Fracture strength of monolithic and glass-soldered ceramic subcomponents of 5-unit fixed dental prosthesis.

ABSTRACT

PURPOSE: Zirconium dioxide ceramic has been successfully introduced as a framework material for fixed dental prostheses. To reduce manufacturing constraints, joining of subcomponents could be a promising approach to increase the mechanical performance of long-span fixed dental prostheses. In this experimental study, the biomechanical behavior of monolithic and soldered framework specimens for fixed dental prostheses made of Y-TZP was investigated. MATERIALS AND METHODS: Framework specimens (n = 80) of 5-unit fixed dental prostheses made of Y-TZP were prepared and divided into 10 equal groups. The specimens were monolithic or composed of subcomponents, which were joined using a silicate-based glass solder. Thereby, three joint geometries (diagonal, vertical with an occlusal cap, and dental attachment-based) were investigated. Moreover, the groups differed based on the mechanical test (static vs. dynamic) and further processing (veneered vs. unveneered). The framework specimens were cemented on alumina-based jaw models, where the canine and second molar were acting as abutments before a point-load was applied. In addition, µCT scans and microscopic fractography were used to evaluate the quality of soldered joints and to determine the causes of fracture. RESULTS: The determined fracture loads of the different unveneered framework specimens in static testing did not vary significantly (p = 1). Adding a veneering layer significantly increased the mechanical strength for monolithic framework specimens from 1196.29 ± 203.79 N to 1606.85 ± 128.49 N (p = 0.008). In case of soldered specimens with a dental attachment-based geometry, the mechanical strength increased from 1159.42 ± 85.65 N to 1249.53 ± 191.55 N (p = 1). Within the dynamic testing, no differences were observed between monolithic and soldered framework specimens. µCT scans and fractography proved that the dental attachment-based joining geometry offers the highest quality. CONCLUSION: Using glass soldering technology, subcomponents of 5-unit framework specimens made of Y-TZP could be joined with mechanical properties comparable to those of monolithic frameworks.