The Effects of Scaling and Root Planing on the Marginal Gap and Microleakage of Indirect Composite Crowns Prepared With Different Finish Lines: An In Vitro Study

2012 ◽  
Vol 37 (6) ◽  
pp. 650-659 ◽  
Author(s):  
D Angerame ◽  
R Sorrentino ◽  
D Cettolin ◽  
F Zarone

SUMMARY The present in vitro study aimed to assess the effects of root surface mechanical instrumentation on the marginal integrity and adaptation of resin composite crowns. The following null hypotheses were tested: no differences exist between finish line and 1) marginal gap or 2) marginal microleakage before and after manual mechanical periodontal maintenance. A total of 56 intact human mandibular molars were randomly distributed into four groups and subjected to standardized tooth preparations for indirect composite crowns with different marginal finish lines (90° shoulder, beveled 90° shoulder, feather edge, chamfer). One-half of the specimens was used as a control and remained untreated, and the remaining half was subjected to root surface procedures simulating five years of semestral mechanical supportive periodontal treatment. The marginal gap and microleakage were evaluated and statistically analyzed. The specimens used as controls showed lower mean marginal gaps than those subjected to the simulated periodontal treatment, whereas the latter showed lower microleakage than the control crowns. Statistically significant differences were recorded for both the experimental variables. The root surface procedures resulted in altered surfaces of the composite crowns. The marginal gap increased after the treatment, whereas the marginal microleakage was reduced. The 90° shoulder and the chamfer preparation could be considered a viable option to fabricate composite crowns, but the beveled 90° shoulder and the feather edge should not be recommended.

Polymers ◽  
2021 ◽  
Vol 13 (24) ◽  
pp. 4311
Author(s):  
Mirza Rustum Baig ◽  
Aqdar A. Akbar ◽  
Munira Embaireeg

A polymer-infiltrated ceramic network (PICN) material has recently been introduced for dental use and evidence is developing regarding the fit accuracy of such crowns with different preparation designs. The aim of this in vitro study was to evaluate the precision of fit of machined monolithic PICN single crowns in comparison to lithium disilicate crowns in terms of marginal gap, internal gap, and absolute marginal discrepancies. A secondary aim was to assess the effect of finish line configuration on the fit accuracy of crowns made from the two materials. Two master metal dies were used to create forty stone dies, with twenty each for the two finish lines, shoulder and chamfer. The stone dies were scanned to produce virtual models, on which ceramic crowns were designed and milled, with ten each for the four material–finish line combinations (n = 10). Marginal gaps and absolute marginal discrepancies were evaluated at six pre-determined margin locations, and the internal gap was measured at 60 designated points using a stereomicroscope-based digital image analysis system. The influence of the material and finish line on the marginal and internal adaptation of crowns was assessed by analyzing the data using two-way analysis of variance (ANOVA), non-parametric, and Bonferroni multiple comparison post-hoc tests (α = 0.05). ANOVA revealed that the differences in the marginal gaps and the absolute marginal discrepancies between the two materials were significant (p < 0.05), but that those the finish line effect and the interaction were not significant (p > 0.05). Using the Mann–Whitney U test, the differences in IG for ‘material’ and ‘finish line’ were not found to be significant (p > 0.05). In conclusion, the finish line configuration did not seem to affect the marginal and internal adaptation of PICN and lithium disilicate crowns. The marginal gap of PICN crowns was below the clinically acceptable threshold of 120 µm.


2021 ◽  
Vol 11 (14) ◽  
pp. 6349
Author(s):  
Regina María Del Río Carrillo ◽  
Pedro Molinero-Mourelle ◽  
Vicente Vera ◽  
Pablo Romero Villaba ◽  
Elizabeth Casañas ◽  
...  

To evaluate the bond strength of different universal adhesives on deciduous tooth dentineand their relationship with the composition and potential of hydrogen (pH). Methods: An in vitromicro push-out test on 150 samples (n = 50) per group per adhesive, namely, Adhese Universal(ADH; Ivoclar Vivadent), Futurabond U (FUT; Voco GmbH) (Test), and Scotchbond Universal withpre-conditioning (SCO; 3M) (Control), to record bond strength (BS) and type of adhesive failure.Results: The results of the different adhesives (megapascals (MPa)) varied, showing no statisticalsignificance. The corresponding averages are in MPa: ADH, 13.66 2.81; FUT, 14.48 2.88; SCO,14.98 3.96. Additionally, the frequency of type of failure was as follows: mixed (60.7%), adhesive(27.3%), and cohesive (12%). Conclusions: SCO, with a pH of 2.7, showed greater resistance tofracture, while FUT, with a pH of 2.3 and no pre-conditioning, approached the same values, being aone-step adhesive. No relationship was found between failure and type of adhesive.


