OBJECTIVE: The aim of this investigation was to compare the clinical survival rate of all-ceramic FPDs with failures during in vitro simulation. METHODS: 40 anterior FPDs were manufactured from lithiumdisilicate ceramic and alumina-oxide ceramic. The FPDs were adhesively bonded to human teeth and artificially aged to investigate the survival rate during thermal cycling and mechanical loading (TCML(1); 3.6 Mio*50 N ML). Survival rates were compared to available clinical data, and the TCML parameter 'mastication force' was adapted accordingly for a second TCML run (TCML(2); 3.6 Mio*25 N/35 N ML). The fracture resistance of the FPDs that survived TCML was determined. Data were statistically analysed by means of Mann-Whitney U-test, and survival rates were determined by curve fitting/regression analysis. RESULTS: TCML decreased survival rates by 30-50%, depending on the type of material used. Failures during TCML included cracking, chipping or fracture. Increased masticatory loading during TCML caused a higher decrease in the fracture resistance of FPDs. Fracture results were 403 N (278/453) and 426 N (317/538) for Empress 2 and 325 N (164/584) and 405 N (344/558 N) for Inceram. CONCLUSIONS: Despite the limitations of this study, the results indicate that TCML with 1,200,000*25/35 N provide a sufficient prognosis of probable clinical failures. Longer TCML-time with higher mastication forces may help to exclude catastrophic clinical failures.
OBJECTIVE: The aim of this investigation was to compare the clinical survival rate of all-ceramic FPDs with failures during in vitro simulation. METHODS: 40 anterior FPDs were manufactured from lithiumdisilicate ceramic and alumina-oxide ceramic. The FPDs were adhesively bonded to human teeth and artificially aged to investigate the survival rate during thermal cycling and mechanical loading (TCML(1); 3.6 Mio*50 N ML). Survival rates were compared to available clinical data, and the TCML parameter 'mastication force' was adapted accordingly for a second TCML run (TCML(2); 3.6 Mio*25 N/35 N ML). The fracture resistance of the FPDs that survived TCML was determined. Data were statistically analysed by means of Mann-Whitney U-test, and survival rates were determined by curve fitting/regression analysis. RESULTS: TCML decreased survival rates by 30-50%, depending on the type of material used. Failures during TCML included cracking, chipping or fracture. Increased masticatory loading during TCML caused a higher decrease in the fracture resistance of FPDs. Fracture results were 403 N (278/453) and 426 N (317/538) for Empress 2 and 325 N (164/584) and 405 N (344/558 N) for Inceram. CONCLUSIONS: Despite the limitations of this study, the results indicate that TCML with 1,200,000*25/35 N provide a sufficient prognosis of probable clinical failures. Longer TCML-time with higher mastication forces may help to exclude catastrophic clinical failures.
Authors: Bogna Stawarczyk; Andreas Ender; Albert Trottmann; Mutlu Özcan; Jens Fischer; Christoph H F Hämmerle Journal: Clin Oral Investig Date: 2012-01-03 Impact factor: 3.573
Authors: M Naumann; C Hohmann; A Happe; F Beuer; R Frankenberger; R Seemann; M Rosentritt Journal: Clin Oral Investig Date: 2012-10-27 Impact factor: 3.573
Authors: Martin Rosentritt; Felix Heidtkamp; Helmut Hösl; Sebastian Hahnel; Verena Preis Journal: Clin Oral Investig Date: 2015-06-09 Impact factor: 3.573
Authors: Martin Rosentritt; Sebastian Hahnel; Frank Engelhardt; Michael Behr; Verena Preis Journal: Clin Oral Investig Date: 2016-07-01 Impact factor: 3.573