J Adhes Dent 19 (2017), No. 6 12. Jan. 2018
J Adhes Dent 16 (2014), No. 2 (07.04.2014)
Page 161-168, doi:10.3290/j.jad.a30755, PubMed:24179988
Fiber-reinforced Composite Fixed Dental Prostheses with Various Pontics
Perea, Leila / Matinlinna, Jukka P. / Tolvanen, Mimmi / Lassila, Lippo V. J. / Vallittu, Pekka K.
Purpose: To evaluate the load-bearing capacities of fiber-reinforced composite (FRC) fixed dental prostheses (FDP) with pontics of various materials and thicknesses.
Materials and Methods: Inlay preparations for retaining FDPs were made in a polymer phantom model. Seventytwo FDPs with frameworks made of continuous unidirectional glass fibers (everStick C&B) were fabricated. Three different pontic materials were used: glass ceramics, polymer denture teeth, and composite resin. The FDPs were divided into 3 categories based on the occlusal thicknesses of the pontics (2.5 mm, 3.2 mm, and 4.0 mm). The framework's vertical positioning varied respectively. Each pontic material category contained 3 groups (n = 8/group). In group 1, pontics were fabricated conventionally with composite resin (G-ӕnial, GC) with one additional transversal fiber reinforcement. In group 2, the pontics were polymer denture teeth (Heraeus- Kulzer). Group 3 had an IPS-Empress CAD pontic (Ivoclar Vivadent) milled using a Cerec CAD/CAM unit. Groups 1 and 2 served as controls. Each FDP was statically loaded from the pontic until initial fracture (IF) and final fracture (FF). Initial-fracture data were collected from the load-deflection graph.
Results: ANOVA indicated statistically significant differences between the materials and occlusal thicknesses (p < 0.001). Quadratic analysis demonstrated the highest correlation between the thickness of the pontic and IF and FF values with ceramic pontics (IF: p < 0.001; R2 = 0.880; FF: p < 0.001; R2 = 0.953).
Conclusion: By increasing the occlusal thickness of the pontic, the load-bearing capacity of the FRC FDPs may be increased. The highest load-bearing capacity was obtained with 4.0 mm thickness in the ceramic pontic. However, with thinner pontics, polymer denture teeth and composite pontics resulted in higher load-bearing values.
Keywords: fixed dental prostheses, fiber-reinforced composites, prosthodontics, inlay bridges, CAD/CAM