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Precision of the milled full-arch framework fabricated using pre-sintered soft alloy: A pilot study

  • Woo, Hyun-Wook (Department of Prosthodontics, School of Dentistry, Kyungpook National University) ;
  • Cho, Sung-Am (Department of Prosthodontics, School of Dentistry, Kyungpook National University) ;
  • Lee, Cheong-Hee (Department of Prosthodontics, School of Dentistry, Kyungpook National University) ;
  • Lee, Kyu-Bok (Department of Prosthodontics, School of Dentistry, A3DI, Kyungpook National University) ;
  • Cho, Jin-Hyun (Department of Prosthodontics, School of Dentistry, Kyungpook National University) ;
  • Lee, Du-Hyeong (Department of Prosthodontics, School of Dentistry, Kyungpook National University)
  • Received : 2017.06.27
  • Accepted : 2017.12.05
  • Published : 2018.04.30

Abstract

PURPOSE. This study aimed to evaluate the marginal discrepancy of full-arch frameworks in implant-supported prostheses fabricated using pre-sintered soft alloy (PSA). MATERIALS AND METHODS. Full-arch metal frameworks were fabricated on the edentulous implant model using casting alloy (CA), fully-sintered hard alloy (FHA), and PSA (n = 4 in each group). To evaluate the misfit of the framework to the abutments, the absolute marginal discrepancy (AMD) values of the frameworks were measured in cross-sectional images that had been drawn as part of the triple-scan protocol. The AMD values were compared among the tested alloy groups using the Kruskal-Wallis test, with a post hoc Mann-Whitney U test (${\alpha}=.05$). RESULTS. The FHA and PSA groups showed lower marginal discrepancies than the CA group (P<.001). However, the FHA group did not differ significantly from the PSA group. CONCLUSION. Soft alloy milling is comparable to hard alloy milling, and it is more precise than casting in terms of the marginal fit of implant-supported, full-arch prostheses.

