A COMPARISON OF THE FRACTURE RESISTANCE OF THREE MACHINABLE CERAMICS AFTER THERMAL AND MECHANICAL FATIGUE

作者:Yang, Rui; Arola, Dwayne; Han, Zhihui; Zhang, Xiuyin*
来源:Journal of Prosthetic Dentistry, 2014, 112(4): 878-885.
DOI:10.1016/j.prosdent.2014.03.005

摘要

Statement of problem. Mechanical and thermal fatigue may affect ceramic restorations in the oral environment. Purpose. The purpose of this study was to determine the influence of thermal and mechanical cycling on the fracture load and fracture patterns of 3 machinable ceramics. Material and methods. Seventy-two human third molar teeth were prepared for bonding ceramic specimens of Sirona CEREC Blocs, IPS e.maxCAD, or inCoris ZI meso blocks. The 24 specimens of each ceramic were divided into 4 groups (n=6), which underwent no preloading (control), thermocycling (5 degrees C-55 degrees C, 2000 cycles), mechanical cycling (10(5) cycles, 100 N), and thermocycling (5 degrees C-55 degrees C, 2000 cycles) plus mechanical cycling (10(5) cycles, 100 N). The specimens were subsequently loaded to failure, and both stereomicroscopy and scanning electron microscopy were used to investigate the fracture patterns. The data were analyzed with 2-way ANOVA and the Fisher exact probability test (alpha=.05). Results. Mechanical and thermal cycling had a significant influence on the critical load to failure of the 3 ceramics. No significant difference was found between mechanical cycling for 105 times and thermocycling for 2000 times within the same ceramic. The specimens of inCoris ZI experienced significantly higher fracture loads for all the groups. The fracture patterns of the 3 machinable ceramics showed that failure mainly occurred at the cement-dentin interface. Conclusions. The effects of combined thermal and mechanical cycling on the fracture load of ceramics were more significant than any individual mode of cyclic fatigue. Overall, the inCoris ZI resisted thermal and mechanical fatigue better than the Sirona CEREC and IPS e.maxCAD.