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The stress distribution varied with the different cement thicknesses and directions of applied loads.
Four models were fabricated applying different cement thicknesses (100 µm, 200 µm, 400 µm, and 600 µm).
The monolithic zirconia crowns with cement thicknesses exceeding 200 µm had wider distributions of peak maximum principal stress under the same loading conditions.
This study was designed to evaluate the stress distribution in the posterior monolithic zirconia crowns with different cement thicknesses under masticatory force and maximum bite force using three-dimensional finite element analysis.
Mean stem orientation was 1.6° (SD 2.4) varus; mean minimal, maximal, and average cement thicknesses were 3.4 (SD 0.6), 5.9 (SD 1.0), and 4.6 (SD 0.7) mm.
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Limited information is available on the optimal cement thickness of monolithic zirconia crowns.
Cement thickness of 100 µm is recommended for monolithic zirconia crowns.
The effect of one eccentric load case, cement thickness and conformity has been investigated.
The cement-bone interface, the cement-prosthesis interface and the cement thickness should be scrutinized for the presence of any gaps or lucencies.
The test results show that the cement thickness plays an essential role in the success of monolithic zirconia restorations in terms of reducing cement wash-out.
This work originated from the suspect that a successful design would yield inferior survival when implanted with a lower cement thickness.
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