scholarly journals In Vitro Evaluation of the Effect of Different Luting Cements and Tooth Preparation Angle on the Microleakage of Zirconia Crowns

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Behnaz Ebadian ◽  
Amirhossein Fathi ◽  
Melika Savoj

Introduction. Discrepancy between the crown border and prepared tooth margin leads to a microleakage that eases the penetration of microorganisms and causes the dissolution of luting cement consequently. Several factors should be considered to achieve optimal fitness, including tooth preparation taper and type of cementing agent. The study aimed to determine the relation of tooth preparation taper and cement type on the microleakage of zirconia crowns. Materials and Methods. Fifty-six freshly extracted premolars without caries and restorations were selected as the study sample and divided into two groups of different tapering degrees (6 and 12 degrees). Zirconia copings were designed and fabricated by the CAD/CAM system. The samples were divided into four subgroups for cementation, and each subgroup was cemented with a different luting cement (n = 7). After 5000 thermocycles at 5°C–55°C and dye penetration, the specimens were sectioned in the mid-buccolingual direction, and a digital photograph of each section was taken under a stereomicroscope. Data were analyzed by the Kruskal–Wallis and Mann–Whitney tests (α = 0.05). Results. The results showed significant differences among the four types of luting cement in marginal permeability (PV < 0.001). Regardless of the type of cement, the 12-degree tapering resulted in a lower microleakage (46.4% without microleakage) with statistically significant differences from the 6-degree tapering (PV = 0.042). Conclusion. Within the limitations of this study, increasing the tapering degree of the prepared tooth for CAD/CAM zirconia copings improved the marginal fit and decreased the microleakage score. In addition, total-etch resin cement indicated the least microleakage.

Author(s):  
Mona Sohrabi ◽  
Sara Ghadimi ◽  
Bahman Seraj

Objectives: This study aimed to assess the microleakage of Pedo Jacket crowns compared to stainless steel crowns (SSCs) cemented with different luting cements. Materials and Methods: In this in-vitro experimental study, 80 primary molars were randomly divided into four groups of 20 each. Groups 1 and 2 were subjected to standard tooth preparation for SSC. Crowns in group 1 were cemented with glass ionomer (GI), and crowns in group 2 were cemented with a resin-modified glass ionomer (RMGI) cement. In groups 3 and 4, minimal tooth preparation was performed for Pedo Jacket crowns, and the crowns were cemented with RMGI and Panavia resin cement, respectively. Microleakage was measured at mesial and distal surfaces in micrometers (µm), and the mean value for each tooth was calculated. One-way analysis of variance (ANOVA) was applied to compare the microleakage of the four groups. Results: Group 3 (Pedo Jacket cemented with RMGI) showed the highest microleakage (1523.83±250.32 µm) with significant differences with the remaining three groups (P<0.001). Microleakage in group 4 (Pedo Jacket cemented with Panavia) was significantly lower than that in the other three groups (301.25±219.53 µm, P<0.001). Groups 1 (SSCs cemented with GI) and 2 (SSCs cemented with RMGI) were not significantly different in terms of microleakage (P=0.49) although group 1 showed slightly higher microleakage than group 2 (598.43±260.85 µm versus 500.25±124.74 µm). Conclusions: Pedo Jacket crowns can serve as an acceptable esthetic alternative to SSCs if cemented with resin cements.  


2016 ◽  
Vol 17 (12) ◽  
pp. 1016-1021 ◽  
Author(s):  
Mathew Thomas ◽  
Mohammed Mustafa ◽  
Reshma Karkera ◽  
AP Nirmal Raj ◽  
Lijo Isaac ◽  
...  

ABSTRACT Introduction This study was planned to find the solubility of the conventional luting cements in comparison with that of the polyacid-modified composite luting cement and recently introduced resin-modified glass ionomer cement (RMGIC) with exposure to water at early stages of mixing. Materials and methods An in vitro study of the solubility of the following five commercially available luting cements, viz., glass ionomer cement (GIC) (Fuji I, GC), zinc phosphate (Elite 100, GC), polyacid-modified resin cement (PMCR) (Principle, Dentsply), polycarboxylate cement (PC) (Poly - F, Dentsply), RMGIC (Vitremer, 3M), was conducted. For each of these groups of cements, three resin holders were prepared containing two circular cavities of 5 mm diameter and 2 mm depth. All the cements to be studied were mixed in 30 seconds and then placed in the prepared cavities in the resin cement holder for 30 seconds. Results From all of the observed luting cements, PMCR cement had shown the lowest mean loss of substance at all immersion times and RMGIC showed the highest mean loss of substance at all immersion times in water from 2 to 8 minutes. The solubility of cements decreased by 38% for GIC, 33% for ZnPO4, 50% for PMCR, 29% for PC, and 17% for RMGIC. Conclusion The PMCR cement (Principle-Dentsply) had shown lowest solubility to water at the given time intervals of immersion. This was followed by PC, zinc phosphate, and GIC to various time intervals of immersion. How to cite this article Karkera R, Nirmal Raj AP, Isaac L, Mustafa M, Reddy RN, Thomas M. Comparison of the Solubility of Conventional Luting Cements with that of the Polyacid Modified Composite Luting Cement and Resin-modified Glass Ionomer Cement. J Contemp Dent Pract 2016;17(12):1016-1021.


