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Titanium and Titanium Alloy Porcelain-Fused Crowns Meet Clinical Oral Requirements

July 20, 2019 Views: By Baoji Haixin Titanium Nickel

Pure titanium exhibits numerous superior properties, leading to its increasing application in dental medicine. However, titanium-based porcelain-fused crowns remain in the experimental stage.

For successful artificial crowns, marginal fit is a critical prerequisite. This study compared the marginal fit and adaptation of metal frameworks and metal-ceramic crown castings made from CP Ti (commercially pure titanium) and Ni-Cr alloy to investigate the effects of porcelain firing on the metal substructure.

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Methods

32 intact mandibular second premolars extracted for orthodontic reasons were used. After extraction, teeth were stored in saline for 4 days, then prepared with a 15° axial wall angle and 1mm-wide shoulder using a parallelometer. A 0.5mm-thick standardized wax pattern was created using the dip-wax method, with surface modifier applied.

The 32 wax patterns were divided into two groups:

Group 1: Cast using Ni-Cr alloy (Remanium CS) with Castoric Super C investment in an induction casting machine (Degutron).

Group 2: Cast using CP Ti (Rematitan) with Rematitan Plus investment in a Castmatic Rematitan casting machine.

All castings were polished with tungsten carbide burs and sandblasted with 50μm Al₂O₃.

Subgroup 1 (n=8): Porcelain (Ultra-Pake opaquer) was fired at 975°C, followed by body porcelain (Ceramco) at 920°C and 910°C, then glazed (Ceramco Natural Glaze). Crowns were cemented with glass ionomer.

Subgroup 2 (n=8): Surface-bonded with Tibond porcelain after cleaning.

Crowns were sectioned longitudinally post-cementation, and the gap between the crown’s inner wall and tooth preparation was measured at five predefined points. Data were statistically analyzed.

Results

Maximum gap (central occlusal point):

Ti (titanium crowns): 140.62 ± 18.84 μm

TiC (titanium porcelain-fused crowns): 148.68 ± 19.46 μm

RC (Ni-Cr alloy crowns): 85.93 ± 20.76 μm

RCP (Ni-Cr porcelain-fused crowns): 110.54 ± 27.02 μm

Marginal gap:

Ti: 22.35 ± 15.38 μm

TiC: 27.93 ± 15.71 μm

RC: 29.18 ± 17.06 μm

RCP: 32.12 ± 20.13 μm

Conclusions

Titanium and titanium alloy porcelain-fused crowns showed poorer occlusal adaptation compared to Ni-Cr alloy crowns.

No significant differences in marginal gaps were observed between groups.

All metal crowns exhibited better fit than porcelain-fused counterparts.

Clinical acceptability: Both marginal fit and internal adaptation of titanium and titanium alloy porcelain-fused crowns met clinical requirements.

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