Sealing Ability of New Translucent Zirconia Crowns Made with Digital Workflow and Cemented with Different Types of Cement

Marco Ferrari, MD, DMD, PhD/Anna Marucci, DDS/Edoardo Ferrari Cagidiaco, DDS/Denise I. K. Pontoriero, DDS/Massimo Fuzzi, MD, DDS: This article evaluated the sealing capacity of single crowns made of a new zirconia (Katana STML, Kuraray Noritake) when cemented with two different cement types and two different marginal preparation types. Forty intact human anterior teeth, extracted for periodontal reasons, were used. Each sample was prepared with two margin preparations: knife-edge (KE) on one half of the tooth and chamfer (CH) on the other half. Based on the type of cement used, abutments were randomly distributed into one of two groups: Group 1 used resin cement (Panavia V5, Kuraray Noritake), and Group 2 used reinforced glass-ionomer cement (FujiCEM 2, GC). A digital workflow was utilized for crown fabrication. After the cementing procedures, samples were processed, and microleakage and scanning electron microscopic observations were made. Microleakage varied significantly depending on the type of cement combination used. Group 1 samples showed less microleakage (medians: 0.76 for CH and 0.51 for KE in Group 1, and 4.1 and 3.45 for Group 2, respectively) than Group 2 specimens; the difference was statistically significant (P < .000). KE preparation showed less microleakage than CH, although no statistically significant differences were found (P < .0558). Under microscopic observations, some samples showed internal fractures within the zirconia material. KE and CH seal the margin of zirconia crowns similarly. The resin cement system ensured better adhesion than reinforced glass-ionomer cement.