Marginal Fit of Heat-pressed vs CAD/CAM Processed All-ceramic Onlays Using a Milling Unit Prototype

2008 ◽  
Vol 33 (6) ◽  
pp. 644-650 ◽  
Author(s):  
S. Reich ◽  
S. Gozdowski ◽  
L. Trentzsch ◽  
R. Frankenberger ◽  
U. Lohbauer
Keyword(s):  
Clinical Relevance ◽  
Clinical Performance ◽  
Important Influence ◽  
Marginal Gap ◽  
Marginal Fit ◽  
All Ceramic ◽  
Cad Cam ◽  
Ceramic Restorations

Clinical Relevance The marginal fit of all-ceramic restorations has an important influence on the clinical performance and lifetime of adhesively luted restorations. In proximal boxes, an average marginal gap of less than 100 μm is claimed. These clinical requirements are fulfilled by both processing procedures.

scholarly journals A Comparative Evaluation of Marginal Fit of Crowns Fabricated by Three All Ceramic CAD-CAM Systems Using Their Respective Scanners - An in vitro study

2012 ◽  
Vol 2 (1) ◽  
pp. 10-19
Author(s):  
Sabita M. Ram ◽  
Niku Agarwal
Keyword(s):  
Laser Scanner ◽  
Mean Value ◽  
Marginal Gap ◽  
Marginal Fit ◽  
Optical Scanner ◽  
All Ceramic ◽  
Cad Cam ◽  
Ceramic Crowns ◽  
The Mean ◽  
Cam Systems

Abstract Aim To evaluate and compare the marginal fit of crowns fabricated by three All Ceramic CAD-CAM systems using their respective scanners. Objectives 1. To evaluate the marginal fit of All Ceramic crowns fabricated using Contact scanner- Procera system. 2. To evaluate the marginal fit of All Ceramic crowns fabricated using Optical scanner-Lava system. 3. To evaluate the marginal fit of All Ceramic crowns fabricated using Laser scanner-Cercon system. 4. To compare the marginal fit of crowns fabricated by three All Ceramic CAD-CAM systems using their respective scanner-Contact scanner, Optical scanner and Laser scanner. Materials and Methods 5 crowns fabricated with Contact scanner- Procera system (Group I), 5 crowns fabricated with Optical scanner-Lava system (Group II), 5 crowns fabricated with Laser scanner-Cercon system(Group III). The marginal fit would be evaluated at two stages for each group: A- Pre-veneering stage (coping) B-Post-veneering stage (crown). Results The mean value of marginal gap with Group IA was 27.48 +2.63 and IB was 26.13+ 0.85 and that of Group IIA was 23.27 + 0.99 and IIB 19.22 + 0.88. The mean value of marginal gap of Group IIIA was 32.80 + 2.46 and IIIB was 28.77 + 1.94. Conclusion The marginal gap was maximum with Group III and minimum with group II amongst the three used systems. The mean marginal gap values of subgroup B were less than subgroup A.

Marginal Fit of Implant-Supported All-Ceramic Zirconia Frameworks

2013 ◽  
Vol 39 (4) ◽  
pp. 417-424 ◽  
Author(s):  
Hanaa Hassan Zaghloul ◽  
Jihan Farouk Younis
Keyword(s):  
Cyclic Loading ◽  
Computer Aided Design ◽  
Control Group ◽  
Marginal Gap ◽  
Marginal Fit ◽  
Mean Values ◽  
Significant Difference ◽  
All Ceramic ◽  
Computer Aided ◽  
Cad Cam

