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      Evaluation of marginal and internal gaps in single and three-unit metal frameworks made by micro-stereolithography

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          Abstract

          PURPOSE

          The purpose of this study is to compare single and three-unit metal frameworks that are produced by micro-stereolithography.

          MATERIALS AND METHODS

          Silicone impressions of a selected molar and a premolar were used to make master abutments that were scanned into a stereolithography file. The file was processed with computer aided design software to create single and three-unit designs from which resin frameworks were created using micro-stereolithography. These resin frameworks were subjected to investment, burnout, and casting to fabricate single and three-unit metal ones that were measured under a digital microscope by using the silicone replica technique. The measurements were verified by means of the Mann-Whitney U test (α=.05).

          RESULTS

          The marginal gap was 101.9 ± 53.4 µm for SM group and 104.3 ± 62.9 µm for TUM group. The measurement of non-pontics in a single metal framework was 93.6 ± 43.9 µm, and that of non-pontics in a three-unit metal framework was 64.9 ± 46.5 µm. The dimension of pontics in a single metal framework was 110.2 ± 61.4 µm, and that of pontics in a three-unit metal framework was 143.7 ± 51.8 µm.

          CONCLUSION

          The marginal gap was smaller for the single metal framework than for the three-unit one, which requires further improvement before it can be used for clinical purposes.

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          Most cited references21

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          The fit of cobalt-chromium three-unit fixed dental prostheses fabricated with four different techniques: a comparative in vitro study.

          This study sought to evaluate and compare the marginal and internal fit in vitro of three-unit FDPs in Co-Cr made using four fabrication techniques, and to conclude in which area the largest misfit is present. An epoxy resin master model was produced. The impression was first made with silicone, and master and working models were then produced. A total of 32 three-unit Co-Cr FDPs were fabricated with four different production techniques: conventional lost-wax method (LW), milled wax with lost-wax method (MW), milled Co-Cr (MC), and direct laser metal sintering (DLMS). Each of the four groups consisted of eight FDPs (test groups). The FDPs were cemented on their cast and standardised-sectioned. The cement film thickness of the marginal and internal gaps was measured in a stereomicroscope, digital photos were taken at 12× magnification and then analyzed using measurement software. Statistical analyses were performed with one-way ANOVA and Tukey's test. Best fit based on the means (SDs) in μm for all measurement points was in the DLMS group 84 (60) followed by MW 117 (89), LW 133 (89) and MC 166 (135). Significant differences were present between MC and DLMS (p<0.05). The regression analyses presented differences within the parameters: production technique, tooth size, position and measurement point (p < 0.05). Best fit was found in the DLMS group followed by MW, LW and MC. In all four groups, best fit in both abutments was along the axial walls and in the deepest part of the chamfer preparation. The greatest misfit was present occlusally in all specimens. Copyright © 2010 Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.
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            A comparison of the marginal fit of crowns fabricated with digital and conventional methods.

            Little evidence is available with regard to the marginal fit of crowns fabricated with digital impressions and computer-aided design/computer-aided manufacturing technology in comparison with crowns fabricated from conventional techniques.
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              Marginal and internal fit of metal-ceramic crowns fabricated with a new laser melting technology.

              The purpose of this in vivo investigation was to evaluate the marginal and internal fit of metal-ceramic crowns fabricated with a new laser melting procedure (BEGO Medical, Bremen, Germany), and to investigate the influence of ceramic firing on the marginal and internal accuracy of these crowns. After tooth preparation, impression taking using polyvinylsiloxane and model casting, each preparation was contact less scanned by strip-light-projection. The finishing line and the virtual construction of the metal coping were defined by means of a computer. Using CAD/CAM software the metal copings were produced by BEGO Medical (Germany). A base metal alloy (Wirobond C) and a precious alloy (BioPontoStar, both: BEGO Medical) were used in this study with 14 restorations each. The internal and marginal accuracy of the specimens were examined using a silicone indicator paste (Fit Checker, GC, Japan). After setting, the silicone films were embedded in acrylic resin and sectioned four times. Each slice was photographed digitally at 60x magnification for marginal and at 15x magnification for occlusal adaptation, respectively. Using a light microscope the thickness of the silicone layer was measured at 10 reference points, a total of 3360 measurements. This procedure was repeated after the ceramic firing in the dental laboratory and after intraoral adjustment clinically. No statistically significant differences between the two alloys were found at any time. The mean marginal discrepancies ranged from 74 to 99 microm for both alloys. The internal gaps ranged from 250 to 350 microm. Ceramic firing increased the marginal discrepancies while the internal gaps decreased especially at occlusal surface. However, only in one case a slight statistically significance could be determined (p=0.046). The results of this in vivo study show that crowns produced with laser melting technology exhibit a marginal and internal accuracy that is comparable to conventional production procedures.
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                Author and article information

                Journal
                J Adv Prosthodont
                J Adv Prosthodont
                JAP
                The Journal of Advanced Prosthodontics
                The Korean Academy of Prosthodontics
                2005-7806
                2005-7814
                August 2017
                16 August 2017
                : 9
                : 4
                : 239-243
                Affiliations
                [1 ]Department of Dental Laboratory Science and Engineering, College of Health Science, Korea University, Seoul, Republic of Korea.
                [2 ]Department of Public Health Sciences, Graduate School & BK21+ Program in Public Health Sciences, Korea University, Seoul, Republic of Korea.
                Author notes
                Corresponding author: Woong-Chul Kim. Department of Dental Laboratory Science and Engineering, College of Health Science, Korea University 145, Anam-ro, Seongbuk-gu, Seoul 02841, Republic of Korea. Tel. +82232905665, kuc2842@ 123456korea.ac.kr
                Author information
                https://orcid.org/0000-0003-3889-2289
                https://orcid.org/0000-0002-6730-4960
                Article
                10.4047/jap.2017.9.4.239
                5582088
                a4057c5a-13a1-4b40-8093-cdb9ea0f8a3a
                © 2017 The Korean Academy of Prosthodontics

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 15 August 2016
                : 21 November 2016
                : 20 December 2016
                Funding
                Funded by: Korea University, CrossRef http://dx.doi.org/10.13039/501100002642;
                Award ID: k1605401
                Categories
                Original Article

                Dentistry
                cad/cam,micro-stereolithography,metal framework,marginal gap,internal gap
                Dentistry
                cad/cam, micro-stereolithography, metal framework, marginal gap, internal gap

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