CC BY-NC-ND 4.0 · Eur J Dent 2013; 07(04): 455-460
DOI: 10.4103/1305-7456.120671
Original Article
Dental Investigation Society

In vitro evaluation of the fracture strength of all-ceramic core materials on zirconium posts

Nihal Ozcan
1   Department of Prosthodontics, Faculty of Dentistry, Kirikkale University, Kirikkale, Turkiye
,
Erdal Sahin
2   Department of Prosthodontics, Faculty of Dentistry, Hacettepe University, Ankara, Turkiye
› Author Affiliations
Further Information

Publication History

Publication Date:
26 September 2019 (online)

ABSTRACT

Objective: For most endodontically treated teeth, tooth-colored post-core systems are preferable for esthetic reasons. Therefore, improvements in material strength must also consider tooth colored post-core complexes. The objective of this study was to evaluate the difference in tooth colored post-core complex strengths. Materials and Methods: A total of 33 human maxillary central incisor teeth were used for this study, with three groups of 11 teeth. Three different methods were used to fabricate all-ceramic post-core restorations: zirconia blanks, Cerec 3D-milled to one-piece post-core restorations (Test Group 1); feldspathic cores (from feldspathic prefabricated CAD/CAM blocks) adhesively luted to CosmoPost zirconia posts (Test Group 2); and IPS Empress cores directly pressed to CosmoPost zirconia posts (Test Group 3). All-ceramic crowns from feldspathic ceramic were constructed using a CAD/CAM system (Cerec 3D) for all specimens. The post-core complexes were tested to failure with the load applied at 45° angled relative to the tooth long axis. The load at fracture was recorded. Results: The maximum fracture strength of the milled zirconia cores (Test Group 1) was 577 N; corresponding values for the milled feldspathic cores (Test Group 2) and the pressed cores (Test Group 3) were 586 and 585 N, respectively. Differences were not statistically significant at P < 0.05 (P = 0.669). Conclusions: All-ceramic cores adhesively luted on zirconia posts and one-piece all-ceramic zirconium post-core structures offer a viable alternative to conventional pressing.

 
  • REFERENCES

  • 1 Akkayan B, Gülmez T. Resistance to fracture of endodontically treated teeth restored with different post systems. J Prosthet Dent 2002; 87: 431-7
  • 2 Musikant BL, Deutsch AS. A new prefabricated post and core system. J Prosthet Dent 1984; 52: 631-4
  • 3 Morgano SM, Brackett SE. Foundation restorations in fixed prosthodontics: Current knowledge and future needs. J Prosthet Dent 1999; 82: 643-57
  • 4 Oblak C, Jevnikar P, Kosmac T, Funduk N, Marion L. Fracture resistance and reliability of new zirconia posts. J Prosthet Dent 2004; 91: 342-8
  • 5 Hedlund SO, Johansson NG, Sjögren G. Retention of prefabricated and individually cast root canal posts in vitro. Br Dent J 2003; 195: 155-8
  • 6 Dietschi D, Romelli M, Goretti A. Adaptation of adhesive posts and cores to dentin after fatigue testing. Int J Prosthodont 1997; 10: 498-507
  • 7 Schwartz RS, Robbins JW. Post placement and restoration of endodontically treated teeth: A literature review. J Endod 2004; 30: 289-301
  • 8 Holden JE, Goldstein GR, Hittelman EL, Clark EA. Comparison of the marginal fit of pressable ceramic to metal ceramic restorations. J Prosthodont 2009; 18: 645-8
  • 9 Pissis P. Fabrication of a metal-free ceramic restoration utilizing the monobloc technique. Pract Periodontics Aesthet Dent 1995; 7: 83-94
  • 10 Christel P, Meunier A, Heller M, Torre JP, Peille CN. Mechanical properties and short-term in-vivo evaluation of yttrium-oxide-partially-stabilized zirconia. J Biomed Mater Res 1989; 23: 45-61
  • 11 Rosentritt M, Fürer C, Behr M, Lang R, Handel G. Comparison of in vitro fracture strength of metallic and tooth-coloured posts and cores. J Oral Rehabil 2000; 27: 595-601
  • 12 Lopes GC, Baratieri LN, Caldeira de Andrada MA, Maia HP. All-ceramic post core, and crown: Technique and case report. J Esthet Restor Dent 2001; 13: 285-95
  • 13 Butz F, Lennon AM, Heydecke G, Strub JR. Survival rate and fracture strength of endodontically treated maxillary incisors with moderate defects restored with different post-and-core systems: An in vitro study. Int J Prosthodont 2001; 14: 58-64
  • 14 Sidoli GE, King PA, Setchell DJ. An in vitro evaluation of a carbon fiber-based post and core system. J Prosthet Dent 1997; 78: 5-9
  • 15 Groten M, Pröbster L. The influence of different cementation modes on the fracture resistance of feldspathic ceramic crowns. Int J Prosthodont 1997; 10: 169-77
  • 16 Isidor F, Odman P, Brøndum K. Intermittent loading of teeth restored using prefabricated carbon fiber posts. Int J Prosthodont 1996; 9: 131-6
  • 17 Meyenberg KH, Lüthy H, Schärer P. Zirconia posts: A new all-ceramic concept for nonvital abutment teeth. J Esthet Dent 1995; 7: 73-80
  • 18 Kakehashi Y, Lüthy H, Naef R, Wohlwend A, Schärer P. A new all-ceramic post and core system: Clinical, technical, and in vitro results. Int J Periodontics Restorative Dent 1998; 18: 586-93
  • 19 Ramfjord SF, Costich ER. Healing after exposure of periosteum on the alveolar process. J Periodontol 1968; 39: 199-207
  • 20 Holm-Pedersen P, Lang NP, Müller F. What are the longevities of teeth and oral implants?. Clin Oral Implants Res 2007; 18 (Suppl. 03) 15-9
  • 21 Isidor F, Brøndum K, Ravnholt G. The influence of post length and crown ferrule length on the resistance to cyclic loading of bovine teeth with prefabricated titanium posts. Int J Prosthodont 1999; 12: 78-82
  • 23 Friedel W, Kern M. Fracture strength of teeth restored with all-ceramic posts and cores. Quintessence Int 2006; 37: 289-95
  • 23 Bittner N, Hill T, Randi A. Evaluation of a one-piece milled zirconia post and core with different post-and-core systems: An in vitro study. J Prosthet Dent 2010; 103: 369-79
  • 24 Jeong SM, Ludwig K, Kern M. Investigation of the fracture resistance of three types of zirconia posts in all-ceramic post-and-core restorations. Int J Prosthodont 2002; 15: 154-8