Assessment of Marginal and Internal Adaptation in Provisional Crowns Utilizing Three Distinct Materials Publisher Pubmed



Jalalian E¹ ; Younesi F² ; Golalipour S² ; Khorshidi S² ; Mahdavisaedabadi SH³ ; Sayyari M⁴ Show Affiliations
Source: Journal of Contemporary Dental Practice Published:2023

Abstract

Aims: This study aimed to assess the marginal and internal adaptation of provisional crowns fabricated from polymethyl methacrylate (PMMA) blocks by the computer-aided design/computer-aided manufacturing (CAD/CAM) system, autopolymerizing PMMA, and acrylic base composite resin. Materials and methods: In this in vitro experimental study, a brass die was obtained, and provisional crowns were fabricated in three groups using Teliocad PMMA blocks by the CAD/CAM system, Tempron GC auto-polymerizing PMMA, and Bisico acrylic base composite resin (n = 7 in each group). The provisional crowns were coded and randomly placed on the die. Their marginal adaptation was evaluated under a stereomicroscope at 40x magnification, while their internal adaptation was assessed by the replica technique. Data were analyzed by one-way analysis of variance (ANOVA) (α = 0.05). Results: The mean marginal gap was the highest in autopolymerizing PMMA and the lowest in the CAD/CAM PMMA group (p < 0.05). The mean marginal gap in the autopolymerizing PMMA group was significantly higher than that in the resin material (p = 0.014) and CAD/CAM PMMA (p = 0.000) groups. The difference between the resin material and CAD/CAM PMMA groups was not significant (p = 0.13). The mean internal gap was the highest in autopolymerizing PMMA group and the lowest in CAD/CAM PMMA group (p < 0.05). The mean internal gap in autopolymerizing PMMA group was significantly higher than that in composite resin (p = 0.002) and CAD/CAM PMMA (p = 0.00) groups. The difference between the resin material and CAD/CAM PMMA groups was not significant (p = 0.322). Conclusion: Computer-aided design/Computer-aided manufacturing PMMA provisional crowns showed the highest marginal and internal adaptation followed by acrylic base resin material crowns. Clinical significance: Computer-aided design/computer-aided manufacturing PMMA crowns demonstrate superior marginal and internal adaptation compared with autopolymerizing PMMA and acrylic base composite resin crowns, suggesting CAD/CAM technology’s potential for enhancing clinical outcomes. © 2023 The Author(s). 2023 Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and non-commercial reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. All Rights Reserved.