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Marginal and internal fit of posterior three-unit fixed zirconia dental prostheses fabricated with two different CAD/CAM systems and materials

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Abstract

Objectives

The purpose of this in vitro study was to compare the precision of fit of frameworks milled from semi-sintered regular zirconia and high-translucent (HT) zirconia blanks, fabricated with two different CAD/CAM systems.

Material and methods

Three-unit, posterior fixed dental prostheses (FDP) frameworks were fabricated for standardized dies (n = 11) with two different laboratory computer-aided design (CAD)/computer-aided manufacturing (CAM) systems (Cercon/Ceramill). The replica technique was used to evaluate the marginal and internal fit under an optical microscope. Evaluation of the data was performed according to prior studies at a level of significance of 5%.

Results

The systems showed a statistically significant influence on the internal fit of the frameworks (p ≤ 0.001) and on the marginal fit (p < 0.001). The type of material showed no influence on the marginal fit for the Cercon system (p = 0.636) and on the marginal fit (p = 0.064) and the internal fit (p = 0.316) for the Ceramill system, while regular zirconia from Cercon showed higher internal values than HT zirconia (p = 0.016).

Conclusions and clinical relevance

Both investigated systems showed clinically acceptable values within the limitations of this in vitro study. However, one showed less internal accuracy when regular zirconia was used.

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References

  1. Tinschert J, Natt G, Mohrbotter N, Spiekermann H, Schulze KA (2007) Lifetime of alumina- and zirconia ceramics used for crown and bridge restorations. J Biomed Mater Res B Appl Biomater 80(2):317–321. doi:10.1002/jbm.b.30599

    Article  PubMed  Google Scholar 

  2. Sailer I, Feher A, Filser F, Gauckler LJ, Luthy H, Hammerle CH (2007) Five-year clinical results of zirconia frameworks for posterior fixed partial dentures. Int J Prosthodont 20(4):383–388

    PubMed  Google Scholar 

  3. Tinschert J, Natt G, Mautsch W, Augthun M, Spiekermann H (2001) Fracture resistance of lithium disilicate-, alumina-, and zirconia-based three-unit fixed partial dentures: a laboratory study. Int J Prosthodont 14(3):231–238

    PubMed  Google Scholar 

  4. Stawarczyk B, Emslander A, Roos M, Sener B, Noack F, Keul C (2014) Zirconia ceramics, their contrast ratio and grain size depending on sintering parameters. Dent Mater J 33(5):591–598

    Article  PubMed  Google Scholar 

  5. Vult von Steyern P, Carlson P, Nilner K (2005) All-ceramic fixed partial dentures designed according to the DC-Zirkon technique. A 2-year clinical study. J Oral Rehabil 32(3):180–187. doi:10.1111/j.1365-2842.2004.01437.x

    Article  PubMed  Google Scholar 

  6. Beuer F, Schweiger J, Edelhoff D (2008) Digital dentistry: an overview of recent developments for CAD/CAM generated restorations. Br Dent J 204(9):505–511. doi:10.1038/sj.bdj.2008.350

    Article  PubMed  Google Scholar 

  7. Edelhoff D, Florian B, Florian W, Johnen C (2008) HIP zirconia fixed partial dentures—clinical results after 3 years of clinical service. Quintessence Int 39(6):459–471

    PubMed  Google Scholar 

  8. Sachs C, Groesser J, Stadelmann M, Schweiger J, Erdelt K, Beuer F (2014) Full-arch prostheses from translucent zirconia: accuracy of fit. Dental materials: official publication of the Academy of Dental Materials 30(8):817–823. doi:10.1016/j.dental.2014.05.001

    Article  Google Scholar 

  9. Stawarczyk B, Ozcan M, Hallmann L, Ender A, Mehl A, Hammerlet CH (2013) The effect of zirconia sintering temperature on flexural strength, grain size, and contrast ratio. Clinical oral investigations 17(1):269–274. doi:10.1007/s00784-012-0692-6

    Article  PubMed  Google Scholar 

  10. Kohorst P, Herzog TJ, Borchers L, Stiesch-Scholz M (2007) Load-bearing capacity of all-ceramic posterior four-unit fixed partial dentures with different zirconia frameworks. Eur J Oral Sci 115(2):161–166. doi:10.1111/j.1600-0722.2007.00429.x

    Article  PubMed  Google Scholar 

  11. Reich S, Wichmann M, Nkenke E, Proeschel P (2005) Clinical fit of all-ceramic three-unit fixed partial dentures, generated with three different CAD/CAM systems. Eur J Oral Sci 113(2):174–179. doi:10.1111/j.1600-0722.2004.00197.x

    Article  PubMed  Google Scholar 

  12. Tinschert J, Schulze KA, Natt G, Latzke P, Heussen N, Spiekermann H (2008) Clinical behavior of zirconia-based fixed partial dentures made of DC-Zirkon: 3-year results. Int J Prosthodont 21(3):217–222

    PubMed  Google Scholar 

  13. Belser UC, MacEntee MI, Richter WA (1985) Fit of three porcelain-fused-to-metal marginal designs in vivo: a scanning electron microscope study. J Prosthet Dent 53(1):24–29

    Article  PubMed  Google Scholar 

  14. Karlsson S (1993) The fit of Procera titanium crowns. An in vitro and clinical study. Acta Odontol Scand 51(3):129–134

    Article  PubMed  Google Scholar 

  15. McLean JW, von Fraunhofer JA (1971) The estimation of cement film thickness by an in vivo technique. Br Dent J 131(3):107–111

