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1.
Cureus ; 11(11): e6091, 2019 Nov 07.
Article in English | MEDLINE | ID: mdl-31857923

ABSTRACT

Background and purpose Marginal adaptation is critical for the long-term longevity and clinical success of dental restorations. Improper marginal adaptation may lead to oral fluids, resulting in microleakage and cement dissolution. The present in vitro study aimed to evaluate the marginal adaptation of nickel-chrome (Ni-Cr) copings, cobalt-chrome (Co-Cr) coping, and zirconium (Zr) copings, produced with different manufacturing procedures. Material and methods A total of 45 copings were fabricated on a standardized metal die by using a two-stage putty impression and poured with die stone. They were divided into three groups of 15 each: A, B, and C. For group A, Ni-Cr copings were fabricated by conventional casting procedures; for group B, Co-Cr copings by direct metal laser sintering (DMLS); and for group C, zirconium copings by computer-aided design and computer-aided manufacturing (CAD/CAM) systems. Four areas around the tooth surface, namely, the mid-mesial, buccal, distal, and lingual surfaces, were digitally analyzed for marginal adaptation under the scanning electron microscope. Results The mean marginal gap for group A on the mid mesial, buccal, distal, and lingual surfaces was 79.67, 83.27, 90.67, and 89.13 µm, respectively. The mean marginal gap for group B on the mid-mesial, buccal, distal, and lingual surfaces was 38.13, 46.20, 45.73, and 42.20 µm, respectively. The mean marginal gap for group C on the mid mesial, buccal, distal, and lingual surfaces was 36.73, 31.73, 29.00, and 30.53 µm, respectively. Conclusion The marginal adaptation of CAD/CAM Zr copings is more accurate when compared to the DMLS Co-Cr and Cast Ni-Cr copings on a standard master die.

2.
Cureus ; 11(11): e6242, 2019 Nov 26.
Article in English | MEDLINE | ID: mdl-31890440

ABSTRACT

Introduction In metal-ceramic restoration, most of the bond failures between the ceramic layer and the metal coping is the chipping of the ceramic layer, thus exposing the metal surface, which compromises the aesthetics. Hence, this leads to the introduction of zirconia-based restorations in dentistry. However, even zirconium coping has the common complication of delamination or porcelain chipping from the zirconium core. Hence, the shear bond strength between the commonly used core materials and ceramic requires investigation to facilitate the materials in clinical use for longevity. Therefore, this study was conducted to compare the shear bond strength between different core materials and ceramic layering to find out the best core material for ceramic bonding. Materials and methods A total number of 45 samples were made as per ISO standardization (base 5 mm diameter and 1 mm thickness, step with 4 mm diameter and 4 mm in length). These samples were divided into three groups, Group A: Nickel-chromium, Group B: Cobalt-chromium, and Group C: Zirconium. Ceramic layering was layered on the top surface of each sample until an ideal height of 4 mm was obtained, and it was subjected to shear bond strength using a universal testing machine with a 50-KN load cell. This was followed by analyzing the nature of the fracture pattern using scanning electron microscopy (SEM). Results  There were no significant differences found for the shear bond strength among group A and group B. The zirconium (group C), however, had significantly lower values than both group A and group B. The microscopic examination also revealed that the failure between the coping and the ceramic layer primarily occurred near the interface with the residual veneering porcelain remaining on the core. Conclusions It was found that the shear bond strength of the metal-ceramic group is better than the zirconium ceramic group, however, the fracture between the copings and the ceramic layering is found to be similar for both adhesive and cohesive failure.

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