A comparison of fatigue resistance of three materials for cusp-replacing adhesive restorations.

Abstract:

OBJECTIVES:To investigate the fatigue resistance and failure behaviour of cusp-replacing restorations in premolars using different types of adhesive restorative materials. METHODS:A class 2 cavity was prepared and the buccal cusp was removed in an extracted sound human upper premolar. By using a copy-milling machine this preparation was copied to 60 human upper premolars. In groups of 20 premolars each, direct resin composite restorations, indirect resin composite restorations and ceramic restorations were made. All restorations were cusp replacements made in standardized shape and with adhesive techniques. Cyclic load (5 Hz) was applied starting with a load of 200 N (10,000 cycles) followed by stages of 400, 600, 800 and 1000 N at a maximum of 50,000 cycles each. Samples were loaded until fracture or to 2,10,000 cycles maximum. In case of fracture, the failure mode was recorded. RESULTS:No differences were seen in fracture strength between the three groups (Wilcoxon P = 0.16). No differences were observed with regard to failure mode above or below the cemento enamel junctions (chi2 P = 0.63). The indirect resin composite and ceramic restorations showed significantly more combined cohesive and adhesive fractures than the direct resin composite restorations, which showed more adhesive fractures (chi2 P = 0.03 and 0.002). CONCLUSIONS:The results of this study suggest that ceramic, indirect resin composite and direct resin composite restorations provide comparable fatigue resistance and exhibit comparable failure modes in case of fracture, although the indirect restorations tend to fracture more cohesively than the direct restorations.

journal_name

J Dent

journal_title

Journal of dentistry

authors

Kuijs RH,Fennis WM,Kreulen CM,Roeters FJ,Verdonschot N,Creugers NH

doi

10.1016/j.jdent.2005.02.010

keywords:

subject

Has Abstract

pub_date

2006-01-01 00:00:00

pages

19-25

issue

1

eissn

0300-5712

issn

1879-176X

pii

S0300-5712(05)00071-0

journal_volume

34

pub_type

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