31/10/23, 2:37 Marginal fit and photoelastic stress analysis of CAD-CAM and overcast 3-unit implant-supported frameworks - Journal

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RESEARCH AND EDUCATION | VOLUME 117, ISSUE 3, P373-379, MARCH 2017

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Marginal fit and photoelastic stress analysis of CAD-CAM and overcast 3-

unit implant-supported frameworks
Anna Gabriella Camacho Presotto, DDS, MSc • Cláudia Lopes Brilhante Bhering, DDS, MSc, PhD •
Marcelo Ferraz Mesquita, DDS, MSc, PhD • Valentim Adelino Ricardo Barão, DDS, MSc, PhD  
Published: September 22, 2016 • DOI: https://doi.org/10.1016/j.prosdent.2016.06.011 •
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Abstract
Statement of problem
Several studies have shown the superiority of computer-assisted design and computer-assisted manufacturing (CAD-CAM)
technology compared with conventional casting. However, an advanced technology exists for casting procedures (the overcasting
technique), which may serve as an acceptable and affordable alternative to CAD-CAM technology for fabricating 3-unit implant-
supported fixed dental prostheses (FDPs).

Purpose
The purpose of this in vitro study was to evaluate, using quantitative photoelastic analysis, the effect of the prosthetic framework
fabrication method (CAD-CAM and overcasting) on the marginal fit and stress transmitted to implants. The correlation between
marginal fit and stress was also investigated.

Material and methods

Three-unit implant-supported FDP frameworks were made using the CAD-CAM (n=10) and overcasting (n=10) methods. The
frameworks were waxed to simulate a mandibular first premolar (PM region) to first molar (M region) FDP using overcast mini-
abutment cylinders. The wax patterns were overcast (overcast experimental group) or scanned to obtain the frameworks (CAD-
CAM control group). All frameworks were fabricated from cobalt-chromium (CoCr) alloy. The marginal fit was analyzed according to
the single-screw test protocol, obtaining an average value for each region (M and PM) and each framework. The frameworks were
tightened for the photoelastic model with standardized 10-Ncm torque. Stress was measured by quantitative photoelastic analysis.
The results were submitted to the Student t test, 2-way ANOVA, and Pearson correlation test (α=.05).

Results
The framework fabrication method (FM) and evaluation site (ES; M and PM regions) did not affect the marginal fit values (P=.559
for FM and P=.065 for ES) and stress (P=.685 for FM and P=.468 for ES) in the implant-supported system. Positive correlations
between marginal fit and stress were observed (CAD-CAM: r=0.922; P<.001; overcast: r=0.908; P<.001).

Conclusions
CAD-CAM and overcasting methods present similar marginal fit and stress values for 3-unit FDP frameworks. The decreased

marginal fit of frameworks induces greater stress in the implant-supported system.  
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References
1. Adell R. • Eriksson B. • Lekholm U. • Brånemark P.I. • Jemt T.
Long-term follow-up study of osseointegrated implants in the treatment of totally edentulous jaws.
Int J Oral Maxillofac Implants. 1990; 5: 347-359

View in Article 

PubMed • Google Scholar

2. Jemt T. • Lekholm U.
Oral implant treatment in posterior partially edentulous jaws: a 5-year follow-up report.
Int J Oral Maxillofac Implants. 1993; 8: 635-640

View in Article 

PubMed • Google Scholar

3. Zarb G.A. • Schmitt A.

The longitudinal clinical effectiveness of osseointegrated dental implants in posterior partially edentulous patients.
Int J Prosthodont. 1993; 6: 189-196

View in Article 

PubMed • Google Scholar

4. Aparicio C.
A new method to routinely achieve passive fit of ceramometal prostheses over Brånemark osseointegrated implants:
a two-year report.
Int J Periodontics Restorative Dent. 1994; 14: 404-419
 
https://www.thejpd.org/article/S0022-3913(16)30279-7/fulltext 2/9
31/10/23, 2:37 Marginal fit and photoelastic stress analysis of CAD-CAM and overcast 3-unit implant-supported frameworks - Journal of Prosth…

View in Article 

PubMed • Google Scholar

5. Lindquist L.W. • Carlsson G.E. • Jemt T.

A prospective 15-year follow-up study of mandibular fixed prostheses supported by osseointegrated implants.
Clinical results and marginal bone loss.
Clin Oral Implants Res. 1996; 7: 329-336

