Effect of apical root resection, orthodontic extrusion, and surgical crown lengthening on load capability.

OBJECTIVES: This study aims to investigate the load-to-fracture of procedures changing crown-to-root ratio (RCRR) aimed to restore severely damaged upper central incisors to avoid tooth extraction compared to implant placement. There is no evidence on load capability after apical root resection (AR), orthodontic extrusion (OE), and surgical crown lengthening (SCL) in respect to RCRR, respectively. MATERIAL AND METHODS: Human maxillary central incisors were endodontically treated, decoronated, and divided into 4 groups (n = 48). The following specimen preparation was performed: (I) adhesive core-and-post build-up (control), (II) as (I) and 2 mm apical root resection (AR), (III) before adhesive core-and-post build-up teeth were shortened 2 mm coronally (OE) (IV) as (I), but specimens were embedded 4 mm instead of 2 mm below the CEJ (SCL), group (V) implant-borne restoration with individual all-ceramic abutments (n = 12; ∅4.1/l = 12 mm) (IBR). All specimens received all-ceramic crowns, thermo-mechanical (TML), and subsequent linear loading (LL) until failure. RCRR were calculated and log-rank, Kruskal-Wallis, Mann-Whitney U, ANOVA, and chi-square tests applied (p = 0.05). RESULTS: Fracture loads after subsequent LL differed significantly (p = 0.001) between groups, while implants showed the highest values. Fmax median (min/max) were as follows: (I) 252 (204/542), (II) 293 (243/443), (III) 253 (183/371), (IV) 195 (140/274), and (V) 446 (370/539). Pair-wise comparison showed significant differences (p = 0.001) between group I/IV and group V, I, and IV (p = 0.045), II and IV (p = 0.001), and III compared to IV (p = 0.033), respectively. RCRR below 1 significantly increased load capability compared to RCRR = 1. CONCLUSIONS: OE appears to preferably ensure biomechanical stability of teeth that are endodontically treated and receive core-and-post and crown placement compared to SCL. AR has no adverse biomechanical impact. RCRR < 1 is biomechanically beneficial. CLINICAL RELEVANCE: For endodontically treated and restored teeth, orthodontic extrusion should be preferred compared to surgical crown lengthening prior single-crown restoration. As orthodontic extrusion, apical root resection has no adverse effect on load capability. Single-crown implant-borne restorations are most load capable.

Direct restoration of endodontically treated maxillary central incisors: post or no post at all?

OBJECTIVES: The aim of this ex-vivo study was to evaluate the impact of cavity size and glass-fiber post (GFP) placement on the load capability of endodontically treated maxillary incisors directly restored with resin composite. MATERIALS AND METHODS: Ninety-six extracted human maxillary central incisors were endodontically treated and distributed to four groups (n = 24): access cavity (A), access cavity and uni-proximal class III cavity (U), access cavity and bi-proximal class III cavity (B), and decoronated tooth (D). Specimens were restored with resin composite, and 12 specimen of each group received an adhesively placed glass-fiber post (P). Prior to linear loading, specimens were exposed to thermo-mechanical loading (TCML). Statistical analysis was performed using log-rank test after TCML, Kruskall-Wallis and Mann-Whitney U test to compare load capabilities (Fmax). RESULTS: Significantly more failures occurred in group D for specimens without GFP during TCML (p = 0.001). Fmax (mean (SD) in N was (A) 513 (124), (AP) 554 (201), (U) 438 (171), (UP) 537 (232) (B) 483 (219), (BP) 536 (281), D 143 (181), and DP 500 (331), and differed significantly among groups (p = 0.003). Pair-wise comparison revealed lower Fmax values for group D compared to all other groups (p < 0.034) except group DP. CONCLUSIONS: Endodontically treated maxillary central incisors with cavity sizes up to bi-proximal class III may be successfully directly restored with resin composite. Post placement shows no additional effect except for decoronated endodontically treated incisors. CLINICAL RELEVANCE: Endodontically treated incisors with access cavities to class III cavities can be successfully restored with resin composite. Post placement for decoronated ETT is recommended.

Biomechanical studies on the effect of iatrogenic dentin removal on vertical root fractures.

