Operative Dentistry, 2008, 33-5, 516-525
SUMMARYThis in vitro study evaluated the marginal integrity of partial ceramic crowns (PCCs) luted with or without a resin-coating and compared the results with the marginal sealing of a recently introduced self-adhesive universal resin cement. PCC preparations were performed on 84 extracted human molars, with proximal margins placed 1 mm below the cemento-enamel junction. The PCCs were fabricated from Vita Mark II ceramic (Vita) using the Cerec-3 Unit (Sirona). The prepared teeth were assigned to three groups: 1) conventional luting technique (n=36), 2) resin-coating luting technique (n=36) or 3) recently introduced self-adhesive universal resin cement (n=12). Resin coating improves the marginal seal of partial ceramic crowns to dentin compared to conventional luting, especially at the dentin/composite interface. However, the self-adhesive material RelyX Unicem shows significantly better marginal integrity than the other materials tested.
resin-coating (SYR); 3) RelyX Unicem (REX).After thermocycling and mechanical loading (TC: 5000 cycles at 5°C/55°C; 30 seconds/cycle; ML:500000 cycles at 72.5 N, 1.6 Hz), microleakage was assessed by evaluating silver staining (%) on multiple tooth sections. Ceramic/composite-, resin-coating/composite-(where applicable) and dentin/composite-interfaces were evaluated separately. The data were statistically analyzed with the Mann-Whitney-U-test and the Error Rates Method.In Groups 1 and 2, the evaluation of microleakage at dentin showed better marginal integrity when the resin-coating technique was applied (EVR, PAR, SYR: 18-53%) than within the conventional luting technique group (EVC, PAC, SYC: 58-67%). However, the lowest microleakage values were found for RelyX Unicem (REX: 15%).In conclusion, resin-coating may improve the marginal sealing within dentin, depending on the materials used. Luting with a self-adhesive universal resin cement showed the best marginal sealing of all groups.