Reliability and failure modes of implant-supported zirconium-oxide fixed dental prostheses related to veneering techniques |
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Authors: | Baldassarri Marta Zhang Yu Thompson Van P Rekow Elizabeth D Stappert Christian F J |
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Institution: | a Department of Periodontology and Implant Dentistry, Department of Biomaterials and Biomimetics, New York University College of Dentistry, New York, USA b Department of Biomaterials and Biomimetics, New York University College of Dentistry, New York, USA c Science and Technology, New York University, New York, USA d Department of Prosthodontics, Albert-Ludwigs-University, Freiburg, Germany |
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Abstract: | ObjectivesTo compare fatigue failure modes and reliability of hand-veneered and over-pressed implant-supported three-unit zirconium-oxide fixed-dental-prostheses(FDPs).MethodsSixty-four custom-made zirconium-oxide abutments (n = 32/group) and thirty-two zirconium-oxide FDP-frameworks were CAD/CAM manufactured. Frameworks were veneered with hand-built up or over-pressed porcelain (n = 16/group). Step-stress-accelerated-life-testing (SSALT) was performed in water applying a distributed contact load at the buccal cusp-pontic-area. Post failure examinations were carried out using optical (polarized-reflected-light) and scanning electron microscopy (SEM) to visualize crack propagation and failure modes. Reliability was compared using cumulative-damage step-stress analysis (Alta-7-Pro, Reliasoft).ResultsCrack propagation was observed in the veneering porcelain during fatigue. The majority of zirconium-oxide FDPs demonstrated porcelain chipping as the dominant failure mode. Nevertheless, fracture of the zirconium-oxide frameworks was also observed. Over-pressed FDPs failed earlier at a mean failure load of 696 ± 149 N relative to hand-veneered at 882 ± 61 N (profile I). Weibull-stress-number of cycles-unreliability-curves were generated. The reliability (2-sided at 90% confidence bounds) for a 400 N load at 100 K cycles indicated values of 0.84 (0.98-0.24) for the hand-veneered FDPs and 0.50 (0.82-0.09) for their over-pressed counterparts.ConclusionsBoth zirconium-oxide FDP systems were resistant under accelerated-life-time-testing. Over-pressed specimens were more susceptible to fatigue loading with earlier veneer chipping. |
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Keywords: | Zirconium-oxide Fatigue Chipping Weibull-reliability Fixed-partial-denture Implants Over-pressed Hand-veneered Core Porcelain |
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