Analysis of Vertical Misfit of Crowns Fabricated with CAD/CAM Technology using Two Scanning Techniques: Direct and Indirect

AIM: The study evaluated the marginal vertical misfit of feldspathic ceramic crowns fabricated by the computer-aided design (CAD)/computer-aided manufacturing (CAM) technology and compared the two methods of scanning techniques: direct digital impression and indirect digital impression. MATERIALS AND METHODS: The titanium specimens were divided into two groups: scanning with the direct digital impression (DDI) at the milled prosthetic abutment level and indirect digital impression (IDI) at the cast model and after milled feldspathic ceramics blocks. Vertical marginal misfit was analyzed. The t-test was used for the analysis of the comparison factor between the groups and the one-way analysis of variance (ANOVA) test, and post hoc Tukey test was used to compare the variance of crown analysis regions within the group. A significance level of 5% was considered for the analyses. RESULTS: There was no significant difference in vertical marginal misfit between the groups of DDI and IDI (p = 0.345). In relation to each region measured within the studied groups, it was observed the similarity between the six regions analyzed in the DDI group (p >0.05) and IDI group, a significant difference between two areas. CONCLUSION: The vertical marginal adaptation was similar between digital scanning methods. Based on the data evaluated, vertical marginal adaptation indices were within acceptable clinical standards. CLINICAL SIGNIFICANCE: The direct digital scanning in unit bodies was reliable, pointing that the coating of titanium dioxide in the titanium abutment did not negatively influence the vertical marginal adaptation of the feldspathic ceramic crowns.