Fracture resistance of three porcelain-layered CAD/CAM zirconia frame designs

Marco Ferrari*, Agostino Giovannetti, Michele Carrabba, Giovanni Bonadeo, Carlo Rengo, Francesca Monticelli, Alessandro Vichi

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives: Chipping is the most frequent clinical failure of zirconia crowns. Causes of chipping have not been completely understood and different possible reasons have been considered. The study was aimed at evaluating the fracture resistance of 3 different CAD/CAM zirconia frame designs veneered with porcelain. 

Methods: Thirty extracted sound premolars were divided into 3 groups (n = 10). Chamfer preparations were performed, impressions were taken. Three zirconia frame designs (Aadva, GC) were realized: reproduction of the abutment contour (flat design, FD); wax-up as for porcelain-fused-to-metal crowns (PFM); anatomically guided, designed to keep constant the thickness of the overlying porcelain veneering (AG). Porcelain veneering was made with pressure layering technique (Initial Zr, GC). Crowns were cemented utilizing a self-adhesive resin cement (G-Cem, GC). After a 24-h water storage at 37 °C, using a universal testing machine (1 mm crosshead speed), crowned teeth were loaded in the central fossa in a direction parallel to the longitudinal axis of the tooth. Load at fracture was recorded in Newtons (N). Digital photographs of the specimens were taken in order to assess failure patterns. Between-group differences in fracture strength were statistically analyzed (One-Way Analysis of Variance, Tukey test, p < 0.05). 

Result: Load at fractures differed significantly among the groups (p = 0.004). AG exhibited significantly higher fracture resistance 1721.6 (488.1) N than PFM 1004.6 (321.3) N and FD 1179.5 (536.2) N, that were comparable. Repairable failures occurred in 80% of AG, 70% of PFM, and 50% of FD specimens. 

Significance: Anatomically guided zirconia frames resisted significantly higher loads than flat and PFM-like frame designs.

Original languageEnglish
Pages (from-to)e163-e168
JournalDental Materials
Volume30
Issue number7
Early online date4 Jun 2014
DOIs
Publication statusPublished - 1 Jul 2014

Keywords

  • CAD/CAM
  • Ceramic
  • Ceramic veneering
  • Chipping
  • Fracture load
  • Framework design
  • Zirconia

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