Abstract
Biomimetic restorative treatments in pediatric dentistry increase the longevity of the restoration compared to traditional methods and aim to preserve the natural tooth structure. Prefabricated zirconia crowns have been developed as aesthetic alternatives to stainless steel crowns for full-coronal restorations of primary teeth. This study aimed to compare the fracture resistance and microleakage of two different posterior zirconia crown brands-NuSmile(®) (USA) and ProfZrCrown(®) (Turkey)-cemented with either conventional glass ionomer cement (GIC) or resin-modified glass ionomer cement (RMGIC). Eighty extracted primary molars were divided into four groups (n = 20). Crowns were cemented with Ketac™ Cem Radiopaque (GIC) or Ketac™ Cem Plus (RMGIC), in accordance with the manufacturers' instructions, and then subjected to thermocycling. Fracture resistance was tested on 40 samples by applying an increasing compressive load until failure, with values recorded in Newtons (N). The remaining 40 samples were immersed in basic fuchsin dye for microleakage testing and evaluated under a stereomicroscope at 30× magnification. The results revealed that the ProfZrCrown(®)/RMGIC group exhibited significantly higher fracture resistance compared to the NuSmile(®)/RMGIC group (p < 0.05). No statistically significant differences were found among the other groups. Although no significant differences in microleakage were observed among the groups (p > 0.05), crowns cemented with GIC demonstrated higher microleakage levels. Within the limitations of this in vitro study, ProfZrCrown(®) may be considered a promising alternative for aesthetic posterior restorations in pediatric dentistry.