Evidence map›Paper›PMID 38625846›Full record

ArticlePloS one2024

Marginal fit of 3-unit implant-supported fixed partial dentures: Influence of pattern fabrication method and repeated porcelain firings.

Rashin Giti, Pardis Farrahi

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Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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5citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Rashin GitiOral and Dental Diseases Research Center, Faculty of Dentistry, Shiraz University of Medical Sciences, Shiraz, Fars, Iran.ORCID 0000-0003-1091-9574
Pardis FarrahiStudent Research Committee, Faculty of Dentistry, Shiraz University of Medical Sciences, Shiraz, Fars, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMarginal fit significantly impacts the long-term success of dental restorations. Different pattern fabrication methods, including hand-waxing, milling, or 3D printing, may affect restorations accuracy. The effect of porcelain firing cycles on the marginal fit of metal-ceramic restorations remains controversial, with conflicting findings across studies. PURPOSE: The aim was to evaluate the potential effects of multiple porcelain firings (3, 5, 7 cycles) as well as pattern fabrication method (conventional hand-waxing, milling, and 3D printing) on the marginal adaptation of 3-unit implant-supported metal-ceramic fixed partial dentures. It was hypothesized that neither the wax pattern fabrication method nor repeated ceramic firings would significantly affect the marginal adaptation of metal-ceramic crowns.

methodsIn this in-vitro study, 30 Cobalt-Chromium alloy frameworks were fabricated based on pattern made through three techniques: conventional hand-waxing, CAD-CAM milling, and CAD-CAM 3D printing (n = 10 per group). Sixteen locations were marked on each abutment to measure the vertical marginal gap at four stages: before porcelain veneering and after 3, 5, and 7 firing cycles. The vertical marginal gap was measured using direct microscopic technique at ×80 magnification. Mean vertical marginal gap values were calculated and two-way ANOVA and Tukey's post hoc tests were used for inter-group comparisons (α = 0.05).

resultsThe 3D printing group showed significantly lower (P<0.001) mean vertical marginal gaps (60-76 μm) compared to the milling (77-115 μm) and conventional hand-waxing (102-110 μm) groups. The milling group exhibited a significant vertical gap increase after 3 firing cycles (P<0.001); while the conventional (P = 0.429) and 3D printing groups (P = 0.501) showed no significant changes after 7 firing cycles. Notably, the vertical marginal gap in all groups remained below the clinically acceptable threshold of 120 μm.

conclusionCAD-CAM 3D printing provided superior marginal fit compared to CAD-CAM milling and conventional hand-wax pattern fabrication methods. The impact of porcelain firing on the mean marginal gap was significant only in the milling group. All three fabrication techniques yielded clinically acceptable vertical marginal adaptation after repeated firings. Additive manufacturing holds promise to produce precise implant-supported prostheses.

Indexed as

Computer-Aided DesignDental PorcelainCrownsDental Prosthesis DesignDenture, Partial, FixedMetal Ceramic AlloysPrinting, Three-DimensionalDental PorcelainMetal Ceramic Alloys

Identifiers

PMID38625846
PMCPMC11020902

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.