Journal List > J Korean Acad Prosthodont > v.53(4) > 1034843

Kim, Koak, Heo, Kim, and Kim: Influence of the accuracy of abutment tooth preparation on the marginal adaptation of Co-Cr alloy copings fabricated with a selective laser sintering technology

Abstract

Purpose

The purpose of present study is to examine the correlation between the accuracy of abutment preparation and the marginal adaptation of metal coping. With this view, this study compared the correlations regard to the three different manufacturing methods of selective laser sintering technique, milling and casting.

Materials and methods

Two master models were made in a different way. First model with deep chamfer margin was prepared directly by a general clinician and the second model was designed by 3-D designing software program with the same abutment preparation principle and produced by computer aided manufacturing. 12 Co-Cr alloy copings were produced respectively with three different method; SLS system, CAD/CAM milling and conventional lost wax technique from each master model. The total 72 copings fully sit on the master model were stereoscopically evaluated at 40 points along the entire circumferential margin.

Results

Significant differences in the absolute marginal discrepancies of Co-Cr copings from SLS system (P=.0231) and casting method (P<.0001) were shown between hand preparation model and computer designed model. However, no significant difference was found between the two model groups from milling method (P=.9962).

Conclusion

Within the limitation of this study, the effect of the accuracy of abutment preparation on the marginal adaptation of Co-Cr coping is statistically significant in SLS system and casting group. The copings produced by SLS system exhibited the low-est marginal discrepancies among all groups, and the marginal gap of this method group was influenced by the accuracy of the abutment preparation.

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Fig. 1.
Resin tooth master model with hand perparation (1.2 mm deep chamfer margin preparation was made on a mandibular right first molar).
jkap-53-337f1.tif
Fig. 2.
The design of CAD model and titanium master model.
jkap-53-337f2.tif
Fig. 3.
Copings produced by three different fabricating method; selective laser sintering, milling and casting. (A) HS, HM and HC from the hand preparation model, (B) DS, DM and DC from the computer designed model.
jkap-53-337f3.tif
Fig. 4.
Reference points on the margin of the master model.
jkap-53-337f4.tif
Fig. 5.
Measurement of absolute marginal discrepancy by the confocal laser scanning microscope at ×150 magnification.
jkap-53-337f5.tif
Fig. 6.
Total mean (standard deviations) of absolute marginal discrepancy for metal copings from two master models. Statistically significant differences between hand preparation model and computer designed model in SLS group (P=.0231) and casting group (P<.0001).
jkap-53-337f6.tif
Table 1.
Mean (SD) value of absolute marginal discrepancy for four site of the metal copings with the results of the Wilcoxon / Kruskal-Wallis Tests (unit: ㎛)
Hand preparation model Mean (SD) Computer designed model Mean (SD) P value
SLS Mesial 24.4 (14.5) 17.8 (8.8) .3258
Buccal 22.3 (10.6) 6.8 (1.5) .0002
Distal 9.9 (4.2) 16.8 (5.1) .0082
Lingual 13 (8.8) 5.9 (1.3) .0635
Total 17.4 (11.5) 11.8 (7.4) .0231
Milling Mesial 57.1 (8.2) 45.2 (20.2) .1124
Buccal 41.3 (19.6) 61.4 (34.9) .3258
Distal 47 (10.7) 32.2 (17.7) .0588
Lingual 63.4 (19) 76.7 (13) .0963
Total 52.2 (17) 53.9 (27.8) .9962
Casting Mesial 46.3 (13.7) 45 (25.5) .9397
Buccal 39.4 (17.6) 16 (5.3) .0019
Distal 42.9 (15.4) 7.6 (1.6) .0002
Lingual 92 (15.3) 6.4 (2) .0002
Total 55.1 (26.3) 18.8 (20) <.0001
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