Precision of fit of two margin designs for metal-ceramic crowns

J Prosthodont. 2007 Jul-Aug;16(4):233-7. doi: 10.1111/j.1532-849X.2007.00186.x. Epub 2007 Apr 23.

Abstract

Statement of problem: Although metal-ceramic restorations are widely used, there is a lack of information about how the fit is affected by margin designs.

Purpose: This study measured and compared the precision of fit of metal-ceramic crowns with two margin designs.

Material and methods: Thirty-two extracted human premolar teeth were prepared for complete-coverage restorations with an internally rounded shoulder preparation. Impressions were made from all teeth, and master dies were poured with improved stone type V. MC crowns were fabricated with a porcelain-butt margin on the buccal aspect (n = 32) and a feather-edge metal margin on the lingual aspect (n = 32), which served as a control group. Precision of fit was measured three times at the mid-buccal and mid-lingual margins of each crown with a profilometer. The data were statistically analyzed with the paired t-test (alpha < .05).

Results: Mean marginal gap size of porcelain-butt margins was 27.93 microm (+/-15.84) and of feather-edge metal margins 42.43 microm (+/-24.12). The marginal gap size of feather-edge metal margins was statistically significantly greater than that of porcelain-butt margins (p = 0.0045).

Conclusion: The marginal fit of porcelain-butt margins was significantly better than that of feather-edge metal margins.

Clinical implications: Porcelain-butt margins in this study had a better marginal fit than feather-edge metal margins, and thus have given clinicians evidence to prefer the use of porcelain-butt margins.

Publication types

  • Comparative Study

MeSH terms

  • Crowns*
  • Dental Casting Investment / chemistry
  • Dental Casting Technique
  • Dental Impression Materials / chemistry
  • Dental Impression Technique / instrumentation
  • Dental Porcelain / chemistry
  • Dental Prosthesis Design*
  • Humans
  • Metal Ceramic Alloys / chemistry*
  • Polyvinyls / chemistry
  • Siloxanes / chemistry
  • Surface Properties
  • Tooth Preparation, Prosthodontic / classification

Substances

  • Dental Casting Investment
  • Dental Impression Materials
  • Metal Ceramic Alloys
  • Polyvinyls
  • Siloxanes
  • vinyl polysiloxane
  • Dental Porcelain