Micro CT evaluation of marginal discrepancies of endocrown restored molars with different intrapulpal depths and materials of fabrication. (In-vitro study)

Abstract

Abstract Objective: The purpose of this study was to evaluate the effect of different preparation depths (0, 2 and 4 mm) of different restoration designs (classic endocrown design versus overlay design) on marginal adaptation of restorations fabricated of two different restorative materials (lithium disilicate and PEEK). Materials and methods: Sixty mandibular natural molars were collected as abutments for the restorations of this study, and grouped in three main groups of different cavity depths (0, 2 and 4). Each group was divided into two subgroups according to material of fabrication to (L) for lithium disilicate and (P) for PEEK. CAD/CAM milling technology was used for fabrication of restorations. After cementation of restorations over abutments, hydrothermal aging was performed, and then marginal adaptation was evaluated via micro CT technology. Results: Regarding cavity depths, there was a significant difference between different groups (p<0.001). The highest value was found in samples with 4 mm extension (84.35±18.16), followed by samples with 2 mm extension (66.52±21.86), while the lowest value was found in samples without pulpal extension (59.41±22.16). Post hoc pairwise comparisons showed samples with 4 mm extension to have a significantly higher value than samples without extension (p<0.001). Regarding materials of fabrication, PEEK (85.32±12.37) had a significantly higher value than Emax (54.86±20.86) (p<0.001). Conclusions: Increasing intrapulpal cavity depths increases vertical marginal gap of lithium disilicate or PEEK restorations. Endocrowns fabricated of lithium disilicate show less marginal discrepancies than that of endocrowns fabricated of PEEK.