Internal Fit and Marginal Adaptation of Posterior CAD/CAM Crowns Fabricated from Fully Crystallized Lithium Disilicate Compared to Partially Crystallized Lithium Disilicate with Two Finish Line Thicknesses: An In Vitro Study.

Menna ElGendy, Rana Sherif, Karim Rabie
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Abstract

Aim: This study aimed to evaluate internal fit and marginal adaptation of posterior CAD/CAM crowns fabricated from partially crystallized lithium disilicate and fully crystallized lithium disilicate with two finish line thicknesses (0.5 mm chamfer and 1 mm round shoulder).

Methodology: In this in vitro study, 20 sound extracted human molar teeth were collected. The teeth were prepared using a dental surveyor. Teeth were divided into main groups: Group I partially crystallized e.max CAD (Em) and Group II fully crystallized Initial LiSi (Li). Each group was subdivided according to finish line thicknesses into 0.5 mm chamfer and 1 mm round shoulder finish lines. All samples were tested for internal fit by triple scanning technique and the marginal adaptation was measured by stereomicroscope before cementation.

Results: The results showed that the finish line thicknesses (0.5 mm chamfer,1 mm round shoulder) had no statistically significant effect on mean internal fit (p = 0.954). Ceramic types: Em and Li had no statistically significant effect on mean internal fit (p = 0.902). Regarding the marginal adaptation, Em showed statistically significantly higher mean marginal gap distance than Li (p < 0.001).

Conclusion: The finish line thicknesses did not affect the internal fit or marginal adaptation values. Ceramic types did not affect the internal fit values. The marginal adaptation of Em was lower than Li.

Clinical significance: GC Initial Lisi produced comparable results to the gold standard IPS e.max CAD, thus it can be used due to its clinically acceptable internal fit and marginal adaptation. How to cite this article: ElGendy M, Sherif R, Rabie K. Internal Fit and Marginal Adaptation of Posterior CAD/CAM Crowns Fabricated from Fully Crystallized Lithium Disilicate Compared to Partially Crystallized Lithium Disilicate with Two Finish Line Thicknesses: An In Vitro Study. J Contemp Dent Pract 2024;25(8):740-744.

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目的:本研究旨在评估由部分结晶二硅酸锂和完全结晶二硅酸锂制作的后牙冠(CAD/CAM)的内部密合性和边缘适应性,并采用两种完成线厚度(0.5 毫米倒角和 1 毫米圆肩):在这项体外研究中,收集了 20 颗完整的人类臼齿。这些牙齿是用牙科测量仪制备的。牙齿被分为几大组:第一组为部分结晶的 e.max CAD (Em),第二组为完全结晶的初始 LiSi (Li)。每组又根据完成线的厚度细分为 0.5 毫米倒角和 1 毫米圆肩完成线。所有样品在粘接前都通过三重扫描技术进行了内部密合度测试,并用体视显微镜测量了边缘适应性:结果表明,表面处理线厚度(0.5 毫米倒角、1 毫米圆肩)对平均内部密合度没有显著影响(p = 0.954)。陶瓷类型:Em和Li对平均内部密合度的影响无统计学意义(p = 0.902)。在边缘适应性方面,Em 的平均边缘间隙距离明显高于 Li(p < 0.001):结论:表面处理线的厚度不会影响内部贴合度或边缘适应值。陶瓷类型对内部贴合值没有影响。Em的边缘适应度低于Li:GC Initial Lisi 的结果与黄金标准 IPS e.max CAD 相当,因此它的内部密合度和边缘适应性在临床上是可以接受的。如何引用本文:ElGendy M, Sherif R, Rabie K. 全结晶二硅酸锂冠与部分结晶二硅酸锂冠的内部密合度和边缘适应性比较:体外研究。J Contemp Dent Pract 2024;25(8):740-744.
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来源期刊
Journal of Contemporary Dental Practice
Journal of Contemporary Dental Practice Dentistry-Dentistry (all)
CiteScore
1.80
自引率
0.00%
发文量
174
期刊介绍: The Journal of Contemporary Dental Practice (JCDP), is a peer-reviewed, open access MEDLINE indexed journal. The journal’s full text is available online at http://www.thejcdp.com. The journal allows free access (open access) to its contents. Articles with clinical relevance will be given preference for publication. The Journal publishes original research papers, review articles, rare and novel case reports, and clinical techniques. Manuscripts are invited from all specialties of dentistry i.e., conservative dentistry and endodontics, dentofacial orthopedics and orthodontics, oral medicine and radiology, oral pathology, oral surgery, orodental diseases, pediatric dentistry, implantology, periodontics, clinical aspects of public health dentistry, and prosthodontics.
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