Home Digital microscopic evaluation of vertical marginal discrepancies of CAD/CAM fabricated zirconia cores
Article
Licensed
Unlicensed Requires Authentication

Digital microscopic evaluation of vertical marginal discrepancies of CAD/CAM fabricated zirconia cores

  • Syed Rashid Habib ORCID logo EMAIL logo
Published/Copyright: May 18, 2018

Abstract

Objective:

The aim of this in vitro research study was to evaluate the vertical marginal discrepancies of zirconia (Zr) cores fabricated by five different computer-aided design and manufacturing (CAD/CAM) systems using a digital microscope.

Materials and methods:

A total of 60 specimens were prepared and randomly divided into five groups (n=12 each) using the following systems: Ceramill Motion 2 (CM, Amanngirrbach, Germany); Weiland (WI, Ivoclar Vivadent, USA); Cerec (CS, Sirona Dental, USA); Zirkonzahn (ZZ, Gmbh Bruneck, Italy) and Cad4dent (CD, Canada). The specimens were numbered and the vertical marginal discrepancies were evaluated with a digital microscope at 50× magnification.

Results:

A one-way analysis of variance showed a statistically significant difference (p=0.002) between the groups. The CM group exhibited the lowest values for the marginal gaps (31.30±15.12 μm), while the ZZ group exhibited the highest values for the marginal gaps (44.83±28.76 μm) compared to other groups. A post hoc Tukey’s test for multiple comparisons between the experimental groups showed a statistically significant difference (p<0.05) between the group CM and group CD with group ZZ. The rest of the groups showed no significant differences between them. Variations in the values were observed for the four sites measured with the highest and the least mean marginal gap value of 43.19±23.84 μm and 32.49±12.21 μm for buccal and lingual sites, respectively.

Conclusion:

Variations existed in the marginal discrepancy values for the CAD/CAM systems investigated in the study. Vertical marginal discrepancy values observed for various systems investigated in the study were well within the clinically acceptable range.


Corresponding author: Dr. Syed Rashid Habib, BDS, FCPS, Associate Professor, Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, P.O. Box 60169, King Abdullah Road, Riyadh, 11545, Saudi Arabia, Phone: +966-1-467 7441, Mobile: +966-534750834, Fax: +966-1-467 8548

Acknowledgments

The author is thankful to Mr. Bong for his help with the digital microscope measurements.

  1. Author Statement

  2. Research funding: The research project was approved and supported by the College of Dentistry Research Center (CDRC) and deanship of scientific research at King Saud University (Registration # FR 0404).

  3. Conflict of interest: Author state no conflict of interest.

  4. Informed consent: Informed consent is not applicable.

  5. Ethical approval: The study was conducted at the Department of Prosthetic Dental Sciences/College of Dentistry Research Center, College of Dentistry, King Saud University and approved by the ethical committee of College of Dentistry Research Center (FR 0404).

References

[1] Conrad HJ, Seong WJ, Pesun IJ. Current ceramic materials and systems with clinical recommendations: a systematic review. J Prosthet Dent 2007;98:389–404.10.1016/S0022-3913(07)60124-3Search in Google Scholar

[2] Heintze SD, Cavalleri A, Zellwegera G, Buchler A, Zappinia G. Fracture frequency of all-ceramic crowns during dynamic loading in a chewing simulator using different loading and luting protocols. Dent Mater 2008;24:1352–61.10.1016/j.dental.2008.02.019Search in Google Scholar

[3] Della BA, Robert KJ. The clinical success of all-ceramic restorations. J Am Dent Assoc 2008;139:8–13.10.14219/jada.archive.2008.0361Search in Google Scholar

[4] Daou EE. The zirconia ceramic: strengths and weaknesses. Open Dent J 2014;8:33–42.10.2174/1874210601408010033Search in Google Scholar

[5] Martínez-Rus F, Suárez MJ, Rivera B, Pradíes G. Evaluation of the absolute marginal discrepancy of zirconia-based ceramic copings. J Prosthet Dent 2011;105:108–14.10.1016/S0022-3913(11)60009-7Search in Google Scholar

[6] Boitelle P, Mawussi B, Tapie L, Fromentin O. A systematic review of CAD/CAM fit restoration evaluations. J Oral Rehabil 2014;41:853–74.10.1111/joor.12205Search in Google Scholar

[7] Ha SJ, Cho JH. Comparison of the fit accuracy of zirconia-based prostheses generated by two CAD/CAM systems. J Adv Prosthodont 2016;8:439–48.10.4047/jap.2016.8.6.439Search in Google Scholar

[8] Sorensen JA. A standardized method for determination of crown margin fidelity. J Prosthet Dent 1990;64:18–24.10.1016/0022-3913(90)90147-5Search in Google Scholar

[9] Baig MR, Tan KB-C, Nicholls JI. Evaluation of the marginal fit of a zirconia ceramic computer-aided machined (CAM) crown system. J Prosthet Dent 2010;104:216–27.10.1016/S0022-3913(10)60128-XSearch in Google Scholar

