FRACTURE RESISTANCE OF CAD/CAM ONE-PIECE AND TWO-PIECE POST-CORE-CROWN RESTORATIONS USING TWO DIFFERENT MATERIALS (IN VITRO STUDY)

Document Type : Original Article

Authors

1 Faculty of dentistry, Damanhor university

2 Conservative Dentistry Department, Faculty of Dentistry, Alexandria University

3 Dental Biomaterials Department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt

4 Conservative Dentistry Department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.

Abstract

Introduction: Restoring teeth that lost significant percentage of coronal structure necessitates using post and core before crown coverage. The most common systems are the one-piece post and core and the two-element system. Recently the one-piece restoration, the Richmond crown, could be milled using CAD/CAM to rehabilitate severely damaged teeth. A variety of aesthetic materials have become available for milling.
Aim: To compare between the fracture resistance (FR) of one-piece and two-piece post-core-crown restorations using two different materials; hybrid ceramic (HC) and zirconia (ZR).
Materials and methods: The study was conducted on 20 artificial maxillary canines. The teeth were prepared then randomly divided as follows: Group I, one-piece post-crown restoration (N=10) which were further subdivided into Subgroup IA: hybrid ceramic and Subgroup IB: zirconia. Group II, two-piece post-core and cemented crown (N=10) which were also subdivided into Subgroup IIA: hybrid ceramic, and Subgroup IIB: zirconia. The specimens were subjected to fracture resistance testing using universal testing machine followed by analyzing the failed specimens with the stereomicroscope. Results were statistically analyzed using F test (ANOVA) and Post-hoc test (Tukey), significance was judged at 5%.
Results: The FR values (mean±SD in Newtons) were 386.6 ± 25.78N for subgroup IA, 522.2 ± 70.56N for subgroup IB, 429.6 ± 91.87N for subgroup IIA, and 648.6 ± 93.37N for subgroup IIB with no significant difference in FR between the one-piece and the two-piece restorations using either HC or Zr.
Conclusion: The one-piece post-crown restorations showed good performance regarding fracture resistance.

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Alexandria Dental Journal
Volume 48, Issue 1
B (Endodontics, Prosthodontics, Fixed prosthodontics, Conservative dentistry, Dental Biomaterials)
April 2023
Pages 146-153

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