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On the cutting edge: marginal integrity

S N White1

  • 1Department of Restorative Dentistry, USC School of Dentistry, USA.

Journal of the California Dental Association
|December 1, 1995
PubMed
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This review examines dental research on marginal integrity, finding new adhesive cements offer strength but have limited history. Traditional zinc phosphate cement remains user-friendly, and improved casting techniques enhance crown fit.

Area of Science:

  • Dental materials science
  • Prosthodontics
  • Clinical dentistry

Background:

  • Marginal integrity is crucial for dental restoration longevity.
  • Evaluating new materials and techniques is essential for improving clinical outcomes.
  • Previous research has explored various aspects of marginal integrity with mixed results.

Purpose of the Study:

  • To comprehensively review recent USC School of Dentistry research on marginal integrity.
  • To assess the performance of new adhesive cements versus traditional ones.
  • To evaluate the impact of casting adjustment and fabrication technologies on marginal integrity.

Main Methods:

  • Review of laboratory investigations and multicenter clinical trials.
  • Analysis of cement physical properties, casting seating, and microleakage.

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  • In-vivo evaluation of conventional and novel crown fabrication technologies.

    • Main Results:

    • New adhesive cements demonstrate significant advantages but possess a short clinical track record.
    • Traditional zinc phosphate cement remains a user-friendly option.
    • Casting adjustment techniques significantly enhance crown seating.
    • Despite advancements, achieving a perfect margin remains a challenge.

    Conclusions:

    • While new dental materials offer improved strength, their long-term clinical performance requires further study.
    • Optimizing casting techniques is vital for ensuring restoration success.
    • Continued research is necessary to achieve ideal marginal integrity in dental restorations.