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Effect of margin design on fracture load of zirconia crowns

Zirconia‐based restorations are showing an increase as the clinicians’ preferred choice at posterior sites because of the strength and esthetic properties of such restorations. However, all‐ceramic restorations fracture at higher rates than do metal‐based restorations. Margin design is one of severa...

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Detalles Bibliográficos
Autores principales: Skjold, Anneli, Schriwer, Christian, Øilo, Marit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6587860/
https://www.ncbi.nlm.nih.gov/pubmed/30467907
http://dx.doi.org/10.1111/eos.12593
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author Skjold, Anneli
Schriwer, Christian
Øilo, Marit
author_facet Skjold, Anneli
Schriwer, Christian
Øilo, Marit
author_sort Skjold, Anneli
collection PubMed
description Zirconia‐based restorations are showing an increase as the clinicians’ preferred choice at posterior sites because of the strength and esthetic properties of such restorations. However, all‐ceramic restorations fracture at higher rates than do metal‐based restorations. Margin design is one of several factors that can affect the fracture strength of all‐ceramic restorations. The aim of this study was to assess the effect of preparation and crown margin design on fracture resistance. Four groups of bilayer zirconia crowns (with 10 crowns in each group) were produced by hard‐ or soft‐machining technique, with the following four different margin designs: chamfer preparation (control); slice preparation; slice preparation with an additional cervical collar of 0.7 mm thickness; and reduced occlusal thickness (to 0.4 mm) on slice preparation with an additional cervical collar of 0.7 mm thickness. Additionally, 10 hard‐machined crowns with slice preparation were veneered and glazed with feldspathic porcelain. In total, 90 crowns were loaded centrally in the occlusal fossa until fracture. The load at fracture was higher than clinically relevant mastication loads for all preparation and margin designs. The crowns on a chamfer preparation fractured at higher loads compared with crowns on a slice preparation. An additional cervical collar increased load at fracture for hard‐machined crowns.
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spelling pubmed-65878602019-07-02 Effect of margin design on fracture load of zirconia crowns Skjold, Anneli Schriwer, Christian Øilo, Marit Eur J Oral Sci Original Articles Zirconia‐based restorations are showing an increase as the clinicians’ preferred choice at posterior sites because of the strength and esthetic properties of such restorations. However, all‐ceramic restorations fracture at higher rates than do metal‐based restorations. Margin design is one of several factors that can affect the fracture strength of all‐ceramic restorations. The aim of this study was to assess the effect of preparation and crown margin design on fracture resistance. Four groups of bilayer zirconia crowns (with 10 crowns in each group) were produced by hard‐ or soft‐machining technique, with the following four different margin designs: chamfer preparation (control); slice preparation; slice preparation with an additional cervical collar of 0.7 mm thickness; and reduced occlusal thickness (to 0.4 mm) on slice preparation with an additional cervical collar of 0.7 mm thickness. Additionally, 10 hard‐machined crowns with slice preparation were veneered and glazed with feldspathic porcelain. In total, 90 crowns were loaded centrally in the occlusal fossa until fracture. The load at fracture was higher than clinically relevant mastication loads for all preparation and margin designs. The crowns on a chamfer preparation fractured at higher loads compared with crowns on a slice preparation. An additional cervical collar increased load at fracture for hard‐machined crowns. John Wiley and Sons Inc. 2018-11-22 2019-02 /pmc/articles/PMC6587860/ /pubmed/30467907 http://dx.doi.org/10.1111/eos.12593 Text en © 2018 The Authors. Eur J Oral Sci published by John Wiley & Sons Ltd This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Original Articles
Skjold, Anneli
Schriwer, Christian
Øilo, Marit
Effect of margin design on fracture load of zirconia crowns
title Effect of margin design on fracture load of zirconia crowns
title_full Effect of margin design on fracture load of zirconia crowns
title_fullStr Effect of margin design on fracture load of zirconia crowns
title_full_unstemmed Effect of margin design on fracture load of zirconia crowns
title_short Effect of margin design on fracture load of zirconia crowns
title_sort effect of margin design on fracture load of zirconia crowns
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6587860/
https://www.ncbi.nlm.nih.gov/pubmed/30467907
http://dx.doi.org/10.1111/eos.12593
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