Comparison of Internal and Marginal Adaptation of Posterior Zirconia Fixed Partial Dentures Performed by Conventional Versus Digital Impression

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Noppavan Nagaviroj
Premwara Triwatana
Pattaramon Powichean

Abstract

The aim of this study was to compare internal and marginal adaptation of posterior zirconia fixed partial dentures (FPDs) performed by conventional and digital impression techniques. A cobalt-chromium model (Co-Cr model) with abutments 14 and 16, and edentulous area at 15 was prepared. Two groups of the three-unit zirconia FPDs (n=5) were fabricated by two different impression techniques. In Group 1: Conventional impression technique, the Co-Cr model was conventionally duplicated by the putty-wash technique, using polyvinyl siloxane dual-viscosity impression materials. Gypsum models were then fabricated and scanned with a laboratory scanner. In Group 2: Digital impression technique, the Co-Cr model was digitally scanned by an intraoral scanner. All FPDs of both groups were then designed and fabricated on the digital models. Marginal and internal gap widths of each abutment were investigated using micro-computer tomography. Mean marginal gap widths were not significantly different between two groups (P > 0.05). However, in terms of internal gap widths, significant difference between both groups was found. The internal gap width at occlusal surface of abutment 14 (Group2) showed the highest value (154.54±9.39 µm).

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Nagaviroj N, Triwatana P, Powichean P. Comparison of Internal and Marginal Adaptation of Posterior Zirconia Fixed Partial Dentures Performed by Conventional Versus Digital Impression. Khon Kaen Dent J [Internet]. 2023 May 31 [cited 2024 Nov. 20];26(2):66-74. Available from: https://he01.tci-thaijo.org/index.php/KDJ/article/view/250129
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References

Rekow ED. High-technology innovations--and limitations--for restorative dentistry. Dent Clin N Am 1993;37(3):513-24.

Wassell RW, Barker D, Walls AW. Crowns and other extra-coronal restorations: impression materials and technique. Br Dent J 2002;192(12):679-84, 87-90.

Andersson M, Razzoog ME, Odén A, Hegenbarth EA, Lang BR. Procera: a new way to achieve an all-ceramic crown. Quintessence Int 1998;29(5):285-96.

Syrek A, Reich G, Ranftl D, Klein C, Cerny B, Brodesser J. Clinical evaluation of all-ceramic crowns fabricated from intraoral digital impressions based on the principle of active wavefront sampling. J Dent 2010;38(7):553-9.

Wassell R, Barker D, Walls A. Crowns and other extra-coronal restorations: impression materials and technique. Br Dent J 2002;192(12):679.

Rajan BN, Jayaraman S, Kandhasamy B, Rajakumaran I. Evaluation of marginal fit and internal adaptation of zirconia copings fabricated by two CAD-CAM systems: An in vitro study. J Indian Prosthodont Soc 2015;15(2):173.

Gonzalo E, Suárez MJ, Serrano B, Lozano JF. A comparison of the marginal vertical discrepancies of zirconium and metal ceramic posterior fixed dental prostheses before and after cementation. J Prosthet Dent 2009;102(6):378-84.

Björn AL, Björn H, Grkovic B. Marginal fit of restorations and its relation to periodontal bone level. II. Crowns. Odontol Revy 1969;21(3):337-46.

Saltzberg D, Ceravolo F, Holstein F, Groom G, Gottsegen R. Scanning electron microscope study of the junction between restorations and gingival cavosurface margins. J Prosthet Dent 1976;36(5): 517-22.

Schwartz NL, Whitsett L, Berry TG, Stewart JL. Unserviceable crowns and fixed partial dentures: life-span and causes for loss of serviceability. J Am Dent Assoc 1970;81(6):1395-401.

Karlsson S. A clinical evaluation of fixed bridges, 10 years following insertion. J Oral Rehabil 1986;13(5): 423-32.

Bergenholtz G, Cox C, Loesche W, Syed S. Bacterial leakage around dental restorations: its effect on the dental pulp. J Oral Pathol Med 1982;11(6):439-50.

Janenko C, Smales R. Anterior crowns and gingival health. Aust Dent J 1979;24(4):225-30.

Sorensen S, Larsen I, Jörgensen KD. Gingival and alveolar bone reaction to marginal fit of subgingival crown margins. Euro J Oral Sciences 1986;94(2): 109-14.

Felton D, Kanoy B, Bayne Sa, Wirthman G. Effect of in vivo crown margin discrepancies on periodontal health. J Prosthet Dent 1991;65(3): 357-64.

Jahangiri L, Wahlers C, Hittelman E, Matheson P. Assessment of sensitivity and specificity of clinical evaluation of cast restoration marginal accuracy compared to stereomicroscopy. J Prosthet Dent 2005;93(2):138-42.

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.

Molin MK, Karlsson SL. Five-Year Clinical Prospective Evaluation of Zirconia-BasedDenzir 3-Unit FPDs. Int J Prosthodont 2008;21(3):223-7.

