Evaluation of Marginal and Internal Adaptation of Crowns Fabricated with Three Different Zirconia CAD/CAM Materials

Abstract

ABSTRACT Background: Marginal and internal adaptation are key factors that determine the clinical success of dental restorations. Aim: The aim of this study is to evaluate the marginal and internal fit of crowns fabricated with three different CAD-CAM zirconia materials; two monolithic zirconia materials and one veneered zirconia copings in comparison with conventional metal-ceramic crowns. Material and Methods: Ninety-six extracted molars (n = 96) were selected. Teeth were randomly divided into four groups (n = 24), and the following restorations were fabricated: Metal-ceramic crowns (Control group) (Group CG); monolithic zirconia crowns (GC initial) (Group MZ1); monolithic zirconia crowns (InCoris TZI),(Group MZ2); bilayered zirconia crowns, cores (InCoris ZI) veneered with a low-fusing glass-ceramic (IPS Emax Ceram),(Group BZ). Internal and marginal adaptations were evaluated using the silicone replica technique. A total of 20 points were recorded for every tooth under the light microscope at 20x magnifications. Results were compared using one-way analysis of variance (ANOVA) and the post hoc Tukey’s test at a significance level of 0.01. Results: Marginal, marginal-internal, axial, and occlusal gaps between CG, MZ1, MZ2, and BZ crowns showed statistically significant differences (P < 0.01). Conclusion: Monolithic zirconia groups showed better marginal adaptation compared with the veneered zirconia crowns.