Materials ◽  
2022 ◽  
Vol 15 (2) ◽  
pp. 514
Author(s):  
Harisha Dewan ◽  
Mohammed E. Sayed ◽  
Nasser M. Alqahtani ◽  
Tariq Alnajai ◽  
Abdulaziz Qasir ◽  
...  

The improvement of the tensile strength of zirconia crowns after the application of commercially available desensitizers can provide added advantages for the durability and strength of zirconia prostheses. We assessed the retention of zirconia crowns when Gluma, Shield Force Plus, and Telio CS desensitizers were used with resin luting cement. Four groups with ten specimens each (n = 10) were considered as Group 1 (Control group, with no desensitizer application before crown cementation with resin cement) and Groups 2, 3, and 4 (with a single coat of Gluma dentin desensitizer, Telio CS desensitizer, or Shield Force Plus desensitizer applied before crown cementation, respectively). Thermocycling was then carried out, and each group was tested to determine the associated retentive forces and type of failure. The data were statistically analyzed, which showed that the mean tensile-strength values were significantly higher in Group 2 (p-value = 0.001), Group 3 (p-value = 0.027), and Group 4 (p-value = 0.014), when compared with the Control group. Clinicians should consider the application of any of these three desensitizers, as they can successfully abate dentin hypersensitivity after tooth preparation, as well as increase the durability and strength of the zirconia prosthesis.


2020 ◽  
Vol 8 (2) ◽  
pp. 37
Author(s):  
Hattanas Kumchai ◽  
Patrapan Juntavee ◽  
Arthur F. Sun ◽  
Dan Nathanson

Statement of problem: Current techniques for repairing porcelain-chipped restorations have several limitations. With advances in CAD/CAM technology, the combination of resin cements and high-strength ceramic materials might offer new options for repairing the chipping of veneering ceramic. Purpose: The purpose of this study is to compare the load-to-failure of veneered zirconia crowns repaired by different materials. Material and Methods: Veneered zirconia crowns were made on aluminum dies (n = 10/group). Feldspathic porcelain (Vita VM9, Vident) was applied to the zirconia coping (Vita In-Ceram YZ, Vident) in a cylindrical shape (Ø 10.5 mm, height 7.5 mm). A bevel cut on the porcelain veneer (45 degree, 3 mm width) was made at one side of each crown to simulate porcelain chipping. The crowns were then divided into four different groups according to the repair materials: 1. Conventional resin composite (A; Tetric EvoCeram, Ivoclar Vivadent); 2. Flowable resin composite (B; G-aenial Universal Flo, GC america); 3. CAD/CAM milled feldspathic ceramic (C; Vita Trilux Forte, Vident); 4. CAD/CAM milled lithium disilicate glass-ceramic (D; IPS e.max CAD, Ivoclar Vivadent). Resin cement (Multilink Automix, Ivoclar Vivadent) was used to cement the CAD/CAM ceramic materials to the beveled crowns. Each crown underwent 5000 cycles of thermocycling. The strength test was performed on an Instron universal testing machine by loading force on the center of repaired part to record load-to-failure. Data were analyzed by ANOVA and Tukey HSD post-hoc tests (α = 0.05). Results: Mean loads-to-failure (in Newton +/− SD) of repaired veneered zirconia crowns were: Gr. A: 660.0 ± 200.5; Gr. B: 681.7 ± 175.9; Gr. C: 1236.0 ± 188.8; Gr. D: 1536.3 ± 286.1. Catastrophic failure was the most dominant failure mode in every group. Few specimens exhibited cohesive failure. Only one specimen in group D had adhesive failure. Conclusions: Within the limitation of the study, veneered zirconia crowns repaired with CAD/CAM ceramic materials have significantly higher load-to-failure than veneered crowns repaired with resin composite (p ≤ 0.05). Clinical Implications: Traditionally, porcelain-chipped restorations are often repaired with resin composite and bonding technique. Repairing chipped porcelain with CAD/CAM ceramics fitting the fractured parts can be alternative option with potential advantages. More well-designed studies are necessary to justify this novel repair technique.