Keywords

References

  1. Holmes JR, Bayne SC, Holland GA, Sulik WD. Considerations in measurement of marginal fit. J Prosthet Dent 1989;62:405-8. https://doi.org/10.1016/0022-3913(89)90170-4
  2. Henry PJ. An alternative method for the production of accurate casts and occlusal records in osseointegrated implant rehabilitation. J Prosthet Dent 1987;58:694-7. https://doi.org/10.1016/0022-3913(87)90421-5
  3. Aparicio C. A new method for achieving passive fit of an interim restoration supported by Branemark implants: a technical note. Int J Oral Maxillofac Implants 1995;10:614-8.
  4. Contrepois M, Soenen A, Bartala M, Laviole O. Marginal adaptation of ceramic crowns: a systematic review. J Prosthet Dent 2013;110:447-54.e10. https://doi.org/10.1016/j.prosdent.2013.08.003
  5. Pimenta MA, Frasca LC, Lopes R, Rivaldo E. Evaluation of marginal and internal fit of ceramic and metallic crown copings using x-ray microtomography (micro-CT) technology. J Prosthet Dent 2015;114:223-8. https://doi.org/10.1016/j.prosdent.2015.02.002
  6. Ziebert GJ, Hurtado A, Glapa C, Schiffleger BE. Accuracy of one-piece castings, preceramic and postceramic soldering. J Prosthet Dent 1986;55:312-7. https://doi.org/10.1016/0022-3913(86)90110-1
  7. Sarfati E, Harter JC. Comparative accuracy of fixed partial dentures made as one-piece castings or joined by solder. Int J Prosthodont 1992;5:377-83.
  8. Rinke S, Rasing H, Gersdorff N, Buergers R, Roediger M. Implant-supported overdentures with different bar designs: A retrospective evaluation after 5-19 years of clinical function. J Adv Prosthodont 2015;7:338-43. https://doi.org/10.4047/jap.2015.7.4.338
  9. Eisenmann E, Mokabberi A, Walter MH, Freesmeyer WB. Improving the fit of implant-supported superstructures using the spark erosion technique. Int J Oral Maxillofac Implants 2004;19:810-8.
  10. Ortorp A, Jemt T, Back T, Jalevik T. Comparisons of precision of fit between cast and CNC-milled titanium implant frameworks for the edentulous mandible. Int J Prosthodont 2003;16:194-200.
  11. Paniz G, Stellini E, Meneghello R, Cerardi A, Gobbato EA, Bressan E. The precision of fit of cast and milled full-arch implant-supported restorations. Int J Oral Maxillofac Implants 2013;28:687-93. https://doi.org/10.11607/jomi.2990
  12. Agustin-Panadero R1, Penarrocha-Oltra D1, Gomar-Vercher S1, Ferreiroa A2, Penarrocha-Diago M3. Implant-supported overdenture manufactured using CAD/CAM techniques to achieve horizontal path insertion between the primary and secondary structure: A clinical case report. J Adv Prosthodont 2015;7:264-70. https://doi.org/10.4047/jap.2015.7.3.264
  13. Lee DH, Lee BJ, Kim SH, Lee KB. Shear bond strength of porcelain to a new millable alloy and a conventional castable alloy. J Prosthet Dent 2015;113:329-35. https://doi.org/10.1016/j.prosdent.2014.09.016
  14. Park JK, Kim HY, Kim WC, Kim JH. Evaluation of the fit of metal ceramic restorations fabricated with a pre-sintered soft alloy. J Prosthet Dent 2016;116:909-915. https://doi.org/10.1016/j.prosdent.2016.03.024
  15. Kim EH, Lee DH, Kwon SM, Kwon TY. A microcomputed tomography evaluation of the marginal fit of cobalt-chromium alloy copings fabricated by new manufacturing techniques and alloy systems. J Prosthet Dent 2017;117:393-9. https://doi.org/10.1016/j.prosdent.2016.08.002
  16. Kelvin Khng KY, Ettinger RL, Armstrong SR, Lindquist T, Gratton DG, Qian F. In vitro evaluation of the marginal integrity of CAD/CAM interim crowns. J Prosthet Dent 2016; 115:617-23. https://doi.org/10.1016/j.prosdent.2015.10.002
  17. Shamseddine L, Mortada R, Rifai K, Chidiac JJ. Fit of pressed crowns fabricated from two CAD-CAM wax pattern process plans: A comparative in vitro study. J Prosthet Dent 2017;118:49-54. https://doi.org/10.1016/j.prosdent.2016.10.003
  18. Alfaro DP, Ruse ND, Carvalho RM, Wyatt CC. Assessment of the internal fit of lithium disilicate crowns using micro-CT. J Prosthodont 2015;24:381-6. https://doi.org/10.1111/jopr.12274
  19. Nakamura T, Dei N, Kojima T, Wakabayashi K. Marginal and internal fit of Cerec 3 CAD/CAM all-ceramic crowns. Int J Prosthodont 2003;16:244-8.
  20. Lee KB, Park CW, Kim KH, Kwon TY. Marginal and internal fit of all-ceramic crowns fabricated with two different CAD/CAM systems. Dent Mater J 2008;27:422-6. https://doi.org/10.4012/dmj.27.422
  21. De Santis R, Gloria A, Russo T, D'Amora U, Varriale A, Veltri M, Balleri P, Mollica F, Riccitiello F, Ambrosio L. Reverse engineering of mandible and prosthetic framework: Effect of titanium implants in conjunction with titanium milled full arch bridge prostheses on the biomechanics of the mandible. J Biomech 2014;47:3825-9. https://doi.org/10.1016/j.jbiomech.2014.10.020
  22. Bae SY, Park JY, Jeong ID, Kim HY, Kim JH, Kim WC. Three-dimensional analysis of marginal and internal fit of copings fabricated with polyetherketoneketone (PEKK) and zirconia. J Prosthodont Res 2017;61:106-12. https://doi.org/10.1016/j.jpor.2016.07.005
  23. Lee DH. Digital approach to assessing the 3-dimensional misfit of fixed dental prostheses. J Prosthet Dent 2016;116:836-9. https://doi.org/10.1016/j.prosdent.2016.05.012
  24. Holst S, Karl M, Wichmann M, Matta RE. A new triple-scan protocol for 3D fit assessment of dental restorations. Quintessence Int 2011;42:651-7.
  25. Real-Voltas F, Romano-Cardozo E, Figueras-Alvarez O, Brufau-de Barbera M, Cabratosa-Termes J. Comparison of the marginal fit of cobalt-chromium metal-ceramic crowns fabricated by CAD/CAM techniques and conventional methods at three production stages. Int J Prosthodont 2017;30: 304-5. https://doi.org/10.11607/ijp.5038
  26. Zhou Y, Li Y, Ma X, Huang Y, Wang J. Role of span length in the adaptation of implant-supported cobalt chromium frameworks fabricated by three techniques. J Adv Prosthodont 2017;9:124-9. https://doi.org/10.4047/jap.2017.9.2.124
  27. Park JM, Hammerle CHF, Benic GI. Digital technique for in vivo assessment of internal and marginal fit of fixed dental prostheses. J Prosthet Dent 2017;118:452-54. https://doi.org/10.1016/j.prosdent.2016.12.016

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