3D Surface Deviation Wear Analysis of Veneered PEEK Crowns and Its Correlation with Optical Digital Profilometry

Evaluation of Wear on Primary Tooth Enamel and Fracture Resistance of Esthetic Pediatric Crowns Manufactured from Different Materials

Background and Objectives: Advances in dental materials and CAD-CAM technology have expanded crown options in primary teeth due to their improved appearance and mechanical properties. Thus, this study aimed to assess the enamel wear and fracture resistance of prefabricated, milled, and 3D-printed esthetic pediatric crowns. Materials and Methods: The study involved 60 extracted maxillary second primary molars and 60 3D-printed resin dies, divided into six groups based on different crown materials (n = 10): prefabricated zirconia, prefabricated composite, milled composite, milled resin matrix ceramic, milled PEEK, and 3D-printed resin. Prefabricated crowns were selected after the preparation of the typodont mandibular second primary molar tooth, while milled and 3D-printed crowns were custom produced. The specimens underwent mechanical loading of 50 N at 1.6 Hz for 250,000 cycles with simultaneous thermal cycling. The 3D and 2D wear amounts were evaluated by scanning the specimens before and after aging. Then, the fracture resistance and failure types of the restorations were recorded. Results: The results showed that the milled PEEK group had superior fracture resistance compared to the other groups, while prefabricated zirconia crown group had the lowest value. Milled resin matrix ceramic crown group displayed the lowest 3D wear volume, while 3D-printed crown group showed the highest 2D wear. Conclusions: The restorative material type did not have a significant effect on the wear of primary tooth enamel. The fracture resistance of the tested materials differed according to the material type. Although the milled PEEK group showed the highest fracture resistance, all tested materials can withstand chewing forces in children.

Comparison of tissue displacement in edentulous arches among three-dimensional files obtained through different impression-making methods: A retrospective study

PURPOSE

To retrospectively compare and analyze differences in tissue displacement of edentulous arches among three-dimensional (3D) files obtained using various impression-making techniques.

MATERIALS AND METHODS

Fourteen patients who underwent prosthodontic treatment for edentulous arches at Yonsei University Dental Hospital between June 2020 and April 2023 were included in the study. Three types of 3D files were used for the evaluation of each arch: a 3D scan file of a definitive cast (Group DEF), a preliminary cast (Group PRE), and an intraoral scan file (Group IOS). The files were superimposed on a reference 3D scan file of the definitive cast group through best-fit matching using metrology software. Seventeen measurement points (MP1-4, RC1-6, TB1-2, and PPS1-5 for the maxilla and RP1-2, RC1-7, BS1-4, and LS1-4 for the mandible) were selected for both the maxillary (n = 13) and mandibular arches (n = 6). The deviation considering the direction (DD) between the three groups and the absolute deviation (AD) between the three groups were recorded. Kruskal-Wallis and post-hoc Mann-Whitney tests were used for statistical analyses (α = 0.05 and α = 0.0167, respectively).

RESULTS

Concerning the DD values, at the RC4 point of the maxillary arch, Group PRE exhibited significantly higher values than Groups IOS (p = 0.006) and DEF (p < 0.001), and at the RC5 point of the maxillary arch, Group IOS exhibited significantly lower values than Groups PRE (p = 0.016) and DEF (p < 0.001). Group IOS showed significantly lower DD values in the mandibular arch than Group DEF at the RP2 and RC3 points (p < 0.167). The AD values in Groups PRE and IOS significantly differed from those in Group DEF (all p < 0.001) at all measurement points but did not exhibit significant differences between each other (p > 0.05).

CONCLUSIONS

Different impression-making methods yielded different amounts of tissue displacement. The tendency of 3D files regarding tissue displacement varied at certain residual ridge crest areas and retromolar pad areas. The absolute amount of tissue displacement observed in the intraoral scan data was comparable to that observed in the preliminary casts.

Comparison of Wear of Interim Crowns in Accordance with the Build Angle of Digital Light Processing 3D Printing: A Preliminary In Vivo Study

The aim of this study is to evaluate the wear volume of interim crowns fabricated using digital light processing 3D printing according to the printing angle. A total of five patients undergoing the placement of a single crown on the mandibular molar were included. Interim crowns were fabricated directly in the oral cavity using the conventional method. A digital light processing 3D printer was then used to fabricate crowns with build angles of 0, 45, and 90 degrees. Therefore, four fabricated interim crowns were randomly delivered to the patients, and each was used for one week. Before and after use, the intaglio surfaces of the interim crowns were scanned using a 3D scanner. The volume changes before and after use were measured, and changes in the height of the occlusal surface were evaluated using the root mean square value. Data normality was verified by statistical analysis, and the wear volume in each group was evaluated using a one-way analysis of variance and Tukey’s honestly significant difference test (α = 0.05). Compared with the RMS values of the conventional method (11.88 ± 2.69 µm) and the 3D-printing method at 0 degrees (12.14 ± 2.38 µm), the RMS values were significantly high at 90 degrees (16.46 ± 2.39 µm) (p < 0.05). Likewise, there was a significant difference in the change in volume between the groups (p = 0.002), with a significantly higher volume change value at 90 degrees (1.74 ± 0.41 mm3) than in the conventional method (0.70 ± 0.15 mm3) (p < 0.05). A printing angle of 90 degrees is not recommended when interim crowns are fabricated using digital light processing 3D printing.