The significance of marginal gap and overextension measurement in the evaluation of the fit of complete crowns.
BACKGROUND
An important criterion for the success of a crown is marginal fit. However, in the patient's mouth fit can only be evaluated by subjective methods. This study describes the correlation between objective marginal fit and its subjective evaluation by dentists and dental technicians.


METHODS
Thirty human premolars and molars were randomly divided into six groups and prepared with a shoulder. For each of the six groups, complete crowns were made of different alloys and technologies (casting: AuAgCu, AuPdPt, PdAgAu, CoCrMo, and Ti; milling: Ti). The crowns were cemented with provisional cement. Ten dentists and 10 technicians were asked to evaluate the fit of the crowns with a new dental explorer. The crowns were then cleaned and cemented with a zinc-oxide-phosphate-cement. The marginal gap and a possible overextended margin of the crowns were examined under a special 4x light microscope with a magnification level of 560 X. The means of the gaps and the overextended margins were calculated for each group. Significances were detected by analysis of variance (ANOVA) and the post-hoc-test (Bonferroni, p<0.05). Correlations between objective measuring and subjective evaluation were evaluated using the Pearson test. The influence of the measured values on the subjective evaluation was determined by regression analyses.


RESULTS
Crowns made from different alloys and technologies showed partly significantly (p<0.05) different marginal gaps (mean ranging from 35 microm to 92 microm) and significantly (p<0.05) different overextended margins (mean ranging from 40 microm to 149 microm). There were significant correlations (p<0.05) between subjective findings and objective data. Significant correlations (p<0.01) were also found between the subjective findings of dentists and technicians. Compared to the marginal gap, only the overextended margin had a significant influence (p=0.00) on the subjective evaluations of the clinicians.


CONCLUSIONS
Crowns from different alloys and technologies showed differences in marginal fit. Marginal gap and the overextension of the crowns significantly correlated with the subjective evaluation of their fit by dentists and dental technicians. For the decision of the clinicians, whether a crown is acceptable, overextension was more important than marginal gap.
Boeckler
Arne F
AF
Department of Prosthodontics, Martin-Luther-University Halle-Wittenberg, Halle, Germany. arne.boeckler@medizin.uni-halle.de
Stadler
Anke
A
Setz
Jürgen M
JM
D000704:Analysis of Variance; D001641:Bicuspid; D002484:Cementation; D003442:Crowns; D003722:Dental Alloys; D018772:Dental Marginal Adaptation; D017267:Dental Prosthesis Design; D003800:Dental Technicians; D003815:Dentists; D006801:Humans; D008963:Molar; D015588:Observer Variation; D017755:Prosthesis Fitting; D012044:Regression Analysis; D018709:Statistics, Nonparametric; D019231:Tooth Preparation, Prosthodontic
D003722:Dental Alloys