In vitro evaluation of microleakage for different cementation materials used in prefabricated zirconia crowns


Ekici B. E., Oba A. A.

Journal of Clinical Pediatric Dentistry, vol.49, no.5, pp.211-218, 2025 (SCI-Expanded, Scopus)

  • Publication Type: Article / Article
  • Volume: 49 Issue: 5
  • Publication Date: 2025
  • Doi Number: 10.22514/jocpd.2025.116
  • Journal Name: Journal of Clinical Pediatric Dentistry
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CINAHL
  • Page Numbers: pp.211-218
  • Keywords: Cementation, Crown, Dental cements, Microleakage, Primary teeth, Zirconia
  • Kütahya Health Sciences University Affiliated: Yes

Abstract

Background: Microleakage is a significant factor that leads to the failure of full-coronal restorations. Moreover, the choice of cementation material may affect microleakage. This study aimed to evaluate microleakage in prefabricated zirconia crowns (PZCs) when cemented with different luting cements. Methods: Thirty-six freshly extracted primary maxillary incisors were prepared for PZCs. The teeth were randomly divided into three groups (n = 12) to be lutation with one of two different resin-modified glass ionomer cements (Ketac Cem Plus and FujiCEM Evolve) or a self-adhesive resin cement (RelyX U200). After the cementation process, the teeth were thermocycled 6000 times at temperatures ranging from 5◦C to 55◦C with a dwell time of 15 seconds and a transfer time of 10 seconds, immersed in basic fuchsin solution and then sectioned buccolingually. Subsequently, the sections were scored based on observations made using a stereomicroscope at 30× magnification. Statistical analysis was conducted using one-way analysis of variance and the independent two-sample t-test. The significance level was set at p < 0.05. Results: The lowest microleakage score was attained by the self-adhesive resin cement group (mean 1.00). No statistically significant differences were found among the groups (p = 0.467). Moreover, no statistically significant difference was observed between the microleakage scores for the primary central and lateral teeth, regardless of the cementation material used (p = 0.314). Conclusions: According to the outcomes of this study, self-adhesive resin cements may be a promising alternative to resin-modified glass ionomer cements.