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The Effects of New Design of Access Hole on Porcelain Fracture Resistance of Implant-Supported Crowns

Identifieur interne : 000A39 ( Pmc/Checkpoint ); précédent : 000A38; suivant : 000A40

The Effects of New Design of Access Hole on Porcelain Fracture Resistance of Implant-Supported Crowns

Auteurs : Reza Derafshi [Iran] ; Mitra Farzin [Iran] ; Masoumeh Taghva [Iran] ; Hossein Heidary [Iran] ; Berivan Atashkar [Iran]

Source :

RBID : PMC:4476119

Abstract

Statement of the Problem

One disadvantage of cement-retained crowns is the lack of predictable irretrievability. This problem can be overcome through designing a screw access hole in the metal substructure of cement-retained restoration and using porcelain stain to define this area.

Purpose

This study aimed to evaluate the influence of existence of screw access hole on porcelain fracture resistance of metal-ceramic implant-supported crowns.

Materials and Method

Thirty six standardized metal-ceramic crowns were fabricated and divided into 3 groups (n=12); group 1 conventional cement-retained metal-ceramic crowns as control group, group 2 cement-retained MC crowns in which porcelain stain was used to define the location of screw access channel, and group 3 cement-retained metal-ceramic crowns in the metal substructure of which a hole and ledge was designed in the location of screw access channel. The specimens were cemented (TempBond, Kerr) to their dedicated abutments. A hole was made in the location of screw access channel in group 2 and 3 and filled with photo-polymerized composite resin (3M; ESPE). All specimens were thermocycled and loaded in universal testing machine at crosshead speed of 2mm/min until fracture. Mean values of load at fracture were calculated in each group and compared with One-way ANOVA (α=0.05).

Results

Mean value of the load required to fracture the restorations was 1947±487 N in group 1, 1927±539 N in group 2, and 2170±738 N in group 3. No statistically significant difference was found between the fracture resistance values of the three groups (p> 0.05)

Conclusion

Presence of screw access channel in cement-retained implant restorations does not compromise fracture resistance.


Url:
PubMed: 26106637
PubMed Central: 4476119


Affiliations:


