Evaluation of Two Protocols to Measure the Accuracy of Fixed Dental Prostheses: An In Vitro Study

J Prosthodont. 2019 Feb;28(2):e599-e603. doi: 10.1111/jopr.12583. Epub 2017 Feb 2.

Abstract

Purpose: The aim of this in vitro study was to compare two measurement protocols of the internal and marginal fit of three-unit zirconia fixed dental prostheses (FDPs).

Materials and methods: Forty-four FDPs were fabricated for standardized dies by two laboratory CAD/CAM systems: Cercon (n = 22) and Ceramill (n = 22). The fitting was tested using a replica technique (RT = technique 1) with a light-body silicone stabilized with heavy-body material. After producing the replicas, cross-sections were made in the buccolingual and mesiodistal directions. FDPs were cemented on definitive dies, embedded, and sectioned (CST = technique 2). The marginal and internal fits were measured under an optical microscope at 50x magnification with a special software program. Data evaluation was performed according to prior studies at a level of significance of 5%.

Results: The mean internal gap width was 51 ± 36 μm for the RT and 52 ± 35 μm for the cross-section technique (CST) (p = 0.74). The mean marginal gap width was 27 ± 18 μm for RT and 30 ± 19 μm for CST (p = 0.19). Statistical tests showed no significant differences (p > 0.05).

Conclusions: Both techniques can be used for fit evaluation; however, the noninvasive RT is suitable for clinical use.

Keywords: Computer-aided design/computer-aided manufacturing; cross-section technique; marginal and internal fit measurement; pre-sintered zirconia; replica technique.

MeSH terms

  • Computer-Aided Design
  • Dental Marginal Adaptation
  • Denture Design / methods
  • Denture, Partial, Fixed*
  • Humans
  • In Vitro Techniques