Affiliation:
1. Department of Dental Materials and Prosthodontics Sao Paulo State University (UNESP), School of Dentistry Araçatuba São Paulo Brazil
2. Health Sciences Center, Unisagrado Bauru São Paulo Brazil
3. Department of Prosthodontics and Periodontology, Piracicaba Dental School University of Campinas (UNICAMP) Piracicaba São Paulo Brazil
Abstract
AbstractObjectivesThis study aimed to assess the influence of translucent monolithic versus bilayered crowns and whether the use of a CoCr base abutments affects the fatigue and fracture resistance of screwed implant‐supported single crowns with external connections under mechanical cycling.Materials and MethodsFifty specimens were divided into groups: (1) metal–ceramic (MC) crown, (2) veneered zirconia crown (Zr), (3) veneered zirconia crown with a CoCr base abutment (ZrB), (4) monolithic translucent zirconia crown (MZr), and (5) monolithic translucent zirconia crown with a CoCr base abutment (MZrB). Specimens underwent mechanical cycling (5 × 106 cycles; 150 N) evaluating fatigue resistance (number of failures) and those that failed were subsequently subjected to fractographic analyses (stereomicroscope and scanning electron microscope) to evaluate failure location and area, and maximum fracture load was also measured.ResultsThe failure‐related survival rate (100%) and maximum fracture resistance of the MZrB were significantly higher than those of MC and Zr (50%; p < 0.05). There were no significant differences in the failure rate and fracture resistance when a CoCr base abutment was used or not in the translucent monolithic Zr groups (p > 0.05;MZrB vs. MZr). Failure location, with MC crowns' fractures, noted at the screw area (p = 0.043), while all‐ceramic crowns were mostly in the cuspid and to failure area, the Zr group had the largest mean (15.55 ± 9.17 mm2) among the groups, significant difference only when compared with MC (1.62 ± 0.81 mm2) (p = 0.025).ConclusionsTranslucent monolithic zirconia crowns exhibited significantly higher fatigue and fracture resistance compared with conventional MC and bilayered crowns.Clinical SignificanceThe appropriate choice of material and manufacturing technique is crucial for predicting the higher clinical performance of single crowns. Enhanced mechanical resistance in terms of fatigue and fracture resistance can be achieved by replacing MC and bilayered restorations with computer‐aided design and computer‐aided manufacturing monolithic zirconia.
Funder
Fundação de Amparo à Pesquisa do Estado de São Paulo