Fracture Load and Phase Transformation of Monolithic Zirconia Crowns Submitted to Different Aging Protocols.

Abstract

Monolithic zirconia crowns have many favorable properties and may potentially be used to solve dental problems such as chipping. However, monolithic zirconia crown resistance can be affected by its phase transformation when subjected to low temperatures, humidity, and stress. This study evaluated the fracture load and phase transformation of monolithic zirconia crowns submitted to different thermal and mechanical aging tests. Seventy monolithic zirconia crowns were randomly divided into the following five groups: control, no treatment; hydrothermal aging at 122°C, two bar for one hour; thermal fatigue, 104 cycles between 5°C and 55°C, dwell time, 30 seconds; and mechanical fatigue, 106 cycles with a load of 70 N, sliding of 1.5 mm at 1.4 Hz; and combination of mechanical plus thermal fatigue. Fracture load was measured with a universal testing machine. Surface changes and fracture mode and origin were examined with a scanning electron microscope. Monoclinic phase content was evaluated by x-ray diffraction. The fracture load was analyzed using one-way analysis of variance at a level of 5%, and Weibull distribution was performed. No statistically significant differences were observed in the mean fracture load and characteristic fracture load among the groups (p>0.05). The Weibull modulus ranged from 6.2 to 16.6. The failure mode was similar for all groups with the crack origin located at the contact point of the indenter. Phase transformation was shown at different surfaces of the crown in all groups (1.9% to 8.9%). In conclusion, monolithic zirconia crowns possess high fracture load, structural reliability, and low phase transformation.