Vertical marginal discrepancy of ceramic copings with different ceramic materials, finish lines, and luting agents: an in vitro evaluation.
BACKGROUND
Prosthetic restorations that fit poorly may affect periodontal health and occlusion. Studies that have evaluated the accuracy of fit of ceramic restorations before and after cementation assessed primarily intracoronal restorations.


OBJECTIVE
This in vitro study evaluated the effect of different finish lines, ceramic manufacturing techniques, and luting agents on the vertical discrepancy of ceramic copings.


METHODS
Two stainless steel molars were prepared for complete crowns with 2 different finish lines (heavy chamfer and rounded shoulder); each molar was duplicated to fabricate 90 copings. A total of 180 copings generated 18 groups (n=10 for each finish line-coping material-luting agent combination). Luting agents tested included zinc phosphate, resin-modified glass ionomer (Fuji Plus), and resin composite cements (Panavia F). A metal frame was developed on which to screw the stainless steel model and a ceramic coping; the distance (microm) between 2 predetermined points was measured before and after cementation by a profile projector under a torquing force. A 4-way ANOVA with repeated measurements was performed to assess the influence of each factor in the vertical marginal discrepancy: 3 between-coping factors (finish line-coping material-luting agent) and 1 within-coping factor (before and after cementation) (alpha=.05).


RESULTS
Procera copings presented the lowest mean values ( P <.05) of vertical marginal discrepancy before and after cementation (25/44 microm) when compared to Empress 2 (68/110 microm) and InCeram Alumina copings (57/117 microm), regardless of any combinations among all finish lines and luting agents tested.


CONCLUSIONS
Considering each factor separately, the ceramic manufacturing technique appeared to be the most important factor tested for the definitive vertical discrepancy of all-ceramic copings, with lower mean values for Procera copings.
Quintas
Adriana Ferreira
AF
University of São Paulo, Brazil. aquintas@uol.com.br
Oliveira
Fabiano
F
Bottino
Marco Antonio
MA
D000537:Aluminum Oxide / Q000737:chemistry; D000704:Analysis of Variance; D002484:Cementation; D002516:Ceramics / Q000737:chemistry*; D003188:Composite Resins / Q000737:chemistry; D003442:Crowns; D003738:Dental Cements / Q000737:chemistry*; D003776:Dental Porcelain / Q000737:chemistry*; D017267:Dental Prosthesis Design; D005899:Glass Ionomer Cements / Q000737:chemistry; D006801:Humans; D018020:Lithium Compounds / Q000737:chemistry; D016876:Metal Ceramic Alloys / Q000737:chemistry; D019279:Resin Cements / Q000737:chemistry; D013193:Stainless Steel / Q000737:chemistry; D013499:Surface Properties; D014025:Titanium / Q000737:chemistry; D019246:Tooth Preparation / Q000379:methods*; D019415:Torque; D015036:Zinc Phosphate Cement / Q000737:chemistry
D003188:Composite Resins; D003738:Dental Cements; C118557:Empress 2; C113301:FujiPlus; D005899:Glass Ionomer Cements; D018020:Lithium Compounds; D016876:Metal Ceramic Alloys; C438843:Panavia-Fluoro; C077451:Procera; D019279:Resin Cements; D003776:Dental Porcelain; D013193:Stainless Steel; C070870:In-Ceram; D015036:Zinc Phosphate Cement; D014025:Titanium; D000537:Aluminum Oxide