Material Thickness Influence on Fracture Load of Polymer Infiltrated Ceramic Network CAD/CAM Restorations

2021 ◽  
Vol 58 (2) ◽  
pp. 8-17
Author(s):  
Liane Avram ◽  
Luciana Goguta ◽  
Sergiu-Valentin Galatanu ◽  
carmen Opris ◽  
Codruta Ille ◽  
...  

Polymer infiltrated ceramics are hybrid materials that combine the strength of ceramics and the flexibility of polymers. The aim of this study was to compare the fracture load capacity of monolithic CAD/CAM crowns with different occlusal thicknesses, made from polymer infiltrated ceramic network. Fifteen full contour CAD/CAM crowns made of Vita Enamic with occlusal thicknesses of 0.5 mm, 1.0 mm and 1.5 mm were fabricated with a wet milling machine. Restorations were cemented on human molars with adhesive cement. Samples were loaded along the long axis until fracture, with a single static compressive force. A scanning electron microscope (SEM) was used to examine the fracture surface of specimens after the fracture. The results of this study reveals that the fracture load of the samples increased progressively with the occlusal thickness. The highest fracture value was recorded for1.5 mm occlusal thickness of the crown. No statistically significant difference was reported between the three experimental groups. It can be concluded that hybrid monolithic CAD-CAM crowns showed sufficient fracture strength to be used for single restorations in the posterior area, even with a reduced occlusal thickness.

2019 ◽  
Vol 18 ◽  
pp. e191573
Author(s):  
Silas Monteiro Borges ◽  
Stephanie Francoi Poole ◽  
Izabela Cristina Maurício Moris ◽  
Aloísio Oro Spazzin ◽  
Adriana Cláudia Lapria Faria ◽  
...  

Aim: This study evaluated the mechanical behavior of implant-supported crowns obtained by different fabrication technique after thermomechanical cycling. Methods: Thirty-two external hexagon dental implants were divided into four groups (n=10): CC – conventional casting with torch; EI – electromagnetic induction casting; PL – plasma casting; and CAD-CAM – milling through computer-aided design and computer-aided manufacturing. Vickers microhardness of the specimens were made before and after the thermomechanical cycling, and then subjected to fracture load. Fracture pattern was evaluated. Results: No significant difference was observed comparing the microhardness before and after thermomechanical cycling. CAD-CAM group presented significant lower microhardness than the other groups. No significant statistical difference was showed on fracture load between the groups. The CAD-CAM and PL presented lower number of failure by plastic deformation. Conclusion: The manufacturing techniques affected the mechanical behavior and the failure pattern of implant-supported crowns tested.


2015 ◽  
Vol 41 (S1) ◽  
pp. 352-359 ◽  
Author(s):  
Tonino Traini ◽  
Roberto Sorrentino ◽  
Enrico Gherlone ◽  
Federico Perfetti ◽  
Patrizio Bollero ◽  
...  

Due to the brittleness and limited tensile strength of the veneering glass-ceramic materials, the methods that combine strong core material (as zirconia or alumina) are still under debate. The present study aims to evaluate the fracture strength and the mechanism of failure through fractographic analysis of single all-ceramic crowns supported by implants. Forty premolar cores were fabricated with CAD/CAM technology using alumina (n = 20) and zirconia (n = 20). The specimens were veneered with glass-ceramic, cemented on titanium abutments, and subjected to loading test until fracture. SEM fractographic analysis was also performed. The fracture load was 1165 (±509) N for alumina and 1638 (±662) N for zirconia with a statistically significant difference between the two groups (P = 0.026). Fractographic analysis of alumina-glass-ceramic crowns, showed the presence of catastrophic cracks through the entire thickness of the alumina core; for the zirconia-glass-ceramic crowns, the cracks involved mainly the thickness of the ceramic veneering layer. The sandblast procedure of the zirconia core influenced crack path deflection. Few samples (n = 3) showed limited microcracks of the zirconia core. Zirconia showed a significantly higher fracture strength value in implant-supported restorations, indicating the role played by the high resistant cores for premolar crowns.


2021 ◽  
pp. 1-11
Author(s):  
Ebrahim Fihaid Alsubaiy ◽  
Saurabh Chaturvedi ◽  
Osama A. Qutub ◽  
Hisham Abdullah Mously ◽  
Mohammad Abdullah Zarbah ◽  
...  

