Department of Prosthodontics, Ludwig-Maximilians University, Munich, Germany.
J Oral Rehabil. 2009 Feb;36(2):142-9. doi: 10.1111/j.1365-2842.2008.01908.x. Epub 2008 Oct 29.
The marginal fit of 14-unit fixed dental prosthesis retainers and single-crown copings fabricated by the same computer-aided design (CAD)/computer-aided manufacturing (CAM) system were evaluated in vitro hypothesizing that the marginal opening might be independent of the type of restoration. Eight ivorine maxillary teeth (FDI locations 27, 25, 23, 21, 11, 13, 15 and 17) were prepared to accommodate a 14-unit prosthesis. Ten fixed dental prosthesis retainers and 40 single-crown-copings were fabricated using Zeno CAD/CAM on 20 master dies. Four cross-sections were made from each tooth and the marginal gap dimensions were measured. One-way anova was used to test the difference between the experimental groups and two-way anova and a post hoc test (Student-Newman-Keuls) were carried out to determine the influence of the location of the abutment tooth and the measurement location within the abutment tooth in the experimental groups (P < 0.05). Mean marginal gap dimensions and standard deviations for fixed dental prosthesis retainers and single-crown copings were 25 +/- 29 and 13 +/- 12 microm, respectively. The type of restoration showed a significant influence (P < 0.001) on the marginal gap. The location of the abutment tooth (P < 0.001) and the measurement location (P < 0.001) exhibited significant influence on marginal gaps of fixed dental prosthesis retainers while no influence on single-crown copings could be detected. The highest marginal gaps were found at the palatal surface of the incisor and canine of the 14-unit fixed dental prosthesis retainers. Fourteen-unit fixed dental prosthesis showed significantly higher marginal openings than single crowns fabricated under the same conditions. However, both restorations showed clinically acceptable marginal openings.
本研究旨在评估同一 CAD/CAM 系统制作的 14 单位固定义齿保持器和单冠修复体的边缘适合性,假设边缘间隙可能与修复体类型无关。将 8 颗象牙上颌牙(FDI 位置 27、25、23、21、11、13、15 和 17)预备以容纳 14 单位修复体。使用 Zeno CAD/CAM 在 20 个主模具上制作了 10 个固定义齿保持器和 40 个单冠修复体。从每个牙齿上制作 4 个横截面,并测量边缘间隙尺寸。使用单因素方差分析比较实验组之间的差异,使用双向方差分析和事后检验(Student-Newman-Keuls)确定实验组中基牙位置和基牙内测量位置对边缘间隙的影响(P < 0.05)。固定义齿保持器和单冠修复体的平均边缘间隙尺寸和标准差分别为 25±29 和 13±12 µm。修复体类型对边缘间隙有显著影响(P < 0.001)。基牙位置(P < 0.001)和测量位置(P < 0.001)对固定义齿保持器的边缘间隙有显著影响,而对单冠修复体没有影响。14 单位固定义齿保持器的边缘间隙在切牙和尖牙的腭面最大。在相同条件下制作的 14 单位固定义齿保持器的边缘开口明显大于单冠。然而,两种修复体的边缘间隙均在临床可接受范围内。