scholarly journals In Vitro Study of Comparative Evaluation of Marginal and Internal Fit between Heat-Pressed and CAD-CAM Monolithic Glass-Ceramic Restorations after Thermal Aging

Materials ◽  
2020 ◽  
Vol 13 (19) ◽  
pp. 4239
Author(s):  
Roxana-Diana Vasiliu ◽  
Sorin Daniel Porojan ◽  
Liliana Porojan
Keyword(s):  
Thermal Aging ◽  
Glass Ceramic ◽  
In Vitro Study ◽  
Vitro Study ◽  
Lithium Silicate ◽  
Computer Aided ◽  
Cad Cam ◽  
Internal Fit ◽  
Ceramic Restorations

The accuracy of newly developed ceramic materials is still being studied. Marginal and internal adaptation are known factors that have an essential impact on the long term success of dental restorations. The aim of this in vitro study was to evaluate the marginal and internal fit of heat-pressed and milled monolithic glass-ceramic restorations based on their ceramic type, processing technique, and in vitro thermocycling. Thirty-two crowns were studied and divided into four groups (n = 8), according to the ceramic material (feldspathic glass-ceramic (F) and zirconia reinforced lithium silicate glass-ceramic (ZLS)) and to their technological obtaining processes (milling (M) and heat-pressing (P)). A typodont preparation was scanned with a D2000 3D scanner to obtain identical 32 resin 3D-printed abutment teeth. Marginal and internal gaps were measured using the silicone replica technique under 40× magnification. The crowns were further cemented and thermally aged for 10,000 cycles After cementation and thermocycling of the samples, marginal and internal gaps were assessed using micro-CT (micro-computed tomography)) analysis. Data were statistically analyzed using statistical tests. Significant differences were found before and after cementation and thermocycling among the tested materials (p < 0.05). Related to technological processing, significant differences were seen in the marginal area between FP and FM (p < 0.05) Significant differences were also found in the axial and occlusal areas between the ZLSP and ZLSM. Thermocycling and cementation did not have a significant effect on the tested materials (p < 0.05). The technological processes influenced the marginal and internal fit of the crowns in favor of the CAD/CAM (computer aided design/computer aided manufacturing)technologies. Thermal aging had little effect on marginal adaptability; it increased the values for all the tested samples in a small way, but the values remained in their clinically acceptable range for all of the crowns.

Accuracy of Ceramic Restorations Made Using an In-office Optical Scanning Technique: An In Vitro Study

2014 ◽  
Vol 39 (3) ◽  
pp. 308-316 ◽  
Author(s):  
P Tidehag ◽  
K Ottosson ◽  
G Sjögren
Keyword(s):  
Glass Ceramic ◽  
In Vitro Study ◽  
Vitro Study ◽  
Digital Impression ◽  
All Ceramic ◽  
Computer Aided ◽  
Cad Cam ◽  
Ceramic Crowns ◽  
Ceramic Crown

SUMMARY The present in vitro study concerns determination of the pre-cementation gap width of all-ceramic crowns made using an in-office digital-impression technique and subsequent computer-aided design/computer-aided manufacturing (CAD/CAM) production. Two chairside video camera systems were used: the Lava Oral scanner and Cadent's iTero scanner. Digital scans were made of a first molar typodont tooth that was suitably prepared for an all-ceramic crown. The digital impressions were sent via the Internet to commercial dental laboratories, where the crowns were made. Also, an impression of the typodont tooth was made, poured, and scanned in order to evaluate the pre-cementation gap of crowns produced from scanning stone dies. These methods and systems were evaluated by creating replicas of the intermediate space using an addition-cured silicone, and the gap widths were determined using a measuring microscope. Hot-pressed leucite-reinforced glass-ceramic crowns were selected as a reference. The mean value for the marginal measuring points of the control was 170 μm, and the values for all the evaluated crowns ranged from 107 to 128 μm. Corresponding figures for the internal measuring points were 141-210 μm and 115-237 μm, respectively. Based on the findings in the present study, an in-office digital-impression technique can be used to fabricate CAD/CAM ceramic single crowns with a marginal and internal accuracy that is on the same level as that of a conventional hot-pressed glass-ceramic crown. In the present study, however, slight differences could be seen between the two types of ceramic crowns studied with respect to the internal fit obtained.