INTRODUCTION: The aim of this study was to understand the mechanism by which iatrogenic root dentin removal influences radicular stress distribution and subsequently affects the resistance to vertical root fractures (VRF) in endodontically treated teeth. MATERIALS AND METHODS: The experiments were conducted in two phases. Phase 1: freshly extracted premolar teeth maintained in phosphate-buffered saline were instrumented to simulate three different degrees of dentin removal, designated as low, medium, and extreme groups. Micro-Ct analyzes were performed to quantitatively determine: (a) the amount of dentin removed, (b) the remaining dentin volume, and (c) the moment of inertia of root dentin. The specimens were then subjected to thermomechanical cycling and continuous loading to determine (a) the mechanical load to fracture and (b) dentin microcracking (fractography) using scanning electron microscopy. Phase 2: Finite element analysis was used to evaluate the influence of dentin removal on the stress distribution pattern in root dentin. The data obtained were analyzed using one-way ANOVA and Tukey's post hoc test (P < 0.05). RESULTS: Phase 1: A significantly greater volume of dentin was removed from teeth in extreme group when compared to low group (P < 0.01). The mechanical analysis showed that the load to fracture was significantly lower in teeth from extreme group (P < 0.05). A linear relationship was observed between the moment of inertia and load to fracture in all experimental groups (R2 = 0.52). Fractography showed that most microcracks were initiated from the root canal walls in extreme group. Phase 2: The numerical analysis showed that the radicular stress distribution increased apically and buccolingually with greater degree of root canal dentin removal. CONCLUSIONS: The combined experimental/numerical analyses highlighted the influence of remaining root dentin volume on the radicular bending resistance, stress distribution pattern, and subsequent propensity to VRF.

Impact of simulated reduced alveolar bone support, increased tooth mobility, and distal post-supported, root-treated abutment tooth on load capability of all-ceramic zirconia-supported cantilever FDP.

OBJECTIVES: The aim of this in vitro study was an analysis of the impact of simulated reduced alveolar bone support and post-restored, endodontically treated distal abutment tooth on load capability of all-ceramic zirconia-based cantilever-fixed dental prosthesis (CFDP). MATERIAL AND METHODS: The roots of human lower sound premolars (n = 80) were divided into five experimental groups to be restored with all-ceramic zirconia-supported three-unit CFDP regarding bone loss (BL) relative to the cement-enamel junction (CEJ): 2 mm below CEJ = 0% BL (control group), group 25% distal BL, group 50% distal BL, group 50% mesial and distal BL, and group 50% distal BL and adhesive post-supported restoration. Specimens were exposed to simulated clinical function by thermo-mechanical loading (6.000 cycles 5°-55°; 1.2 × 106 cycles 0-50 N) and subsequent linear loading until failure. RESULTS: Tooth mobility increased significantly for groups with simulated bone loss (p < 0.001). Four specimens failed during thermal cycling and mechanical loading (TCML). The maximum load capability ranged from 350 to 569 N, and did not differ significantly between experimental groups (p = 0.095). Groups with simulated bone loss revealed more tooth fractures at distal abutment teeth, whereas technical failures were more frequent in the control group (p = 0.024). CONCLUSIONS: Differences of alveolar bone support and respectively increased tooth mobility between mesial and distal abutments did not influence load capability. A distal adhesively post-and-core-supported, root-treated abutment tooth did not increase risk of three-unit CFDP failure. CLINICAL RELEVANCE: CFDPs are a treatment option used with caution when reduced alveolar bone support, increased tooth mobility, and distal post-supported, root-treated abutment teeth are involved.

Are implants more reliable than severely compromised endodontically treated teeth as abutments for zirconia-based FPDs? : In vitro results of long-term preclinical load simulation.

