Fracture resistance of all-ceramic crowns placed on a preparation with a slice-formed finishing line
Article first published online: 31 MAY 2009
DOI: 10.1111/j.1365-2842.2009.01962.x
© 2009 The Authors. Journal compilation © 2009 Blackwell Publishing Ltd
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ÅKESSON, J., SUNDH, A. and SJÖGREN, G. (2009), Fracture resistance of all-ceramic crowns placed on a preparation with a slice-formed finishing line. Journal of Oral Rehabilitation, 36: 516–523. doi: 10.1111/j.1365-2842.2009.01962.x
Publication History
- Issue published online: 10 JUN 2009
- Article first published online: 31 MAY 2009
- Accepted for publication 29 April 2009
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Keywords:
- all-ceramic crowns;
- CAD/CAM;
- dental ceramics;
- densely-sintered magnesia partially stabilized zirconia;
- zirconia;
- yttrium-oxide partially stabilized zirconia
Summary The purpose of this study was to determine the fracture resistance of all-ceramic crowns with a core of a zirconia ceramic, using various stabilizing oxides and luted on a preparation with a slice-formed finishing line. Ten cores made of HIPed yttrium-oxide partially stabilized zirconia (HIPed Y-TZP) and five cores of densely-sintered magnesia partially stabilized zirconia (Mg-PSZ) were made. The Mg-PSZ cores and five of the HIPed Y-TZP cores were made with a thickness of 0·2 mm. A further five cores 0·1-mm thick were made of HIPed Y-TZP. All 15 cores were then veneered with a feldspar ceramic and luted onto a stylized steel master die model with a slice-formed finishing line. The specimens were then loaded until fracture occurred. The HIPed Y-TZP specimens with the 0·2 mm core exhibited significantly higher fracture resistance than the Mg-PSZ specimens (P = 0·004) and the HIPed Y-TZP specimens with the 0·1 mm core (P = 0·001). The fracture resistance of the Mg-PSZ specimens was significantly (P = 0·015) higher than that of the HIPed Y-TZP specimens with the 0·1 mm core. The fracture resistance determined was equal or superior to reported values for bite forces and all-ceramic crowns. Thus, it seems likely that the type of restorations evaluated have the potential for successful use on a slice-formed preparation. However, long-term studies are essential in order to assess the performance of this ceramic system in a clinical context.

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