Fatigue and fracture resistance of minimally invasive ceramic and resin composite veneers with different designs bonded adhesively to severely eroded teeth |
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Authors: | Anita Schwendimann |
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Affiliation: | Clinic for Fixed and Removable Prosthodontics and Dental Materials Science, Center for Dental and Oral Medicine, Dental Materials Unit, University of Zurich, Zurich, Switzerland |
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Abstract: | This study evaluated the load bearing capacity of minimal invasive restoration alternatives on severely worn teeth after cyclic loading. Sound human maxillary incisors (N?=?72, n?=?9 per group) were randomly divided into nine experimental groups to receive one of the following restoration types: Group 1: Intact tooth, Group 2: Direct resin composite, Group 3: Lingual: Indirect resin composite, Labial: Ceramic veneer with lingual overlap, Group 4: Lingual: Indirect resin composite with lingual overlap, Labial: Ceramic, Group 5: Lingual: Direct composite, Labial: Ceramic, Group 6: Lingual: Feldspathic Ceramic, Labial: Feldspathic ceramic, Group 7: Lithium disilicate crown, Group 8: Metal-ceramic crown. Teeth were prepared simulating erosion/wear conditions. Specimens were subjected to cyclic loading (1,200,000 cycles, 5–55?°C) and then loaded to failure from the lingual surface at 105° inclination (1?mm/min). Data (Newton) were analyzed using one-way ANOVA, Tukey`s tests and Weibull moduli were calculated (α?=?0.05). Significant differences were observed between the groups for the initial (p?=?0.006) and maximum fracture load (p?=?0.002). Group 3 (55?±?36) presented significantly lower initial fracture load compared to other groups (79?±?35–134?±?36) (p?<?0.05). When maximum fracture load is considered, control group (1) (602?±?355) and from restored groups 2 (449?±?144) and 4 (495?±?291) showed significantly higher results (p?<?0.05). Weibull modulus for the maximum fracture load was the highest for Group 2 (m?=?3.47) among all groups (m?=?1.61–4.18). Groups 2, 3, 6 presented the highest incidence of repairable failures. Based on the results, severely worn teeth could be restored with lingual direct resin composite and labial veneering with indirect resin with overlap. |
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Keywords: | Erosion laminates minimal invasive static loading veneers wear |
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