IADR Abstract Archives

An in vitro Margin Detection Apparatus

Marginal integrity is important in the evaluation of a restoration. The fit of a crown is important in long-term success of a cast restoration. However, there is no agreeable definition of a clinically acceptable margin. Purpose: The purpose of this project is to develop a test apparatus that allows students and prosthodontists to evaluate and/or develop skills in non-visible and visible margin detection. Methods: The margin detection apparatus used three extracted caries-free teeth. Teeth were prepared for full cast (gold) crown using a chamfer finish line configuration. Die spacer was applied to the marginal area before waxing to vary the marginal opening. After casting, the axial marginal openings were measured. Pre-doctoral students (n=10) and prosthodontists (n=9) were asked to evaluate for “clinical acceptability” or “unacceptability” of each marginal area. Each subject repeated the evaluation 6 months later. Results: Marginal gaps ranged from 40-615ìm. Cohen’s kappa based upon all nineteen raters = 0.39, the nine prosthodontists = 0.51 and the ten predoctoral students = 0.30. Spearman rank correlation of margins reported “clinical unacceptable” = 0.81, p=0.0001. Wilcoxon signed rank test for proportions rated “clinically unacceptable” by the two groups (p>0.9), for supragingival surfaces (p>0.35) and subgingival surfaces (p=0.16). Upon re-evaluation the number of surfaces rated differently by the prosthodontists ranged from 1 to 6, with a median of 1; and the predoctoral students ranged from 1 to 6, with a median of 3. Wilcoxon Rank Sum test or the number of inconsistent ratings was 0.05


Division: AADR/CADR Annual Meeting
Meeting: 2003 AADR/CADR Annual Meeting (San Antonio, Texas)
Location: San Antonio, Texas
Year: 2003
Final Presentation ID: 556
Abstract Category|Abstract Category(s): Prosthodontics Research
Authors
  • Bronson, Michael  ( University of Iowa, Iowa City, IA, USA )
  • Lindquist, Terry  ( University of Iowa, Iowa City, IA, USA )
  • SESSION INFORMATION
    Poster
    Post/Core Studies, Fixed Preparations/Prostheses, Impression Materials
    03/13/2003