BACKGROUND: The aesthetics and strength of anterior porcelain layered zirconia (PLZ) crowns are mainly affected by the zirconia (Zr) coping design. There is a need for a modified design to enhance aesthetics with strength. OBJECTIVES: The purpose of this study was to compare the fracture resistance of anterior PLZ crowns having modified CAD-CAM Zr coping designs (in terms of thickness and marginal collar designs) with standard Zr copings. METHODS: Fifty PLZ crowns were fabricated and divided into two groups: Gr 1: Standard Zr Coping (SZC) (control gr) with 0.5 mm thickness (Facial-F, Mesial-M, Distal-D, incisal-I, and Palatal-P) without a collar; Gr 2: Collar Zr Coping (CZC) (test gr) with 2.5 mm collar height on M, D, P and 0.2 mm F and variable facial wall thickness. Subgroups: Gr 2a: (CZC-0.5 mm) facial wall thickness 0.5 mm; Gr 2b: (CZC-0.4 mm) facial wall thickness 0.4 mm; Gr 2c: (CZC-0.3 mm) facial wall thickness 0.3 mm; Gr 2d: (CZC-0.2 mm) facial wall thickness 0.2 mm. The fracture load was determined and analysed using One-way ANOVA and Dunnet test. RESULTS: The minimum fracture load was 927.36 ± 127.80 N observed for Gr 2c (CZC at 0.3 mm) while the maximum fracture load was 1373.61 ± 146.54 N observed for Gr 2a (CZC at 0.5 mm). A highly significant difference in mean fracture load among various Zr coping groups (p< 0.001) was determined. CONCLUSIONS: Novel Zr coping design for anterior PLZ crowns can provide better aesthetics with strength. Reducing the thickness of Zr coping in the aesthetic zone to 0.2 mm and providing a modified collar design (2.5 mm collar height on M, D, P, and 0.2 mm F) would provide strength without jeopardizing aesthetics.


2018 ◽  
Vol 8 (1) ◽  
pp. 15-21
Author(s):  
Zuhal Görüş

Aim: The aim of this study was to investigate the effect of preheating of inlay and onlay restorations prepared from composite materials and using a CAD/CAM device on microtensile bond strength in different structures. Methodology: In this study, 90 impacted human third molar teeth unaffected by the mouth environment were used. These teeth were divided into 3 groups. MOD inlay cavity preparation was performed on all samples according to the parameters specified. For the first group, restorations were prepared using a CAD/CAM device. For the second group, a fiber-reinforced composite (EverX Posterior, GC, Tokyo, Japan) was used on the bottom of the cavity to simulate dentin structure. Restoration was then completed using the laboratory composite system (Gradia, GC, Tokyo, Japan). For the third group, restorations were completed using the laboratory composite system (Gradia, GC, Tokyo, Japan) alone. Er,Cr:YSGG laser (Fotona Laser AT Fidelis Plus III, Slovenia) was administered on all prepared restorations for surface roughening. In the cementation of the restorations, resin cement was administered with and without preheating. The prepared samples were placed in a microtensile tester, and the sticks were broken off by setting the loading speed at 1 mm/min. The prepared samples were tested for microtensile bond strength (Microtensile Tester, Bisco, Schaumburg, IL, USA). The results obtained in Newtons were divided into the surface area and converted to MPa. The results were recorded as microtensile bond strength values. Results: There was no statistically significant difference between the groups in terms of the statistical evaluation of the microtensile bond strengths of the samples in which the adhesive cement was pre-heated (P) and not pre-heated (N) during the cementations (p>0.05). There was a statistically significant difference (p<0.05) in terms of the microtensile bond strength values between the groups in which the adhesive cement was pre-heated during the cementation of restorations. Conclusion: It was observed that exposure of the adhesive cement to preheating in the cementation of the EverX Posterior-based inlays adversely affects the bond strength. It was observed that the preheating process statistically significantly increased the bond strength in the inlays made using the Gradia composite. Preheating of the cement in the cementation of Cerasmart composite inlays produced using the CAD/CAM system did not affect the microtensile bond strength.       


2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Daniele Tognetto ◽  
Chiara De Giacinto ◽  
Alberto Armando Perrotta ◽  
Tommaso Candian ◽  
Alessandro Bova ◽  
...  

