Fabrication trueness and marginal quality of additively manufactured resin-based definitive laminate veneers with different restoration thicknesses

J Dent. 2024 May:144:104941. doi: 10.1016/j.jdent.2024.104941. Epub 2024 Mar 14.

Abstract

Objectives: To evaluate how restoration thickness (0.5 mm and 0.7 mm) affects the fabrication trueness of additively manufactured definitive resin-based laminate veneers, and to analyze the effect of restoration thickness and margin location on margin quality.

Methods: Two maxillary central incisors were prepared either for a 0.5 mm- or 0.7 mm-thick laminate veneer. After acquiring the partial-arch scans of each preparation, laminate veneers were designed and stored as reference data. By using these reference data, a total of 30 resin-based laminate veneers were additively manufactured (n = 15 per thickness). All veneers were digitized and stored as test data. The reference and test data were superimposed to calculate the root mean square values at overall, external, intaglio, and marginal surfaces. The margin quality at labial, incisal, mesial, and distal surfaces was evaluated. Fabrication trueness at each surface was analyzed with independent t-tests, while 2-way analysis of variance was used to analyze the effect of thickness and margin location on margin quality (α = 0.05).

Results: Regardless of the evaluated surface, 0.7 mm-thick veneers had lower deviations (P < 0.001). Only the margin location (P < 0.001) affected the margin quality as labial margins had the lowest quality (P < 0.001).

Conclusion: Restoration thickness affected the fabrication trueness of resin-based laminate veneers as 0.7 mm-thick veneers had significantly higher trueness. However, restoration thickness did not affect the margin quality and labial margins had the lowest quality.

Clinical significance: Laminate veneers fabricated by using tested urethane-based acrylic resin may require less adjustment when fabricated in 0.7 mm thickness. However, marginal integrity issues may be encountered at the labial surface.

Keywords: Additive manufacturing; Laminate veneer; Margin quality; Trueness.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Ceramics / chemistry
  • Composite Resins* / chemistry
  • Computer-Aided Design
  • Dental Marginal Adaptation*
  • Dental Materials* / chemistry
  • Dental Porcelain / chemistry
  • Dental Prosthesis Design
  • Dental Veneers*
  • Humans
  • Incisor*
  • Materials Testing
  • Methacrylates / chemistry
  • Polyurethanes / chemistry
  • Surface Properties*

Substances

  • Dental Materials
  • Composite Resins
  • Dental Porcelain
  • Polyurethanes
  • Methacrylates