J Dent Res Dent Clin Dent Prospects. 2018;12(4):264-271.
doi: 10.15171/joddd.2018.041
PMID: 30774792
PMCID: PMC6368946
  Abstract View: 199
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  Full Text View: 96

Original Article

Evaluation of dimensional accuracy of dental bridges manufactured with conventional casting technique and CAD/CAM system with Ceramill Sintron blocks using CMM

Alireza Izadi 1, Fariborz Vafaee 2, Arash Shishehian 1, Ghodratollah Roshanaei 3, Behzad Fathi Afkari 1 * ORCiD

1 Department of Prosthodontic Dentistry, Faculty of Dentistry, Hamadan University of Medical Sciences, Hamadan, Iran
2 Implant Research Center, Department of Prosthodontics, Faculty of Dentistry, Hamadan University of Medical Sciences, Hamadan, Iran
3 Modeling of Noncommunicable Diseases Research Center, Department of Biostatistics and Epidemiology, Faculty of Public Health, Hamadan University


Background. Recently, non-presintered chromium-cobalt (Cr-Co) blocks with the commercial name of Ceramill Sintron were introduced to the market. However, comprehensive studies on the dimensional accuracy and fit of multi-unit frameworks made of these blocks using the coordinate measuring machine (CMM) are lacking. This study aimed to assess and compare the dimensional changes and fit of conventional casting and milled frameworks using Ceramill Sintron.

Methods. A metal model was designed and scanned and 5-unit frameworks were fabricated using two techniques: (I) the conventional casting method (n=20): the wax model was designed, milled in the CAD/CAM machine, flasked and invested; (II) the milling method using Ceramill Sintron blocks (n=20): the wax patterns of group 1 were used; Ceramill Sintron blocks were milled and sintered. Measurements were made on the original reference model and the fabricated frameworks using the CMM in all the three spatial dimensions, and dimensional changes were recorded in a checklist. Data were analyzed with descriptive statistics, and the two groups were compared using one-way ANOVA and Tukey test (α=0.05).

Results. The fabricated frameworks in both groups showed significant dimensional changes in all the three dimensions. Comparison of dimensional changes between the two groups revealed no significant differences (P>0.05) except for transverse changes (arch) that were significantly greater in Ceramill Sintron frameworks (P<0.05).

Conclusion. The two manufacturing processes were the same regarding dimensional changes and the magnitude of marginal gaps and both processes resulted in significant dimensional changes in frameworks. Ceramill Sintron frameworks showed significantly greater transverse changes than the conventional frameworks.

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Submitted: 09 Aug 2018
Accepted: 19 Nov 2018
First published online: 26 Dec 2018
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