Background: We compare the accuracy of new intraoral scanners (IOSs) in full-arch digital implant impressions. Methods: A master model with six scan bodies was milled in poly(methyl methacrylate), measured by using a coordinate measuring machine, and scanned 15 times with four IOSs: PrimeScan, Medit i500, Vatech EZ scan, and iTero. The software was developed to identify the position points on each scan body. The 3D position and distance analysis were performed. Results: The average and ± standard deviation of the 3D position analysis was 29 μm ± 6 μm for PrimeScan, 39 μm ± 6 μm for iTero, 48 μm ± 18 μm for Mediti500, and 118 μm ± 24 μm for Vatech EZ scan (p < 0.05). Conclusions: All IOSs are able to make a digital complete implant impression in vitro according to the average misfit value reported in literature (150 μm); however, the 3D distance analysis showed that only the Primescan and iTero presented negligible systematic error sources.

The purpose of this study was to evaluate the bond strength at the post/resin-cement interface with 3 different surface treatments of glass fiber posts and with 2 different luting resin cements. Sixty glass fiber posts (RelyX Fiber Post) were randomly divided into 3 groups (n=20) and were luted with a dual-polymerizing self-adhesive universal resin cement (RelyX Unicem) and with a dual-polymerizing resin cement (RelyX ARC). This was carried out in association with a dual-polymerizing adhesive (Scotchbond Multi-Purpose Plus) in simulated plexiglass root canals after receiving three different pretreatment procedures. A pull-out test was performed on each sample to measure bond strengths. Data were analyzed with two-way ANOVA. Two samples from each group were processed for SEM observations in order to investigate the morphologic aspect of the post/cement interface. Both resin cements demonstrated significant different bond strength values (P<0.0001). The surface treatment result was also statistically significant (P=0.0465). SEM examination showed a modification of the post surface after pretreatment with methyl methacrylate. The dual-polymerizing self-adhesive universal resin cement achieved higher MPa bond strength values. The use of methyl methacrylate as a surface treatment of glass fiber posts provided a significant increase in bond strengths between the posts and both luting materials.

Background: resin-bonded fixed dental prosthesis (RBFDP) represents a highly aesthetic and conservative treatment option to replace a single tooth in a younger patient. The purpose of this in vitro study was to compare the fracture strength and the different types of failure on anterior cantilever RBFDPs fabricated using zirconia (ZR), lithium disilicate (LD), and PMMA-based material with ceramic fillers (PM) by the same standard tessellation language (STL) file. Methods: sixty extracted bovine mandibular incisives were embedded resin block; scanned to design one master model of RBFDP with a cantilevered single-retainer. Twenty cantilevered single-retainer RBFDPs were fabricated using ZR; LD; and PM. Static loading was performed using a universal testing machine. Results: the mean fracture strength for the RBFDPs was: 292.5 Newton (Standard Deviation (SD) 36.6) for ZR; 210 N (SD 37.6) for LD; and 133 N (SD 16.3) for PM. All the failures of RBFDPs in ZR were a fracture of the abutment tooth; instead; the 80% of failures of RBFDPs in LD and PM were a fracture of the connector. Conclusion: within the limitations of this in vitro study, we can conclude that the zirconia RBFDPs presented load resistance higher than the maximum anterior bite force reported in literature (270 N) and failure type analysis showed some trends among the groups

A computer-aided design/computer-aided manufacturing (CAD/CAM) resin block material for restoration of single-implant abutments can be milled and cemented on an optimized standard titanium abutment as a cheaper solution or, alternatively, individualization of the crown–abutment connection is required to fulfill the same mechanical requirements. The aim of this study was to evaluate how different structural and geometric configurations of the abutment influence the resistance of a nano ceramic resin crown (NCRC). During the test, 30 implants with an internal conical tapered configuration were considered. Each implant received a standard titanium abutment: in group 1, NCRCs were directly bonded to the titanium abutments; in group 2, NCRCs were cemented on a customized zirconia framework and then cemented on a standardized titanium abutment. Three crowns of each group were submitted to a static load test until failure. The remaining crowns were submitted to a fatigue test protocol with a dynamic load. The static and dynamic test showed earlier failure for group 1. In group 1, complete breaking of NCRCs was observed for all samples, with an almost total titanium abutment exposition. In the static tests, group 2 showed a mode of failure that involved only the crown, which partially debonded from the zirconia abutment. Within the limitations of the present preliminary study, it was possible to conclude that the shape of the abutment mainly influences the fatigue strength compared to the static tensile strength. The results of the performed test show that NCRC bonded to the customized zirconia abutments, and presented a 75% survival rate when compared to the same material bonded directly to a standard titanium abutment.

The fracture resistance of multilayer zirconia crowns has recently been proven to be improved by using lithium millable disilicate glass–ceramic blocks (D’Addazio in Materials, 2020). Accordingly, the framework and the ceramic coating are designed and milled using a CAD-CAM technology and the two separated prosthetic components are then manually assembled by the dental technician and glued with the fusion of a glass–ceramic material. It is essential, during the CAD phase, to design a gap between the framework and the decorative veneer that will later be filled by the fused ceramic.Since the act of gluing the two parts is manually performed by the dental technician, we aim at investigating the operator influence on the final gap with respect to the designed gap. For this purpose, an original geometrical investigation method was developed to enable the 3D digital analysis of the whole fusion interface. During the CAD design stage, two technicians input a different setting for the gap between the two components. The framework and veneering structure were designed, the milled components were produced, and the zirconia framework was sintered, then the two CAD-on prosthetic components were scanned before and after their fusion/crystallization to analyze the physical internal gap. The results show that manual assembly cancels out any effect of the precision settings adopted during CAD-CAM design of the components, as well as any benefit expected from machining on a CNC milling machine, thus requiring, as a last step, manually retouching the prosthesis to correctly fit in the mouth.