Effect of Preparation Taper and Height on Strength and Retention of Zirconia Crowns

This study aimed to determine the effect of the taper and height of tooth preparations on the fracture strength and retention of zirconia crowns. Sixty-four dies were designed to simulate a crown preparation. Dies were machined with a height of either 4 mm (n = 16) or 7 mm (n = 16) and a taper of either 6 degrees (n = 16) or 20 degrees (n = 16). Copings were created from Lava zirconia blanks. Retention tests were performed using a universal testing machine. Copings were recemented on the dies, thermocycled, and tested for fracture strength. Data were analyzed using factorial analysis of variance. Retention was greater in the taller and less-tapered preparation designs. Taller preparations showed superior fracture strength. Preparing posterior teeth with higher axial walls and less taper is recommended to achieve increased retention and strength for zirconia crowns.