Radiographic evaluation of the margins of clinically acceptable metal-ceramic crowns

Abstract

Objective: To radiographically evaluate the proximal marginal fit of the clinically acceptable metal-ceramic crowns.
Method: The prospective study was conducted at the dental clinics of Aga Khan University, Karachi, from July to
December 2018, and comprised metal-ceramic crowns that were evaluated prior to the cementation. Clinical
examinations were conducted by seating the crown on the tooth preparation and visual assessment was done using
sharp explorer along the margins. Clinically acceptable crowns were then evaluated on the bite-wing radiograph.
Any horizontal or vertical inaccuracy of >0.5mm at the proximal margins was recorded as 'discrepancy'. Data was
analysed using SPSS 22.
Results: Of the 230 interproximal margins of 115 crowns evaluated, 113(49.1%) sites had marginal discrepancies;
44(19.1%) horizontal discrepancies, 58(25.2%) vertical discrepancies, and 11(4.8%) having both horizontal and
vertical discrepancies. Horizontal crown margin discrepancies were most associated with the mesial site of the
maxillary crowns, while vertical discrepancies were commonly associated with the distal aspect of all crowns
(p<0.050).
Conclusions: Almost half of the crowns that were considered clinically acceptable had some vertical or horizontal
marginal discrepancy on radiographic evaluation.

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