title: Influence of the veneering process on the marginal fit of zirconia fixed dental prostheses.
abstract: Distortions in the marginal region during manufacture are detrimental to the long-term success of fixed dental prostheses (FDPs). The aim of the present in vitro study was to evaluate changes in marginal fit because of the veneering process of four-unit FDPs made from different zirconia materials. Two groups of FDPs with 10 specimens each were machined from white body zirconia blanks (VITA In-Ceram YZ Cubes, KaVo Everest ZS-Blanks) by means of computer-aided design/computer-aided manufacturing systems and subsequently sintered to their final density. The marginal and internal gaps of the frameworks were determined using a replica technique. Afterwards, frameworks were veneered with the recommended ceramics (VITA VM9, GC Initial Zr), and fitting accuracy was evaluated again. Statistical analyses were performed by Student's t-test with the level of significance chosen at 0.05. With one framework/veneering system (Everest ZS-Blanks/Initial Zr), both marginal gap (P = 0.019) and internal gap (P = 0.001) at the premolar retainer were significantly affected by the veneering process. The resulting distortions were directed towards the lumina of the retainers and the mean values of the measured gaps decreased by about 23.8 mum (marginal gap) and 27.3 mum (internal gap). For the other system (In-Ceram YZ Cubes/VM9), no distortions because of the veneering were found. The veneering of zirconia restorations may lead to significant changes in the marginal fit, while the combination of core and veneering material used influences the resulting distortions.
authors.affiliation: Department of Prosthetic Dentistry and Biomedical Materials Science, Hannover Medical School, Hannover, Germany. Kohorst.Philipp@mh-hannover.de
authors.forename: P
authors.initials: P
authors.lastname: Kohorst
authors.forename: H
authors.initials: H
authors.lastname: Brinkmann
authors.forename: M P
authors.initials: MP
authors.lastname: Dittmer
authors.forename: L
authors.initials: L
authors.lastname: Borchers
authors.forename: M
authors.initials: M
authors.lastname: Stiesch
mesh_terms: D017076:Computer-Aided Design; D018772:Dental Marginal Adaptation; D003776:Dental Porcelain; D017267:Dental Prosthesis Design; D003801:Dental Veneers; D003779:Denture Design; D003830:Denture, Partial, Fixed; D006801:Humans; D008437:Maxilla; D017755:Prosthesis Fitting / Q000379:methods; D018709:Statistics, Nonparametric; D014093:Tooth, Artificial; D015040:Zirconium
chemical_list: D003776:Dental Porcelain; D015040:Zirconium