The Journal of Advanced Prosthodontics

The Korean Academy of Prosthodonitics (대한치과보철학회)
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Gap comparison between single crown and three-unit bridge zirconia substructures

  • Received : 2013.09.25
  • Accepted : 2014.05.28
  • Published : 2014.08.29
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Abstract

PURPOSE. To compare marginal and internal gaps of zirconia substructure of single crowns with those of three-unit fixed dental prostheses. MATERIALS AND METHODS. Standardized Co-Cr alloy simulated second premolar and second molar abutments were fabricated and subsequently duplicated into type-III dental stone for working casts. After that, all zirconia substructures were made using $Lava^{TM}$ system. Marginal and internal gaps were measured in 2 planes (mesial-distal plane and buccal-palatal plane) at 5 locations: marginal opening (MO), chamfer area (CA), axial wall (AW), cusp tip (CT) and mid-occlusal (OA) using Replica technique. RESULTS. There were significant differences between gaps at all locations. The $mean{\pm}SD$ of marginal gap in premolar was $43.6{\pm}0.4{\mu}m$ and $46.5{\pm}0.5{\mu}m$ for single crown and 3-unit bridge substructure respectively. For molar substructure the $mean{\pm}SD$ of marginal gap was $48.5{\pm}0.4{\mu}m$ and $52.6{\pm}0.4{\mu}m$ for single crown and 3-unit bridge respectively. The largest gaps were found at the occlusal area, which was $150.5{\pm}0.5{\mu}m$ and $154.5{\pm}0.4{\mu}m$ for single and 3-unit bridge premolar substructures respectively and $146.5{\pm}0.4{\mu}m$ and $211.5{\pm}0.4{\mu}m$ for single and 3-unit bridge molar substructure respectively. CONCLUSION. Independent-samples t-test showed significant differences of gap in zirconia substructure between single crowns and three-unit bridge (P<.001). Therefore, the span length has the effect on the fit of zirconia substructure that is fabricated using CAD/CAM technique especially at the occlusal area.

