Fatigue and fracture resistance and survival of occlusal veneers of composite resin and ceramics blocks in posterior teeth with occlusal wear: A protocol for a systematic review

Author(s):  
KARELYS MALDONADO ◽  
◽  
JUAN ESPINOZA ◽  
DANIELA ASTUDILLO ◽  
WILSON BRAVO

Review question / Objective: The aim of this systematic review is to synthesize the scientific evidence that evaluates fatigue and fracture resistance, survival, and stress distribution, of composite resin CAD/CAM and ceramic CAD/CAM occlusal veneers in posterior teeth with severe occlusal wear. Condition being studied: Currently there is an increase in cases of dental wear, due to several factors such as: excessive consumption of carbonated drinks, a diet high in acids, gastric diseases, anorexia, bulimia, dental grinding, use of highly abrasive toothpastes, or a combination of these(9) (10) (11) (12); which affect the patient in several aspects: loss of vertical dimension, sensitivity due to the exposure of dentin, esthetics, affectation of the neuromuscular system(11) (13) (14). With the advent of minimally invasive dentistry, occlusal veneers have been found to be a valid option to rehabilitate this type of cases and thus avoid greater wear of the dental structure with full coverage restorations. Sometimes when performing a tabletop it is not necessary to perform any preparation, thus preserving the maximum amount of dental tissue(3) (6) (15). Due to the masticatory load either in patients without parafunction where the maximum masticatory force is approximately 424 N for women and 630 N for men or in those who present parafunction where the maximum bite force can vary from 780 to 1120N(7), it is necessary that the occlusal veneers support that load which makes indispensable a compilation of studies investigating both fatigue and fracture resistance and the survival rate of occlusal veneers in different materials and thicknesses.

2019 ◽  
Vol 8 (11) ◽  
pp. 1932 ◽  
Author(s):  
Amesti-Garaizabal ◽  
Agustín-Panadero ◽  
Verdejo-Solá ◽  
Fons-Font ◽  
Fernández-Estevan ◽  
...  

Background: The aim of this systematic review and meta-analysis was to determine the fracture resistance and survival rate of partial indirect restorations inlays, onlays, and overlays fabricated using computer-aided design and computer-aided manufacturing (CAD-CAM) technology from ceramics, composite resin, resin nanoceramic, or hybrid ceramic and to analyze the influence of proximal box elevation on fracture resistance. Materials and methods: This systematic review was based on guidelines proposed by the preferred reporting items for systematic reviews and meta-analyses (PRISMA). An electronic search was conducted in databases US National Library of Medicine National Institutes of Health (PubMed), Scopus, Web of Science (WOS), and Embase. In vitro trials published during the last 10 years were included in the review. Results: Applying inclusion criteria based on the review’s population, intervention, comparison, outcome (PICO) question, 13 articles were selected. Meta-analysis by restoration type estimated the fracture resistance of inlays to be 1923.45 Newtons (N); of onlays 1644 N and of overlays 1383.6 N. Meta-analysis by restoration material obtained an estimated fracture resistance for ceramic of 1529.5 N, for composite resin of 1600 Ne, for resin nanoceramic 2478.7 N, and hybrid ceramic 2108 N. Conclusions: Resin nanoceramic inlays present significantly higher fracture resistance values. Proximal box elevation does not exert any influence on the fracture resistance of indirect restorations.


2019 ◽  
Vol 60 (1) ◽  
pp. 17-27 ◽  
Author(s):  
Tomotoshi Masuda ◽  
Syuntaro Nomoto ◽  
Toru Sato ◽  
Yuuhei Kanda ◽  
Takanori Sakai ◽  
...  

Medicina ◽  
2020 ◽  
Vol 56 (3) ◽  
pp. 132
Author(s):  
Georgina García-Engra ◽  
Lucia Fernandez-Estevan ◽  
Javier Casas-Terrón ◽  
Antonio Fons-Font ◽  
Pablo Castelo-Baz ◽  
...  