View in Article 

Scopus (550) • PubMed • Crossref • Google Scholar

6. Jemt T. • Bäck T. • Petersson A.

Precision of CNC-milled titanium frameworks for implant treatment in the edentulous jaw.
Int J Prosthodont. 1999; 12: 209-215

View in Article 

PubMed • Google Scholar

7. Romero G.G. • Engelmeier R. • Powers J.M. • Canterbury A.A.

Accuracy of three corrective techniques for implant bar fabrication.
J Prosthet Dent. 2000; 84: 602-607

View in Article 

Scopus (83) • PubMed • Abstract • Full Text • Full Text PDF • Google Scholar

8. Hecker D.M. • Eckert S.E.

Cyclic loading of implant-supported prostheses: changes in component fit over time.
J Prosthet Dent. 2003; 89: 346-351

View in Article 

Scopus (89) • PubMed • Abstract • Full Text • Full Text PDF • Google Scholar

9. Spazzin A.O. • Henriques G.E. • de Arruda Nóbilo M.A. • Consani R.L. • Correr-Sobrinho L. • Mesquita M.F.
Influence of prosthetic screw material on joint stability in passive and non-passive implant-supported dentures.
Open Dent J. 2009; 3: 245-249

View in Article 

PubMed • Crossref • Google Scholar

10. Spazzin A.O. • Abreu R.T. • Noritomi P.Y. • Consani R.L. • Mesquita M.F.
Evaluation of stress distribution in overdenture-retaining bar with different levels of vertical misfit.
J Prosthodont. 2011; 20: 280-285

View in Article 

Scopus (20) • PubMed • Crossref • Google Scholar

11. de Torres E.M. • Barbosa G.A. • Bernardes S.R. • Mattos Mda G. • Ribeiro R.F.
Correlation between vertical misfits and stresses transmitted to implants from metal frameworks.
J Biomech. 2011; 44: 1735-1739

View in Article 
 
https://www.thejpd.org/article/S0022-3913(16)30279-7/fulltext 3/9
31/10/23, 2:37 Marginal fit and photoelastic stress analysis of CAD-CAM and overcast 3-unit implant-supported frameworks - Journal of Prosth…

Scopus (33) • PubMed • Abstract • Full Text • Full Text PDF • Google Scholar

12. Manzella C. • Burello V. • Bignardi C. • Carossa S. • Schierano G.

A method to improve passive fit of frameworks on implant-supported prostheses: an in vivo study.
Int J Prosthodont. 2013; 26: 577-579

View in Article 

Scopus (13) • PubMed • Crossref • Google Scholar

13. Skalak R.
Biomechanical considerations in osseointegrated prostheses.
J Prosthet Dent. 1983; 49: 843-848

View in Article 

Scopus (591) • PubMed • Abstract • Full Text PDF • Google Scholar

14. Roberts W.E. • Smith R.K. • Zilberman Y. • Mozsary P.G. • Smith R.S.
Osseous adaptation to continuous loading of rigid endosseous implants.
Am J Orthod. 1984; 86: 95-111

View in Article 

Scopus (437) • PubMed • Abstract • Full Text PDF • Google Scholar

15. Jemt T.
Failures and complications in 391 consecutively inserted fixed prostheses supported by Brånemark implants in
edentulous jaws: a study of treatment from the time of prosthesis placement to the first annual checkup.
Int J Oral Maxillofac Implants. 1991; 6: 270-276

View in Article 

PubMed • Google Scholar

16. do Nascimento C. • Ikeda L.N. • Pita M.S. • Pedroso e Silva R.C. • Pedrazzi V. • Albuquerque R.F. • et al.
Marginal fit and microbial leakage along the implant-abutment interface of fixed partial prostheses: an in vitro
analysis using checkerboard DNA-DNA hybridization.
J Prosthet Dent. 2015; 114: 831-838

View in Article 

Scopus (30) • PubMed • Abstract • Full Text • Full Text PDF • Google Scholar

17. Burguete R.L. • Johns R.B. • King T. • Patterson E.A.

Tightening characteristics for screwed joints in osseointegrated dental implants.
J Prosthet Dent. 1994; 71: 592-599

View in Article 

Scopus (212) • PubMed • Abstract • Full Text PDF • Google Scholar

18. Nishioka R.S. • Nishioka L.N. • Abreu C.W. • de Vasconcellos L.G. • Balducci I.
Machined and plastic copings in three-element prostheses with different types of implant-abutment joints: a strain
gauge comparative analysis.
J Appl Oral Sci. 2010; 18: 225-230
 
https://www.thejpd.org/article/S0022-3913(16)30279-7/fulltext 4/9
31/10/23, 2:37 Marginal fit and photoelastic stress analysis of CAD-CAM and overcast 3-unit implant-supported frameworks - Journal of Prosth…

