Marginal Discrepancy and Internal Fit of Bi-Layered and Monolithic Zirconia Fixed Dental Prostheses: An In Vitro Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Zirconia Frameworks Fabrication
2.2. Veneering Process
2.2.1. Conventional (Layering) Veneering Technique (ZL)
2.2.2. Pressed-on Veneering Technique (ZP)
2.2.3. CAD-on Veneering Technique (CAD-on)
2.3. Monolithic Zirconia (MZ)
2.4. Marginal and Internal Fit Measurements
3. Results
4. Discussion
5. Conclusions
- The restoration design (bi-layered vs. monolithic) has no effect on the marginal discrepancy.
- The marginal fits of 3-unit monolithic and veneered zirconia FDPs are within the acceptable clinical range.
- The internal fit at the occlusal area showed the highest cement film thickness for both veneered and monolithic zirconia FDPs.
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Davidowitz, G.; Kotick, P.G. The Use of CAD/CAM in Dentistry. Dent. Clin. N. Am. 2011, 55, 11. [Google Scholar] [CrossRef]
- Rekow, E.D. Digital dentistry: The new state of the art—Is it disruptive or destructive? Dent. Mater. 2020, 36, 9–24. [Google Scholar] [CrossRef]
- Quigley, N.P.; Loo, D.S.S.; Choy, C.; Ha, W.N. Clinical efficacy of methods for bonding to zirconia: A systematic review. J. Prosthet. Dent. 2021, 125, 231–240. [Google Scholar] [CrossRef]
- Agustín-Panadero, R.; Román-Rodríguez, J.L.; Ferreiroa, A.; Solá-Ruíz, M.F.; Fons-Font, A. Zirconia in fixed prosthesis. A literature review. J. Clin. Exp. Dent. 2014, 6, e66–e73. [Google Scholar] [CrossRef]
- Stawarczyk, B.; Keul, C.; Eichberger, M.; Figge, D.; Edelhoff, D.; Lümkemann, N. Three generations of zirconia: From veneered to monolithic. Part I. Quintessence Int. 2017, 48, 369–380. [Google Scholar] [CrossRef]
- Lebedenko, I.Y.; Dyakonenko, E.E.; Sakhabieva, D.A.; Llaka, E. Translucent zirconia ceramics for fabrication monolithic restorations: Review. Part 2. Stomatologiia 2020, 99, 101–106. [Google Scholar] [CrossRef]
- Stawarczyk, B.; Keul, C.; Eichberger, M.; Figge, D.; Edelhoff, D.; Lümkemann, N. Three generations of zirconia: From veneered to monolithic. Part II. Quintessence Int. 2017, 48, 441–450. [Google Scholar] [CrossRef]
- Alsarani, M.M.; El-Mowafy, O.; Coyle, T.W.; Rizkalla, A.; Fava, J. Stress distribution of monolithic and veneered 3-unit zirconia FDPs-Finite element analysis. Int. J. Prosthodont. 2023. [Google Scholar] [CrossRef]
- Heintze, S.D.; Rousson, V. Survival of zirconia- and metal-supported fixed dental prostheses: A systematic review. Int. J. Prosthodont. 2010, 23, 493–502. [Google Scholar]
- Ioannidis, A.; Bindl, A. Clinical prospective evaluation of zirconia-based three-unit posterior fixed dental prostheses: Up-to ten-year results. J. Dent. 2016, 47, 80–85. [Google Scholar] [CrossRef]
- Pelaez, J.; Cogolludo, P.G.; Serrano, B.; Serrano, J.F.; Suarez, M.J. A four-year prospective clinical evaluation of zirconia and metal-ceramic posterior fixed dental prostheses. Int. J. Prosthodont. 2012, 25, 451–458. [Google Scholar]
- Alsarani, M.; Souza, G.; Rizkalla, A.; El-Mowafy, O. Influence of crown design and material on chipping-resistance of all-ceramic molar crowns: An in vitro study. Dent. Med. Probl. 2018, 55, 35–42. [Google Scholar] [CrossRef]
