Retentive force of telescopic crowns combining fiber-reinforced composite and zirconia

Abstract

Purpose: This study investigated changes in the retentive force of telescopic crowns fabricated by combining a zirconia primary crown and a fiber-reinforced composite (FRC) secondary crown. Methods: Primary zirconia crowns were produced with a nominal convergence angle of 0°. Forty-eight secondary crowns were milled from FRC and divided into three study groups (n=16/group) based on milling parameters and post-milling adjustment. The offset parameter used for the final milling step of the inner crown surface was adjusted for a tight initial fit in Group 1 (milling offset: +10 µm, i.e., 2 × 10 µm = 20 µm lower inner diameter compared with the CAD file of the crown) and for improved initial fit (milling offset: -10 µm, i.e., an enlargement of the inner crown diameter by 2 × 20 µm = 40 µm in relation to Group 1) in Groups 2 and 3. The inner surfaces of the secondary crowns were polished with diamond paste in Groups 1 and 2, and silicon points were used for Group 3. The retentive force was measured using a universal testing device. The secondary crown was placed on the primary crown, with the final fitting force set to a load of 100 N. This test was conducted before and after aging (10,000 insertion/removal cycles) under dry and wet conditions. A generalized linear model was used to estimate the differences in the retentive force to elucidate the effects of the milling parameters and polishing methods. Results: We realized an initial retentive force of approximately 10 N. In Groups 2 and 3, the difference was statistically significant between the dry and wet conditions before aging (P < 0.05). There was no significant difference between the dry and wet conditions after aging in any of the groups (P > 0.05). Conclusions: An adequate initial retentive force can be achieved with telescopic crowns combining zirconia and FRC.

Digital technology for fabrication of removable dental prosthesis with double crowns combining fiber-reinforced composite and zirconia

“…Some concerns have been raised regarding the decrease in the retentive force of the secondary crown due to wear with longterm use. Tasaka et al reported that the change in retentive force was affected by milling parameters during the fabrication of the secondary crown and the polishing method of the inner surface of the secondary crown [16]. In the present study, the offset parameter of the inner surface of the secondary crown was set to -10 μm, which should have stabilized the retentive force for a relatively long period of time.…”

“…Parallel-sided cylindrical primary crowns were designed using dental CAD software (CARES Visual 2021; Straumann AG, Basel, Switzerland) (Fig. 7) [16]. The primary crowns were milled from a zirconia disk using CAD data (Luxen Zirconia HT: GeoMedi, Fukuoka, Japan).…”