IADR Abstract Archives

Fitness of Lithium Disilicate CAD/CAM Crowns : A MutiCenter Clinical Study

Objective: This multicenter clinical study aimed to compare the fitness of the metal ceramic crown(MCC) made from traditional method and that of the lithium disilicate crown(LDC) utilizing CAD/CAM system.

Method: Twenty-one patients (seven for each of the three clinics) who visited for a single repair of their premolars or canines were selected. Two kinds of restorations were fabricated, a MCC using traditional method and a LDC utilizing CAD/CAM system(CEREC ACR system) per one patients’ abutment teeth. Two silicone replicas were produced per prosthetic restoration, each of which was sectioned in the center of buccolingual and mesiodistal direction to measure the marginal and internal gap. Measurement was carried out by using measuring microscope(AXIOR) and I-solutionR. Statistical analysis was performed using an independent t-test. 

Result: In the comparison of the differences among each center, no significant difference in gap width was found in the lithium disilicate crown (P>.05) and the metal ceramic crown (P>.05). Significant differences in the  MCC group and the LDC group were showed at  reference points of buccolingual direction (P<.001) and reference points of mesiodistal direction (P<.001). As for the marginal gap, no significant difference was noted (P>.05). The internal gap was significantly bigger in the lithium disilicate crown’s axial and occlusal surfaces (P<.001).

Conclusion: The difference in internal gap was statistically significant with the lithium disilicate crown generally showing a higher value (P<.001). The difference in marginal gap was not statistically significant (P>.05) and both groups showed fitness levels that can be clinically accepted.

Division: IADR/AMER General Session
Meeting: 2014 IADR/AMER General Session (Cape Town, South Africa)
Location: Cape Town, South Africa
Year: 2014
Final Presentation ID: 1374
Abstract Category|Abstract Category(s): Prosthodontics Research
Authors
  • Lee, So-hyoun  ( Department of Prosthodontics, School of Dentistry, Pusan National University, Yangsan, , South Korea )
  • Nam, Se Jin  ( Department of Prosthodontics, School of Dentistry, Pusan National University, Yangsan, , South Korea )
  • Huh, Jung-bo  ( Department of Prosthodontics, School of Dentistry, Pusan National University, Yangsan, , South Korea )
  • Jeong, Chang Mo  ( Department of Prosthodontics, School of Dentistry, Pusan National University, Yangsan, , South Korea )
  • Kim, Joo-hyeun  ( Department of Prosthodontics, School of Dentistry, Pusan National University, Yangsan, , South Korea )
  • SESSION INFORMATION
    Oral Session
    Clinical Studies in Prosthodontics
    06/28/2014