Skip to main content

Advertisement

Log in

Load-bearing capacity of artificially aged zirconia fixed dental prostheses with heterogeneous abutment supports

  • Original Article
  • Published:
Clinical Oral Investigations Aims and scope Submit manuscript

Abstract

Aim of this in vitro study was to investigate the effect of artificial ageing and differential abutment support on the load-bearing capacity of zirconia posterior four-unit fixed dental prostheses (FDPs). Thirty-six FDPs were fabricated using CAD/CAM technology and divided into three groups. Specimens in the first group were cemented onto tooth analogues with simulated periodontal resilience, in the second group onto a dental implant and a tooth analogue, but in the third group only onto implants. Half of the samples in each group underwent artificial ageing. Afterwards, all FDPs were loaded until bulk fracture in a universal testing machine. Load-displacement curves and forces at fracture were recorded and results were statistically analysed using ANOVA. Load-bearing capacities within the different test groups averaged as follows (control/artificially aged): tooth–tooth supported (2,009/1,751 N), tooth–implant supported (2,144/1,935 N) and implant–implant supported (2,689/2,484 N). Artificial ageing as well as differential abutment support did have a significant influence on the fracture strength of the zirconia FDPs. Implant-retained prostheses demonstrated the highest load-bearing capacity, while resilient support was demonstrated to be unfavourable. According to these in vitro results, zirconia four-unit prostheses may be promising for application in posterior areas with all three support scenarios (implant-assisted, tooth-retained, or implant–tooth-interconnected prostheses). However, the restorations’ mechanical strength may expected to be significantly influenced in situ by ageing of the material on the long term.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

References

  1. Hannink R, Kelly PM, Muddle BC (2000) Transformation toughening in zirconia-containing ceramics. J Am Ceram Soc 83:461–487

    Article  Google Scholar 

  2. Anusavice KJ (2007) Dental ceramics. In: Anusavice KJ (ed) Philipps' science of dental materials. Elsevier Ltd., St. Louis, Missouri, pp 655–721

    Google Scholar 

  3. Borchers L, Stiesch M, Bach FW, Buhl JC, Hubsch C, Kellner T, Kohorst P, Jendras M (2010) Influence of hydrothermal and mechanical conditions on the strength of zirconia. Acta Biomater 6:4547–4552

    Article  PubMed  Google Scholar 

  4. Vagkopoulou T, Koutayas SO, Koidis P, Strub JR (2009) Zirconia in dentistry: part 1. Discovering the nature of an upcoming bioceramic. Eur J Esthet Dent 4:130–151

    PubMed  Google Scholar 

  5. Papanagiotou HP, Morgano SM, Giordano RA, Pober R (2006) In vitro evaluation of low-temperature aging effects and finishing procedures on the flexural strength and structural stability of Y-TZP dental ceramics. J Prosthet Dent 96:154–164

    Article  PubMed  Google Scholar 

  6. Swab JJ (1991) Low temperature degradation of Y-TZP materials. J Mater Sci 26:6706–6714

    Article  Google Scholar 

  7. Chevalier J (2006) What future for zirconia as a biomaterial? Biomaterials 27:535–543

    Article  PubMed  Google Scholar 

  8. Beuer F, Steff B, Naumann M, Sorensen JA (2008) Load-bearing capacity of all-ceramic three-unit fixed partial dentures with different computer-aided design (CAD)/computer-aided manufacturing (CAM) fabricated framework materials. Eur J Oral Sci 116:381–386

    Article  PubMed  Google Scholar 

  9. Att W, Grigoriadou M, Strub JR (2007) ZrO2 three-unit fixed partial dentures: comparison of failure load before and after exposure to a mastication simulator. J Oral Rehabil 34:282–290

    Article  PubMed  Google Scholar 

  10. Att W, Stamouli K, Gerds T, Strub JR (2007) Fracture resistance of different zirconium dioxide three-unit all-ceramic fixed partial dentures. Acta Odontol Scand 65:14–21

    Article  PubMed  Google Scholar 

  11. Kohorst P, Herzog TJ, Borchers L, Stiesch-Scholz M (2007) Load-bearing capacity of all-ceramic posterior four-unit fixed partial dentures with different zirconia frameworks. Eur J Oral Sci 115:161–166

    Article  PubMed  Google Scholar 

  12. Kohorst P, Dittmer MP, Borchers L, Stiesch-Scholz M (2008) Influence of cyclic fatigue in water on the load-bearing capacity of dental bridges made of zirconia. Acta Biomater 4:1440–1447

    Article  PubMed  Google Scholar 

  13. Rosentritt M, Behr M, van der Zel JM, Feilzer AJ (2009) Approach for valuating the influence of laboratory simulation. Dent Mater 25:348–352

    Article  PubMed  Google Scholar 

  14. Dittmer MP, Kohorst P, Borchers L, Stiesch M (2010) Influence of the supporting structure on stress distribution in all-ceramic FPDs. Int J Prosthodont 23:63–68

    PubMed  Google Scholar 

  15. Kohorst P, Butzheinen LO, Dittmer MP, Heuer W, Borchers L, Stiesch M (2010) Influence of preliminary damage on the load-bearing capacity of zirconia fixed dental prostheses. J Prosthodont 19:606–613

