REVIEW PAPER
Marginal adaptation of Cr-Co alloy crown framework made with the use 
of various CAD-CAM manufacturing techniques – review of the literature
			
	
 
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				1
				Katedra Protetyki Stomatologicznej, Warszawski Uniwersytet Medyczny, Polska
				 
			 
						
				2
				Studenckie Koło Naukowe przy Katedrze Protetyki Stomatologicznej, Warszawski Uniwersytet Medyczny, Polska
				 
			 
										
				
				
		
		 
			
			
			
			 
			Submission date: 2021-07-07
			 
		 		
		
			
			 
			Final revision date: 2021-08-02
			 
		 		
		
		
			
			 
			Acceptance date: 2021-08-03
			 
		 		
		
		
			
			 
			Publication date: 2021-09-17
			 
		 			
		 
	
					
		
	 
		
 
 
Prosthodontics 2021;71(3):263-272
		
 
 
KEYWORDS
TOPICS
ABSTRACT
The permanence of prosthetic treatment 
with the use of fixed prosthetic restorations 
depends, inter alia, on two important variables: 
the accuracy of manufacture of the prosthetic 
substructure and the marginal adaptation of the 
restoration. Co-Cr alloys are the basic material 
for making fixed complex prosthetic restorations. 
Modern laboratories, working on the basis of 
the CAD / CAM system, offer the construction of 
the framework for prosthetic crowns, including 
the Direct Metal Laser Sintering (DMLS) 
technology. Another possibility of producing 
fixed restorations is subtractive machining, i.e. 
metal milling. Regardless of the chosen method 
of producing a prosthetic work, the precision 
of execution is the factor determining longterm clinical success. With the development of 
new techniques and the CAD/CAM software 
used, it is possible to automate individual 
stages, and thus eliminate some errors of the 
human factor. The analysed literature describes 
several protocols on the basis of which marginal 
adaptation of prosthetic restorations on a Cr-Co 
alloy substructure is tested. However, the most 
frequently used technique was the replica method 
due to its speed, usefulness, and in many cases 
there is no need to destroy the tested samples.
The marginal tightness of 120 µm is considered a 
clinically acceptable value. In the overwhelming 
majority of the described studies, the tests 
performed using both manufacturing techniques 
(DMLS and CNCM) achieved an acceptable and 
even much better (<or equal to 70 µm) marginal 
fit and demonstrated the superiority of new 
manufacturing techniques over conventional 
ones.