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Published on: December 20, 2024
Influence of CAD/CAM scanning method and tooth-preparation design on the vertical misfit of zirconia crown copings
Raquel Castillo Oyagüe1, María Isabel Sánchez-Jorge, Andrés Sánchez Turrión
1Department of Prosthodontics, Faculty of Dentistry, Complutense University of Madrid, U.C.M., Pza. Ramón y Cajal, no 3, 28040, Madrid, Spain. siete_rosas.rc@hotmail.com
Purpose:
To evaluate the influence of scanning method, finish line type and occlusal convergence angle of the teeth preparations on the vertical misfit of zirconia crown copings.
Methods:
20 standardized stainless-steel master dies were machined simulating full-crown preparations. The total convergence angle was 15 degrees or 20 degrees (n=10 each). Two of the finish line types: a chamfer (CH) and a shoulder (SH) were prepared around the contour of each abutment. Over these dies, 20 structures were made by CAD/CAM (Cercon, Dentsply). An optical laser digitized the wax patterns of 10 single-unit copings (WS), and 10 abutments were direct-scanned to design the cores by computer (DS). Zirconia milled caps were luted onto the models under constant seating pressure. Vertical discrepancy was assessed by SEM. Misfit data were analyzed using ANOVA and Student-Newman-Keuls (SNK) test for multiple comparisons at alpha = 0.05.
Results:
Vertical gap measurements of WS copings were significantly higher than those of DS frames (P < 0.0001). SH exhibited statistically higher discrepancies than CH when combined with a 15-degree occlusal convergence angle regardless of the scanning method (P < 0.05). The taper angle of the preparation (15 degrees vs. 20 degrees) had no effect on the marginal adaptation of chamfered samples.
