A fractographic study of clinically retrieved zirconia–ceramic and metal–ceramic fixed dental prostheses
•Veneer chipping was the prominent fracture mode in clinically retrieved zirconia–ceramic and metal–ceramic fixed dental prostheses.•All fracture initiated at the occlusal wear facets.•Zirconia–ceramic exhibited a higher rate of veneer fracture with larger chip sizes relative to their metal–ceramic...
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| Published in | Dental materials Vol. 31; no. 10; pp. 1198 - 1206 |
|---|---|
| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
| Published |
England
Elsevier Ltd
01.10.2015
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0109-5641 1879-0097 1879-0097 |
| DOI | 10.1016/j.dental.2015.07.003 |
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| Abstract | •Veneer chipping was the prominent fracture mode in clinically retrieved zirconia–ceramic and metal–ceramic fixed dental prostheses.•All fracture initiated at the occlusal wear facets.•Zirconia–ceramic exhibited a higher rate of veneer fracture with larger chip sizes relative to their metal–ceramic counterparts.
A recent 3-year randomized controlled trial (RCT) of tooth supported three- to five-unit zirconia–ceramic and metal–ceramic posterior fixed dental prostheses (FDPs) revealed that veneer chipping and fracture in zirconia–ceramic systems occurred more frequently than those in metal–ceramic systems [1]. This study seeks to elucidate the underlying mechanisms responsible for the fracture phenomena observed in this RCT using a descriptive fractographic analysis.
Vinyl-polysiloxane impressions of 12 zirconia–ceramic and 6 metal–ceramic FDPs with veneer fractures were taken from the patients at the end of a mean observation of 40.3±2.8 months. Epoxy replicas were produced from these impressions [1]. All replicas were gold coated, and inspected under the optical microscope and scanning electron microscope (SEM) for descriptive fractography.
Among the 12 zirconia–ceramic FDPs, 2 had small chippings, 9 had large chippings, and 1 exhibited delamination. Out of 6 metal–ceramic FDPs, 5 had small chippings and 1 had large chipping. Descriptive fractographic analysis based on SEM observations revealed that fracture initiated from the wear facet at the occlusal surface in all cases, irrespective of the type of restoration.
Zirconia–ceramic and metal–ceramic FDPs all fractured from microcracks that emanated from occlusal wear facets. The relatively low fracture toughness and high residual tensile stress in porcelain veneer of zirconia restorations may contribute to the higher chipping rate and larger chip size in zirconia–ceramic FDPs relative to their metal–ceramic counterparts. The low veneer/core interfacial fracture energy of porcelain-veneered zirconia may result in the occurrence of delamination in zirconia–ceramic FDPs. |
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| AbstractList | A recent 3-year randomized controlled trial (RCT) of tooth supported three- to five-unit zirconia-ceramic and metal-ceramic posterior fixed dental prostheses (FDPs) revealed that veneer chipping and fracture in zirconia-ceramic systems occurred more frequently than those in metal-ceramic systems [1]. This study seeks to elucidate the underlying mechanisms responsible for the fracture phenomena observed in this RCT using a descriptive fractographic analysis.OBJECTIVESA recent 3-year randomized controlled trial (RCT) of tooth supported three- to five-unit zirconia-ceramic and metal-ceramic posterior fixed dental prostheses (FDPs) revealed that veneer chipping and fracture in zirconia-ceramic systems occurred more frequently than those in metal-ceramic systems [1]. This study seeks to elucidate the underlying mechanisms responsible for the fracture phenomena observed in this RCT using a descriptive fractographic analysis.Vinyl-polysiloxane impressions of 12 zirconia-ceramic and 6 metal-ceramic FDPs with veneer fractures were taken from the patients at the end of a mean observation of 40.3±2.8 months. Epoxy replicas were produced from these impressions [1]. All replicas were gold coated, and inspected under the optical microscope and scanning electron microscope (SEM) for descriptive fractography.METHODSVinyl-polysiloxane impressions of 12 zirconia-ceramic and 6 metal-ceramic FDPs with veneer fractures were taken from the patients at the end of a mean observation of 40.3±2.8 months. Epoxy replicas were produced from these impressions [1]. All replicas were gold coated, and inspected under the optical microscope and scanning electron microscope (SEM) for descriptive fractography.Among the 12 zirconia-ceramic FDPs, 2 had small chippings, 9 had large chippings, and 1 exhibited delamination. Out of 6 metal-ceramic FDPs, 5 had small chippings and 1 had large chipping. Descriptive fractographic analysis based on SEM observations revealed that fracture initiated from the wear facet at the occlusal surface in all cases, irrespective of the type of restoration.RESULTSAmong the 12 zirconia-ceramic FDPs, 2 had small chippings, 9 had large chippings, and 1 exhibited