The effect of different fit-indicating materials and preparation designs on the marginal and internal fit of 3D-printed permanent endocrowns
Year 2025,
Volume: 26 Issue: 1, 108 - 116, 20.03.2025
İzim Türker Kader
,
Safa Özer
,
Burçin Arıcan
Abstract
Objective: The purpose of this study was to evaluate the effect of different fit-indicating materials and preparation designs on the marginal and internal fit of 3D-printed permanent endocrowns.
Materials and Methods: Maxillary right first molar typodont teeth were prepared according to different preparation designs and divided into two groups (n=80): Group 1-butt joint margin design and a 4 mm pulp chamber depth and Group 2-shoulder margin design and a 4 mm pulp chamber depth. The groups were scanned using a digital intraoral scanner. The 3D-printed single master dies and permanent endocrowns were fabricated. The groups were divided into two subgroups, such as endocrowns seated with Fit Checker and light-body fit-indicating materials. The two scans of the master die were superimposed using 3D analysis software. Multipoint measurements were performed on standard points in each group. The marginal, internal, pulp chamber and overall gap values were determined according to the means of the measurement points and compared between the groups. The statistical analysis was performed using a Two-Way ANOVA test. (p=0,05).
Results: The Fit checker showed better marginal and internal fit than the light body (p<0,001). Light-body usage in butt-joint design showed the highest marginal gap values, while Fit Checker usage in shoulder design showed the lowest internal gap values (p<0,001).
Conclusion: Using different fit-indicating materials and preparation designs affects the fit of endocrowns. Fit Checker material will improve the internal fit of 3D-printed endocrown restoration with a preparation design of shoulder margin and marginal fit of endocrown with butt-joint margin design.
Ethical Statement
This study was conducted entirely in vitro, and no human participants, animal subjects, or other living organisms were involved. As a result, ethical approval was not required in accordance with the regulations of our institution and the principles outlined in the Declaration of Helsinki.
References
- 1. Biacchi GR, Mello B, Basting RT. The endocrown: an alternative approach for restoring extensively damaged molars. J Esthet Restor Dent. 2013;25(6):383-90.
- 2. El Ghoul WA, Özcan M, Ounsi H, Tohme H, Salameh Z. Effect of different CAD-CAM materials on the marginal and internal adaptation of endocrown restorations: An in vitro study. J Prosthet Dent. 2020;123(1):128-34.
- 3. Taha D, Spintzyk S, Schille C, Sabet A, Wahsh M, Salah T, Geis-Gerstorfer J. Fracture resistance and failure modes of polymer infiltrated ceramic endocrown restorations with variations in margin design and occlusal thickness. J Prosthodont Res. 2018;62(3):293-7.
- 4. Park JM, Hämmerle CHF, Benic GI. Digital technique for in vivo assessment of internal and marginal fit of fixed dental prostheses. J Prosthet Dent. 2017;118(4):452-4.
- 5. Reich S, Uhlen S, Gozdowski S, Lohbauer U. Measurement of cement thickness under lithium disilicate crowns using an impression material technique. Clin Oral Investig. 2011;15(4):521-6.
- 6. White SN, Sorensen JA, Kang SK. Improved marginal seating of cast restorations using a silicone disclosing medium. Int J Prosthodont. 1991;4(4):323-6.
- 7. Davis SH, Kelly JR, Campbell SD. Use of an elastomeric material to improve the occlusal seat and marginal seal of cast restorations. J Prosthet Dent. 1989;62(3):288-91.
- 8. Zimmermann M, Valcanaia A, Neiva G, Mehl A, Fasbinder D (2019) Three-Dimensional Digital Evaluation of the Fit of Endocrowns Fabricated from Different CAD/CAM Materials. J Prosthodont. 2019;28(2):e504-e509.
- 9. Zimmermann M, Valcanaia A, Neiva G, Mehl A, Fasbinder D. Digital evaluation of the fit of zirconia-reinforced lithium silicate crowns with a new three-dimensional approach. Quintessence Int. 2018;49(1):9-15.
- 10. Szep S, Schmid C, Weigl P, Hahn L, Heidemann D. Effect of the silicone disclosing procedure on the shear bond strength of composite cements to ceramic restorations. J Prosthet Dent. 2003;89(1):60-5.