This study evaluated the effect of fabrication techniques and cyclic loading on the vertical marginal fit of implant-supported fixed partial denture (FPD) frameworks. Thirty implant-supported 3-unit FPD frameworks were fabricated on a model system, divided into 3 equal groups (n = 10). The first group (control) was constructed from base metal alloy; the other 2 test groups were constructed from all-ceramic zirconia using a computer-aided design/computer-aided manufacturing (CAD/CAM) Cerec 3 system and a copy milling (Zirkonzahn) system. A cyclic load of 200 N was applied to each framework for up to 50,000 cycles. Linear measurements were made in micrometers of the vertical gap between the framework and the implant-supported abutment at 16 predetermined points before and after cyclic loading. The frameworks were viewed using scanning electron microscopy to inspect any fractographic features. One-way analysis of variance was performed to compare the marginal discrepancy values of the control and the 2 test groups and for each group; a t test was applied to determine whether significant changes in the fit were observed after cyclic loading (α = 0.05). The CAD/CAM group showed significantly higher marginal gap mean values (80.58 μm) than the Zirkonzahn and control groups (50.33 μm and 42.27 μm, respectively) with no significant difference. After cyclic loading, the CAD/CAM group recorded the highest marginal gap mean value (91.50 ± 4.260 μm) followed by control group (72.00 ± 2.795 μm); the Zirkonzahn group recorded the lowest marginal gap (65.37 ± 6.138 μm). Cyclic loading significantly increased the marginal gap mean values in the control group only. A marginal chip was observed in one of the CAD/CAM ceramic frameworks. Within the limitations of this study, the fabrication technique influenced the marginal fit of the implant-supported 3-unit FPD frameworks. Cyclic loading failed to change the fit of all-ceramic zirconia frameworks, whereas significant changes were found in the metal frameworks.

scholarly journals Retreatment of 6 Ceramic Restorations In A Single Session - The Application of Er:YAG Laser And CAD/CAM Technology: An 1 Year Follow Up Clinical Evaluation

2021 ◽  
Vol 24 (2) ◽  
Author(s):  
Christian Giancarlo Bernal ◽  
Ester Mi Ryoung Lee ◽  
Carlos De Paula Eduardo ◽  
Ana Maria Aparecida Souza ◽  
Luciane Hiramatsu Azevedo
Keyword(s):  
High Speed ◽  
Er:Yag Laser ◽  
Single Session ◽  
High Power Lasers ◽  
Yag Laser ◽  
Anesthetic Agents ◽  
All Ceramic ◽  
Cad Cam ◽  
Ceramic Restorations

Background: To present the benefits of high power lasers (Er: YAG and Nd: YAG) over the use of the high speed turbine for the extraction of ceramics restorations, without damaging the surfaces of the teeth; being a relatively easier and faster procedure without the use of anesthetic agents, and the preparation of the ceramic restorations and cementing in the single session; with a follow-up of 1 year. Objective: The benefits of lasers over high-speed turbine mechanical instrumentation for crown removal encompass efficient restoration recovery without damage to tooth surfaces; and a relatively easier and faster procedure without the use of anesthetic agents. Methods: The Er: YAG laser (no contact; 3.2-4.0 W, 20 Hz) was used to extract the porcelain prosthesis, followed by a gingivectomy with the Nd: YAG laser on tooth 12 to improve the gingival contour. The dental surfaces where the ceramic prosthesis will be cemented were scanned. Then, CAD / CAM technology was used to make the ceramic veneers that were cemented in the same session. Results: The efficacy the Er:YAG laser energy was observed by the decreased of the time to remove all-ceramic materials through ablation of bonding cements, reducing working time by 75% compared to a high-speed turbine. Conclusions: An Er: YAG laser can safely remove lithium disilicate crowns with the settings used in this study. Laser-assisted removal of all ceramic PDFs is a promising treatment protocol. The use of the Nd: YAG (2.0 W power, short 20Hz, 320 µm optical fiber, in contact) laser allowed gingivoplasty to be performed, automatically cauterizing avoiding post-operative bleeding, and facilitating the preparation of ceramic restorations the same day. The use of high-power lasers and the use of accompanying CAD / CAM technology allowed this clinical case to be completed in a single visit without the use of temporary restorations, achieving absolute patient satisfaction.   Keywords Er:YAG; Nd:YAG; Lithium disilicate ceramic; CAD/CAM.

