Investigation of digital and conventional methods for verifying the fitness of CAD/CAM crowns on abutments with different shapes

Abstract Purpose To evaluate the marginal and internal compatibility of computer-aided design and computer-aided manufacturing crowns produced via a digital workflow using an intraoral scanner, and to compare this digital-detection technique with the conventional fit test using silicone rubber (sili...

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Main Authors: Michi Abe, Kazuhiro Kon, Shota Fukazawa, Hisatomo Kondo
Format: Article
Language:English
Published: SpringerOpen 2025-07-01
Series:International Journal of Implant Dentistry
Subjects:
Online Access:https://doi.org/10.1186/s40729-025-00632-8
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author Michi Abe
Kazuhiro Kon
Shota Fukazawa
Hisatomo Kondo
author_facet Michi Abe
Kazuhiro Kon
Shota Fukazawa
Hisatomo Kondo
author_sort Michi Abe
collection DOAJ
description Abstract Purpose To evaluate the marginal and internal compatibility of computer-aided design and computer-aided manufacturing crowns produced via a digital workflow using an intraoral scanner, and to compare this digital-detection technique with the conventional fit test using silicone rubber (silicone-compatibility technique) on various abutments. Methods Implant bodies were placed in the maxillary right central incisor and mandibular right first molar of reference models. Digital scans were acquired using an intraoral scanner, and abutments were prepared. Twenty-four crowns with a cement space of 70 μm were fabricated from the digital file of the abutment. The crown’s inner surface, abutment, and occlusal surface were scanned. The gaps between the crown and abutment were measured using stereoscopic image analysis software based on standard triangulated language data, and the accuracy of the fit was verified using silicone rubber. Results Significant differences (P < 0.05) were observed between the silicone-compatibility and digital-detection techniques for the maxillary central incisor at the incisal edge and the palatal lower region, and for the mandibular first molar at the occlusal surface and the center of lingual axis. The digital-detection technique yielded values closer to 70 μm for the cement space. The values measured using the silicone-compatibility technique exhibited greater variation than those measured using the digital-detection technique. Conclusions The novel digital-detection technique had superior or equivalent performance compared to the silicone-compatibility technique and could be beneficial for verifying crown fitness accuracy.
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spelling doaj-art-bd2c551cf24f45abb7fd01a8469270e42025-08-20T03:38:13ZengSpringerOpenInternational Journal of Implant Dentistry2198-40342025-07-0111111110.1186/s40729-025-00632-8Investigation of digital and conventional methods for verifying the fitness of CAD/CAM crowns on abutments with different shapesMichi Abe0Kazuhiro Kon1Shota Fukazawa2Hisatomo Kondo3Division of Fixed Prosthodontics and Oral Implantology, Department of Prosthodontics, School of Dentistry, Iwate Medical UniversityDivision of Fixed Prosthodontics and Oral Implantology, Department of Prosthodontics, School of Dentistry, Iwate Medical UniversityDivision of Fixed Prosthodontics and Oral Implantology, Department of Prosthodontics, School of Dentistry, Iwate Medical UniversityDepartment of Fixed Prosthodontics and Oral Implantology, School of Dentistry, Aichi Gakuin UniversityAbstract Purpose To evaluate the marginal and internal compatibility of computer-aided design and computer-aided manufacturing crowns produced via a digital workflow using an intraoral scanner, and to compare this digital-detection technique with the conventional fit test using silicone rubber (silicone-compatibility technique) on various abutments. Methods Implant bodies were placed in the maxillary right central incisor and mandibular right first molar of reference models. Digital scans were acquired using an intraoral scanner, and abutments were prepared. Twenty-four crowns with a cement space of 70 μm were fabricated from the digital file of the abutment. The crown’s inner surface, abutment, and occlusal surface were scanned. The gaps between the crown and abutment were measured using stereoscopic image analysis software based on standard triangulated language data, and the accuracy of the fit was verified using silicone rubber. Results Significant differences (P < 0.05) were observed between the silicone-compatibility and digital-detection techniques for the maxillary central incisor at the incisal edge and the palatal lower region, and for the mandibular first molar at the occlusal surface and the center of lingual axis. The digital-detection technique yielded values closer to 70 μm for the cement space. The values measured using the silicone-compatibility technique exhibited greater variation than those measured using the digital-detection technique. Conclusions The novel digital-detection technique had superior or equivalent performance compared to the silicone-compatibility technique and could be beneficial for verifying crown fitness accuracy.https://doi.org/10.1186/s40729-025-00632-8CAD/CAM technologyDigital scanDimensional accuracyIntraoral scan
spellingShingle Michi Abe
Kazuhiro Kon
Shota Fukazawa
Hisatomo Kondo
Investigation of digital and conventional methods for verifying the fitness of CAD/CAM crowns on abutments with different shapes
International Journal of Implant Dentistry
CAD/CAM technology
Digital scan
Dimensional accuracy
Intraoral scan
title Investigation of digital and conventional methods for verifying the fitness of CAD/CAM crowns on abutments with different shapes
title_full Investigation of digital and conventional methods for verifying the fitness of CAD/CAM crowns on abutments with different shapes
title_fullStr Investigation of digital and conventional methods for verifying the fitness of CAD/CAM crowns on abutments with different shapes
title_full_unstemmed Investigation of digital and conventional methods for verifying the fitness of CAD/CAM crowns on abutments with different shapes
title_short Investigation of digital and conventional methods for verifying the fitness of CAD/CAM crowns on abutments with different shapes
title_sort investigation of digital and conventional methods for verifying the fitness of cad cam crowns on abutments with different shapes
topic CAD/CAM technology
Digital scan
Dimensional accuracy
Intraoral scan
url https://doi.org/10.1186/s40729-025-00632-8
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