TY - JOUR
T1 - In vitro analysis of the fracture resistance of CAD-CAM monolithic zirconia molar crowns with different occlusal thickness
AU - Sorrentino, Roberto
AU - Triulzio, Clementina
AU - Tricarico, Maria Gabriella
AU - Bonadeo, Giovanni
AU - Gherlone, Enrico Felice
AU - Ferrari, Marco
PY - 2016/8/1
Y1 - 2016/8/1
N2 - Objectives: To compare the fracture resistance and mode of failure of CAD-CAM monolithic zirconia crowns with different occlusal thickness. Material and methods: Forty CAD-CAM monolithic zirconia crowns with different occlusal thickness were randomly distributed into 4 experimental groups: 2.0 mm (group 1), 1.5 mm (group 2), 1.0 mm (group 3) and 0.5 mm (group 4). The restorations were cemented onto human molars with a self-adhesive resin cement. The specimens were loaded until fracture; the fracture resistance and mode of failure were recorded. The data were statistically analyzed with the one-way ANOVA followed by the Fisher's Exact test with Bonferroni's correction (p=0.05). Results: The fracture resistance values of all the specimens exceeded the maximum physiological occlusal loads in molar regions. All the crowns showed cohesive microcracks of the zirconia core; only 1 crown with a thickness of 0.5 mm was interested by a complete fracture. Conclusions: The occlusal thickness of CAD-CAM monolithic zirconia crowns did not influence either the fracture resistance and the mode of failure of the restorations; the occlusal thickness of CAD-CAM monolithic zirconia crowns can be reduced up to a lower bound of 0.5 mm keeping a sufficient strength to withstand occlusal loads; CAD-CAM monolithic zirconia crowns showed sufficient fracture resistance to be used in molar regions, even in a thin configuration (0.5 mm).
AB - Objectives: To compare the fracture resistance and mode of failure of CAD-CAM monolithic zirconia crowns with different occlusal thickness. Material and methods: Forty CAD-CAM monolithic zirconia crowns with different occlusal thickness were randomly distributed into 4 experimental groups: 2.0 mm (group 1), 1.5 mm (group 2), 1.0 mm (group 3) and 0.5 mm (group 4). The restorations were cemented onto human molars with a self-adhesive resin cement. The specimens were loaded until fracture; the fracture resistance and mode of failure were recorded. The data were statistically analyzed with the one-way ANOVA followed by the Fisher's Exact test with Bonferroni's correction (p=0.05). Results: The fracture resistance values of all the specimens exceeded the maximum physiological occlusal loads in molar regions. All the crowns showed cohesive microcracks of the zirconia core; only 1 crown with a thickness of 0.5 mm was interested by a complete fracture. Conclusions: The occlusal thickness of CAD-CAM monolithic zirconia crowns did not influence either the fracture resistance and the mode of failure of the restorations; the occlusal thickness of CAD-CAM monolithic zirconia crowns can be reduced up to a lower bound of 0.5 mm keeping a sufficient strength to withstand occlusal loads; CAD-CAM monolithic zirconia crowns showed sufficient fracture resistance to be used in molar regions, even in a thin configuration (0.5 mm).
KW - CAD-CAM
KW - Crown
KW - Fracture resistance
KW - Monolithic
KW - Occlusal thickness
KW - Zirconia
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U2 - 10.1016/j.jmbbm.2016.04.014
DO - 10.1016/j.jmbbm.2016.04.014
M3 - Article
AN - SCOPUS:84963568739
VL - 61
SP - 328
EP - 333
JO - Journal of the Mechanical Behavior of Biomedical Materials
JF - Journal of the Mechanical Behavior of Biomedical Materials
SN - 1751-6161
ER -