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References

  1. Rosenblum MA, Schulman A. A review of all-ceramic restorations. J Am Dent Assoc 1997;128:297-307. https://doi.org/10.14219/jada.archive.1997.0193
  2. Magne P, Belser U. Esthetic improvements and in vitro testing of In-Ceram Alumina and Spinell ceramic. Int J Prosthodont 1997;10:459-66.
  3. Shepard FE, Moon PC, Grant GC, Fretwell LD. Allergic contact stomatitis from a gold alloy-fixed partial denture. J Am Dent Assoc 1983;106:198-9. https://doi.org/10.14219/jada.archive.1983.0381
  4. McLean JW, Hughes TH. The reinforcement of dental porcelain with ceramic oxides. Br Dent J 1965;119:251-67.
  5. Kelly JR, Tesk JA, Sorensen JA. Failure of all-ceramic fixed partial dentures in vitro and in vivo: analysis and modeling. J Dent Res 1995;74:1253-8. https://doi.org/10.1177/00220345950740060301
  6. Olsson KG, Furst B, Andersson B, Carlsson GE. A longterm retrospective and clinical follow-up study of In-Ceram Alumina FPDs. Int J Prosthodont 2003;16:150-6.
  7. Sorensen JA, Cruz M, Mito WT, Raffeiner O, Meredith HR, Foser HP. A clinical investigation on three-unit fixed partial dentures fabricated with a lithium disilicate glass-ceramic. Pract Periodontics Aesthet Dent 1999;11:95-106; quiz 108.
  8. Sorensen JA, Kang SK, Torres TJ, Knode H. In-Ceram fixed partial dentures: three-year clinical trial results. J Calif Dent Assoc 1998;26:207-14.
  9. Vult von Steyern P, Jonsson O, Nilner K. Five-year evaluation of posterior all-ceramic three-unit (In-Ceram) FPDs. Int J Prosthodont 2001;14:379-84.
  10. Libby G, Arcuri MR, LaVelle WE, Hebl L. Longevity of fixed partial dentures. J Prosthet Dent 1997;78:127-31. https://doi.org/10.1016/S0022-3913(97)70115-X
  11. Campbell SD, Sozio RB. Evaluation of the fit and strength of an all-ceramic fixed partial denture. J Prosthet Dent 1988; 59:301-6. https://doi.org/10.1016/0022-3913(88)90177-1
  12. Kelly JR. Dental ceramics: current thinking and trends. Dent Clin North Am 2004;48:viii, 513-30. https://doi.org/10.1016/j.cden.2004.01.003
  13. Denry I, Kelly JR. State of the art of zirconia for dental applications. Dent Mater 2008;24:299-307. https://doi.org/10.1016/j.dental.2007.05.007
  14. Abduo J, Lyons K, Swain M. Fit of zirconia fixed partial denture: a systematic review. J Oral Rehabil 2010;37:866-76. https://doi.org/10.1111/j.1365-2842.2010.02113.x
  15. Sailer I, Feher A, Filser F, Gauckler LJ, Luthy H, Hammerle CH. Five-year clinical results of zirconia frameworks for posterior fixed partial dentures. Int J Prosthodont 2007;20:383-8.
  16. Sailer I, Pjetursson BE, Zwahlen M, Hammerle CH. A systematic review of the survival and complication rates of all-ceramic and metal-ceramic reconstructions after an observation period of at least 3 years. Part II: Fixed dental prostheses. Clin Oral Implants Res 2007;18:86-96.
  17. Raigrodski AJ. Contemporary materials and technologies for all-ceramic fixed partial dentures: a review of the literature. J Prosthet Dent 2004;92:557-62. https://doi.org/10.1016/j.prosdent.2004.09.015
  18. Raigrodski AJ. Contemporary all-ceramic fixed partial dentures: a review. Dent Clin North Am 2004;48:viii, 531-44. https://doi.org/10.1016/j.cden.2003.12.008
  19. Devigus A, Lombardi G. Shading Vita YZ substructures: influence on value and chroma, part I. Int J Comput Dent 2004;7:293-301.
  20. Beuer F, Neumeier P, Naumann M. Marginal fit of 14-unit zirconia fixed dental prosthesis retainers. J Oral Rehabil 2009; 36:142-9. https://doi.org/10.1111/j.1365-2842.2008.01908.x
  21. Glauser R, Sailer I, Wohlwend A, Studer S, Schibli M, Scharer P. Experimental zirconia abutments for implant-supported single-tooth restorations in esthetically demanding regions: 4-year results of a prospective clinical study. Int J Prosthodont 2004;17:285-90.
  22. Lang NP, Kiel RA, Anderhalden K. Clinical and microbiological effects of subgingival restorations with overhanging or clinically perfect margins. J Clin Periodontol 1983;10:563-78. https://doi.org/10.1111/j.1600-051X.1983.tb01295.x
  23. Valderhaug J, Heloe LA. Oral hygiene in a group of supervised patients with fixed prostheses. J Periodontol 1977;48: 221-4. https://doi.org/10.1902/jop.1977.48.4.221
  24. Reich S, Wichmann M, Nkenke E, Proeschel P. Clinical fit of all-ceramic three-unit fixed partial dentures, generated with three different CAD/CAM systems. Eur J Oral Sci 2005;113: 174-9. https://doi.org/10.1111/j.1600-0722.2004.00197.x
  25. Bindl A, Mormann WH. Marginal and internal fit of all-ceramic CAD/CAM crown-copings on chamfer preparations. J Oral Rehabil 2005;32:441-7. https://doi.org/10.1111/j.1365-2842.2005.01446.x
  26. Schaerer P, Sato T, Wohlwend A. A comparison of the marginal fit of three cast ceramic crown systems. J Prosthet Dent 1988;59:534-42. https://doi.org/10.1016/0022-3913(88)90065-0
  27. Hung SH, Hung KS, Eick JD, Chappell RP. Marginal fit of porcelain-fused-to-metal and two types of ceramic crown. J Prosthet Dent 1990;63:26-31. https://doi.org/10.1016/0022-3913(90)90260-J
  28. Weaver JD, Johnson GH, Bales DJ. Marginal adaptation of castable ceramic crowns. J Prosthet Dent 1991;66:747-53. https://doi.org/10.1016/0022-3913(91)90408-O
  29. Boening KW, Walter MH, Reppel PD. Non-cast titanium restorations in fixed prosthodontics. J Oral Rehabil 1992;19: 281-7. https://doi.org/10.1111/j.1365-2842.1992.tb01103.x
  30. Fransson B, Oilo G, Gjeitanger R. The fit of metal-ceramic crowns, a clinical study. Dent Mater 1985;1:197-9. https://doi.org/10.1016/S0109-5641(85)80019-1
  31. Kokubo Y, Ohkubo C, Tsumita M, Miyashita A, Vult von Steyern P, Fukushima S. Clinical marginal and internal gaps of Procera AllCeram crowns. J Oral Rehabil 2005;32:526-30. https://doi.org/10.1111/j.1365-2842.2005.01458.x
  32. Quintas AF, Oliveira F, Bottino MA. Vertical marginal discrepancy of ceramic copings with different ceramic materials, finish lines, and luting agents: an in vitro evaluation. J Prosthet Dent 2004;92:250-7. https://doi.org/10.1016/j.prosdent.2004.06.023
  33. Bornemann G, Lemelson S, Luthardt R. Innovative method for the analysis of the internal 3D fitting accuracy of Cerec-3 crowns. Int J Comput Dent 2002;5:177-82.
  34. Tuntiprawon M, Wilson PR. The effect of cement thickness on the fracture strength of all-ceramic crowns. Aust Dent J 1995;40:17-21. https://doi.org/10.1111/j.1834-7819.1995.tb05607.x
  35. Karlsson S. A clinical evaluation of fixed bridges, 10 years following insertion. J Oral Rehabil 1986;13:423-32. https://doi.org/10.1111/j.1365-2842.1986.tb01304.x
  36. Abduo J, Lyons K, Swain M. Fit of zirconia fixed partial denture: a systematic review. J Oral Rehabil 2010;37:866-76. https://doi.org/10.1111/j.1365-2842.2010.02113.x
  37. Reich S, Kappe K, Teschner H, Schmitt J. Clinical fit of fourunit zirconia posterior fixed dental prostheses. Eur J Oral Sci 2008;116:579-84. https://doi.org/10.1111/j.1600-0722.2008.00580.x
  38. Wettstein F, Sailer I, Roos M, Hammerle CH. Clinical study of the internal gaps of zirconia and metal frameworks for fixed partial dentures. Eur J Oral Sci 2008;116:272-9. https://doi.org/10.1111/j.1600-0722.2008.00527.x

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