11. Jampana VVSNR, Bheemalingeswar Rao D, Suresh Sajjan MC, Jitendra Babu P, Ramaraju AV, Manikyamba YJB. The effect of Fit-checking material and various subsequent cleaning methods on the wettability of the dentin surface: an in vitro study. Int J Dent Mater. 2021;3(1): 16-23.
- 12. Ahlholm P, Lappalainen R, Lappalainen J, Tarvonen PL, Sipila K. Challenges of the direct filling technique, adoption of CAD/CAM techniques, and attitudes toward 3D printing for restorative treatments among Finnish dentists. Int J Prosthodont. 2019;32:402–10.
- 13. Seo D, Yi Y, Roh B. The effect of preparation designs on the marginal and internal gaps in Cerec3 partial ceramic crowns. J Dent. 2009;37(5):374-82.
- 14. Sun J, Ruan W, He J, Lin X, Ci B, Yin S, Yan W. Clinical efficacy of different marginal forms of endocrowns: study protocol for a randomized controlled trial. Trials. 2019;20(1):454.
- 15. Hezavehi M, Neshandar Asli H, Babaee Hemmati Y, Falanchia M. Fracture strength and marginal and internal adaptation of lithium disilicate and hybrid ceramic endocrowns and non-retentive overlays for endodontically treated molar teeth. BMC Oral Health. 2024;24:1524.
- 16. Groten M, Axmann D, Pröbster L, Weber H. Determination of the minimum number of marginal gap measurements required for practical in-vitro testing. J Prosthet Dent. 2000;83(1):40-9.
- 17. Abduljawad DE, Rayyan MR. Marginal and internal fit of lithium disilicate endocrowns fabricated using conventional, digital, and combination techniques. J Esthet Restor Dent. 2022;34(4):707-14.
- 18. Nakamura T, Tanaka H, Kinuta S, Akao T, Okamoto K, Wakabayashi K, Yatani H. In vitro study on marginal and internal fit of CAD/CAM all-ceramic crowns. Dent Mater J. 2005;24(3):456-9.
- 19. Habib SR, Ansari AS, Bajunaid SO, Alshahrani A, Javed MQ. Evaluation of Film Thickness of Crown Disclosing Agents and Their Comparison with Cement Film Thickness after Final Cementation. Eur J Dent. 2020;14(2):224-32.
- 20. Mostafavi AS, Allahyari S, Niakan S, Atri F. Effect of Preparation Design on Marginal Integrity and Fracture Resistance of Endocrowns: A Systematic Review. Front Dent. 2022;19:37.
- 21. Farghal A, Dewedar K, AbdElaziz MH, Saker S, Hassona M, Algabri R, Alqutaibi AY. Effect of ceramic materials and tooth preparation design on computer-aided design and computer-aided manufacturing endocrown adaptation and retentive strength: An in vitro study. Clin Exp Dent Res. 2024;10(1):e843.
- 22. Hajimahmoudi M, Raseipour S, Mroue M, Ghodsi S. Evaluation of Marginal and Internal Fit of CAD/CAM Endocrowns with Different Cavity Tapers. Int J Prosthodont. 2023 May;36(2):189-93.
- 23. Zimmermann M, Valcanaia A, Neiva G, Mehl A, Fasbinder D. Influence of Different CAM Strategies on the Fit of Partial Crown Restorations: A Digital Three-dimensional Evaluation. Oper Dent. 2018;43(5):530-8.
- 24. Davis SH, Kelly JR, Campbell SD. Use of an elastomeric material to improve the occlusal seat and marginal seal of cast restorations. J Prosthet Dent. 1989;62(3):288-91.
- 25. Hasanzade M, Sahebi M, Zarrati S, Payaminia L, Alikhasi M. Comparative Evaluation of the Internal and Marginal Adaptations of CAD/CAM Endocrowns and Crowns Fabricated from Three Different Materials. Int J Prosthodont. 2021;34(3):341–7.
Farklı fit-indikatör materyalleri ve preparasyon dizaynlarının 3B-baskı yöntemiyle üretilmiş daimi endokronların marjinal ve internal adaptasyonuna etkisi
Year 2025,
Volume: 26 Issue: 1, 108 - 116, 20.03.2025
İzim Türker Kader
,
Safa Özer
,
Burçin Arıcan
Abstract
Amaç: Bu çalışmanın amacı farklı fit-indikatör materyalleri ve preparasyon dizaynlarının 3B-baskı yöntemiyle üretilmiş daimi endokronların marjinal ve internal adaptasyonuna etkisini değerlendirmektir.
