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Influence of impression method and shoulder design on the marginal adaptation of CAD/CAM nanoceramic resin onlay restorations.
Li, Muyue; Ma, Ben; Zhou, Zhuanyuan; Liu, Wei.
Afiliación
  • Li M; Department of Endodontics, Shenzhen Stomatology Hospital (Pingshan) of Southern Medical University, Shenzhen, 518118, China.
  • Ma B; Department of Oral and Maxillofacial Surgery, Shenzhen Stomatology Hospital (Pingshan) of Southern Medical University, Shenzhen, 518118, China.
  • Zhou Z; CAD/CAM Center for Dentistry, Shenzhen Stomatology Hospital (Pingshan) of Southern Medical University, Shenzhen, 518118, China.
  • Liu W; Department of Endodontics, Shenzhen Stomatology Hospital (Pingshan) of Southern Medical University, Shenzhen, 518118, China.
Heliyon ; 10(16): e35915, 2024 Aug 30.
Article en En | MEDLINE | ID: mdl-39224323
ABSTRACT

Objective:

This in-vitro study investigates the influence of two different impression techniques and two shoulder designs on the marginal adaptation of computer-aided design/computer-aided manufacturing restorations.

Methods:

Forty mandibular first premolars were cast into dental arch models for this in vitro study. Fragile cusps and concavities on the mesial-buccal-occlusal surfaces were treated, with 2 mm of the occlusal surface removed. Teeth were categorised into two groups based on shoulder preparation. Digital scanning using a 3Shape 3D scanner identified them further for allocation into conventional and digital impression subgroups. The restorations were created from nanoceramic resin blocks using prescribed guidelines. Microscopic evaluation assessed the restoration's marginal adaptation, with data analysed using SPSS 27.0. The level of significance was set at p ≤ 0.05.

Results:

Digital intraoral scanning consistently demonstrated smaller marginal gaps than the traditional impression method, regardless of shoulder preparation, with the differences being statistically significant (p < 0.05). Furthermore, shoulder preparation significantly reduced the marginal gaps in both the digital and traditional impression groups (p < 0.05).

Conclusions:

The onlay preparation design with a shoulder led to restorations with improved marginal adaptation compared with the design with no shoulder. Direct digital impression techniques produced restorations within a better marginal discrepancy than traditional impressions.
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Heliyon Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Heliyon Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido