title: Subjective qualitative assessment of the finish line of prosthetic preparations submitted to different finishing instruments.
abstract: BACKGROUND
  Different instruments have been developed to improve crown finish lines after conventional preparation with diamond rotary instruments. However, more evidence on the effectiveness of these instruments is required.
  
  
  OBJECTIVE
  The purpose of this in vitro study was to assess the effectiveness of 4 different instruments used for cervical margin finishing in regard to the external line angle (ELA).
  
  
  METHODS
  Forty-eight freshly extracted third molar teeth with similar dimensions were conventionally prepared for crowns and randomly allocated into 4 groups (n=12) according to the finishing instrument: hand trimmer (HT), tungsten carbide bur (TCB), ultrasonic instrument (UI), and diamond rotary instrument (DRI) mounted in a contra angle handpiece with reduced speed. Photomicrographs from the margin profiles of each tooth were obtained with scanning electron microscopy (×40) before and after finishing procedures. The images were qualitatively analyzed (scores 1-4) by 9 experienced dental professionals. Average results were assessed with the paired t test and repeated measures ANOVA followed by Tukey HSD test (α=.05).
  
  
  RESULTS
  HT, TCB, and UI demonstrated no significant differences between unfinished and finished mean ELA scores. DRI was the only group to demonstrate a significantly improved ELA (P<.001). Except for HT in relation to TCB (P=.989), all the other groups demonstrated statistically significant different ELA scores.
  
  
  CONCLUSIONS
  DRI mounted in a contra angle handpiece was the only finishing instrument capable of significantly improving the ELA, while TCB and UI produced nonsignificant improvement, and HT was detrimental to the ELA.
authors.affiliation: Graduate student, School of Dentistry, State University of Maringá (UEM), Maringá, Brazil.
authors.forename: Tallita Foglietto
authors.initials: TF
authors.lastname: da Silva
authors.affiliation: Associate Clinical Professor, School of Dentistry, State University of Maringá (UEM), Maringá, Brazil.
authors.forename: Murilo Pereira
authors.initials: MP
authors.lastname: de Melo
authors.affiliation: Associate Clinical Professor, School of Dentistry, University of the South of Santa Catarina (UNISUL), Florianopolis, Brazil.
authors.forename: Jefferson Ricardo
authors.initials: JR
authors.lastname: Pereira
authors.affiliation: Associate Clinical Professor, Department of Dentistry, Oral Diagnosis, Federal University of Sergipe, São Cristóvão, Brazil.
authors.forename: Wilton Mitsunari
authors.initials: WM
authors.lastname: Takeshita
authors.affiliation: Private practice, Maringá, Brazil.
authors.forename: Bruno Mafra
authors.initials: BM
authors.lastname: Ceribelli
authors.affiliation: Associate Clinical Professor, School of Dentistry, State University of (UEM), Maringá, Brazil. Electronic address: lilianiwaki@gmail.com.
authors.forename: Lilian Cristina
authors.initials: LC
authors.lastname: Vessoni Iwaki
mesh_terms: D003442:Crowns / Q000592:standards; D003775:Dental Polishing / Q000295:instrumentation / Q000379:methods*; D017267:Dental Prosthesis Design / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D066298:In Vitro Techniques; D008855:Microscopy, Electron, Scanning