J Dent Rehabil Appl Sci.  2020 Dec;36(4):254-261. 10.14368/jdras.2020.36.4.254.

Marginal and internal fit of interim crowns fabricated with 3D printing and milling method

Affiliations
  • 1Department of Dental Science, Graduate School, Kyungpook National University, Daegu, Republic of Korea
  • 2Advanced Dental Device Development Institute, Kyungpook National University, Daegu, Republic of Korea
  • 3Department of Prosthodontics, School of Dentistry, Kyungpook National University, Daegu, Republic of Korea

Abstract

Purpose
The purpose of this study was to assess the marginal and internal fit of interim crowns fabricated by two different manu-facturing method (subtractive manufacturing technology and additive manufacturing technology).
Materials and Methods
Forty study models were fabricated with plasters by making an impression of a master model of the maxillary right first molar for ceramic crown. On each study model, interim crowns (n = 40) were fabricated using three types of 3D printers (Meg-printer 2; Megagen, Zenith U; Dentis, and Zenith D; Dentis) and one type milling machine (imes-icore 450i; imes-icore GmbH). The internal of the interim crowns were filled with silicon and fitted to the study model. Internal scan data was obtained using an intraoral scanner. The fit of in-terim crowns were evaluated in the margin, absolute margin, axial, cusp, and occlusal area by using the superimposition of 3D scan data (Geomagic control X; 3D Systems). The Kruskal-wallis test, Mann-Whitney U test and Bonferroni correction method were used to compare the results among groups (α = 0.05).
Results
There was no significant difference in the absolute marginal discrepancy of the temporary crown manufactured by three 3D printers and one milling machine (P = 0.812). There was a significant difference between the milling machine and the 3D printer in the axial and occlusal area (P < 0.001). The temporary crown with the milling machine showed smaller axial gap and higher occlusal gap than 3D printer.
Conclusion
Since the marginal fit of the temporary crown produced by three types of 3D printers were all with in clinically acceptable range (< 120 µm), it can be sufficiently used for the fab-rication of the temporary crown.

Keyword

3D printer; milling; temporary crown; marginal fit; superimposition

Figure

  • Fig. 1 Experimental design.

  • Fig. 2 (A) Scan data of definitive model, (B) Scan data of definitive model with silicone paste, (C) Cross-sectional image of the superimposition of (A) and (B) for marginal and internal fit assessment.

  • Fig. 3 Schematic of measurement points for marginal and internal fit. (A) Marginal region, (B) Chamfer region, (C) Axial region, (D) Cusp region, (E) Occlusal region.

  • Fig. 4 Comparison of marginal and internal fit of interim crowns fabricated by 3D printing and milling technology. *Significant difference, P < 0.05.


Reference

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