Effect of Different Computer-aided Design/Computer-aided Manufacturing (CAD/CAM) Materials and Thicknesses on the Fracture Resistance of Occlusal Veneers

2018 ◽  
Vol 43 (5) ◽  
pp. 539-548 ◽  
Author(s):  
JP Andrade ◽  
D Stona ◽  
HR Bittencourt ◽  
GA Borges ◽  
LH Burnett ◽  
...  

SUMMARY The aim was to evaluate, in vitro, the influence of different computer-aided design/computer-aided manufacturing (CAD/CAM) materials (IPS e.max CAD, Vita Enamic, and Lava Ultimate) and thicknesses (0.6 mm and 1.5 mm) on the fracture resistance of occlusal veneers. Sixty human third molars were prepared to simulate advanced erosion of the occlusal surface, and the teeth were randomly divided into six experimental groups (n=10) according to the material and thickness used to build the veneers. Ten sound teeth formed the control group. The veneers were adhesively luted and submitted to mechanical cyclic loading (1 million cycles at 200-N load). The fracture resistance test was performed in a universal testing machine. The failures were classified as “reparable” and “irreparable.” According to two-way analysis of variance and the Tukey test, the interaction (material × thickness) was significant (p=0.013). The highest fracture resistance was obtained for IPS e.max CAD at a 1.5-mm thickness (4995 N) and was significantly higher compared to the other experimental groups (p<0.05). The lowest fracture resistance was obtained for Vita Enamic at 0.6 mm (2973 N), although this resistance was not significantly different from those for IPS e.max CAD at 0.6 mm (3067 N), Lava Ultimate at 0.6 mm (3384 N), Vita Enamic at 1.5 mm (3540 N), and Lava Ultimate at 1.5 mm (3584 N) (p>0.05). The experimental groups did not differ significantly from the sound teeth (3991 N) (p>0.05). The failures were predominantly repairable. The occlusal veneers of IPS e.max CAD, Vita Enamic, and Lava Ultimate, with thicknesses of 0.6 mm and 1.5 mm, obtained fracture resistances similar to those associated with sound teeth.

2021 ◽  
Vol 13 (4) ◽  
pp. e7296
Author(s):  
Magna Andréa Rabêlo Diógenes ◽  
Francisca Tauliane Lemos de Castro ◽  
Samara Kelly da Silva Cavalcante ◽  
Ana Carolina Matias Dinelly Pinto ◽  
Pedro Henrique Chaves Isaias ◽  
...  

Objetivo: Revisar acerca do efeito da fumaça do cigarro, associada ou não à escovação, na rugosidade superficial e na microdureza de uma cerâmica vítrea de dissilicato de lítio “Computer-Aided Design/Computer-Aided Manufacturing” (CAD/CAM). Métodos: Pesquisaram-se os descritores cadastrados no MeSH “lithium disilicate”, “smoking”, “CAD CAM”, “brushing”, “rough”, “hardness”, combinados entre si pelo operador booleano “AND”, na base de dados PubMed nos últimos 5 anos. Resultados: De acordo com a pesquisa, foram encontrados 625 artigos e selecionados 12 estudos in vitro. 5 estudos concluíram que as restaurações cerâmicas CAD/CAM apresentaram estabilidade de cor e de rugosidade da superfície, após escovação simulada e termociclagem.  4 estudos observaram que a escovação simulada e algumas bebidas aumentaram significativamente a rugosidade superficial da cerâmica de dissilicato de lítio. 3 estudos inferiram que a rugosidade superficial e a microdureza podem ser influenciadas pelos tratamentos de superfícies. Considerações finais: As cerâmicas de dissilicato de lítio CAD/CAM possuem propriedades satisfatórias em relação a sua resistência e estética, após exposição à fumaça do cigarro, associada ou não com a escovação.


2019 ◽  
Vol 13 (01) ◽  
pp. 017-021
Author(s):  
Nor Faharina Abdul Hamid ◽  
Wan Zaripah Wan Bakar ◽  
Zaihan Ariffin

Abstract Objective This study was carried out to assess and compare the marginal gap of conventionally used metal onlays and new resin nanoceramic (RNC) (Lava Ultimate block) onlays. Materials and Methods This is an in vitro study using two extracted sound human mandibular molars. One tooth was prepared to receive the metal onlays and another one for the RNC onlays which were fabricated using the computer-aided design and computer-aided manufacturing (CAD/CAM) technology. Twelve metals and 12 ceramic onlays were fabricated before they were placed at their respective preparation and examined under the Leica stereomicroscope, M125C (Leica Microsystems, Wetzlar, Germany) for a marginal analysis. The gap width was measured at 10 predefined landmarks which included 3 points on the buccal and lingual surfaces each and 2 points each on the mesial and distal surfaces, respectively. Statistical Analysis Mann–Whitney post hoc test was used for statistical analysis (P ≤ 0.05). Results Overall, the RNC onlays showed significant lower marginal gap with the exception of the landmarks 5 and 6 (on distolingual) and no significant difference at landmark 7 (on midlingual). It was observed that the marginal gap were all within the clinically acceptable limit of 120 μm. Conclusions Based on the results obtained, it can be concluded that the RNC CAD/CAM onlays are a promising alternative to the metal onlays.


