Load-bearing capacity under fatigue and FEA analysis of simplified ceramic restorations supported by Peek or zirconia polycrystals as foundation substrate for implant purposes
The fatigue behavior and FEA analysis of different ceramic materials cemented over distinct substrates for implant-supported crowns were evaluated in this study. Discs of 10 mm in diameter of both restorative and substrate materials were made and randomly allocated into pairs (n = 15) considering th...
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| Veröffentlicht in: | Journal of the mechanical behavior of biomedical materials 2021-11, Vol.123, p.104760-104760, Article 104760 |
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| creator | Soares, Pablo Machado Cadore-Rodrigues, Ana Carolina Souto Borges, Alexandre Luiz Valandro, Luiz Felipe Pereira, Gabriel Kalil Rocha Rippe, Marília Pivetta |
| description | The fatigue behavior and FEA analysis of different ceramic materials cemented over distinct substrates for implant-supported crowns were evaluated in this study. Discs of 10 mm in diameter of both restorative and substrate materials were made and randomly allocated into pairs (n = 15) considering the two study factors: ‘restorative ceramic material’ (1 mm thickness) – polymer-infiltrated ceramic network (PICN), lithium disilicate (LD), zirconia-reinforced lithium silicate (ZLS), or translucent zirconia (TZ); and ‘foundation substrate’ (2 mm thickness) – polyetheretherketone (Peek) or yttrium-stabilized zirconia (YZ). Adhesive cementation was made with a dual cure resin cement. Fatigue testing was run using the step-stress methodology: initial load of 200 N for 5000 cycles, followed by steps of 10,000 cycles starting at 400 N up to 2800 N or until failure, step size of 200 N, frequency of 20 Hz. Data were analyzed by the Kaplan Meier and log-rank post-hoc tests. Fractography analysis (stereomicroscope and SEM) and FEA were also performed. Both factors under study and their interaction statistically influenced the fatigue failure load (FFL), cycles for failure (CFF) and survival rates (p |
| doi_str_mv | 10.1016/j.jmbbm.2021.104760 |
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•Stiffer foundation substrate enhances the fatigue performance of a restorative set.•Restorative materials with higher crystalline content show higher fatigue strength.•The foundation substrate influences the failure pattern of a restorative set.</description><identifier>ISSN: 1751-6161</identifier><identifier>EISSN: 1878-0180</identifier><identifier>DOI: 10.1016/j.jmbbm.2021.104760</identifier><language>eng</language><publisher>Elsevier Ltd</publisher><subject>Abutments ; All-ceramic restorations ; Fatigue testing ; Fractography ; In silico analysis ; Survival analysis</subject><ispartof>Journal of the mechanical behavior of biomedical materials, 2021-11, Vol.123, p.104760-104760, Article 104760</ispartof><rights>2021 Elsevier Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c336t-89aa71a73910f9a428d1e8e3efc29b5838932f84df55697b48a656225a4d350b3</citedby><cites>FETCH-LOGICAL-c336t-89aa71a73910f9a428d1e8e3efc29b5838932f84df55697b48a656225a4d350b3</cites><orcidid>0000-0001-7203-6924</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jmbbm.2021.104760$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids></links><search><creatorcontrib>Soares, Pablo Machado</creatorcontrib><creatorcontrib>Cadore-Rodrigues, Ana Carolina</creatorcontrib><creatorcontrib>Souto Borges, Alexandre Luiz</creatorcontrib><creatorcontrib>Valandro, Luiz Felipe</creatorcontrib><creatorcontrib>Pereira, Gabriel Kalil Rocha</creatorcontrib><creatorcontrib>Rippe, Marília Pivetta</creatorcontrib><title>Load-bearing capacity under fatigue and FEA analysis of simplified ceramic restorations supported by Peek or zirconia polycrystals as foundation substrate for implant purposes</title><title>Journal of the mechanical behavior of biomedical materials</title><description>The fatigue behavior and FEA analysis of different ceramic materials cemented over distinct substrates for implant-supported crowns were evaluated in this study. Discs of 10 mm in diameter of both restorative and substrate materials were made and randomly allocated into pairs (n = 15) considering the two study factors: ‘restorative ceramic material’ (1 mm thickness) – polymer-infiltrated