Research Article

Comparative Evaluation of Trueness and Precision of PMMA Three-Unit Bridges Fabricated Using Three Milling Devices

Volume: 3 Number: 1 April 30, 2025

Comparative Evaluation of Trueness and Precision of PMMA Three-Unit Bridges Fabricated Using Three Milling Devices

Abstract

Aim This in vitro study aimed to evaluate the trueness and precision of three-unit bridge restorations fabricated using different milling devices. Material and method A dental model prepared for bridge restorations in the right first premolar and first molar was scanned using a laboratory scanner (inEos X5, Dentsply Sirona). The data were imported into dental design software (DentalCAD 3.1 Rijeka; exocad GmbH) to create a bridge restoration design, saved as a reference (R-STL). Ten bridges were milled from polymethylmethacrylate blocks (Telio CAD LT A2 B55, Ivoclar Vivadent, Liechtenstein) using three milling devices: Cerec MC XL (C-STL), Cerec Primemill (P-STL), and inLab MC X5 (X-STL). The restorations were rescanned with an intraoral scanner (Cerec Primescan, Dentsply Sirona), and the datasets were analyzed using a 3D analysis program (Geomagic Control X v.2020.1, 3D Systems, NC, USA). Statistical analyses included one-way ANOVA, post hoc Tukey tests, and the Shapiro-Wilk test (α = 0.05). Results Significant differences in trueness were observed among the groups (p < 0.001), with the inLab MC X5 device (X-STL, RMS = 32 μm) showing the highest trueness and the Cerec MC XL group (C-STL, RMS = 44 μm) the lowest. No significant differences in precision were found (p = 0.117). Conclusion The choice of milling device significantly affects the trueness of three-unit bridge restorations, with the inLab MC X5 device producing the most accurate results. However, precision did not differ significantly among the devices.

Keywords

References

  1. Blatz MB, Conejo J. The Current State of Chairside Digital Dentistry and Materials. Dent Clin North Am. 2019;63(2):175-197.
  2. Sulaiman TA. Materials in digital dentistry-A review. J Esthet Restor Dent. 2020;32(2):171-181.
  3. Pilecco RO, Machry RV, Baldi A, Tribst JPM, Sarkis-Onofre R, Valandro LF, et al. Influence of CAD-CAM milling strategies on the outcome of indirect restorations: A scoping review. J Prosthet Dent. 2024;131(5):811.e1-811.e10.
  4. Kirsch C, Ender A, Attin T, Mehl A. Trueness of four different milling procedures used in dental CAD/CAM systems. Clin Oral Investig. 2017;21(2):551-558.
  5. Hamad KQA, Al-Rashdan RB, Al-Rashdan BA, Baba NZ. Effect of milling protocols on trueness and precision of ceramic crowns. J Prosthodont. 2021;30(2):171-177.
  6. Bosch G, Ender A, Mehl A. A 3-dimensional accuracy analysis of chairside CAD/CAM milling processes. J Prosthet Dent. 2014;112(6):1425-1431.
  7. Sax C, Hämmerle CHF, Sailer I. 10-year clinical outcomes of fixed dental prostheses with zirconia frameworks. Int J Comput Dent. 2011;14(3):183-202.
  8. Zafar MS. Prosthodontic applications of polymethyl methacrylate (PMMA): An update. Polymers (Basel). 2020;12(10):2299.

Details

Primary Language

English

Subjects

Prosthodontics

Journal Section

Research Article

Publication Date

April 30, 2025

Submission Date

February 20, 2025

Acceptance Date

February 26, 2025

Published in Issue

Year 2025 Volume: 3 Number: 1

APA
Dinçer, G., & Demirel, M. (2025). Comparative Evaluation of Trueness and Precision of PMMA Three-Unit Bridges Fabricated Using Three Milling Devices. Eurasian Dental Research, 3(1), 12-16. https://doi.org/10.62243/edr.1643661
AMA
1.Dinçer G, Demirel M. Comparative Evaluation of Trueness and Precision of PMMA Three-Unit Bridges Fabricated Using Three Milling Devices. EDR. 2025;3(1):12-16. doi:10.62243/edr.1643661
Chicago
Dinçer, Gökçen, and Münir Demirel. 2025. “Comparative Evaluation of Trueness and Precision of PMMA Three-Unit Bridges Fabricated Using Three Milling Devices”. Eurasian Dental Research 3 (1): 12-16. https://doi.org/10.62243/edr.1643661.
EndNote
Dinçer G, Demirel M (April 1, 2025) Comparative Evaluation of Trueness and Precision of PMMA Three-Unit Bridges Fabricated Using Three Milling Devices. Eurasian Dental Research 3 1 12–16.
IEEE
[1]G. Dinçer and M. Demirel, “Comparative Evaluation of Trueness and Precision of PMMA Three-Unit Bridges Fabricated Using Three Milling Devices”, EDR, vol. 3, no. 1, pp. 12–16, Apr. 2025, doi: 10.62243/edr.1643661.
ISNAD
Dinçer, Gökçen - Demirel, Münir. “Comparative Evaluation of Trueness and Precision of PMMA Three-Unit Bridges Fabricated Using Three Milling Devices”. Eurasian Dental Research 3/1 (April 1, 2025): 12-16. https://doi.org/10.62243/edr.1643661.
JAMA
1.Dinçer G, Demirel M. Comparative Evaluation of Trueness and Precision of PMMA Three-Unit Bridges Fabricated Using Three Milling Devices. EDR. 2025;3:12–16.
MLA
Dinçer, Gökçen, and Münir Demirel. “Comparative Evaluation of Trueness and Precision of PMMA Three-Unit Bridges Fabricated Using Three Milling Devices”. Eurasian Dental Research, vol. 3, no. 1, Apr. 2025, pp. 12-16, doi:10.62243/edr.1643661.
Vancouver
1.Gökçen Dinçer, Münir Demirel. Comparative Evaluation of Trueness and Precision of PMMA Three-Unit Bridges Fabricated Using Three Milling Devices. EDR. 2025 Apr. 1;3(1):12-6. doi:10.62243/edr.1643661