OBJECTIVES: The aim was to study the impact of the defect size of endodontically treated incisors compared to dental implants as abutments on the survival of zirconia two-unit anterior cantilever-fixed partial dentures (2U-FPDs) during 10-year simulation. MATERIALS AND METHODS: Human maxillary central incisors were endodontically treated and divided into three groups (n = 24): I, access cavities rebuilt with composite core; II, teeth decoronated and restored with composite; and III as II supported by fiber posts. In group IV, implants with individual zirconia abutments were used. Specimens were restored with zirconia 2U-FPDs and exposed to two sequences of thermal cycling and mechanical loading. STATISTICS: Kaplan-Meier; log-rank tests. RESULTS: During TCML in group I two tooth fractures and two debondings with chipping were found. Solely chippings occurred in groups II (2×), IV (2×), and III (1×). No significant different survival was found for the different abutments (p = 0.085) or FPDs (p = 0.526). Load capability differed significantly between groups I (176 N) and III (670 N), and III and IV (324 N) (p < 0.024). CONCLUSION: Within the limitations of an in vitro study, it can be concluded that zirconia-framework 2U-FPDs on decoronated teeth with/without post showed comparable in vitro reliability as restorations on implants. The results indicated that restorations on teeth with only access cavity perform worse in survival and linear loading. CLINICAL RELEVANCE: Even severe defects do not justify per se a replacement of this particular tooth by a dental implant from load capability point of view.

Loading standardization of postendodontic restorations in vitro: impact of restorative stage, static loading, and dynamic loading.

OBJECTIVE: The load capability of post-restored endodontically treated teeth (ETT) can be determined at different restorative stages. It was the aim of this study to compare the load capability of ETT at these stages. MATERIALS AND METHODS: Maxillary central incisors were divided into 4 groups (n=10) and endodontically treated. Specimens were restored with: (I) only glass fiber posts (GFP); (II) GFP and composite build-up with 2 mm ferrule; (III and IV) with additional adhesively luted all-ceramic crowns. Group (I) to (III) were statically loaded, and group (IV) was exposed to thermomechanical loading (TML) and subsequent static loading. RESULTS: The lowest median load level of 73 N was determined for group (I). The maximum median load value of 331 N was found for group (III). The comparison of Fmax [N] of group (I), (II) and (III) revealed significant differences between the groups (p<0.001). The specimens of group (IV) failed at significantly lower load values (p<0.005) as similarly restored specimens of group (III) which were only statically loaded. The stage of restoration and TML loading prior to static loading had a significant impact on fracture patterns (p=0.006). CONCLUSION: Every additional restorative step torwards a final crown-restored ETT significantly increased the load capability. TML prior to load-to-fracture testing of the complete restorative complex, ie. post, core and crown, significantly decreased maximum load capability.

Self-adhesive cements as core build-ups for one-stage post-endodontic restorations?

AIM: To investigate the load capability of root filled teeth restored with glass fibre posts when the same self-adhesive composite resin cement was used as post cement and core build-up material. METHODOLOGY: Human maxillary central incisors were divided into four groups (n=10). Teeth were root filled, decoronated and restored using glass fibre posts luted with different cements and composite resins for core build-up (i) RelyX Unicem/Clearfil Core (RXU/CC), (ii) RelyX Unicem/ RelyX Unicem (RXU/RXU), (iii) RelyX Unicem/LuxaCore-Dual (RXU/LCD) and (iv) LuxaCore-Dual/Clearfil (LCD/CC). A 2-mm ferrule crown preparation was always performed. All specimens were restored with adhesively luted all-ceramic crowns and were exposed to thermal cycling and mechanical loading (TCML) and subsequently statically loaded. For analysis of cycles-to-failure during TCML, log-rank statistics were calculated. The nonparametric Kruskal-Wallis test was applied to study group mean differences. Differences in the frequency of the failure modes between the groups were evaluated by Fisher's exact test. All tests were two-sided (α=0.05). RESULTS: Three specimens of RXU/LCD and two of RXU/RXU and LCD/CC, respectively, failed during TCML (P=0.379). For these specimens, the load capability value was set at 0 N. The median fracture load values (min/max) in (N) were RXU/CC=294 (209/445), RXU/RXU = 166 (0/726), RXU/LCD=241 (0/289) and LCD/CC=200 (0/371) (P=0.091). The RXU/CC had the highest (80%) and RXU/LCD the lowest (20%) percentage of restorable failures (P=0.028). CONCLUSIONS: These results imply that self-adhesive composite achieved similar load capabilities when used as core build-up materials in root filled teeth restored with glass fibre posts and all-ceramic crowns.

