Evidence map›Paper›PMID 40234877›Full record

ArticleBMC oral health2025

Marginal and internal adaptation and absolute marginal discrepancy of 3D-printed, milled, and prefabricated crowns for primary molar teeth: an in vitro comparative study.

Nagehan Aktaş, Yasemin Akın, Mert Ocak, Didem Atabek, Merve Bankoğlu Güngör

Abstract readComparative Study
In one paragraph

Article in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Nagehan AktaşDepartment of Pediatric Dentistry, Faculty of Dentistry, Gazi University, Biskek Street. 1st Street Number:4, 06490, Emek/Ankara, Türkiye. nagehanaktas@gazi.edu.tr.
Yasemin AkınDepartment of Pediatric Dentistry, Faculty of Dentistry, Gazi University, Biskek Street. 1st Street Number:4, 06490, Emek/Ankara, Türkiye.
Mert OcakDepartment of Anatomy, Faculty of Dentistry, Ankara University, Ankara, Türkiye.
Didem AtabekDepartment of Pediatric Dentistry, Faculty of Dentistry, Gazi University, Biskek Street. 1st Street Number:4, 06490, Emek/Ankara, Türkiye.
Merve Bankoğlu GüngörDepartment of Prosthodontics, Faculty of Dentistry, Gazi University, Ankara, Türkiye.

Funding

Gazi University Scientific Research Projects Coordination Unit Project Number: TKB-2023-8664
6 · The paper itself

Abstract

backgroundThe quality of marginal and internal adaptation plays a crucial role in the clinical longevity of pediatric crowns. This study aimed to evaluate the effect of restoration type (3D-printed, milled, and prefabricated) on the marginal and internal adaptation and absolute marginal discrepancy (AMD) values of crowns for primary molar teeth.

methodsThree restoration groups were created: 3D-printed resin, milled resin-matrix ceramic, and prefabricated zirconia crowns (n = 10 per group). A typodont tooth was prepared according to the guidelines for prefabricated zirconia crowns and scanned to design restorations. 3D-printed and milled crowns were fabricated from the same design. All crowns were cemented on standardized 3D-printed resin dies with self-adhesive resin cement. Marginal and internal adaptation and AMD values were evaluated using micro-computed tomography (micro-CT) at multiple measurement points. Data were analyzed using one-way analysis of variance (ANOVA) and Tukey HSD tests, with statistical significance set at P < 0.05.

resultsThe restoration type significantly influenced the marginal and internal gap and AMD values (P < 0.05). The prefabricated crown group exhibited the highest marginal gap (233.5 ± 33.4 μm) and internal gap (538.6 ± 47.4 μm). The 3D-printed group showed the highest AMD value (299.5 ± 70.2 μm). The milled group demonstrated the lowest gap values, which remained within clinically acceptable limits.

conclusionsPrefabricated zirconia crowns displayed the highest marginal and internal gaps, whereas milled crowns exhibited the most favorable adaptation values within clinically acceptable limits. Given their superior adaptation, CAD-CAM-produced restorations may be a recommendable alternative for pediatric patients.

Indexed as

CrownsDental Marginal AdaptationDental Prosthesis DesignMolarPrinting, Three-DimensionalTooth, DeciduousHumansIn Vitro TechniquesX-Ray MicrotomographyZirconiumZirconiumzirconium oxide3D-printed crownsAbsolute marginal discrepancyCAD-CAM restorationsInternal adaptationMarginal adaptationMicro-CT analysisPediatric dentistryPrefabricated zirconia crownsPrimary teeth

Identifiers

PMID40234877
PMCPMC12001578

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Registered trials

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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.