Effect of Cementation and Thermomechanical Aging on the Marginal Adaptation of Veneered and Monolithic Zirconia

Yıl 2024, Cilt: 14 Sayı: 3, 745 - 751, 30.09.2024

Riyad Derviş , Ceren Küçük , Rim Temizkan Nizaroğlu , Rifat Gözneli

https://doi.org/10.33808/clinexphealthsci.1392423

Öz

Objective: The objective of current study was to evaluate the marginal discrepancy of a manually veneered CAD/CAM zirconia and two different monolithic CAD/CAM zirconia all-ceramic crowns; before and after cementation; before and after artificial aging by using a chewing simulator.
Methods: A total of 36 specimens were divided into 3 groups (n=12) and crown restorations were fabricated by using 3 different type of zirconia materials for each group: Group MZ1: monolithic zirconia crowns (GC initial), Group MZ2: monolithic zirconia crowns (InCoris TZI), Group BZ: bilayered zirconia crowns; zirconia core (InCoris ZI) veneered with a low-fusing glass-ceramic. The specimens were duplicated using epoxy resin before and after cementation and after thermo-mechanical fatigue. The marginal adaptations of replicated specimens
were evaluated at six points. The margins were evaluated under a scanning electron microscope. Statistical analysis was performed using SPSS. Tukey HSD test were used to investigate the differences between the three types of zirconia crown restorations. Statistically significant difference was determined at (p<.05).
Results: There is a statistically significant difference between specimens before and after cementation, and as well after thermos-mechanical fatigue for the three zirconia materials.
Conclusion: The cementation process showed a significant effect on the marginal gap size in all groups. Additionally, thermo-mechanical fatigue significantly increased the marginal gap in all groups.

Anahtar Kelimeler

Marginal fit, Monolithic zirconia crown, Thermomechanical fatique

Destekleyen Kurum

This study was supported by the donation of requested materials by GC Turkey and Densply Sirona Turkey