ceramic network (PICN), lithium disilicate (LD), zirconia-reinforced lithium silicate (ZLS), or translucent zirconia (TZ); and ‘foundation substrate’ (2 mm thickness) – polyetheretherketone (Peek) or yttrium-stabilized zirconia (YZ). Adhesive cementation was made with a dual cure resin cement. Fatigue testing was run using the step-stress methodology: initial load of 200 N for 5000 cycles, followed by steps of 10,000 cycles starting at 400 N up to 2800 N or until failure, step size of 200 N, frequency of 20 Hz. Data were analyzed by the Kaplan Meier and log-rank post-hoc tests. Fractography analysis (stereomicroscope and SEM) and FEA were also performed. Both factors under study and their interaction statistically influenced the fatigue failure load (FFL), cycles for failure (CFF) and survival rates (p < 0.001). The restorative materials bonded to YZ had higher FFL and CFF than when adhering to Peek, while restorative materials with more crystalline content (TZ and ZLS) showed higher FFL and CFF than LD and PICN. The fractography analysis showed that all materials bonded to YZ resulted in failures starting at the occlusal surface (Hertzian cone cracks), while materials bonded to Peek had radial cracks from the ceramic-cement intaglio surface. FEA analysis showed that tensile stress concentration decreased in the intaglio surface when testing the restorative material over a stiffer (YZ) foundation substrate. In addition, the higher the restorative material's crystalline content, the more the stress is concentrated within the material (TZ > ZLS ≥ LD > PICN) when bonded to the same foundation substrate. Thus, it concluded that a stiffer foundation substrate (YZ) enhances the load-bearing capacity under fatigue of the restorative set; that restorative materials with higher crystalline content results in higher fatigue performance of the set, regardless of the foundation used; and that the foundation material influences the failure pattern of the restorative set.
•Stiffer foundation substrate enhances the fatigue performance of a restorative set.•Restorative materials with higher crystalline content show higher fatigue strength.•The foundation substrate influences the failure pattern of a restorative set.</description><subject>Abutments</subject><subject>All-ceramic restorations</subject><subject>Fatigue testing</subject><subject>Fractography</subject><subject>In silico analysis</subject><subject>Survival analysis</subject><issn>1751-6161</issn><issn>1878-0180</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kc-O1DAMxisEEsvCE3DJkUuH_GnT9MBhtdoFpJF2D3CO3MRZZWibErdI5aV4RTI7nDnZsv3zZ-urqveCHwQX-uPpcJqGYTpILkWpNJ3mL6orYTpTc2H4y5J3rai10OJ19YboxLnm3Jir6s8xga8HhBznJ-ZgARfXnW2zx8wCrPFpQwazZ_d3NyXCuFMklgKjOC1jDBE9c5hhio5lpDXlwqSZGG3LkvJa2sPOHhF_sJTZ75hdmiOwJY27yzutMBIDYiEVxWeygAOtZQuWYmZnFZhXtmx5SYT0tnoVCoPv_sXr6vv93bfbL_Xx4fPX25tj7ZTSa216gE5Ap3rBQw-NNF6gQYXByX5ojTK9ksE0PrSt7ruhMaBbLWULjVctH9R19eGyd8np51Yes1Mkh2M5BtNGVrZaNbLrRVNG1WXU5USUMdglxwnybgW3Z3vsyT7bY8_22Is9hfp0obB88StituQizg59zOhW61P8L_8Xc9-eEA</recordid><startdate>202111</startdate><enddate>202111</enddate><creator>Soares, Pablo Machado</creator><creator>Cadore-Rodrigues, Ana Carolina</creator><creator>Souto Borges, Alexandre Luiz</creator><creator>Valandro, Luiz Felipe</creator><creator>Pereira, Gabriel Kalil Rocha</creator><creator>Rippe, Marília Pivetta</creator><general>Elsevier Ltd</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7203-6924</orcidid></search><sort><creationdate>202111</creationdate><title>Load-bearing capacity under fatigue and FEA analysis of simplified ceramic restorations supported by Peek or zirconia polycrystals as foundation substrate for implant purposes</title><author>Soares, Pablo Machado ; Cadore-Rodrigues, Ana Carolina ; Souto Borges, Alexandre Luiz ; Valandro, Luiz Felipe ; Pereira, Gabriel Kalil Rocha ; Rippe, Marília Pivetta</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c336t-89aa71a73910f9a428d1e8e3efc29b5838932f84df55697b48a656225a4d350b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Abutments</topic><topic>All-ceramic restorations</topic><topic>Fatigue testing</topic><topic>Fractography</topic><topic>In silico analysis</topic><topic>Survival analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Soares, Pablo Machado</creatorcontrib><creatorcontrib>Cadore-Rodrigues, Ana