Chipping behaviour of all-ceramic crowns with zirconia framework and CAD/CAM manufactured veneer

Objectives: The aim of this in vitro study was to assess the ultimate load to failure of zirconia based crowns veneered with CAD/CAM manufactured ceramic. Methods: 32 identical, anatoform zirconia (Sirona inCoris ZI, mono L F1) frameworks (thickness 0.6mm) were constructed (Sirona inLab 3.80). After...

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Bibliographic Details
Main Authors: Schmitter, Marc (Author) , Müller, Denise (Author) , Rues, Stefan (Author)
Format: Article (Journal)
Language:English
Published: 2012
In: Journal of dentistry
Year: 2011, Volume: 40, Issue: 2, Pages: 154-162
ISSN:1879-176X
DOI:10.1016/j.jdent.2011.12.007
Online Access:Verlag, Volltext: http://dx.doi.org/10.1016/j.jdent.2011.12.007
Verlag, Volltext: http://www.sciencedirect.com/science/article/pii/S0300571211003137
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Author Notes:M. Schmitter, D. Mueller, S. Rues

MARC

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520 |a Objectives: The aim of this in vitro study was to assess the ultimate load to failure of zirconia based crowns veneered with CAD/CAM manufactured ceramic. Methods: 32 identical, anatoform zirconia (Sirona inCoris ZI, mono L F1) frameworks (thickness 0.6mm) were constructed (Sirona inLab 3.80). Afterwards, 16 crowns were completed using a CAD/CAM manufactured lithium disilicate ceramic veneer (IPS e.max CAD, Ivoclar Vivadent). The remaining 16 frames were veneered using conventional manual layering technique. For the CAD/CAM manufactured veneers, the connection between framework and veneer was accomplished via a glass fusion ceramics. Before fracture tests, half of the specimens underwent thermocycling and chewing simulation (1.2 million chewing cycles, force magnitude Fmax=108N). To further investigate the new technique, finite element computations were carried out on the basis of the original geometry. Results: Nearly all (87.5%) conventionally veneered crowns failed already during chewing simulation, whereas crowns with CAD/CAM manufactured veneers were non-sensitive to artificial ageing. Crowns veneered with lithium disilicate ceramic displayed ultimate loads to failure of about 1600N. Conclusion: The CAD/CAM production of veneers for restorations with zirconia framework is a promising way to reduce failures originating from material fatigue. 
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