Purpose. To compare the capsule edges ultrastructure obtained by two femtosecond laser-assisted cataract surgery (FLACS) platforms and manual continuous curvilinear capsulorhexis (CCC) using scanning electron microscopy (SEM). Setting. Eye Clinic, University of Trieste, Italy. Design. Experimental comparative study. Methods. 150 anterior capsules were collected and divided into three groups as follows: Group 1 (50 capsules) obtained with manual CCC, Groups 2 and 3 (each with 50 capsules) obtained with the Catalys Laser and the LenSx Laser, respectively. All samples were imaged by means of SEM and regularity of the cut surface, and thickness of the capsule edge were evaluated and compared. Results. All femtosecond laser (FSL) capsules were perfectly circular, whereas some alteration of the circular shape was observed in the manual ones. Group 1 showed a smooth and regular capsule edge without any surface irregularity, conversely Groups 2 and 3 showed postage-stamp perforations on the capsule edge. The cut surface irregularity value in Group 2 was 1.4 ± 0.63, while it was 0.7 ± 0.49 in Group 3 (p<0.05). Group 1 had a significantly lower thickness of the capsule edge than the FSL groups (p<0.05). No statistically significant difference in the capsule edge thickness between the FSL groups was found (p=0.244). Conclusions. Despite the presence of slight cut surface irregularities, both FSL capsulotomies showed a better geometry and circularity than the manual ones. Capsulotomy specimens obtained using both FSL capsulotomies showed laser-induced alterations of the capsule edge when compared with smooth and regular edges obtained using manual CCC.


Materials ◽  
2021 ◽  
Vol 14 (4) ◽  
pp. 959
Author(s):  
Verónica Rodríguez ◽  
Celia Tobar ◽  
Carlos López-Suárez ◽  
Jesús Peláez ◽  
María J. Suárez

The aim of this study was to investigate the load to fracture and fracture pattern of prosthetic frameworks for tooth-supported fixed partial dentures (FPDs) fabricated with different subtractive computer-aided design and computer-aided manufacturing (CAD-CAM) materials. Materials and Methods: Thirty standardized specimens with two abutments were fabricated to receive three-unit posterior FDP frameworks with an intermediate pontic. Specimens were randomly divided into three groups (n = 10 each) according to the material: group 1 (MM)—milled metal; group 2 (L)—zirconia; and group 3 (P)—Polyetheretherketone (PEEK). The specimens were thermo-cycled and subjected to a three-point bending test until fracture using a universal testing machine (cross-head speed: 1 mm/min). Axial compressive loads were applied at the central fossa of the pontics. Data analysis was made using one-way analysis of variance, Tamhane post hoc test, and Weibull statistics (α = 0.05). Results: Significant differences were observed among the groups for the fracture load (p < 0.0001). MM frameworks showed the highest fracture load values. The PEEK group registered higher fracture load values than zirconia samples. The Weibull statistics corroborated these results. The fracture pattern was different among the groups. Conclusions: Milled metal provided the highest fracture load values, followed by PEEK, and zirconia. However, all tested groups demonstrated clinically acceptable fracture load values higher than 1000 N. PEEK might be considered a promising alternative for posterior FPDs.


Author(s):  
Ihab Nabeel Safi ◽  
Basima Mohammed Ali Hussein ◽  
Hikmat J. Aljudy ◽  
Mustafa S. Tukmachi

Abstract Objectives Dental implant is a revolution in dentistry; some shortages are still a focus of research. This study use long duration of radiofrequency (RF)–magnetron sputtering to coat titanium (Ti) implant with hydroxyapatite (HA) to obtain a uniform, strongly adhered in a few micrometers in thickness. Materials and Methods Two types of substrates: discs and root form cylinders were prepared using a grade 1 commercially pure (CP) Ti rod. A RF–magnetron sputtering device was used to coat specimens with HA. Magnetron sputtering was set at 150 W for 22 hours at 100°C under continuous argon gas flow and substrate rotation at 10 rpm. Coat properties were evaluated via field emission scanning electron microscopy (FESEM), scanning electron microscopy–energy dispersive X-ray (EDX) analysis, atomic force microscopy, and Vickers hardness (VH). Student’s t-test was used. Results All FESEM images showed a homogeneous, continuous, and crack-free HA coat with a rough surface. EDX analysis revealed inclusion of HA particles within the substrate surface in a calcium (Ca)/phosphorus (P) ratio (16.58/11.31) close to that of HA. Elemental and EDX analyses showed Ca, Ti, P, and oxygen within Ti. The FESEM views at a cross-section of the substrate showed an average of 7 µm coat thickness. Moreover, these images revealed a dense, compact, and uniform continuous adhesion between the coat layer and the substrate. Roughness result indicated highly significant difference between uncoated Ti and HA coat (p-value < 0.05). A significant improvement in the VH value was observed when coat hardness was compared with the Ti substrate hardness (p-value < 0.05). Conclusion Prolonged magnetron sputtering successfully coat Ti dental implants with HA in micrometers thickness which is well adhered essentially in excellent osseointegration.


