Journal List > J Korean Acad Prosthodont > v.55(2) > 1034914

Choi and Cho: Assessment of the fit of zirconia-based prostheses fabricated with two different scan methods

Abstract

Purpose

This research was conducted to compare the marginal and internal fit of zirconia prostheses fabricated with the model scan method and the intraoral scan method.

Materials and methods

In this study, 20 extracted human mandibular first molar was used in the preparation of abutment tooth for the fabrication of zirconia prostheses. In the first group, the model scan method was applied on 10 prepared teeth. In the other group, the intraoral scan method was used on other 10 prepared teeth. Datum of both groups were transmitted to the software system. Afterwards, 20 zirconia prostheses were fabricated using the Ceramill system. Weight technique was used to evaluate the internal gap of the zirconia prostheses. In the Replica technique, marginal gap of the zirconia prostheses were analyzed by optical microscopy. Statistical analysis was based on one-way ANOVA.

Results

Model scan group showed lower average weight than intraoral scan group when weight technique was applied, which has significance (P < .05). Also, model scan group showed significantly lower figures in all 5 measurements of replica technique than intraoral scan group (P < .05).

Conclusion

Zirconia prostheses of both groups demonstrated clinically acceptable margin and internal fit. However, model scanned zirconia prostheses showed higher marginal and internal fit than intraoral scanned crowns. (J Korean Acad Prosthodont 2017;55:135-43)

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Fig. 1.
Prepared abutment tooth.
jkap-55-135f1.tif
Fig. 2.
Fabrication of 10 master dies.
jkap-55-135f2.tif
Fig. 3.
Scan images from each group. (A) Intraoral scan, (B) model scan.
jkap-55-135f3.tif
Fig. 4.
Design of the zirconia prostheses for each group. (A) Intraoral scan, (B) model scan.
jkap-55-135f4.tif
Fig. 5.
Zirconia prosthesis placed on the prepared abutment tooth.
jkap-55-135f5.tif
Fig. 6.
Silicone film representing the space between the abutment tooth and the zirconia prosthesis.
jkap-55-135f6.tif
Fig. 7.
Stabilized replica after segmentation in the bucco-palatal direction.
jkap-55-135f7.tif
Fig. 8.
Schematic representation of the five predetermined measuring points in the cross-sectional cut of the replica.
jkap-55-135f8.tif
Fig. 9.
Microscopic cross-sectional photograph of a replica. Definition of measuring distances for marginal accuracy: x, horizontal marginal discrepancy; y, vertical marginal discrepancy; a, absolute marginal discrepancy; b, internal gap.
jkap-55-135f9.tif
Fig. 10.
Means of silicone weight measurements for the intraoral scan group and model scan group (n = 10, for each). Error bars represent ± SD.
jkap-55-135f10.tif
Fig. 11.
Means of marginal and internal gaps for the intraoral scan group and model scan groups (n = 10, for each). Error bars represent ± SD.
jkap-55-135f11.tif
Table 1.
Means ± SD value of silicone weight measurements for the intraoral scan group and model scan group (n = 10, for each), with independent t test results. Silicone weight (mg)
  Mean SD Min Max P value
Intraoral scan 198.59 11.93 185.30 224.00 < .001
Model scan 134.57 5.86 125.70 143.00
Table 2.
Means ± SD value of the marginal and internal gaps for the intraoral scan group and model scan group (n = 10, for each), in ㎛, with independent t test result
  Intraoral scan Model scan P values
Bucco-absolute marginal discrepancy 135.20 ± 11.32 107.80 ± 11.23 < .001
Bucco-vertical marginal discrepancy 71.40 ± 8.51 57.30 ± 8.11 < .001
Bucco-horizontal marginal discrepancy 86.30 ± 8.13 71.70 ± 9.21 < .001
Bucco-internal gap 109.40 ± 15.41 80.50 ± 9.34 < .001
Occlusal gap 240.70 ± 7.94 216.50 ± 10.31 < .001
Linguo-internal gap 104.90 ± 9.12 69.90 ± 10.63 < .001
Linguo-horizontal marginal discrepancy 100.30 ± 7.35 85.70 ± 8.15 < .001
Linguo-vertical marginal discrepancy 87.90 ± 8.33 58.30 ± 9.33 < .001
Linguo-absolute marginal discrepancy 134.90 ± 6.40 109.90 ± 18.90 < .001
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