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Fracture load and failure analysis of zirconia single crowns veneered with
pressed and layered ceramics after chewing simulation
Bogna STAWARCZYK1, Mutlu ÖZCAN1, Malgorzata ROOS2, Albert TROTTMANN1 and Christoph H. F. HÄMMERLE1
1
Clinic of Fixed and Removable Prosthodontics and Dental Material Science, Center of Dental Medicine, University of Zurich, Plattenstrasse 11, 8032
Zurich, Switzerland
2
Division of Biostatistics, Institute of Social and Preventive Medicine, University of Zurich, Plattenstrasse 11, 8032 Zurich, Switzerland
Corresponding author, Bogna STAWARCZYK; E-mail: bogna.stawarczyk@zzm.uzh.ch
This study determined the fracture load of zirconia crowns veneered with four overpressed and four layered ceramics after chewing
simulation. The veneered zirconia crowns were cemented and subjected to chewing cycling. Subsequently, the specimens were loaded
at an angle of 45° in a Universal Testing Machine to determine the fracture load. One-way ANOVA, followed by a post-hoc Scheffé
test, t-test and Weibull statistic were performed. Overpressed crowns showed significantly lower fracture load (543–577 N) compared
to layered ones (805–1067 N). No statistical difference was found between the fracture loads within the overpressed group. Within
the layered groups, LV (1067 N) presented significantly higher results compared to LC (805 N). The mean values of all other groups
were not significantly different. Single zirconia crowns veneered with overpressed ceramics exhibited lower fracture load than those
of the layered ones after chewing simulation.
Wassermann, Hamburg, Germany) using 50 µm alumina a carrier and firing was performed in a ceramic oven
particles (Renfert, Hilzingen, Germany) at 2 bar (Austromat D4, Dekema, Freilassing, Germany)
pressure. Then, the overpressed ceramic specimens were according to the recommendations of the manufacturers.
ground to the final dimensions using SIC P220, P500, After firing, the specimens were ground to the final
P1200. dimensions using SiC discs P220, P500 and P1200.
The layered ceramic specimens (N=60, n=15 per The three-point flexural strength was measured
group) were layered in a separable steel mold. Dentin (N=120) according to ISO 6872: 200820). The dimensions
ceramic powder was mixed with the respective liquid to of the specimens were measured to the next 0.01 mm.
form sticky slurry which was then filled into the mold. The specimens were placed in the appropriate sample
The specimens were placed on a layer of silica powder on holder and loaded in the Universal Testing Machine
556 Dent Mater J 2011; 30(4): 554–562
Fig. 4 Failure types observed after fracture test * total fracture ** chipping.
RESULTS
All overpressed (PZ: 99±14 MPa, PG: 103±10 MPa, PV:
107±7 MPa, PC: 106±9 MPa) and layered (LZ: 104±14
MPa, LG: 102±10 MPa, LV: 109±12 MPa, LC: 100±9
MPa) veneering ceramics presented flexural strength
values in the same range. No statistical differences were
found between the four overpressed and four layered
veneering ceramic and within the corresponding
manufacturers (p>0.05).
The mean fracture load of the four overpressed
zirconia crown groups presented similar values. Within
the four different layered zirconia crown groups, PV
showed a significantly higher mean fracture load Fig. 6 Boxplots of fracture load (N) by manufacturer of
compared to PC. Within one manufacturer, the fracture veneering ceramic and veneering technique with
load of the overpressed zirconia crowns showed censored data chipping and fracture.