Esthetic and Clinical Performance of Implant-Supported All-Ceramic Crowns Made with Prefabricated or CAD/CAM Zirconia Abutments: A Randomized, Multicenter Clinical Trial

2016 ◽  
Vol 96 (2) ◽  
pp. 163-170 ◽  
Author(s):  
J.G. Wittneben ◽  
J. Gavric ◽  
U.C. Belser ◽  
M.M. Bornstein ◽  
T. Joda ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Clinical Performance ◽  
Multicenter Clinical Trial ◽  
Anterior Maxilla ◽  
Single Crown ◽  
Significant Difference ◽  
All Ceramic ◽  
Cad Cam ◽  
Group A ◽  
Group B

Patients’ esthetic expectations are increasing, and the options of the prosthetic pathways are currently evolving. The objective of this randomized multicenter clinical trial was to assess and compare the esthetic outcome and clinical performance of anterior maxillary all-ceramic implant crowns (ICs) based either on prefabricated zirconia abutments veneered with pressed ceramics or on CAD/CAM zirconia abutments veneered with hand buildup technique. The null hypothesis was that there is no statistically significant difference between the 2 groups. Forty implants were inserted in sites 14 to 24 (FDI) in 40 patients in 2 centers, the Universities of Bern and Geneva, Switzerland. After final impression, 20 patients were randomized into group A, restored with a 1-piece screw-retained single crown made of a prefabricated zirconia abutment with pressed ceramic as the veneering material using the cut-back technique, or group B using an individualized CAD/CAM zirconia abutment (CARES abutment; Institut Straumann AG) with a hand buildup technique. At baseline, 6 mo, and 1 y clinical, esthetic and radiographic parameters were assessed. Group A exhibited 1 dropout patient and 1 failure, resulting in a survival rate of 94.7% after 1 y, in comparison to 100% for group B. No other complications occurred. Clinical parameters presented stable and healthy peri-implant soft tissues. Overall, no or only minimal crestal bone changes were observed with a mean DIB (distance from the implant shoulder to the first bone-to-implant contact) of −0.15 mm (group A) and 0.12 mm (group B) at 1 y. There were no significant differences at baseline, 6 mo, and 1 y for DIB values between the 2 groups. Pink esthetic score (PES) and white esthetic score (WES) values at all 3 examinations indicated stability over time for both groups and pleasing esthetic outcomes. Both implant-supported prosthetic pathways represent a valuable treatment option for the restoration of single ICs in the anterior maxilla ( ClinicalTrials.gov NCT02905838).

Marginal fit of CAD CAM all ceramic inlays: preliminary study

2018 ◽  
Author(s):  
Luciana M. Goguta ◽  
Andrei Gavrilovici ◽  
Anca Jivanescu ◽  
Florin Topala
Keyword(s):  
Marginal Fit ◽  
Ceramic Inlays ◽  
All Ceramic ◽  
Cad Cam ◽  
Preliminary Study

The Marginal Fit of CAD-CAM Zirconia Cores with Different Proximal Margin Configurations

2007 ◽  
Vol 330-332 ◽  
pp. 1409-1412
Author(s):  
O.E. Puntsag ◽  
E.K. Bae ◽  
Jae Hoon Lee ◽  
Keun Woo Lee
Keyword(s):  
Statistical Difference ◽  
Marginal Gap ◽  
Proximal Margin ◽  
Marginal Fit ◽  
Group I ◽  
Metal Ceramic ◽  
Cad Cam ◽  
The Mean ◽  
Tooth Axis

This study evaluated the marginal fit of CAD-CAM Zirconia cores with different proximal height. Thirty Zirconia cores and ten metal ceramics crowns were used to evaluate the marginal gap. The marginal fit was determined to be perpendicular to the tooth axis between the most apical point on the coping margin (core) and the reference marks on the mesial, distal, labial, and palatal surfaces of the die at several key stages of crown fabrication; before porcelain built-up, after body porcelain built-up, and after glazing. Additionally, an opaque stage for the metal ceramic copings was compared as well. Each measurement was carried out with a microscope. The means of gaps among the groups were 58±27 -m, 69±23 -m, 89±29 -m and 80±28 -m, groups I, II, III and IV, respectively. In relation to the proximal and labiopalatal surfaces there were no statistical difference among the groups, except group I. No significant differences were observed in firing stages of all groups. The findings of this study showed that the mean marginal gap of Zirconia cores with different proximal heights fell well within the acceptable clinical ranges.

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