Carolina</creatorcontrib><creatorcontrib>Souto Borges, Alexandre Luiz</creatorcontrib><creatorcontrib>Valandro, Luiz Felipe</creatorcontrib><creatorcontrib>Pereira, Gabriel Kalil Rocha</creatorcontrib><creatorcontrib>Rippe, Marília Pivetta</creatorcontrib><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the mechanical behavior of biomedical materials</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Soares, Pablo Machado</au><au>Cadore-Rodrigues, Ana Carolina</au><au>Souto Borges, Alexandre Luiz</au><au>Valandro, Luiz Felipe</au><au>Pereira, Gabriel Kalil Rocha</au><au>Rippe, Marília Pivetta</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Load-bearing capacity under fatigue and FEA analysis of simplified ceramic restorations supported by Peek or zirconia polycrystals as foundation substrate for implant purposes</atitle><jtitle>Journal of the mechanical behavior of biomedical materials</jtitle><date>2021-11</date><risdate>2021</risdate><volume>123</volume><spage>104760</spage><epage>104760</epage><pages>104760-104760</pages><artnum>104760</artnum><issn>1751-6161</issn><eissn>1878-0180</eissn><abstract>The fatigue behavior and FEA analysis of different ceramic materials cemented over distinct substrates for implant-supported crowns were evaluated in this study. Discs of 10 mm in diameter of both restorative and substrate materials were made and randomly allocated into pairs (n = 15) considering the two study factors: ‘restorative ceramic material’ (1 mm thickness) – polymer-infiltrated ceramic network (PICN), lithium disilicate (LD), zirconia-reinforced lithium silicate (ZLS), or translucent zirconia (TZ); and ‘foundation substrate’ (2 mm thickness) – polyetheretherketone (Peek) or yttrium-stabilized zirconia (YZ). Adhesive cementation was made with a dual cure resin cement. Fatigue testing was run using the step-stress methodology: initial load of 200 N for 5000 cycles, followed by steps of 10,000 cycles starting at 400 N up to 2800 N or until failure, step size of 200 N, frequency of 20 Hz. Data were analyzed by the Kaplan Meier and log-rank post-hoc tests. Fractography analysis (stereomicroscope and SEM) and FEA were also performed. Both factors under study and their interaction statistically influenced the fatigue failure load (FFL), cycles for failure (CFF) and survival rates (p < 0.001). The restorative materials bonded to YZ had higher FFL and CFF than when adhering to Peek, while restorative materials with more crystalline content (TZ and ZLS) showed higher FFL and CFF than LD and PICN. The fractography analysis showed that all materials bonded to YZ resulted in failures starting at the occlusal surface (Hertzian cone cracks), while materials bonded to Peek had radial cracks from the ceramic-cement intaglio surface. FEA analysis showed that tensile stress concentration decreased in the intaglio surface when testing the restorative material over a stiffer (YZ) foundation substrate. In addition, the higher the restorative material's crystalline content, the more the stress is concentrated within the material (TZ > ZLS ≥ LD > PICN) when bonded to the same foundation substrate. Thus, it concluded that a stiffer foundation substrate (YZ) enhances the load-bearing capacity under fatigue of the restorative set; that restorative materials with higher crystalline content results in higher fatigue performance of the set, regardless of the foundation used; and that the foundation material influences the failure pattern of the restorative set.
•Stiffer foundation substrate enhances the fatigue performance of a restorative set.•Restorative materials with higher crystalline content show higher fatigue strength.•The foundation substrate influences the failure pattern of a restorative set.</abstract><pub>Elsevier Ltd</pub><doi>10.1016/j.jmbbm.2021.104760</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0001-7203-6924</orcidid></addata></record> |
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| subjects | Abutments All-ceramic restorations Fatigue testing Fractography In silico analysis Survival analysis |
| title | Load-bearing capacity under fatigue and FEA analysis of simplified ceramic restorations supported by Peek or zirconia polycrystals as foundation substrate for implant purposes |
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