Literature DB >> 22372886

Comparison of the marginal adaptation of zirconium dioxide crowns in preparations with two different finish lines.

Raúl Euán1, Oscar Figueras-Álvarez, Josep Cabratosa-Termes, Magí Brufau-de Barberà, Susana Gomes-Azevedo.   

Abstract

PURPOSE: The purpose of this study was to evaluate the marginal adaptation of zirconium dioxide crowns in preparations with two different finish line configurations before and after porcelain firing cycles, after a glaze cycle, and after cementation.
MATERIALS AND METHODS: Twenty human molar teeth were prepared to receive full crowns; ten were prepared with a 90° round shoulder and another ten with a 45° chamfer finish line. Zirconium dioxide copings were fabricated using CAD/CAM technology (Lava™ system). They were then veneered with a low-fusing glass-ceramic (IPS e.max® Ceram). Finally, they were glazed and cemented with a resin-composite cement (RelyX™ Unicem, Aplicap™). Measurements for marginal adaptation using stereomicroscopy (40×) were performed at four stages: copings (S1), after porcelain firing cycles (S2), after glazing (S3), and after cementation (S4). One-way ANOVA was used to assess the influence of the finish line design on the marginal adaptation in each stage. Two-way ANOVA with repeated measurements was performed to assess the influence on the marginal adaptation of the porcelain firing cycles, glaze firing cycle, and cementation.
RESULTS: The measured marginal gap mean values for the shoulder group (μm) were: 50.13 (S1), 54.32 (S2), 55.12 (S3), and 59.83 (S4). The values for the chamfer group were: 63.56 (S1), 71.85 (S2), 74.12 (S3), and 76.97 (S4). When comparing marginal gaps between specimens with two different finish lines, differences were noticed at the four studied stages (p = 0.0165, p = 0.0027, p = 0.0009, and p = 0.0009, respectively). No differences were manifested in the marginal gap measurements of the shoulder group at the different stages of fabrication (p = 0.4335); however, in the chamfer group, differences were noticed between S1 and S3 (p = 0.0042).
CONCLUSIONS: Marginal adaptation was influenced by the finish line design. The firing cycles significantly affected the chamfer group; nevertheless, the marginal gap was within the range of clinical acceptability.
© 2012 by the American College of Prosthodontists.

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Year:  2012        PMID: 22372886     DOI: 10.1111/j.1532-849X.2011.00831.x

Source DB:  PubMed          Journal:  J Prosthodont        ISSN: 1059-941X            Impact factor:   2.752


  9 in total

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Review 6.  Fit of tooth-supported zirconia single crowns-A systematic review of the literature.

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7.  Effect of Biologically Oriented Preparation Technique on the Stress Concentration of Endodontically Treated Upper Central Incisor Restored with Zirconia Crown: 3D-FEA.

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8.  Marginal and Internal Precision of Zirconia Four-Unit Fixed Partial Denture Frameworks Produced Using Four Milling Systems.

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9.  The clinical challenge of achieving marginal adaptation in direct and indirect restorations.

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  9 in total

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