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Effect of Resin Cement Mixing Method on the Retention Strength of a CAD/CAM Zirconia Crowns

  • Original Article
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The Journal of Indian Prosthodontic Society

Abstract

Several treatments have been suggested to improve the retention of zirconia-based restorations luted with different cements. Resin cements are believed to improve crown retention under certain circumstances. The aim of the present study was to examine the effect of three cements with different mixing methods on the retention of CAD/CAM zirconia crowns. Thirty extracted human molars were randomly divided into three groups and prepared for all-ceramic crowns (6° taper, 4-mm height and a 1.2 mm rounded shoulder finish line). A zirconia crown (Tizian CAD/CAM) was fabricated for each tooth. The crowns were air-abraded using airborne particles, adjusted, and cemented to the corresponding tooth with one of the following cements: Panavia F2 (PAN group), RelyX Unicem (UNH group) or RelyX Unicem Aplicap (UNA group). After 3,000 rounds of thermal cycling, retention was measured using a specific retentive jig and a universal testing machine. The retention strength was measured by dividing the retention force by the surface area of each tooth. The means of the pull-out test results for each group were compared using analysis of variance and Tukey’s HSD test (α = 0.05). The mode of failure was examined using a stereomicroscope. The mean retention value was 6.45 (0.34) MPa for the UNA group, 4.99 MPa (0.47) for the UNH group, and 4.45 (0.39) for the PAN group; the differences among the three test groups were significant. A mixed failure was observed in 83.3 % of specimens, while no cohesive failure occurred in the crowns. Within the limitations of the present study, of the three tested cements, Relyx Unicem Aplicap cement was associated with the highest retention force for Tizian zirconia crowns.

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References

  1. Donavan ET (2008) Factors essential for successful all ceramic restorations. J Am Dent Assoc 139:14s–18s

    Article  Google Scholar 

  2. Roediger M, Gersdorff N, Huels A, Rinke S (2010) Prospective evaluation of zirconia posterior fixed partial dentures: four-year clinical results. Int J Prosthodont 23:141–148

    PubMed  Google Scholar 

  3. Schmitt J, Goellner M, Lohbauer U, Wichmann M, Reich S (2012) Zirconia posterior fixed partial dentures: 5-year clinical results of a prospective clinical trial. Int J Prosthodont 25(56):585–589

    PubMed  Google Scholar 

  4. Sailer I, Gottner J, Kanel S, Hammerte CHF (2009) Randomized controlled clinical trial of zirconia–ceramic and metal–ceramic posterior fixed dental prostheses: a 3-year follow-up. Int J Prosthodont 22:553–560

    PubMed  Google Scholar 

  5. Ortorp A, Kihl ML, Carlsson GE (2012) A 5-year retrospective study of survival of zirconia single crowns fitted in a private clinical setting. J Dent 40:527–530

    Article  PubMed  Google Scholar 

  6. Raigrodski AJ, Hillstead MB, Graham KM, Chung KH (2012) Survival and complications of zirconia-based fixed dental prostheses: a systematic review. J Prosthet Dent 107:170–177

    Article  PubMed  Google Scholar 

  7. Oyague RC, Monticelli F, Toledano EO, Ferrari M, Osorio R (2009) Influence of surface treatments and resin cement selection on bonding to densely-sintered zirconium-oxide ceramic. Dent Mater 25:172–179

    Article  PubMed  Google Scholar 

  8. Blatz MB, Chiche G, Holst S, Sadan A (2007) Influence of surface treatment and simulated aging on bond strengths of luting agents to zirconia. Quintessence Int 38:745–753

    PubMed  Google Scholar 

  9. Edelhoff D, Ozcan M (2007) To what extent does the longevity of fixed dental prostheses depends on the function of the cement? Clin Oral Implant Res 18:193–204

    Article  Google Scholar 

  10. Derand T, Molin M, Kleven E, Hagg P, Karlsson S (2008) Bond strength of luting materials to ceramic crowns after different surface treatments. Eur J Prosthodont Rest Dent 16:35–38

    Google Scholar 

  11. Thompson JY, Stoner BR, Piascik JR, Smith R (2011) Adhesion/cementation to zirconia and other non-silicate ceramics: where are we now? Dent Mater 27:71–82

    Article  PubMed Central  PubMed  Google Scholar 

  12. Lahbauer U, Zipperle M, Rischka K, Patschelt A, Muller FA (2008) Hydroxylation of dental zirconia surfaces: characterization and bonding potential. J Biomed Mater Res, Part B 87:461–467

    Article  Google Scholar 

  13. Aboushelib MN, Matinlinna JF, Salameh Z, Ounsi H (2008) Innovations in bonding to zirconia-based materials: part I. Dent Mater 24:1268–1272

