REVIEW PAPER
Marginal adaptation of Cr-Co alloy crown framework made with the use
of various CAD-CAM manufacturing techniques – review of the literature
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1
Katedra Protetyki Stomatologicznej, Warszawski Uniwersytet Medyczny, Polska
2
Studenckie Koło Naukowe przy Katedrze Protetyki Stomatologicznej, Warszawski Uniwersytet Medyczny, Polska
Submission date: 2021-07-07
Final revision date: 2021-08-02
Acceptance date: 2021-08-03
Publication date: 2021-09-17
Prosthodontics 2021;71(3):263-272
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ABSTRACT
The permanence of prosthetic treatment
with the use of fixed prosthetic restorations
depends, inter alia, on two important variables:
the accuracy of manufacture of the prosthetic
substructure and the marginal adaptation of the
restoration. Co-Cr alloys are the basic material
for making fixed complex prosthetic restorations.
Modern laboratories, working on the basis of
the CAD / CAM system, offer the construction of
the framework for prosthetic crowns, including
the Direct Metal Laser Sintering (DMLS)
technology. Another possibility of producing
fixed restorations is subtractive machining, i.e.
metal milling. Regardless of the chosen method
of producing a prosthetic work, the precision
of execution is the factor determining longterm clinical success. With the development of
new techniques and the CAD/CAM software
used, it is possible to automate individual
stages, and thus eliminate some errors of the
human factor. The analysed literature describes
several protocols on the basis of which marginal
adaptation of prosthetic restorations on a Cr-Co
alloy substructure is tested. However, the most
frequently used technique was the replica method
due to its speed, usefulness, and in many cases
there is no need to destroy the tested samples.
The marginal tightness of 120 µm is considered a
clinically acceptable value. In the overwhelming
majority of the described studies, the tests
performed using both manufacturing techniques
(DMLS and CNCM) achieved an acceptable and
even much better (<or equal to 70 µm) marginal
fit and demonstrated the superiority of new
manufacturing techniques over conventional
ones.