Gereç ve Yöntemler: Üst sağ birinci molar tipodont dişleri farklı preparasyon dizaynlarına göre hazırlandı ve iki gruba ayrıldı (n=80): Grup 1-butt-joint marjin dizaynı ve 4 mm pulpa odası derinliği ve Grup 2-shoulder marjin dizaynı ve 4 mm pulpa odası derinliği. Gruplar dijital intraoral tarayıcı kullanılarak tarandı. 3B-baskı yöntemiyle elde edilen güdük modeller ve daimi endokronlar üretildi. Endokron gruplaro Fit Checker ve light-body fit-indikatör materyalleri kullanılarak güdük modellerin üzerine yerleştirilecek şekilde iki alt gruba ayrıldı. Preparasyonun iki taraması 3 boyutlu analiz yazılımı kullanılarak çakıştırıldı. Her grupta standart noktalarda çok noktalı ölçümler gerçekleştirildi. Ölçüm noktalarının ortalamalarına göre marjinal, internal, pulpa odası ve ortalama boşluk değerleri belirlendi ve gruplar arasında karşılaştırıldı. İstatistiksel analiz Two-Way ANOVA testi kullanılarak yapıldı. (p=0,05).
Bulgular: Fit Checker, light-body materyaline kıyasla daha iyi marjinal ve internal adaptasyon gösterdi (p<0,001). Butt-joint marjin dizaynında light-body kullanımı en yüksek marjinal boşluk değerlerini gösterirken, shoulder dizaynda Fit Checker kullanımı en düşük internal boşluk değerlerini gösterdi (p<0,001).
Sonuç: Farklı fit-indikatör materyalleri ve preparasyon dizaynlarının kullanılması endokronların adaptasyonunu etkiler. Fit Checker materyali shoulder marjin dizaynı ile hazırlanmış 3B baskı ile üretilen daimi endokronların internal adaptasyonunu, butt-joint marjin dizaynına sahip endokronların marjinal adaptasyonunu iyileştirecektir.
References
- 1. Biacchi GR, Mello B, Basting RT. The endocrown: an alternative approach for restoring extensively damaged molars. J Esthet Restor Dent. 2013;25(6):383-90.
- 2. El Ghoul WA, Özcan M, Ounsi H, Tohme H, Salameh Z. Effect of different CAD-CAM materials on the marginal and internal adaptation of endocrown restorations: An in vitro study. J Prosthet Dent. 2020;123(1):128-34.
- 3. Taha D, Spintzyk S, Schille C, Sabet A, Wahsh M, Salah T, Geis-Gerstorfer J. Fracture resistance and failure modes of polymer infiltrated ceramic endocrown restorations with variations in margin design and occlusal thickness. J Prosthodont Res. 2018;62(3):293-7.
- 4. Park JM, Hämmerle CHF, Benic GI. Digital technique for in vivo assessment of internal and marginal fit of fixed dental prostheses. J Prosthet Dent. 2017;118(4):452-4.
- 5. Reich S, Uhlen S, Gozdowski S, Lohbauer U. Measurement of cement thickness under lithium disilicate crowns using an impression material technique. Clin Oral Investig. 2011;15(4):521-6.
- 6. White SN, Sorensen JA, Kang SK. Improved marginal seating of cast restorations using a silicone disclosing medium. Int J Prosthodont. 1991;4(4):323-6.
- 7. Davis SH, Kelly JR, Campbell SD. Use of an elastomeric material to improve the occlusal seat and marginal seal of cast restorations. J Prosthet Dent. 1989;62(3):288-91.
- 8. Zimmermann M, Valcanaia A, Neiva G, Mehl A, Fasbinder D (2019) Three-Dimensional Digital Evaluation of the Fit of Endocrowns Fabricated from Different CAD/CAM Materials. J Prosthodont. 2019;28(2):e504-e509.
- 9. Zimmermann M, Valcanaia A, Neiva G, Mehl A, Fasbinder D. Digital evaluation of the fit of zirconia-reinforced lithium silicate crowns with a new three-dimensional approach. Quintessence Int. 2018;49(1):9-15.
