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Tamer A hamza

Title: Does the type of Cad/Cam machine effect in the fit of monolithic zirconia restoration ?

Tamer A hamza

Misr International University, Egypt

Biography

Will be updated soon...

Abstract

Statement of problem. Dental laboratories use different computer-aided design and computer-aided manufacturing (CAD/CAM) systems to fabricate fixed prostheses; however, limited clinical evidence is available concerning which provides the best marginal discrepancy.
Purpose. The purpose of this in vitro study was to evaluate the marginal fit of 5 different monolithic zirconia restorations milled with different CAD/CAM systems. 
Material and methods. Thirty monolithic zirconia crowns were fabricated on a specially designed stainless steel die and were divided into 5 groups according to the type of monolithic zirconia crown and the CAD/CAM system used: Group TZ: Incoris TZI; Sirona milled with an MCXL milling machine; Group CZ: Ceramill Zolid translucent zirconia milled with a Ceramill motion milling machine; Group ZZ: Zenostar zirconia milled with a Wieland dental milling unit; Group PZ: Prettau zirconia translucent zirconia milled with a Zirconzan milling unit; and Group BZ: Bruxzir solid zirconia milled with an S1 VHF milling machine. The marginal fit was measured with a binocular microscope at ×100 magnification. The results were tabulated and statistically analyzed with 1-way ANOVA, post hoc surface range test, and pairwise multiple comparisons were used with the Bonferroni correction (α=.05 )
Results. The type of CAD/CAM used affected the marginal fit of the monolithic restoration. The highest mean (±SD) marginal discrepancy was recorded in group TZI 39.26 ±2.30, while the least mean marginal discrepancy was recorded in group IZ (22.83 ±8.94). The Bonferroni post hoc test showed that group TZI was significantly different from all other tested groups. 
CONCLUSIONS. Within the limitation of this in vitro study, it was concluded that all tested CAD/CAM systems produced monolithic zirconia restorations with clinically acceptable marginal discrepancy; however, the CAD/CAM system with a 5-axis milling unit produced the best marginal fit.