Kaynakça

• Shearer B, Gough MB, Setchell DJ. Influence of marginal configuration and porcelain addition on the fit of In-Ceram crowns. Biomaterials. 1996;17(19):1891-1895. DOI: 10.1016/0142-9612(95)00302-9
• Sadowsky SJ. An overview of treatment considerations for esthetic restorations: a review of the literature. J Prosthet Dent. 2006;96(6):433-442. DOI: 10.1016/j.prosdent.2006.09.018
• Bachhav VC, Aras MA. Zirconia-based fixed partial dentures: A clinical review. Quintessence Int. 2011;42(2):173-182. DOI: 10.1016/j.prosdent.2006.09.018
• Torabi K, Vojdani M, Giti R, Taghva M, Pardis S. The effect of various veneering techniques on the marginal fit of zirconia copings. J Adv Prosthodont. 2015;7(3):233-239. DOI: 10.4047/jap.2015.7.3.233
• Selz CF, Bogler J, Vach K, Strub JR, Guess PC. Veneered anatomically designed zirconia FDPs resulting from digital intraoral scans: Preliminary results of a prospective clinical study. J Dent. 2015;43(12):1428-1435. DOI: 10.1016/j.jdent.2015.10.017
• Pak HS, Han JS, Lee JB, Kim SH, Yang JH. Influence of porcelain veneering on the marginal fit of Digident and Lava CAD/CAM zirconia ceramic crowns. J Adv Prosthodont. 2010;2(2):33-38. DOI: 10.4047/jap.2010.2.2.33
• Att W, Komine F, Gerds T, Strub JR. Marginal adaptation of three different zirconium dioxide three-unit fixed dental prostheses. J Prosthet Dent. 2009;101(4):239-247. DOI: 10.1016/S0022-3913(09)60047-0
• Kohorst P, Brinkmann H, Dittmer MP, Borchers L, Stiesch M. Influence of the veneering process on the marginal fit of zirconia fixed dental prostheses. J Oral Rehabil. 2010;37(4):283-291. DOI: 10.1111/j.1365-2842.2009.02053.x
• Castellani D, Baccetti T, Clauser C, Bernardini UD. Thermal distortion of different materials in crown construction. J Prosthet Dent. 1994;72(4):360-366. DOI: 10.1016/0022-3913(94)90554-1
• Felton DA, Kanoy BE, Bayne SC, Wirthman GP. Effect of in vivo crown margin discrepancies on periodontal health. J Prosthet Dent. 1991;65(3):357-364. DOI: 10.1016/0022-3913(91)90225-l
• Hamza TA, Sherif RM. In vitro evaluation of marginal discrepancy of monolithic zirconia restorations fabricated with different CAD-CAM systems. J Prosthet Dent. 2017;117(6):762-766. DOI: 10.1016/j.prosdent.2016.09.011
• Rayyan MR. Marginal Adaptation of Monolithic High-Translucency Versus Porcelain-Veneered Zirconia Crowns. Int J Prosthodont. 2019;32(4):364-366. DOI: 10.11607/ijp.5985
• Kale E, Yilmaz B, Seker E, Ozcelik TB. Effect of fabrication stages and cementation on the marginal fit of CAD-CAM monolithic zirconia crowns. J Prosthet Dent. 2017;118(6):736-741. DOI: 10.1016/j.prosdent.2017.01.004
• Abduo J, Lyons K, Swain M. Fit of zirconia fixed partial denture: A systematic review. J Oral Rehabil. 2010;37(11):866-876. DOI: 10.1111/j.1365-2842.2010.02113.x
• Sorensen JA. A rationale for comparison of plaque-retaining properties of crown systems. J Prosthet Dent. 1989;62(3):264-269. DOI: 10.1016/0022-3913(89)90329-6
• Meirowitz A, Bitterman Y, Levy S, Mijiritsky E, Dolev E. An in vitro evaluation of marginal fit zirconia crowns fabricated by a CAD-CAM dental laboratory and a milling center. BMC Oral Health. 2019;19(1):103. DOI: 10.1186/s12903-019-0810-9
• McLean JW, von Fraunhofer JA. The estimation of cement film thickness by an in vivo technique. Br Dent J. 1971;131(3):107-111. DOI: 10.1038/sj.bdj.4802708
• Del Pinal M, Lopez-Suarez C, Bartolome JF, Volpato CA, Suarez MJ. Effect of cementation and aging on the marginal fit of veneered and monolithic zirconia and metal-ceramic CAD-CAM crowns. J Prosthet Dent. 2021;125(2):323 e1- e7. DOI: 10.1016/j.prosdent.2020.06.036
• Kale E, Şeker E, Yılmaz B, Özçelik TB. Effect of cement space on the marginal fit of CAD-CAM-fabricated monolithic zirconia crowns. J Prosthet Dent. 2016;116(6):890-895. DOI: 10.1016/j.prosdent.2016.05.006
• Rinke S, Fornefett D, Gersdorff N, Lange K, Roediger M. Multifactorial analysis of the impact of different manufacturing processes on the marginal fit of zirconia copings. Dent Mater J. 2012;31(4):601-609. DOI: 10.4012/dmj.2012-017
• Gonzalo E, Suarez MJ, Serrano B, Lozano JF. A comparison of the marginal vertical discrepancies of zirconium and metal ceramic posterior fixed dental prostheses before and after cementation. J Prosthet Dent. 2009;102(6):378-384. DOI: 10.1016/S0022-3913(09)60198-0
