Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Nov 7:2024:5526272.
doi: 10.1155/2024/5526272. eCollection 2024.

Comparison of Internal and Marginal Adaptation of Endocrowns at Different Depths Fabricated by the Digital and Conventional Impression Techniques: Internal and Marginal Fit of Endocrowns

Affiliations

Comparison of Internal and Marginal Adaptation of Endocrowns at Different Depths Fabricated by the Digital and Conventional Impression Techniques: Internal and Marginal Fit of Endocrowns

Fatemeh Razavi Ardekani et al. Int J Dent. .

Abstract

Introduction: Sufficient information is not available regarding the comparative accuracy of digital and conventional impression techniques at different depths for the fabrication of endocrown restorations. Thus, this study aimed to compare the marginal (M) and internal (I) adaptation of endocrowns at different depths fabricated by the digital and conventional impression techniques. Materials and Methods: In this in vitro study, two endodontically treated molar teeth with 2- and 4-mm cavity depths were used for the fabrication of endocrowns. Conventional and digital impressions were made from each tooth 17 times. A total of 68 zirconia endocrowns were fabricated and seated, and their I and M adaptation was assessed by the silicone replica technique. Data were statistically analyzed. Results: The M and I gaps at 2- and 4-mm cavity depths were significantly smaller in the digital, than the conventional, impression technique (p < 0.05). Increasing the cavity depth significantly increased the M and I gaps only in the digital technique (p < 0.05). The largest gap in all groups was noted in the pulpal (P) region (p < 0.05). The smallest gap was found in the M and cervical (C) regions in the conventional groups with 2- and 4-mm cavity depths, and the digital group with 4 mm cavity depth, and in the M region in the digital group with 2 mm cavity depth (p < 0.05). Conclusion: Unlike the conventional impression technique, the M and I adaptation decreased by an increase in cavity depth in the digital technique; nonetheless, the digital impression technique still showed higher M and I adaptation than the conventional technique.

Keywords: computer-aided design; dental bonding; dental internal adaptation; dental marginal adaptation.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Prepared teeth with 2- and 4-mm cavity depths mounted at the first molar site of dentiform models of mandible.
Figure 2
Figure 2
Zirconia endocrowns fabricated by the digital impression technique with 2- and 4-mm cavity depths.
Figure 3
Figure 3
Measurement points for M and I adaptation. Red layer represents cement layer. M1: absolute M discrepancy. C1 and C2: C discrepancies. A1, A2, and A3: A discrepancies. P1 and P2: P discrepancies. A, axial; C, cervical; I, internal; M, marginal; P, pulpal.

References

    1. Al-Dabbagh R. A. Survival and Success of Endocrowns: A Systematic Review and Meta-Analysis. The Journal of Prosthetic Dentistry . 2021;125(3):415.e1–415.e9. doi: 10.1016/j.prosdent.2020.01.011. - DOI - PubMed
    1. Govare N., Contrepois M. Endocrowns: A Systematic Review. The Journal of Prosthetic Dentistry . 2020;123(3):411–418.e9. doi: 10.1016/j.prosdent.2019.04.009. - DOI - PubMed
    1. Papalexopoulos D., Samartzi T.-K., Sarafianou A. A Thorough Analysis of the Endocrown Restoration: A Literature Review. The Journal of Contemporary Dental Practice . 2021;22(4):422–426. doi: 10.5005/jp-journals-10024-3075. - DOI - PubMed
    1. Tribst J. P. M., Dal Piva A. M. O., de Jager N., Bottino M. A., de Kok P., Kleverlaan C. J. Full-Crown Versus Endocrown Approach: A 3D-Analysis of Both Restorations and the Effect of Ferrule and Restoration Material. Journal of Prosthodontics . 2021;30(4):335–344. doi: 10.1111/jopr.13244. - DOI - PubMed
    1. Zhang Y., Lai H., Meng Q., Gong Q., Tong Z. The Synergetic Effect of Pulp Chamber Extension Depth and Occlusal Thickness on Stress Distribution of Molar Endocrowns: A 3-Dimensional Finite Element Analysis. Journal of Materials Science: Materials in Medicine . 2022;33(7) doi: 10.1007/s10856-022-06677-0.56 - DOI - PMC - PubMed

LinkOut - more resources