    Article  PubMed  Google Scholar 

  14. Kim MJ, Kim YK, Kim KH, Kwon TY (2011) Shear bond strength of various luting cements to zirconia ceramic: surface chemical aspects. J Dent 39:795–803

    Article  PubMed  Google Scholar 

  15. Ozcan M, Nijhuis H, Valandro LF (2008) Effect of various surface conditioning methods on adhesion of dual-cure resin cement with MDP functional monomer to zirconia after thermal aging. Dent Mater J 27:99–104

    Article  PubMed  Google Scholar 

  16. Kern M, Barloi A, Yang B (2009) Surface conditioning influences zirconia ceramic bonding. J Dent Res 88:817–822

    Article  PubMed  Google Scholar 

  17. Mirmohammadi H, Aboushelib MN, Salameh Z, Feilzer AJ, Kleverlaan CJ (2010) Innovations in bonding to zirconia based ceramics: part III. Dent Mater 26:786–792

    Article  PubMed  Google Scholar 

  18. Shahin R, Kern M (2010) Effect of air-abrasion on the retention of zirconia ceramic crowns luted with different cements before and after artificial aging. Dent Mater 26:922–928

    Article  PubMed  Google Scholar 

  19. Geramipanah F, Majidpour M, Sadighpour L, Kharazi Fard MJ (2013) Effect of artificial saliva and pH on shear bond strength of resin cements to zirconia-based ceramic. Eur J Prosthodont Rest Dent 21:5–8

    Google Scholar 

  20. Hernandez AI, Roongruangphol T, Katsube N, Seghi RR (2008) Residual interface tensile strength of ceramic bonded to dentin after cyclic loading and aging. J Prosthet Dent 99:209–217

    Article  PubMed  Google Scholar 

  21. Behr M, Rosentritt M, Loher H, Kolbeck C, Trempler C, Stemplinger B, Kozon V, Handel G (2008) Changes of cement properties caused by mixing errors: the therapeutic range of different cement types. Dent Mater 24:1187–1193

    Article  PubMed  Google Scholar 

  22. Bolhuis P, de Gee A, Feilzer A (2005) The influence of fatigue loading on the quality of the cement layer and retention strength of carbon fiber post-resin composite core restorations. Oper Dent 30(2):220–227

    PubMed  Google Scholar 

  23. Cantoro A, Goracci C, Coniglio I, Magni E, Polimeni A, Ferrari M (2011) Influence of ultrasound on inlays luting with self-adhesive resin cements. Clin Oral Invest 15:617–623

    Article  Google Scholar 

  24. Covey DA, Ewoldsen NO (2001) Porosity in manually and machine mixed resin-modified glass ionomer cements. Oper Dent 25:617–628

    Google Scholar 

  25. Nomoto R, Komoriyama M, McCabe JF, Hirano S (2004) Effect of mixing method on the porosity of encapsulated glass ionomer cement. Dent Mater 20:972–978

    Article  PubMed  Google Scholar 

  26. Ernst CP, Cohnen U, Stender E, Willershausen B (2005) In vitro retentive strength of zirconium oxide ceramic crowns using different luting agents. J Prosthet Dent 93:551–558

    Article  PubMed  Google Scholar 

  27. Viotti RG, Kasaz A, Pena CE, Alexandre RS, Arrais CA, Reis AF (2009) Microtensile bond strength of new self-adhesive luting agents and conventional multistep systems. J Prosthet Dent 102:306–321

    Article  PubMed  Google Scholar 

  28. Ersu B, Narin D, Aktas G, Yuzugullu B, Canay S (2012) Effect of preparation taper and height on strength and retention of zirconia crowns. Int J Prosthodont 25:582–584

    PubMed  Google Scholar 

  29. Palacios RP, Johnson GH, Phillips KM, Raigrodski AJ (2006) Retention of zirconium oxide ceramic crowns with three types of cement. J Prosthet Dent 96:104–114

    Article  PubMed  Google Scholar 

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Acknowledgments

This research was an undergraduate dissertation and partly funded by Vice Chancellor for Research at Tehran University off Medical Sciences.

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Correspondence to Farideh Geramipanah.

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Sadighpour, L., Fazel, A., Geramipanah, F. et al. Effect of Resin Cement Mixing Method on the Retention Strength of a CAD/CAM Zirconia Crowns. J Indian Prosthodont Soc 14 (Suppl 1), 31–36 (2014). https://doi.org/10.1007/s13191-014-0355-1

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  • DOI: https://doi.org/10.1007/s13191-014-0355-1

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