- Pjetursson, B.E.; Sailer, I.; Makarov, N.A.; Zwahlen, M.; Thoma, D.S. All-ceramic or metal-ceramic tooth-supported fixed dental prostheses (FDPs)? A systematic review of the survival and complication rates. Part II: Multiple-unit FDPs. Dent. Mater. 2015, 31, 624–639. [Google Scholar] [CrossRef]
- Sailer, I.; Pjetursson, B.E.; Zwahlen, M.; Hämmerle, C.H.F. A systematic review of the survival and complication rates of all-ceramic and metal-ceramic reconstructions after an observation period of at least 3 years. Part II: Fixed dental prostheses. Clin. Oral Implants Res. 2007, 18, 86–96. [Google Scholar] [CrossRef]
- Balkaya, M.C.; Cinar, A.; Pamuk, S. Influence of firing cycles on the margin distortion of 3 all-ceramic crown systems. J. Prosthet. Dent. 2005, 93, 346–355. [Google Scholar] [CrossRef]
- Contrepois, M.; Soenen, A.; Bartala, M.; Laviole, O. Marginal adaptation of ceramic crowns: A systematic review. J. Prosthet. Dent. 2013, 110, 447–454.e10. [Google Scholar] [CrossRef]
- Yeo, I.S.; Yang, J.H.; Lee, J.B. In vitro marginal fit of three all-ceramic crown systems. J. Prosthet. Dent. 2003, 90, 459–464. [Google Scholar] [CrossRef]
- May, L.G.; Robert Kelly, J.; Bottino, M.A.; Hill, T. Influence of the resin cement thickness on the fatigue failure loads of CAD/CAM feldspathic crowns. Dent. Mater. 2015, 31, 895–900. [Google Scholar] [CrossRef]
- Atsu, S.S.; Kilicarslan, M.A.; Kucukesmen, H.C.; Aka, P.S. Effect of zirconium-oxide ceramic surface treatments on the bond strength to adhesive resin. J. Prosthet. Dent. 2006, 95, 430–436. [Google Scholar] [CrossRef]
- Rezende, C.E.E.; Borges, A.F.S.; Gonzaga, C.C.; Duan, Y.; Rubo, J.H.; Griggs, J.A. Effect of cement space on stress distribution in Y-TZP based crowns. Dent. Mater. 2017, 33, 144–151. [Google Scholar] [CrossRef]
- Quintas, A.F.; Oliveira, F.; Bottino, M.A. Vertical marginal discrepancy of ceramic copings with different ceramic materials, finish lines, and luting agents: An in vitro evaluation. J. Prosthet. Dent. 2004, 92, 250–257. [Google Scholar] [CrossRef] [PubMed]
- Holden, J.E.; Goldstein, G.R.; Hittelman, E.L.; Clark, E.A. Comparison of the marginal fit of pressable ceramic to metal ceramic restorations. J. Prosthodont. 2009, 18, 645–648. [Google Scholar] [CrossRef] [PubMed]
- Wiedhahn, K. The impression-free Cerec multilayer bridge with the CAD-on method. Int. J. Comput. Dent. 2011, 14, 33–45. [Google Scholar] [PubMed]
- Torabi, K.; Vojdani, M.; Giti, R.; Taghva, M.; Pardis, S. The effect of various veneering techniques on the marginal fit of zirconia copings. J. Adv. Prosthodont. 2015, 7, 233–239. [Google Scholar] [CrossRef]
- Turkyilmaz, I.; Benli, M.; Yun, S. Evaluation of marginal and internal fit of lithium disilicate and zirconia all-ceramic CAD-CAM crowns using digital impressions: A systematic review. Prim. Dent. J. 2023, 12, 88–95. [Google Scholar] [CrossRef]
- Denry, I.; Kelly, J.R. State of the art of zirconia for dental applications. Dent. Mater. 2008, 24, 299–307. [Google Scholar] [CrossRef]
