Is mechanical retention for adhesive core build-up needed to restore a vital tooth with a monolithic zirconium crown? – An in vitro study
Research output: Contribution to journal › Research article › Contributed › peer-review
Contributors
Abstract
Purpose: To show the influence of retentive cavity, cavity wall preparation and different luting techniques on the fracture resistance of severely damaged teeth restored with adhesive core build-ups and monolithic zirconium crowns. Methods: Extracted molars were prepared with 2 mm ferrule height and divided into eleven groups (n = 8/group). In nine groups a retentive occlusal cavity with a width and depth of 1 or 2 mm was prepared. Two control groups without a retentive cavity were made. Zirconium crowns were manufactured. 48 copings were cemented with glass-ionomer cement (Ketac Cem), the others (n = 40) with adhesive resin cement (Panavia F 2.0). Artificial ageing was carried out in the following way: n = 88, thermocycling (10,000 cycles, 6° C/60° C), n = 80 chewing simulation (1,200,000 cycles, 64 N). The samples were tested for load at first damage and fracture load with non-axial force. For statistical analysis ANCOVA with post hoc, Bonferroni-adjusted t-test were used (p≤0.05). Results: No differences between the tested cements were detected. Influence of the cavity wall thickness was significant (p=0.001). Mostly, the samples with wall thickness of 2 mm showed better results. Both control groups (no cavity) showed results comparable to study groups with cavity. Conclusions: Retentive cavity is most likely not mandatory. However, if prepared, the cavity wall thickness is of higher importance than cavity depth. Glass-ionomer and adhesive resin cement are comparable for use with zirconia crowns.
Details
Original language | English |
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Pages (from-to) | 117-125 |
Number of pages | 9 |
Journal | Acta of Bioengineering and Biomechanics |
Volume | 18 |
Issue number | 4 |
Publication status | Published - 2016 |
Peer-reviewed | Yes |
External IDs
PubMed | 28133387 |
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Keywords
ASJC Scopus subject areas
Keywords
- Core build-up, Fracture resistance, Luting agent, MDP, Retentive cavity, Zirconia