Porcelain Fracture Resistance of Screw-Retained, Cement-Retained, and Screw-Cement-Retained Implant-Supported Metal Ceramic Posterior Crowns

Purpose: The purpose of this in vitro study was to compare the porcelain fracture resistance between screw‐retained, cement‐retained, and combined screw‐ and cement‐retained metal–ceramic (MC) implant‐supported posterior single crowns; and to investigate the effect of offsetting the occlusal screw‐a...

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Veröffentlicht in:Journal of prosthodontics 2010-06, Vol.19 (4), p.263-273
Hauptverfasser: Al-Omari, Wael M., Shadid, Rola, Abu-Naba'a, Layla, Masoud, Bilal El
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container_end_page 273
container_issue 4
container_start_page 263
container_title Journal of prosthodontics
container_volume 19
creator Al-Omari, Wael M.
Shadid, Rola
Abu-Naba'a, Layla
Masoud, Bilal El
description Purpose: The purpose of this in vitro study was to compare the porcelain fracture resistance between screw‐retained, cement‐retained, and combined screw‐ and cement‐retained metal–ceramic (MC) implant‐supported posterior single crowns; and to investigate the effect of offsetting the occlusal screw‐access opening on porcelain fracture resistance of screw‐retained and cement‐retained MC implant‐supported posterior single crowns. Materials and Methods: Forty standardized MC molar‐shaped restorations were fabricated. The 40 restorations were divided into four groups (SRC, SRO, CRP, and CSC) of 10 specimens each. Group SRC: screw‐retained, screw‐access hole placed in the center of the occlusal surface; Group SRO: screw‐retained, screw access hole placed 1 mm offset from the center of the occlusal surface toward the buccal cusp; Group CRP: cement‐retained, zinc phosphate cement was used; Group CSC: cement‐retained with a screw‐access hole in the center of the occlusal surface. The screw‐retained restorations and abutments were directly attached to 3i implant fixtures embedded in acrylic resin blocks. Subsequently, all test specimens were thermocycled and vertically loaded in a universal testing machine at a crosshead speed of 2 mm/min until fracture. Mean values of load at fracture (in N) were calculated in each group and compared with a one‐way ANOVA and Tukey's Studentized test (α= 0.05). Results: Mean values of loads required to fracture the restorations were as follows (N): Group SRC: 1721 ± 593; Group SRO: 1885 ± 491; Group CRP: 3707 ± 1086; Group CSC: 1700 ± 526. Groups SRC, SRO, and CSC required a significantly lower force to fracture the porcelain than did the CRP group (p < 0.05). Conclusion: The cement‐retained restorations showed significantly higher mean fracture loads than the restorations having screw‐access openings in their occlusal surface. The position of the screw‐access hole within the occlusal surface did not significantly affect the porcelain fracture resistance.
doi_str_mv 10.1111/j.1532-849X.2009.00560.x
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Materials and Methods: Forty standardized MC molar‐shaped restorations were fabricated. The 40 restorations were divided into four groups (SRC, SRO, CRP, and CSC) of 10 specimens each. Group SRC: screw‐retained, screw‐access hole placed in the center of the occlusal surface; Group SRO: screw‐retained, screw access hole placed 1 mm offset from the center of the occlusal surface toward the buccal cusp; Group CRP: cement‐retained, zinc phosphate cement was used; Group CSC: cement‐retained with a screw‐access hole in the center of the occlusal surface. The screw‐retained restorations and abutments were directly attached to 3i implant fixtures embedded in acrylic resin blocks. Subsequently, all test specimens were thermocycled and vertically loaded in a universal testing machine at a crosshead speed of 2 mm/min until fracture. Mean values of load at fracture (in N) were calculated in each group and compared with a one‐way ANOVA and Tukey's Studentized test (α= 0.05). Results: Mean values of loads required to fracture the restorations were as follows (N): Group SRC: 1721 ± 593; Group SRO: 1885 ± 491; Group CRP: 3707 ± 1086; Group CSC: 1700 ± 526. Groups SRC, SRO, and CSC required a significantly lower force to fracture the porcelain than did the CRP group (p &lt; 0.05). Conclusion: The cement‐retained restorations showed significantly higher mean fracture loads than the restorations having screw‐access openings in their occlusal surface. 