Evidence map›Paper›PMID 35840737›Full record

ArticleClinical oral investigations2022

Impact of the material and sintering protocol, layer thickness, and thermomechanical aging on the two-body wear and fracture load of 4Y-TZP crowns.

Felicitas Mayinger, Ramona Buser, Maximilian Laier, Lisa Marie Schönhoff, Matthias Kelch, Rüdiger Hampe, Bogna Stawarczyk

Open access · hybridAbstract read
In one paragraph

Article in Clinical oral investigations, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% of its field
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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
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  4. Review
  5. Article
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

7 authors at 3 institutions in 2 countries.

Felicitas Mayinger *Department of Prosthetic Dentistry, Dental School, LMU Munich, Goethestraße 70, 80336, Munich, Germany. felicitas.mayinger@med.uni-muenchen.de.ORCID http://orcid.org/0000-0003-0089-9995
Ramona Buser *Department of Prosthetic Dentistry, Dental School, LMU Munich, Goethestraße 70, 80336, Munich, Germany.
Maximilian LaierDepartment of Prosthetic Dentistry, Dental School, LMU Munich, Goethestraße 70, 80336, Munich, Germany.
Lisa Marie SchönhoffDepartment of Prosthetic Dentistry, Dental School, LMU Munich, Goethestraße 70, 80336, Munich, Germany.
Matthias KelchDepartment of Prosthetic Dentistry, Dental School, LMU Munich, Goethestraße 70, 80336, Munich, Germany.
Rüdiger HampeDepartment of Prosthetic Dentistry, Dental School, LMU Munich, Goethestraße 70, 80336, Munich, Germany.
Bogna StawarczykDepartment of Prosthetic Dentistry, Dental School, LMU Munich, Goethestraße 70, 80336, Munich, Germany.
Ludwig-Maximilians-Universität München · DELMU Klinikum · DEUniversity of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of this study is to investigate the influence of the material and corresponding sintering protocol, layer thickness, and aging on the two-body wear (2BW) and fracture load (FL) of 4Y-TZP crowns. MATERIALS AND

methodsMulti-layer 4Y-TZP crowns in three thicknesses (0.5 mm/1.0 mm/1.5 mm) were sintered by high-speed (Zolid RS) or conventional (Zolid Gen-X) sintering. 2BW of ceramic and enamel antagonist after aging (1,200,000 mechanical-, 6000 thermal-cycles) was determined by 3D-scanning before and after aging and subsequent matching to determine volume and height loss (6 subgroups, n = 16/subgroup). FL was examined initially and after aging (12 subgroups, n = 16/subgroup). Fractographic analyses were performed using light-microscope imaging. Global univariate analysis of variance, one-way ANOVA, linear regression, Spearman's correlation, Kolgomorov-Smirnov, Mann-Whitney U, and t test were computed (alpha = 0.05). Weibull moduli were determined. Fracture types were analyzed using Ciba Geigy table.

resultsMaterial/sintering protocol did not influence 2BW (crowns: p = 0.908, antagonists: p = 0.059). High-speed sintered Zolid RS presented similar (p = 0.325-0.633) or reduced (p < 0.001-0.047) FL as Zolid Gen-X. Both 4Y-TZPs showed an increased FL with an increasing thickness (0.5(797.3-1429 N) < 1.0(2087-2634 N) < 1.5(2683-3715 N)mm; p < 0.001). For most groups, aging negatively impacted FL (p < 0.001-0.002). Five 0.5 mm specimens fractured, four showed cracks during and after aging.

conclusionsHigh-speed sintered crowns with a minimum thickness of 1.0 mm showed sufficient mechanical properties to withstand masticatory forces, even after a simulated aging period of 5 years. CLINICAL RELEVANCE: Despite the manufacturer indicating a thickness of 0.5 mm to be suitable for single crowns, a minimum thickness of 1.0 mm should be used to ensure long-term satisfactory results.

Indexed as

ToothZirconiumCeramicsCrownsDental PorcelainDental Stress AnalysisMaterials TestingDental PorcelainZirconiumFracture loadHigh-speed sinteringLayer thicknessTwo-body wearZirconia

Identifiers

PMID35840737
PMCPMC9643268
OpenAlexW4285490855

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.