In vitro performance of self-adhesive resin cements for post-and-core build-ups: influence of chewing simulation or 1-year storage in 0.5% chloramine solution.

The aim of this investigation was to test the in vitro performance of a self-adhesive resin composite core build-up in comparison with two typical conventional etch-and-rinse composite core build-up materials, before and after 1year of storage in 0.5% chloramine solution (LTS). Sixty human maxillary central incisors were divided into three groups. Teeth were root filled and decoronated. Specimens were restored using glass fiber posts cemented with a self-adhesive resin cement. Core build-ups were made with a self-adhesive (U) and two core build-up materials (C and L) applied with their corresponding bonding systems. All specimens received adhesively luted lithium disilicate crowns. Ten specimens of each group were exposed to LTS and examined monthly for cracks or other alterations. All specimens were thermocycled, mechanically loaded (TCML) and finally loaded until failure occurred. There was no statistical significant difference in regard to the number of failures during TCML without and with LTS (log rank: p = 0.225 and 0.609, respectively). The median fracture load values after static loading without LTS and with LTS did not differ significantly (Kruskal-Wallis test: p = 0.057 and 0.106, respectively), though the fracture patterns between the groups without (p = 0.024) and with LTS (p = 0.027) did. Self-adhesive cements used for core build-up have no significantly higher risk of failure compared to conventional core build-up materials in both LTS and TCML test scenarios.

Dynamic monitoring of curing photoactive resins: a methods comparison.

OBJECTIVE: The aim of this investigation was to determine reaction enthalpy, ion viscosity and curing light transmission changes of unfilled methacrylate-based systems in order to compare methods that monitor photoactive resin polymerization. METHODS: Photoinitiator (0.2%, w/v, camphoroquinone), accelerator (0.3%, w/v, amine) and inhibitor (ranging from 0 to 1%, w/v, butylated hydroxytoluene, BHT) were incorporated in an experimental BisGMA/TEGDMA co-monomer mixture (50/50, w/v). The concentration of BHT was varied from 0.00, 0.01, 0.05, 0.10, 0.50 to 1.00% (w/v). Light transmission (LT), reaction enthalpy (UV-differential scanning calorimetry, DSC), and ion viscosity (dielectrical analysis, DEA) were determined during irradiation of the resins (40s; halogen light curing-unit). Statistical analysis was performed using two-way ANOVA followed by post hoc tests (alpha=0.05). Curve fitting and regression calculation were done. RESULTS: There was no significant change in the time to reach the maximum rate of polymerization (reaction time) in the individual systems up to a BHT concentration of 0.05% (P>0.05). Starting at a concentration of 0.10% BHT an increase in time of reaction could be found from 4.0s (LT), 4.07s (DEA) and 4.9s (DSC) to a maximum of 7.4s (DSC), 9.43s (DEA) and 9.67s (LT). Linear increase (y=5.588 x x) in time to the maximum speed of reaction could be found with a correlation of R(2)=0.992. CONCLUSIONS: The speed of polymerization reaction is strongly influenced by BHT concentration. The linear relationship should allow for the prediction of the speed of reaction during blending of a methacrylate-based resin. The three test systems allow for monitoring the complex polymerization kinetics of unfilled methacrylate-based systems.

Flexural strength of experimentally filled resins made of electron beam irradiated silica fillers.

This study investigated the influence of different silica fillers on the flexural strength of experimentally filled resins. Hydrophilic (non-silanated) silica, hydrophobic silica modified by organofunctional silane, and silica modified by organofunctional silane that additionally contains polymerizable carbon double bonds were assigned into further subgroups: the first subgroup was electron beam irradiated with 10 kGy (dose rate) and the second with 30 kGy, whereas the third constituted the non-irradiated control group. In total, nine experimentally filled resin blends were mixed. Rectangular specimens were constructed, and a flexural strength test was performed. Regardless of the type of silica, specimens constructed of blends containing non-irradiated fillers showed the lowest flexural strength in comparison to their corresponding irradiated groups. With increasing dose rates from 10 to 30 kGy, filler irradiation prior to blend mixing resulted in slightly increased flexural strength values for hydrophilic as well as for organofunctional silanated silica. Specimens constructed of blends with fillers that were not only modified by silane containing polymerizable carbon double bonds but were additionally irradiated showed the highest flexural strength. The results of this study indicate that the flexural strength of filled resins could be enhanced by advance preparation of silica fillers with silane coupling agents followed by electron beam irradiation.

