Digital evaluation of marginal and internal fit of single-crown fixed dental prostheses

Eur J Oral Sci. 2018 Dec;126(6):512-517. doi: 10.1111/eos.12576. Epub 2018 Oct 8.

Abstract

The present study used a new, digitized version of the impression replica technique, namely the dual-scan technique, to evaluate the adaptation of single-crown fixed dental prostheses (FDPs). Scans of the bare master model and of the master model with a silicone layer representing the cement layer were superimposed and analyzed using designated software. Single crowns produced using the lost-wax metal casting technique were included. The cement space of the band width, 0.5-1.0 mm from the preparation margin (marginal fit), was smallest for crowns made from laser-sintered cobalt-chromium. The internal fit in both mesial-distal and buccal-palatal directions was statistically significantly better for crowns made using the conventional lost-wax metal casting technique than for crowns produced using computer-aided design/computer-aided manufacturing (CAD/CAM). Fixed dental prostheses produced by milled cobalt-chromium had the loosest internal fit. The results agree with those of our previous study of the same test specimens, in which the triple-scan method was used, and imply that the dual-scan method is well suited for adaptation studies.

Keywords: CAD/CAM; cobalt chromium; dual scan; lithium disilicate glass-ceramic; zirconium dioxide.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Chromium Alloys / chemistry
  • Cobalt
  • Computer-Aided Design*
  • Crowns
  • Dental Abutments
  • Dental Casting Technique
  • Dental Cements
  • Dental Impression Materials
  • Dental Impression Technique
  • Dental Marginal Adaptation*
  • Dental Porcelain / chemistry
  • Dental Prosthesis Design / methods*
  • Denture, Partial, Fixed
  • Humans
  • Imaging, Three-Dimensional
  • Lasers
  • Software
  • Surface Properties
  • Tooth Preparation, Prosthodontic / methods*
  • Zirconium / chemistry

Substances

  • Chromium Alloys
  • Dental Cements
  • Dental Impression Materials
  • lithia disilicate
  • Dental Porcelain
  • Cobalt
  • Zirconium
  • zirconium oxide