delamination. Out of 6 metal-ceramic FDPs, 5 had small chippings and 1 had large chipping. Descriptive fractographic analysis based on SEM observations revealed that fracture initiated from the wear facet at the occlusal surface in all cases, irrespective of the type of restoration.Zirconia-ceramic and metal-ceramic FDPs all fractured from microcracks that emanated from occlusal wear facets. The relatively low fracture toughness and high residual tensile stress in porcelain veneer of zirconia restorations may contribute to the higher chipping rate and larger chip size in zirconia-ceramic FDPs relative to their metal-ceramic counterparts. The low veneer/core interfacial fracture energy of porcelain-veneered zirconia may result in the occurrence of delamination in zirconia-ceramic FDPs.SIGNIFICANCEZirconia-ceramic and metal-ceramic FDPs all fractured from microcracks that emanated from occlusal wear facets. The relatively low fracture toughness and high residual tensile stress in porcelain veneer of zirconia restorations may contribute to the higher chipping rate and larger chip size in zirconia-ceramic FDPs relative to their metal-ceramic counterparts. The low veneer/core interfacial fracture energy of porcelain-veneered zirconia may result in the occurrence of delamination in zirconia-ceramic FDPs. A recent 3-year randomized controlled trial (RCT) of tooth supported three- to five-unit zirconia-ceramic and metal-ceramic posterior fixed dental prostheses (FDPs) revealed that veneer chipping and fracture in zirconia-ceramic systems occurred more frequently than those in metal-ceramic systems [1]. This study seeks to elucidate the underlying mechanisms responsible for the fracture phenomena observed in this RCT using a descriptive fractographic analysis. Vinyl-polysiloxane impressions of 12 zirconia-ceramic and 6 metal-ceramic FDPs with veneer fractures were taken from the patients at the end of a mean observation of 40.3±2.8 months. Epoxy replicas were produced from these impressions [1]. All replicas were gold coated, and inspected under the optical microscope and scanning electron microscope (SEM) for descriptive fractography. Among the 12 zirconia-ceramic FDPs, 2 had small chippings, 9 had large chippings, and 1 exhibited delamination. Out of 6 metal-ceramic FDPs, 5 had small chippings and 1 had large chipping. Descriptive fractographic analysis based on SEM observations revealed that fracture initiated from the wear facet at the occlusal surface in all cases, irrespective of the type of restoration. Zirconia-ceramic and metal-ceramic FDPs all fractured from microcracks that emanated from occlusal wear facets. The relatively low fracture toughness and high residual tensile stress in porcelain veneer of zirconia restorations may contribute to the higher chipping rate and larger chip size in zirconia-ceramic FDPs relative to their metal-ceramic counterparts. The low veneer/core interfacial fracture energy of porcelain-veneered zirconia may result in the occurrence of delamination in zirconia-ceramic FDPs. •Veneer chipping was the prominent fracture mode in clinically retrieved zirconia–ceramic and metal–ceramic fixed dental prostheses.•All fracture initiated at the occlusal wear facets.•Zirconia–ceramic exhibited a higher rate of veneer fracture with larger chip sizes relative to their metal–ceramic counterparts. A recent 3-year randomized controlled trial (RCT) of tooth supported three- to five-unit zirconia–ceramic and metal–ceramic posterior fixed dental prostheses (FDPs) revealed that veneer chipping and fracture in zirconia–ceramic systems occurred more frequently than those in metal–ceramic systems [1]. This study seeks to elucidate the underlying mechanisms responsible for the fracture phenomena observed in this RCT using a descriptive fractographic analysis. Vinyl-polysiloxane impressions of 12 zirconia–ceramic and 6 metal–ceramic FDPs with veneer fractures were taken from the patients at the end of a mean observation of 40.3±2.8 months. Epoxy replicas were produced from these impressions [1]. All replicas were gold coated, and inspected under the optical microscope and scanning electron microscope (SEM) for descriptive fractography. Among the 12 zirconia–ceramic FDPs, 2 had small chippings, 9 had large chippings, and 1 exhibited delamination. Out of 6 metal–ceramic FDPs, 5 had small chippings and 1 had large chipping. Descriptive fractographic analysis based on SEM observations revealed that fracture initiated from the wear facet at the occlusal surface in all cases, irrespective of the type of restoration. Zirconia–ceramic and metal–ceramic FDPs all fractured from microcracks that emanated from occlusal wear facets. The relatively low fracture toughness and high residual tensile stress in porcelain veneer of zirconia restorations may contribute to the higher chipping rate and larger chip size in zirconia–ceramic FDPs relative to their metal–ceramic counterparts. The low veneer/core interfacial fracture energy of porcelain-veneered zirconia may result in the occurrence of delamination in zirconia–ceramic FDPs. Objectives A recent 3-year