Journal of Oral Science Research ›› 2022, Vol. 38 ›› Issue (12): 1167-1170.DOI: 10.13701/j.cnki.kqyxyj.2022.12.013

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Flexural Strength of Maxillary Premolar Restored with Resin-bonded IPS e.max CAD Ceramic Cantilever Bridge in Different Retention-form Design

LI Meikang1, HAN Bitan2, WANG Xueqian2, CHEN Zhiyu1*, AN Yilin1, MA Xiaoping3   

  1. 1. Department of Prosthodontics, Hebei Key Laboratory of Stomatology, Hebei Clinical Research Center for Oral Diseases, School and Hospital of Stomatology, Hebei Medical University, Shijiazhuang 050017, China;
    2. School of Stomatology, Hebei Medical University, Shijiazhuang 050017, China;
    3. Restoration Technician's Studio of Hospital of Stomatology Hebei Medical University, Shijiazhuang 050017, China
  • Received:2022-06-15 Online:2022-12-28 Published:2022-12-26

Abstract: Objective: To study the influence of different retention form designs on the fracture resistance of resin-bonded IPS e.max CAD ceramic cantilever bridge for maxillary premolars. Methods: Thirty intact adult maxillary premolars were selected and divided into three groups randomly (n=10). Group A: single-retainer of occlusal rest; group B: single-retainer of D-shape; and group C: single-retainer covering the palatal cusp. Prostheses were fabricated with IPS e.max CAD blocks and then cemented with resin cement. Fracture strength and failure mode were tested in a universal testing machine. Results: The fracture strength of group A, group B, and group C were (269.91±69.49) N, (279.79±35.21) N, and (394.33±88.37) N. The fracture strength of group B was higher than that of group A, but the difference was not significant (P>0.05). Group C had significantly higher fracture strength than groups A and B (P<0.01). The predominant failure mode was connector fracture. Conclusion: All three types of resin-bonded cantilever bridges can meet clinical requirements. The design of single-retainer covering the palatal cusp exhibited promising fracture properties.

Key words: resin-bonded cantilever bridge, retention form, all-ceramic, fracture load