Overlays or ceramic fragments for tooth restoration: an analysis of fracture resistance

J Contemp Dent Pract. 2014 Jan 1;15(1):56-60. doi: 10.5005/jp-journals-10024-1487.

Abstract

Purpose: The aim of this study was to evaluate the mode of fracture and resistance of partial ceramic restorations of posterior teeth.

Materials and methods: Thirty healthy upper premolars were selected and divided into three groups (n = 10): Group 1- control, healthy unrestored teeth, group 2-teeth restored with ceramic fragments; and group 3-teeth restored with ceramic overlays. The restorations were manufactured with feldspathic ceramic and cemented with RelyX ARC resin cement. After being stored in distilled water for 7 days, the teeth were subjected to axial compression mechanical testing with a universal testing machine. Force was applied to the long axis of the tooth at a speed of 0.5 mm/min until fracture. The data were analyzed with one-way ANOVA and Tukey's test (5%). The mode of fracture was scored according to the degree of involvement of the tooth structure and the type of restoration.

Results: A significant difference (p < 0.05) was showed between groups 2 (1155 N) and 3 (846.6 N), but there was no significant difference between group 1 and the other groups (1046 N), More extensive fractures were prevalent in the healthy teeth group (Group 1), which had no occlusal coverage; less severe fractures were found in groups 2 and 3.

Conclusion: We conclude that teeth restored with ceramic fragments may offer greater resistance to fractures compared to teeth that have overlay restorations.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acid Etching, Dental / methods
  • Aluminum Silicates / chemistry
  • Bicuspid / physiopathology
  • Bisphenol A-Glycidyl Methacrylate / chemistry
  • Ceramics / chemistry*
  • Compressive Strength
  • Dental Porcelain / chemistry*
  • Dental Prosthesis Design*
  • Dental Restoration Failure*
  • Dental Stress Analysis / instrumentation
  • Humans
  • Hydrofluoric Acid / chemistry
  • Inlays*
  • Materials Testing
  • Polyethylene Glycols / chemistry
  • Polymethacrylic Acids / chemistry
  • Potassium Compounds / chemistry
  • Resin Cements / chemistry
  • Stress, Mechanical
  • Surface Properties
  • Time Factors
  • Tooth Fractures / physiopathology
  • Water / chemistry

Substances

  • Aluminum Silicates
  • Polymethacrylic Acids
  • Potassium Compounds
  • RelyX ARC
  • Resin Cements
  • Scotchbond Multi-Purpose
  • Water
  • Dental Porcelain
  • feldspar
  • Polyethylene Glycols
  • Bisphenol A-Glycidyl Methacrylate
  • Hydrofluoric Acid