    Article  PubMed  Google Scholar 

  16. Scherrer SS, de Rijk WG (1993) The fracture resistance of all-ceramic crowns on supporting structures with different elastic moduli. Int J Prosthodont 6:462–467

    PubMed  Google Scholar 

  17. Rosentritt M, Behr M, Gebhard R, Handel G (2006) Influence of stress simulation parameters on the fracture strength of all-ceramic fixed-partial dentures. Dent Mater 22:176–182

    Article  PubMed  Google Scholar 

  18. Della Bona A, Kelly JR (2008) The clinical success of all-ceramic restorations. J Am Dent Assoc 139(Suppl):8S–13S

    PubMed  Google Scholar 

  19. Luthy H, Filser F, Loeffel O, Schumacher M, Gauckler LJ, Hammerle CH (2005) Strength and reliability of four-unit all-ceramic posterior bridges. Dent Mater 21:930–937

    Article  PubMed  Google Scholar 

  20. Kelly JR, Tesk JA, Sorensen JA (1995) Failure of all-ceramic fixed partial dentures in vitro and in vivo: analysis and modeling. J Dent Res 74:1253–1258

    Article  PubMed  Google Scholar 

  21. Drummond J (1989) In vitro aging of yttria-stabilized zirconia. J Am Ceram Soc 72:675–676

    Article  Google Scholar 

  22. Palmer DS, Barco MT, Billy EJ (1992) Temperature extremes produced orally by hot and cold liquids. J Prosthet Dent 67:325–327

    Article  PubMed  Google Scholar 

  23. Kolbeck C, Behr M, Rosentritt M, Handel G (2008) Fracture force of tooth-tooth- and implant-tooth-supported all-ceramic fixed partial dentures using titanium vs. customised zirconia implant abutments. Clin Oral Implants Res 19:1049–1053

    Article  PubMed  Google Scholar 

  24. Nothdurft FP, Merker S, Pospiech PR (2010) Fracture behaviour of implant-implant- and implant-tooth-supported all-ceramic fixed dental prostheses utilising zirconium dioxide implant abutments. Clin Oral Investig 15:89–97

    Article  PubMed  Google Scholar 

  25. Gale MS, Darvell BW (1999) Thermal cycling procedures for laboratory testing of dental restorations. J Dent 27:89–99

    Article  PubMed  Google Scholar 

  26. Schindler HJ, Stengel E, Spiess WE (1998) Feedback control during mastication of solid food textures–a clinical-experimental study. J Prosthet Dent 80:330–336

    Article  PubMed  Google Scholar 

  27. Dittmer MP, Kohorst P, Borchers L et al (2010) Stress analysis of an all-ceramic FDP loaded according to different occlusal concepts. J Oral Rehabil 38(4):278–285

    Article  PubMed  Google Scholar 

  28. Dittmer MP, Kohorst P, Borchers L, Stiesch-Scholz M (2009) Finite element analysis of a four-unit all-ceramic fixed partial denture. Acta Biomater 5:1349–1355

    Article  PubMed  Google Scholar 

  29. Denry I, Kelly JR (2008) State of the art of zirconia for dental applications. Dent Mater 24:299–307

    Article  PubMed  Google Scholar 

  30. Ahlberg JP, Kovero OA, Hurmerinta KA, Zepa I, Nissinen MJ, Kononen MH (2003) Maximal bite force and its association with signs and symptoms of TMD, occlusion, and body mass index in a cohort of young adults. Cranio 21:248–252

    PubMed  Google Scholar 

  31. Ferrario VF, Sforza C, Zanotti G, Tartaglia GM (2004) Maximal bite forces in healthy young adults as predicted by surface electromyography. J Dent 32:451–457

    Article  PubMed  Google Scholar 

  32. Gibbs CH, Mahan PE, Mauderli A, Lundeen HC, Walsh EK (1986) Limits of human bite strength. J Prosthet Dent 56:226–229

    Article  PubMed  Google Scholar 

  33. Menicucci G, Mossolov A, Mozzati M, Lorenzetti M, Preti G (2002) Tooth-implant connection: some biomechanical aspects based on finite element analyses. Clin Oral Implants Res 13:334–341

    Article  PubMed  Google Scholar 

  34. Vult von Steyern P, Kokubo Y, Nilner K (2005) Use of abutment-teeth vs. dental implants to support all-ceramic fixed partial dentures: an in-vitro study on fracture strength. Swed Dent J 29:53–60

    PubMed  Google Scholar 

Download references

Acknowledgements

This study was supported by the Institut Straumann AG, Basel, Switzerland, which is gratefully acknowledged.

Conflict of interest

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Katia Sarafidou.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Sarafidou, K., Stiesch, M., Dittmer, M.P. et al. Load-bearing capacity of artificially aged zirconia fixed dental prostheses with heterogeneous abutment supports. Clin Oral Invest 16, 961–968 (2012). https://doi.org/10.1007/s00784-011-0569-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00784-011-0569-0

Keywords

Navigation