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Abstract The 5-axis milling machine unit enabled milling small angles, steep walls, and undercuts from different directions. 44 Lithium disilicate (IPS e.max CAD Blocks; Ivoclar AG) was used in the milling of the inlay restorations to ensure standardization and avoid variations during fabrication that could influence the accuracy of the produced restoration.43 The cementation process can be techniquesensitive; therefore, a dual-polymerizing self-adhesive resin cement was used to avoid undesirable outcomes such as voids, excessive cement thickness, and marginal gaps.55 The cross-sectional method has been used to evaluate fit precision and has been reported to be better than alternative techniques, allowing direct measurement of the internal fit under the stereomicroscope and decreasing repositioning errors.62,64 According to Lee et al,56 IOSs significantly affect the marginal and internal fit of fixed restorations. A significant marginal discrepancy increases the plaque index at restoration margins and is associated with periodontal disease, secondary caries, and pulpal irritation.61 Most studies have found that the clinically acceptable range of marginal gap value has been reported to be <120 μm.24 Accordingly, decreasing the cement gap will improve the marginal fit.61 Inadequate support for ceramic restoration and high polymerization shrinkage in luting cement has been associated with excessive internal gaps,53 and internal gap values of 50 to 100 μm have been reported to produce optimal resin cement performance.24 Consistent with the findings of Homsy et al,41 the results of the present study showed that the marginal gap was lower than the internal gap. A possible explanation for this difference is the preparation geometry with complex and multiple angles of the inlay preparation, which reduced the scanning accuracy.6,41,44 The scanning path of the 30 inlay preparations began with the occlusal, then the palatal or lingual, and ended with the buccal surfaces, while the difference among the 3 groups was only in the scanner head movement.11,34 This path was consistent with that reported by Muller et al20 and Stefanelli et al,33 who recommended using the suggested scan path as it led to improved accuracy compared with scan paths that begin from the buccal surface. Conversely, Oh et al3 reported that the accuracy of the 3D model was not affected by where the scan was initiated. Scanning accuracy was determined by using both distinct IOS and scanning strategies from the present study. |