Effect of different retraction and impression techniques on the marginal fit of crowns.
OBJECTIVE
Periodontal conditions in restored teeth are strongly influenced by the marginal fit of the restoration which is closely related to the quality of the impression. However, the influence of the retraction and impression technique on the outcome of the impression has only sparsely been investigated. Thus, it was the objective of this study to compare the marginal fit in fixed restorations using two modes of gingival retraction and two different impression techniques in an animal model.


METHODS
To simulate clinical conditions, 6 teeth in each of 10 lower jaws of freshly slaughtered cows were prepared with subgingival finish lines. Two different retraction techniques were used to expose the finish line: retraction cords containing epinephrine (Surgident) and electro-surgery were applied contra-laterally at 3 teeth per quadrant. Two impressions per jaw were taken in a two-step putty-wash technique (TPW) and a one-step putty-wash technique (OPW), respectively. On the casts, measurement copings were fabricated and seated on the extracted original tooth. In each coping the marginal discrepancy was assessed at 8 reference marks. Since the data was normally distributed, results were subjected to parametric statistics (T-test; p=0.05).


RESULTS
Overall marginal discrepancies ranged between 0 and 200 microm. There was a small but not significant difference between electro-surgery and the retraction cords whereas TPW produced significantly better results than OPW (p<0.05).


CONCLUSIONS
Within the limits of the study it can be concluded that the use of gingival retraction cords as well as electro-surgery lead to acceptable results. The difference between TPW and OPW concerning the marginal discrepancies can be regarded as clinically insignificant.
Wöstmann
Bernd
B
Department of Prosthodontics, Justus-Liebig-University, Schlangenzahl 14, D-35392 Giessen, Germany. Bernd.Woestmann@dentist.med.uni-giessen.de
Rehmann
Peter
P
Trost
Dieter
D
Balkenhol
Markus
M
D000818:Animals; D002417:Cattle; D003442:Crowns; D000044:Dental Abutments; D003760:Dental Impression Materials; D003761:Dental Impression Technique / Q000295:instrumentation; D017267:Dental Prosthesis Design; D004598:Electrosurgery; D004837:Epinephrine / Q000008:administration & dosage; D005881:Gingiva / Q000033:anatomy & histology; D008422:Materials Testing; D023421:Models, Animal; D003765:Models, Dental; D009930:Organic Chemicals; D013499:Surface Properties; D019231:Tooth Preparation, Prosthodontic / Q000295:instrumentation / Q000379:methods; D014662:Vasoconstrictor Agents / Q000008:administration & dosage
D003760:Dental Impression Materials; D009930:Organic Chemicals; D014662:Vasoconstrictor Agents; C043596:Surgident; D004837:Epinephrine