Influence of two different cement space settings and three different cement types on the fit of polymer-infiltrated ceramic network material crowns manufactured using a complete digital workflow

Rinet Dauti,Patrick Heimel,Bledar Lilaj,Andreas Schedle,Barbara Cvikl,Andreas Moritz

doi:10.1007/s00784-019-03053-1

Rinet Dauti, Patrick Heimel + Show 4 more

Open Access

https://doi.org/10.1007/s00784-019-03053-1

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Abstract

ObjectivesThe study evaluates the influence of two spacer settings and three resin luting materials on the marginal and internal fit of polymer-infiltrated ceramic network (PICN) material crowns manufactured using a complete digital workflow.MethodsOptical impressions of fifty identical dies were performed using the 3M scanner (software version 5.0.2). Twenty crowns were designed using Ceramill Mind (version 3.4.10.1163), from which ten with spacer setting of 50 μm (G1) and ten with 80 μm (G2). Thirty crowns (spacer setting of 50 μm) were divided into three groups corresponding to the resin materials used as follows: RelyX Unicem (RX), Variolink Esthetic (VLE), and Nexus 3 (NX3). All crowns were milled from Vita Enamic blocks. After micro-CT scanning, absolute marginal discrepancy (AMD), internal gap (IG), total cement space volume (TCV), and marginal porosities (VP) were measured.ResultsSignificant difference was detected on the VP between the RX and NX3 group (p = 0.033). The mean values of all parameters were the following: AMD (μm): G1 182.6, G2 253.7, RX 210.8, VLE 195.5, NX3 186.6; IG (μm): G1 215.6, G2 173.1, RX 171.1, VLE 198.6, NX3 203; TCV (mm3): G1 22.9, G2 20.49, RX 17.57, VLE 17.49, NX3 20.59; VP (mm3): G1 0.26, G2 0.34, RX 0.32, VLE 0.46, NX3 0.54.ConclusionsFit of PICN material crowns was not significantly influenced by increasing the spacer settings and cementation with different resin materials. Additionally, RelyX Unicem showed significantly less porosities as compared with Nexus3.Clinical relevanceBoth 50 μm and 80 μm virtual spacer settings can be suggested for the manufacture of PICN crowns when Ceramill Mind (version 3.4.10.1163) is used. Furthermore, a self-adhesive system can be recommended for the cementation.

Highlights

CAD/CAM technologies strongly enhanced the development of highly esthetic materials for the chair-side use in restorative dentistry [1]
Vita Enamic (Vita Zahnfabrik, Bad Säckingen, Germany), for example, is a representative material consisting of a fine glass ceramic three-dimensional network which is infiltrated with a mixture of urethane dimethacrylate (UDMA) and triethylene glycol dimethacrylate (TEGDMA) monomers [2, 3]
The absolute marginal discrepancy (AMD) represents the distance that reflects the largest error in the marginal area of a restoration and the internal gap (IG) reflects the errors in the internal cement space [7]

Summary

Introduction

CAD/CAM (computer-aided design/computer-aided manufacturing) technologies strongly enhanced the development of highly esthetic materials for the chair-side use in restorative dentistry [1]. Vita Enamic (Vita Zahnfabrik, Bad Säckingen, Germany), for example, is a representative material consisting of a fine glass ceramic three-dimensional network which is infiltrated with a mixture of urethane dimethacrylate (UDMA) and triethylene glycol dimethacrylate (TEGDMA) monomers [2, 3]. This composition provides ceramic-like characteristics such as fine surface structure and good esthetic properties. The absolute marginal discrepancy (AMD) represents the distance that reflects the largest error in the marginal area of a restoration and the internal gap (IG) reflects the errors in the internal cement space [7]. The accuracy of the final restoration can be assessed after cementation as well as in-between working steps [10]

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