MARGINAL ADAPTATION OF COPINGS OF THREE SYSTEMS IN FUNCTION OF TWO DIFFERENT KINDS OF CERVICAL TERMINATION.

Authors

  • Alberto Alvarenga de Oliveira Universidade de São Paulo - USP
  • Tetsuo Saito Universidade de São Paulo - USP
  • Simone Helena Gonçalves de Oliveira Universidade Estadual Paulista - UNESP

DOI:

https://doi.org/10.23901/

Keywords:

Fixed partial denture, Dental porcelain, Marginal fit

Abstract

The objective of this work was to evaluate in vitro the accuracy of marginal foundation of copings of three ceramic systems: In-Ceram; IPS Empress 2 and Procera All Ceram. Besides, two variations of differents cervical terminations were established: shoulder 90o and chamfer. In order to do this, two superior central incisors of identical models received standardized cavity prepare for total crown, varying the cervical termination only, in a way that one received termination in shoulder 90o with a round internal angle and other, chamfer. Therefore, six kinds of treatments were established: IO (In-Ceram/Shoulder); IC (In-Ceram/Chamfer); EO (Empress/Shoulder); EC (Empress/Chamfer); PO (Procera/ Shoulder); PC (Procera/Chamfer). For the manufacturing of copings, the prepared teeth were reproduced in dental stone singles dies by means of standardized impressions with addition silicon, where seventy two copings were manufactured, subdivided in three groups of twenty four each type of ceramic material. Within each group, half of the substructures were built for prepare with cervical termination in shoulder 90o and the other half for cervical termination in chamfer. The marginal disadjustment of copings was evaluated and measured in optic microscopy, with a forty times enlargement, from observation of moulds of the marginal fissure of each sample with addition silicon of fluid consistency. For each sample, twelve measurements were taken and the average results showed a variation of 23,08 to 36,11µm. The groups PO and PC of the Procera system presented the best results (23,08 and 25,77µm respectively) and differed statistically from the IO group (36,11µm) that presented the worst average result. Among the other groups there was no significant statistic difference and the average results were: IC (28,46µm); EO (29,51µm); EC (27,94µm). In relation to the kinds of cervical termination, the statistic analysis was not conclusive, although a better behaviour of the chamfer could be suggested, because the groups with this kind of cervical termination presented low average deviations in comparison to the groups with shoulder 90o . Due to the obtained results we can conclude that the average results of all the studied treatments were within the established clinical acceptability of 120µm.

Author Biographies

  • Alberto Alvarenga de Oliveira, Universidade de São Paulo - USP
    Mestre e Doutor em Prótese Dentária pela Faculdade de Odontologia da Universidade de São Paulo.
  • Tetsuo Saito, Universidade de São Paulo - USP
    Professor Titular da Disciplina de Prótese Fixa da Faculdade de Odontologia da Universidade de São Paulo.
  • Simone Helena Gonçalves de Oliveira, Universidade Estadual Paulista - UNESP
    Professora Assistente Doutora da Disciplina de Anatomia da Faculdade de Odontologia de São José dos Campos – UNESP.

References

ABBATE, M. F.; TJAN, A. H. L.; FOX, W. M. Comparison of the marginal fit of

various ceramic crown systems. The Journal of Prosthetic Dentistry, v.61,

n.5, p.527-531, May 1989.

ANDERSSON, A.; RAZZOOG, M. E.; ODÉN, A.; HEGENBARTH, Z. T. M.;

LANG, B. R. Procera: A new way to achieve an all-ceramic crow.

Quintessence International, v.29, n.5, p.285-296, May 1998.

BESCHNIDT, S. M.; STRUB, J. R. Evaluation of the marginal accuracy of

different all-ceramic crown systems after simulation in the artificial mouth.

Journal of Oral Rehabilitation, v.26, p.582-593, 1999.

BOENING, K. W.; WOLF, B. H.; SCHMIDT, A. E.; KÄSTNER, K.; WALTER, M.

H. Clinical fit of procera allceram crowns. The Journal of Prosthetic Dentistry,

v.84; n.4; p.419-424; Oct. 2000.

CHAN, C.; HARASZTHY, G.; GEIS-GERSTORFER, J.; WEBER, H. The

marginal fit of cerestore full-ceramic crowns – a preliminary report.

