The effect of cement and impression methods on the marginal and internal adaptation of the current monolithic blocks - 3D scanning evaluation.

Abstract

Background: This research aimed to evaluate the marginal and internal gaps of crowns, which were produced using both digital and conventional impression techniques and cemented with various types of cement.

Material and methods: For the full ceramic crown restoration, an anatomically prepared acrylic first molar phantom tooth (Frasaco GmbH, Germany) was scanned with Scanner S600 ARTI (Zirkonzahn). 160 PMMA analogues produced from the milling unit. Two impression methods were used: digital impressions by intraoral scanner (Aadva Intra Oral 3D Scanner, GC) and PVS impression. Cerasmart, Initial LRF Block, Zirconia Prettau and ICE Zircon monolithic blocks milled with M1 Milling Unit (Zirkonzahn). Restorations cemented with light-cured and dual-cured cements. (n = 10) Pre and post-cementation 3D images overlap was performed using Geomagic Control X (3D Systems, NC, USA). Data were analysed by using SPSS 25.0. p<0.05 difference was considered significant.

Results: Digital impressions were significantly higher than PVS impressions in all groups (p<0.05). A significant difference was found between the materials (p<0.05). Cerasmart showed a significantly more marginal gap than the other groups. Prettau and ICE Zircon crowns with the conventional impression group showed a significantly smaller marginal gap than the others.

Conclusions: Monolithic crowns fabricated by CAD-CAM using the digital and conventional impression methods had clinically acceptable marginal and internal gaps. Crowns cemented with dual-cured cements showed significantly more marginal gap than light-cure groups. Key words:3D scanning, Marginal accuracy, Marginal fit, Monolithic crown.