Comparison of marginal fit of cemented zirconia copings manufactured after digital impression with lava™ C.O.S and conventional impression technique

Abstract

Background: Evaluation of the marginal fit of cemented zirconia copings manufactured after digital impression with Lava™ Chairside Oral Scanner in comparison to that of zirconia copings manufactured after conventional impressions with polyvinyl siloxane. Methods: A prepared typodont tooth #36, was replicated 40 times with a vinyl silicone and precise model resin. The dies were randomly divided into two groups according to the impression taking technique. Digital impressions with Lava™ C.O.S. and conventional impressions were taken according to the group. Subsequently zirconia copings were manufactured and cemented on their respective dies with zinc oxide phosphate cement. After embedding in resin, mesio-distal section of each coping was performed with a diamond saw in order to obtain two slices. One half of the specimen was used for evaluation with an optical microscope (OM) and the other half for evaluation with a scanning electron microscope (SEM). Marginal gap (MG) and absolute marginal discrepancy (AMD) were measured mesial and distal on each slice. Results: No significant difference of the marginal parameters between the digital and the conventional group was found. The mean values for MG in the digital group were 96.28 μm (+/ -43.21 μm) measured with the OM and 99.26 μm (+/-48.73 μm) measured with the SEM, respectively. AMD mean values were 191.54 μm (+/-85.42 μm) measured with the optical microscope and 211.6 μm (+/-96.55 μm) with the SEM. For the conventional group the mean MG values were 94.84 μm (+/-50.77 μm) measured with the OM and 83.37 μm (+/-44.38 μm) measured with the SEM, respectively. AMD mean values were 158.60 μm (+/-69.14 μm) for the OM and 152.72 μm (+/-72.36) for the SEM. Conclusions: Copings manufactured after digital impression with Lava™ C.O.S. show comparable marginal parameters with the copings manufactured after conventional impression with polyvinyl syloxane. The mean MG values of both groups fit in the clinically acceptable range.