Evidence map›Paper›PMID 31145492›Full record

ArticleJournal of prosthodontics : official journal of the American College of Prosthodontists2019

Effect of Surface Treatment and Cement on Fracture Load of Traditional Zirconia (3Y), Translucent Zirconia (5Y), and Lithium Disilicate Crowns.

Nathaniel C Lawson, Carlos A Jurado, Chan-Te Huang, Geoffrey P Morris, John O Burgess, Perng-Ru Liu, Keith E Kinderknecht, Chee Paul Lin, Daniel A Givan

Abstract read
In one paragraph

Article in Journal of prosthodontics : official journal of the American College of Prosthodontists, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  10. Effect of preparation design and endodontic access on fracture resistance of zirconia overlays in mandibular molars: An in vitro study.Journal of prosthodontics : official journal of the American College of Prosthodontists · 2025
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  16. Clinical application principles and new developments of zirconia crown.Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Nathaniel C LawsonDepartment of Clinical and Community Sciences, School of Dentistry, University of Alabama at Birmingham, Birmingham, AL.ORCID https://orcid.org/0000-0001-9684-2015
Carlos A JuradoDepartment of Restorative Dentistry, Oregon Health & Science University, Portland, OR.ORCID https://orcid.org/0000-0001-7437-4855
Chan-Te HuangDepartment of Clinical and Community Sciences, School of Dentistry, University of Alabama at Birmingham, Birmingham, AL.
Geoffrey P Morris3M Oral Care Solutions Division, Saint Paul, MN.
John O BurgessDepartment of Clinical and Community Sciences, School of Dentistry, University of Alabama at Birmingham, Birmingham, AL.
Perng-Ru LiuDepartment of Restorative Sciences, School of Dentistry, University of Alabama at Birmingham, Birmingham, AL.
Keith E KinderknechtDepartment of Restorative Sciences, School of Dentistry, University of Alabama at Birmingham, Birmingham, AL.
Chee Paul LinCenter for Clinical and Translational Science, Birmingham, AL.
Daniel A GivanDepartment of Restorative Sciences, School of Dentistry, University of Alabama at Birmingham, Birmingham, AL.

Funding

National Dissemination of I-Corps@NCATS: Accelerating Translation through CommercializationUL1TR003096 · NCATS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GUTIERREZ, ORLANDO M, KIMBERLY, ROBERT P. · 2019 to 2023
$43.6M
UAB Center for Clinical and Translational Science (CCTS)UL1TR001417 · NCATS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI KIMBERLY, ROBERT P. · 2015 to 2018
$31.4M
UAB Center for Clinical and Translational Science (CCTS) UL1UL1TR000165 · NCATS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI KIMBERLY, ROBERT P. · 2012 to 2013
$9.6M
NCATS NIH HHS UL1 TR000165NCATS NIH HHS UL1 TR001417NCATS NIH HHS UL1 TR003096
6 · The paper itself

Abstract

purposeTo determine if surface treatment and cement selection for traditional 3 mol% yttria partially stabilized zirconia (3Y-PSZ), "translucent" 5 mol% yttria-stabilized zirconia (5Y-Z), or lithium disilicate crowns affected their fracture load. MATERIALS AND

methodsCrowns with 0.8 mm uniform thickness (96, n = 8/group) were milled of 3Y-PSZ (Lava Plus), 5Y-Z (Lava Esthetic), or lithium disilicate (e.max CAD) and sintered/crystallized. Half the crowns were either particle-abraded with 30 µm alumina (zirconias) or etched with 5% hydrofluoric acid (lithium disilicate), and the other half received no surface treatment. Half the crowns from each group were luted with resin-modified glass ionomer (RMGI, RelyX Luting Plus) and half were luted with a resin cement (RelyX Unicem 2) to resin composite dies. Crowns were load cycled (100,000 cycles, 100 N force, 24°C water) and then loaded with a steel indenter until failure. A three-way ANOVA examined the effects of material, cement, and surface treatment on fracture load. Post-hoc comparisons were performed with the Tukey-Krammer method.

resultsFracture load was signficiantly different for materials and cements (p < 0.0001) but not surface treatments (p = 0.77). All lithium disilicate crowns luted with RMGI failed in fatigue loading cycling; 3Y-PSZ and 5Y-Z crowns luted with resin showed a higher fracture load compared with RMGI (p < 0.001). With resin cement, there was no signficant difference in fracture load between 5Y-Z and lithium disiliciate (p = 1) whereas 3Y-PSZ had a higher fracture load (p < 0.0001).

conclusionsCement type affected fracture load of crowns but surface treatment did not. The 0.8 mm uniform thick crowns tested benefited from using resin cement regardless of type of ceramic material. Crowns fabricated from 5Y-Z may be particle-abraded if luted with resin cement.

Indexed as

Dental Restoration FailureEsthetics, DentalCeramicsCrownsDental PorcelainDental Stress AnalysisMaterials TestingResin CementsZirconiumDental Porcelainlithia disilicateResin CementsZirconiumzirconium oxideCementationresin cements

Identifiers

PMID31145492
PMCPMC6642729

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.