Influence of test parameters on in vitro fracture resistance of post-endodontic restorations: a structured review.

A structured literature review aimed to elucidate test parameters for in vitro testing of post-endodontic restorations. The literature was digitally searched using MEDLINE, EMBASE, MedPilot and an additional hand search was performed. Two independent researchers assessed the articles in relation to the defined inclusion and exclusion criteria. The literature search revealed 125 abstracts. Sixty-nine studies were included. Fifty-seven per cent of the studies investigated maxillary incisors only. The restorative stage as complex of tooth, post, core, and crown and post-and-core restored specimens without crowns were used most frequently. Fifty-nine per cent of the studies used static loading. Only 15% of the studies performed thermocycling and mechanical loading (TCML). However, the number of thermo- and load cycles varied. The cross-head speed of linear loading after TCML ranged from 0.01 to 150 mm min(-1). The reviewed studies were heterogeneous in test design regarding the used test parameters. A methodological standardization of in vitro testing of post-endodontic restorations is recommended.

Marginal adaptation of three self-adhesive resin cements vs. a well-tried adhesive luting agent.

This in vitro study compared the marginal adaptation of three self-adhesive composite cements with the clinically well-tried dentin adhesive system Panavia F 2.0. A total of 32 Empress 2 all-ceramic MOD-inlays (eight in each group) were luted using the self-adhesive composite cements Maxcem, Multilink Sprint, and RelyX Unicem Clicker; Panavia F 2.0 served as a clinically well-tried control. Each luted inlay underwent long-term water storage of 90 days as well as additional mechanical and thermal loading to simulate oral service. Marginal integrity was evaluated in both dentin and enamel finishing lines using scanning electron microscopy (SEM) and dye penetration tests. Dye penetration was lowest for Panavia followed by RelyX Unicem. Maxcem and Multilink showed a considerable dye penetration of up to 60%. After aging, SEM analysis revealed a reduction of "perfect margin" areas for Multilink Sprint and RelyX Unicem in enamel and for Maxcem and Multilink in dentin. Compared with the well-tried system Panavia--which was assumed as the golden standard of adhesive luting systems--only the self-adhesive luting agent RelyX Unicem showed similar results of marginal adaptation after long-term water storage.

The impact of cement mixing and storage errors on the risk of failure of glass-ceramic crowns.

This study evaluated the impact of different mixing ratios and wrongly stored blends of dual-curing composite cements on Empress2 glass-ceramic crowns by means of a flexural strength test and a fracture resistance test. Thermally damaged blends and fresh blends were mixed using different mixing ratios of dual-curing Panavia F and Variolink II composite cement (2:1; 1:1; 1:1.5; 1:1.75; base/catalyst). Sixteen groups of rectangular beams of both cements (two blends, four ratios, chemical-curing, light-curing) were constructed. Their flexural strength was determined in a three-point bending test. Furthermore, 64 Empress2 all-ceramic crowns were luted onto human molars, again using fresh and thermally damaged blends as well as different mixing ratios of the luting agents. After aging, fracture resistance was investigated. The flexural strength of dual-curing composite cements was influenced to a statistically significant extent by mixing ratios and storage conditions. In particular, the chemical curing mode of these cements was affected by the thermal damage of the blends. However, this study could not demonstrate a significant impact on the fracture resistance of Empress2 glass-ceramic crowns when different mixing ratios or wrongly stored cements were used. Dual-curing composite luting agents seem to tolerate a wide range of mixing errors, but their chemical curing mode may be affected by storage errors.

Influence of core material on fracture resistance and marginal adaptation of restored root filled teeth.

