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Fracture resistance of premolars restored with inlay and onlay ceramic restorations and luted with two different agents

Authors
Journal
Journal of Prosthodontic Research
1883-1958
Publisher
Elsevier
Publication Date
Volume
55
Issue
1
Identifiers
DOI: 10.1016/j.jpor.2010.07.001
Keywords
  • Ceramic
  • Fracture Resistance
  • Inlays
  • Onlays
Disciplines
  • Design

Abstract

Abstract Purpose The purpose of this study was to evaluate the fracture resistance of human maxillary premolars restored with 2 ceramic systems (Vitadur Alpha and In Ceram) comparing 3 preparation designs and 2 luting agents. Methods Seventy sound teeth were prepared to receive ceramic restorations (Vitadur Alpha; n = 14) as follows: (1) control, sound premolars, with no preparation, (2) inlays, (3) partial onlays (palatal cuspid coverage), (4) total onlays (both cuspids coverage), and (5) total onlays with an In Ceram core. The ceramic restorations were cemented using Enforce or RelyX ARC (half restorations with each cement), placed into the cavity and held under pressure, except for the control group. The teeth were subjected to compressive axial loading at 0.5 mm min −1 using a 9 mm steel ball until fracture. Data were analyzed by 3-way ANOVA and post hoc Tukey's test ( α = .05). Results There was a significant difference between cements and among preparation designs ( P < .05). All restorations cemented with Enforce exhibited significantly higher fracture resistance ( P < .05). Inlay restorations showed similar fracture resistance when compared to control group ( P > .05). Partial and total onlays did not statistically differ and showed the weakest performance. The use of an In Ceram core did not produce higher fracture resistance. Conclusions Within the limitations of this study, the cements tested had different mechanical properties, while cuspid coverage did not result in improved fracture resistance of the restored teeth.

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