Marginal and internal adaptation of zirconia crowns: A comparative study of assessment methods

Rafael Schlögel Cunali, Rafaella Caramori Saab, Gisele Maria Correr, Leonardo Fernandes Da Cunha, Bárbara Pick Ornaghi, André V. Ritter, Carla Castiglia Gonzaga

Research output: Contribution to journalArticlepeer-review

Abstract

Marginal and internal adaptation is critical for the success of indirect restorations. New imaging systems make it possible to evaluate these parameters with precision and non-destructively. This study evaluated the marginal and internal adaptation of zirconia copings fabricated with two different systems using both silicone replica and microcomputed tomography (micro-CT) assessment methods. A metal master model, representing a preparation for an all-ceramic full crown, was digitally scanned and polycrystalline zirconia copings were fabricated with either Ceramill Zi (Amann-Girrbach) or inCoris Zi (Dentslpy-Sirona), n=10. For each coping, marginal and internal gaps were evaluated by silicone replica and micro-CT assessment methods. Four assessment points of each replica cross-section and micro-CT image were evaluated using imaging software: marginal gap (MG), axial wall (AW), axio-occlusal angle (AO) and mid-occlusal wall (MO). Data were statistically analyzed by factorial ANOVA and Tukey test (α=0.05). There was no statistically significant difference between the methods for MG and AW. For AO, there were significant differences between methods for Amann copings, while for Dentsply-Sirona copings similar values were observed. For MO, both methods presented statistically significant differences. A positive correlation was observed determined by the two assessment methods for MG values. In conclusion, the assessment method influenced the evaluation of marginal and internal adaptation of zirconia copings. Micro-CT showed lower marginal and internal gap values when compared to the silicone replica technique, although the difference was not always statistically significant. Marginal gap and axial wall assessment points showed the lower gap values, regardless of ceramic system and assessment method used.

Original languageEnglish (US)
Pages (from-to)467-473
Number of pages7
JournalBrazilian Dental Journal
Volume28
Issue number4
DOIs
StatePublished - Jul 1 2017

Keywords

  • CAD/CAM
  • Dental prosthesis
  • Marginal fit
  • Zirconia

ASJC Scopus subject areas

  • Dentistry(all)

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