investment systems
Pelopidas Lombardas, DDS, MS,a Andres Carbunaru, DDS, MS,b Mona E. McAlarney, D Eng Sc,c and
R. W. Toothaker, DDSd
Columbia University, School of Dental and Oral Surgery, New York, N.Y.
Statement of problem. The ringless casting procedure is in use in clinical dentistry, although there is
no adequate scientific data to support its use.
Purpose. This study compared the vertical margin accuracy of lost wax castings produced with the con-
ventional casting technique using a metal ring and a technique that uses a ringless system.
Material and methods. From copings fabricated on a metal die, 30 castings were produced from a
high palladium alloy for metal ceramic restorations (Argedent). Ten castings were cast with Bellavest T
(Bego) phosphate-bonded investment with the ringless technique, 10 were cast with the same investment
with a metal ring, and the final 10 were cast using Hi-temp (Whip Mix) phosphate-bonded investment
with a metal ring. The internal surface of the castings were not modified before seating with finger pres-
sure. For vertical margin discrepancy measurements, an optical microscope at a magnification of 100× was
used. Data were analyzed with 1-way multivariate ANOVA (repeated measures) and the Student-New-
man-Keuls test.
Results. When following the manufacturers’ recommendations, the castings of the ringless technique
provided less vertical margin discrepancy (mean value 181 ± 71 µm) than the castings produced with the
conventional metal ring technique (290 ± 87 µm and 291 ± 88 µm). The difference was significant
(P<.001).
Conclusion. The ringless technique may produce accurate castings for use in fixed prosthodontics,
therefore further investigation is needed to develop a protocol for its use. (J Prosthet Dent 2000;84:27-31.)
CLINICAL IMPLICATIONS
The results of this study revealed that, in terms of seating accuracy, the ringless and
metal ring investing procedures can produce clinically acceptable castings.
28 VOLUME 84 NUMBER 1
LOMBARDAS ET AL THE JOURNAL OF PROSTHETIC DENTISTRY
JULY 2000 29
THE JOURNAL OF PROSTHETIC DENTISTRY LOMBARDAS ET AL
Table I. Vertical margin discrepancy between die and cast- support the use of this technique. This study is a pilot
ings measured at buccal, lingual, mesial, and distal sites study (clinically oriented) to determine whether the
Whip Mix Bego without Bego using technique produces acceptable results.
using a ring a ring a ring Although the metal ring technique is clinically
(µm ± SD) (µm ± SD) (µm ± SD)
acceptable and allows for the fabrication of accurate
Buccal 286 ± 72 142 ± 65* 292 ± 90 casts, the metal ring restricts the setting and thermal
Lingual 287 ± 93 179 ± 51* 274 ± 86 expansion of the investment,3,14,16 which is necessary
Mesial 276 ± 80 209 ± 68 291 ± 101 to compensate for the shrinkage of the metal on solid-
Distal 31 ± 114 195 ± 86* 308 ± 82 ification. To overcome this expansion restriction, a
Mean value 290 ± 87 181 ± 71* 291 ± 88 soft liner is used.5,14 The ringless technique for invest-
Asterisk indicates a statistically significant difference between materials ing and casting has been in use for many years for the
and/or technique at that site. fabrication of frameworks for removable partial den-
tures.22 It was introduced in fixed prosthodontics
technology.22 With the use of a ringless technique,
ments were made on predetermined areas that were the restriction of thermal expansion that is associated
marked on the metal die, on the buccal, mesial, lingual, with the presence of the metal ring is avoided. In this
and distal surfaces of the die. A stone base sample hold- study, the margin discrepancy of castings produced
er was constructed to maintain the major axis of the with the ringless technique and the conventional tech-
metal die parallel to the focal plane. This holder mini- nique using the metal ring were compared.
mized gap measurement errors because of out-of-plane Throughout our study, the recommendations of
rotation (Fig. 4). All measurements were executed by the manufacturers were followed and the adjustment
the same “blind” operator and each site was measured of the internal surfaces of the castings was not per-
10 nonconsecutive times. Mean value of these measure- formed. The results indicate that, within the condi-
ments was used for the statistical analysis. tions of the study, the castings produced by the ring-
Measurements of vertical discrepancies between the less technique fit better than the castings, using the
castings and die at the 4 sites on the castings (buccal, conventional metal ring technique.
lingual, mesial, and distal) were considered repeated A similar amount of discrepancy was achieved in
measures on the castings. One-way multivariate analy- recent studies in which the internal surface of the
sis of variance (ANOVA) (repeated measures) was run castings were also not touched.30 The mean open-
to test whether the differences in the mean values of ings of 181 to 291 µm is large. The explanation
vertical discrepancies are greater than would be given was that (1) no die spacer was used so the
expected by chance (P<.001). After the ANOVA, the castings bind more on the axial walls of the metal
Student-Newman-Keuls test was performed as the die, and (2) no adjustments were made on the inter-
multiple comparison procedure to isolate the group or nal surfaces of the castings. In this investigation, 1
groups that differ from the others. casting of each group was adjusted on the internal
surface as a pilot investigation after the original
RESULTS
measurements. No difference in the margin discrep-
The vertical margin discrepancies at the buccal, lin- ancy could be found after the adjustment of the
gual, mesial, and distal sites are presented in Table I. internal surface and all measurements were at the
There was no significant difference between the 4 range of 15 to 35 µm. From the results and condi-
measured sites for a particular investment material tions of the study, a hypothesis can be made that the
and technique. For each site, and the mean of all ringless technique allows for more expansion of the
sites, the use of Bego investment without a metal investment and therefore produces castings that
casting ring produced statistically significant smaller bind less on the die. Further investigation should be
vertical discrepancies. The only exception to the performed without using the investment manufac-
above is the mesial site in which all 3 material and turers’ specifications but by customizing the water-
technique combinations provided equivalent vertical to-liquid ratio. The results of this study support the
discrepancies. clinical use of this technique for fixed restorations
and may prove to be acceptable for implant-sup-
DISCUSSION
ported restorations as well. It should be mentioned,
Although the ringless casting technique is in use in however, that the conventional metal ring investing
fixed prosthodontics and implant prosthodontics, technique is well documented and proven to give
there are few investigations about the technique in the acceptable castings and should not be abandoned.
literature, and the accuracy of the castings depends on The study was made to test the “new” ringless tech-
the skills of the technicians and is clinically deter- nique that was proved to be also acceptable in terms
mined by the dentists. There is no scientific data to of fit accuracy.
30 VOLUME 84 NUMBER 1
LOMBARDAS ET AL THE JOURNAL OF PROSTHETIC DENTISTRY
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WB Saunders; 1982.
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JULY 2000 31