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      Shear bond strength of veneering porcelain to zirconia and metal cores

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          Abstract

          STATEMENT OF PROBLEM

          Zirconia-based restorations have the common technical complication of delamination, or porcelain chipping, from the zirconia core. Thus the shear bond strength between the zirconia core and the veneering porcelain requires investigation in order to facilitate the material's clinical use.

          PURPOSE

          The purpose of this study was to evaluate the bonding strength of the porcelain veneer to the zirconia core and to other various metal alloys (high noble metal alloy and base metal alloy).

          MATERIAL AND METHODS

          15 rectangular (4×4×9mm) specimens each of zirconia (Cercon), base metal alloy (Tillite), high noble metal alloy (Degudent H) were fabricated for the shear bond strength test. The veneering porcelain recommended by the manufacturer for each type of material was fired to the core in thickness of 3mm. After firing, the specimens were embedded in the PTFE mold, placed on a mounting jig, and subjected to shear force in a universal testing machine. Load was applied at a crosshead speed of 0.5mm/min until fracture. The average shear strength (MPa) was analyzed with the one-way ANOVA and the Tukey's test (α= .05). The fractured specimens were examined using SEM and EDX to determine the failure pattern.

          RESULTS

          The mean shear strength (± SD) in MPa was 25.43 (± 3.12) in the zirconia group, 35.87 (± 4.23) in the base metal group, 38.00 (± 5.23) in the high noble metal group. The ANOVA showed a significant difference among groups, and the Tukey's test presented a significant difference between the zirconia group and the metal group. Microscopic examination showed that the failure primarily occurred near the interface with the residual veneering porcelain remaining on the core.

          CONCLUSION

          There was a significant difference between the metal ceramic and zirconia ceramic group in shear bond strength. There was no significant difference between the base metal alloy and the high noble metal alloy.

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          Most cited references26

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          The efficacy of posterior three-unit zirconium-oxide-based ceramic fixed partial dental prostheses: a prospective clinical pilot study.

          Although zirconium-oxide-based restorations for fixed partial denture prostheses (FPDPs) are available for use, clinical studies evaluating their longevity and related complications have not been published. The aim of this pilot clinical study was to assess the efficacy of zirconia-based posterior 3-unit FPDPs. Twenty 3-unit posterior FPDPs (Lava) were placed in 16 subjects who were missing a second premolar or a first molar, met specific inclusion and exclusion criteria, and provided informed consent. All teeth were prepared in a standardized manner: occlusal reduction of 1.5 to 2 mm; axial reduction of 1 to 1.5 mm; a 1.0-mm, 360-degree rounded shoulder placed 0.5 mm subgingivally on the facial aspect and supragingivally on the lingual aspect on sound tooth structure; and rounded internal line angles. Impressions were made with vinyl polysiloxane (Express) impression material. Frameworks were fabricated using a computer-aided design/computer-assisted manufacturing technique with a retainer thickness of 0.6 mm, and a minimal connector surface area of 9 mm(2). Restorations were luted with resin-modified glass-ionomer cement (Rely X luting). Recall appointments were made after 2 weeks and 6, 12, 18, 24, and 36 months. Clinical fracture resistance, marginal discoloration, marginal adaptation, radiographic proximal recurrent decay, and periapical pathoses were assessed over time using modified Ryge criteria. The probability distributions of these variables were calculated for the baseline data as well as for recall data. Mean follow-up was 31.2 months. Fifteen restorations were rated Alpha in all measured parameters. Minor chipping of veneering porcelain was detected in 5 restorations rated Bravo for clinical fracture resistance and Alpha for all other assessed parameters. One restoration was rated Bravo in terms of marginal integrity at 36 months. Zirconia-based posterior 3-unit FPDPs performed well after short-term service.
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            Prospective clinical study of zirconia posterior fixed partial dentures: 3-year follow-up.

