journal article·2019-01-28Open access

Five-axis laser milling system that realizes more accurate zirconia CAD/CAM crowns by direct milling from fully sintered blocks

Kazuo OHKUMA, Takashi KAMEDA, Kazuto TERADA

Dental Materials Journal· Volume 38· Issue 1

Abstract

Directly milling zirconia computer-aided design (CAD)/computer-aided manufacturing (CAM) crowns from fully sintered zirconia blocks using a five-axis laser milling system, compared with three-axis milling and full sintering by heating milled semi-sintered crowns, was investigated. The mechanical characteristics of zirconia specimens were similar across groups. The order of the marginal gap was three-axis>conventional (lingual thickness of 1.5 mm>0.5 mm)>five-axis group (close to zero). The marginal shape was almost perfectly circular in all groups. The internal corner shape and gap were almost perfect for the five-axis milled crown but not for conventional and three-axis crowns. The roundness of the marginal and internal shapes was almost perfect in the five-axis milling group but not for the three-axis and conventional groups. These small distortions result in large marginal gaps. Results of the present study suggest the superiority of the five-axis milling system in creating a zirconia prosthesis.
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Research context

OpenAlex topics: Dental materials and restorations · Dental Implant Techniques and Outcomes · Bone Tissue Engineering Materials

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Department of Dental Materials Science, Nippon Dental University School of Dentistry at Niigata

Department of Orthodontics, Nippon Dental University School of Life Dentistry at Niigata

Orthodontic Dentistry, Nippon Dental University Niigata Hospital

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