Clinical Oral Investigations

, Volume 17, Issue 9, pp 2119–2125 | Cite as

The clinical accuracy of single crowns exclusively fabricated by digital workflow—the comparison of two systems

  • Petya K. Brawek
  • Stefan Wolfart
  • Lutz Endres
  • Armin Kirsten
  • Sven ReichEmail author
Original Article



The purpose of the study was to compare the accuracy of crowns exclusively fabricated by the digital workflow of two systems. The null hypothesis stated was: Both systems do not differ with respect to marginal and internal accuracy.

Materials and methods

In 14 patients, 13 molars and 1 premolar were prepared. Each preparation was scanned intraorally with two different digital impression systems, Lava COS and Cerec AC. On the basis of these data, Lava DVS crowns [DVS] and Vita Rapid Layering Technique crowns [RLT] were fabricated, respectively. Both systems contained of a zirconia framework and a digitally fabricated silicate ceramic veneering. The marginal and internal fit of the crowns was documented by a replica technique. The replicas were examined under microscope with a magnification of ×200. The Wilcoxon signed rank test was applied in order to test if the values of the two systems showed significant differences at p ≤ 0.05.


The results were as follows in micrometers (±standard deviation): at the marginal gap, 51 (±38) for [DVS] and 83 (±51) for [RLT]; mid-axial, 130 (±56) for [DVS] and 128 (±66) for [RLT]; axio-occlusal, 178 (±55) for [DVS] and 230 (±71) for [RLT]; and centro-occlusal, 181 (±41) for [DVS] and 297 (±76) for [RLT]. According to the Wilcoxon signed rank test, the results differed significantly at the marginal, axio-occlusal, and centro-occlusal gaps.


The null hypothesis had to be rejected.

Clinical relevance

The exclusively digital workflow on the basis of intraoral digital impressions delivered clinically satisfying results for single crowns with both systems.


Accuracy Optical impression Clinical Single crowns Ceramics CAD/CAM 



The study was supported by 3M Deutschland, Sirona, and Vita Zahnfabrik. The authors would like to thank the dental technicians of Dental-Labor Geiger (Schwäbisch Gmünd, Germany), Mr. Andre Rübben, and Mr. Matthias Hodecker for their kind cooperation.

Conflict of interest

During the years, the authors SW and SR have held oral presentations and/or courses receiving a separate and appropriate honorarium each from at least one of the companies 3M Deutschland, Sirona, and Vita Zahnfabrik that supported the present study.


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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Petya K. Brawek
    • 1
  • Stefan Wolfart
    • 1
  • Lutz Endres
    • 1
  • Armin Kirsten
    • 2
  • Sven Reich
    • 1
    Email author
  1. 1.Department of Prosthodontics, Implantology and Biomaterials, Medical FacultyRWTH Aachen UniversityAachenGermany
  2. 2.Department of Dental Materials and Biomaterials Research, Medical FacultyRWTH Aachen UniversityAachenGermany

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