Marginal discrepancy dimensions of single unit metal crowns fabricated by using CAD-CAM–milled acrylate resin polymer blocks or a conventional waxing technique

David Lalande, Jeffrey A. Hodd, John S. Brousseau, Van Ramos, Daniel Dunham, Frederick Rueggeberg

Research output: Contribution to journalArticle

Abstract

Statement of problem: Because crowns with open margins are a well-known problem and can lead to complications, it is important to assess the accuracy of margins resulting from the use of a new technique. Currently, data regarding the marginal fit of computer-aided design and computer-aided manufacturing (CAD-CAM) technology to fabricate a complete gold crown (CGC) from a castable acrylate resin polymer block are lacking. Purpose: The purpose of this in vitro study was to compare marginal discrepancy widths of CGCs fabricated by using either conventional hand waxing or acrylate resin polymer blocks generated by using CAD-CAM technology. Material and methods: A plastic model of a first mandibular molar was prepared by using a 1-mm, rounded chamfer margin on the entire circumference of the tooth. The master die was duplicated 30 times, and 15 wax patterns were fabricated by using a manual waxing technique, and 15 were fabricated by using CAD-CAM technology. All patterns were invested and cast, and resulting CGCs were cemented on their respective die by using resin-modified glass ionomer cement. The specimens were then embedded in acrylic resin and sectioned buccolingually. The buccal and lingual marginal discrepancies of each sectioned portion were measured by using microscopy at ×50 magnification. Data were subjected to repeated measures 2-way ANOVA, by using the Tukey post hoc pairwise comparison test (α=.05). Results: The factor of “technique” had no significant influence on marginal discrepancy measurement (P=.431), but a significant effect of “margin location” (P=.019) was noted. The confounding combination of factors was found to be significantly lower marginal discrepancy dimensions of the lingual margin discrepancy than on the buccal side by using CAD-CAM technology. Conclusions: The marginal discrepancy of CAD-CAM acrylate resin crowns was not significantly different from those made with a conventional manual method; however, lingual margin discrepancies present from CAD-CAM–prepared crowns were significantly less than those measured on the respective buccal surface.

Original languageEnglish (US)
Pages (from-to)948-953
Number of pages6
JournalJournal of Prosthetic Dentistry
Volume119
Issue number6
DOIs
StatePublished - Jun 1 2018

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Computer-Aided Design
Crowns
Polymers
Metals
Cheek
Tongue
Technology
acrylic acid
Glass Ionomer Cements
Acrylic Resins
Waxes
Gold
Plastics
Microscopy
Analysis of Variance
Tooth
Hand

ASJC Scopus subject areas

  • Oral Surgery

Cite this

Marginal discrepancy dimensions of single unit metal crowns fabricated by using CAD-CAM–milled acrylate resin polymer blocks or a conventional waxing technique. / Lalande, David; Hodd, Jeffrey A.; Brousseau, John S.; Ramos, Van; Dunham, Daniel; Rueggeberg, Frederick.

In: Journal of Prosthetic Dentistry, Vol. 119, No. 6, 01.06.2018, p. 948-953.

Research output: Contribution to journalArticle

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