INTRODUCTION: : Looking through the wide range of prosthetic options High-performance polymers properties. Needs over layering resin veneer, bonded by a special adhesive, this adds an additional challenge to achieve adequate bond strength, also its bonding to tooth structure remains difficult. OBJECTIVES: To evaluate shear bond strength of CAD/CAM High-performance polymers (BioHPP) with its CAD/CAM veneering composite using two different adhesives, as well as to dentin using two types of cements. MATERIALS AND METHODS: This in vitro study, for Group I, twenty BioHPP discs with their CAD/CAM veneering composite, were milled and divided randomly into two subgroups (n =10) according to the adhesive system used. Subgroup IA: using DTK adhesive (dualhardening adhesive). Subgroup IB: using Combo.lign (dual-hardening adhesive). For Group II, twenty CAD/CAM High-performance polymers (BioHPP) discs were milled and divided into two subgroups according to the different cements used to lute to dentin surface. Subgroup IIA: using: RelyX Unicem resin cement, subgroup IIB: using Fuji Plus GI cement. After water storage, thermocycling (1200 cycles, 5°C/55°C) corresponding to one year of clinical service, all the specimens were subjected to shear force until failure and the results in the various groups were compared and statistically analyzed. Modes of failure were assessed. RESULTS: Mean SBS were as follows: subgroup IA (DTK adhesive 6.238), subgroup IB (combo.lign2.42), subgroup IIA (RelyX Unicem 2.07) and subgroup IIB (Fuji Plus 3.77). Mann-Whitney test demonstrated significant differences between the two subgroups in groups I and II (U= 2.0, P=.001) (U=17, P=.013) respectively. Stereomicroscope revealed that mixed and adhesive failure were the most dominant mode of failure. CONCLUSIONS MDP-Containing Self-adhesive Resin (DTK adhesive) is recommended as efficient adhesive to increase the shear bond strength of the veneering composite to BioHPP. Also Fuji Plus showed better bond strength than RelyX Unicem with BioHPP and dentin.
INTRODUCTION: Full-contour (monolithic) zirconia restorations are gaining in popularity. High translucent zirconia materials and multilayered zirconia blocks might help to overcome the aesthetic drawbacks of traditional zirconia for fabrication of monolithic restorations OBJECTIVES: Were to evaluate the biaxial flexural strength and translucency of CAD/CAM: multichromatic ultra-translucent zirconia and comparing it with multichromatic high translucency Lithium Disilicate glass-ceramic. MATERIALS AND METHODS40 ceramic specimens were divided into two main groups; Group I: CAD/CAM multichromatic ultratranslucent Zirconia( UTML KATANA Zirconia) & Group II: Pressable multichromatic high translucent Lithium Disilicate glass-ceramic (e.max press multi). Each group was subdivided into two sub groups; sub group A: disc specimens (12mm diameter×1.5mm thickness) were fabricated (n=10) & thermocycled (500 cycles, 5°/55°C, 15 sec dwell time).Then, biaxial flexural strength was measured in MPa. Sub group B: rectangular specimens (12mm length × 10mm width × 1.5mm thickness) were fabricated (n=10). Spectrophotometric analysis was conducted to evaluate and compare the degree of translucency by translucency parameter (TP). Data were analyzed using student t-test & ANOVA with repeated measures test. RESULTS Statistical analysis of Biaxial flexural strength using student t-test revealed that group I (607.24 ± 71.79) showed higher statistically significant biaxial flexural strength values than group II (290.69 ± 41.19) ( p <0.001*). Results of translucency revealed that there were significant statistical differences between the two subgroups where IPS e.max Press Multi provided better translucency than UTML KATANA zirconia. CONCLUSIONS: Multi layered zirconia showed higher mechanical, but lower optical properties than lithium disilicate. The multi layered zirconia showed four layers with different light transmittance capabilities. It might therefore be useful for enhancing the aesthetic appearance of full-contour zirconia restorations made from this material in stress bearing areas.
INTRODUCTION Veneer chipping is a common failure of zirconia based restorations, especially in the presence of high occlusal loads. Modifying zirconia design may influence veneer chipping. OBJECTIVES: Purpose of this study was to evaluate fracture resistance of complete and partial contour zirconia crowns. MATERIALS AND METHODS: Twenty standardized epoxy resin dies, prepared to receive zirconia based crowns, were divided into 4 groups, 5 specimens each. Zirconia framework designs were: (a) Full contour zirconia crown (FC), (b) Partial contour zirconia coping with buccal veneering (PC), (c) Anatomically reduced zirconia coping with palatal and proximal collar (ARD) and (d) half mm zirconia coping without collar (CON) (control group). Dual scanning technique was done for the test groups to fabricate zirconia copings with the use of standardized resin patterns, while normal scanning was made for the control group. After milling and sintering of zirconia specimens, veneering was done for all desired surfaces. All crowns were adhesively luted to their corresponding dies, and subjected to thermal cycling and mechanical loading corresponding to one year clinical service. Single load to fracture was applied to all the specimens. Type of failure was recorded for each specimen, investigated visually then by using Stereomicroscope and SEM. RESULTS: Complete and partial contour zirconia restorations showed high resistance to fracture. The presence of collar was insignificant for increasing fracture resistance, but had an influence on the fracture extension toward the proximal surface of the veneered restorations.
INTRODUCTION:Chipping of the porcelain veneer was a common failure of zirconia based restorations, especially in the presence of high occlusal loads. The development of full-contour monolithic zirconia (MZ) restorations promises an end to the heartbreak of fractured esthetic porcelain on posterior restorations. The clinical recommended thickness of zirconia monolithic restorations has not been reported. It is essential to find out a proper thickness guarantee not only the load bearing capacity but also conservation of dental hard tissues. OBJECTIVES: was to evaluate the failure load of two different preparation designs -(classical and conservative) -in three units monolithic zirconia fixed partial dentures. MATERIALS AND METHODS: 2 parallel groups (n = 5/group) examined in this study. Group I: Classical tooth preparation design with occlusal reduction of 1.5 mm and rounded 1 mm finish line. Group II: Conservative tooth preparation design with occlusal reduction 0.5 mm and rounded 0.2 mm finish line. All fixed partial dentures (FPDs) adhesively luted on epoxy resin dies and subjected to thermal cycling and cyclic loading corresponding to 6 months of clinical service. Specimens then loaded till failure in a universal testing machine. The load of failure recorded in Newton. Fractographic analysis was done using stereomicroscope, scanning electron microscope (SEM) and confocal laser scanning microscope (CLSM). Data statistically analyzed using Student t-test. RESULTS: None of the FPDs failed during the aging process. Mean of failure load of Group I was 1317.36 ± 186.11 N and for Group II was 1215.92 ± 217.03 N without significant difference between the groups (P =0.450). CONCLUSIONS: The conservative tooth preparation design of the posterior three units FPDs was a very good alternative to the classical one. Aging behavior, translucency testing, color reproduction and long-term clinical performance need to be further assessed before recommending this conservative FPDs design for daily practice.
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