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      Comparison of marginal fit of cemented zirconia copings manufactured after digital impression with lava™ C.O.S and conventional impression technique

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          Abstract

          Background

          Evaluation of the marginal fit of cemented zirconia copings manufactured after digital impression with Lava™ Chairside Oral Scanner in comparison to that of zirconia copings manufactured after conventional impressions with polyvinyl siloxane.

          Methods

          A prepared typodont tooth #36, was replicated 40 times with a vinyl silicone and precise model resin. The dies were randomly divided into two groups according to the impression taking technique. Digital impressions with Lava™ C.O.S. and conventional impressions were taken according to the group. Subsequently zirconia copings were manufactured and cemented on their respective dies with zinc oxide phosphate cement. After embedding in resin, mesio-distal section of each coping was performed with a diamond saw in order to obtain two slices. One half of the specimen was used for evaluation with an optical microscope (OM) and the other half for evaluation with a scanning electron microscope (SEM). Marginal gap (MG) and absolute marginal discrepancy (AMD) were measured mesial and distal on each slice.

          Results

          No significant difference of the marginal parameters between the digital and the conventional group was found. The mean values for MG in the digital group were 96.28 μm (+/−43.21 μm) measured with the OM and 99.26 μm (+/−48.73 μm) measured with the SEM, respectively. AMD mean values were 191.54 μm (+/−85.42 μm) measured with the optical microscope and 211.6 μm (+/−96.55 μm) with the SEM. For the conventional group the mean MG values were 94.84 μm (+/−50.77 μm) measured with the OM and 83.37 μm (+/−44.38 μm) measured with the SEM, respectively. AMD mean values were 158.60 μm (+/−69.14 μm) for the OM and 152.72 μm (+/−72.36) for the SEM.

          Conclusions

          Copings manufactured after digital impression with Lava™ C.O.S. show comparable marginal parameters with the copings manufactured after conventional impression with polyvinyl syloxane. The mean MG values of both groups fit in the clinically acceptable range.

          Electronic supplementary material

          The online version of this article (doi:10.1186/s12903-016-0323-8) contains supplementary material, which is available to authorized users.

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          Most cited references25

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          Considerations in measurement of marginal fit.

          The terminology describing "fit" and the techniques used for measuring fit vary considerably in the literature. Although fit can be most easily defined in terms of "misfit," there are many different locations between a tooth and a restoration where the measurements can be made. In this work, the measurements of misfit at different locations are geometrically related to each other and defined as internal gap, marginal gap, vertical marginal discrepancy, horizontal marginal discrepancy, overextended margin, underextended margin, absolute marginal discrepancy, and seating discrepancy. The significance and difference in magnitude of different locations are presented. The best alternative is perhaps the absolute marginal discrepancy, which would always be the largest measurement of error at the margin and would reflect the total misfit at that point.
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            Comparison of digital and conventional impression techniques: evaluation of patients’ perception, treatment comfort, effectiveness and clinical outcomes

            Background The purpose of this study was to compare two impression techniques from the perspective of patient preferences and treatment comfort. Methods Twenty-four (12 male, 12 female) subjects who had no previous experience with either conventional or digital impression participated in this study. Conventional impressions of maxillary and mandibular dental arches were taken with a polyether impression material (Impregum, 3 M ESPE), and bite registrations were made with polysiloxane bite registration material (Futar D, Kettenbach). Two weeks later, digital impressions and bite scans were performed using an intra-oral scanner (CEREC Omnicam, Sirona). Immediately after the impressions were made, the subjects’ attitudes, preferences and perceptions towards impression techniques were evaluated using a standardized questionnaire. The perceived source of stress was evaluated using the State-Trait Anxiety Scale. Processing steps of the impression techniques (tray selection, working time etc.) were recorded in seconds. Statistical analyses were performed with the Wilcoxon Rank test, and p < 0.05 was considered significant. Results There were significant differences among the groups (p < 0.05) in terms of total working time and processing steps. Patients stated that digital impressions were more comfortable than conventional techniques. Conclusions Digital impressions resulted in a more time-efficient technique than conventional impressions. Patients preferred the digital impression technique rather than conventional techniques.
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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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                Author and article information

                Contributors
                0043-1-40070-4549 , rinet.dauti@meduniwien.ac.at
                0043-1-40070-4549 , barbara.cvikl@meduniwien.ac.at
                0043-1-40070-4549 , alexander.franz@meduniwien.ac.at
                uweyacine.schwarze@meduniwien.ac.at
                bledar.lilaj@meduniwien.ac.at
                tina.rybaczek@meduniwien.ac.at
                andreas.moritz@meduniwien.ac.at
                Journal
                BMC Oral Health
                BMC Oral Health
                BMC Oral Health
                BioMed Central (London )
                1472-6831
                8 December 2016
                8 December 2016
                2016
                : 16
                : 129
                Affiliations
                [1 ]Department of Conservative Dentistry and Periodontology, Medical University of Vienna, Sensengasse 2A, 1090 Vienna, Austria
                [2 ]Department of Preventive, Restorative and Pediatric Dentistry, School of Dental Medicine, University of Bern, Bern, Switzerland
                [3 ]Karl Donath Laboratory for Hard Tissue and Biomaterial Research, University Clinic of Dentistry, Vienna, Austria
                [4 ]Department of Oral Biology, Medical University of Vienna, Vienna, Austria
                [5 ]Department of Oral Surgery, Medical University of Vienna, Vienna, Austria
                Article
                323
                10.1186/s12903-016-0323-8
                5146899
                27931256
                ddfe7ba4-13be-4128-9047-e6d5b68c1339
                © The Author(s). 2016

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 31 August 2016
                : 28 November 2016
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2016

                Dentistry
                marginal gap,digital impression,lava c.o.s,zirconia copings
                Dentistry
                marginal gap, digital impression, lava c.o.s, zirconia copings

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