Failure load of teeth restored by use of alumina copings: Influence of residual tooth structure and cementation

Abstract

To evaluate failure loads of teeth restored by use of alumina-coping, and to assess the effects of different amounts of residual tooth structure and different cements, standardized artificial alumina copings were fabricated on seventy-two molars. 24 of the copings were cemented by use of an adhesive resin cement (P-group), n=24 by use of glass-ionomer cement (K-group), and n=24 by use of a self-adhesive modified composite resin-cement (R-group). After artificial ageing (10,000 thermal-cycles between 6.5 and 60°C; 1,200,000 chewing cycles with F max =64 N), the specimens were loaded until failure (cross-head-speed: 0.5 mm/min). In the K-group 83% of the specimens failed during chewing simulation. Statistical analysis included chi-squared-test, unpaired-to-sample-t-test, and ANOVA. For severely damaged teeth, loads to failure in the P-group (384 N) were significantly (p=0.03) higher than in the R-group (295 N). For severely damaged teeth, use of composite resin cement resulted in higher loads to failure than use of other cements.

In vitro investigation on extensively destroyed vital teeth: is fracture force a limiting factor for direct restoration?

“…The marginal area of the restoration is the weak point when testing fracture loads. Because non‐axial loading results in more selective stress on this vulnerable area than axial loading , this mode of force application was chosen in accordance with a previously performed study .…”