View in Article 

Scopus (15) • PubMed • Crossref • Google Scholar

19. Tiossi R. • Falcão-Filho H. • Aguiar Júnior F.A. • Rodrigues R.C. • Mattos Mda G. • Ribeiro R.F.
Modified section method for laser-welding of ill-fitting cp Ti and Ni-Cr alloy one-piece cast implant-supported
frameworks.
J Oral Rehabil. 2010; 37: 359-363

View in Article 

Scopus (24) • PubMed • Crossref • Google Scholar

20. Sartori I.A. • Ribeiro R.F. • Francischone C.E. • Mattos Mda G.

In vitro comparative analysis of the fit of gold alloy or commercially pure titanium implant-supported prostheses
before and after electroerosion.
J Prosthet Dent. 2004; 92: 132-138

View in Article 

Scopus (50) • PubMed • Abstract • Full Text • Full Text PDF • Google Scholar

21. Nakaoka M.M. • Nuñez-Pantoja J.M. • Takahashi J.M. • Consani R.L. • Mesquita M.F.
Misfit of pure titanium frameworks: effect of veneer coverage and spark erosion process.
Acta Odontol Scand. 2011; 69: 238-242

View in Article 

Scopus (11) • PubMed • Crossref • Google Scholar

22. Bhering C.L. • Takahashi J.M. • Luthi L.F. • Henriques G.E. • Consani R.L. • Mesquita M.F.
Influence of the casting technique and dynamic loading on screw detorque and misfit of single unit implant-
supported prostheses.
Acta Odontol Scand. 2013; 71: 404-409

View in Article 

Scopus (17) • PubMed • Crossref • Google Scholar

23. Bhering C.L. • Marques I.D. • Takahashi J.M. • Barão V.A. • Consani R.L. • Mesquita M.F.
Fit and stability of screw-retained implant-supported frameworks under masticatory simulation: influence of cylinder
type.
J Prosthodont. 2016; 25: 459-465

View in Article 

Scopus (15) • PubMed • Crossref • Google Scholar

24. Bhering C.L. • Marques I.D. • Takahashi J.M. • Barão V.A. • Consani R.L. • Mesquita M.F.
The effect of casting and masticatory simulation on strain and misfit of implant-supported metal frameworks.
Mater Sci Eng C. 2016; 62: 746-751

View in Article 

Scopus (18) • PubMed • Crossref • Google Scholar

25. Karl M. • Holst S.

 
https://www.thejpd.org/article/S0022-3913(16)30279-7/fulltext 5/9
31/10/23, 2:37 Marginal fit and photoelastic stress analysis of CAD-CAM and overcast 3-unit implant-supported frameworks - Journal of Prosth…

Strain development of screw-retained implant-supported fixed restorations: procera implant bridge versus
conventionally cast restorations.
Int J Prosthodont. 2012; 25: 166-169

View in Article 

PubMed • Google Scholar

26. Abduo J.
Fit of CAD/CAM implant frameworks: a comprehensive review.
J Oral Implantol. 2014; 40: 758-766

View in Article 

Scopus (58) • PubMed • Crossref • Google Scholar

27. De França D.G. • Morais M.H. • das Neves F.D. • Barbosa G.A.
Influence of CAD/CAM on the fit accuracy of implant-supported zirconia and cobalt-chromium fixed dental
prostheses.
J Prosthet Dent. 2015; 113: 22-28

View in Article 

Scopus (67) • PubMed • Abstract • Full Text • Full Text PDF • Google Scholar

28. Mello C. • Santiago Junior J.F. • Galhano G. • Quinelli Mazaro J.V. • Scotti R. • Pellizzer E.
Analysis of vertical marginal adaptation of zirconia fixed dental prosthesis frameworks fabricated by the CAD/CAM
system: a randomized, double-blind study.
Int J Prosthodont. 2016; 29: 157-160

View in Article 

Scopus (12) • PubMed • Crossref • Google Scholar

29. Johnson R. • Verrett R. • Haney S. • Mansueto M. • Challa S.

Marginal gap of milled versus cast gold restorations.
J Prosthodont. 2017; 26: 56-63

