AI Article Synopsis

  • * Two types of preparations (sharp and round) were tested at angles of 33° and 22°, with results indicating that a 22° preparation significantly enhances strength under lateral loading, and that sharp angles weaken the ceramic.
  • * Overall, the findings suggest that a 22° preparation is optimal for strength during lateral force application, while the shape of the preparation (sharp vs. rounded) greatly influences fracture strength when loads are applied to the cusp peak.

Article Abstract

Statement Of Problem: The current ceramic onlay preparation techniques for cuspal areas involve the reduction of cusps following the cuspal anatomy and the removal of all sharp angulations. However, there is little research literature studying the effect of occlusal preparation angles. Furthermore, there is no recent literature on the effect of angulations on IPS e.max computer-aided designed (CAD) (e.max) ceramic onlays.

Purpose: The purpose of this study is to investigate the effect of geometric cuspal angulation and different internal preparation angles on the fracture strength of e.max CAD ceramic onlays.

Materials And Methods: Sharp (33° and 22°) and round (33° and 22°) preparations were tested, each group having 10 specimens. e.max ceramic onlays were milled, sintered, glazed, and then bonded onto geometric tooth models. Fracture strength was measured at the initial fracture with a universal testing machine. The load was applied laterally to the central fossa (2-point contact) and vertically to the cusp peak (1-point contact).

Results: A reduced cuspal angulation of 22° resulted in a stronger ceramic onlay than a 33° angulation when laterally loaded ( = 0.001). The presence of sharp angles weakened the ceramic significantly for both the 22° preparation ( = 0.0013) and 33° preparation ( = 0.0304).

Conclusion: This study found that preparation angles of 22° resulted in superior fracture strength during central fossa loading and that rounding the preparation resulted in significantly higher fracture strength when a cusp peak load was applied. When the cusp tip loading is applied, the preparation angle does not appear to influence the fracture strength.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5890415PMC
http://dx.doi.org/10.4103/JCD.JCD_242_17DOI Listing

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