AIM: To investigate ex vivo the influence of direct placement core materials on the fracture strength and marginal adaptation of root filled maxillary central incisors restored with glass fibre-reinforced posts, various core materials and all-ceramic crowns. METHODOLOGY: Forty-eight human maxillary incisors were root filled. Posts were placed and teeth restored with composite cores and crowns (n = 8). Six core materials were examined after thermal cyclic and mechanical loading (TCML). Fracture force was determined under static loading. The marginal adaptation at the interfaces between cement-tooth and cement-crown were categorized as 'intact margin' or 'marginal gap' using scanning electron microscopy. Statistical analysis was undertaken with the Mann-Whitney U-test (alpha = P < or = 0.05). RESULTS: Median fracture strength varied between 204 N (low viscous experimental core) and 1094 N (Multicore). No difference in fracture resistance was found with varying viscosity of the core material. The layering technique improved the fracture performance (P = 0.059) to a minor degree. Crowns with dedicated core materials (Rebilda 1063 N; Multicore 1094 N) had a significantly higher fracture resistance than crowns with a conventional restorative material (Tetric Ceram 509 N). Significantly poorer marginal adaptation before TCML was found for the layering technique at the tooth-cement interface and for all experimental cores after TCML. At the crown-cement interface significant differences in marginal adaptation could be determined between Multicore-layered core (P = 0.002) and Multicore-Rebilda (P = 0.001) after TCML. CONCLUSIONS: The fracture strength of post and core restorations was dependent on the core material and bonding system. Marginal adaptation was influenced by the method of application of the core material and by TCML.

Experimental composites made of electron beam irradiated reinforced fillers.

This study investigated the influence of electron beam irradiated reinforced fillers on the three body wear and flexural strength of experimental composite blends. Three formulations of reinforced fillers were investigated: (A) high loaded inorganic filler composite with 60 wt.% SiO2, (B) low loaded inorganic filler composite with 40 wt.% SiO2, (C) organic filler composite (precipitated Bis-phenol-A-di-methacrylate). The fillers were assigned to two subgroups of unswollen (A, B, C) and monomer swollen (As, Bs, Cs) fillers. The experimental blends (matrix: Urethane-dimethacrylate) were mixed using un-treated, annealed (90 degrees C), or electron beam irradiated fillers with 30 and 90 kGy, respectively. All specimens were heat-cured for 20 min at 140 degrees C. Three-body abrasion and flexural strength tests were performed. The highest flexural strength was evaluated for composites made of the 30 kGy irradiated type Bs filler. The comparison with annealed fillers showed that the effect was independent of increasing temperatures during the radiation process. Blends with a SiO2 content of 60 wt.% (type A, As) had significantly less wear than blends with 40 wt.% (type B, Bs) or blends with organic fillers (type C, Cs). The flexural strength of the composite could be improved by using pre-irradiated reinforced fillers. However, wear was not affected using this procedure.

The influence of electron beam irradiation on the shear bond strength of glass-reinforced frameworks and veneer composites.

The bond between glass fibre framework and veneer composite can be achieved by silane coupling agents or by monomers that penetrate into a polymer network. However, it has been clinically demonstrated that his bond can fail. This study investigated whether electron beam irradiation improved the bond strength of fibre-frameworks and veneer composite with and without additional coupling agents.

The influence of electron beam irradiation on fibre-reinforced composite specimens.

This study investigated whether glass fibre-reinforced composite (FRC) specimens can benefit from post-curing using electron beam irradiation. Twenty-four frameworks of the Vectris and 24 of the Stick glass fibre-reinforced system were veneered with their correspondent veneer materials. Eight specimens of both systems were post-cured using electron beam irradiation (3 x 33 kGy, 10 MeV). The specimens were fixed in a restrained-end apparatus and inserted in an artificial mouth. With the exception of controls (n = 8 each) all other groups were thermally cycled and mechanically loaded (TCML). Finally, all samples were loaded to fracture using a universal testing machine. In two of eight non-irradiated Vectris/Targis specimens facing fracture occurred during TCML. Irradiation avoided these failures. No Stick/Sinfony facing fractured. However, Stick frameworks showed considerable torsions. Post-curing with electron beam irradiation made Stick frameworks stiffer. The fracture load of irradiated Stick/Sinfony specimens reached 520 +/- 31 N; control (without TCML and irradiation) 396 +/- 14 N, TCML-group without irradiation 362 +/- 41 N. Irradiated Vectris/Targis had a fracture resistance of 575 +/- 57 N; the control 556 +/- 36 N and the TCML group without irradiation 383 +/- 51 N. This investigation demonstrated that different types of FRC systems could considerably benefit from electron beam irradiation. The reconstructions became stiffer and resisted higher load.