Quintessence International, v.16, n.6, p.399-402, June 1985.

CHAN, C.; HARASZTHY, G.; GEIS-GERSTORFER, J.; WEBER, H.;

HUETTEMANN, H. Scanning electron microscopic studies of the marginal fit of

three esthetic crowns. Quintessence International, v.20, n.3, p.189-193, Mar.

CHICHE, J. G.; PINAULT, A. Coroas cerâmicas e em lâmina. In: CHICHE, J.G.;

PINAULT, A. Estética em próteses fixas anteriores. 1.ed. Tradução Fernando

Luiz Brunetti Montenegro. São Paulo: Quintessence, 1996. Cap.5, p.97-113.

Título original: Esthetics of anterior fixed prosthodontics.

CHRISTENSEN, G. J. Marginal fit of gold inlay castings. The Journal of

Prosthetic Dentistry, v.16, n.2, p.297-305, Mar. 1966.

CHRISTENSEN, G. J. Why all-ceramic crowns. Journal of the American

Dental Association, v.128, n.10, p.1453-1455, Oct. 1997.

COLI, P.; KARLSSON, S. Precision of a CAD/CAM techinique for the

production of zirconium dioxide copings. The International Journal of

Prosthodontics, v.17, n.5, p.577-80, Sep-Oct. 2004.

DAVIS, D. R. Comparasion of fit of two types of all-ceramic crowns. The

Journal of Prosthetic Dentistry, v.59, n.1, p.12-16, Jan. 1988.

FELTON, D. A.; KANOY, M. A.; BAYNE, S. C.;WIRTHMAN, B. S. Effect of in

vivo crown margin discrepancies on periodontal health. The Journal of

Prosthetic Dentistry, v.65, n.3, p.357-364, Mar. 1991.

FERRARI, M. Cement thickness and microleakage under dicor crowns: an in

vivo investigation. The International Journal of Prosthodontics, v.4, n.2,

p.126-131, July/Aug. 1991.

FRANCISCHONE, C. E.; VASCONCELOS, L. W. Sistema procera – nova

tecnologia em estética. 1.ed. São Paulo: Quintessence, 2000. 54p.

GASSINO, G.; BARONE, M.S.; SCANU, M.; SPINA, G.; PRETI, G. Marginal

adaptation of fixed prosthodontics: anew in vitro 360-degree external

examination procedure. The International Journal of Prosthodontics, v.17,

n.2, p.218-23, Mar-Apr. 2004.

GREY, N. J. A.; PIDDOCK, V.; WILSON, M. A. In vitro comparison of

conventional crowns and a new all-ceramic system. Journal of Dentistry, v.21,

n.1, p.47-51, Jan. 1993

GROTEN, M.; GIRTHOFER, S.; PRÖBSTER, L. Marginal fit consistency of

copy-milled all ceramics crowns during fabrication by light and scanningelectron microscopic analysis in vitro. Journal of Oral Rehabilitation, v.24,

n.12, p.871-881, Dec. 1997.

HOARD, R. J.; CHIANG, P. C.; HEWLETT, E. R.; CAPUTO, A. A. Marginal

discrepancy as related to margin design in porcelain-fused-to-dicor restorations.

Oral Health, v.83, n.3, p.15-18, Mar. 1993.

HOLMES J. R.; SULIK W. D.; HOLLAND G. A.; BAYNE, S. C. Marginal fit of

castable ceramic crowns. The Journal of Prosthetic Dentistry, v.67, n.5,

p.594-599, May 1992.

HUNG, S. H.; HUNG, K.; EICK, J. D.; CHAPPELL, R. P. Marginal fit of

porcelain-fused-to-metal and two types of ceramic crown. The Journal of

Prosthetic Dentistry, v.63, n.1, p.26-31, Jan. 1990.

JORGENSEN, K. D.; FINGER, W. A new concept in dental precision casting.

Journal of Dental Research, v.58, p.197, 1979.[Resumo n. 417].

