Comparative analysis of two measurement methods for marginal fit in metal-ceramic and zirconia posterior FPDs.

The purpose of this study was to compare two measurement methods for the external marginal fit of zirconia posterior fixed partial dentures (FPDs) fabricated using computer-aided design/manufacturing technology and metal-ceramic posterior FPDs fabricated using the conventional lost-wax technique. The null hypothesis was that there would be no differences between the measurement methods. Forty standardized steel specimens were prepared to receive posterior three-unit FPDs. Specimens were divided into four groups (n = 10): (1) metal-ceramic, (2) Procera Bridge Zirconia, (3) Lava AllCeramic System, and (4) Vita In-Ceram YZ 2000. All FPDs were luted with glass-ionomer cement (Ketac Cem EasyMix, 3M ESPE). Two measurement methods were used to analyze marginal fit: an image analysis (IA) program and a scanning electron microscope (SEM) (JEOL JSM-6400) with magnifications of 340 and 31,000, respectively. Marginal fit was measured at the same point on each abutment. Significant interaction was observed between measurement method and material (P = .0019). Therefore, the measurement method is not independent of the restoration material. Differences among groups were observed for IA (P = .0001) and SEM (P = .0013). Significant differences were observed for the Procera (P = .0050) and metal-ceramic (P = .0039) specimen groups when both measurement methods were evaluated separately. Accuracy of fit achieved by the four groups analyzed was within the range of clinical acceptance, yielding Procera Bridge Zirconia to have the best marginal fit using both measurement methods.