            The purpose of this prospective clinical cohort study was to determine the success rate of 3- to 5-unit posterior fixed partial dentures (FPDs) with zirconia frameworks after 3 years of function. Forty-five patients in need of at least 1 FPD to replace 1 to 3 posterior teeth were included. The frameworks were produced by means of a prototype computer-assisted manufacture system. They were milled with a precisely calculated increase in size out of presintered zirconia blanks and subsequently shrunk to the required size. Fifty-seven FPDs were cemented using either Variolink or Panavia TC cement. Clinical and radiographic examinations were performed at baseline, 12, 24, and 36 months after cementation. Statistical analysis was performed by descriptive statistics and the Kaplan-Meier survival analysis. Comparisons of probing depth, Plaque Index, and bleeding on probing between test (abutment) and control (contralateral) teeth were done with the McNemar test. Thirty-six patients with 46 FPDs were available for examination after 36 months. No fractures occurred, rendering a 100% success rate of the zirconia frameworks. Seven FPDs had to be replaced because of biologic and technical problems. The survival rate, therefore, was 84.8%. Secondary caries was found in 10.9% of the FPDs, and chipping of the veneering ceramic was found in 13.0%. There were no significant differences regarding the probing depth in test and control teeth. Zirconia frameworks demonstrated sufficient stability for replacement of posterior teeth. However, the high rates of technical problems should be reduced by further developments of the prototype processing technology.
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              Microtensile bond strength of different components of core veneered all-ceramic restorations. Part II: Zirconia veneering ceramics.

              The purpose of this research was to investigate microtensile bond strength between one type of zirconia substrate and various commercial veneer ceramics. The effect of an optional liner material between the core and veneer was also evaluated where applicable. Bilayered zirconia veneer discs were fabricated from five layering and two pressable veneer ceramics. Additionally, discs from each veneer ceramic were prepared. The discs were cut into microbars of 6 mm in length and 1mm in cross-section. The microtensile bond strength was tested in a universal testing machine. The fracture surfaces of the microbars were examined with scanning electron microscopy (SEM) and EDAX. The microtensile strength of Rondo Dentine and Lava Dentine veneer ceramics were significantly higher than the other tested veneer ceramics. Furthermore, the layered systems Rondo Dentine and Ceram Express were significantly stronger than the other tested core-veneer ceramics. The application of liner material dramatically affected the bond strength and failure mode, which was also material dependent. SEM analysis showed that two pressable veneers and one type of layering veneer ceramic failed entirely cohesively in veneer side while the remaining test groups had higher percentage of interfacial failure. Selection of stronger veneer ceramics which have good bond strength with zirconia can reduce the chances of chipping and delamination under function. The liner material should only be used with some layering veneers but not in combination with pressable veneers as it will result in weakening of the microtensile bond strength.
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                Author and article information

                Journal
                J Adv Prosthodont
                JAP
                The Journal of Advanced Prosthodontics
                The Korean Academy of Prosthodontics
                2005-7806
                2005-7814
                November 2009
                30 November 2009
                : 1
                : 3
                : 129-135
                Affiliations
                [1 ]Graduate Student, Department of Prosthodontics, Graduate School, Seoul National University, Seoul, Korea.
                [2 ]Professor, Department of Prosthodontics, Graduate School, Seoul National University, Seoul, Korea.
                [3 ]Associate Professor, Department of Prosthodontics, Graduate School, Seoul National University, Seoul, Korea.
                Author notes
                Corresponding author: Jung-Suk Han. Department of Prosthodontics, Graduate School, Seoul National University, 28 Yeungun-dong, Jongno-Gu, Seoul, 110-749, South Korea. Tel, +82 2 2072 3711: proshan@ 123456snu.ac.kr
                Article
                10.4047/jap.2009.1.3.129
                2994690
                21165268
                da45f9e9-16be-426f-a3d7-4beef8d94869
                Copyright © 2009 The Korean Academy of Prosthodontics

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 23 October 2009
                : 16 November 2009
                : 17 November 2009
                Categories
                Original Article

                Dentistry
                failure mode,zirconia ceramic,core-veneer ceramic,delamination,shear bond strength
                Dentistry
                failure mode, zirconia ceramic, core-veneer ceramic, delamination, shear bond strength

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