Evaluation of the fit of zirconia three-unit fixed partial dentures fabricated by different impression techniques

J Investig Clin Dent. 2019 Aug;10(3):e12413. doi: 10.1111/jicd.12413. Epub 2019 Apr 18.

Abstract

Aim: The aim of the present study was to evaluate the marginal and internal fit of zirconium fixed partial denture using different impression techniques.

Methods: A Nissin Typodont model, including maxillary central incisor and canine with missing lateral incisor, was selected for the present study. Thirty zirconium frameworks were fabricated following three impression techniques (N = 10), conventional silicone impression (group C), scanned dental impression (group S), and Trios 3 (3Shape) intraoral scanner (group T). An extra-fine milling strategy was applied.

Results: Group T had the smallest discrepancy compared to groups C (P = 0.006) and S (P = 0.052) at the marginal level, whereas it was larger at the incisal tip. Discrepancies in group T were smaller than group C (P = 0.004) when measured at the axial walls, and smaller than group S (P = 0.045) when measured at the chamfer area for the central teeth only. Samples in group T showed a greater percentage of equally extended restorations (52.5%), while other groups were mainly underextended (group C: 63.7%, group S: 68.8%).

Conclusion: Better adaptation was achieved with the intraoral scanner group, except at the incisal tip. Conventional and scanned impressions revealed a greater percentage of underextended restorations.

Keywords: Computer Aided Design/Computer Aided Manufacturing; extra-fine milling; fit; intraoral scanner; zirconia.

MeSH terms

  • Computer-Aided Design
  • Crowns
  • Dental Impression Technique
  • Dental Marginal Adaptation*
  • Dental Prosthesis Design
  • Denture, Partial, Fixed
  • Zirconium*

Substances

  • Zirconium
  • zirconium oxide