Fracture resistance of endocrowns made from different CAD/CAM materials after prolonged fatigue aging.

IF 3.1 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Clinical Oral Investigations Pub Date : 2025-02-22 DOI:10.1007/s00784-025-06241-4
Arslandaş Dinçtürk B, Sufyan Garoushi, Kedici Alp C, Vallittu Pk, Üçtaşlı Mb, L Lassila
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Abstract

Objectives: The aim of this study was to evaluate the fracture resistance of endocrowns made of experimental short fiber-reinforced CAD/CAM block (SFRC CAD) in comparison with different commercial CAD/CAM materials.

Materials and methods: In this study, 60 sound mandibular molar teeth with similar occlusal sizes (± 1 mm) were used. Standard preparations simulating an endocrown cavity were prepared and the teeth were divided into four groups randomly. After the digital photoimpression of the prepared cavities using a dental intraoral scanner (CEREC), the restorations were designed (4 mm high) and milled using IPS e.max, Cerasmart 270, Katana Avencia and SFRC CAD blocks (n = 15/per group). Restorations were cemented with self-adhesive dual-cure resin cement (G-Cem One). The specimens were immersed in a 37 °C water bath within the chewing simulator. Following cyclic fatigue aging for 1.000.000 cycles (Fmax=150 N), a quasi-static load was applied using a universal testing machine at a speed of 1 mm/min. Fractography analysis was conducted using optical microscopy.

Results: According to the data obtained, there are statistically significant differences in fracture resistance values between different CAD/CAM materials (p < 0.05). The highest values were observed in the experimental SFRC CAD group (3025 N), while the lowest values were observed in the IPS e.max group (2295 N).

Conclusions: The type of CAD/CAM restorative material influences the fracture resistance of endocrowns. SFRC CAD blocks could potentially serve as an alternative material for endocrown restorations in the future.

Clinical relevance: Endocrowns fabricated from SFRC CAD blocks have demonstrated promising fracture behavior, suggesting their suitability for clinical testing.

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不同CAD/CAM材料的牙冠在长时间疲劳老化后的抗断裂性能。
目的:本研究的目的是评估实验性短纤维增强CAD/CAM块(SFRC CAD)内冠与不同商用CAD/CAM材料的抗断裂性。材料与方法:本研究选用60颗咬合大小相近(±1mm)的正常下颌磨牙。制备模拟冠内腔的标准制剂,随机分为四组。在使用口腔内扫描仪(CEREC)对制备的空腔进行数字光印后,使用IPS e.max、Cerasmart 270、Katana Avencia和SFRC CAD块设计(高4mm)并进行铣削(n = 15/每组)。修复体采用自粘双固化树脂水泥(G-Cem One)进行胶结。将标本浸泡在咀嚼模拟器内37°C的水浴中。在循环疲劳老化1,000.000次(Fmax=150 N)后,使用通用试验机以1 mm/min的速度施加准静态载荷。采用光学显微镜进行断口分析。结果:所得数据显示,不同CAD/CAM材料的断裂抗力值差异有统计学意义(p)。结论:CAD/CAM修复材料的类型影响内冠的断裂抗力。SFRC CAD块在未来有可能成为内冠修复的替代材料。临床意义:由SFRC CAD块制成的内冠已显示出良好的骨折行为,表明其适合临床试验。
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来源期刊
Clinical Oral Investigations
Clinical Oral Investigations 医学-牙科与口腔外科
CiteScore
6.30
自引率
5.90%
发文量
484
审稿时长
3 months
期刊介绍: The journal Clinical Oral Investigations is a multidisciplinary, international forum for publication of research from all fields of oral medicine. The journal publishes original scientific articles and invited reviews which provide up-to-date results of basic and clinical studies in oral and maxillofacial science and medicine. The aim is to clarify the relevance of new results to modern practice, for an international readership. Coverage includes maxillofacial and oral surgery, prosthetics and restorative dentistry, operative dentistry, endodontics, periodontology, orthodontics, dental materials science, clinical trials, epidemiology, pedodontics, oral implant, preventive dentistiry, oral pathology, oral basic sciences and more.
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