Journal List > J Korean Acad Prosthodont > v.52(2) > 1034813

Kim, Kim, and Lee: The effect of heat and press-on-metal technique on marginal fit of metal-ceramic crown

Abstract

Purpose

The purpose of this study is to see what impact the heat and press-on-metal technique has on the marginal fit of metal ceramic crown.

Materials and methods

Prior to the experiment, 4 metal master models were prepared. Each model has margin of chamfer, margin of heavy chamfer, margin of shoulder with bevel and margin of shoulder (collarless). Additionally, 10 crowns were made for each margin, total of 40 crowns. Marginal discrepancy between the master model and crown was observed at ×100 microscopic magnification in two states; in coping state and upon completion of making metal ceramic crown. Data analysis was performed using paired t-test along with one-way ANOVA and Duncan multiple comparison test.

Results

After analyzing mean and standard deviation of marginal discrepancy, it was confirmed that marginal discrepancies were within the clinical permitted range for all states; in coping state and upon completion of making metal ceramic crown. For the chamfer group, a significant increase in marginal discrepancy upon completion of making metal ceramic crown was observed compared to the heavy chamfer group. Also, a marginal discrepancy of porcelain margin in shoulder group was significantly less than the marginal discrepancy of metal margin in chamfer and shoulder group.

Conclusion

From the test result, one can conclude that marginal fit of metal ceramic crown built with heat and press-on-metal technique is not significantly different from marginal fit of metal ceramic crown built with traditional technique. And along with efficiency of this system, heat and press-on-metal technique is considered in clinic. (J Korean Acad Prosthodont 2014;52:90-6)

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Fig. 1.
Four master models used in this study (From the left side, chamfer, heavy chamfer, shoulder with bevel, and shoulder).
jkap-52-90f1.tif
Fig. 2.
Microscopic measuring of marginal discrepancy at the middle point of labial margin of heavy chamfer. (A) Metal coping, (B) Metal ceramic crown.
jkap-52-90f2.tif
Fig. 3.
Comparison of the marginal discrepancy in Group C (㎛). ∗ P-value is determined by t-test procedure.
jkap-52-90f3.tif
Fig. 4.
Comparison of the marginal discrepancies after completion of metal ceramic crown (㎛). ∗ P-value is determined one-way ANOVA procedure.
jkap-52-90f4.tif
Fig. 5.
Comparison between each group in the marginal adaptation discrepancy at the same point of metal margin after completion of metal ceramic crown (㎛). ∗P-value is determined one-way ANOVA procedure.
jkap-52-90f5.tif
Table 1.
Marginal type for each group
G N Type of labial margin
C 10 Chamfer
HC 10 Heavy chamfer
SB 10 Shoulder with bevel
S 10 Shoulder
Table 2.
Firing parameters of each step
  T B S t H V1 V2
  ℃/℉ ℃/℉ min ℃/℉/min min ℃/℉ ℃/℉
1st + 2nd Opaquer firing 930/1706 403/757 6 100/180 2 450/842 929/1704
Touch-Up firing 840/1544 403/757 4 60/108 1 450/842 839/1542
Shade/Stains firing 800/1472 403/757 6 60/108 1 450/842 799/1470
Glaze firing 800/1472 403/757 6 60/108 2 450/842 799/1470
Add-On after Glaze firing (690℃/1274℉) 690/1274 403/757 4 60/108 1 450/842 689/1272

T: Firing temperature, B: Stand-by temperature, S: Closing time in minutes, t

: Heating rate, H: Holding time, V1: Vacuum on temperature, V2: Vacuum off temperature.

Table 3.
Average marginal discrepancy and standard deviation of each group (㎛)
Group Metal coping (A)   Marginal discrepancy  
  After completion of metal ceramic crown
At metal margin (B) B - A At porcelain margin At entire margin
C 35 ± 6 ㎛ 51 ± 5 ㎛ 16 ± 2 ㎛   51 ± 5 ㎛
HC 37 ± 7 ㎛ 39 ± 10 ㎛ 2 ± 4 ㎛   39 ± 10 ㎛
SB 33 ± 10 ㎛ 42 ± 18 ㎛ 8 ± 13 ㎛   42 ± 18 ㎛
S 40 ± 10 ㎛ 44 ± 10 ㎛ 4 ± 12 ㎛ 28 ± 13 ㎛ 36 ± 9 ㎛

(B - A; The amount of difference between marginal discrepancy of metal coping (A) and that of metal margin after completion of metal ceramic crown (B) at the same point.)

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