Dent Mater J 2011; 30(4): 554–562 559
Table 3 Mean (SD) and 95% confidence interval of the fracture load (N), p-value of the two sample Student’s t-test with
difference of the mean fracture load and 95% confidence intervals for the difference between layering and
pressing techniques by manufacturers
Table 4 Failure types with relative frequencies and 95% confidence interval for all tested groups and all failure types
Table 5 Weibull modulus (m), characteristic fracture load (0) with the corresponding 95% confidence intervals and their
difference for censored data chipping and total fracture and for complete data
Failure type: chipping Failure type: total fracture All fracture types
Veneering
Groups Weibull Characteristic Weibull Characteristic Weibull Characteristic
technique modulus (m) fracture load (0) modulus (m) fracture load (0) modulus (m) fracture load (0)
and 95% CI and 95% CI (N) and 95% CI and 95% CI (N) and 95% CI and 95% CI (N)
Overpressed PZ 3.4 (2.3;5.0)a 686 (576;819)a 1.0 (0.3;3.0)a 2659 (385;18,336)ab 2.5 (1.7;3.8)a 609 (493;752)a
PG 3.5 (1.7;7.1)a 1235 (946;1613)b 8.1 (5.2;12.3)b 1084 (997;1,178)ab 5.7 (3.8;8.3)ab 984 (895;1,082)ab
PV 5.4 (3.4;8.5)a
775 (690;870)ab
0.8 (0.3;2.0)a
3095 (441;21,722) ab
2.3 (1.4;3.5)a
644 (509;815)a
PC 3.6 (1.6;7.9)a 1311 (949;1,812)ab 11.8 (7.7;18.1)b 1067 (1,010.3;1,127.5)ab 7.3 (4.8;10.9)b 999 (928;1,076)b
Layered LZ 3.0 (1.9;4.7)a 747 (615;909)ab 1.0 (0.3;2.8)a 3000 (419;21,441)ab 2.2 (1.4;3.4)a 654 (514;830)a
LG 3.1 (1.6;6.1)a 1605 (1,155;2,231)b 4.6 (3.1;6.8)ab 1296 (1,129;1,487)b 4.1 (2.9;5.7)ab 1164 (1,018;1,330)b
LV 4.5 (2.9;6.9)a 826 (715;954)ab 1.5 (0.7;3.4)a 1327 (630;2,794)ab 3.0 (2.0;4.4)ab 704 (587;844)a
LC 3.2 (1.7;6.0)a 1025 (814;1,291)ab 14.8 (8.8;24.6)b 993 (942;1,047)a 5.5 (3.6;8.3)ab 874 (793;963)a
Significantly different p=0.652 p<0.001 p<0.001 p=0.013 p<0.001 p<0.001
The letters reflect the results from the Bartlett’s modified likelihood ratio test (for equal shape and for equal scale) within the same
Weibull moduli and characteristic fracture load groups. Different letters represent a significant post-hoc Bonferroni test between the
levels of the test groups factor.
(layered), LV (layered) and LC (layered) than in PC ceramics within the same manufacturer. This could be
(overpressed) and LG (layered). The Weibull moduli for attributed to similar chemical compositions of the
chipping of the overpressed and layered crowns were not ceramics. After ceramic overpressing, while the FDPs in
significant (Table 5, Fig. 7). The characteristic fracture this system were retrieved followed by sandblasting that
load for chipping resulted in a significantly lower value was used for removing the investment material, with the
for PZ (overpressed) compared to PG (overpressed) and layered ceramics, sandblasting was not practiced. The
LG (layered). The Weibull moduli for total fracture sandblasting process could be held responsible for the
resulted in a significantly higher value for PG damage on the zirconia surface that negatively influences
(overpressed), PC (overpressed) and LC (layered) the mechanical properties of zirconia25). It has been
compared to PZ (overpressed), PV (overpressed) and LV reported that zirconia is subjected to a different type of
(layered). The characteristic fracture load for total surface damage as a result of milling and grinding
fracture resulted in a significantly higher value for LC procedures, which introduces surface flaws. Such surface
(layered) compared to LG (layered) (Table 4, Fig.7). flaws act as stress concentration sites and create crack
initiation and propagation, even though they are
microscopic in nature26,27).
DISCUSSION
Between the overpressed ceramics also no significant
Although the mean flexural strength of veneering difference was found in flexural strength and fracture
ceramics of both veneering techniques presented similar load. Although the overpressing parameters were not
values, the mean fracture load of the overpressed identical with the tested materials, sandblasting has
ceramics was significant lower compared to the layered possibly created internal stresses in the FDP, which
ones. Therefore, the null-hypothesis of this study is eventually weakened the ceramic and yielded to chipping.
rejected. In all overpressed groups, predominantly In fact, final temperature of 1,000°C or above of final
chipping of the veneering ceramic was observed. In temperature, regeneration affect could have been
addition, while considering the fracture load values by expected from the tested overpressed ceramic types,
failure type, fractures of the framework were observed at namely PressX ZR and Vita PM9. However, due to
a lower fracture load than chipping with the overpressed insignificant differences in mean fracture load values,
ceramics. Based on this fact, it can be suggested that this statement could not be made. In a previous study,
zirconia frameworks are durable under the load until regeneration firing of layering ceramics has shown a
chipping failure. Under the similar loading magnitude significant decrease of shear bond strength between
the layered crowns presented predominantly total zirconia and veneering ceramic18). It could be anticipated
fracture. Thus, the failure type chipping was observed that anatomical geometry of the FDP might have affected
with lower fracture load values than the fracture of the results compared to standard geometrical
framework. specimens18).
The flexural strength values did not significantly One clinical study reported significantly less
differ between the overpressed and layered veneering fractures and chippings with overpressed FDPs compared
Dent Mater J 2011; 30(4): 554–562 561
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