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http://dx.doi.org/10.4047/jap.2015.7.6.475

Biomechanical three-dimensional finite element analysis of monolithic zirconia crown with different cement type  

Ha, Seung-Ryong (Department of Dentistry, Ajou University School of Medicine)
Publication Information
The Journal of Advanced Prosthodontics / v.7, no.6, 2015 , pp. 475-483 More about this Journal
Abstract
PURPOSE. The objective of this study was to evaluate the influence of various cement types on the stress distribution in monolithic zirconia crowns under maximum bite force using the finite element analysis. MATERIALS AND METHODS. The models of the prepared #46 crown (deep chamfer margin) were scanned and solid models composed of the monolithic zirconia crown, cement layer, and prepared tooth were produced using the computer-aided design technology and were subsequently translated into 3-dimensional finite element models. Four models were prepared according to different cement types (zinc phosphate, polycarboxylate, glass ionomer, and resin). A load of 700 N was applied vertically on the crowns (8 loading points). Maximum principal stress was determined. RESULTS. Zinc phosphate cement had a greater stress concentration in the cement layer, while polycarboxylate cement had a greater stress concentration on the distal surface of the monolithic zirconia crown and abutment tooth. Resin cement and glass ionomer cement showed similar patterns, but resin cement showed a lower stress distribution on the lingual and mesial surface of the cement layer. CONCLUSION. The test results indicate that the use of different luting agents that have various elastic moduli has an impact on the stress distribution of the monolithic zirconia crowns, cement layers, and abutment tooth. Resin cement is recommended for the luting agent of the monolithic zirconia crowns.
Keywords
Crowns; Dental cement; Dental stress analysis; Finite element analysis; Zirconium;
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1 De Jager N, Pallav P, Feilzer AJ. The influence of design parameters on the FEA-determined stress distribution in CADCAM produced all-ceramic dental crowns. Dent Mater 2005;21:242-51.   DOI
2 Piconi C, Maccauro G. Zirconia as a ceramic biomaterial. Biomaterials 1999;20:1-25.   DOI
3 Shimizu K, Oka M, Kumar P, Kotoura Y, Yamamuro T, Makinouchi K, Nakamura T. Time-dependent changes in the mechanical properties of zirconia ceramic. J Biomed Mater Res 1993;27:729-34.   DOI
4 Luthardt RG, Holzhuter M, Sandkuhl O, Herold V, Schnapp JD, Kuhlisch E, Walter M. Reliability and properties of ground Y-TZP-zirconia ceramics. J Dent Res 2002;81:487-91.   DOI
5 Blatz MB, Sadan A, Martin J, Lang B. In vitro evaluation of shear bond strengths of resin to densely-sintered high-purity zirconium-oxide ceramic after long-term storage and thermal cycling. J Prosthet Dent 2004;91:356-62.   DOI
6 Guess PC, Zavanelli RA, Silva NR, Bonfante EA, Coelho PG, Thompson VP. Monolithic CAD/CAM lithium disilicate versus veneered Y-TZP crowns: comparison of failure modes and reliability after fatigue. Int J Prosthodont 2010;23:434-42.
7 McLaren EA, Terry DA. CAD/CAM systems, materials, and clinical guidelines for all-ceramic crowns and fixed partial dentures. Compend Contin Educ Dent 2002;23:637-41, 644, 646 passim; quiz 654.
8 Luthardt RG, Sandkuhl O, Herold V, Walter MH. Accuracy of mechanical digitizing with a CAD/CAM system for fixed restorations. Int J Prosthodont 2001;14:146-51.
