Vertical discrepancy and microleakage of laser-sintered and vacuum-cast implant-supported structures luted with different cement types

摘要

Objectives: This study aimed to evaluate the vertical misfit and microleakage of laser-sintered and vacuum-cast cement-retained implant-supported frameworks. Methods: Three-unit implant-fixed structures were constructed with: (1) laser-sintered Co-Cr (LS); (2) vacuum-cast Co-Cr (CC); and (3) vacuum-cast Pd-Au (CP). Every framework was luted onto 2 prefabricated abutments under constant seating pressure. Each alloy group was randomly divided into three subgroups (n = 10) according to the cement used: (1) Ketac Cem Plus (KC); (2) Panavia F 2.0 (PF); and (3) RelyX Unicem 2 Automix (RXU). After 30 days of water ageing, vertical discrepancy was measured by SEM, and marginal microleakage was scored using a digital microscope. Three-way ANOVA and Student-Newman-Keuls tests were run to investigate the effect of alloy/fabrication technique, FDP retainer, and cement type on vertical misfit. Data for marginal microleakage were analysed with Kruskal-Wallis and Dunn's tests (α = 0.05). Results: Vertical discrepancy was affected by alloy/manufacturing technique and cement type (p < 0.001). Despite the luting agent, LS structures showed the best marginal adaptation, followed by CP, and CC. Within each alloy group, KC provided the best fit, whilst the use of PF or RXU resulted in no significant differences. Regardless of the framework alloy, KC exhibited the highest microleakage scores, whilst PF and RXU showed values that were comparable to each other. Conclusions: Laser-sintered Co-Cr structures achieved the best fit in the study. Notwithstanding the framework alloy, resin-modified glass-ionomer demonstrated better marginal fit but greater microleakage than did MDP-based and self-adhesive dual-cure resin cements. All groups were within the clinically acceptable misfit range. Clinical significance: Laser-sintered Co-Cr may be an alternative to cast base metal and noble alloys to obtain passive-fitting structures. Despite showing higher discrepancies, resin cements displayed lower microleakage than resin-modified glass-ionomer. Further research is necessary to determine whether low microleakage scores may guarantee a suitable seal that could compensate for misfit.