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  • Title: Marginal fit of monolithic versus layered zirconia crowns assessed with 2 marginal gap methods.
    Author: Fasih P, Tavakolizadeh S, Sedaghat Monfared M, Sofi-Mahmudi A, Yari A.
    Journal: J Prosthet Dent; 2023 Aug; 130(2):250.e1-250.e7. PubMed ID: 37451899.
    Abstract:
    STATEMENT OF PROBLEM: Zirconia can be used either monolithically or veneered with porcelain. However, whether veneering zirconia affects marginal fit is unclear. PURPOSE: The purpose of this in vitro study was to evaluate the marginal fit of the monolithic and layered zirconia prostheses using 2 different assessment methods. MATERIAL AND METHODS: An ideal complete crown with a chamfer finish line was prepared on an extracted maxillary central incisor. Two prosthesis designs, a framework and a monolithic design, and 2 marginal fit evaluation methods, the silicone replica and the triple scanning techniques, were used. In the first group, 10 crowns were fabricated with the framework design followed by porcelain veneering, and 10 crowns were fabricated monolithically in the second group. The marginal gap in each group was evaluated with both the silicone replica and triple scan methods. Data were statistically analyzed with a 2-way repeated measures ANOVA (α=.05). RESULTS: A significant difference was found in the mean marginal gap by design type (P=.003), with the monolithic prostheses having lower mean marginal gaps (31.0 and 84.0 µm). However, both groups showed clinically acceptable marginal fit. No significant difference was found between the assessment methods (P=.092). CONCLUSIONS: Monolithic zirconia crowns had a better marginal fit than veneered zirconia frameworks. Both the replica and triple scan techniques for marginal gap assessment yielded similar results.
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