2018 ◽  
Vol 44 (6) ◽  
pp. 427-431 ◽  
Author(s):  
Eduardo Anitua ◽  
Carlos Flores ◽  
Laura Piñas ◽  
Mohammad Hamdan Alkhraisat

Computer-aided design/computer-aided manufacturing (CAD-CAM) technology permits the angular correction of screw emergence into the prosthesis; however, there is lack of controlled clinical studies that assess the frequency of technical complications in angled screw channel restorations. This controlled clinical study was designed to assess technical incidences in angled screw channel restorations. Patients who underwent placement of implant prosthesis between November 2014 and December 2015 were screened. The patients were selected if they received a prosthesis with up to 30° correction of the prosthesis screw emergence and had at least 1 nonangulated prosthesis (screw retained). All prostheses were located completely/partially in the posterior region. The frequency of technical complications was the principal variable. A total of 52 patients with a mean age of 62 ± 10 years participated, with a total of 110 prostheses (55 in the test group and 55 in the control group). A total of 11 technical complications occurred (7 in the test group and 4 in the control group). These differences were not statistically significant. All prostheses in both groups survived the follow-up. The correction of the screw emergence into the prosthesis has not increased the risk of technical complications in CAD-CAM implant prostheses.


1988 ◽  
Vol 4 (04) ◽  
pp. 280-285
Author(s):  
R. V. Shields

Great emphasis has been attached to the achievement of productivity and producibility benefits through the application of computer-aided design and computer-aided manufacturing (CAD/CAM) technologies. To ensure the achievement of these benefits, it is important that the end user have appropriate software and be able to use it to his advantage. The proper procurement, customization, installation, training, and implementation of software can play a significant role in the effectiveness of CAD/CAM.


Author(s):  
Abdulrahman Alhaddad ◽  
Samar Abuzinadah ◽  
Abdullah Al-Otaibi ◽  
Abrar Alotaibi ◽  
Mohsen Alfkih ◽  
...  

Background: Zirconia-based restorations have become more popular in dentistry during the last two decades. Patients choose metal-free restorations, preferring materials with similar attributes to natural teeth and similar light scattering characteristics, resulting in a nice esthetic appearance. Restoring a root canal treated teeth is one of the hot topics today. endo crown materials can be either; feldspathic, glass-ceramic, monolithic hybrid ceramic or composite material. Considering the marginal gap of endocrown, an important cause of failure of treatment, the current study evaluated the marginal gap of CAD‐CAM concocted endo-crowns. Materials and Methods: This research is an analysis systemic review study was conducted between January 2020 and October 2021. We followed the PRISMA principles and recorded this systematic review using the PROSPERO database to find and identify published literature related to the marginal adaptation of CAD-CAM-fabricated endocrown. The search will include all relevant articles through the end of 2021. Finally, 24 papers on marginal clearance and fracture resistance in coronary arteries were reviewed. Results: The electronic database search yielded 98 studies that were relevant. After cross-referencing, further seven studies were added. After a full-text analysis and duplicate reduction, 74 of the 98 articles were eliminated. 5 clinical (prospective) studies, 19 in vitro studies were found. Conclusion: This analysis of the recent literature on the marginal seating integrity and fracture resistance of CAD/CAM made-up endo-crowns showed that the endo-crown had superior marginal seating integrity than classical full crown. CAM/CAM showed statistically significant higher mean fracture resistance than MAD/MAM.


2019 ◽  
Vol 09 (02) ◽  
pp. 57-63
Author(s):  
Sushmita V. Palanisamy ◽  
Chethan Hegde

Abstract Background Contemporary dentistry is advancing toward computer-aided design/ computer-aided manufacturing (CAD/CAM) technology. But the budding dentists are unaware about the advancement. This survey aims at detecting the level of awareness among the undergraduate students and then correlating those results to modify the future curriculum. Objective The study aims (1) to assess the awareness among the dental undergraduate students and (2) to correlate the level of awareness among the third years, final years, and interns. Sample Selection Study sample consist of 300 students (third year students, final year students, and interns) of A. B. Shetty Memorial Institute of Dental Sciences, Mangalore, Karnataka, India. The information of the survey was collected with the help of a questionnaire. Results More than 70% of the students were aware about the basic functioning of CAD/CAM unit and approximately 74% of the students were unaware about the materials used to fabricate the prosthesis using CAD/CAM technology.


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