Fabrication trueness and margin quality of additively manufactured resin-based definitive laminate veneers with different restoration thicknesses.

Çakmak, Gülce; Donmez, Mustafa Borga; Yılmaz, Deniz; Yoon, Hyung-In; Kahveci, Çiğdem; Abou-Ayash, Samir; Yilmaz, Burak (2024). Fabrication trueness and margin quality of additively manufactured resin-based definitive laminate veneers with different restoration thicknesses. Journal of dentistry, 144, p. 104941. Elsevier 10.1016/j.jdent.2024.104941

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OBJECTIVES

To evaluate how restoration thickness (0.5 mm and 0.7 mm) affects the fabrication trueness of additively manufactured definitive resin-based laminate veneers, and to analyze the effect of restoration thickness and margin location on margin quality.

METHODS

Two maxillary central incisors were prepared either for a 0.5 mm- or 0.7 mm-thick laminate veneer. After acquiring the partial-arch scans of each preparation, laminate veneers were designed and stored as reference data. By using these reference data, a total of 30 resin-based laminate veneers were additively manufactured (n=15 per thickness). All veneers were digitized and stored as test data. The reference and test data were superimposed to calculate the root mean square values at overall, external, intaglio, and marginal surfaces. The margin quality at labial, incisal, mesial, and distal surfaces was evaluated. Fabrication trueness at each surface was analyzed with independent t-tests, while 2-way analysis of variance was used to analyze the effect of thickness and margin location on margin quality (α=.05).

RESULTS

Regardless of the evaluated surface, 0.7 mm-thick veneers had lower deviations (P<.001). Only the margin location (P<.001) affected the margin quality as labial margins had the lowest quality (P<.001).

CONCLUSION

Restoration thickness affected the fabrication trueness of resin-based laminate veneers as 0.7 mm-thick veneers had significantly higher trueness. However, restoration thickness did not affect the margin quality and labial margins had the lowest quality.

CLINICAL SIGNIFICANCE

Laminate veneers fabricated by using tested urethane-based acrylic resin may require less adjustment when fabricated in 0.7 mm thickness. However, marginal integrity issues may be encountered at the labial surface.

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