Three-dimensional fit of lithium disilicate partial crowns in vitro. J Dent 2013 Mar;41(3):271-7
Date
12/12/2012Pubmed ID
23228498DOI
10.1016/j.jdent.2012.11.014Scopus ID
2-s2.0-84875218263 (requires institutional sign-in at Scopus site) 25 CitationsAbstract
OBJECTIVES: A novel three-dimensional scanning technique was used to investigate the effects a one-step and a two-step impression methods can have on the three-dimensional fit of ceramic partial crowns.
METHODS: An acrylic model of a mandibular first molar was prepared to receive a partial coverage all-ceramic crown (mesio-occlusal-distal inlay preparation with reduction of all cusps and rounded shoulder finish line of buccal wall). Type IV plaster replicates were cast based on one-step single viscosity (OS/SV), one-step dual viscosity (OS/DV), and two-step dual viscosity (TS/DV) impressions. Five partial crowns were fabricated per impression method using hot-pressed lithium disilicate ceramics. Then, preparation and restorations were digitized using a non-contact, white-light scanner featuring self-calibrating optics (overall measurement uncertainty of <5μm). Data were entered into quality inspection software which superimposed the records (best-fit-algorithm), calculated fit-discrepancies for every pixel, and colour-coded the results to aid visualization. Furthermore, mean quadratic deviations (RMS) were computed and analyzed statistically with a 1-way ANOVA. Scheffé's procedure was applied for multiple comparisons (α=0.05).
RESULTS: Mean RMS-values for marginal (internal) surfaces were: OS/SV 70 (20)μm, OS/DV 78 (34)μm, and TS/DV 107 (52)μm. Differences among impression techniques were statistically significant at p=0.006 (0.001). Qualitatively, occlusal ridges and preparation finish lines were over contoured, whereas inner occlusal boxes and the proximal-occlusal isthmus were under contoured.
CONCLUSIONS: OS/SV and OS/DV impressions resulted in statistically significantly smaller marginal and internal discrepancies than the two-step technique.
CLINICAL SIGNIFICANCE: Marginal and internal fit of hot-pressed lithium disilicate partial crowns depended on the employed impression technique. One-step impressions are preferred over two-step techniques in many day-to-day clinical situations, especially for the fabrication of partial coverage crown restorations.
Author List
Schaefer O, Kuepper H, Sigusch BW, Thompson GA, Hefti AF, Guentsch AAuthors
Arndt Geuntsch in the CTSI department at Medical College of Wisconsin - CTSIArthur Hefti DDS,PhD Associate Dean - Research & Graduate Studies in the Dentistry department at Marquette University
MESH terms used to index this publication - Major topics in bold
Analysis of VarianceComputer-Aided Design
Crowns
Dental Impression Technique
Dental Marginal Adaptation
Dental Porcelain
Dental Prosthesis Design
Humans
Imaging, Three-Dimensional
Prosthesis Fitting
Statistics, Nonparametric
Tooth Preparation, Prosthodontic
Viscosity