Crowns cemented on crown preparations lacking geometric resistance form. Part II: effect of cement.
OBJECTIVE
This study evaluated the effect of different cements on resistance to dislodgment of crowns cemented on preparations lacking geometric resistance form.


METHODS
A preparation that offered no geometric resistance form, with 20 degrees total occlusal convergence (TOC), 0.9 mm wide shoulder finish line, and a 2.5 mm axial wall height was created on an ivorine tooth using a milling machine. Ten metal test specimen die replicas and 10 standardized metal crowns with recipient sites for the application of external forces through a universal testing machine were fabricated. The crowns were cemented on the dies under 5 and 10 kg external loads, the marginal openings measured, loaded to dislodgment, and cleaned of cement. The process was repeated using zinc oxide and eugenol (ZOE), zinc phosphate (ZPh), resin modified glass ionomer (RMGI), and composite resin (CR) cements.


RESULTS
Marginal openings under 5 kg cementation loads were 74.63 (+/-15.04) for ZOE, 75.98 (+/-18.20) microm for ZPh, 98.58 (+/-22.62) microm for RMGI, and 105.82 (+/-20.07) microm for CR cements respectively; under 10 kg cementation loads they were 57.62 (+/-15.86) microm, 59.55 (+/-15.41) microm, 95.00 (+/-19.52) microm, 101.30 (+/-12.52) microm respectively. Oblique dislodgment forces, measured with a Universal testing machine, were 40.18 (+/- 6.76) N for ZOE, 215.65 (+/-45.79) N for ZPh, 165.43 (+/-19.53) N for RMGI, and 181.54 (+/-30.75) N for CR respectively when crowns were cemented under 5 kg loads. The corresponding values for 10 kg loads were 38.62 (+/-4.19), 274.86 (+/-54.22), 139.70 (+/-21.71), and 160.40 (+/-21.21) respectively. Only zinc phosphate cement produced statistically enhanced resistance when crowns were cemented under 10 kg force (p value = 0.035).


CONCLUSIONS
Under the conditions of the present study only crowns cemented with zinc phosphate displayed increased resistance to dislodgment on preparations lacking resistance form.
Proussaefs
Periklis
P
Graduate Program in Implant Dentistry, Loma Linda University, Loma Linda, CA 92350, USA. pproussaef@hotmail.com
D002484:Cementation; D003188:Composite Resins / Q000737:chemistry; D003442:Crowns; D003738:Dental Cements / Q000737:chemistry*; D017267:Dental Prosthesis Design; D017268:Dental Prosthesis Retention; D005899:Glass Ionomer Cements / Q000737:chemistry; D006801:Humans; D019279:Resin Cements / Q000737:chemistry; D018709:Statistics, Nonparametric; D013314:Stress, Mechanical; D013499:Surface Properties; D019246:Tooth Preparation / Q000379:methods*; D016474:Weight-Bearing; D015035:Zinc Oxide-Eugenol Cement / Q000737:chemistry; D015036:Zinc Phosphate Cement / Q000737:chemistry
D003188:Composite Resins; D003738:Dental Cements; D005899:Glass Ionomer Cements; D019279:Resin Cements; D015035:Zinc Oxide-Eugenol Cement; D015036:Zinc Phosphate Cement