scholarly journals Marginal and Internal Fit of Ceramic Prostheses Fabricated from Different Chairside CAD/CAM Systems: An In Vitro Study

2021 ◽  
Vol 11 (2) ◽  
pp. 857
Author(s):  
Keunbada Son ◽  
Kyu-Bok Lee
Keyword(s):  
Computer Aided Design ◽  
In Vitro Study ◽  
Vitro Study ◽  
Marginal Gap ◽  
Significant Difference ◽  
Cad Cam ◽  
Ceramic Crowns ◽  
Internal Fit ◽  
Cam Systems

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.

scholarly journals In Vitro Study on Marginal and Internal Fit of CAD/CAM All-ceramic Crowns

2005 ◽  
Vol 24 (3) ◽  
pp. 456-459 ◽  
Author(s):  
Takashi NAKAMURA ◽  
Hideaki TANAKA ◽  
Soichiro KINUTA ◽  
Takeshi AKAO ◽  
Kei OKAMOTO ◽  
...  
Keyword(s):  
In Vitro Study ◽  
Vitro Study ◽  
All Ceramic ◽  
Cad Cam ◽  
Ceramic Crowns ◽  
Internal Fit

Additive vs. Subtractive CAD/CAM Procedures in Manufacturing of the PMMA Interim Dental Crowns. A Comparative in vitro Study of Internal Fit

2020 ◽  
Vol 71 (1) ◽  
pp. 405-410
Author(s):  
Kamel Earar ◽  
Alexandru Andrei Iliescu ◽  
Gabriela Popa ◽  
Andrei Iliescu ◽  
Ioana Rudnic ◽  
...  
Keyword(s):  
In Vitro Study ◽  
Dimensional Accuracy ◽  
Vitro Study ◽  
Dental Crowns ◽  
S 100 ◽  
Cad Cam ◽  
Dental Models ◽  
3D Printed ◽  
Internal Fit

CAD/CAM procedures are increasingly used to the manufacturing of 3D-designed PMMA interim dental crowns. The aim of this in vitro study was to compare the internal fit of interim PMMA crowns fabricated by subtractive versus additive CAD/CAM procedures. Starting from a Co-Cr CAD/CAM master abutment model, 20 standardized dental models of dental stone were done by double impression technique. Subsequently two groups of interim PMMA interim crowns, each of them having 10 specimens, were CAM obtained either by milling or 3D printing, using Exocad software package, milling machine Rolland DWX-50, and the 3D printer MoonRay S 100 respectively. An electronic digital caliper Powerfix Profi+ was used for measurements of the chrome cobalt abutment and crowns inner diameter in 4 directions (mesial-distal gingival, buccal-lingual gingival, mesial-distal occlusal, and buccal-lingual occlusal). The null hypothesis that the internal dimensional accuracy of interim PMMA crowns fabricated by DLP additive method would not be different compared to those obtained by milling procedure was rejected since the printed PMMA interim crowns were more accurate. This study concluded that the milled PMMA interim crowns show larger internal dimensional variations than the 3D printed ones. However, the fit variation among interim crowns fabricated by both procedures was statistically non significant, so that both CAM technologies may be equally used in manufacturing process.

scholarly journals In vitro Study of the Effect of Internal Relief Space on the Color of Ceramic Laminate Veneer

2021 ◽  
Vol 9 (D) ◽  
pp. 37-42
Author(s):  
Abd El Azeem Mostafa ◽  
Cherif A. Mohsen
Keyword(s):  
Computer Aided Design ◽  
Color Change ◽  
In Vitro Study ◽  
Resin Cement ◽  
Lithium Silicate ◽  
Standard Design ◽  
Significant Difference ◽  
Computer Aided ◽  
Cad Cam

