RESUMO
Different techniques are available to manufacture polymer-infiltrated ceramic restorations cemented on a chairside titanium base. To compare the influence of these techniques in the mechanical response, 75 implant-supported crowns were divided in three groups: CME (crown cemented on a mesostructure), a two-piece prosthetic solution consisting of a crown and hybrid abutment; MC (monolithic crown), a one-piece prosthetic solution consisting of a crown; and MP (monolithic crown with perforation), a one-piece prosthetic solution consisting of a crown with a screw access hole. All specimens were stepwise fatigued (50 N in each 20,000 cycles until 1200 N and 350,000 cycles). The failed crowns were inspected under scanning electron microscopy. The finite element method was applied to analyze mechanical behavior under 300 N axial load. Log-Rank (p = 0.17) and Wilcoxon (p = 0.11) tests revealed similar survival probability at 300 and 900 N. Higher stress concentration was observed in the crowns' emergence profiles. The MP and CME techniques showed similar survival and can be applied to manufacture an implant-supported crown. In all groups, the stress concentration associated with fractographic analysis suggests that the region of the emergence profile should always be evaluated due to the high prevalence of failures in this area.
RESUMO
This study evaluated the influence of silica coating, primer type and its heat treatment on bond strength durability between resin cement and an yttrium-stabilized polycrystalline tetragonal zirconia (Y-TZP). Eighty (80) Y-TZP blocks were allocated into 16 groups considering four factors: silica coating (without and with); type of primer (RelyX Ceramic Primer, a silane-based primer; Single Bond Universal, a universal MDP-based primer); heat treatment of the primer (without and with); aging (without and with). After zirconia treatments, resin cement cylinders (RelyX ARC) (n = 20; N = 320) were built. Half of the samples were tested after 24 h, and another half were subjected to aging (thermocycling 5-55°C/5.000, and storage in water for 6 months). Shear bond strength test and failure analysis were performed. Bond strength data were submitted to four-way ANOVA and Tukey test (p = 0.05). All factors were statistically significant (p < 0.001) for bond strength (MPa): silica coating (7.3 ± 5.9) > no-treatment (3.6 ± 4.3); universal primer (6.7 ± 4.8) > silane (4.2 ± 5.8); heat-treatment (6.5 ± 6.3) > no-heating (4.4 ± 4.3); no-aging (8.2 ± 5) > aging (2.7 ± 4.4). Tukey test revealed that the association of silica coating + universal primer + heat-treatment promoted higher and stable resin bond strength. Silica coating, universal adhesive application and heat treatment improve/increase durability and bond strength of zirconia. © 2018 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater, 107B: 104-111, 2019.