• De Souza GM, Zykus A, Ghahnavyeh RR, Lawrence SK, Bahr DF. Effect of accelerated aging on dental zirconia-based materials. J Mech Behav Biomed Mater. 2017;65:256-263. DOI: 10.1016/j.jmbbm.2016.08.023
• Pelekanos S, Koumanou M, Koutayas SO, Zinelis S, Eliades G. Micro-CT evaluation of the marginal fit of different In-Ceram alumina copings. Eur J Esthet Dent. 2009;4(3):278-292.
• Bindl A, Mormann WH. Clinical evaluation of adhesively placed Cerec endo-crowns after 2 years--preliminary results. J Adhes Dent. 1999;1(3):255-265.
• Sjogren G. Marginal and internal fit of four different types of ceramic inlays after luting. An in vitro study. Acta Odontol Scand. 1995;53(1):24-28. DOI: 10.3109/00016359509005940
• Hembree JH, Jr. Comparisons of fit of CAD-CAM restorations using three imaging surfaces. Quintessence Int. 1995;26(2):145-147.
• Groten M, Girthofer S, Probster L. Marginal fit consistency of copy-milled all-ceramic crowns during fabrication by light and scanning electron microscopic analysis in vitro. J Oral Rehabil. 1997;24(12):871-881. DOI: 10.1046/j.1365-2842.1997.00592.x
• Bortolotto T, Onisor I, Krejci I. Proximal direct composite restorations and chairside CAD/CAM inlays: marginal adaptation of a two-step self-etch adhesive with and without selective enamel conditioning. Clin Oral Investig. 2007;11(1):35-43. DOI: 10.1007/s00784-006-0076-x
• Onisor I, Bouillaguet S, Krejci I. Influence of different surface treatments on marginal adaptation in enamel and dentin. J Adhes Dent. 2007;9(3):297-303.
• Ferrini F, Sannino G, Chiola C, Cappare P, Gastaldi G, Gherlone EF. Influence of Intra-Oral Scanner (I.O.S.) on The Marginal Accuracy of CAD/CAM Single Crowns. Int J Environ Res Public Health. 2019;16(4). DOI: 10.3390/ijerph16040544
• Guess PC, Vagkopoulou T, Zhang Y, Wolkewitz M, Strub JR. Marginal and internal fit of heat pressed versus CAD/CAM fabricated all-ceramic onlays after exposure to thermo-mechanical fatigue. J Dent. 2014;42(2):199-209. DOI: 10.1016/j.jdent.2013.10.002
• Mormann WH, Schug J. Grinding precision and accuracy of fit of CEREC 2 CAD-CIM inlays. J Am Dent Assoc. 1997;128(1):47-53. DOI: 10.14219/jada.archive.1997.0025
• Martin N, Jedynakiewicz NM. Interface dimensions of CEREC-2 MOD inlays. Dent Mater. 2000;16(1):68-74. DOI: 10.1016/s0109-5641(99)00089-5
• Kramer N, Frankenberger R. Leucite-reinforced glass ceramic inlays after six years: wear of luting composites. Oper Dent. 2000;25(6):466-472.
• Martinez-Rus F, Ferreiroa A, Ozcan M, Pradies G. Marginal discrepancy of monolithic and veneered all-ceramic crowns on titanium and zirconia implant abutments before and after adhesive cementation: A scanning electron microscopy analysis. Int J Oral Maxillofac Implants. 2013;28(2):480-487. DOI: 10.11607/jomi.2759
• Taha D, Spintzyk S, Sabet A, Wahsh M, Salah T. Assessment of marginal adaptation and fracture resistance of endocrown restorations utilizing different machinable blocks subjected to thermomechanical aging. J Esthet Restor Dent. 2018;30(4):319-328. DOI: 10.1111/jerd.12396
• Krejci I, Mueller E, Lutz F. Effects of thermocycling and occlusal force on adhesive composite crowns. J Dent Res. 1994;73(6):1228-1232. DOI: 10.1177/00220345940730061501
• Krejci I, Hausler T, Sagesser, Lutz F. New adhesives in Class V restorations under combined load and simulated dentinal fluid. Dent Mater. 1994;10(5):331-335. DOI: 10.1016/0109-5641(94)90042-6
• Rosentritt M, Behr M, Lang R, Handel G. Influence of cement type on the marginal adaptation of all-ceramic MOD inlays. Dent Mater. 2004;20(5):463-469. DOI: 10.1016/j.dental.2003.05.004
• Blatz MB, Oppes S, Chiche G, Holst S, Sadan A. Influence of cementation technique on fracture strength and leakage of alumina all-ceramic crowns after cyclic loading. Quintessence Int. 2008;39(1):23-32.
• Zarone F, Russo S, Sorrentino R. From porcelain-fused-to-metal to zirconia: Clinical and experimental considerations. Dent Mater. 2011;27(1):83-96. DOI: 10.1016/j.dental.2010.10.024
• Saraswathi DD, Leneena G, Babu MR, Sudheer V, Puvvada SC, Vyapaka P. Comparative evaluation of marginal vertical discrepancies of full zirconia crowns, layered zirconia crowns, and metal ceramic crowns: An in vitro study. Journal of International Oral Health. 2016;8(2):208.