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A study to compare the internal fitness and marginal gap between single crowns and crowns within three-unite bridge of zirconia substructure fabricated by CAD-CAM system. (An In vitro study)

Authors: Auday M. Asady --- Haitham J Al azzawi هيثم جاسم العزاوي
Journal: Journal of baghdad college of dentistry مجلة كلية طب الاسنان بغداد ISSN: 16800087 Year: 2017 Volume: 29 Issue: 1 Pages: 27-31
Publisher: Baghdad University جامعة بغداد

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Abstract

Purpose: the aim of this in vitro study was to compare the marginal gap and internal fitness between single crowns and the crowns within three-unit bridges of zirconium fabricated by CAD-CAM system.Materials and methods: A standard model from ivoclar company was used as a pattern to simulate three-units bridge (upper first molar and upper first premolar) as abutments used to fabricate stone models, eight single crowns for premolar and eight of three units bridges. Crowns and bridges fabricated by CAD-CAM system were cemented on their respective stone models then sectioned at the mid-point buccolingaully and misiodistaly and examined under stereomicroscope.Result: the marginal gap in premolar crowns and premolar within bridge were within the acceptable value 120μm, one –way ANOVA showed that there was significant differences in the internal gaps among the areas. Independent t- Test showed there was significant differences between the premolar crowns and premolar crowns within bridges in marginal opening and cusp tip (lingually and distally)Conclusion: the marginal and internal gaps were in the bridge higher than those in the crowns. The areas of sloped surfaces such as chamfer area, occlusal area and cusp tip had high gap values in comparison with areas of flat surfaces such as axial wall and when the surface area of abutment increased, the marginal and internal gaps of abutment was increase.


Article
The Influence of Different Fabrication and Impression Techniques on the Marginal Adaptation of Lithium Disilicate Crowns (A comparative in vitro study)

Authors: Shatha Saadallah شذى سعدالله --- Abdul Kareem J. Al-Azzawi عبدالكريم العزاوي
Journal: Journal of baghdad college of dentistry مجلة كلية طب الاسنان بغداد ISSN: 16800087 Year: 2017 Volume: 29 Issue: 4 Pages: 20-26
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: The marginal adaptation has a key role in the success and longevity of the fixed dental restoration, which is affected by the impression and the fabrication techniques .The objective of this in vitro study was to evaluate and compare the marginal fitness of lithium disilicate crowns using two different digital impression techniques (direct and indirect techniques) and two different fabrication techniques (CAD/CAM and Press techniques).Materials and Methods: Thirty two sound upper first premolar teeth of comparable size extracted for orthodontic reason were selected in this study .Standardized preparation of all teeth samples were carried out with modified dental surveyor to receive all ceramic crown restoration with 1 mm deep chamfer finishing line, 4 mm axial length and 6 degree convergence angle. Half of the teeth were duplicated and poured in type IV dental stone to have sixteen dies and then these dies and the remaining teeth divided in to two groups according to the type of digital impression techniques (n=16) as follow: Group A: Indirect digital impression technique scanned by inEos X5 camera; Group B: Direct digital impression technique scanned by CEREC AC Omnicam camera. Each group was subdivided according to the technique of fabrication into two subgroups (n=8): Press technique using IPS e-max press (A1, B1); CAD/CAM technique using IPS e-max CAD (A2, B2).Marginal gaps were evaluated on the prepared teeth at four defined points on each aspect using digital microscope at a magnification of (280X). One way ANOVA and LSD tests were used to identify and localize the source of difference among the groups.Results: The results showed that indirect digital impression with IPS e-max CAD/CAM group A2 revealed the poorest marginal integrity with (55.93 μm ± 3.300). Group B2 and group A1 were next in line with(44.49 μm ± 6.840 and 37.74 μm± 5.433) respectively, while in the first group of restorations, the result of 29.9 μm ± 5.534 obtained with direct digital impression with pressable ceramic was clearly better.Conclusions: All the tested digital impression techniques showed clinically acceptable accuracy and intraoral scanning with pressable ceramic significantly enhanced the marginal fit

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