Evaluation of Marginal and Internal Fit in CAD/CAM-Fabricated Indirect Restorations

Authors

  • Ayman Helmy Helmy
  • Mohamed Samy Salama
  • Sara Adel Botros
  • Hend Sayed Ahmed

Keywords:

RESIN COMPOSITE, LITHIUM DISILICATE, RESIN CEMENT, INDIRECT RESTORATIONS

Abstract

Objectives: This study investigated the effect of marginal adaptation and internal fit of premolar teeth restored with indirect overlays, fabricated from different CAD/CAM materials (lithium-disilicate and composite blocks).

Materials and Methods: Twenty-two intact premolars with standardized concave chamfer overlay preparation were divided into two groups (n= 18) Group (A): lithium disilicate blocks and Group (B): composite blocks. All groups cemented with dual cured resin cement. After 24h of storage at 37°C followed by thermocycling. Marginal gap evaluation evaluated using a stereomicroscope at x50 magnification at 4 points at each surface. Specimens were then sectioned mesiodistally to assess internal fit. Statistical analysis was performed using student t-test at p<0.05.

Results: Composite blocks showed higher but statistically similar marginal and internal gap mean values.

Conclusions: Using composite blocks in fabrication of overlay restorations provided comparable marginal and internal gap results to lithium disilicate blocks.

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References

Abo El-Farag S, El Nawawy M. Fracture resistance of different esthetic partial coverage restorations. Egypt Dent J. 2019;65(1):599–609.

Ionescu AC, Hahnel S, König A, Brambilla E. Resin composite blocks for dental CAD/CAM applications reduce biofilm formation in vitro. Dent Mater. 2020 May;36(5):603–16.

Mainjot AK, Dupont NM, Oudkerk JC, Dewael TY, Sadoun MJ. From Artisanal to CAD-CAM Blocks: State of the Art of Indirect Composites. J Dent Res. 2016;95(5):487–95.

Emam Z, A. Aleem N. Influence of Different Materials and Preparation Designs on Marginal Adaptation and Fracture Resistance of CAD/CAM Fabricated Occlusal Veneers. Egypt Dent J. 2020;66(1):439–52.

Gopal. CAD-CAM and all ceramic restorations, current trends and emerging technologies: A review. Int J Orofac Res. 2017;2(2):40.

Kavut İ, Uğur M, Tanrıkut O, Tanrıkut ÖO. Evaluation of The Adhesion of Different CAD/CAM Materials with Self Etch/Adhesive Resin Cements. IOSR J Dent Med Sci e-ISSN. 2019;18(2):51–4.

Ruse ND, Sadoun MJ. Resin-composite blocks for dental CAD/CAM applications. J Dent Res. 2014;93(12):1232–4.

Lawson NC, Bansal R, Burgess JO. Wear, strength, modulus and hardness of CAD/CAM restorative materials. Dent Mater. 2016 Nov;32(11):e275–83.

Alamoush RA, Silikas N, Salim NA, Al-Nasrawi S, Satterthwaite JD. Effect of the Composition of CAD/CAM Composite Blocks on Mechanical Properties. Biomed Res Int. 2018;2018.

Veljovi T. Dental Resin-Based Luting Materials — Review. 2023;1–21.

Colpani JT, Borba M, Della Bona Á. Evaluation of marginal and internal fit of ceramic crown copings. Dent Mater. 2013 Feb;29(2):174–80.

Lima FF, Neto CF, Rubo JH, Santos GC, Moraes Coelho Santos MJ. Marginal adaptation of CAD-CAM onlays: Influence of preparation design and impression technique. J Prosthet Dent. 2018 Sep;120(3):396–402.

Hasan Mohammed Z, Majeed MA. Effect of Cementation Protocol on the Marginal Adaptation of Indirect Overlay Restorations Fabricated from Two Different All-Ceramic CAD/CAM Materials. J Res Med Dent Sci |. 2020;8(7).

Thainimit I, Totiam P, Wayakanon K. Fracture resistance of remaining buccal cusps in maxillary premolar ceramic onlay restorations. Oper Dent. 2020;45(4):624–31.

Demirci M, Tuncer S, Yuceokur AA. Prevalence of Caries on Individual Tooth Surfaces and its Distribution by Age and Gender in University Clinic Patients. Eur J Dent. 2010;04(03):270–9.

