Fracture Resistance of Teeth Restored With All-ceramic Inlays and Onlays: An In Vitro Study

2013 ◽  
Vol 38 (6) ◽  
pp. 626-634 ◽  
Author(s):  
S Saridag ◽  
M Sevimay ◽  
G Pekkan

SUMMARY Fracture resistance of inlays and onlays may be influenced by the quantity of the dental structure removed and the restorative materials used. The purpose of this in vitro study was to evaluate the effects of two different cavity preparation designs and all-ceramic restorative materials on the fracture resistance of the tooth-restoration complex. Fifty mandibular third molar teeth were randomly divided into the following five groups: group 1: intact teeth (control); group 2: inlay preparations, lithium-disilicate glass-ceramic (IPS e.max Press, Ivoclar Vivadent AG, Schaan, Liechtenstein); group 3: inlay preparations, zirconia ceramic (ICE Zirkon, Zirkonzahn SRL, Gais, Italy); group 4: onlay preparations, lithium-disilicate glass-ceramic (IPS e.max Press); and group 5: onlay preparations, zirconia ceramic (ICE Zirkon). The inlay and onlay restorations were adhesively cemented with dual polymerizing resin cement (Variolink II, Ivoclar Vivadent AG). After thermal cycling (5° to 55°C × 5000 cycles), specimens were subjected to a compressive load until fracture at a crosshead speed of 0.5 mm/min. Statistical analyses were performed using one-way analysis of variance and Tukey HSD tests. The fracture strength values were significantly higher in the inlay group (2646.7 ± 360.4) restored with lithium-disilicate glass-ceramic than those of the onlay group (1673.6 ± 677) restored with lithium-disilicate glass-ceramic. The fracture strength values of teeth restored with inlays using zirconia ceramic (2849 ± 328) and onlays with zirconia ceramic (2796.3 ± 337.3) were similar to those of the intact teeth (2905.3 ± 398.8). In the IPS e.max Press groups, as the preparation amount was increased (from inlay to onlay preparation), the fracture resistance was decreased. In the ICE Zirkon ceramic groups, the preparation type did not affect the fracture resistance results.

2014 ◽  
Vol 39 (3) ◽  
pp. 308-316 ◽  
Author(s):  
P Tidehag ◽  
K Ottosson ◽  
G Sjögren

SUMMARY The present in vitro study concerns determination of the pre-cementation gap width of all-ceramic crowns made using an in-office digital-impression technique and subsequent computer-aided design/computer-aided manufacturing (CAD/CAM) production. Two chairside video camera systems were used: the Lava Oral scanner and Cadent's iTero scanner. Digital scans were made of a first molar typodont tooth that was suitably prepared for an all-ceramic crown. The digital impressions were sent via the Internet to commercial dental laboratories, where the crowns were made. Also, an impression of the typodont tooth was made, poured, and scanned in order to evaluate the pre-cementation gap of crowns produced from scanning stone dies. These methods and systems were evaluated by creating replicas of the intermediate space using an addition-cured silicone, and the gap widths were determined using a measuring microscope. Hot-pressed leucite-reinforced glass-ceramic crowns were selected as a reference. The mean value for the marginal measuring points of the control was 170 μm, and the values for all the evaluated crowns ranged from 107 to 128 μm. Corresponding figures for the internal measuring points were 141-210 μm and 115-237 μm, respectively. Based on the findings in the present study, an in-office digital-impression technique can be used to fabricate CAD/CAM ceramic single crowns with a marginal and internal accuracy that is on the same level as that of a conventional hot-pressed glass-ceramic crown. In the present study, however, slight differences could be seen between the two types of ceramic crowns studied with respect to the internal fit obtained.


2015 ◽  
Vol 26 (4) ◽  
pp. 309-314 ◽  
Author(s):  
Derya Ozdemir Dogan ◽  
Oguzhan Gorler ◽  
Burcu Mutaf ◽  
Mutlu Ozcan ◽  
Gunes Bulut Eyuboglu ◽  
...  

2020 ◽  
Vol 12 (5) ◽  
pp. 517
Author(s):  
Tharammal Fayaz ◽  
SanathK Shetty ◽  
Mohammed Zahid ◽  
KarkalaS Suhaim ◽  
Mallikarjun Ragher ◽  
...  

2021 ◽  
Vol 45 (3) ◽  
pp. 171-176
Author(s):  
Brent Lin ◽  
Amit Khatri ◽  
Michael Hong

The purpose of this study was to determine and compare the shear force (N) required to fracture or dislodge an all-ceramic zirconia-based crown using different luting cement with those of polycarbonate crown and strip crown for the primary anterior teeth in vitro. Study design: Four groups of esthetic restoration for primary anterior teeth were tested for fracture strength: 1) Fifteen all-ceramic zirconia-based crowns cemented with glass ionomer cement, 2) Fifteen all-ceramic zirconia-based crowns bonded with a self-adhesive resin cement, 3) Fifteen polycarbonate crowns cemented with a polymer reinforced zinc-oxide eugenol and 4) Fifteen resin strip crowns. All restorations were placed and cemented on reproductions of dies in an independent laboratory at Delhi, India. All samples underwent loading until fracture or dislodgement with the Universal Testing Machine. The force in Newton (N) required to produce failure was recorded for each sample and the type of failures was also noted and characterized. One-way analysis of variance (ANOVA) test and the Tukey and Scheffe’s post hoc comparisons were used for statistical analyses. Results: In this invitro study, results were measured in Newtons (N). Group 1 (410.9±79.5 N) and Group 2 (420.5±57.8 N) had higher fracture strength than Group 3 (330.3±85.6 N) and Group 4 (268.4±28.2 N). These differences were statistically significant at P≤.05 among the sample groups. No significant difference was found between groups 1 and 2 (P = 0.984) nor between groups 3 and 4 (P =0.104). Among type of failures, majority of restoration fractures for zirconia-based crowns and resin strip crowns were due to cohesive failures and polycarbonate crowns had predominantly mixed failures. Conclusions: Under the limitations of this in vitro study, it could be concluded that all-ceramic zirconia-based crowns attained the highest fracture strength among all restorative samples tested regardless of the type of luting agent employed (P<.01). Cohesive failures were commonly observed in the zirconia crowns and resin strip crowns, whereas polycarbonate crowns revealed predominately mixed failures.


2019 ◽  
Vol 28 (9) ◽  
pp. 997-1004
Author(s):  
Sara Elizabeth Chen ◽  
Albert Christopher Park ◽  
Jingxu Wang ◽  
Kent L. Knoernschild ◽  
Stephen Campbell ◽  
...  

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