9 Preis V, Behr M, Hahnel S, Handel G, Rosentritt M. In vitro failure and fracture resistance of veneered and full-contour zirconia restorations. J Dent 2012;40:921-8.   DOI
10 Ha SR, Kim SH, Han JS, Yoo SH, Jeong SC, Lee JB, Yeo IS. The influence of various core designs on stress distribution in the veneered zirconia crown: a finite element analysis study. J Adv Prosthodont 2013;5:187-97.   DOI
11 Li X, Cao Z, Qiu X, Tang Z, Gong L, Wang D. Does matching relation exist between the length and the tilting angle of terminal implants in the all-on-four protocol? stress distributions by 3D finite element analysis. J Adv Prosthodont 2015;7:240-8.   DOI
12 Spazzin AO, Galafassi D, de Meira-Junior AD, Braz R, Garbin CA. Influence of post and resin cement on stress distribution of maxillary central incisors restored with direct resin composite. Oper Dent 2009;34:223-9.   DOI
13 Soares CJ, Raposo LH, Soares PV, Santos-Filho PC, Menezes MS, Soares PB, Magalhaes D. Effect of different cements on the biomechanical behavior of teeth restored with cast dowel-and-cores-in vitro and FEA analysis. J Prosthodont 2010;19:130-7.   DOI
14 Pilo R, Cardash HS. In vivo retrospective study of cement thickness under crowns. J Prosthet Dent 1998;79:621-5.   DOI
15 Reich S, Wichmann M, Nkenke E, Proeschel P. Clinical fit of all-ceramic three-unit fixed partial dentures, generated with three different CAD/CAM systems. Eur J Oral Sci 2005;113:174-9.   DOI
16 Proos KA, Swain MV, Ironside J, Steven GP. Influence of cement on a restored crown of a first premolar using finite element analysis. Int J Prosthodont 2003;16:82-90.
17 Ferrario VF, Sforza C, Zanotti G, Tartaglia GM. Maximal bite forces in healthy young adults as predicted by surface electromyography. J Dent 2004;32:451-7.   DOI
18 Nishigawa K, Bando E, Nakano M. Quantitative study of bite force during sleep associated bruxism. J Oral Rehabil 2001;28:485-91.   DOI
19 Manso AP, Silva NR, Bonfante EA, Pegoraro TA, Dias RA, Carvalho RM. Cements and adhesives for all-ceramic restorations. Dent Clin North Am 2011;55:311-32, ix.   DOI
20 Palacios RP, Johnson GH, Phillips KM, Raigrodski AJ. Retention of zirconium oxide ceramic crowns with three types of cement. J Prosthet Dent 2006;96:104-14.   DOI
21 Blatz MB, Sadan A, Kern M. Resin-ceramic bonding: a review of the literature. J Prosthet Dent 2003;89:268-74.   DOI
22 Ernst CP, Cohnen U, Stender E, Willershausen B. In vitro retentive strength of zirconium oxide ceramic crowns using different luting agents. J Prosthet Dent 2005;93:551-8.   DOI
23 Pospiech P. All-ceramic crowns: bonding or cementing?. Clin Oral Investig 2002;6:189-97.   DOI
24 Thompson JY, Stoner BR, Piascik JR, Smith R. Adhesion/cementation to zirconia and other non-silicate ceramics: where are we now?. Dent Mater 2011;27:71-82.   DOI
25 Kamposiora P, Papavasilious G, Bayne SC, Felton DA. Finite element analysis estimates of cement microfracture under complete veneer crowns. J Prosthet Dent 1994;71:435-41.   DOI
26 Shahrbaf S, vanNoort R, Mirzakouchaki B, Ghassemieh E, Martin N. Effect of the crown design and interface lute parameters on the stress-state of a machined crown-tooth system: a finite element analysis. Dent Mater 2013;29:e123-31.   DOI
27 Rekow ED, Harsono M, Janal M, Thompson VP, Zhang G. Factorial analysis of variables influencing stress in all-ceramic crowns. Dent Mater 2006;22:125-32.   DOI
28 Pameijer CH. A review of luting agents. Int J Dent 2012;2012:752861.
29 May LG, Kelly JR, Bottino MA, Hill T. Effects of cement thickness and bonding on the failure loads of CAD/CAM ceramic crowns: multi-physics FEA modeling and monotonic testing. Dent Mater 2012;28:e99-109.   DOI
30 Ayad MF, Rosenstiel SF, Salama M. Influence of tooth surface roughness and type of cement on retention of complete cast crowns. J Prosthet Dent 1997;77:116-21.   DOI