- 10. Szep S, Schmid C, Weigl P, Hahn L, Heidemann D. Effect of the silicone disclosing procedure on the shear bond strength of composite cements to ceramic restorations. J Prosthet Dent. 2003;89(1):60-5.
11. Jampana VVSNR, Bheemalingeswar Rao D, Suresh Sajjan MC, Jitendra Babu P, Ramaraju AV, Manikyamba YJB. The effect of Fit-checking material and various subsequent cleaning methods on the wettability of the dentin surface: an in vitro study. Int J Dent Mater. 2021;3(1): 16-23.
- 12. Ahlholm P, Lappalainen R, Lappalainen J, Tarvonen PL, Sipila K. Challenges of the direct filling technique, adoption of CAD/CAM techniques, and attitudes toward 3D printing for restorative treatments among Finnish dentists. Int J Prosthodont. 2019;32:402–10.
- 13. Seo D, Yi Y, Roh B. The effect of preparation designs on the marginal and internal gaps in Cerec3 partial ceramic crowns. J Dent. 2009;37(5):374-82.
- 14. Sun J, Ruan W, He J, Lin X, Ci B, Yin S, Yan W. Clinical efficacy of different marginal forms of endocrowns: study protocol for a randomized controlled trial. Trials. 2019;20(1):454.
- 15. Hezavehi M, Neshandar Asli H, Babaee Hemmati Y, Falanchia M. Fracture strength and marginal and internal adaptation of lithium disilicate and hybrid ceramic endocrowns and non-retentive overlays for endodontically treated molar teeth. BMC Oral Health. 2024;24:1524.
- 16. Groten M, Axmann D, Pröbster L, Weber H. Determination of the minimum number of marginal gap measurements required for practical in-vitro testing. J Prosthet Dent. 2000;83(1):40-9.
- 17. Abduljawad DE, Rayyan MR. Marginal and internal fit of lithium disilicate endocrowns fabricated using conventional, digital, and combination techniques. J Esthet Restor Dent. 2022;34(4):707-14.
- 18. Nakamura T, Tanaka H, Kinuta S, Akao T, Okamoto K, Wakabayashi K, Yatani H. In vitro study on marginal and internal fit of CAD/CAM all-ceramic crowns. Dent Mater J. 2005;24(3):456-9.
- 19. Habib SR, Ansari AS, Bajunaid SO, Alshahrani A, Javed MQ. Evaluation of Film Thickness of Crown Disclosing Agents and Their Comparison with Cement Film Thickness after Final Cementation. Eur J Dent. 2020;14(2):224-32.
- 20. Mostafavi AS, Allahyari S, Niakan S, Atri F. Effect of Preparation Design on Marginal Integrity and Fracture Resistance of Endocrowns: A Systematic Review. Front Dent. 2022;19:37.
- 21. Farghal A, Dewedar K, AbdElaziz MH, Saker S, Hassona M, Algabri R, Alqutaibi AY. Effect of ceramic materials and tooth preparation design on computer-aided design and computer-aided manufacturing endocrown adaptation and retentive strength: An in vitro study. Clin Exp Dent Res. 2024;10(1):e843.
- 22. Hajimahmoudi M, Raseipour S, Mroue M, Ghodsi S. Evaluation of Marginal and Internal Fit of CAD/CAM Endocrowns with Different Cavity Tapers. Int J Prosthodont. 2023 May;36(2):189-93.
- 23. Zimmermann M, Valcanaia A, Neiva G, Mehl A, Fasbinder D. Influence of Different CAM Strategies on the Fit of Partial Crown Restorations: A Digital Three-dimensional Evaluation. Oper Dent. 2018;43(5):530-8.
- 24. Davis SH, Kelly JR, Campbell SD. Use of an elastomeric material to improve the occlusal seat and marginal seal of cast restorations. J Prosthet Dent. 1989;62(3):288-91.
- 25. Hasanzade M, Sahebi M, Zarrati S, Payaminia L, Alikhasi M. Comparative Evaluation of the Internal and Marginal Adaptations of CAD/CAM Endocrowns and Crowns Fabricated from Three Different Materials. Int J Prosthodont. 2021;34(3):341–7.