This is an outdated version published on 2020-12-22. Read the most recent version.

The affects of cement space thickness and material type with application of micro-CT scanner on marginal discrepancy of restoration

Authors

DOI:

https://doi.org/10.14295/bds.2021.v24i1.1968

Abstract

Objective: Studies demonstrated that as one of the newly developed restorative materials, monolithic zirconia resolved several issues of zirconia restoration. Therefore, marginal accuracy and internal fit are necessary for clinical success and quality of restorations, and cement space may influence the marginal fit. Thus, the present research aimed to investigate the effects of the cement thickness and kind of restoration on the marginal discrepancy. Material and methods: In this study, 20 maxillary left first molars, prepared by DRSK Co., were used to fabricate a full crown. Two types of material included monolithic zirconia (Zolid) and Sintron were used to make a full crown. Samples from each group were scanned by dental laboratory 3D scanner and designed and processed using CAD-CAM. The samples were divided into four groups of five with 30- and 50- µm cement spaces. In order to assess the vertical marginal discrepancy, the crowns were fitted on their respective teeth without using any mediator and examined by a micro-CT scanner. Data were analyzed by SPSS software. Results: It has been found that marginal discrepancy in Sintron is higher than the discrepancy of monolithic zirconia. In fact, monolithic zirconia with 50-micron cement space exhibited the least marginal discrepancy and the cement space in Sintron did not significantly influence the marginal discrepancy. Conclusion: It has been concluded that the material kinds and cement space influence the restoration marginal discrepancy constructed by digital workflow. 

KEYWORDS
Dental cements; Dental marginal adaptation; X-Ray
microtomography.

References

Sachs C, Groesser J, Stadelmann M, Schweiger J, Erdelt K, Beuer F. Full-arch prostheses from translucent zirconia: accuracy of fit. Dent Mater. 2014;30(8):817-23.

Schley JS, Heussen N, Reich S, Fischer J, Haselhuhn K, Wolfart S. Survival probability of zirconia-based fixed dental prostheses up to 5 yr: a systematic review of the literature. Eur J Oral Sci. 2010;118(5):443-50.

Stober T, Bermejo JL, Rammelsberg P, Schmitter M. Enamel wear caused by monolithic zirconia crowns after 6 months of clinical use. Journal of oral rehabilitation. 2014;41(4):314-22.

Al-Amleh B, Lyons K, Swain M. Clinical trials in zirconia: a systematic review. Journal of oral rehabilitation. 2010;37(8):641-52.

Nakamura K, Harada A, Kanno T, Inagaki R, Niwano Y, Milleding P, et al. The influence of low-temperature degradation and cyclic loading on the fracture resistance of monolithic zirconia molar crowns. J Mech Behav Biomed Mater. 2015;47:49-56.

van der Bilt A. Assessment of mastication with implications for oral rehabilitation: a review. J Oral Rehabil. 2011;38(10):754-80.

Beuer F, Schweiger J, Edelhoff D. Digital dentistry: an overview of recent developments for CAD/CAM generated restorations. Br Dent J. 2008;204(9):505-11.

Rinke S, Fornefett D, Gersdorff N, Lange K, Roediger M. Multifactorial analysis of the impact of different manufacturing processes on the marginal fit of zirconia copings. Dent Mater J. 2012;31(4):601-9.

Witkowski S, Komine F, Gerds T. Marginal accuracy of titanium copings fabricated by casting and CAD/CAM techniques. J Prosthet Dent. 2006;96(1):47-52.

Ramos GF, Monteiro EB, Bottino MA, Zhang Y, Marques de Melo R. Failure Probability of Three Designs of Zirconia Crowns. Int J Periodontics Restorative Dent. 2015;35(6):843-9.

Lan TH, Liu PH, Chou MM, Lee HE. Fracture resistance of monolithic zirconia crowns with different occlusal thicknesses in implant prostheses. J Prosthet Dent. 2016;115(1):76-83.

Beuer F, Aggstaller H, Richter J, Edelhoff D, Gernet W. Influence of preparation angle on marginal and internal fit of CAD/CAM-fabricated zirconia crown copings. Quintessence Int. 2009;40(3):243-50.

Gardner FM. Margins of complete crowns--literature review. J Prosthet Dent. 1982;48(4):396-400.

Att W, Komine F, Gerds T, Strub JR. Marginal adaptation of three different zirconium dioxide three-unit fixed dental prostheses. J Prosthet Dent. 2009;101(4):239-47.

Pak HS, Han JS, Lee JB, Kim SH, Yang JH. Influence of porcelain veneering on the marginal fit of Digident and Lava CAD/CAM zirconia ceramic crowns. J Adv Prosthodont. 2010;2(2):33-8.

Bindl A, Mormann WH. Fit of all-ceramic posterior fixed partial denture frameworks in vitro. Int J Periodontics Restorative Dent. 2007;27(6):567-75.

Beuer F, Aggstaller H, Edelhoff D, Gernet W, Sorensen J. Marginal and internal fits of fixed dental prostheses zirconia retainers. Dent Mater. 2009;25(1):94-102.

Beuer F, Naumann M, Gernet W, Sorensen JA. Precision of fit: zirconia three-unit fixed dental prostheses. Clin Oral Investig. 2009;13(3):343-9.