Influence of stress simulation parameters on the fracture strength of all-ceramic fixed-partial dentures.

OBJECTIVES: This in vitro study tested the influence of diverse stress simulation parameters on the fracture strength of all-ceramic three-unit fixed partial dentures (FPDs). METHODS: All-ceramic FPDs made of Empress 2 (Ivoclar-Vivadent, FL) were exposed to thermal cycling and mechanical loading (TCML) with varying loading parameters such as chewing force (amount, frequency), thermal loading, lateral jaw motion, abutment material, artificial periodontium or antagonistic denture. To investigate the influence of the abutment material, human teeth, polymer abutments and alloy abutments were used. Two different TCML devices with pneumatic or weight loading were compared. FPDs without aging were used as a control. RESULTS AND SIGNIFICANCE: Combined thermal and mechanical loading significantly reduced the FPD fracture resistance from 1832N to 410N. Duplication of chewing frequency, phase load increase or additional lateral movement did not effect the results. Increasing chewing force, artificial periodontium, and antagonist or abutment material reduced the fracture resistance of the tested FPDs. Different devices with weight or pneumatic loading had no significant influence on the loading capacity of the FPDs. Artificial aging should be performed combining thermal cycling with mechanical loading. Simulation of the artificial periodontium, human antagonists and abutments should be included to achieve a significant aging.

Composite veneering of metal based fixed partial dentures.

The aim of this in vitro study was to determine the thermal mechanical properties of veneering composites after polymerization with the appropriate polymerization device. Fracture tests were performed to investigate the effect on fixed partial dentures (FPDs). Dynamic mechanical thermal analysis was used to determine the temperature-dependent mechanical properties. To approximate the clinical situation, the fracture resistance of three-unit metal-based FPDs with different composite veneering was investigated after a simulated 5-year oral wearing period. The restorations were made of a high gold alloy and veneered with three different composites. To determine the influence of fabrication, one composite was used in a light-polymerizing and a heat/pressure-curing version and, in addition, a newly developed heat protection paste was used. After a 5-year simulation period, the fracture resistance was determined. The storage modulus varied between 14268 N mm(-2) (Belleglass) and 6616 N mm(-2) (Sinfony). Adoro showed no significant differences between light curing (9155 N mm(-2)) and heat curing (8184 N mm(-2)) variations. The Adoro-veneering with the heat protection paste showed the highest median fracture strength (1700 N), followed by Adoro LC (1555 N), Belleglass (1051 N), Adoro HP (1150 N) and Sinfony (909 N). The most common failure type occurring in all FPDs was a cracking of the composite, exposing the metal framework. All FPDs showed stress cracking of the composite. The heat protection paste seemed to reduce the crack formation after fabrication and increased the fracture resistance of the composite veneering. Stress cracking after thermal cycling and mechanical loading affected all composites, but all veneered three-unit alloy FPDs showed a fracture resistance sufficient for posterior application.

Electron beam irradiation of denture base materials.

UNLABELLED: Electron beam irradiation can be used to influence the properties of polymers. It was the aim of this study to investigate whether PMMA denture base materials can benefit from irradiation in order to have increased fracture toughness, work of fracture or hardness. Rectangular specimens of heat-and auto-curing denture base materials were electron beam irradiated (post-cured) with 25, 100 and 200 kGy using an electron acceleration of 10 MeV or 4.5 MeV respectively. Fracture toughness, work of fracture, Vickers hardness and colour changes were measured and compared with not-irradiated specimens. The toughness, work of fracture and hardness increased using 10 MeV with a dose of 25 kGy and with 100 kGy using 4.5 MeV. However, the clinical use may not benefit from the observed small changes. Higher dosage (200 kGy) decreased the values significantly. The colour changes reached a level which was found to be not clinically acceptable. CONCLUSION: PMMA denture base materials do not benefit from post-curing with electron beam irradiation.