Sailer I, Feher A, Filser F, Gauckler LJ, Lüthy H, Hämmerle CHF. Five-year clinical results of zirconia frameworks for posterior fixed partial dentures. Int J Prosthodont 2007;20(4):383-8.

Tinschert J, Schulze KA, Natt G, Latzke P, Heussen N, Spiekermann H. Clinical behavior of zirconia-based fixed partial dentures made of DC-Zirkon: 3-year results. Int J Prosthodont 2008;21(3):217-22.

Von Steyern PV, Carlson P, Nilner K. All‐ceramic fixed partial dentures designed according to the DC‐Zirkon® technique. A 2-year clinical study. J Oral Rehabil 2005;32(3):180-7.

Conrad HJ, Seong W-J, Pesun IJ. Current ceramic materials and systems with clinical recommendations: a systematic review. J Prosthet Dent 2007;98(5):389-404.

Chochlidakis KM, Papaspyridakos P, Geminiani A, Chen C-J, Feng IJ, Ercoli C. Digital versus conventional impressions for fixed prosthodontics: a systematic review and meta-analysis. J Prosthet Dent 2016; 116(2):184-90. e12.

Kapos T, Evans C. CAD/CAM technology for implant abutments, crowns, and superstructures. Int J Oral Maxillofac Implants 2014;29:117-36.

Reich S, Kappe K, Teschner H, Schmitt J. Clinical fit of four-unit zirconia posterior fixed dental prostheses. Euro J Oral Sciences 2008;116(6): 579-84.

Komine F, Gerds T, Witkowski S, Strub JR. Influence of framework configuration on the marginal adaptation of zirconium dioxide ceramic anterior four-unit frameworks. Acta Odontol Scand 2005;63(6):361-6.

Valderhaugw J, Birkeland J. Periodontal conditions in patients 5 years following insertion of fixed prostheses: pocket depth and loss of attachment. J Oral Rehabil 1976;3(3):237-43.

Bader JD, Rozier RG, McFall Jr WT, Ramsey DL. Effect of crown margins on periodontal conditions in regularly attending patients. J Prosthet Dent 1991;65(1):75-9.

Kokubo Y, Tsumita M, Kano T, Sakurai S, Fukushima S. Clinical marginal and internal gaps of zirconia all-ceramic crowns. J Prosthodont Res 2011;55(1):40-3.

Ucar Y, Akova T, Akyil MS, Brantley WA. Internal fit evaluation of crowns prepared using a new dental crown fabrication technique: laser-sintered Co-Cr crowns. J Prosthet Dent 2009;102(4):253-9.

Tan PL, Gratton DG, Diaz-Arnold AM, Holmes DC. An in vitro comparison of vertical marginal gaps of CAD/CAM titanium and conventional cast restorations. J Prosthodont 2008;17(5):378-83.

Tuntiprawon M, Wilson PR. The effect of cement thickness on the fracture strength of all-ceramic crowns. Aust Dent J 1995;40(1):17-21.

Tinschert J, Natt G, Hassenpflug S, Spiekermann H. Status of current CAD/CAM technology in dental medicine. Int J Comput Dent 2004;7(1):25-45.

Borba M, Miranda Jr WG, Cesar PF, Griggs JA, Bona AD. Evaluation of the adaptation of zirconia-based fixed partial dentures using micro-CT technology. Braz Oral Res 2013;27(5):396-402.

Kim KB, Kim JH, Kim WC, Kim JH. Three-dimensional evaluation of gaps associated with fixed dental prostheses fabricated with new technologies. J Prosthet Dent 2014;112(6):1432-6.

Daou EE, Ounsi H, Özcan M, Husain NA-H, Salameh Z. Marginal and internal fit of pre-sintered Co-Cr and zirconia 3-unit fixed dental prostheses as measured using microcomputed tomography. J Prosthet Dent 2018;120(3):409-14.

Sjögren G. Marginal and internal fit of four different types of ceramic inlays after luting An in vitro study. Acta Odontol Scand 1995;53(1):24-8.

Colpani JT, Borba M, Della Bona Á. Evaluation of marginal and internal fit of ceramic crown copings. Dent Mater 2013;29(2):174-80.

Molin M, Karlsson S. The fit of gold inlays and three ceramic inlay systems: A clinical and in vitro study. Acta Odontol Scand 1993;51(4):201-6.

Davis G, Elliott J. Artefacts in X-ray microtomography of materials. Mater Sci Technol 2006;22(9):1011-8.

Zinelis S. Micro-CT evaluation of the marginal fit of different In-Ceram alumina copings. Eur J Esthet Dent 2009;4(3):278-92.

Seo D, Yi Y, Roh B. The effect of preparation designs on the marginal and internal gaps in Cerec3 partial ceramic crowns. J Dent 2009;37(5): 374-82.