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 journalResearch articleContributedpeer-review

Contributors

  • Katarzyna Walczak - , Department of Prosthodontics (Author)
  • Stefan Rues - , Heidelberg University  (Author)
  • Mieszko Wieckiewicz - , Wrocław Medical University (Author)
  • Ursula Range - , Institute for Medical Informatics and Biometry (Author)
  • Marc Schmitter - , Heidelberg University  (Author)

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 languageEnglish
Pages (from-to)117-125
Number of pages9
JournalActa of Bioengineering and Biomechanics
Volume18
Issue number4
Publication statusPublished - 2016
Peer-reviewedYes

External IDs

PubMed 28133387

Keywords

Keywords

  • Core build-up, Fracture resistance, Luting agent, MDP, Retentive cavity, Zirconia