2006 ◽  
Vol 63 (3) ◽  
pp. 293-296 ◽  
Author(s):  
Nebojsa Krunic ◽  
Goran Tonic

Background/Aim. Various luting cements are used to fix dental crowns to prepared teeth, and should provide an adhesive bond to the tooth structure giving reliable retention. The aim of this study was to establish in vitro which type of the tested luting cement provided the strongest adhesive bond of the prepared teeth to the fixed denture. Methods. Testing was carried out on the sample of 100 intact human premolars extracted for orthodontic reasons. The preparation of the teeth was performed by a heavy-duty machine. The surfaces of the prepared teeth were mathematically calculated. Dental crowns from the Nickel-Chromium- Molybenum (Ni-Cr-Mo) alloy were made in a standard fashion, and fixed to prepared teeth (two samples of each group) with 5 different types of luting cements. The strength of force applyed to separate the cast crowns from the prepared teeth was measured by an electronic dynamometer, after 7 days. Results. The obtained results revealed the connection between the type of luting cement and the values of retention power. The best adhesive bond under the constant convergence angle of the prepared teeth was provided by the resin cement. Conclusion. When choosing a luting cement for fixing dental crowns to prepared teeth, the advantage should be given to the resin cement in case the glassionomers are not available.


2008 ◽  
Vol 9 (2) ◽  
pp. 57-64 ◽  
Author(s):  
Nadia Malek Taher ◽  
Yousra Al-Khairallah ◽  
Sheikha Hamed Al-Aujan ◽  
Maha Ad'dahash

Abstract Aim This in vitro study aims to measure the temperature changes of resin luting cements cemented to human dentin when using different light curing systems for photo-activitation. Methods and Materials The three different types of light-curing units (LCUs) used for photoactivation were quartz-tungsten halogen (QTH), light emitting diode (LED), and plasma arc (PAC). Two types of dual cure resin cements were used [Variolink II™ (VL) and Choice™ (CH)]. Feltik Z250™ composite resin material was used to prepare composite discs. Thirty human dentin specimens were prepared for each resin luting cement (ten for each light source). A total of 60 specimens were fabricated. Resin cement was applied on a dentin bridge and covered with the prepared composite disc where specimens were fabricated. Temperature change was recorded with a digital thermometer. Results: The lowest temperature was recorded when VL and CH were photo-activated with the PAC unit. The PAC unit produced significantly lower recorded temperatures than the LED and QTH units. No significant difference appeared between QTH and LED units in terms of recorded temperature. Results The lowest temperature was recorded when VL and CH were photo-activated with the PAC unit. The PAC unit produced significantly lower recorded temperatures than the LED and QTH units. No significant difference appeared between QTH and LED units in terms of recorded temperature. Conclusion The PAC unit produced significantly lower temperature changes compared to QTH and LED curing units. The risk for temperature rise should be taken into consideration during photo-polymerization of adhesive resins with LED or QTH in deep cavities when dentin thickness is 0.5 mm. Citation Taher NM, Al-Khairallah Y, Al-Aujan SH, Ad'dahash M. The Effect of Different Light-Curing Methods on Temperature Changes of Dual Polymerizing Agents Cemented to Human Dentin. J Contemp Dent Pract 2008 February;(9)2:057-064.


2019 ◽  
Vol 18 (4) ◽  
pp. 764-772
Author(s):  
Asa Yazdani Fard ◽  
Zuryati Ab Ghani ◽  
Zaihan Ariffin ◽  
Dasmawati Mohamad