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PMC:4476119

Le document en format XML

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<p> One disadvantage of cement-retained crowns is the lack of predictable irretrievability. This problem can be overcome through designing a screw access hole in the metal substructure of cement-retained restoration and using porcelain stain to define this area. </p>
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<p> Thirty six standardized metal-ceramic crowns were fabricated and divided into 3 groups (n=12); group 1 conventional cement-retained metal-ceramic crowns as control group, group 2 cement-retained MC crowns in which porcelain stain was used to define the location of screw access channel, and group 3 cement-retained metal-ceramic crowns in the metal substructure of which a hole and ledge was designed in the location of screw access channel. The specimens were cemented (TempBond, Kerr) to their dedicated abutments. A hole was made in the location of screw access channel in group 2 and 3 and filled with photo-polymerized composite resin (3M; ESPE). All specimens were thermocycled and loaded in universal testing machine at crosshead speed of 2mm/min until fracture. Mean values of load at fracture were calculated in each group and compared with One-way ANOVA (α=0.05). </p>
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<pmc article-type="research-article">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">J Dent (Shiraz)</journal-id>
<journal-id journal-id-type="iso-abbrev">J Dent (Shiraz)</journal-id>
<journal-id journal-id-type="publisher-id">JDS</journal-id>
<journal-title-group>
<journal-title>Journal of Dentistry</journal-title>
</journal-title-group>
<issn pub-type="ppub">2345-6485</issn>
<issn pub-type="epub">2345-6418</issn>
<publisher>
<publisher-name>Shiraz University of Medical Sciences</publisher-name>
<publisher-loc>Shiraz, Iran</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">26106637</article-id>
<article-id pub-id-type="pmc">4476119</article-id>
<article-id pub-id-type="publisher-id">jds-16-61</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>The Effects of New Design of Access Hole on Porcelain Fracture Resistance of Implant-Supported Crowns</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Derafshi</surname>
<given-names>Reza</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Farzin</surname>
<given-names>Mitra</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Taghva</surname>
<given-names>Masoumeh</given-names>
</name>
<xref ref-type="aff" rid="aff2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Heidary</surname>
<given-names>Hossein</given-names>
</name>
<xref ref-type="aff" rid="aff2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Atashkar</surname>
<given-names>Berivan</given-names>
</name>
<xref ref-type="aff" rid="aff2">2</xref>
</contrib>
</contrib-group>
<aff id="aff1">
<label>1</label>
Dept. of Prosthodontics, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran;</aff>
<aff id="aff2">
<label>2</label>
Postgraduate Student of Prosthodontics, Dept. of Prosthodontics, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran;</aff>
<author-notes>
<corresp id="cor">Correspondence: Heidary H.; Dept. of Prosthodontics, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran. Tel: +98-71-36263193-4 E-mail: dr.hheidary@gmail.com </corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>3</month>
<year>2015</year>
</pub-date>
<volume>16</volume>
<issue>1 Suppl</issue>
<fpage>61</fpage>
<lpage>67</lpage>
<history>
<date date-type="received">
<month>12</month>
<year>2014</year>
</date>
<date date-type="rev-recd">
<month>3</month>
<year>2015</year>
</date>
<date date-type="accepted">
<month>4</month>
<year>2015</year>
</date>
</history>
<permissions>
<copyright-statement>© 2015: Journal of dentistry (Shiraz)</copyright-statement>
<license>
<license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/3.0/">http://creativecommons.org/licenses/by/3.0/</ext-link>
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. </license-p>
</license>
</permissions>
<abstract>
<sec>
<title>Statement of the Problem</title>
<p> One disadvantage of cement-retained crowns is the lack of predictable irretrievability. This problem can be overcome through designing a screw access hole in the metal substructure of cement-retained restoration and using porcelain stain to define this area. </p>
</sec>
<sec>
<title>Purpose</title>
<p>This study aimed to evaluate the influence of existence of screw access hole on porcelain fracture resistance of metal-ceramic implant-supported crowns. </p>
</sec>
<sec>
<title>Materials and Method</title>
<p> Thirty six standardized metal-ceramic crowns were fabricated and divided into 3 groups (n=12); group 1 conventional cement-retained metal-ceramic crowns as control group, group 2 cement-retained MC crowns in which porcelain stain was used to define the location of screw access channel, and group 3 cement-retained metal-ceramic crowns in the metal substructure of which a hole and ledge was designed in the location of screw access channel. The specimens were cemented (TempBond, Kerr) to their dedicated abutments. A hole was made in the location of screw access channel in group 2 and 3 and filled with photo-polymerized composite resin (3M; ESPE). All specimens were thermocycled and loaded in universal testing machine at crosshead speed of 2mm/min until fracture. Mean values of load at fracture were calculated in each group and compared with One-way ANOVA (α=0.05). </p>
</sec>
<sec>
<title>Results</title>
<p> Mean value of the load required to fracture the restorations was 1947±487 N in group 1, 1927±539 N in group 2, and 2170±738 N in group 3. No statistically significant difference was found between the fracture resistance values of the three groups (
<italic>p</italic>
> 0.05) </p>
</sec>
<sec>
<title>Conclusion</title>
<p> Presence of screw access channel in cement-retained implant restorations does not compromise fracture resistance. </p>
</sec>
</abstract>
<kwd-group>
<title>Keywords</title>
<kwd>Dental Implants</kwd>
<kwd>Cement-retained</kwd>
<kwd>Fracture Resistance</kwd>
<kwd>Metal Ceramic Crowns</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<affiliations>
<list>
<country>
<li>Iran</li>
</country>
</list>
<tree>
<country name="Iran">
<noRegion>
<name sortKey="Derafshi, Reza" sort="Derafshi, Reza" uniqKey="Derafshi R" first="Reza" last="Derafshi">Reza Derafshi</name>
</noRegion>
<name sortKey="Atashkar, Berivan" sort="Atashkar, Berivan" uniqKey="Atashkar B" first="Berivan" last="Atashkar">Berivan Atashkar</name>
<name sortKey="Farzin, Mitra" sort="Farzin, Mitra" uniqKey="Farzin M" first="Mitra" last="Farzin">Mitra Farzin</name>
<name sortKey="Heidary, Hossein" sort="Heidary, Hossein" uniqKey="Heidary H" first="Hossein" last="Heidary">Hossein Heidary</name>
<name sortKey="Taghva, Masoumeh" sort="Taghva, Masoumeh" uniqKey="Taghva M" first="Masoumeh" last="Taghva">Masoumeh Taghva</name>
</country>
</tree>
</affiliations>
</record>

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