- Millen, C.; Bhatia, K.; Ibbetson, R. Laboratory aspects of zirconia restorations. Dent. Update 2012, 39, 342–357. [Google Scholar] [CrossRef]
- Schriwer, C.; Skjold, A.; Gjerdet, N.R.; Øilo, M. Monolithic zirconia dental crowns. Internal fit, margin quality, fracture mode and load at fracture. Dent. Mater. 2017, 33, 1012–1020. [Google Scholar] [CrossRef]
- Hamza, T.A.; Sherif, R.M. In vitro evaluation of marginal discrepancy of monolithic zirconia restorations fabricated with different CAD-CAM systems. J. Prosthet. Dent. 2017, 117, 762–766. [Google Scholar] [CrossRef]
- Reich, S.; Wichmann, M.; Nkenke, E.; Proeschel, P. Clinical fit of all-ceramic three-unit fixed partial dentures, generated with three different CAD/CAM systems. Eur. J. Oral Sci. 2005, 113, 174–179. [Google Scholar] [CrossRef]
- Su, T.S.; Sun, J. Comparison of marginal and internal fit of 3-unit ceramic fixed dental prostheses made with either a conventional or digital impression. J. Prosthet. Dent. 2016, 116, 362–367. [Google Scholar] [CrossRef] [PubMed]
- Vigolo, P.; Mutinelli, S. Evaluation of zirconium-oxide-based ceramic single-unit posterior fixed dental prostheses (FDPs) generated with two CAD/CAM systems compared with porcelain-fused-to-metal single-unit posterior FDPs: A 5-year clinical prospective study. J. Prosthodont. 2012, 21, 265–269. [Google Scholar] [CrossRef] [PubMed]
- Biscaro, L.; Bonfiglioli, R.; Soattin, M.; Vigolo, P. An In Vivo Evaluation of Fit of Zirconium-Oxide Based Ceramic Single Crowns, Generated with Two CAD/CAM Systems, in Comparison to Metal Ceramic Single Crowns. J. Prosthodont. 2013, 22, 36–41. [Google Scholar] [CrossRef] [PubMed]
- Trajtenberg, C.P.; Caram, S.J.; Kiat-Amnuay, S. Microleakage of all-ceramic crowns using self-etching resin luting agents. Oper. Dent. 2008, 33, 392–399. [Google Scholar] [CrossRef]
- Al Hamad, K.Q.; Al Quran, F.A.; AlJalam, S.A.; Baba, N.Z. Comparison of the Accuracy of Fit of Metal, Zirconia, and Lithium Disilicate Crowns Made from Different Manufacturing Techniques. J. Prosthodont. 2019, 28, 497–503. [Google Scholar] [CrossRef]
- Chochlidakis, K.M.; Papaspyridakos, P.; Geminiani, A.; Chen, C.J.; Feng, I.J.; Ercoli, C. Digital versus conventional impressions for fixed prosthodontics: A systematic review and meta-analysis. J. Prosthet. Dent. 2016, 116, 184–190.e12. [Google Scholar] [CrossRef]
- Wettstein, F.; Sailer, I.; Roos, M.; Hämmerle, C.H.F. Clinical study of the internal gaps of zirconia and metal frameworks for fixed partial dentures. Eur. J. Oral Sci. 2008, 116, 272–279. [Google Scholar] [CrossRef]
- Kale, E.; Yilmaz, B.; Seker, E.; Özcelik, T.B. Effect of fabrication stages and cementation on the marginal fit of CAD-CAM monolithic zirconia crowns. J. Prosthet. Dent. 2017, 118, 736–741. [Google Scholar] [CrossRef]
- Kocaagaoglu, H.; Kilinc, H.I.; Albayrak, H. Effect of digital impressions and production protocols on the adaptation of zirconia copings. J. Prosthet. Dent. 2017, 117, 102–108. [Google Scholar] [CrossRef]
