The clinical accuracy of single crowns exclusively fabricated by digital workflow—the comparison of two systems
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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.
The exclusively digital workflow on the basis of intraoral digital impressions delivered clinically satisfying results for single crowns with both systems.
KeywordsAccuracy 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.
- 1.Jager K, Vogtlin C (2012) [Digital workflow with the Lava Chairside Oral Scanner C.O.S. and Lava technique]. Schweiz Monatsschr Zahnmed 122 (4):307–324. doi:smfz-2012-04-01
- 2.Fasbinder DJ (2010) Digital dentistry: innovation for restorative treatment. Compend Contin Educ Dent 31(Spec. No. 4):2–11 (quiz 12)Google Scholar
- 3.Craddock MR, Windhorn RJ (2011) Is the US Army Dental Corps ready for the digital impression? US Army Med Dep J Jan–Mar:38–41Google Scholar
- 6.Kurbad A (2011) Digital veneering—manufacturing computer-generated veneers with the CAD-on technique. Int J Comput Dent 14(3):255–271Google Scholar
- 7.Wiedhahn K (2011) The impression-free Cerec multilayer bridge with the CAD-on method. Int J Comput Dent 14(1):33–45Google Scholar
- 28.Scotti R, Cardelli P, Baldissara P, Monaco C (2011) Clinical fitting of CAD/CAM zirconia single crowns generated from digital intraoral impressions based on active wavefront sampling. J Dent. doi: 10.1016/j.jdent.2011.10.005