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Computer-aided evaluation of preparations for CAD/CAM-fabricated all-ceramic crowns

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Abstract

Objective

The aim of this study was the evaluation of preparations from general dental practitioners for zirconia crowns and their correlation with clinical recommendations using a digital approach.

Material and method

Seventy-five datasets of left first upper molars (FDI 16) prepared for single zirconia crowns by general dental practitioners were analyzed using a computer-aided design software (LAVATM Design; 3M ESPE, Seefeld, Germany) and a 3D-inspection software (COMETinspect®plus version 4.5; Steinbichler Optotechnik, Neubeuern, Germany). Evaluated parameters were convergence angle, undercuts, interocclusal reduction, abutment height, and design of preparation margin.

Results

The mean convergence angle was determined to be 26.7°. The convergence angle in the mesiobuccal to distopalatal dimension was significantly the highest (31.7°), and the abutment height showed a mean value of 4.1 mm. Convergence angle and abutment height showed a negative correlation. Seventy-three percent of the evaluated locations revealed a margin design conforming to ceramic restorations. In over 30 % of the cases, the interocclusal reduction was insufficient. Generally, no preparation fulfilled all recommendations. Five (6.66 %) of the preparations fulfilled four criteria, 16 (21.33 %) preparations fulfilled three criteria, 31 (41.33 %) fulfilled two criteria, 17 (22.66 %) preparations fulfilled one criterion, and 6 (8 %) fulfilled no criterion.

Conclusions

Within the limitations of this study, most general dental practitioners seem to have difficulties fulfilling all clinical recommendations given for the preparation of zirconia crowns. The presented digital approach seems to be a useful method to evaluate the preparation geometry.

Clinical relevance

The correct preparation geometry represents an important prerequisite for the success of all-ceramic full crowns. As preparations clearly need to be improved, the approach presented could be the basis of a future tool to increase preparation quality in practice and education by direct objective feedback.

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Acknowledgments

The authors would like to thank Rupprecht and Johannes Semrau from Corona LavaTM Milling Centre Starnberg, Germany, for their support during the study.

Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Prosthodontics, Dental School, Ludwig-Maximilians University Munich, Goethestraße 70, 80336, Munich, Germany

    Jan-Frederik Güth, Michael Stimmelmayr, Wolfgang Gernet, Florian Beuer & Daniel Edelhoff

  2. Grünauer Allee 49, 82008, Unterhaching, Germany

    Jan Wallbach

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  1. Jan-Frederik Güth
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  2. Jan Wallbach
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  3. Michael Stimmelmayr
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  6. Daniel Edelhoff
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Correspondence to Jan-Frederik Güth.

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Güth, JF., Wallbach, J., Stimmelmayr, M. et al. Computer-aided evaluation of preparations for CAD/CAM-fabricated all-ceramic crowns. Clin Oral Invest 17, 1389–1395 (2013). https://doi.org/10.1007/s00784-012-0812-3

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  • DOI: https://doi.org/10.1007/s00784-012-0812-3

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