second porcelain having a predetermined second composition mainly composed of SrO in the range of 0 to 3 (mass%) ,
The first porcelain set has a higher viscosity than the second porcelain at a heat treatment temperature for forming the ceramic layer from the second porcelain . Each of the first porcelain and the second porcelain has a thermal expansion coefficient within a range of 9.1 × 10 ^{−6 to} 10.3 × 10 ⁻⁶ (/ ° C.) in a temperature range of 25 to 500 (° C.) after firing. The dental porcelain set according to claim 6 which is a thing.

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