Şiriner Gümüş Hilal, Gül Aygün Esma Başak, Tuzlalı Mesut, Totik Doğan Nazlı
Department of Prosthodontics, Private Dental Clinic, Istanbul, Turkey.
Department of Prosthodontics, Faculty of Dentistry, Cukurova University, Adana, Turkey.
Odontology. 2025 Apr 12. doi: 10.1007/s10266-025-01104-6.
This in vitro study aimed to evaluate the internal and marginal adaptation of crowns produced from partially crystallized and fully crystallized lithium disilicate CAD-CAM blocks using direct view and the silicone replica method. The mandibular first molar was used as an abutment. A total of twenty crowns (n = 10) were produced using milling CAD-CAM. The direct viewing technique was used to measure the marginal gap. The measurement of internal adaptation was conducted using the silicone replica technique. Following the subsequent glazing procedure, all crowns underwent another round of measurements. The paired samples t-test was used to compare two related continuous variables. The study revealed that the mean value of the marginal gap of the partially crystallized block is significantly higher than the fully crystallized block both before and after the glazing process. A statistically significant difference was found before and after glazing of the partially crystallized block in the marginal gap values. The fully crystallized crowns showed better marginal gap values than the partially crystallized ones. No change was observed before and after the glaze in the fully crystallized block. The recommended limit of 120 µm for the marginal gap of lithium disilicate CAD-CAM crowns was never exceeded.
本体外研究旨在使用直视法和硅橡胶复制法评估由部分结晶和完全结晶的二硅酸锂CAD-CAM块制作的全冠的内部适合性和边缘适合性。使用下颌第一磨牙作为基牙。通过铣削CAD-CAM制作了总共20个全冠(n = 10)。使用直视技术测量边缘间隙。使用硅橡胶复制技术进行内部适合性的测量。在随后的上釉程序之后,所有全冠都进行了另一轮测量。使用配对样本t检验比较两个相关的连续变量。研究表明,在釉处理之前和之后,部分结晶块的边缘间隙平均值均显著高于完全结晶块。部分结晶块在边缘间隙值的釉处理前后发现有统计学上的显著差异。完全结晶的全冠显示出比部分结晶的全冠更好的边缘间隙值。在完全结晶块的釉处理前后未观察到变化。二硅酸锂CAD-CAM全冠边缘间隙的推荐限值120 µm从未被超过。