Publicação
The influence of different surface and heat treatments on the biaxial flexural strength of veneering ceramics for zirconia and strength reliability and mode of fracture of veneering ceramics
| Resumo: | New processing techniques have facilitated the use of Zirconia core materials in all-ceramic dental prostheses. Zirconia has many potential advantages compared to existing core materials; however its performance when layered with veneering ceramics has not been clearly evaluated. Moreover the veneering ceramics used with Zirconia may be ground, polished or glazed during laboratory procedures and/or clinical adjustments. These treatments may affect their strength by introducing microscopic flaws and defects. The purposes of this study were to investigate the effects of surface treatments on the mean biaxial flexural strength of three feldspathic veneering ceramics used to layer Zirconia cores: NobelRondoTM Zirconia veneer ceramic (Nobel BiocareTM AB, Sweden), LavaTM Ceram veneer ceramic (3MTM, ESPETM, Germany), and Vita® VM®9 veneer ceramic (Vita®, Zahnfabrick, Germany) and compare the mean biaxial flexural strength, its reliability, and mode of fracture of bilayered Zirconia discs veneered with the three feldspathic veneering ceramics. For the first part of the study one hundred and eighty monolithic disc specimens (12.7 mm x 2.2mm), sixty for each feldspathic veneering ceramic were prepared according to the manufacturer’s instruction and divided into eighteen groups, 6 groups for each feldspathic veneering ceramic with 10 specimens for each group. The six groups for each feldspathic veneering ceramic were untreated, grounded, grounded and polished, grounded and glazed, grounded polished and glazed and polished and glazed. Mean biaxial flexural strength and Weibull modulus were appraised. Statistical significance Summary 236 among groups of population was analyzed using one-way and two-way ANOVA and Fisher's PLSD comparison tests. For the second part of the study sixty bilayered disc specimens (12.7 mm x 2.2 mm), twenty for each feldspathic veneering ceramic were prepared using sixty Zirconia core discs (12.7 mm x 1.1 mm) layered with the three feldspathic veneering ceramics according to the manufacturer’s instruction and divided into 6 groups of 10 specimens for each material. Mean biaxial flexural strength and Weibull modulus were appraised, and a scanning electron microscope was used to describe surface features. Statistical significance among groups of population was analyzed using two-way ANOVA, Fisher's PLSD and Student’s t-test comparison tests. For the first part of the study and when the veneering ceramics were analyzed together the data provided strong evidence that there was a significant difference in biaxial flexural strength between the grinding groups and all other groups. When the feldspathic veneering ceramics were analyzed individually data revealed more heterogeneity between the mean biaxial strength of different groups. However, grinding decrease the strength of veneering ceramics and in some cases significantly. For this reason, grinding should always be avoided if any other procedure is to be done, as this will either create or change the developed crack dimensions or increase the volume loss. Conversely polishing and glazing improved the strength of all materials and in same cases significantly. These procedures are recommended to counteract the detrimental effects of grinding which was related to the ability of the procedures to improve the condition of the ceramic’s surface and free it from various defects and flaws. The Weibull modulus values for the veneering ceramics tested varied with different treatments. They showed higher values for polished, glazed and untreated groups, and lower values for ground groups. For the bilayered specimens when the veneering ceramics were Summary 237 analyzed together, specimens with the core material on the bottom surface were statistically stronger and more reliable than those with the veneering ceramics on the bottom surface. When analyzed individually only in the NobelRondoTM Zirconia veneer ceramic there was no significant difference when the core material or the veneering ceramic was on the bottom surface. Two different modes of fracture were observed in the bilayered specimens according to which material was on the bottom surface. The material that underwent tensile stress dictated the strength, reliability, and fracture mode of the specimens. The design of the restorations and the actual distribution of the tensile stresses must be taken into account, otherwise the significant contribution of stronger and tougher core materials to the performance of all-ceramic Zirconia-based restorations may be offset by the weaker veneering ceramics. |
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| Autores principais: | Carracho, José Fausto, 1975- |