Background and Objectives: To evaluate in vitro the fracture resistance and fracture type of computer-aided design and computer-aided manufacturing (CAD-CAM) materials. Materials and Methods: Discs were fabricated (10 × 1.5 mm) from four test groups (N = 80; N = 20 per group): lithium disilicate (LDS) group (control group): IPS e.max CAD®; zirconium-reinforced lithium silicate (ZRLS) group: VITA SUPRINITY®; polymer-infiltrated ceramic networks (PICN) group: VITA ENAMIC®; resin nanoceramics (RNC) group: LAVA™ ULTIMATE. Each disc was cemented (following the manufacturers’ instructions) onto previously prepared molar dentin. Samples underwent until fracture using a Shimadzu® test machine. The stress suffered by each material was calculated with the Hertzian model, and its behavior was analyzed using the Weibull modulus. Data were analyzed with ANOVA parametric statistical tests. Results: The LDS group obtained higher fracture resistance (4588.6 MPa), followed by the ZRLS group (4476.3 MPa) and PICN group (4014.2 MPa) without statistically significant differences (p < 0.05). Hybrid materials presented lower strength than ceramic materials, the RNC group obtaining the lowest values (3110 MPa) with significant difference (p < 0.001). Groups PICN and RNC showed greater occlusal wear on the restoration surface prior to star-shaped fracture on the surface, while other materials presented radial fracture patterns. Conclusion: The strength of CAD-CAM materials depended on their composition, lithium disilicate being stronger than hybrid materials.


1989 ◽  
Vol 62 (1) ◽  
pp. 28-31 ◽  
Author(s):  
R.B. Joynt ◽  
E.L. Davis ◽  
G. Wieczkowski ◽  
D.A. Williams

Author(s):  
Juan Carlos Ramírez Barrantes ◽  
Edson Araujo Jr ◽  
Luiz Narciso Baratieri

<p><span>he aim of this In Vivo study was to evaluate the influence of the cavosurface angle (with bevel, and no preparation), of direct composite resin restorations in previous fractured teeth after 4 years of clinical performance. The restorations were performed by a single operator, following a restorative standardized protocol. For the study were selected 24 upper central incisors with fracture or with class IV restorations with an indication of replacement. According to the restorative technique, the teeth were divided into 2 groups: group I (n = 12) Class IV Restorations with a bevel preparation technique; and group II (n = 12) Class IV Restorations performed with no preparation. The restorations were evaluated at 7 days and 4 years, by two examiners, previously calibrated using modified USPHS criteria. After 4 years, two restorations were excluded, representing 22 restorations (11 with bevel preparation, and 11 without). The Fisher test demonstrates no significant differences between groups (p &gt; 0.05). This study presents clinical evidence that the cavosurface angle configuration does not influence the clinical performance of direct composite resin restorations in fractured teeth. Thus, we recommend no preparation of the cavosurface angle to preserve sound dental tissue based on a Minimally Invasive Dentistry approach. </span></p>


2021 ◽  
Vol 11 (20) ◽  
pp. 9589
Author(s):  
José Manuel Mendes ◽  
Pedro Colaço Botelho ◽  
Joana Mendes ◽  
Pedro Barreiros ◽  
Carlos Aroso ◽  
...  

Temporary restorations play a fundamental role in oral rehabilitation. They can be used on teeth or implants for a variable period of time during the period prior to rehabilitation with definitive restorations. Temporary or provisional restorations manufactured via CAD/CAM methods are becoming increasingly used in the intermediate phase of the treatment of complex cases. The main objective of this study was to compare the fracture resistance of three materials used in the creation of provisional crowns on implants: polymethyl methacrylate (PMMA), composite resin, and polyether ether ketone (PEEK). Fracture resistance in PMMA (Zirkonzahn Temp Basic® , Gais, South Tyrol, Italy) ranged from 1216.0 N to 1461.2 N, with a mean of 1300.4 N (SD = 97.09). In the composite material (3M Lava Ultimate®, Minnesota, USA), fracture resistance varied between 1343.5 N and 1490.6 N, with a mean of 1425.9 N (SD = 49.03). Lastly, in PEEK (Tecno Med Mineral®, Zirkonzahn®, Gais, South Tyrol, Italy), fracture resistance ranged from 2294.8 N to 2451.7 N, with a mean of 2359.5 (SD = 50.01). The crowns made with the PEEK Tecno Med Mineral® (Zirkonzahn®, Tyrol, Italy) material presented the best fracture resistance, followed by the crowns made with the Lava Ultimate® (3M® ESPE, Minnesota, USA) composite resin material and, finally, those made with the PMMA Temp Basic® (Zirkonzahn®, Tyrol, Italy) material.


2020 ◽  
Vol 33 (6) ◽  
pp. 648-655
Author(s):  
Sandra Fernandez-Villar ◽  
Jordi Cano-Batalla ◽  
Josep Cabratosa-Termes ◽  
Oriol Canto-Naves ◽  
María Arregui

2015 ◽  
Vol 30 (3) ◽  
pp. 546-554 ◽  
Author(s):  
Peter Gehrke ◽  
Dirk Johannson ◽  
Carsten Fischer ◽  
Bogna Stawarczyk ◽  
Florian Beuer

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