EVALUATING THE MARGINAL FIT OF GALVANOCERAMIC INLAYS: IS IT CLINICALLY ACCEPTABLE?

Year 2024, , 292 - 304, 30.09.2024

Özlem Çölgeçen , Zekiye Eroğlu , Ayşegül Güleryüz

https://doi.org/10.69601/meandrosmdj.1542836

Abstract

Purpose: The aim of this study was to investigate the marginal adaptation of galvanoceramic inlay comparing two different ceramic inlays used in dental practice.
Materials and methods: Class II inlay cavity was prepared on an ivorine mandibular left first molar and a metal master die was produced from stainless steel. Using electroforming machine, fifteen galvanoformed copings were produced firstly, and then galvanoceramic inlays were obtained by firing feldspathic porcelain on them. For comparison with ceramic inlays, two different groups were prepared from lithium disilicate and alumina ceramic. The absolute marginal discrepancy of galvanoformed copings and three different inlay restorations were measured onto the master die in described 16 different reference points by scanning electron microscope. Data obtained from the measurements were statistically analysed using paired t-test and one-way analyses of variance (α=.05).
Results: The galvanoceramic inlays showed a significantly higher marginal discrepancy than other ceramic inlays (P<.001). The mean marginal discrepancy was 379±153µm for galvanoceramic inlays, whereas other inlays had marginal gaps under 200µm. Galvanoformed copings had lowest marginal gap, but the adaptation of these copings was failed after porcelain firing.
Conclusion: Galvanoformed copings have superior marginal fit than other ceramic inlays, but the marginal gaps increased after porcelain firing and marginal adaptations became clinically unacceptable. Clinical usage of galvanoceramic inlays is questionable due to their marginal discrepancies.

Keywords

Inlay, Marginal Discrepancy, Galvanoceramic, Electroforming

Ethical Statement

This article does not contain any studies with human participants or animals performed by any of the authors.

GALVANOSERAMİK İNLEYLERİN MARJİNAL UYUMUNU DEĞERLENDİRME: KLİNİK OLARAK KABUL EDİLEBİLİR Mİ?

Abstract

Amaç: Bu çalışmanın amacı, galvanoseramik inlayin marjinal uyumunu diş hekimliğinde kullanılan iki farklı seramik inley ile karşılaştırarak incelemektir.
Gereç-Yöntem: Bir ivorine mandibular sol birinci molar diş üzerinde Sınıf II inley kavitesi hazırlandı ve paslanmaz çelikten bir metal ana model üretildi. Elektroforming cihazı kullanılarak, öncelikle on beş adet galvano koping üretildi ve ardından bu kopinglerin üzeride feldspatik porselen pişirilerek galvanoseramik inleyler elde edildi. Seramik inleylerle karşılaştırma yapmak için lityum disilikat ve alumina seramik kullanılarak iki farklı grup hazırlandı. Galvano kopinglerin ve üç farklı inley restorasyonunun mutlak marjinal uyumu, ana model üzerine taramalı elektron mikroskobu ile 16 farklı referans noktasında ölçüldü. Elde edilen veriler, eşleştirilmiş t-testi ve iki yönlü varyans analizi kullanılarak istatistiksel olarak analiz edildi (α=.05).
Bulgular: Galvanoseramik inleyler, diğer seramik inleylerden anlamlı derecede yüksek marjinal uyumsuzluk gösterdi (p<.001). Galvanoseramik inleylerin ortalama marjinal uyumsuzluğu 379±153µm iken, diğer inley lerin marjinal aralığı 200µm altında bulunmuştur. Galvano kopingler en düşük marjinal aralığa sahipti, ancak porselen pişirilmesi sonrası bu kaplamaların marjinal uyumu bozuldu.
Sonuç: Galvano kopingler diğer seramik inleylerden üstün marjinal uyuma sahip olmasına rağmen, porselen pişirilmesi sonrası marjinal uyumsuzluk artmış ve marjinal uyum klinik olarak kabul edilemez hale gelmiştir. Galvanoseramik inleylerin klinik kullanımları marjinal uyumsuzlukları nedeniyle tartışmalıdır.