BACKGROUND: Ceramic laminate veneer restoring is considered a challenging modality in solving various esthetic dental problems. AIM: The purpose of this study was to investigate the effect of digital internal relief space on the color of ceramic laminate veneer. MATERIALS AND METHODS: An acrylic central incisor model was prepared for ceramic laminate veneer with standard measures. The prepared acrylic resin dentotype model was scanned with intraoral computer-aided design/computer-aided manufacturing (CAD/CAM) optical scanner (CEREC Omnicam|Dentsply Sirona). The laminate veneer design was planned on the optically scanned preparation on CAD/CAM system software (CEREC software|Dentsply Sirona). Thirty ceramic laminate veneer specimens were machined from zirconia-reinforced lithium silicate (Celtra Duo blocks, Dentsply/Sirona) according to standard design by CAD/CAM system with the change of the digital internal relief space settings. The specimens were divided into three groups according to their digital internal relief settings (IRS) (20, 60, and 100 μm) (n = 10). Thirty epoxy dies were duplicated from the prepared acrylic model. The ceramic laminate veneer specimens were cemented to epoxy dies with total etch resin cement system according to the manufacture instructions. The color change (ΔE) of the cemented ceramic laminate veneer specimens was measured by spectrophotometer (Vita Easy shade, Ivoclar Vivadent AG, Schaan, Liechtenstein) using the CIELAB scale and L*, a*, b*. Each specimen was measured two times (before and after cementation). The value of color difference (ΔE) was calculated according to the formula: ΔE = [(L*2 - L*1)2 + (a*2 - a*1)2 + (b*2- b*1) 2]½. RESULTS: The highest mean value of ΔE was recorded in G100 group (1.91 ± 0.33), followed by G60 group (1.83 ± 0.09), with the least value recorded in G20 group (1.49 ± 0.49). Analysis of variance test revealed a statistically significant difference between groups (p = 0.024). CONCLUSION: The change of the digital IRS affects the color of ceramic laminate veneers.

Comparison of Marginal Adaptation of Different Resin-Ceramic CAD/CAM Crowns: An In Vitro Study

2020 ◽  
pp. 232020682097597
Author(s):  
Ece Irem Oguz ◽  
Mehmet Ali Kılıçarslan ◽  
Merve Erdog˘ Özgür ◽  
Kaan Orhan ◽  
Sohaib Shujaat
Keyword(s):  
Analysis Of Variance ◽  
Computer Aided Design ◽  
Three Dimensional ◽  
In Vitro Study ◽  
Vitro Study ◽  
Marginal Adaptation ◽  
Computer Aided ◽  
Cad Cam ◽  
Marginal Discrepancy

Aim: To compare the marginal adaptation of crowns fabricated by using three different resin-ceramic computer-aided design/computer-aided manufacturing (CAD/CAM) materials. Materials and Methods: Crowns fabricated from three different resin-ceramic CAD/CAM blocks, applied on a typodont premolar (#14), were tested with regard to marginal adaptation, in this in vitro study. The typodont maxillary first premolar was prepared to serve as the master die and digitized with an intraoral scanner. The same virtual crown design was used to fabricate all specimens. Forty-eight crowns were fabricated from the same virtual crown design using three different CAD/CAM resin-ceramic blocks as follows ( n = 16): Lava Ultimate (LU), GC Cerasmart (GC), Vita Enamic (VE). Master die and crowns were scanned with a laboratory scanner and three-dimensional data were transferred into three-matic software. The software calculated the mean of the marginal discrepancy (MD) for each crown in negative and positive values, representing under and over estimation of the crown margin, respectively. A marginal discrepancy index (MDI) was obtained for each group using negative and positive MDs. All data were statistically analyzed using one-way analysis of variance and Tukey’s honest significance test ( α = 0.05). Results: The analysis of variance showed no statistical differences between materials regarding the negative and positive MDs ( P > .05). The MDI for LU was lower than GC and VE ( P < .05). Conclusion: The marginal adaptation of different resin-ceramic materials was different with regard to MDI values. Nevertheless, the MD values of all groups were within the clinically acceptable range.

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