The Effect of Preparation Height and Luting Agent on the Resistance form of Cemented Cast Crowns Under Load Fatigue

The minimum amount of resistance form required for the success of a clinical crown is unknown.There is little information on the fatigue performance of complete coverage restorations on natural tooth preparations cemented with different luting cements. The purpose of this study was to evaluate the e...

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Veröffentlicht in:The Journal of prosthetic dentistry 2009-09, Vol.102 (3), p.155-164
Hauptverfasser: Leong, Elvin W.J., BDS, MDS, Choon Tan, Keson Beng, BDS, MSD, Nicholls, Jack Ivan, PhD, Chua, Ee Kiam, BDS, MDS, Wong, Keng Mun, BDS, MSD, Neo, Jennifer Chiew Lian, BDS, MS
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container_end_page 164
container_issue 3
container_start_page 155
container_title The Journal of prosthetic dentistry
container_volume 102
creator Leong, Elvin W.J., BDS, MDS
Choon Tan, Keson Beng, BDS, MSD
Nicholls, Jack Ivan, PhD
Chua, Ee Kiam, BDS, MDS
Wong, Keng Mun, BDS, MSD
Neo, Jennifer Chiew Lian, BDS, MS
description The minimum amount of resistance form required for the success of a clinical crown is unknown.There is little information on the fatigue performance of complete coverage restorations on natural tooth preparations cemented with different luting cements. The purpose of this study was to evaluate the effect of tooth preparation height and luting agent on resistance form using unidirectional load fatigue testing. For a given tooth preparation with a clinically relevant total occlusal convergence (TOC), the adequacy of resistance form was investigated. Sixty-four human maxillary premolars were prepared with occlusal-cervical dimensions of 2, 3,4, or 5 mm and a TOC of 20 degrees. Complete metal crowns were cemented using either zinc phosphate cement (HY Bond;ZP groups) or resin cement (Panavia F; PF groups). Cyclic load fatigue testing was done with an applied load of 6.0 kg at 2.6 Hz. Load cycles to preliminary failure were detected with a strain gauge at the palatal crown-tooth interface. Results were subjected to the Kruskal-Wallis test and the Wilcoxon post-hoc rank sum test (alpha=.05). Groups ZP4, ZP5, PF2, PF3, PF4, and PF5 had the highest mean number of cycles to preliminary failure,while group ZP2 had the lowest mean number of cycles to failure. Group ZP2 was significantly different (P
doi_str_mv 10.1016/S0022-3913(09)60137-2
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The purpose of this study was to evaluate the effect of tooth preparation height and luting agent on resistance form using unidirectional load fatigue testing. For a given tooth preparation with a clinically relevant total occlusal convergence (TOC), the adequacy of resistance form was investigated. Sixty-four human maxillary premolars were prepared with occlusal-cervical dimensions of 2, 3,4, or 5 mm and a TOC of 20 degrees. Complete metal crowns were cemented using either zinc phosphate cement (HY Bond;ZP groups) or resin cement (Panavia F; PF groups). Cyclic load fatigue testing was done with an applied load of 6.0 kg at 2.6 Hz. Load cycles to preliminary failure were detected with a strain gauge at the palatal crown-tooth interface. Results were subjected to the Kruskal-Wallis test and the Wilcoxon post-hoc rank sum test (alpha=.05). Groups ZP4, ZP5, PF2, PF3, PF4, and PF5 had the highest mean number of cycles to preliminary failure,while group ZP2 had the lowest mean number of cycles to failure. Group ZP2 was significantly different (P&lt;.001) from all other test groups for the number of cycles to failure. For the 2- and 3-mm preparation height groups, zinc phosphate cement exhibited a poorer fatigue performance compared to Panavia F. There was no significant difference in the number of cycles to failure for groups ZP4,ZP5, PF2, PF3, PF4, and PF5. For both cements, the number of cycles to failure increased with increasing resistance length. 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The purpose of this study was to evaluate the effect of tooth preparation height and luting agent on resistance form using unidirectional load fatigue testing. For a given tooth preparation with a clinically relevant total occlusal convergence (TOC), the adequacy of resistance form was investigated. Sixty-four human maxillary premolars were prepared with occlusal-cervical dimensions of 2, 3,4, or 5 mm and a TOC of 20 degrees. Complete metal crowns were cemented using either zinc phosphate cement (HY Bond;ZP groups) or resin cement (Panavia F; PF groups). Cyclic load fatigue testing was done with an applied load of 6.0 kg at 2.6 Hz. Load cycles to preliminary failure were detected with a strain gauge at the palatal crown-tooth interface. Results were subjected to the Kruskal-Wallis test and the Wilcoxon post-hoc rank sum test (alpha=.05). 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source MEDLINE; Elsevier ScienceDirect Journals
subjects Bicuspid
Crowns
Dental Bonding - methods
Dental Cements - chemistry
Dental Debonding
Dental Prosthesis Retention - methods
Dental Restoration Failure
Dental Stress Analysis
Dentistry
Humans
Statistics, Nonparametric
Tooth Crown - anatomy & histology
Tooth Preparation, Prosthodontic - methods
Weight-Bearing
title The Effect of Preparation Height and Luting Agent on the Resistance form of Cemented Cast Crowns Under Load Fatigue
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