Effect of framework design on fracture resistance of zirconium oxide posterior fixed partial dentures

Abstract

Introduction: The effect of framework design modifications in all‑ceramic systems is not fully understood. The aim of this investigation was to evaluate the effect of different framework designs on fracture resistance of zirconium oxide posterior fixed partial dentures (FPD).

Materials and Methods: Thirty two posterior zirconia FPD cores were manufactured to replace a second premolar. The specimens were divided into four groups; I: 3 × 3 connector and standard design, II: 3 × 3 connector and modified design, III: 4 × 4 connector dimension, and standard design and IV: 4 × 4 connector dimension and modified design. After storing for one week in artificial saliva and thermocycling (2000 cycles, 5-55°C), the specimens were loaded in a universal testing machine at a constant cross‑head speed of 0.5 mm/min until failure occurred. The Weibull, Kruskal-Wallis, and Mann-Whitney tests were used for statistical analysis (α = 0.05).

Results: The mean fracture resistance of groups with 4 × 4 mm connector was significantly higher than groups with 3 × 3 mm connector (P < 0.001). Although, the fracture resistance of the modified frameworks was increased in the present study (1.1 times), they were not significantly different from anatomic specimens (P = 0.327).

Conclusions: The fracture resistance of the zirconia posterior‑fixed partial dentures was significantly affected by the connector size; it was not affected by the framework modification.

Key Words: Ceramic, dental materials, dental porcelains, dental prosthesis design, fixed bridges, zirconia