A Comparison of the Marginal and Internal Fit of Cobalt- Chromium Copings Fabricated by Two Different CAD/CAM Systems (CAD/ Milling, CAD/ Ceramill Sintron)

摘要

Statement of the Problem: Marginal fitness is the most important criteria for evaluation of the clinical acceptability of a cast restoration. Marginal gap which is due to cement solubility and plaque retention is potentially detrimental to both tooth and periodontal tissues. Purpose: This in vitro study aimed to evaluate the marginal and internal fit of cobalt- chromium (Co-Cr) copings fabricated by two different CAD/CAM systems: (CAD/ milling and CAD/ Ceramill Sintron). Materials and Method: We prepared one machined standard stainless steel master model with following dimensions: 7 mm height, 5mm diameter, 90? shoulder marginal finish line with 1 mm width, 10? convergence angle and anti-rotational surface on the buccal aspect of the die. There were 10 copings produced from hard presintered Co-Cr blocks according to CAD/ Milling technique and ten copings from soft non- presintered Co-Cr blocks according to CAD/ Ceramill Sintron technique. Marginal and internal accuracies of copings were documented by the replica technique. Replicas were examined at ten reference points under a digital microscope (230X). The Student's t-test was used for statistical analysis. p & 0.001 was considered significant. Results: Statistically significant differences existed between the groups ( p & 0.001). The CAD/milling group (hard copings) had a mean marginal discrepancy (MD) of 104 μm, axial discrepancy (AD) of 23 μm and occlusal discrepancy of 130 μm. For CAD/ Ceramill Sintron group, these values were 195 μm (MD), 46 μm (AD), and 232 μm (OD). Internal total discrepancy (ITD) for the CAD/milling group was 77 μm, whereas for the CAD/Ceramill Sintron group was 143 μm. Conclusion: Hard presintered Co-Cr copings had significantly higher marginal and internal accuracies compared to the soft non-presintered copings. Keywords ● Marginal and Internal fit? ● CAD/CAM? ● Ceramill Sintron? ● Base Metal Alloy ?