Type of cement does not influence performance of zirconia crowns 48 months after clinical use: study

Type of cement does not affect the crowns 48 hours after clinical use, according to new research published in Operative Dentistry. Both cements- glass ionomer cement (GIC) (Meron, Voco) and self-adhesive resin cement (Bifix-SE, Voco) used in study resulted in adequate retention rates, aesthetic and functional outcomes, and biological response.
This split-mouth clinical study investigated the effect of luting cement on the performance of veneered yttrium-stabilized tetragonal zirconia polycrystal (Y-TZP) zirconia crowns.
A total of 60 crowns prepared with Y-TZP coping and press-on porcelain were made with a split-mouth design in 30 participants. The crowns were cemented either with glass ionomer cement (GIC) (Meron, Voco) or with self-adhesive resin cement (Bifix-SE, Voco). The restorations were assessed immediately after treatment and after 6, 12, 24, 36, and 48 months using the modified United States Public Health Service criteria. The parameters analyzed were retention, color stability, marginal discoloration, marginal adaptation, surface roughness, anatomic form, and secondary caries. The differences between the groups were analyzed by the Fisher exact test in each period of evaluation. The survival rate was analyzed with the Kaplan–Meier and log-rank test (α=0.05).
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