Department of Fixed Prosthodontics, Faculty of Dentistry, Mansoura University, Box 35516, Mansoura, Dkahlia, Egypt.
BMC Oral Health. 2022 May 19;22(1):187. doi: 10.1186/s12903-022-02223-0.
BACKGROUND: The purpose of this in vitro study was to assess the influence of different cement systems with different ceramic primers on the retention strength of zirconia crowns. METHODS: Thirty extracted molars were prepared with flat occlusal surfaces, 20 degrees taper, and 3 mm axial wall height. A zirconia crown with an occlusal bar was fabricated for each tooth. All specimens were divided (n = 10) into; Group M: Multilink Speed/Monobond N, Group P: Panavia V5/Clearfil Ceramic Primer Plus, Group D: Duo-Link universal/Z-Prime Plus. The intaglio surfaces of crowns were air-abraded using 50 µm alumina at 2.5 bar for 10 s. Then each crown was cemented onto its corresponding tooth. All specimens were thermocycled for 10,000 cycles between 5 and 55 °C. Each crown was subjected to gradually increasing vertical load along the path of insertion through hooks engaging the occlusal bar using a universal testing machine until failure. The force at dislodgment was recorded and retention strength was calculated for each specimen. The failure modes were recorded for each specimen. The data were statistically analyzed using one way ANOVA test followed by Tukey HSD test (α = .05). RESULTS: Group D showed lowest strength (1.42 ± 0.23 MPa) and differed significantly (P < .001) from Group M (2.71 ± 0.45 MPa) and Group P (2.47 ± 0.41 MPa). There was no significant difference (P = .34) between Group M and Group P. The failure modes for Groups M and Group P were mainly cohesive, while Group D showed adhesive failure. CONCLUSIONS: The retention strength of zirconia crowns was improved with Multilink Speed and Panavia V5 cement systems, while the use of the Duo-Link Universal cement system only showed half of those retention strength values.
背景:本体外研究旨在评估不同陶瓷底涂剂的不同粘结系统对氧化锆全冠固位力的影响。
方法:对 30 颗离体磨牙进行预备,制备出具有平咬合面、20 度锥度和 3mm 轴壁高度的牙体。为每颗牙齿制作带有咬合杆的氧化锆全冠。将所有标本(n=10)分为:M 组:Multilink Speed/Monobond N;P 组:Panavia V5/Clearfil Ceramic Primer Plus;D 组:Duo-Link universal/Z-Prime Plus。使用 50μm氧化铝以 2.5 巴的压力喷砂 10s 对冠的内表面进行喷砂处理。然后将每个冠粘结到相应的牙齿上。所有标本均在 5℃至 55℃之间进行 10000 次热循环。使用万能试验机,通过与咬合杆上的挂钩接合,沿插入路径逐渐增加垂直负载,直至失效,记录脱位力,计算每个标本的固位力。记录每个标本的失效模式。使用单向方差分析(ANOVA)检验,随后采用 Tukey HSD 检验(α=0.05)对数据进行统计学分析。
结果:D 组的强度最低(1.42±0.23MPa),与 M 组(2.71±0.45MPa)和 P 组(2.47±0.41MPa)差异有统计学意义(P<0.001)。M 组和 P 组之间无显著差异(P=0.34)。M 组和 P 组的失效模式主要为内聚性,而 D 组表现为黏附性失败。
结论:Multilink Speed 和 Panavia V5 粘结系统可提高氧化锆全冠的固位力,而 Duo-Link Universal 粘结系统的使用仅显示出其固位力值的一半。
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