Akbar JH, Petrie CS, Walker MP, Williams K, Eick JD. Marginal adaptation of Cerec 3 CAD/CAM composite crowns using two different finish line preparation designs. J Prosthodont. 2006;15(3):155–63.

Baig MR, Tan KBC, Nicholls JI. Evaluation of the marginal fit of a zirconia ceramic computer-aided machined (CAM) crown system. J Prosthet Dent. 2010;104(4):216–27.

Höland W, Rheinberger V, Apel E, Van’t Hoen C, Höland M, Dommann A, et al. Clinical applications of glass-ceramics in dentistry. J Mater Sci Mater Med. 2006;17(11):1037–42.

Marchesi G, Piloni AC, Nicolin V, Turco G, Di Lenarda R. Chairside cad/cam materials: Current trends of clinical uses. Biology (Basel). 2021;10(11).

Alayad AS, AlDabeeb DS, Algoblan GM, Aldawsari MH, Alghamdi RA, Alqahtani SM. Flexural Strength of Recently Advanced Lithium Disilicate Glass-ceramic CEREC Tessera: An In-vitro Study. J Clin Diagnostic Res. 2024;21–4.

Rickman LJ, Padipatvuthikul P, Chee B. Clinical applications of preheated hybrid resin composite. Br Dent J. 2011;211(2):63–7.

Kurtulmus-Yilmaz S, Cengiz E, Ongun S, Karakaya I. The Effect of Surface Treatments on the Mechanical and Optical Behaviors of CAD/CAM Restorative Materials. J Prosthodont. 2019;28(2):e496–503.

El Ghoul WA, Özcan M, Ounsi H, Tohme H, Salameh Z. Effect of different CAD-CAM materials on the marginal and internal adaptation of endocrown restorations: An in vitro study. J Prosthet Dent [Internet]. 2020;123(1):128–34. Available from: https://doi.org/10.1016/j.prosdent.2018.10.024

Alghazzawi TF, Liu PR, Essig ME. The Effect of Different Fabrication Steps on the Marginal Adaptation of Two Types of Glass-Infiltrated Ceramic Crown Copings Fabricated by CAD/CAM Technology. J Prosthodont. 2012;21(3):167–72.

Anadioti E, Aquilino SA, Gratton DG, Holloway JA, Denry IL, Thomas GW, et al. Internal fit of pressed and computer-aided design/computer-aided manufacturing ceramic crowns made from digital and conventional impressions. J Prosthet Dent. 2015 Apr;113(4):304–9.

Roy AK, Mohan D, Sunith M, Mandokar RB, Suprasidh S, Rajan S. Comparison of shear bond strengths of conventional resin cement and self-adhesive resin cement bonded to lithium disilicate: An in vitro study. J Contemp Dent Pract. 2017;18(10):881–6.

Moshaverinia A. Review of the Modern Dental Ceramic Restorative Materials for Esthetic Dentistry in the Minimally Invasive Age. Dent Clin North Am. 2020 Oct;64(4):621–31.

Goujat A, Abouelleil H, Colon P, Jeannin C, Pradelle N, Seux D, et al. Marginal and internal fit of CAD-CAM inlay/onlay restorations: A systematic review of in vitro studies. J Prosthet Dent. 2019;121(4):590-597.e3.

Souza J, Fuentes M aV, Baena E, Ceballos L. One-year clinical performance of lithium disilicate versus resin composite CAD/CAM onlays. Odontology. 2021;109(1):259–70.

Tribst JPM, Piva AMDOD, Penteado MM, Borges ALS, Bottino MA. Influence of ceramic material, thickness of restoration and cement layer on stress distribution of occlusal veneers. Braz Oral Res. 2018;32(November):1–10.

Neppelenbroek KH. The clinical challenge of achieving marginal adaptation in direct and indirect restorations. J Appl Oral Sci. 2015;23(5):448–9.

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Published

2025-05-28

How to Cite

1.
Helmy AH, Salama MS, Botros SA, Ahmed HS. Evaluation of Marginal and Internal Fit in CAD/CAM-Fabricated Indirect Restorations. J Neonatal Surg [Internet]. 2025 May 28 [cited 2026 Apr. 14];14(28S):555-61. Available from: https://jneonatalsurg.com/index.php/jns/article/view/6654