Restoring strength of incisors with veneers and full ceramic crowns.

Yong-hee P Chun, Constanze Raffelt, Hanjo Pfeiffer, Mozhgan Bizhang, Gunnar Saul, Uwe Blunck, Jean François Roulet

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

PURPOSE: The aim was to determine the in vitro fracture resistance of incisors restored with veneers and full ceramic crowns compared to unrestored teeth. MATERIALS AND METHODS: Seventy intact, extracted human maxillary central incisors were randomized and assigned to 7 groups (n = 10). The teeth in group 1 remained intact (control). The teeth in groups 2 to 6 were prepared and IPS Empress restorations were conditioned and bonded using an adhesive luting cement, Variolink II/Syntac (group 2: labial veneer with incisal overlap, group 3: 3/4 veneer with margin in enamel, group 4: 3/4 veneer with margin in dentin, group 5: crown with margin in enamel, group 6: crown with margin in dentin group 7: veneer on worn tooth. After finishing and polishing, specimens were stored in water and thermocycled for 2000 cycles between 5 degrees C and 55 degrees C. The maximal fracture load of the specimens (40-degree inclination) was determined using the universal testing machine (Zwick) at a constant crosshead speed (0.5 mm/min). The statistical analysis was performed using the Kruskal-Wallis test with Bonferroni correction (p < 0.05). Fracture surfaces were qualitatively analyzed by SEM. RESULTS: All restored teeth with cervical preparation margins in enamel showed a fracture load not significantly different from the intact teeth (control). Restored teeth with cervical preparation margins in dentin showed a significantly lower fracture load. All restorations showed a fracture load far above 400 N, serving as functional reference for anterior teeth. The failures were predominantly cohesive. CONCLUSION: For the restoration of tooth strength, defining the finishing lines of veneers and crowns in enamel is recommended. Restorations with finishing lines in dentin resulted in significant loss of strength. Three-quarter veneers with finishing lines in enamel are functionally equal to crowns with the advantage of conserving tooth structure.

Original languageEnglish (US)
Pages (from-to)45-54
Number of pages10
JournalThe journal of adhesive dentistry
Volume12
Issue number1
StatePublished - Feb 2010
Externally publishedYes

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Ceramics
Incisor
Crowns
Tooth
Dental Enamel
Dentin
Lip
Water

ASJC Scopus subject areas

  • Dentistry(all)

Cite this

Chun, Y. P., Raffelt, C., Pfeiffer, H., Bizhang, M., Saul, G., Blunck, U., & Roulet, J. F. (2010). Restoring strength of incisors with veneers and full ceramic crowns. The journal of adhesive dentistry, 12(1), 45-54.

Restoring strength of incisors with veneers and full ceramic crowns. / Chun, Yong-hee P; Raffelt, Constanze; Pfeiffer, Hanjo; Bizhang, Mozhgan; Saul, Gunnar; Blunck, Uwe; Roulet, Jean François.

In: The journal of adhesive dentistry, Vol. 12, No. 1, 02.2010, p. 45-54.

Research output: Contribution to journalArticle

Chun, YP, Raffelt, C, Pfeiffer, H, Bizhang, M, Saul, G, Blunck, U & Roulet, JF 2010, 'Restoring strength of incisors with veneers and full ceramic crowns.', The journal of adhesive dentistry, vol. 12, no. 1, pp. 45-54.
Chun YP, Raffelt C, Pfeiffer H, Bizhang M, Saul G, Blunck U et al. Restoring strength of incisors with veneers and full ceramic crowns. The journal of adhesive dentistry. 2010 Feb;12(1):45-54.
Chun, Yong-hee P ; Raffelt, Constanze ; Pfeiffer, Hanjo ; Bizhang, Mozhgan ; Saul, Gunnar ; Blunck, Uwe ; Roulet, Jean François. / Restoring strength of incisors with veneers and full ceramic crowns. In: The journal of adhesive dentistry. 2010 ; Vol. 12, No. 1. pp. 45-54.
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