Edge strength of indirect restorative materials
Introduction
Intracoronal restorations, such as inlays, onlays, inlay- and onlay-retained bridges are attractive options for dentists and patients as conservative means for restoring defective teeth or replacing missing ones. Increasing patients’ demands for aesthetically pleasing restorations have driven the search for different materials with improved optical properties that could be used for such types of restorations. Ceramic inlays have been commonly used since 1980s with high survival rates,1, 2 chairside ceramic inlays have also become feasible with the introduction of CAD/CAM systems3 and enhanced-strength all-ceramic materials, like zirconia-reinforced ceramics, have been used for the construction of resin-bonded onlay/inlay-retained bridges.4, 5 On the other hand, indirect composite and fibre-reinforced composite materials can be used directly or indirectly for the construction of these prostheses.4
Proper marginal adaptation of such restorations at the time of cementation and the long-term maintenance of this adaptation are among the most important factors determining their success. Although marginal gaps are initially filled with the luting cement, initial marginal deficiencies are expected due to polymerisation shrinkage of the resin-cement. Furthermore, the margins of these restorations are continuously subjected to direct heavy occlusal loading that wears the resin-cement more rapidly, leaving the restoration margins unsupported.3, 6, 7 Marginal deficiencies were commonly found in all-ceramic inlay/onlay restorations especially in extended class I inlays and when non-adhesive luting agents were used.8 Therefore, proper case selection, avoiding placing the margins of the restorations under high occlusal forces and the use of adhesive cements are expected to improve the marginal adaptation and reduce the marginal fractures of these restorations.8, 9, 10
Although small marginal chippings do not always require replacement of the restorations, they might result in significant negative consequences including compromised aesthetics resulting from marginal staining caused by microleakage and plaque accumulation at the broken edges,11 an increased risk of secondary caries, especially with bigger defects, in areas not accessible for proper cleaning and when oral hygiene is generally poor,12 increased tooth sensitivity,2 an increased risk of future bulk failure and catastrophic marginal fracture necessitating replacement of the restoration2, 6, 13, 14 in addition to increasing the risk of fracture of unsupported tooth margins under repetitive occlusal loading.15
Many efforts have been made to evaluate the tendency for marginal fracture of various dental materials using different techniques.12, 15, 16, 17, 18, 19, 20, 21, 22, 23 Although the concept of edge strength was introduced several decades ago, a well-defined methodology for edge strength measurement was only recently proposed. Edge strength is defined as the ability of restorative materials to withstand fracture of a thin edge and it is determined by measuring the force to fracture at a distance of 0.5 mm of the sample edges.11, 24 Edge strength reflects the ability of a restoration of a particular material to maintain its marginal integrity upon loading.20 The load to cause edge fracture depends on many factors including the shape of the object applying the contacting force, the distance from the edge, the angle of the applied force, the angle of the edge and the material's fracture toughness.25
Studies evaluating edge strength based on this recently introduced methodology are scarce in the literature.11, 24, 26 Furthermore, none of these studies evaluated the edge strength of ceramic materials.
Therefore, the aim of this study was to compare the edge strength of different all-ceramic materials and a resin-composite material.
The specific objectives were
- 1.
To measure the edge strength of some indirect restorative materials.
- 2.
To investigate the relationship between fracture strength and the distance of loading from the edge.
- 3.
To analyze the edge fracture pattern microscopically.
The null hypotheses tested were
- 1.
There is no difference in edge strength values between the different materials tested.
- 2.
Fracture strength is not correlated with the distance of loading from the edge.
- 3.
There is no difference in edge fracture patterns among the different materials.
Section snippets
Preparation of the specimens
Six groups were investigated in this study. Table 1 shows the materials used, their basic composition and their manufacturers.
BG samples were prepared using a Teflon mould with a 12.5 mm × 11 mm × 2.5 mm opening. A glass slab was attached underneath the mould and the surface of the slab was coated with vaseline to facilitate the specimen removal from the mould. BG composite was packed into the mould in two increments each cured for 40 s using an Optilux curing unit (OptiLux 501, Danbury, CT, USA) with
Edge strength
The average values of edge strength (force (N) of fracture at a distance of 0.5 mm from the edge) were calculated for each group. These are presented in Table 2 and Fig. 2. The same superscript letters in Table 2 denote the mean values without statistically significant differences (p > 0.05).The results showed that values of edge strength of resin-composite groups were significantly higher than those of all-ceramic groups (p < 0.05). Within the composite groups, BGES had significantly higher edge
Discussion
This study aimed to determine the edge fracture of various aesthetic dental materials used in the fabrication of indirect restorations. The results showed statistically significant differences in the edge strength between the groups and therefore the first null hypothesis was rejected. Furthermore, significant and strong correlations between the distance of loading from the edge and the fracture strength were found among the different groups. Subsequently, the second null hypothesis was
Acknowledgement
The authors wish to thank Ivoclar-Vivadent (Schaan, Liechtenstein) for providing the materials and equipment for the fabrication of IPS e.max samples.
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2021, Journal of Prosthetic DentistryCitation Excerpt :As the distance from point of loading to the edge was small (0.3 mm), the load until fracture was rather low. This could be expected according to the studies by Ereifej et al 38 and Quinn.23 Pfeilschifter et al25 reported similar findings when they tested various resin-containing CAD-CAM restorative materials.
Quantitative and qualitative analyses of ceramic chipping
2020, Journal of the Mechanical Behavior of Biomedical MaterialsCitation Excerpt :Further, reducing the present F vs d data in terms of fracture toughness (Chai and Lawn, 2007; Chai, 2011), they well fitted by the required power law (power of 1.5). A recent systematic review on edge chipping (Brandeburski et al., 2020) found a high heterogeneity of study methods and reporting parameters, including F vs d (Chai et al., 2011; Zhang et al., 2012), edge toughness, Te (Quinn et al., 2000, 2010, 2013; Chai and Lawn, 2007; Quinn and Quinn, 2010; Whitbeck et al., 2011, Zhang et al., 2013, 2014a, 2014b, 2014c; Quinn, 2015; Argyrou et al., 2016), edge strength, SE (Kim and Watts, 2007; Baroudi et al., 2008; Watts et al., 2008; Ereifej et al., 2009; Quinn et al., 2014c; Pfeilschifter et al., 2018), and edge chip resistance, ReA (Quinn et al., 2013, 2014a; Taufer and Della Bona, 2019), which is recommended by the European Committee for Standardization (CEN/TS 843–9:2010). Studies have also used different indenters, but it has been shown that the indenter type influences on the stress distribution during loading as the edge distance changes (Quinn et al., 2014b).
Edge chipping test in dentistry: A comprehensive review
2020, Dental MaterialsCitation Excerpt :d relation and a linear regression to fit the data. Thus, some studies have shown a linear data behavior [5,13,16–18,20] and others have shown a non-linear behavior mostly because of the great dispersion of data [1,7–9] associated with the indenter type [3,10,11,20], densification of materials below the indenter prior to fracture [6,19], and plastic deformation and residual stresses [10–12], needing to adjust the Fvs. d data using a power law or a quadratic function based on an energy balance between indenter work and fracture and deformation energies in the chipped material [40].
Edge chipping resistance of ceramics bonded to a dentine analogue
2019, Journal of the Mechanical Behavior of Biomedical Materials