Three-dimensional evaluation of gaps associated with fixed dental prostheses fabricated with new technologies

• Published in: The Journal of prosthetic dentistry Vol. 112; no. 6; pp. 1432 - 1436
• Main Authors: Kim, Ki-Baek, PhD, Kim, Jae-Hong, MS, Kim, Woong-Chul, PhD, Kim, Ji-Hwan, PhD
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.12.2014
• Subjects: Chromium Alloys - chemistry; Computer-Aided Design; Dental Abutments; Dental Casting Technique; Dental Impression Technique; Dental Marginal Adaptation; Dental Materials - chemistry; Dental Models; Dentistry; Denture Design; Denture, Partial, Fixed; Hot Temperature; Humans; Image Processing, Computer-Assisted - methods; Imaging, Three-Dimensional - methods; Lasers; Silicones - chemistry; Surface Properties; Technology, Dental
• ISSN: 0022-3913; 1097-6841
• DOI: 10.1016/j.prosdent.2014.07.002

Statement of problem One of the most important factors in determining the clinical outcomes of fixed dental prostheses is the gap between the fixed dental prosthesis and the abutment. However, reports that investigated these gaps in the context of fixed dental prostheses fabricated with new technologies are few. Purpose The purpose of this study was to measure and analyze the fit of fixed dental prostheses. The fixed dental prostheses for the study were produced with the subtractive method (milling soft metal blocks), additive method (selective laser sintering), and traditional method (lost wax and casting). Material and methods Ten specimens were fabricated with the soft metal block, selective laser sintering, and lost wax and casting methods. The 3-dimensional measurement method was adopted to obtain the measure gap figures of the specimens. To fabricate a digital replica, computer-aided design reference casts were prepared by scanning the study casts, and silicone replicas were fabricated for each specimen. These silicone replicas were scanned and obtained 40 000 point cloud data. The study also defined the mean gap for each specimen by averaging approximately 40 000 gap points to evaluate the fit of the specimens. Data were analyzed with 1-way ANOVA and the Tukey honestly significant difference (α=.05). Results The mean gap was the smallest for fixed dental prostheses fabricated with the soft metal block, followed by the selective laser sintering, then the lost wax and casting. One-way ANOVA revealed statistically significant differences in the size of the gap among the 3 groups ( P <.001), and the Tukey honestly significant difference test confirmed the specific differences among the groups ( P <.05). Conclusions The fit obtained with the new soft metal block and selective laser sintering techniques was better than that obtained with the traditional lost wax and casting method. Thus, fixed dental prostheses produced by using these new techniques can be considered clinically acceptable.