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Materials and Methods: Forty standardized MC molar‐shaped restorations were fabricated. The 40 restorations were divided into four groups (SRC, SRO, CRP, and CSC) of 10 specimens each. Group SRC: screw‐retained, screw‐access hole placed in the center of the occlusal surface; Group SRO: screw‐retained, screw access hole placed 1 mm offset from the center of the occlusal surface toward the buccal cusp; Group CRP: cement‐retained, zinc phosphate cement was used; Group CSC: cement‐retained with a screw‐access hole in the center of the occlusal surface. The screw‐retained restorations and abutments were directly attached to 3i implant fixtures embedded in acrylic resin blocks. Subsequently, all test specimens were thermocycled and vertically loaded in a universal testing machine at a crosshead speed of 2 mm/min until fracture. Mean values of load at fracture (in N) were calculated in each group and compared with a one‐way ANOVA and Tukey's Studentized test (α= 0.05). Results: Mean values of loads required to fracture the restorations were as follows (N): Group SRC: 1721 ± 593; Group SRO: 1885 ± 491; Group CRP: 3707 ± 1086; Group CSC: 1700 ± 526. Groups SRC, SRO, and CSC required a significantly lower force to fracture the porcelain than did the CRP group (p &lt; 0.05). Conclusion: The cement‐retained restorations showed significantly higher mean fracture loads than the restorations having screw‐access openings in their occlusal surface. The position of the screw‐access hole within the occlusal surface did not significantly affect the porcelain fracture resistance.</description><subject>cement-retained</subject><subject>Compressive Strength</subject><subject>Crowns</subject><subject>dental implant</subject><subject>Dental Implants, Single-Tooth</subject><subject>Dental Porcelain</subject><subject>Dental Prosthesis Retention - instrumentation</subject><subject>Dental Prosthesis Retention - methods</subject><subject>Dental Prosthesis, Implant-Supported</subject><subject>Dental Restoration Failure</subject><subject>Dental Stress Analysis</subject><subject>Dentistry</subject><subject>Humans</subject><subject>Metal Ceramic Alloys</subject><subject>metal ceramic crowns</subject><subject>Molar</subject><subject>Porcelain</subject><subject>screw-retained</subject><issn>1059-941X</issn><issn>1532-849X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNUc1u1DAYtBCIlsIrIN-4kOCfZG0fOEBES0uhy3aB3izH-SJlSeJgJ9rtO_DQOOyyQpzwxZ_mmxlbMwhhSlIaz6tNSnPOEpmpu5QRolJC8gVJdw_Q6XHxMM4kV4nK6N0JehLChhBKc0kfoxNGKF8Ikp2in0vnLbSm6fG5N3acPOAVhCaMpreAXY1vrYdtsoIxcqB6iQvooB__AkxfHUj_rPBlN7QmArfTMDg_RuRjXLXRwpuusXjpwgi-cR4X3m378BQ9qk0b4NnhPkNfzt-ti_fJ9c3FZfHmOrGZYCSRdcxAytpQJU0lRCWZoDkrFyW3xspMQqYYUMKZpKJkpqypYCxTgkFFRS75GXqx9x28-zFBGHXXhJhC_Cy4KWjBuVIkZzNT7pnWuxA81HrwTWf8vaZEz1XojZ4T13Pieq5C_65C76L0-eGRqeygOgr_ZB8Jr_eEbdPC_X8b66ub5SpOUZ_s9bEs2B31xn_XC8FFrr99utBXa7n-8Lb4rL_yX8MFqE8</recordid><startdate>201006</startdate><enddate>201006</enddate><creator>Al-Omari, Wael M.</creator><creator>Shadid, Rola</creator><creator>Abu-Naba'a, Layla</creator><creator>Masoud, Bilal El</creator><general>Blackwell Publishing Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201006</creationdate><title>Porcelain Fracture Resistance of Screw-Retained, Cement-Retained, and Screw-Cement-Retained Implant-Supported Metal Ceramic Posterior Crowns</title><author>Al-Omari, Wael M. ; Shadid, Rola ; Abu-Naba'a, Layla ; Masoud, Bilal El</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4720-8f11188fa198ad77d827152b6b3cac848e492e1032817b2abf17224972ed17583</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>cement-retained</topic><topic>Compressive Strength</topic><topic>Crowns</topic><topic>dental implant</topic><topic>Dental Implants, Single-Tooth</topic><topic>Dental Porcelain</topic><topic>Dental Prosthesis Retention - instrumentation</topic><topic>Dental Prosthesis Retention - methods</topic><topic>Dental Prosthesis, Implant-Supported</topic><topic>Dental Restoration Failure</topic><topic>Dental Stress Analysis</topic><topic>Dentistry</topic><topic>Humans</topic><topic>Metal Ceramic Alloys</topic><topic>metal ceramic crowns</topic><topic>Molar</topic><topic>Porcelain</topic><topic>screw-retained</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Al-Omari, Wael M.