    Article  PubMed  Google Scholar 

  16. Sulaiman F, Chai J, Jameson LM, Wozniak WT (1997) A comparison of the marginal fit of In-Ceram, IPS Empress, and Procera crowns. Int J Prosthodont 10(5):478–484

    PubMed  Google Scholar 

  17. Hung SH, Hung KS, Eick JD, Chappell RP (1990) Marginal fit of porcelain-fused-to-metal and two types of ceramic crown. J Prosthet Dent 63(1):26–31

    Article  PubMed  Google Scholar 

  18. Weaver JD, Johnson GH, Bales DJ (1991) Marginal adaptation of castable ceramic crowns. J Prosthet Dent 66(6):747–753

    Article  PubMed  Google Scholar 

  19. Bindl A, Mormann WH (2005) Marginal and internal fit of all-ceramic CAD/CAM crown-copings on chamfer preparations. J Oral Rehabil 32(6):441–447. doi:10.1111/j.1365-2842.2005.01446.x

    Article  PubMed  Google Scholar 

  20. Holmes JR, Bayne SC, Holland GA, Sulik WD (1989) Considerations in measurement of marginal fit. J Prosthet Dent 62(4):405–408

    Article  PubMed  Google Scholar 

  21. Schaerer P, Sato T, Wohlwend A (1988) A comparison of the marginal fit of three cast ceramic crown systems. J Prosthet Dent 59(5):534–542

    Article  PubMed  Google Scholar 

  22. Felton DA, Kanoy BE, Bayne SC, Wirthman GP (1991) Effect of in vivo crown margin discrepancies on periodontal health. J Prosthet Dent 65(3):357–364

    Article  PubMed  Google Scholar 

  23. Sorensen JA (1989) A rationale for comparison of plaque-retaining properties of crown systems. J Prosthet Dent 62(3):264–269

    Article  PubMed  Google Scholar 

  24. Sorensen SE, Larsen IB, Jorgensen KD (1986) Gingival and alveolar bone reaction to marginal fit of subgingival crown margins. Scand J Dent Res 94(2):109–114

    PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  26. Beuer F, Neumeier P, Naumann M (2009) Marginal fit of 14-unit zirconia fixed dental prosthesis retainers. J Oral Rehabil 36(2):142–149. doi:10.1111/j.1365-2842.2008.01908.x

    Article  PubMed  Google Scholar 

  27. Beuer F, Korczynski N, Rezac A, Naumann M, Gernet W, Sorensen JA (2010) Marginal and internal fit of zirconia based fixed dental protheses fabricated with different concepts. Clin Cosmet Investig Dent 2:5–11

    Article  PubMed  PubMed Central  Google Scholar 

  28. Beuer F, Naumann M, Gernet W, Sorensen JA (2009) Precision of fit: zirconia three-unit fixed dental prostheses. Clinical oral investigations 13(3):343–349. doi:10.1007/s00784-008-0224-6

    Article  PubMed  Google Scholar 

  29. Boening KW, Wolf BH, Schmidt AE, Kastner K, Walter MH (2000) Clinical fit of Procera AllCeram crowns. J Prosthet Dent 84(4):419–424. doi:10.1067/mpr.2000.109125

    Article  PubMed  Google Scholar 

  30. Molin M, Karlsson S (1993) The fit of gold inlays and three ceramic inlay systems. A clinical and in vitro study. Acta Odontol Scand 51(4):201–206

    Article  PubMed  Google Scholar 

  31. Beuer F, Aggstaller H, Edelhoff D, Gernet W, Sorensen J (2009) Marginal and internal fits of fixed dental prostheses zirconia retainers. Dental materials: official publication of the Academy of Dental Materials 25(1):94–102. doi:10.1016/j.dental.2008.04.018

    Article  Google Scholar 

  32. Tinschert J, Natt G, Mautsch W, Spiekermann H, Anusavice KJ (2001) Marginal fit of alumina- and zirconia-based fixed partial dentures produced by a CAD/CAM system. Oper Dent 26(4):367–374

    PubMed  Google Scholar 

  33. Coli P, Karlsson S (2004) Precision of a CAD/CAM technique for the production of zirconium dioxide copings. Int J Prosthodont 17(5):577–580

    PubMed  Google Scholar 

  34. Rekow ED, Harsono M, Janal M, Thompson VP, Zhang G (2006) Factorial analysis of variables influencing stress in all-ceramic crowns. Dental materials: official publication of the Academy of Dental Materials 22(2):125–132. doi:10.1016/j.dental.2005.04.010

    Article  Google Scholar 

  35. Rekow D, Thompson VP (2005) Near-surface damage—a persistent problem in crowns obtained by computer-aided design and manufacturing. Proc Inst Mech Eng H J Eng Med 219(4):233–243

    Article  Google Scholar 

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Acknowledgements

DeguDent and Amann Girrbach supported this study with materials. The authors would like to thank the laboratory staff of the prosthodontic department of Munich Dental School for their support, especially to Josef Schweiger and John Meinen.

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Correspondence to Florian Beuer.

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Schönberger, J., Erdelt, KJ., Bäumer, D. et al. Marginal and internal fit of posterior three-unit fixed zirconia dental prostheses fabricated with two different CAD/CAM systems and materials. Clin Oral Invest 21, 2629–2635 (2017). https://doi.org/10.1007/s00784-017-2064-8

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  • DOI: https://doi.org/10.1007/s00784-017-2064-8

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