[10] Holmes JR, Bayne SC, Holland GA, Sulik WD. Considerations in measurement of marginal fit. J Prosthet Dent 1989;62:405–8.10.1016/0022-3913(89)90170-4Search in Google Scholar

[11] Shillingburg HT Jr, Hobo S, Whitsett LD, Jacobi R, Brackett SE. Principles of tooth preparations. In: Bateman LA, editor. Fundamentals of Fixed Prosthodontics. 3rd ed. Chicago: Quintessence; 1997:119–54.Search in Google Scholar

[12] Rosenstiel S, Land M, Fujimoto J. Contemporary Fixed Prosthodontics. 4th ed. St Louis, IL: Mosby Elsevier; 2006.Search in Google Scholar

[13] Mello C, Santiago Junior JF, Galhano G, Quinelli Mazaro JV, Scotti R, Pellizzer E. Analysis of vertical marginal adaptation of zirconia fixed dental prosthesis frameworks fabricated by the CAD/CAM system: a randomized, double-blind study. Int J Prosthodont 2016;29:157–60.10.11607/ijp.4285Search in Google Scholar

[14] Torabi K, Vojdani M, Giti R, Taghva M, Pardis S. The effect of various veneering techniques on the marginal fit of zirconia copings. J Adv Prosthodont 2015;7:233–9.10.4047/jap.2015.7.3.233Search in Google Scholar

[15] Ortega R, Gonzalo E, Gomez-Polo M, Lopez-Suarez C, Suarez MJ. SEM evaluation of the precision of fit of CAD/CAM zirconia and metal-ceramic posterior crowns. Dent Mater J 2017;36:387–93.10.4012/dmj.2016-305Search in Google Scholar

[16] Ranganathan H, Ganapathy DM, Jain AR. Cervical and incisal marginal discrepancy in ceramic laminate veneering materials: a SEM analysis. Contemp Clin Dent 2017;8:272–8.10.4103/ccd.ccd_156_17Search in Google Scholar

[17] Lee KY, Cho JW, Chang NY, Chae JM, Kang KH, Kim SC, et al. Accuracy of three-dimensional printing for manufacturing replica teeth. Korean J Orthod 2015;45:217–25.10.4041/kjod.2015.45.5.217Search in Google Scholar

[18] Habib SR, Asiri W, Hefne MJ. Effect of anatomic, semi-anatomic and non-anatomic occlusal surface tooth preparations on the adaptation of zirconia copings. J Adv Prosthodont 2014;6:444–50.10.4047/jap.2014.6.6.444Search in Google Scholar

[19] Park JY, Bae SY, Lee JJ, Kim JH, Kim HY, Kim WC. Evaluation of the marginal and internal gaps of three different dental prostheses: comparison of the silicone replica technique and three-dimensional superimposition analysis. J Adv Prosthodont 2017;9:159–69.10.4047/jap.2017.9.3.159Search in Google Scholar

[20] Papadiochou S, Pissiotis AL. Marginal adaptation and CAD-CAM technology: a systematic review of restorative material and fabrication techniques. J Prosthet Dent 2018;119:545–51.10.1016/j.prosdent.2017.07.001Search in Google Scholar

[21] Quintas AF, Oliveira F, Bottino MA. Vertical marginal discrepancy of ceramic copings with different ceramic materials, finish lines, and luting agents: an in vitro evaluation. J Prosthet Dent 2004;92:250–7.10.1016/j.prosdent.2004.06.023Search in Google Scholar

[22] Pilo R, Cardash HS. In vivo retrospective study of cement thickness under crowns. J Prosthet Dent 1998;79: 621–5.10.1016/S0022-3913(98)70067-8Search in Google Scholar

[23] Kim JH, Kim KB, Kim WC, Lee IH, Kim JH. Influence of various gypsum materials on precision of fit of CAD/CAM fabricated zirconia copings. Dent Mater J 2015;34:19–24.10.4012/dmj.2014-141Search in Google Scholar PubMed

[24] Leong D, Chai J, Lautenschlager E, Gilbert J. Marginal fit of machine-milled titanium and cast titanium single crowns. Int J Prosthodont 1994;7:440–7.Search in Google Scholar

[25] Gassino G, Barone Monfrin S, Scanu M, Spina G, Preti G. Marginal adaptation of fixed prosthodontics: a new in vitro 360-degree external examination procedure. Int J Prosthodont 2004;17:218–23.Search in Google Scholar

Received: 2017-12-27
Accepted: 2018-04-16
Published Online: 2018-05-18
Published in Print: 2019-04-24

©2019 Walter de Gruyter GmbH, Berlin/Boston

Downloaded on 22.9.2025 from https://www.degruyterbrill.com/document/doi/10.1515/bmt-2017-0234/html
Scroll to top button