2021 ◽  
Vol 11 (2) ◽  
pp. 857
Author(s):  
Keunbada Son ◽  
Kyu-Bok Lee

The purpose of this in vitro study was to evaluate marginal and internal fits of ceramic crowns fabricated with chairside computer-aided design and manufacturing (CAD/CAM) systems. An experimental model based on ISO 12836:2015 was digitally scanned with different intraoral scanners (Omnicam (CEREC), EZIS PO (DDS), and CS3500 (Carestream)). Ceramic crowns were fabricated using the CAD/CAM process recommended by each system (CEREC, EZIS, and Carestream systems; N = 15). The 3-dimensional (3D) marginal and internal fit of each ceramic crown was measured using a 3D inspection software (Geomagic control X). Differences among the systems and various measurements were evaluated using the Kruskal–Wallis test. Statistically significant differences were validated using pairwise comparisons (α = 0.05). Occlusal gaps in the CEREC, EZIS, and Carestream groups were 113.0, 161.3, and 438.2 µm, respectively (p < 0.001). The axial gaps were 83.4, 78.0, and 107.9 µm, respectively. The marginal gaps were 77.8, 99.3, and 60.6 µm, respectively, and the whole gaps were 85.9, 107.3, and 214.0 µm, respectively. Significant differences were observed with the EZIS system compared with the other two systems in terms of the marginal gap sizes. The CEREC system showed no significant differences among the four measured regions. However, the EZIS and Carestream systems did show a statistically significant difference (p < 0.05). All three systems were judged to be capable of fabricating clinically acceptable prostheses, because the marginal gap, which is the most important factor in the marginal fit of prostheses, was recorded to be below 100 µm in all three systems.


2015 ◽  
Vol 03 (02) ◽  
pp. 080-084
Author(s):  
Vijay Singh ◽  
Poonam Bogra ◽  
Saurabh Gupta ◽  
Navneet Kukreja ◽  
Neha Gupta

AbstractFracture resistance of endodontically treated teeth restored with post. Aims: This study aims to compare the fracture resistance of endodontically treated teeth restored with resin fiber and stainless steel post. Commercially available prefabricated resin fiber post(Dentsply Maillefer Easy Post), prefabricated stainless steel post(Coltene/Whaledent Parapost) were used. Methods and Material: Forty five maxillary central incisors were obturated and divided into 3 groups: Control Group (Group I) without any post (n = 15), Resin Fiber Post Group (Group II) (n = 15) and Stainless Steel Post Group (Group III) (n = 15). In all Groups except control group, post space was prepared; a post was cemented, and a core build-up was provided. All the specimens were subjected to compressive force under a universal testing machine until fracture. Statistical analysis used: The results were analyzed using the variable analysis test (ANOVA). Results: One-way analysis of variance revealed significant difference among test groups. The control group demonstrated highest fracture resistance (925.2183 N), followed by the resin fiber post group (486.7265 N) and stainless steel post group (423.539N). Conclusions: Teeth restored with resin fiber post showed higher fracture resistance values than prefabricated stainless steel post.


Polymers ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 1745
Author(s):  
Tamaki Hada ◽  
Manabu Kanazawa ◽  
Maiko Iwaki ◽  
Awutsadaporn Katheng ◽  
Shunsuke Minakuchi

In this study, the physical properties of a custom block manufactured using a self-polymerizing resin (Custom-block), the commercially available CAD/CAM PMMA disk (PMMA-disk), and a heat-polymerizing resin (Conventional PMMA) were evaluated via three different tests. The Custom-block was polymerized by pouring the self-polymerizing resin into a special tray, and Conventional PMMA was polymerized with a heat-curing method, according to the manufacturer’s recommended procedure. The specimens of each group were subjected to three-point bending, water sorption and solubility, and staining tests. The results showed that the materials met the requirements of the ISO standards in all tests, except for the staining tests. The highest flexural strength was exhibited by the PMMA-disk, followed by the Custom-block and the Conventional PMMA, and a significant difference was observed in the flexural strengths of all the materials (p < 0.001). The Custom-block showed a significantly higher flexural modulus and water solubility. The water sorption and discoloration of the Custom-block were significantly higher than those of the PMMA-disk, but not significantly different from those of the Conventional PMMA. In conclusion, the mechanical properties of the three materials differed depending on the manufacturing method, which considerably affected their flexural strength, flexural modulus, water sorption and solubility, and discoloration.


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