30.11.2012 Aufrufe

VITA Easyshade® Advance – Irren war menschlich!

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Schlussfolgerung: Die beiden neuen Prothesenbasismaterialien zeigten ähnliche Ergeb -<br />

nisse wie die anderen Injektionssysteme. Das Gießverfahren wies mit Abstand die<br />

schlechteste Oberflächenqualität auf.<br />

Hinweis: Diese Studie wurde zum Teil von der Firma Ivoclar Vivadent AG unterstützt.<br />

P10<br />

In vitro evaluation of bonding strength of veneering ceramics to zirconia copings<br />

Yu-sung Choi a *, Sung-hun Kim b *<br />

a Department of Prosthodontics, College of Dentistry, Dankook University, Cheonan,<br />

Republic of Korea<br />

b Department of Prosthodontics and Dental Research Institute, School of Dentistry,<br />

Seoul National University, 275-1, Yeongeon-dong, Jongno-gu, Seoul, Republic of<br />

Korea<br />

Objectives: With this in vitro study the bonding strength of zirconia-based crown copings<br />

being veneered with a CAD/CAM generated high-strength ceramic cap by sintering<br />

is compared with anatomically identical zirconia-based crowns, which were either<br />

heat-pressed or veneered by the layering technique for completion.<br />

Materials and Methods: A 1.2mm, 360◦ chamfer preparation was performed on a first<br />

mandibular molar and 36 model dies was fabricated in a titanium alloy. A sample of<br />

36 zirconia copings was produced and divided into three groups. In the first group (LT)<br />

zirconia copings received conventional veneering in layering technique, in the second<br />

group the veneering porcelain was heat-pressed the zirconia coping (HT), and for the<br />

third group (ST) a CAD/CAM-fabricated high-strength anatomically shaped veneering<br />

cap was sintered onto the zirconia coping. All crowns were cemented conventionally<br />

onto their dies and tested in the universal testing machine until clinical failure. The fracture<br />

load data were compared by a one-way analysis of variance and a multiple comparison<br />

posthoc test(< 0.05). Scanning electron microscope pictures have used to<br />

show a sound bond between the connector material, internal framework material and<br />

external veneer cap.<br />

Results: Specimens from group LT showed a mean (S.D.) fracture load of 1860.39<br />

(1238.72) N, group HT 5277.73 (1181.11) N and group ST 4284.67 (2257.42) N. The<br />

difference between groups LT and HT/ST were statistically significant (P < 0.001).<br />

Conclusion: The new CAD/CAM-fabricated bilayered restorations (ST) and heat-pressed<br />

techniques (HT) were superior to the conventional layering techniques (LT) in terms of<br />

fracture load and offer the possibility to produce cost-effective crowns and fixed partial<br />

dentures with a potential lower risk of chippings.<br />

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