Article

Influence of tooth surface roughness and type of cement on retention of complete cast crowns.

Section of Restorative and Prosthetic Dentistry, School of Dentistry, College of Dentistry, Ohio State University, Columbus, USA.
Journal of Prosthetic Dentistry (impact factor: 1.32). 02/1997; 77(2):116-21. pp.116-21
Source: PubMed

ABSTRACT Bond strength of luting cements to dentin is a critical consideration for success of cast restorations.
This study determined the relationship between surface characteristics of teeth prepared for complete cast crowns and retention of respective cemented restorations.
Ninety artificial crowns were cast for standardized complete crown tooth preparations accomplished with the use of a milling machine on extracted human teeth. Diamond, tungsten carbide finishing, and cross-cut carbide burs of similar shape were used. The crowns in each group were randomly subdivided into three subgroups of 10 for the three luting cements selected for this study: zinc phosphate cement (Fleck's), glass ionomer cement (Ketac-Cem), and adhesive resin cement (Panavia-EX). Retention was evaluated by measuring the tensile load required to dislodge the artificial crowns from tooth preparations with an Instron testing machine.
Analysis of forces with parametric analysis of variance and Tukey's Studentized Range (HSD) disclosed a statistically significant difference for both luting cement and finishing burs (p < 0.001). A statistically significant interaction effect (p < 0.001) was also found. The greatest retention value (372.9 N) was for tooth preparations refined with carbide burs and cemented with Panavia-EX cement. However, the least retention value (201.6 N) was for tooth preparations completed with finishing burs and luted with zinc phosphate cement.
Significant differences were found among all three cements for finishing burs. However, there was a difference only between Panavia-EX cement and the other two cements for tungsten carbide burs. For diamond rotary instruments, zinc phosphate cement was significantly different from glass ionomer and Panavia-EX cements.

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    ABSTRACT: Conditioning the root canal is frequently advised to achieve high post-retention when resin composite luting cements are used. However, manufacturers' instructions for this purpose differ widely from one another. The aim of this study was to compare the tensile bond strengths of passive, tapered, titanium root posts that were luted with four different resin composite cements (Compolute Aplicap, Flexi-Flow cem, Panavia 21 EX, Twinlook) in the root canals at three conditions, namely (i) no conditioning, (ii) etching with 37% phosphoric acid, and (iii) etching + bonding agent application. Panavia 21 EX was further tested after using the primer for the post-surface according to the manufacturer's recommendations. The posts luted with zinc phosphate cement (Tenet) acted as the control group. Following endodontic preparation of 140 intact anterior teeth with hand instruments, the post-spaces were prepared using the opening drills of the corresponding size of the posts. The samples were first stored in water at 37 degrees C for 24 h and then thermocycled (5000 cycles, 5-55 degrees C, 30 s). The tensile strength values were measured with the universal testing machine at a crosshead speed of 0.5 mm min(-1). The data were analysed statistically using anova and corrected with Scheffé test due to the significance levels (P < 0.05). The tensile bond strengths of the titanium posts after luting with various cements and thermocycling were affected by the conditioning systems used for the root canals. Tensile bond strengths were the highest with Flexi-Flow (475 +/- 78 N) followed in descending order by Panavia 21 EX (442 +/- 97 N), Twinlook (430 +/- 78 N) and Compolute Aplicap (352 +/- 76 N) after conditioning the root canal. The use of primer on the post improved the tensile bond strength compared with the non-conditioned group for the Panavia 21 EX group (375 +/- 77 N) (P < 0.001). Tensile bond strengths obtained after luting the posts with zinc phosphate cement (414 +/- 102 N) were not significantly different (P < 0.05) than those of resin composite cements. Although the importance of conditioning the root canal was evident for Panavia 21 EX, it was not the case for the other luting cements tested.
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    Article: Influence of tooth preparation taper and cement type on recementation strength of complete metal crowns.
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    The Journal of prosthetic dentistry 12/2009; 102(6):354-61. · 1.22 Impact Factor
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    Article: Factors influencing bonding fixed restorations
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    Srpski Arhiv za Celokupno Lekarstvo. 01/2008;

Keywords

adhesive resin cement
 
artificial crowns
 
Bond strength
 
critical consideration
 
cross-cut carbide burs
 
glass ionomer cement
 
greatest retention value
 
human teeth
 
Instron testing machine
 
luting cement
 
milling machine
 
Panavia-EX cement
 
standardized complete crown tooth preparations
 
statistically significant difference
 
tensile load
 
tooth preparations refined
 
Tukey's Studentized Range
 
tungsten carbide
 
tungsten carbide burs
 
zinc phosphate cement