This study evaluated: I) the effect of photo-activation through ceramics on the degree of conversion (DC) and on the Knoop hardness (KHN) of light-and dual-cured resin cements; and II) two different protocols for obtaining the spectra of uncured materials, to determine the DC of a dual-cured resin cement. Thin films of cements were photoactivated through ceramics [feldspathic porcelain (FP); lithium disilicate glass-ceramics of low translucency (e.max-LT), medium opacity (e.max-MO) and high translucency (e.max-HT); glass-infiltrated alumina composite (IC) and polycrystalline zirconia (ZR)] with thicknesses of 1.5 and 2.0 mm. DC was analyzed by Fourier transform infrared (FTIR) spectroscopy. Two protocols were used to obtain the spectra of the uncured materials: I) base and catalyst pastes were mixed, and II) thin films of base and catalyst pastes were obtained separately, and an average was obtained. KHN assessment was performed with cylindrical specimens. The results were analyzed by ANOVA and Tukey's test (α = 0.05). The light-cured cement showed higher DC (61.9%) than the dual-cured cement (55.7%). The DC varied as follows: FP (65.4%), e.max-HT (65.1%), e.max-LT (61.8%), e.max-MO (60.9%), ZR (54.8%), and IC (44.9%). The light-cured cement showed lower KHN (22.0) than the dual-cured (25.6) cement. The cements cured under 1.5 mm spacers showed higher KHN (26.2) than when polymerized under 2.0 mm ceramics (21.3). Regarding the two protocols, there were significant differences only in three groups. Thus, both methods can be considered appropriate. The physical and mechanical properties of resin cements may be affected by the thickness and microstructure of the ceramic material interposed during photo-activation.
Marginal and internal adaptation is critical for the success of indirect restorations. New imaging systems make it possible to evaluate these parameters with precision and nondestructively. This study evaluated the marginal and internal adaptation of zirconia copings fabricated with two different systems using both silicone replica and microcomputed tomography (micro-CT) assessment methods. A metal master model, representing a preparation for an all-ceramic full crown, was digitally scanned and polycrystalline zirconia copings were fabricated with either Ceramill Zi (Amann-Girrbach) or inCoris Zi (Dentslpy-Sirona), n=10. For each coping, marginal and internal gaps were evaluated by silicone replica and micro-CT assessment methods. Four assessment points of each replica cross-section and micro-CT image were evaluated using imaging software: marginal gap (MG), axial wall (AW), axio-occlusal angle (AO) and mid-occlusal wall (MO). Data were statistically analyzed by factorial ANOVA and Tukey test (α=0.05). There was no statistically significant difference between the methods for MG and AW. For AO, there were significant differences between methods for Amann copings, while for Dentsply-Sirona copings similar values were observed. For MO, both methods presented statistically significant differences. A positive correlation was observed determined by the two assessment methods for MG values. In conclusion, the assessment method influenced the evaluation of marginal and internal adaptation of zirconia copings. Micro-CT showed lower marginal and internal gap values when compared to the silicone replica technique, although the difference was not always statistically significant. Marginal gap and axial wall assessment points showed the lower gap values, regardless of ceramic system and assessment method used.
The objective of this study was to evaluate the marginal and internal fit of zirconia copings obtained with different digital scanning methods. A human mandibular first molar was set in a typodont with its adjacent and antagonist teeth and prepared for an all-ceramic crown. Digital impressions were made using an intraoral scanner (3Shape). Polyvinyl siloxane impressions and Type IV gypsum models were also obtained and scanned with a benchtop laboratory scanner (3Shape D700). Ten zirconia copings were fabricated for each group using CAD-CAM technology. The marginal and internal fit of the zirconia copings was assessed by the silicone replica technique. Four sections of each replica were obtained, and each section was evaluated at four points: marginal gap (MG), axial wall (AW), axio-occlusal edge (AO) and centro-occlusal wall (CO), using an image analyzing software. The data were submitted to one-way ANOVA and Tukey's test (α = 0.05). They showed statistically significant differences for MG, AO and CO. Regarding MG, intraoral scanning showed lower gap values, whereas gypsum model scanning showed higher gap values. Regarding AO and CO, intraoral digital scanning showed lower gap values. Polyvinyl siloxane impression scanning and gypsum model scanning showed higher gap values and were statistically similar. It can be concluded that intraoral digital scanning provided a lower mean gap value, in comparison with conventional impressions and gypsum casts scanned with a standard benchtop laboratory scanner.
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