randomized controlled trial (RCT) of tooth supported three- to five-unit zirconia-ceramic and metal-ceramic posterior fixed dental prostheses (FDPs) revealed that veneer chipping and fracture in zirconia-ceramic systems occurred more frequently than those in metal-ceramic systems [1]. This study seeks to elucidate the underlying mechanisms responsible for the fracture phenomena observed in this RCT using a descriptive fractographic analysis. Methods Vinyl-polysiloxane impressions of 12 zirconia-ceramic and 6 metal-ceramic FDPs with veneer fractures were taken from the patients at the end of a mean observation of 40.3 plus or minus 2.8 months. Epoxy replicas were produced from these impressions [1]. All replicas were gold coated, and inspected under the optical microscope and scanning electron microscope (SEM) for descriptive fractography. Results Among the 12 zirconia-ceramic FDPs, 2 had small chippings, 9 had large chippings, and 1 exhibited delamination. Out of 6 metal-ceramic FDPs, 5 had small chippings and 1 had large chipping. Descriptive fractographic analysis based on SEM observations revealed that fracture initiated from the wear facet at the occlusal surface in all cases, irrespective of the type of restoration. Significance Zirconia-ceramic and metal-ceramic FDPs all fractured from microcracks that emanated from occlusal wear facets. The relatively low fracture toughness and high residual tensile stress in porcelain veneer of zirconia restorations may contribute to the higher chipping rate and larger chip size in zirconia-ceramic FDPs relative to their metal-ceramic counterparts. The low veneer/core interfacial fracture energy of porcelain-veneered zirconia may result in the occurrence of delamination in zirconia-ceramic FDPs. Highlights • Veneer chipping was the prominent fracture mode in clinically retrieved zirconia–ceramic and metal–ceramic fixed dental prostheses. • All fracture initiated at the occlusal wear facets. • Zirconia–ceramic exhibited a higher rate of veneer fracture with larger chip sizes relative to their metal–ceramic counterparts. |
| Author | Pang, Zhen Sailer, Irena Zhang, Yu Chughtai, Asima |
| AuthorAffiliation | a Department of Biomaterials and Biomimetics, New York University College of Dentistry, New York, NY 10010, USA b Division of Fixed Prosthodontics and Occlusion, School of Dental Medicine, University of Geneva, 19 rue Barthélemy-Menn, CH-1205 Geneva, Switzerland |
| AuthorAffiliation_xml | – name: a Department of Biomaterials and Biomimetics, New York University College of Dentistry, New York, NY 10010, USA – name: b Division of Fixed Prosthodontics and Occlusion, School of Dental Medicine, University of Geneva, 19 rue Barthélemy-Menn, CH-1205 Geneva, Switzerland |
| Author_xml | – sequence: 1 givenname: Zhen surname: Pang fullname: Pang, Zhen organization: Department of Biomaterials and Biomimetics, New York University College of Dentistry, New York, NY 10010, USA – sequence: 2 givenname: Asima surname: Chughtai fullname: Chughtai, Asima organization: Department of Biomaterials and Biomimetics, New York University College of Dentistry, New York, NY 10010, USA – sequence: 3 givenname: Irena surname: Sailer fullname: Sailer, Irena organization: Division of Fixed Prosthodontics and Occlusion, School of Dental Medicine, University of Geneva, 19 rue Barthélemy-Menn, CH-1205 Geneva, Switzerland – sequence: 4 givenname: Yu surname: Zhang fullname: Zhang, Yu email: yz21@nyu.edu organization: Department of Biomaterials and Biomimetics, New York University College of Dentistry, New York, NY 10010, USA |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/26233469$$D View this record in MEDLINE/PubMed |
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| Snippet | •Veneer chipping was the prominent fracture mode in clinically retrieved zirconia–ceramic and metal–ceramic fixed dental prostheses.•All fracture initiated at... Highlights • Veneer chipping was the prominent fracture mode in clinically retrieved zirconia–ceramic and metal–ceramic fixed dental prostheses. • All fracture... A recent 3-year randomized controlled trial (RCT) of tooth supported three- to five-unit zirconia-ceramic and metal-ceramic posterior fixed dental prostheses... Objectives A recent 3-year randomized controlled trial (RCT) of tooth supported three- to five-unit zirconia-ceramic and metal-ceramic posterior fixed dental... |
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| SubjectTerms | Advanced Basic Science Chipping Delamination Dental materials Dental Materials - chemistry Dental Restoration Failure Dental Veneers Dentistry Denture Design Denture, Partial, Fixed Descriptive fractography Female Fractography Fracture mechanics Humans Male Materials Testing Metal Ceramic Alloys - chemistry Metal–ceramic FDPs Microscopy, Electron, Scanning Occlusal wear facet Restoration Scanning electron microscopy Surface Properties Veneers Zirconia–ceramic FDPs Zirconium dioxide |
| Title | A fractographic study of clinically retrieved zirconia–ceramic and metal–ceramic fixed dental prostheses |
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