| Assunto: | Reabilitação oral Cerâmica dentária Teses de doutoramento - 2011 |
| Ano: | 2011 |
| País: | Portugal |
| Tipo de documento: | tese de doutoramento |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Universidade de Lisboa |
| Idioma: | inglês |
| Origem: | Repositório da Universidade de Lisboa |
| Resumo: | New processing techniques have facilitated the use of Zirconia core materials in all-ceramic dental prostheses. Zirconia has many potential advantages compared to existing core materials; however its performance when layered with veneering ceramics has not been clearly evaluated. Moreover the veneering ceramics used with Zirconia may be ground, polished or glazed during laboratory procedures and/or clinical adjustments. These treatments may affect their strength by introducing microscopic flaws and defects. The purposes of this study were to investigate the effects of surface treatments on the mean biaxial flexural strength of three feldspathic veneering ceramics used to layer Zirconia cores: NobelRondoTM Zirconia veneer ceramic (Nobel BiocareTM AB, Sweden), LavaTM Ceram veneer ceramic (3MTM, ESPETM, Germany), and Vita® VM®9 veneer ceramic (Vita®, Zahnfabrick, Germany) and compare the mean biaxial flexural strength, its reliability, and mode of fracture of bilayered Zirconia discs veneered with the three feldspathic veneering ceramics. For the first part of the study one hundred and eighty monolithic disc specimens (12.7 mm x 2.2mm), sixty for each feldspathic veneering ceramic were prepared according to the manufacturer’s instruction and divided into eighteen groups, 6 groups for each feldspathic veneering ceramic with 10 specimens for each group. The six groups for each feldspathic veneering ceramic were untreated, grounded, grounded and polished, grounded and glazed, grounded polished and glazed and polished and glazed. Mean biaxial flexural strength and Weibull modulus were appraised. Statistical significance Summary 236 among groups of population was analyzed using one-way and two-way ANOVA and Fisher's PLSD comparison tests. For the second part of the study sixty bilayered disc specimens (12.7 mm x 2.2 mm), twenty for each feldspathic veneering ceramic were prepared using sixty Zirconia core discs (12.7 mm x 1.1 mm) layered with the three feldspathic veneering ceramics according to the manufacturer’s instruction and divided into 6 groups of 10 specimens for each material. Mean biaxial flexural strength and Weibull modulus were appraised, and a scanning electron microscope was used to describe surface features. Statistical significance among groups of population was analyzed using two-way ANOVA, Fisher's PLSD and Student’s t-test comparison tests. For the first part of the study and when the veneering ceramics were analyzed together the data provided strong evidence that there was a significant difference in biaxial flexural strength between the grinding groups and all other groups. When the feldspathic veneering ceramics were analyzed individually data revealed more heterogeneity between the mean biaxial strength of different groups. However, grinding decrease the strength of veneering ceramics and in some cases significantly. For this reason, grinding should always be avoided if any other procedure is to be done, as this will either create or change the developed crack dimensions or increase the volume loss. Conversely polishing and glazing improved the strength of all materials and in same cases significantly. These procedures are recommended to counteract the detrimental effects of grinding which was related to the ability of the procedures to improve the condition of the ceramic’s surface and free it from various defects and flaws. The Weibull modulus values for the veneering ceramics tested varied with different treatments. They showed higher values for polished, glazed and untreated groups, and lower values for ground groups. For the bilayered specimens when the veneering ceramics were Summary 237 analyzed together, specimens with the core material on the bottom surface were statistically stronger and more reliable than those with the veneering ceramics on the bottom surface. When analyzed individually only in the NobelRondoTM Zirconia veneer ceramic there was no significant difference when the core material or the veneering ceramic was on the bottom surface. Two different modes of fracture were observed in the bilayered specimens according to which material was on the bottom surface. The material that underwent tensile stress dictated the strength, reliability, and fracture mode of the specimens. The design of the restorations and the actual distribution of the tensile stresses must be taken into account, otherwise the significant contribution of stronger and tougher core materials to the performance of all-ceramic Zirconia-based restorations may be offset by the weaker veneering ceramics. |
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