References

• 1. Adel M, Hamdy A, Sabet A, Ebeid K. Effect of cervical margin relocation on marginal adaptation and microleakage of indirect ceramic restorations. Journal of Prosthodontics. 2024;33(4).
• 2. Haralur SB, AL Ghaseb GA, Alqahtani NA, Alqahtani B. Comparison of microleakage between different restorative materials to restore marginal gap at crown margin. PeerJ. 2021;9.
• 3. Taha AI, Hafez ME. An in vitro study measuring marginal gaps of inlay restorations fabricated from different CAD-CAM materials after thermocycling. BMC Oral Health. 2023;23(1).
• 4. Papadiochou S, Pissiotis AL. Marginal adaptation and CAD-CAM technology: A systematic review of restorative material and fabrication techniques. Vol. 119, Journal of Prosthetic Dentistry. 2018.
• 5. Weishaupt P, Bernimoulin JP, Lange KP, Rothe S, Naumann M, HÄgewald S. Clinical and inflammatory effects of galvano-ceramic and metal-ceramic crowns on periodontal tissues. J Oral Rehabil. 2007;34(12).
• 6. Oleszek-Listopad J, Sarna-Bos K, Szabelska A, Czelej-Piszcz E, Borowicz J, Szymanska J. The use of gold and gold alloys in prosthetic dentistry - A literature review. Vol. 28, Current Issues in Pharmacy and Medical Sciences. 2015.
• 7. Gradinaru I, Jipu R, Hurjui L, Balcoș C, Mitrea M, Antohe ME. Galvanoformation in fixed prostheses: procedure always up to date. Vol. 9, Romanian Journal of Medical and Dental Education.
• 8. Buso L, Neisser MP, Bottino MA. Evaluation of the marginal fit of electroformed copings in function of the cervival preparation. Braz Dent Sci. 2010;7(1).
• 9. Shiratsuchi H, Komine F, Kakehashi Y, Matsumura H. Influence of finish line design on marginal adaptation of electroformed metal-ceramic crowns. Journal of Prosthetic Dentistry. 2006;95(3).
• 10. Polansky R, Heschl A, Arnetzl G, Haas M, Wegscheider W. Comparison of the marginal fit of different all-ceramic and metal-ceramic crown systems: an in vitro study. Int J Stomatol Occlusion Med. 2010;3(2).
• 11. Kaán B, Eichner K, Kaán M, Fejérdy P, Róth L. In vivo and in vitro study of the marginal sealing in ceramic-covered gold inlays. Fogorv Sz. 1998;91(12).
• 12. Holmes JR, Pilcher ES, Rivers JA, Stewart RMQ. Marginal fit of electroformed ceramometal crowns. Journal of Prosthodontics. 1996;5(2).
• 13. Goujat A, Abouelleil H, Colon P, Jeannin C, Pradelle N, Seux D, et al. Marginal and internal fit of CAD-CAM inlay/onlay restorations: A systematic review of in vitro studies. Vol. 121, Journal of Prosthetic Dentistry. 2019.
• 14. Raghav PS, Abirami S, Gupta A, Yusufi FNK, Afroz S. Effect of Different Impression Techniques on Marginal Fit of Restoration – An In Vitro Study. Indian Journal of Dental Research. 2023;34(3).
• 15. Yang S, Li Q, Chen S yuan, Yu H. Effect of multiple firings on the marginal fit of monolithic zirconia crowns: An in vitro study. Journal of Prosthetic Dentistry. 2023;130(6).
• 16. de Almeida JG dos SP, Guedes CG, Abi-Rached F de O, Trindade FZ, Fonseca RG. Marginal Fit of Metal-Ceramic Copings: Effect of Luting Cements and Tooth Preparation Design. Journal of Prosthodontics. 2019;28(1).
• 17. Ferrari M, Dagostin A, Fabianelli A. Marginal integrity of ceramic inlays luted with a self-curing resin system. Dental Materials. 2003;19(4).
• 18. Pettenò D, Schierano G, Bassi F, Bresciano ME, Carossa S. Comparison of marginal fit of 3 different metal-ceramic systems: an in vitro study. Int J Prosthodont. 2000;13(5).
• 19. Balkaya MC, Cinar A, Pamuk S. Influence of firing cycles on the margin distortion of 3 all-ceramic crown systems. Journal of Prosthetic Dentistry. 2005;93(4).
• 20. Komine F, Shiratsuchi H, Kakehashi Y, Matsumura H. Influence of porcelain-firing procedures on the marginal distortion of electroformed metal-ceramic restorations. Quintessence Int (Berl). 2007;38(10).
• 21. Papaspyridakos P, Vazouras K, Chen Y wei, Kotina E, Natto Z, Kang K, et al. Digital vs Conventional Implant Impressions: A Systematic Review and Meta-Analysis. Vol. 29, Journal of Prosthodontics. 2020.
• 22. Björn AL, Björn H, Grkovic B. Marginal fit of restorations and its relation to periodontal bone level. II. Crowns. Odontol Revy. 1970;21(3).
• 23. McLean JW, Von F. The estimation of cement film thickness by an in vivo technique. Br Dent J. 1971;131(3).
• 24. Demir N, Ozturk AN, Malkoc MA. Evaluation of the marginal fit of full ceramic crowns by the microcomputed tomography (micro-CT) technique. Eur J Dent. 2014;8(4).
• 25. Rippe MP, Monaco C, Volpe L, Bottino MA, Scotti R, Valandro LF. Different methods for inlay production: Effect on internal and marginal adaptation, adjustment time, and contact point. Oper Dent. 2017;42(4).