Comparison of Resin Composite and Biodentine Cervical Marginal Elevation on the Marginal Gap of Two Computer-Aided Design/Computer-Aided Manufacture Endocrown Materials: In Vitro Study

Waleed M S Alqahtani, Salah A. Yousuf, Mohamed F. Metwally, Khaled M. Haggag, A. Barakat, Abdelrahman Alghamdi, Roua Mohammed Y. Almadani, Hajer Aiydh Hamed Alsalmi, Adnan Madani Mohammed Khamis
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Abstract

Objective: This study is the impact of resin composite and bio dentine cervical marginal elevation on vertical marginal gap using two CAD/CAM endo-crowns. Materials and Methods: 32 molars were employed, separated into two main groups: Group R, which included 16 molar teeth elevated distally with resin composite each; and Group B, which included 16 molar teeth elevated distally with dentine. The prepared teeth were then restored using endo-crown restorations. There were 2 equal subgroups for each main group (Vita MarkII and Lava Ultimate endo-crowns; n = 8). The samples underwent thermocycling (TC) after the restorations were bonded using dual-cure resin cement. A digital microscope was used to measure the vertical marginal gap. Results: A significant difference in the vertical marginal gap following thermocycling in all groups, except for the Resin composite. The polymer-based group demonstrated better marginal adaptation than other groups. The marginal accuracy produced by the marginal elevation approach, which involves placing a composite filling and dentine in the proximal box before the insertion of ceramic indirect restorations, is comparable to those of ceramics implanted in dentine without margin elevation. Conclusion: The margin elevation technique ensures that the margins created with these materials are as precise as those placed directly in dentin.
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两种计算机辅助设计/计算机辅助制造内冠材料的树脂复合体和 Biodentine 颈缘抬高对边缘间隙的影响比较:体外研究
研究目的本研究使用两种 CAD/CAM 内冠,研究树脂复合材料和生物牙本质颈缘隆起对垂直边缘间隙的影响。材料和方法:32 颗磨牙被分成两大组:R 组包括 16 颗磨牙,每颗磨牙的远端用树脂复合材料垫高;B 组包括 16 颗磨牙,每颗磨牙的远端用牙本质垫高。然后使用内冠修复法对准备好的牙齿进行修复。每个主要组都有两个相同的分组(Vita MarkII 和 Lava Ultimate 内冠;n = 8)。使用双固化树脂粘结剂粘结修复体后,对样品进行热循环(TC)。使用数码显微镜测量垂直边缘间隙。结果:除树脂复合材料组外,其他各组在热循环后的垂直边缘间隙均有明显差异。与其他组相比,聚合物组的边缘适应性更好。边缘抬高法是指在陶瓷间接修复体植入前,在近端盒内植入复合材料充填体和牙本质,其边缘精确度与不进行边缘抬高而在牙本质中植入陶瓷的边缘精确度相当。结论:边缘提升技术可以确保使用这些材料制作的边缘与直接植入牙本质的边缘一样精确。
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