Clinical Oral Investigations

, Volume 18, Issue 2, pp 515–523 | Cite as

Marginal and internal fit of four-unit zirconia fixed dental prostheses based on digital and conventional impression techniques

  • Júnio S. Almeida e Silva
  • Kurt Erdelt
  • Daniel Edelhoff
  • Élito Araújo
  • Michael Stimmelmayr
  • Luiz Clovis Cardoso Vieira
  • Jan-Frederik Güth
Original Article



The aim of this in vitro study was to evaluate the marginal and internal fit of CAD/CAM-generated four-unit zirconia fixed dental prostheses made with digital and conventional impressions.

Materials and method

A titanium master model was used. For group conventional impression (CI), 12 polyether impressions of the master model with ImpregumTM were made. For group digital impression (DI), 12 digital impressions of the master model using LavaTM C.O.S. system were made. The replica technique was applied. The Mann–Whitney U statistical test was applied to detect statistical differences between the groups, in terms of marginal and internal fit. Face-by-face comparisons between groups were also carried out.


Groups DI and CI presented mean marginal fit of 63.96 and 65.33 μm, respectively, and showed no statistically significant difference. Groups DI and CI presented significantly different internal fit with mean values of 58.46 and 65.94 μm, respectively. Group DI showed statistically significantly lower values for marginal and internal fit on premolar mesial face, and on molar distal and palatal faces.


Frameworks fabricated from digital and conventional impressions showed clinically acceptable marginal fit. Frameworks fabricated from digital impression demonstrated better internal fit than ones fabricated from conventional impression. Reviewing each retainer face, digital impression showed better marginal and internal fit at the premolar mesial and molar distal faces.

Clinical relevance

The results of this in vitro study show that digital impressions made with the LavaTM C.O.S. system and its digital workflow are suitable for fabricating four-unit zirconia frameworks, with regard to marginal and internal fit requirements.


CAD/CAM Fit Fixed dental prostheses Zirconia Digital impression Precision 



The first author was supported by the Brazilian Federal Agency for Support and Evaluation of Graduate Education (grant no. BEX 2354101). The authors thank Mrs. Vindi Jurinovic (IBE, LMU Munich) for statistical support.

Conflicts of interest

The authors declare no conflict of interest.


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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Júnio S. Almeida e Silva
    • 1
    • 2
  • Kurt Erdelt
    • 2
  • Daniel Edelhoff
    • 2
  • Élito Araújo
    • 3
  • Michael Stimmelmayr
    • 2
  • Luiz Clovis Cardoso Vieira
    • 4
  • Jan-Frederik Güth
    • 2
  1. 1.Department of Operative DentistryFederal University of Santa CatarinaAnapólisBrazil
  2. 2.Department of ProsthodonticsDental School of the Ludwig-Maximilians UniversityMunichGermany
  3. 3.Comprehensive ClinicFederal University of Santa CatarinaFlorianópolisBrazil
  4. 4.Operative Dentistry DivisionFederal University of Santa CatarinaFlorianópolisBrazil

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