Comparing Fracture Resistance of Monolithic Zirconia Crowns Designed with three Different Thicknesses: An In Vitro Study

A limited available inter-occlusal space has always been a challenge for many dental practitioners, which hinders acquiring aesthetic restorations while conserving the remaining dental structure. This research aims to analyze the relationship between the occlusal thickness of second-generation CAD/...

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Main Authors: Safa M. Alzoubi, Abdel Ghani Alsahhar, Ebtisam Alsalameh
Format: Article
Language:English
Published: Hungarian Dental Association 2022-12-01
Series:Fogorvosi Szemle
Subjects:
Online Access:https://ojs.mtak.hu/index.php/fogorv-szemle/article/view/9501
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author Safa M. Alzoubi
Abdel Ghani Alsahhar
Ebtisam Alsalameh
author_facet Safa M. Alzoubi
Abdel Ghani Alsahhar
Ebtisam Alsalameh
author_sort Safa M. Alzoubi
collection DOAJ
description A limited available inter-occlusal space has always been a challenge for many dental practitioners, which hinders acquiring aesthetic restorations while conserving the remaining dental structure. This research aims to analyze the relationship between the occlusal thickness of second-generation CAD/CAM monolithic zirconia restorations, and their fracture resistance, in order to determine the feasibility of reducing the occlusal thickness – particularly in the posterior oral area, where a limited inter-occlusal space is usually available, and high biting forces are usually applied. Thirty monolithic zirconia crowns were made using second generation zirconia block with different design settings that divided them into 3 groups (n = 10) according to the occlusal thickness of the restorations: Group A: 2 mm, Group B: 1.5 mm, Group C: 1 mm. Thirty designed crowns were cemented to extracted prepared natural upper premolars using glass ionomer cement, then they were tested. Fracture resistance of the monolithic zirconia crowns was significantly influenced by the occlusal thickness, the resistance improved steadily as the thickness increased. Nevertheless, the occlusal thickness could be reduced down to 1 mm and the monolithic zirconia restoration would still own sufficient resistance to tolerate the maximum natural human biting loads of the posterior oral regions.
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spelling doaj.art-a40435fc5bf24b3fb044cdad377d452c2023-02-14T19:56:37ZengHungarian Dental AssociationFogorvosi Szemle2498-81702022-12-01115410.33891/FSZ.114.4.172-177Comparing Fracture Resistance of Monolithic Zirconia Crowns Designed with three Different Thicknesses: An In Vitro StudySafa M. Alzoubi0Abdel Ghani Alsahhar1Ebtisam Alsalameh2Department of Fixed Prosthodontics,Faculty of Dentistry, University of Hama, SyriaFaculty of Public Health, University of Debrecen, HungaryDepartment of Fixed Prosthodontics,Faculty of Dentistry, University of Hama, Syria A limited available inter-occlusal space has always been a challenge for many dental practitioners, which hinders acquiring aesthetic restorations while conserving the remaining dental structure. This research aims to analyze the relationship between the occlusal thickness of second-generation CAD/CAM monolithic zirconia restorations, and their fracture resistance, in order to determine the feasibility of reducing the occlusal thickness – particularly in the posterior oral area, where a limited inter-occlusal space is usually available, and high biting forces are usually applied. Thirty monolithic zirconia crowns were made using second generation zirconia block with different design settings that divided them into 3 groups (n = 10) according to the occlusal thickness of the restorations: Group A: 2 mm, Group B: 1.5 mm, Group C: 1 mm. Thirty designed crowns were cemented to extracted prepared natural upper premolars using glass ionomer cement, then they were tested. Fracture resistance of the monolithic zirconia crowns was significantly influenced by the occlusal thickness, the resistance improved steadily as the thickness increased. Nevertheless, the occlusal thickness could be reduced down to 1 mm and the monolithic zirconia restoration would still own sufficient resistance to tolerate the maximum natural human biting loads of the posterior oral regions. https://ojs.mtak.hu/index.php/fogorv-szemle/article/view/9501FractureResistanceMonolithicZirconiaCrownsThickness
spellingShingle Safa M. Alzoubi
Abdel Ghani Alsahhar
Ebtisam Alsalameh
Comparing Fracture Resistance of Monolithic Zirconia Crowns Designed with three Different Thicknesses: An In Vitro Study
Fogorvosi Szemle
Fracture
Resistance
Monolithic
Zirconia
Crowns
Thickness
title Comparing Fracture Resistance of Monolithic Zirconia Crowns Designed with three Different Thicknesses: An In Vitro Study
title_full Comparing Fracture Resistance of Monolithic Zirconia Crowns Designed with three Different Thicknesses: An In Vitro Study
title_fullStr Comparing Fracture Resistance of Monolithic Zirconia Crowns Designed with three Different Thicknesses: An In Vitro Study
title_full_unstemmed Comparing Fracture Resistance of Monolithic Zirconia Crowns Designed with three Different Thicknesses: An In Vitro Study
title_short Comparing Fracture Resistance of Monolithic Zirconia Crowns Designed with three Different Thicknesses: An In Vitro Study
title_sort comparing fracture resistance of monolithic zirconia crowns designed with three different thicknesses an in vitro study
topic Fracture
Resistance
Monolithic
Zirconia
Crowns
Thickness
url https://ojs.mtak.hu/index.php/fogorv-szemle/article/view/9501
work_keys_str_mv AT safamalzoubi comparingfractureresistanceofmonolithiczirconiacrownsdesignedwiththreedifferentthicknessesaninvitrostudy
AT abdelghanialsahhar comparingfractureresistanceofmonolithiczirconiacrownsdesignedwiththreedifferentthicknessesaninvitrostudy
AT ebtisamalsalameh comparingfractureresistanceofmonolithiczirconiacrownsdesignedwiththreedifferentthicknessesaninvitrostudy