Evaluation of the marginal and internal fit of endocrown restorations fabricated by the CAD/CAM system using additive manufacturing technique
摘要
This study aimed to compare the marginal and internal fit of endocrowns with cavity depths of 3 mm and 5 mm, using two printable resins fabricated by additive manufacturing within a digital workflow.
Materials and methodsThirty-two human mandibular molars were prepared for endocrowns with cavity depths of 3–5 mm and allocated into four groups (n = 8). Two printable resins (Biocrown Diamond and Voxel Print) were evaluated at both preparation depths. The restorations were designed using CAD software and manufactured by DLP-based additive manufacturing. Marginal and internal fit were assessed using micro-computed tomography (micro-CT) from standardized sagittal and coronal sections at predefined anatomical regions. Data were analyzed using two-way repeated-measures ANOVA followed by Tukey’s test (α = 0.05).
ResultsMaterial and preparation depth influenced the marginal and internal fit of endocrown restorations, with a significant interaction with the anatomical region. The highest discrepancies were observed in the axio-occlusal angle, particularly for the 5-mm preparation groups. Significant differences between materials occurred at the axio-occlusal angle for 3-mm preparations and in the marginal gap for 5-mm preparations. No significant differences were detected in the pulpal regions.
ConclusionEndocrowns showed clinically acceptable marginal adaptation at both preparation depths. However, internal adaptation was region-dependent, with greater discrepancies in the axio-occlusal region. Both resins demonstrated acceptable behavior, although localized differences were observed according to preparation depth and anatomical region.
Clinical significancePreparation depth and printable resin type may influence the internal adaptation of additively manufactured endocrowns and should be considered during treatment planning.