Fit of three-unit posterior fixed dental prostheses made from tetragonal zirconia polycrystal by 3D printing and milling

Objective: To compare the marginal and internal fit of 3D-printed and milled three-unit fixed dental prostheses (FDPs) made from tetragonal zirconia polycrystal (3Y-TZP). (2) Methods: Three-unit FDPs were designed for a typodont maxillary model with crown preparation for the second premolar and seco...

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Main Authors: Kostunov, Jana (Author) , Crocoll, Jannis (Author) , Hetzler, Sebastian (Author) , Rammelsberg, Peter (Author) , Zeiß, Jonas (Author) , Zenthöfer, Andreas (Author) , Rues, Stefan (Author)
Format: Article (Journal)
Language:English
Published: 3 February 2026
In: Materials
Year: 2026, Volume: 19, Issue: 3, Pages: 1-18
ISSN:1996-1944
DOI:10.3390/ma19030597
Online Access:Verlag, kostenfrei, Volltext: https://doi.org/10.3390/ma19030597
Verlag, kostenfrei, Volltext: https://www.mdpi.com/1996-1944/19/3/597
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Author Notes:Jana Kostunov, Jannis Crocoll, Sebastian Hetzler, Peter Rammelsberg, Jonas Zeiß, Andreas Zenthöfer and Stefan Rues
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Summary:Objective: To compare the marginal and internal fit of 3D-printed and milled three-unit fixed dental prostheses (FDPs) made from tetragonal zirconia polycrystal (3Y-TZP). (2) Methods: Three-unit FDPs were designed for a typodont maxillary model with crown preparation for the second premolar and second molar. Nominal cement gap widths were set to 30 µm at the margins and 80 µm internally. A total of 40 FDPs (n = 10/group) differing in wall thickness (w = 0.6/1.0 mm) and support structures (with/without a stiffening frame) were fabricated from 3Y-TZP by 3D printing. A total of 10 milled FDPs with w = 0.6 mm served as a control group. After adhesive cementation on the respective replicated maxillary models, FDPs were sectioned and the cement gap dimension was assessed with a digital microscope. The marginal and internal fit found for the different test groups were compared using non-parametric tests. (3) Results: The best marginal fit - qualified by median/maximum marginal gap width - was given for milled FDPs (79/127 µm vertical; 85/171 µm tangential), whereas the marginal fit of 3D-printed FDPs with w = 0.6 mm and regular support structures was the worst (144/284 µm vertical; 107/198 µm tangential). Use of an additional support frame improved the marginal fit of 3D-printed FDPs, in particular FDPs with w = 0.6 mm (108/197 µm vertical; 87/161 µm tangential). (4) Conclusions: 3D-printed zirconia FDPs showed conditionally comparable marginal and internal fit as their milled counterparts, but with slightly higher scattering. When fabricating thinner 3D-printed FDPs, additional support structures are mandatory to achieve clinically well-fitting restorations.
Item Description:Veröffentlicht: 3. Februar 2026
Gesehen am 18.03.2026
Physical Description:Online Resource
ISSN:1996-1944
DOI:10.3390/ma19030597