d e n t a l m a t e r i a l s 2 9 ( 2 0 1 3 ) 174–180
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Evaluation of marginal and internal fit of ceramic
crown copings
Juliana Tereza Colpani, Márcia Borba, Álvaro Della Bona
∗
Post-graduate Program in Dentistry, Dental School, University of Passo Fundo, Brazil
a r t i c l e i n f o
Article history:
Received 1 July 2012
Received in revised form
26 October 2012
Accepted 30 October 2012
Keywords:
Ceramic
CAD–CAM
Slip casting
Fit
Replica technique
a b s t r a c t
Objectives. (1) To measure the marginal and internal adaptation of different prosthetic crowns
infrastructures (IS); (2) to analyze two types of methodologies (replica and weight technique)
used to evaluate the adaptation of indirect restorations.
Methods. Ceramic IS were fabricated using CAD/CAM technology and slip-casting technique,
and metal IS were produced by casting (n = 10). For each experimental group, the adaptation
was evaluated with the replica (RT) and the weight technique (WT), using an impression
material (low viscosity silicon) to simulate the luting agent. Cross-sectional images of the sil-
icon replica were obtained and analyzed with Image J software to measure the low viscosity
silicon layer thickness at pre-determined points. The silicon layer was also weighted. Results
were statistically analyzed with ANOVA and Tukey’s test (˛ = 0.05). Pearson correlation was
used to analyze the relation between the two types of evaluation methods.
Results. All IS evaluated showed clinically acceptable internal and marginal adaptation. Metal
IS showed the best adaptation, irrespective of the measuring technique (RT and WT). The
IS produced by CAD–CAM showed greater gap values at the occlusal area than at other
evaluated regions. The IS produced by the dental laboratory technician showed similar gap
values at all evaluated regions. There is no correlation between RT and WT (p > 0.05).
Significance. Different levels of adaptation were found for the different experimental groups
and for the different evaluation methods. However, all IS evaluated showed clinically accept-
able values of marginal and internal adaptation.
© 2012 Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.
1. Introduction
The internal and marginal adaptation of ceramic restorations
is an important factor for the clinical success and longevity of
these restorations. The presence of a marginal gap can lead
to dissolution of the luting agent, creating an area for biofilm
development that may cause caries and periodontal diseases
[1–3].
A marginal misfit can be considered acceptable when it is
visually imperceptible or cannot be detected using a dental
∗
Corresponding author at: Dental School, University of Passo Fundo, Campus I, BR285, km 171, Passo Fundo, RS, Brazil. Tel.: +55 5433115142.
E-mail address: dbona@upf.br (Á. Della Bona).
probe. Marginal gap values between 100 and 150 m are con-
sidered clinically acceptable [4–11]. In addition, the dimension
of the internal gap is also important because internal gaps
greater than 70 m can reduce the fracture resistance of dental
crowns [12].
Methods to evaluate the adaptation of prosthetic restora-
tions have used laser videography [10], profile projector [13],
micro-CT and CAD/CAM scanner [14]. The replica technique
(RT), or cement analog technique, has been widely used
because of its ability to estimate the internal and marginal
gap dimension of prosthetic restorations [9]. This technique
0109-5641/$ – see front matter © 2012 Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.
http://dx.doi.org/10.1016/j.dental.2012.10.012