Malaguti G, Rossi R, Marziali B, Esposito A, Bruno G, Dariol C, DI Fiore A
DDS, Private practice, Bagnolo in Piano (RE), Italy.
ODT, Private practice, Reggio Emilia, Italy.
Oral Implantol (Rome). 2017 Feb 14;9(Suppl 1/2016 to N 4/2016):21-27. doi: 10.11138/orl/2016.9.1S.021. eCollection 2016 Jan-Mar.
The aim of this study is to evaluate the marginal and internal fit of zirconia core crowns manufactured following different digital and traditional workflows.
A 6° taper shoulder prepared abutment tooth was used to produce 20 zirconia core crowns using four different scanning techniques: scanned directly with the extraoral lab scanner, scanned with intraoral scanner, dental impressions using individual dental tray and polyether, dental casts from a polyether impressions. Marginal and internal fits were evaluated with digital photography and the silicone replica method.
Medium marginal gaps were 76,00 μm ± 28.9 for extraoral lab scanner, 80.50 μm ± 36,2 for intraoral scanner, 88.10 μm ± 34,8 for dental impression scan and 112,4 μm ± 37,2 for dental cast scan. Medium internal gaps were 23.20 μm ± 10,3 for extraoral lab scanner, 16.20 μm ± 8.3 for intraoral scanner, 27.20 μm ± 16.7 for dental impression scan and 30.20 μm ± 12.7 for dental cast scan.
Internal gap were extensively lower than 70 μm described in literature. Marginal fit was higher than ideal values for all the techniques but within the limit of clinical success. Intraoral scanners obtained the best results for internal gap.
本研究旨在评估采用不同数字和传统工作流程制作的氧化锆核冠的边缘适合性和内部适合性。
使用一个制备有6°锥度肩台的基牙,采用四种不同的扫描技术制作20个氧化锆核冠:使用口外实验室扫描仪直接扫描、使用口内扫描仪扫描、使用个别托盘和聚醚制取牙印模、由聚醚印模制作石膏模型。通过数码摄影和硅橡胶复制法评估边缘适合性和内部适合性。
口外实验室扫描仪的平均边缘间隙为76.00μm±28.9,口内扫描仪为80.50μm±36.2,牙印模扫描为88.10μm±34.8,石膏模型扫描为112.4μm±37.2。口外实验室扫描仪的平均内部间隙为23.20μm±10.3,口内扫描仪为16.20μm±8.3,牙印模扫描为27.20μm±16.7,石膏模型扫描为30.20μm±12.7。
内部间隙远低于文献中描述的70μm。所有技术的边缘适合性均高于理想值,但在临床成功的范围内。口内扫描仪在内部间隙方面取得了最佳结果。