Chairside Computer-Aided Design/Computer-Aided Manufacture All-Ceramic Crown and Endocrown Restorations: A 7-Year Survival Rate Study

2017 ◽  
Vol 30 (6) ◽  
pp. 556-560 ◽  
Author(s):  
Michel Fages ◽  
Jacques Raynal ◽  
Paul Tramini ◽  
Frédéric Cuisinier ◽  
Jean-Cédric Durand
Keyword(s):  
Survival Rate ◽  
Computer Aided Design ◽  
All Ceramic ◽  
Computer Aided ◽  
Rate Study ◽  
Aided Design ◽  
Ceramic Crown

Premolar Axial Wall Height Effect on CAD/CAM Crown Retention

2016 ◽  
Vol 41 (6) ◽  
pp. 666-671 ◽  
Author(s):  
C Gillette ◽  
R Buck ◽  
N DuVall ◽  
S Cushen ◽  
M Wajdowicz ◽  
...  
Keyword(s):  
Computer Aided Design ◽  
Lithium Disilicate ◽  
Resin Cement ◽  
Failure Resistance ◽  
All Ceramic ◽  
Computer Aided ◽  
Cad Cam ◽  
Ceramic Crowns ◽  
Aided Design ◽  
Post Hoc

SUMMARY Objective: To evaluate the significance of reduced axial wall height on retention of adhesively luted, all-ceramic, lithium disilicate premolar computer-aided design/computer-aided manufacturing (CAD/CAM) crowns based on preparations with a near ideal total occlusal convergence of 10°. Methods: Forty-eight recently extracted premolars were randomly divided into four groups (n=12). Each group received all-ceramic CAD/CAM crown preparations featuring axial wall heights of 0, 1, 2, and 3 mm, respectively, all with a 10° total occlusal convergence. Scanned preparations were fitted with lithium disilicate all-ceramic crowns that were luted with a self-etching resin cement. Specimens were tested to failure at a 45° angle to the tooth long axis with failure load converted to megapascals (MPa) based on the measured bonding surface area. Mean data were analyzed using analysis of variance/Tukey's post hoc test (α=0.05). Results: Lithium disilicate crowns adhesively luted on preparations with 0 axial wall height demonstrated significantly less failure resistance compared with the crowns luted on preparations with axial wall heights of 1 to 3 mm. There was no failure stress difference between preparations with 1 to 3 mm axial wall height. Conclusions: Under conditions of this study, adhesively luted lithium disilicate bicuspid crowns with a total occlusal convergence of 10° demonstrated similar failure resistance independent of axial wall height of 1 to 3 mm. This study provides some evidence that adhesion combined with an ideal total occlusal convergence may compensate for reduced axial wall height.

scholarly journals The 7/8 Crown: A Lost Art

2012 ◽  
Vol 37 (5) ◽  
pp. 453-457 ◽  
Author(s):  
ST McGill ◽  
JR Holmes
Keyword(s):  
Computer Aided Design ◽  
Ceramic Materials ◽  
High Price ◽  
Computer Aided Manufacturing ◽  
Bonding Agents ◽  
All Ceramic ◽  
Computer Aided ◽  
Aided Design ◽  
Dental Schools

SUMMARY Historically, the longevity of teeth restored with gold inlays, onlays, crowns, and partial veneer restorations is excellent. However, in-office computer-aided design and computer-aided manufacturing restorations, laboratory-constructed all-ceramic bonded restorations, and conventional ceramo-metal restorations are more common. The high price of gold, the difficulty of the preparation, and the fact that most dental schools are de-emphasizing the teaching of partial veneer restorations has created a situation whereby the 7/8 crown is rarely viewed as the treatment of choice. Time and experience will determine if the new ceramic materials, along with the all-important bonding agents, can achieve the success of a well-done, all-gold restoration.

scholarly journals Effects of Computer-Aided Manufacturing Technology on Precision of Clinical Metal-Free Restorations

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Ki-Hong Lee ◽  
In-Sung Yeo ◽  
Benjamin M. Wu ◽  
Jae-Ho Yang ◽  
Jung-Suk Han ◽  
...  
Keyword(s):  
Computer Aided Design ◽  
Computer Aided Manufacturing ◽  
Marginal Fit ◽  
Significance Level ◽  
Metal Free ◽  
All Ceramic ◽  
Computer Aided ◽  
Cad Cam ◽  
Aided Design ◽  
Cam Systems

Purpose. The purpose of this study was to investigate the marginal fit of metal-free crowns made by three different computer-aided design/computer-aided manufacturing (CAD/CAM) systems.Materials and Methods. The maxillary left first premolar of a dentiform was prepared for all-ceramic crown restoration. Thirty all-ceramic premolar crowns were made, ten each manufactured by the Lava system, Cercon, and Cerec. Ten metal ceramic gold (MCG) crowns served as control. The marginal gap of each sample was measured under a stereoscopic microscope at 75x magnification after cementation. One-way ANOVA and the Duncan’s post hoc test were used for data analysis at the significance level of 0.05.Results. The mean (standard deviation) marginal gaps were 70.5 (34.4) μm for the MCG crowns, 87.2 (22.8) μm for Lava, 58.5 (17.6) μm for Cercon, and 72.3 (30.8) μm for Cerec. There were no significant differences in the marginal fit among the groups except that the Cercon crowns had significantly smaller marginal gaps than the Lava crowns(P<0.001).  Conclusions. Within the limitation of this study, all the metal-free restorations made by the digital CAD/CAM systems had clinically acceptable marginal accuracy.

scholarly journals Dual-scan technique for the customization of zirconia computer-aided design/computer-aided manufacturing frameworks

2013 ◽  
Vol 07 (S 01) ◽  
pp. S115-S118 ◽  
Author(s):  
Rafael Ferrone Andreiuolo ◽  
Carlos Eduardo Sabrosa ◽  
Katia Regina H. Cervantes Dias
Keyword(s):  
Computer Aided Design ◽  
Uniform Thickness ◽  
Simple Manner ◽  
Computer Aided Manufacturing ◽  
All Ceramic ◽  
Computer Aided ◽  
Cad Cam ◽  
Ceramic Crowns ◽  
Tooth Preparation ◽  
Aided Design

ABSTRACTThe use of bi-layered all-ceramic crowns has continuously grown since the introduction of computer-aided design/computer-aided manufacturing (CAD/CAM) zirconia cores. Unfortunately, despite the outstanding mechanical properties of zirconia, problems related to porcelain cracking or chipping remain. One of the reasons for this is that ceramic copings are usually milled to uniform thicknesses of 0.3-0.6 mm around the whole tooth preparation. This may not provide uniform thickness or appropriate support for the veneering porcelain. To prevent these problems, the dual-scan technique demonstrates an alternative that allows the restorative team to customize zirconia CAD/CAM frameworks with adequate porcelain thickness and support in a simple manner.

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