Approach for valuating the significance of laboratory simulation

Rosentritt, Martin and Siavikis, Georgios and Behr, Michael and Kolbeck, Carola and Handel, Gerhard (2008) Approach for valuating the significance of laboratory simulation. JOURNAL OF DENTISTRY, 36 (12). pp. 1048-1053. ISSN 0300-5712,

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Abstract

Objective: The aim of this investigation was to compare the clinical survival rate of all-ceramic FPDs with failures during in vitro simulation. Methods: 40 anterior FPDs were manufactured from lithiumdisilicate ceramic and alumina-oxide ceramic. The FPDs were adhesively bonded to human teeth and artificially aged to investigate the survival rate during thermal cycling and mechanical loading (TCML(1); 3.6 Mio*50N ML). Survival rates were compared to available clinical data, and the TCML parameter 'mastication force' was adapted accordingly for a second TCML run (TCML(2); 3.6Mio*25N/35N ML). The fracture resistance of the FPDs that survived TCML was determined. Data were statistically analysed by means of Mann-Whitney U-test, and survival rates were determined by curve fitting/regression analysis. Results: TCML decreased survival rates by 30-50%, depending on the type of material used. Failures during TCML included cracking, chipping or fracture. Increased masticatory loading during TCML caused a higher decrease in the fracture resistance of FPDs. Fracture results were 403N (278/453) and 426N (317/538) for Empress 2 and 325N (164/584) and 405N (344/558N) for Inceram. Conclusions: Despite the limitations of this study, the results indicate that TCML with 1,200,000*25/35N provide a sufficient prognosis of probable clinical failures. Longer TCML-time with higher mastication forces may help to exclude catastrophic clinical failures. (C) 2008 Elsevier Ltd. All rights reserved.

Item Type: Article
Uncontrolled Keywords: FIXED-PARTIAL DENTURES; ARTIFICIAL ORAL ENVIRONMENT; ALL-CERAMIC CROWNS; CLINICAL-EVALUATION; CONNECTOR DESIGN; WEAR SIMULATOR; BITE FORCE; FOLLOW-UP; FPDS; PARAMETERS; Ceramic; Simulation; Fracture resistance; Artificial aging
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Zahnärztliche Prothetik
Depositing User: Dr. Gernot Deinzer
Date Deposited: 14 Oct 2020 12:32
Last Modified: 14 Oct 2020 12:32
URI: https://pred.uni-regensburg.de/id/eprint/29976

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