</creatorcontrib><creatorcontrib>Shadid, Rola</creatorcontrib><creatorcontrib>Abu-Naba'a, Layla</creatorcontrib><creatorcontrib>Masoud, Bilal El</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of prosthodontics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Al-Omari, Wael M.</au><au>Shadid, Rola</au><au>Abu-Naba'a, Layla</au><au>Masoud, Bilal El</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Porcelain Fracture Resistance of Screw-Retained, Cement-Retained, and Screw-Cement-Retained Implant-Supported Metal Ceramic Posterior Crowns</atitle><jtitle>Journal of prosthodontics</jtitle><addtitle>J Prosthodont</addtitle><date>2010-06</date><risdate>2010</risdate><volume>19</volume><issue>4</issue><spage>263</spage><epage>273</epage><pages>263-273</pages><issn>1059-941X</issn><eissn>1532-849X</eissn><abstract>Purpose: The purpose of this in vitro study was to compare the porcelain fracture resistance between screw‐retained, cement‐retained, and combined screw‐ and cement‐retained metal–ceramic (MC) implant‐supported posterior single crowns; and to investigate the effect of offsetting the occlusal screw‐access opening on porcelain fracture resistance of screw‐retained and cement‐retained MC implant‐supported posterior single crowns. Materials and Methods: Forty standardized MC molar‐shaped restorations were fabricated. The 40 restorations were divided into four groups (SRC, SRO, CRP, and CSC) of 10 specimens each. Group SRC: screw‐retained, screw‐access hole placed in the center of the occlusal surface; Group SRO: screw‐retained, screw access hole placed 1 mm offset from the center of the occlusal surface toward the buccal cusp; Group CRP: cement‐retained, zinc phosphate cement was used; Group CSC: cement‐retained with a screw‐access hole in the center of the occlusal surface. The screw‐retained restorations and abutments were directly attached to 3i implant fixtures embedded in acrylic resin blocks. Subsequently, all test specimens were thermocycled and vertically loaded in a universal testing machine at a crosshead speed of 2 mm/min until fracture. Mean values of load at fracture (in N) were calculated in each group and compared with a one‐way ANOVA and Tukey's Studentized test (α= 0.05). Results: Mean values of loads required to fracture the restorations were as follows (N): Group SRC: 1721 ± 593; Group SRO: 1885 ± 491; Group CRP: 3707 ± 1086; Group CSC: 1700 ± 526. Groups SRC, SRO, and CSC required a significantly lower force to fracture the porcelain than did the CRP group (p &lt; 0.05). Conclusion: The cement‐retained restorations showed significantly higher mean fracture loads than the restorations having screw‐access openings in their occlusal surface. The position of the screw‐access hole within the occlusal surface did not significantly affect the porcelain fracture resistance.</abstract><cop>Malden, USA</cop><pub>Blackwell Publishing Inc</pub><pmid>20136704</pmid><doi>10.1111/j.1532-849X.2009.00560.x</doi><tpages>11</tpages></addata></record>
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subjects cement-retained
Compressive Strength
Crowns
dental implant
Dental Implants, Single-Tooth
Dental Porcelain
Dental Prosthesis Retention - instrumentation
Dental Prosthesis Retention - methods
Dental Prosthesis, Implant-Supported
Dental Restoration Failure
Dental Stress Analysis
Dentistry
Humans
Metal Ceramic Alloys
metal ceramic crowns
Molar
Porcelain
screw-retained
title Porcelain Fracture Resistance of Screw-Retained, Cement-Retained, and Screw-Cement-Retained Implant-Supported Metal Ceramic Posterior Crowns
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