Retention Force of Glass Ionomer Based Luting Cements with Posterior Primary Zirconium Crowns - A Comparative in Vitro Study

J Clin Pediatr Dent. 2021 Oct 1;45(4):259-264. doi: 10.17796/1053-4625-45.4.7.

Abstract

Objective: To determine the retentive force of three glass-ionomer luting cements used with prefabricated primary zirconium crowns (PPZCs) and to assess whether the retentive force was dependent on cementation material or different PPZCs brands.

Study design: Four mandibular right second molar PPZCs were selected, one each from four manufacturers-NuSmile®ZR, Sprig Crowns, Cheng Crowns and Kinder Krowns. Silicone impressions of the outer surface of crowns were taken; stone dies prepared and reduced to fit the corresponding brand. 24 alginate impressions of each die obtained and filled with core buildup flowable composite. 96 composite tooth-replicas thus achieved were divided into four groups and further categorized into three subgroups of eight samples based on luting cements used - BioCem, FujiCEM®2 and KetacCem. Samples were thermocycled, placed in artificial saliva for one week followed by assessment of retentive force for crown dislodgment and failure mode.

Results: Data was statistically evaluated using two-way ANOVA, HSD (P <0.05). KetacCem had the lowest retentive force while BioCem showed comparatively higher value to FujiCEM®2. Adhesive failure modes were predominant with cement mainly adhering to crown's internal surface.

Conclusions: Resin-based GI cements offered superior retention than conventional GI cements for PPZCs and retentive force was dependent on cement type.

Keywords: Primary zirconia crowns; luting cement; retentive force.

MeSH terms

  • Acrylic Resins
  • Cementation
  • Crowns
  • Dental Cements
  • Dental Prosthesis Retention*
  • Glass Ionomer Cements
  • Humans
  • Materials Testing
  • Resin Cements
  • Silicon Dioxide
  • Zirconium*

Substances

  • Acrylic Resins
  • Dental Cements
  • Glass Ionomer Cements
  • Resin Cements
  • glass ionomer
  • Silicon Dioxide
  • Zirconium