Grajower R, Zuberi Y, Lewinstein I. Improving the fit of crowns with die spacers. J Prosthet Dent. 1989;61(5):555-63.

Dolev E, Bitterman Y, Meirowitz A. Comparison of marginal fit between CAD-CAM and hot-press lithium disilicate crowns. J Prosthet Dent. 2018.

Dahl BE, Ronold HJ, Dahl JE. Internal fit of single crowns produced by CAD-CAM and lost-wax metal casting technique assessed by the triple-scan protocol. J Prosthet Dent. 2017;117(3):400-4.

Cunali RS, Saab RC, Correr GM, Cunha LFD, Ornaghi BP, Ritter AV, et al. Marginal and Internal Adaptation of Zirconia Crowns: A Comparative Study of Assessment Methods. Braz Dent J. 2017;28(4):467-73.

Ji MK, Park JH, Park SW, Yun KD, Oh GJ, Lim HP. Evaluation of marginal fit of 2 CAD-CAM anatomic contour zirconia crown systems and lithium disilicate glass-ceramic crown. J Adv Prosthodont. 2015;7(4):271-7.

Pimenta MA, Frasca LC, Lopes R, Rivaldo E. Evaluation of marginal and internal fit of ceramic and metallic crown copings using x-ray microtomography (micro-CT) technology. J Prosthet Dent. 2015;114(2):223-8.

Demir N, Ozturk AN, Malkoc MA. Evaluation of the marginal fit of full ceramic crowns by the microcomputed tomography (micro-CT) technique. Eur J Dent. 2014;8(4):437-44.

Mously HA, Finkelman M, Zandparsa R, Hirayama H. Marginal and internal adaptation of ceramic crown restorations fabricated with CAD/CAM technology and the heat-press technique. J Prosthet Dent. 2014;112(2):249-56.

Kale E, Seker E, Yilmaz B, Ozcelik TB. Effect of cement space on the marginal fit of CAD-CAM-fabricated monolithic zirconia crowns. J Prosthet Dent. 2016;116(6):890-5.

Song TJ, Kwon TK, Yang JH, Han JS, Lee JB, Kim SH, et al. Marginal fit of anterior 3-unit fixed partial zirconia restorations using different CAD/CAM systems. J Adv Prosthodont. 2013;5(3):219-25.

Grajower R, Lewinstein I. A mathematical treatise on the fit of crown castings. J Prosthet Dent. 1983;49(5):663-74.

Yao Y, Wang W, Wang F, Yao W. General self-efficacy and the effect of hospital workplace violence on doctors’ stress and job satisfaction in China. International journal of occupational medicine and environmental health. 2014;27(3):389-99.

Prasad R, Al-Kheraif AA. Three-dimensional accuracy of CAD/CAM titanium and ceramic superstructures for implant abutments using spiral scan microtomography. Int J Prosthodont. 2013;26(5):451-7.

Euan R, Figueras-Alvarez O, Cabratosa-Termes J, Oliver-Parra R. Marginal adaptation of zirconium dioxide copings: influence of the CAD/CAM system and the finish line design. J Prosthet Dent. 2014;112(2):155-62.

Vojdani M, Torabi K, Atashkar B, Heidari H, Torabi Ardakani M. A Comparison of the Marginal and Internal Fit of Cobalt- Chromium Copings Fabricated by Two Different CAD/CAM Systems (CAD/ Milling, CAD/ Ceramill Sintron). J Dent (Shiraz). 2016;17(4):301-8.

Seker E, Ozcelik TB, Rathi N, Yilmaz B. Evaluation of marginal fit of CAD/CAM restorations fabricated through cone beam computerized tomography and laboratory scanner data. J Prosthet Dent. 2016;115(1):47-51.

Ng J, Ruse D, Wyatt C. A comparison of the marginal fit of crowns fabricated with digital and conventional methods. J Prosthet Dent. 2014;112(3):555-60.

Martinez-Rus F, Ferreiroa A, Ozcan M, Pradies G. Marginal discrepancy of monolithic and veneered all-ceramic crowns on titanium and zirconia implant abutments before and after adhesive cementation: a scanning electron microscopy analysis. Int J Oral Maxillofac Implants. 2013;28(2):480-7.

Matta RE, Schmitt J, Wichmann M, Holst S. Circumferential fit assessment of CAD/CAM single crowns--a pilot investigation on a new virtual analytical protocol. Quintessence Int. 2012;43(9):801-9.

Chan C, Haraszthy G, Geis-Gerstorfer J, Weber H, Huettemann H. Scanning electron microscopic studies of the marginal fit of three esthetic crowns. Quintessence Int. 1989;20(3):189-93.

Pelekanos S, Koumanou M, Koutayas SO, Zinelis S, Eliades G. Micro-CT evaluation of the marginal fit of different In-Ceram alumina copings. Eur J Esthet Dent. 2009;4(3):278-92.

Renne W, McGill ST, Forshee KV, DeFee MR, Mennito AS. Predicting marginal fit of CAD/CAM crowns based on the presence or absence of common preparation errors. J Prosthet Dent. 2012;1008(5):310-5.

Downloads

Published

2020-12-22

Versions

Issue

Section

Clinical or Laboratorial Research Manuscript