Restorative
Clay Adams, DMD
Pediatric Dental Resident
Louisiana State University, New Orleans, LA
New Orleans, Louisiana, United States
Jeffrey T. Johnson, DMD, MPH
LSUHSC School of Dentistry
Jeffrey T. Johnson, DDS
Program Director
Louisiana State University
New Orleans, Louisiana, United States
Purpose: This study aimed to test the effects of incisal height of primary maxillary incisors on retention of anterior prefabricated zirconia crowns.
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Methods: Sixty tooth preparations were designed by using the negative of a NuSmile® brand primary prefabricated anterior zirconia crown and created using 3D-printed die resin. These preparations were divided into groups of 10 beginning with the ideal inciso-cervical height of 5.0 mm. The inciso-cervical heights of each remaining group of 10 were reduced in increments of 0.75 mm (5.0 mm, 4.25 mm, 3.50 mm, 2.75 mm, 2.00, 1.25 mm). Sixty NuSmile® brand zirconia crowns were cemented to the 3D tooth preparations using 3M RelyX™ Luting Plus Automix. All groups were placed in an incubator at 37-degree Celsius for twenty-four hours and pulloff tests using the Instron 5566 were completed. Statistical analysis using Pairwise Wilcoxon rank-sum tests was used to compare the force and megapascals among inciso-cervical height groups.
Results: Preparations with inciso-cervical heights ≥ 3.5mm showed statistically significant greater tensile stress compared to shorter heights.
Conclusion: The findings indicate that increased inciso-cervical height increased the retention of primary anterior prefabricated zirconia crowns..
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