Effect of the Crystallization Process on the Marginal and Internal Gaps of Lithium Disilicate CAD/CAM Crowns

The aim of this study is to quantify the effect of the crystallization process on lithium disilicate ceramic crowns fabricated using a computer-aided design/computer-aided manufacturing (CAD/CAM) system and to determine whether the effect of crystallization is clinically acceptable by comparing values of fit before and after the crystallization process. The mandibular right first molar was selected as the abutment for the experiments. Fifteen working models were prepared. Lithium disilicate crowns appropriate for each abutment were prepared using a commercial CAD/CAM system. Gaps in the marginal area and 4 internal areas of each crown were measured twice—before and after crystallization—using the silicone replica technique. The mean values of fit before and after crystallization were analyzed using a paired t-test to examine whether the conversion that occurred during crystallization affected marginal and internal gaps (α = 0.05). Gaps increased in the marginal area and decreased in the internal areas after crystallization. There were statistically significant differences in all of the investigated areas (P < 0.05). None of the values for marginal and internal fit of lithium disilicate CAD/CAM crowns after crystallization exceeded 120 μm, which is the clinically acceptable threshold.

[1]  Per Vult von Steyern,et al.  The fit of cobalt-chromium three-unit fixed dental prostheses fabricated with four different techniques: a comparative in vitro study. , 2011, Dental materials : official publication of the Academy of Dental Materials.

[2]  M. Molin,et al.  The fit of gold inlays and three ceramic inlay systems. A clinical and in vitro study. , 1993, Acta odontologica Scandinavica.

[3]  R. Giordano Materials for chairside CAD/CAM-produced restorations. , 2006, Journal of the American Dental Association.

[4]  S. Reich,et al.  Chair-side generated posterior lithium disilicate crowns after 4 years , 2012, Clinical Oral Investigations.

[5]  W. Mörmann,et al.  Marginal and internal fit of all-ceramic CAD/CAM crown-copings on chamfer preparations. , 2005, Journal of oral rehabilitation.

[6]  Hang Wang,et al.  Shrinkage and strength characterization of an alumina-glass interpenetrating phase composite for dental use. , 2007, Dental materials : official publication of the Academy of Dental Materials.

[7]  Gary Davidowitz,et al.  The use of CAD/CAM in dentistry. , 2011, Dental clinics of North America.

[8]  Gordon J Christensen,et al.  The state of fixed prosthodontic impressions: room for improvement. , 2005, Journal of the American Dental Association.

[9]  S. Reich,et al.  Marginal fit of heat-pressed vs. CAD/CAM processed all-ceramic onlays using a milling unit prototype. , 2008, Operative dentistry.

[10]  Gordon J. Christensen,et al.  The state of fixed prosthodontic impressions , 2005 .

[11]  Klaus Ludwig,et al.  Marginal and internal fit of metal-ceramic crowns fabricated with a new laser melting technology. , 2008, Dental materials : official publication of the Academy of Dental Materials.

[12]  Takashi Miyazaki,et al.  Effect of sintering on the marginal and internal fit of CAD/CAM-fabricated zirconia frameworks. , 2007, Dental materials journal.

[13]  Dennis J Fasbinder,et al.  A clinical evaluation of chairside lithium disilicate CAD/CAM crowns: a two-year report. , 2010, Journal of the American Dental Association.

[14]  Sven Reich,et al.  Measurement of cement thickness under lithium disilicate crowns using an impression material technique , 2011, Clinical Oral Investigations.

[15]  G Oilo,et al.  The fit of metal-ceramic crowns, a clinical study. , 1985, Dental materials : official publication of the Academy of Dental Materials.

[16]  K. Wiedhahn From blue to white: new high-strength material for Cerec--IPS e.max CAD LT. , 2007, International journal of computerized dentistry.

[17]  P. Hartmann,et al.  Phosphate glasses and glass-ceramics for medical applications , 1997 .

[18]  Arvind Shenoy,et al.  Dental ceramics: An update , 2010, Journal of conservative dentistry : JCD.

[19]  R. Ritter Multifunctional uses of a novel ceramic-lithium disilicate. , 2010, Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.].

[20]  Á. Della Bona,et al.  Evaluation of marginal and internal fit of ceramic crown copings. , 2013, Dental materials : official publication of the Academy of Dental Materials.

[21]  Woong-Chul Kim,et al.  An evaluation of marginal fit of three-unit fixed dental prostheses fabricated by direct metal laser sintering system. , 2013, Dental materials : official publication of the Academy of Dental Materials.

[22]  J. Knowles,et al.  Investigation of the dry and wet fatigue properties of three all-ceramic crown systems. , 1998, The International journal of prosthodontics.

[23]  R G Luthardt,et al.  Accuracy of mechanical digitizing with a CAD/CAM system for fixed restorations. , 2001, The International journal of prosthodontics.

[24]  J. Mclean,et al.  The estimation of cement film thickness by an in vivo technique , 1971, British Dental Journal.

[25]  S C Bayne,et al.  Margin gap size of ceramic inlays using second-generation CAD/CAM equipment. , 1999, Journal of esthetic dentistry.

[26]  Takashi Miyazaki,et al.  A review of dental CAD/CAM: current status and future perspectives from 20 years of experience. , 2009, Dental materials journal.

[27]  S. Bayne,et al.  Considerations in measurement of marginal fit. , 1989, The Journal of prosthetic dentistry.