Fracture stability of anterior zirconia crowns with different core designs and veneered using the layering or the press-over technique

Abstract

In the current in vitro study, the fracture stability of anterior crowns with zirconia cores of different designs was investigated after applying different veneering techniques. Four groups of zirconia cores (n = 10 in each group) were produced using a computer-aided design/computer-aided manufacturing (CAD/CAM) process. Cores with a standard cervical design were veneered using the layering technique (CCL) or the press-over technique (CCP). Further cores were designed with a porcelain shoulder, where the cervical margin of the zirconia core was reduced by 1 mm. These cores were also veneered using the layering technique (PSL) or the press-over technique (PSP). All crowns were cemented onto metal teeth and loaded until fracture in a universal testing machine. Chipping or fracture of the core was found to occur for CCL at 919±265 N (mean ±SD), for CCP at 798±226 N, for PSL at 739±184 N, and for PSP at 734±209 N. anova did not show significant differences between the four groups. For CCL and CCP, fracture lines ran in a mesio-distal orientation. For PSL and PSP, fracture lines ran into the porcelain shoulder. In summary, the use of a porcelain shoulder can be recommended with zirconia crowns in combination with either the layering or the press-over veneering technique.