2021 ◽  
Vol 11 (2) ◽  
pp. 857
Author(s):  
Keunbada Son ◽  
Kyu-Bok Lee

The purpose of this in vitro study was to evaluate marginal and internal fits of ceramic crowns fabricated with chairside computer-aided design and manufacturing (CAD/CAM) systems. An experimental model based on ISO 12836:2015 was digitally scanned with different intraoral scanners (Omnicam (CEREC), EZIS PO (DDS), and CS3500 (Carestream)). Ceramic crowns were fabricated using the CAD/CAM process recommended by each system (CEREC, EZIS, and Carestream systems; N = 15). The 3-dimensional (3D) marginal and internal fit of each ceramic crown was measured using a 3D inspection software (Geomagic control X). Differences among the systems and various measurements were evaluated using the Kruskal–Wallis test. Statistically significant differences were validated using pairwise comparisons (α = 0.05). Occlusal gaps in the CEREC, EZIS, and Carestream groups were 113.0, 161.3, and 438.2 µm, respectively (p < 0.001). The axial gaps were 83.4, 78.0, and 107.9 µm, respectively. The marginal gaps were 77.8, 99.3, and 60.6 µm, respectively, and the whole gaps were 85.9, 107.3, and 214.0 µm, respectively. Significant differences were observed with the EZIS system compared with the other two systems in terms of the marginal gap sizes. The CEREC system showed no significant differences among the four measured regions. However, the EZIS and Carestream systems did show a statistically significant difference (p < 0.05). All three systems were judged to be capable of fabricating clinically acceptable prostheses, because the marginal gap, which is the most important factor in the marginal fit of prostheses, was recorded to be below 100 µm in all three systems.


Author(s):  
Hardi Rajanbhai Shukla ◽  
Aditi Mathur ◽  
Neema Shetty ◽  
Barkha Makhijani ◽  
Balaji Manohar

Background: Biofilm removal is the central part of the etiotropic and maintenance phase of periodontal therapy. Commercially available injection water jets such as Prophy-Jet allows an efficient and convenient biofilm removal as an adjunct to mechanical periodontal therapy. But, due to the abrasive nature of traditionally used air polishing powders such as sodium bicarbonate, there is a continuous research going on for less abrasive materials. Aims: To compare the effectiveness of air polishing using glycine powder and chlorhexidine acetate powder on tooth surface as compared to ultrasonic scaling and also to evaluate the time taken for stain removal. Materials and Methods: Thirty fully erupted, single rooted teeth extracted due to poor periodontal prognosis were used in this in-vitro study. The sample teeth were divided into 3 equal groups and stained in coffee solution. The test Groups A and B underwent air-polishing with glycine powder and chlorhexidine acetate powder respectively. Group C was control group and underwent ultrasonic scaling. Time taken for stain removal was recorded. The sample teeth were also evaluated under a stereo-microscope and digital micrometer preprocedurally and post-procedurally to measure surface changes. Results: The study showed statistically significant results (p<0.05) when measurements of changes in surface roughness of samples treated with glycine powder air-polishing were compared with ultrasonic scaling and chlorhexidine acetate powder air-polishing were compared with ultrasonic scaling. Surface texture loss as well as time taken for stain removal was minimum with glycine powder and maximum with ultrasonic scaling. Conclusion: Air-polishing with glycine powder was least abrasive on root surface followed by chlorhexidine acetate powder air-polishing. This is because of the lower particle size of glycine which also covers larger area in lesser time.  


2013 ◽  
Vol 1 (1) ◽  
pp. 11 ◽  
Author(s):  
Fatema Yusuf ◽  
Savitha Adiga ◽  
Kusum Bashetty ◽  
Jayshree Hegde ◽  
Rupali Karale ◽  
...  

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