MARTIGNONI, M; SCHÖNENBERGER, A. O enceramento. In: MARTIGNONI,

M; SCHÖNENBERGER, A. Precisão em prótese fixa: aspectos clínicos e

laboratoriais. 1.ed. Tradução Artêmio Luiz Zanetti. São Paulo: Quintessence,

cap.6, p.227-262. Título original: Precision fixed prosthodontics: clinical

and laboratory aspects.

MAY, K. B.; RUSSELL, M. M.; RAZZOOG, M. E.; LANG, B. R. Precision of fit:

the procera allceram crown. The Journal of Prosthetic Dentistry, v.80, n.4,

p.394-404, Oct. 1998.

MORRIS, H. F.; Participants of CSP no 147/242 Department of Veterans

Cooperative Studies Project No 242. Quantitative and qualitative evaluation of

the marginal fit of cast ceramic, porcelain-shoulder, and cast metal full crown

margins. The Journal of Prosthetic Dentistry, v.67, n.2, p.198-204, Feb. 1992.

NAHARA, Y.; SADAMORI, S.; HAMADA, T. Clinical evaluation of castable

apatite ceramic crowns. The Journal of Prosthetic Dentistry, v.66, n.6, p.754-

, Dec. 1991.

OLIVEIRA, A. A. Estudo comparativo da resistência à fratura de dentes

restaurados com restaurações parciais indiretas de polímero de vidro, resina

composta e cerâmica. 1998. 98 f. Dissertação (Mestrado em Prótese

Dentária) – Faculdade de Odontologia, Universidade de São Paulo, São Paulo.

PERA, P.; GILODI, S.; BASSI, F.; CAROSSA, S. In vitro marginal adaptation of

alumina porcelain ceramic crowns. The Journal of Prosthetic Dentistry, v.72,

n.6, p.585-590, Dec. 1994.

PRÖBSTER, L.; GERSTORFER, J. G.; KIRCHNER, E.; KANJANTRA, P. In

vitro evaluation of a glass-ceramic restorative material. Journal of Oral

Rehabilitation, v.24, p.636-645, 1997.

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. The Journal of Prosthetic Dentistry, v.92, n.3, p.250-7,

Sep 2004.

ROSENBLUM, M. A.; SCHULMAN, A. A review of all-ceramic restorations.

Journal of the American Dental Association, v.128, n.3, p.297-307, Mar.

SCHAERER, P.; SATO, T.; WOHLWEND, A. A comparison of the marginal fit of

three cast ceramic crown systems. The Journal of Prosthetic Dentistry, v.59,

n.5, p.534-542, May 1988.

SHEARER, B.; GOUGH, M. B.; SETCHELL, D. J. Influence of marginal

configuration and porcelain addition on the fit of in-ceram crowns. Biomaterials,

v.17, n.19, 1996.

SORENSEN, J. A.; TORRES, T. J.; KANG, S. K.; AVERA, S. P. Marginal fidelity

of ceramic crowns with different margin designs. Journal of Dental Research,

v.69, p. 279, 1990.[Resumo n. 1365].

SULAIMAN, F.; CHAI, J.; JAMESON, L. M.; WOSNIAK, W. T. A comparison of

the marginal fit of in-ceram, ips empress, and procera crowns. The

International Journal of Prosthodontics, v.10, n.5, p.478-484, Set./Oct. 1997

VAHIDI, F.; EGLOFF, E. T.; PANNO, F. V. Evaluation of marginal adaptation of

all-ceramic crowns and metal ceramic crowns. The Journal of Prosthetic

Dentistry, v.66, n.4, p.426-431, Oct. 1991.

YEO, I.S.; YANG, J.H.; LEE, J.B. In vitro marginal fit of three all-ceramic crown

systems. The Journal of Prosthetic Dentistry, v.90, n.5, p.459-64, Nov 2003.

WEAVER, J. D.; JOHNSON, G. H.; BALES, D. J. Marginal adaptation of

castable ceramic crowns. The Journal of Prosthetic Dentistry, v.66, n.6,

p.747-753, Dec. 1991.

WOLFART, S.; WEGNER, S.M.; AL-HALABI, A.; KERN, M. Clinical evaluation

of marginal fit of a new experimental all-ceramic system before and after

cementation. The International Journal of Prosthodontics, v.16, n.6, p.587-

, Nov-Dec. 2003.

Published

2009-08-03

Issue

Section

Artigos