Marginal and internal adaptation of milled cobalt-chromium copings.

STATEMENT OF PROBLEM: The application of computer-aided design and computer-aided manufacturing (CAD/CAM) systems to produce complete coverage restorations with different materials continues to increase. To date, insufficient information is available regarding the adaptation of recently introduced milled cobalt-chromium (Co-Cr) copings for metal ceramic restorations. PURPOSE: The purpose of this in vitro study was to evaluate the marginal and internal fit of milled Co-Cr copings produced by CAD/CAM with 2 different marginal preparation designs. MATERIAL AND METHODS: Four master dies were developed from 2 ivorine central incisors and 2 ivorine maxillary molars, 1 of each prepared with a 0.8-mm chamfer and a 1.2-mm rounded shoulder. These 4 groups of teeth were replicated with polyvinyl siloxane and used as templates to fabricate epoxy dies (n=10) for each of the 4 groups; a total of 40 epoxy resin dies. Cobalt-chromium copings of standard thickness (0.4 mm) were fabricated for each die with CAD/CAM technology. Next, the working dies were scanned with a 5-axis laser scanner to produce a 3-dimensional model. A thin layer of low-viscosity polyvinyl siloxane material was placed inside each coping and seated on the die until the material set. Copings were removed from the dies, leaving the polyvinyl siloxane intact, and these silicone-coated dies were scanned. The software superimposed the 2 scans, and the marginal openings and internal fit were measured at multiple locations. The marginal opening was determined at 4 locations: mid-buccal (mB), mid-lingual (mL), mid-mesial (mM), and mid-distal (mD), and the mean of these 4 measurement locations was referred to as the group variable "edge." The internal occlusal adaptation was measured at the midpoint from buccal to lingual and mesial to distal locations and referred to as mid-occlusal (mO). Means and standard deviations for edge (marginal adaptation) and mO were calculated for each of the 4 groups. A 2-sample t test was performed to detect differences among groups. A regression analysis was done to evaluate the interaction between the variables mO and edge (α=.05). RESULTS: Significantly smaller mean marginal openings (P=.017) were observed overall for the chamfer marginal design (anterior chamfer: 61 ±41 µm; posterior chamfer: 52 ±27 µm) compared with the shoulder design (anterior shoulder 103 ±49 µm, posterior shoulder 113 ±110 µm). The anterior chamfer had a statistically significant (P=.055) smaller mean marginal opening (61 ±41 µm) than the anterior shoulder (103 ±49 µm). No statistically significant differences (P=.119) were found between the posterior chamfer and posterior shoulder. The internal adaptation at the mO location was not significantly different among all 4 groups (P>.05). However, a regression analysis demonstrated a strong correlation (R=.842; P<.001) between the occlusal seat (mO) and marginal opening, with the smaller mean marginal opening of the chamfer design coinciding with the smaller occlusal seat values (61µm; mO: 182 µm) anterior chamfer; (52 µm; mO: 172 µm) posterior chamfer versus (103 µm; mO: 235 µm) anterior shoulder; (113 µm; mO: 242 µm) posterior shoulder. CONCLUSIONS: The milled Co-Cr copings produced with a CAD/CAM system in this study demonstrated clinically acceptable marginal fit in the range of 52 to 113 µm before ceramic application.

Misperception of aspect ratio in binocularly viewed surfaces.

The horizontal-vertical illusion, in which the vertical dimension is overestimated relative to the horizontal direction, has been explained in terms of the statistical relationship between the lengths of lines in the world, and the lengths of their projections onto the retina (Howe & Purves, 2002). The current study shows that this illusion affects the apparent aspect ratio of shapes, and investigates how it interacts with binocular cues to surface slant. One way in which statistical information could give rise to the horizontal-vertical illusion would be through prior assumptions about the distribution of slant. This prior would then be expected to interact with retinal cues to slant. We determined the aspect ratio of stereoscopically viewed ellipses that appeared circular. We show that observers' judgements of aspect ratio were affected by surface slant, but that the largest image vertical:horizontal aspect ratio that was considered to be a surface with a circular profile was always found for surfaces close to fronto-parallel. This is not consistent with a Bayesian model in which the horizontal-vertical illusion arises from a non-uniform prior probability distribution for slant. Rather, we suggest that assumptions about the slant of surfaces affect apparent aspect ratio in a manner that is more heuristic, and partially dissociated from apparent slant.

Vertical disparity affects shape and size judgments across surfaces separated in depth.

Vertical binocular disparity provides a useful source of information allowing three-dimensional (3-D) shape to be recovered from horizontal binocular disparity. In order to influence metric shape judgments, a large field of view is required, suggesting that vertical disparity may play a limited role in the perception of objects projecting small retinal images. This limitation could be overcome if vertical disparity information could be pooled over wide areas of 3-D space. This was investigated by assessing the effect of vertical disparity scaling of a large surround surface on the perceived size and 3-D shape of a small, central object. Observers adjusted the size and shape of a virtual, binocularly defined ellipsoid to match those of a real, hand-held tennis ball. The virtual ball was presented at three distances (200, 325, and 450 mm). Vertical disparities in a large surround surface were manipulated to be consistent with a distance of 160 mm or infinity. Both shape and size settings were influenced by this manipulation. This effect did not depend on presenting the surround and target objects at the same distance. These results suggest that the influence of vertical disparity on the perceived distance to a surface also affects the estimated distance of other visible surfaces. Vertical disparities are therefore important in the perception of metric depth, even for objects that in themselves subtend only small retinal images.