- Bayramoğlu, E.; Özkan, Y.K.; Yildiz, C. Comparison of marginal and internal fit of press-on-metal and conventional ceramic systems for three- and four-unit implant-supported partial fixed dental prostheses: An in vitro study. J. Prosthet. Dent. 2015, 114, 52–58. [Google Scholar] [CrossRef]
- Lopez-Suarez, C.; Gonzalo, E.; Pelaez, J.; Serrano, B.; Suarez, M.J. Marginal vertical discrepancies of monolithic and veneered zirconia and metal-ceramic three-unit posterior fixed dental prostheses. Int. J. Prosthodont. 2016, 29, 256–258. [Google Scholar] [CrossRef] [PubMed]
- Schonberger, J.; Erdelt, K.J.; Baumer, D.; Beuer, F. Marginal and internal fit of posterior three-unit fixed zirconia dental prostheses fabricated with two different CAD/CAM systems and materials. Clin. Oral Investig. 2017, 21, 2629–2635. [Google Scholar] [CrossRef] [PubMed]
Groups | Median (μm) (IQR 25th–75th) | |||||
---|---|---|---|---|---|---|
Marginal | Cervical | Axial | Axio-Occlusal | Occlusal | ||
MZ | Premolar | 76.50 (50.75–88.25) | 113.00 (83.50–143.00) | 90.50 (74.25–112.75) | 131.00 (81.25–174.00) | 145.00 (76.50–213.50) |
Molar | 76.00 (58.25–99.75) | 116.50 (102.50–136.00) | 80.00 (58.00–97.50) | 87.50 (79.75–120.00) | 150.00 (115.00–230.00) | |
ZL | Premolar | 69.00 (63.00–79.25) | 114.00 (108.50–132.00) | 119.00 (89.50–125.25) | 147.50 (95.75–191.75) | 142.00 (118.50–228.50) |
Molar | 81.00 (70.00–96.50) | 129.50 (109.75–14,025) | 106.50 (82.00–122.00) | 175.50 (144.50–217.0) | 161.50 (147.25–267.25) | |
ZP | Premolar | 64.50 (54.00–74.50) | 103.50 (88.00–143.00) | 120.00 (104.0–130.00) | 140.50 (122.75–174.0) | 153.00 (129.25–187.25) |
Molar | 77.00 (58.00–88.00) | 127.00 (117.50–135.50) | 119.00 (117.25–132.0) | 186.00 (139.00–225.0) | 167.50 (151.00–240.25) | |
CAD-on | Premolar | 61.30 (47.25–80.00) | 109.00 (97.50–139.00) | 85.00 (72.50–93.75) | 122.00 (95.00–137.00) | 144.00 (123.50–182.50) |
Molar | 75.50 (49.00–97.00) | 118.50 (102.50–144.25) | 86.00 (81.25–105.00) | 128.50 (108.25–139.0) | 163.00 (133.75–249.25) |
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content. |
© 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Alsarani, M.M.; Rizkalla, A.S.; Fava, J.; Coyle, T.W.; El-Mowafy, O. Marginal Discrepancy and Internal Fit of Bi-Layered and Monolithic Zirconia Fixed Dental Prostheses: An In Vitro Study. Appl. Sci. 2023, 13, 11461. https://doi.org/10.3390/app132011461
Alsarani MM, Rizkalla AS, Fava J, Coyle TW, El-Mowafy O. Marginal Discrepancy and Internal Fit of Bi-Layered and Monolithic Zirconia Fixed Dental Prostheses: An In Vitro Study. Applied Sciences. 2023; 13(20):11461. https://doi.org/10.3390/app132011461
Chicago/Turabian StyleAlsarani, Majed M., Amin S. Rizkalla, Joseph Fava, Thomas W. Coyle, and Omar El-Mowafy. 2023. "Marginal Discrepancy and Internal Fit of Bi-Layered and Monolithic Zirconia Fixed Dental Prostheses: An In Vitro Study" Applied Sciences 13, no. 20: 11461. https://doi.org/10.3390/app132011461
APA StyleAlsarani, M. M., Rizkalla, A. S., Fava, J., Coyle, T. W., & El-Mowafy, O. (2023). Marginal Discrepancy and Internal Fit of Bi-Layered and Monolithic Zirconia Fixed Dental Prostheses: An In Vitro Study. Applied Sciences, 13(20), 11461. https://doi.org/10.3390/app132011461