In vitro comparison of the load-bearing capacity of ceramic and metal-ceramic resin-bonded fixed dental prostheses in the posterior region. 2018

Wolfgang Bömicke, and Moritz Waldecker, and Johannes Krisam, and Peter Rammelsberg, and Stefan Rues
Assistant Professor, Department of Prosthodontics, Heidelberg University Hospital, University of Heidelberg, Heidelberg, Germany. Electronic address: Wolfgang.Boemicke@med.uni-heidelberg.de.

BACKGROUND The clinical use of ceramic resin-bonded fixed dental prostheses (RBFDPs) in the posterior region is desirable for esthetic and biological reasons but has been associated with many technical problems, including fractures or chipping of the veneer. Although these problems may be overcome by using monolithic zirconia, information is lacking about the load-bearing capacity of resin-bonded monolithic zirconia restorations for replacing a molar. OBJECTIVE The purpose of this in vitro study was to compare the load-bearing capacity (Fu), the load at initial damage (F1d), and the failure pattern of posterior RBFDPs fabricated from monolithic zirconia (MZr), veneered zirconia (VZr), and veneered cobalt-chromium (VCo). METHODS For the replacement of a maxillary first molar, 4 groups (n=8) of RBFDPs differing in prosthesis material and retainer design (MZr-IR-RBFDPs, VZr-IR-RBFDPs, MZr-WR-RBFDPs, and VCo-WR-RBFDPs; IR, inlay-retained; WR, adhesive wing-retained) were fabricated with anatomic congruence of the FDP-abutment complex. The RBFDPs were subjected to thermocycling (10000×6.5°C/60°C) and mastication simulation (30-degree oblique loading on the pontic; 1200000×108 N) and then loaded until failure in a universal testing machine (0.5 mm/minute). Test forces correlating with Fu and F1d were recorded. Statistical analysis was performed by using 2-way analysis of variance (ANOVA), 2-way repeated measures ANOVA, and the Tukey honest significant differences post hoc test (2-sided α=.05). RESULTS Fu was significantly affected by retainer design (P<.001) and F1d by both retainer design (P<.001) and prosthesis material (P<.001). Fu was more than 2000 N for WR-RBFDPs and more than 1000 N for IR-RBFDPs (Tukey test ranking: MZr-WR-RBFDPs = VCo-WR-RBFDPs > MZr-IR-RBFDPs = VZr-IR-RBFDPs). Ceramic RBFDPs failed by complete fracture in the connector region, whereas failure of VCo-WR-RBFDPs was limited to the ceramic veneer. F1d was significantly lower (P≤.004) than Fu for veneered specimens only; F1d started at test forces below 500 N and coincided with veneer cracking. CONCLUSIONS Load-bearing capacity suitable for the definitive restoration of a molar was observed for all groups. Veneered resin-bonded fixed dental prostheses, however, were susceptible to cracking of the veneer.

UI MeSH Term Description Entries
D008422 Materials Testing The testing of materials and devices, especially those used for PROSTHESES AND IMPLANTS; SUTURES; TISSUE ADHESIVES; etc., for hardness, strength, durability, safety, efficacy, and biocompatibility. Biocompatibility Testing,Biocompatible Materials Testing,Hemocompatibility Testing,Testing, Biocompatible Materials,Testing, Hemocompatible Materials,Hemocompatibility Testings,Hemocompatible Materials Testing,Materials Testing, Biocompatible,Materials Testing, Hemocompatible,Testing, Biocompatibility,Testing, Hemocompatibility,Testing, Materials,Testings, Biocompatibility
D001840 Dental Bonding An adhesion procedure for orthodontic attachments, such as plastic DENTAL CROWNS. This process usually includes the application of an adhesive material (DENTAL CEMENTS) and letting it harden in-place by light or chemical curing. Bonding, Dental,Cure of Orthodontic Adhesives,Curing, Dental Cement,Dental Cement Curing,Orthodontic Adhesives Cure
D015040 Zirconium A rather rare metallic element with atomic number 40, atomic weight 91.224, and symbol Zr.
D016379 Denture, Partial, Fixed, Resin-Bonded A commonly used prosthesis that results in a strong, permanent restoration. It consists of an electrolytically etched cast-metal retainer that is cemented (bonded), using resins, to adjacent teeth whose enamel was previously acid-treated (acid-etched). This type of bridgework is sometimes referred to as a Maryland bridge. Maryland Bridge,Resin-Bonded Acid-Etched Fixed Partial Denture,Resin-Bonded Bridge,Resin-Bonded Fixed Partial Denture,Bridge, Maryland,Bridge, Resin-Bonded,Bridges, Resin-Bonded,Resin Bonded Acid Etched Fixed Partial Denture,Resin Bonded Bridge,Resin Bonded Fixed Partial Denture,Resin-Bonded Bridges
D016474 Weight-Bearing The physical state of supporting an applied load. This often refers to the weight-bearing bones or joints that support the body's weight, especially those in the spine, hip, knee, and foot. Load-Bearing,Axial Loading,Loadbearing,Weightbearing,Axial Loadings,Load Bearing,Weight Bearing
D016876 Metal Ceramic Alloys The fusion of ceramics (porcelain) to an alloy of two or more metals for use in restorative and prosthodontic dentistry. Examples of metal alloys employed include cobalt-chromium, gold-palladium, gold-platinum-palladium, and nickel-based alloys. Metal Ceramic Restorations,Metallo-Ceramic Alloys,Porcelain-Metal Alloys,Metal Ceramic Alloy,Metallo-Ceramic Alloy,Metalloceramic Alloy,Metalloceramic Alloys,Alloy, Metal Ceramic,Alloy, Metallo-Ceramic,Alloy, Metalloceramic,Alloys, Metal Ceramic,Alloys, Metallo-Ceramic,Alloys, Metalloceramic,Alloys, Porcelain-Metal,Metallo Ceramic Alloy,Metallo Ceramic Alloys,Porcelain Metal Alloys,Restorations, Metal Ceramic
D017267 Dental Prosthesis Design The plan and delineation of dental prostheses in general or a specific dental prosthesis. It does not include DENTURE DESIGN. The framework usually consists of metal. Dental Prosthesis Designs,Design, Dental Prosthesis,Designs, Dental Prosthesis,Prosthesis Design, Dental,Prosthesis Designs, Dental
D066298 In Vitro Techniques Methods to study reactions or processes taking place in an artificial environment outside the living organism. In Vitro Test,In Vitro Testing,In Vitro Tests,In Vitro as Topic,In Vitro,In Vitro Technique,In Vitro Testings,Technique, In Vitro,Techniques, In Vitro,Test, In Vitro,Testing, In Vitro,Testings, In Vitro,Tests, In Vitro,Vitro Testing, In

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