Effect of real time aging and cyclic fatigue on fused and cemented machined veneers to Y-TZP zirconia
Alhaddad, Abdulrahman Jafar M.
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OBJECTIVES: The objectives of this study was to determine the differences in failure load between cemented and fused machined veneers to zirconia while observing the effects of real time aging on failure load between cemented and fused machined veneers to zirconia. The study was to examine the differences in aging and fatigue resistance amongst a machined glass-ceramic veneer and a machined feldspathic porcelain veneer. MATERIALS AND METHODS: VITA In Ceram YZ zirconia blocks were used as a substructure framework for the three unit fixed partial denture. The veneering material was either milled IPS e.max CAD (glass-ceramic) or milled VITABLOCS Triluxe Forte (feldspathic porcelain). The types of linking material between the substructures and veneering material were either fusing or cementation. Observations were compared between aged and non-aged specimens divided into two main groups; (a) non-aged group (b) aged for three years at room temperature. Each group has two subgroups; fused and cemented which are further divided into static and cyclic fatigue at 20K, 60K and 80K. Specimens were subjected to load to failure test using universal test machine. 40% of failure load was calculated for the cyclic fatigue subgroups. In order to examine the difference in failure load between the static and fatigued specimens, the Tukey-Kramer HSD test was used to analyze the data. RESULTS AND CONCLUSIONS: The VITABLOCS Triluxe Forte (feldspathic porcelain) fused to YZ zirconia showed significantly lower failure load values compared to all the other groups (p˂0.05). The non-aged VITABLOCS Triluxe Forte cemented to YZ zirconia (static and cyclic) showed significantly higher load to failure than the aged cemented Triluxe fatigued groups (p˂0.05). There is no significant difference in failure load between IPS e.max CAD fused and IPS e.max CAD cemented to YZ zirconia framework (p˃0.05). The aged IPS e.max CAD fatigued (20K, 60K and 80K cycles) cemented to YZ zirconia showed lower significant difference in failure load among all the other IPS e.max groups. (p˂0.05).