In Vitro Evaluation of the Effect of Different Luting Cements and Tooth Preparation Angle on the Microleakage of Zirconia Crowns

Introduction. Discrepancy between the crown border and prepared tooth margin leads to a microleakage that eases the penetration of microorganisms and causes the dissolution of luting cement consequently. Several factors should be considered to achieve optimal fitness, including tooth preparation tap...

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Main Authors: Behnaz Ebadian, Amirhossein Fathi, Melika Savoj
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:International Journal of Dentistry
Online Access:http://dx.doi.org/10.1155/2021/8461579
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author Behnaz Ebadian
Amirhossein Fathi
Melika Savoj
author_facet Behnaz Ebadian
Amirhossein Fathi
Melika Savoj
author_sort Behnaz Ebadian
collection DOAJ
description Introduction. Discrepancy between the crown border and prepared tooth margin leads to a microleakage that eases the penetration of microorganisms and causes the dissolution of luting cement consequently. Several factors should be considered to achieve optimal fitness, including tooth preparation taper and type of cementing agent. The study aimed to determine the relation of tooth preparation taper and cement type on the microleakage of zirconia crowns. Materials and Methods. Fifty-six freshly extracted premolars without caries and restorations were selected as the study sample and divided into two groups of different tapering degrees (6 and 12 degrees). Zirconia copings were designed and fabricated by the CAD/CAM system. The samples were divided into four subgroups for cementation, and each subgroup was cemented with a different luting cement (n = 7). After 5000 thermocycles at 5°C–55°C and dye penetration, the specimens were sectioned in the mid-buccolingual direction, and a digital photograph of each section was taken under a stereomicroscope. Data were analyzed by the Kruskal–Wallis and Mann–Whitney tests (α = 0.05). Results. The results showed significant differences among the four types of luting cement in marginal permeability (PV < 0.001). Regardless of the type of cement, the 12-degree tapering resulted in a lower microleakage (46.4% without microleakage) with statistically significant differences from the 6-degree tapering (PV = 0.042). Conclusion. Within the limitations of this study, increasing the tapering degree of the prepared tooth for CAD/CAM zirconia copings improved the marginal fit and decreased the microleakage score. In addition, total-etch resin cement indicated the least microleakage.
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spelling doaj-art-9d2e8aec584746cb853359d41819a8c52025-02-03T07:24:23ZengWileyInternational Journal of Dentistry1687-87281687-87362021-01-01202110.1155/2021/84615798461579In Vitro Evaluation of the Effect of Different Luting Cements and Tooth Preparation Angle on the Microleakage of Zirconia CrownsBehnaz Ebadian0Amirhossein Fathi1Melika Savoj2Dental Implants Research Center, Department of Prosthodontics, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, IranDental Material Research Center, Department of Prosthodontics, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, IranDental Students Research Committee, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, IranIntroduction. Discrepancy between the crown border and prepared tooth margin leads to a microleakage that eases the penetration of microorganisms and causes the dissolution of luting cement consequently. Several factors should be considered to achieve optimal fitness, including tooth preparation taper and type of cementing agent. The study aimed to determine the relation of tooth preparation taper and cement type on the microleakage of zirconia crowns. Materials and Methods. Fifty-six freshly extracted premolars without caries and restorations were selected as the study sample and divided into two groups of different tapering degrees (6 and 12 degrees). Zirconia copings were designed and fabricated by the CAD/CAM system. The samples were divided into four subgroups for cementation, and each subgroup was cemented with a different luting cement (n = 7). After 5000 thermocycles at 5°C–55°C and dye penetration, the specimens were sectioned in the mid-buccolingual direction, and a digital photograph of each section was taken under a stereomicroscope. Data were analyzed by the Kruskal–Wallis and Mann–Whitney tests (α = 0.05). Results. The results showed significant differences among the four types of luting cement in marginal permeability (PV < 0.001). Regardless of the type of cement, the 12-degree tapering resulted in a lower microleakage (46.4% without microleakage) with statistically significant differences from the 6-degree tapering (PV = 0.042). Conclusion. Within the limitations of this study, increasing the tapering degree of the prepared tooth for CAD/CAM zirconia copings improved the marginal fit and decreased the microleakage score. In addition, total-etch resin cement indicated the least microleakage.http://dx.doi.org/10.1155/2021/8461579
spellingShingle Behnaz Ebadian
Amirhossein Fathi
Melika Savoj
In Vitro Evaluation of the Effect of Different Luting Cements and Tooth Preparation Angle on the Microleakage of Zirconia Crowns
International Journal of Dentistry
title In Vitro Evaluation of the Effect of Different Luting Cements and Tooth Preparation Angle on the Microleakage of Zirconia Crowns
title_full In Vitro Evaluation of the Effect of Different Luting Cements and Tooth Preparation Angle on the Microleakage of Zirconia Crowns
title_fullStr In Vitro Evaluation of the Effect of Different Luting Cements and Tooth Preparation Angle on the Microleakage of Zirconia Crowns
title_full_unstemmed In Vitro Evaluation of the Effect of Different Luting Cements and Tooth Preparation Angle on the Microleakage of Zirconia Crowns
title_short In Vitro Evaluation of the Effect of Different Luting Cements and Tooth Preparation Angle on the Microleakage of Zirconia Crowns
title_sort in vitro evaluation of the effect of different luting cements and tooth preparation angle on the microleakage of zirconia crowns
url http://dx.doi.org/10.1155/2021/8461579
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AT amirhosseinfathi invitroevaluationoftheeffectofdifferentlutingcementsandtoothpreparationangleonthemicroleakageofzirconiacrowns
AT melikasavoj invitroevaluationoftheeffectofdifferentlutingcementsandtoothpreparationangleonthemicroleakageofzirconiacrowns