Endocrown; lithium disilicate; marginal adaptation; microstructure; premolar; preparation depth; CAD/CAM.
AuthorsAbstractObjectives: To evaluate whether lithium disilicate ceramic microstructure and intracoronal preparation depth influence the circumferential marginal fit of maxillary premolar endocrowns. Methods: Twenty-eight extracted human maxillary first premolars were randomly allocated to four groups (n = 7): IPS e.max CAD or Amber Mill at 2-mm or 4-mm intracoronal depths. After standardised endodontic treatment, digital fabrication, adhesive cementation and thermocycling, marginal gaps were measured at 12 circumferential sites. Crystalline phase abundance and crystal morphology were assessed by X-ray diffraction and scanning electron microscopy, respectively. One-way and two-way analyses of variance with Tukey post hoc testing were applied (p < 0.05). Results: Material and depth significantly affected marginal gap (p = 0.004 and p < 0.001, respectively), with no interaction (p = 0.906). Amber Mill at 4 mm produced the lowest mean gap (52.8 ± 5.7 µm), whereas IPS e.max CAD at 2 mm produced the highest mean gap (74.6 ± 7.9 µm). Amber Mill showed a denser distribution of shorter crystals and fewer marginal machining defects. All group means were below 120 µm. Conclusions: Restorative material and intracoronal depth independently influenced the marginal behaviour. Amber Mill showed an overall lower marginal gap and fewer edge defects, while the 4-mm preparation improved overall seating without altering the bulk phase abundance or crystal morphology. Clinical Relevance: Both ceramics achieved mean marginal gaps below 120 µm under the tested conditions. Material-specific machinability and preparation geometry may improve marginal quality, but preservation of sound dentine and long-term clinical validation remain essential.
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