Background: Studies on microleakage of Computer-Aided Design/Computer-Aided Manufacturing (CAD/CAM) crowns are abundant. However many of them are inconclusive, especially those using self adhesive cements. Aims: To compare the microleakage between CAD/CAM crowns milled out of feldspathic ceramic and resin nano ceramics, cemented with three resin cements. Materials and Methods: Crown preparation was made on 54 extracted human premolars. Impressions were captured optically using CEREC 3D machine intraoral camera, and crowns were milled from feldspathic ceramic (CEREC® Blocs PC, VITA) and resin nano ceramic (Lava™ Ultimate CAD/CAM Restorative, 3M ESPE) blocks. The crowns were then cemented with three cements (n = 9); RelyX™ U200 Self-Adhesive Resin Cement (3M ESPE); NX3 Nexus ® cement with two-step etch-and-rinse adhesive (Kerr Corporation) or three/multistep etch-and-rinse resin cement, Variolink® II/Syntac Classic (Ivoclar Vivadent). The specimens were kept in water for 24 hours, thermocycled, and then soaked in methylene blue dye for 24 hours, before being sectioned mesiodistally. Microleakage was assessed using a fivepoint scale using stereomicroscope. Statistical analysis of the data was carried out using ONEWay ANOVA. Results: CEREC® Blocs PC crowns showed significantly less microleakage (p< 0.001) compared to Lava™ Ultimate. RelyX™ U200 showed significantly lower microleakage (p< 0.001) compared to other cements. Combination of Lava™ Ultimate crown cemented with RelyX™ U200 showed the least microleakage (p< 0.001). Conclusions: The microleakage scores were affected by the types of crown and cements. Bangladesh Journal of Medical Science Vol.18(4) 2019 p.764-772


2007 ◽  
Vol 01 (02) ◽  
pp. 091-096 ◽  
Author(s):  
A Nilgün Öztürk ◽  
Özgür İnan ◽  
Erkan İnan ◽  
Bora Öztürk

ABSTRACTObjectives: CAD-CAM system is popular because of high esthetic and short fabrication time. But, there is limited information available about the microtensile bonding of luting cements to CAD-CAM inlays and to dentin. The aim of this study was to examine the bond strength of CAD-CAM (Cerec 3) and pressed-ceramic (IPS Empress 2) inlays to dentin surface by microtensile testing using two luting cements.Materials and Methods: Standardized mesio-occlusal cavities were made in forty extracted molar teeth. An occlusal reduction of 2 mm was made; the bucco-lingual width of the proximal boxes was 4 mm, the occlusal width 3 mm and the depth of the pulpal and axial walls 2 mm. The proximal boxes were extended 1 mm below the cemento-enamel junction. Teeth were randomly assigned to 2 groups to evaluate the bonding of 2 ceramic systems, Cerec 3 (Group I) and IPS Empress 2 (Group II), to dentin. Each of the 2 groups were further divided into 2 luting cement groups, Panavia F (Group A) and Variolink II (Group B). After cementation, the teeth were sectioned into two 1.2x1.2 mm wide ‘I’ shape sections. The specimens were then subjected to microtensile testing at a crosshead speed of 1 mm/min. Twoway ANOVA and Tukey HSD tests were used to evaluate the results.Results: The mean microtensile bond strengths of Cerec 3 and IPS Empress 2 bonding to dentin with luting agents in MPa were Panavia F (13.98±3.44), Variolink II (14.19±3.12) and Panavia F (15.12±3.15), Variolink II (15.45±3.08) respectively. No significant differences were found among the 2 ceramic systems (P>.05) and 2 luting cements with regard to dentin bond strengths (P>.05).Conlusions: There was no difference found between the dentin bond strength of the Cerec 3 and IPS Empress 2 inlays cemented with two luting cements. (Eur J Dent 2007;2:91-96)


Author(s):  
Ho Yeon Kang ◽  
Hyeonjong Lee ◽  
Yong Kwon Chae ◽  
Seoung-Jin Hong ◽  
Yun Yeong Jeong ◽  
...  

This study evaluated the feasibility of a tooth preparation guide for prefabricated zirconia crowns (PZCs). Three-dimensional surface data for PZCs of the left maxillary primary first molar and left mandibular primary second molar were obtained using a model scanner. The tooth preparation data were digitally designed to harmonize with the adjacent teeth on the mixed dentition model and visualized using a color-coded map, which presents the required amount of tooth reduction. Twenty participants were recruited for preparing teeth with and without using the tooth preparation guide. The following three parameters were evaluated: tooth preparation time, harmony score, and amount of tooth reduction. The preparation time when using the guide was significantly reduced (p < 0.05), and a significant difference was observed in the harmony scores for the maxillary primary first molar preparation. Furthermore, the amount of tooth reduction was significantly different for both maxillary and mandibular primary molars (p < 0.05) in terms of the occlusal distal surface and buccal line angle in the maxillary primary first molars, and the smooth surfaces, proximal surfaces, and mesial line angles in the mandibular primary second molars. Thus, the results suggest that a tooth preparation guide could facilitate better tooth preparation for PZCs.


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