Comparison of Marginal and Internal Fit of CAD/CAM Ceramic Inlay Restorations Fabricated Through Model Scanner, Intraoral Scanner, and CBCT Scans

ŞENTÜRK A., AKAT B., OCAK M., KILIÇARSLAN M. A., ORHAN K.

Applied Sciences (Switzerland), cilt.15, sa.9, 2025 (SCI-Expanded) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 15 Sayı: 9
  • Basım Tarihi: 2025
  • Doi Numarası: 10.3390/app15094626
  • Dergi Adı: Applied Sciences (Switzerland)
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Aerospace Database, Agricultural & Environmental Science Database, Applied Science & Technology Source, Communication Abstracts, INSPEC, Metadex, Directory of Open Access Journals, Civil Engineering Abstracts
  • Anahtar Kelimeler: CBCT, inlay, intraoral scanner, marginal fit, model scanner
  • Ankara Üniversitesi Adresli: Evet

Özet

Background and Objectives: CBCT images have been successfully used for CAD/CAM crown restorations; however, their use for ceramic inlay restorations remains unclear. This study aimed to evaluate the marginal and internal fit of CAD/CAM ceramic inlay restorations fabricated using intraoral scanner, model scanner, and CBCT data. Materials and Methods: Inlay preparations were performed on 11 mandibular molar typodont teeth. The teeth were scanned using an intraoral scanner, an extraoral scanner, and CBCT (0.075 mm voxel size). CBCT-generated DICOM data were converted to STL format with dedicated software. All scan data were transferred to CAD software, and a total of 33 restorations were designed. Feldspathic ceramic blocks were used for milling. Micro-CT was employed to measure marginal and internal gaps, with 60 measurement points taken from three cross-sections per sample. Data were analyzed using ANOVA and Bonferroni tests (p < 0.05). Results: CBCT exhibited greater marginal and internal gap dimensions (mean: 169.27 ± 38.64 μm), which were approximately 60–70 μm higher than those of the intraoral (97.00 ± 10.1 μm) and model scanner groups (109.67 ± 9.72 μm), exceeding clinically acceptable limits (≤120 μm) (p < 0.05). Intraoral and model scanners showed similar, clinically acceptable results. Conclusions: CBCT was less accurate for inlay restorations, likely due to their complex geometry. Nevertheless, fabrication was possible, and further research may improve its clinical applicability.