In vitro comparison of marginal fit between CAD/CAM hybrid ceramic crowns and prefabricated zirconia crowns for primary molars

Abstract

This study aimed to compare the marginal fit of the hybrid ceramic Vita Enamic (VE) crown fabricated with CAD/CAM versus prefabricated zirconia crown (PZC). An in vitro study was conducted on fifty epoxy resin replicas of 25 standardly prepared mandibular second primary molars (2 replicas for each tooth) were obtained. One tooth was restored with CAD/CAM VE (Zahnfabrik, H. Rauter GmbH & Co. KG) after an optical impression acquired using CEREC Omnicam and the other tooth restored with PZC (NuSmile, Houston, TX, USA). Specimens were sectioned buccolingually and mesiodistally. The marginal fit average was measured using a scanning electron microscope (SEM). The difference was tested for statistical significance using an independent t test at a 5% significance level and 95% CI. CAD/CAM VE crowns showed superior marginal adaptation over the PZCs with a significant difference. The mean difference at the buccolingual section was -10.52 µm with a 95% CI of -20.99; -0.05 (P = 0.049). At the mesiodistal section, the mean difference was -10.56 µm with a 95% CI of -20.82; -0.30 (P = 0.044).VE provides a superior marginal fit over the PZC in the restoration of primary molars.