View in Article 

Scopus (20) • PubMed • Crossref • Google Scholar

30. Abduo J. • Lyons K.

Effect of vertical misfit on strain within screw-retained implant titanium and zirconia frameworks.
J Prosthodont Res. 2012; 56: 102-109

View in Article 

Scopus (38) • PubMed • Abstract • Full Text • Full Text PDF • Google Scholar

31. Kapos T. • Ashy L.M. • Gallucci G.O. • Weber H.P. • Wismeijer D.

Computer-aided design and computer-assisted manufacturing in prosthetic implant dentistry.
Int J Oral Maxillofac Implants. 2009; 24: 110-117

View in Article 

PubMed • Google Scholar

 
https://www.thejpd.org/article/S0022-3913(16)30279-7/fulltext 6/9
31/10/23, 2:37 Marginal fit and photoelastic stress analysis of CAD-CAM and overcast 3-unit implant-supported frameworks - Journal of Prosth…

32. Hjalmarsson L. • Örtorp A. • Smedberg J.I. • Jemt T.

Precision of fit to implants: a comparison of Cresco and Procera implant bridge frameworks.
Clin Implant Dent Relat Res. 2010; 12: 271-280

View in Article 

Scopus (56) • PubMed • Crossref • Google Scholar

33. Abduo J. • Lyons K. • Bennani V.

Fit of screw-retained fixed implant frameworks fabricated.
Int J Prosthodont. 2011; 24: 207-220

View in Article 

PubMed • Google Scholar

34. Kim K.B. • Kim J.H. • Kim W.C. • Kim J.H.

Three-dimensional evaluation of gaps associated with fixed dental prostheses fabricated with new technologies.
J Prosthet Dent. 2014; 112: 1432-1436

View in Article 

Scopus (83) • PubMed • Abstract • Full Text • Full Text PDF • Google Scholar

35. Nesse H. • Ulstein D.M. • Vaage M.M. • Øilo M.

Internal and marginal fit of cobalt-chromium fixed dental prostheses fabricated with 3 different techniques.
J Prosthet Dent. 2015; 114: 686-692

View in Article 

Scopus (76) • PubMed • Abstract • Full Text • Full Text PDF • Google Scholar

36. Chochlidakis K.M. • Papaspyridakos P.

Digital versus conventional impressions for fixed prosthodontics: a systematic review and meta-analysis.
J Prosthet Dent. 2016; 106: 184-190

View in Article 

Scopus (231) • Abstract • Full Text • Full Text PDF • Google Scholar

37. Assunção W.G. • Barão V.A. • Tabata L.F. • Gomes E.A. • Delben J.A. • dos Santos P.H.
Biomechanics studies in dentistry: bioengineering applied in oral implantology.
J Craniofac Surg. 2009; 20: 1173-1177

View in Article 

Scopus (53) • PubMed • Crossref • Google Scholar

38. Markarian R.A. • Ueda C. • Sendyk C.L. • Laganá D.C. • Souza R.M.
Stress distribution after installation of fixed frameworks with marginal gaps over angled and parallel implants: a
photoelastic analysis.
J Prosthodont. 2007; 16: 117-122

View in Article 

Scopus (42) • PubMed • Crossref • Google Scholar

39. Pereira I.P. • Consani R.L.X. • Mesquita M.F. • Nóbilo M.A.A.  

https://www.thejpd.org/article/S0022-3913(16)30279-7/fulltext 7/9
31/10/23, 2:37 Marginal fit and photoelastic stress analysis of CAD-CAM and overcast 3-unit implant-supported frameworks - Journal of Prosth…

Photoelastic analysis of stresses transmitted by complete dentures lined with hard or soft liners.
Mater Sci Eng C. 2015; 55: 181-186

View in Article 

Scopus (10) • PubMed • Crossref • Google Scholar

40. Pellizzer E.P. • de Mello C.C. • Santiago Junior J.F. • de Souza Batista V.E. • de Faria Almeida D.A. • Verri F.R.
Analysis of the biomechanical behavior of short implants: the photo-elasticity method.
Mater Sci Eng C. 2015; 55: 187-192

View in Article 

Scopus (29) • PubMed • Crossref • Google Scholar

Article info
Publication history
Published online: September 22, 2016

Footnotes
Supported by Sao Paulo Research Foundation grant 2014/19264-0 and Coordination for the Improvement of Higher Education
Personnel grant 1778/2014.

Identification
DOI: https://doi.org/10.1016/j.prosdent.2016.06.011

Copyright
© 2016 by the Editorial Council for The Journal of Prosthetic Dentistry.

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