Fracture Resistance of CAD/CAM-Fabricated Zirconia and Lithium Disilicate Crowns with Different Margin Designs: Implications for Digital Dentistry.

IF 5 3区 医学 Q1 ENGINEERING, BIOMEDICAL
Tareq Hajaj, Diana Marian, Cristian Zaharia, Serban Talpos Niculescu, Radu Marcel Negru, Florina Titihazan, Mihai Rominu, Cosmin Sinescu, Andreea Codruta Novac, Gabriel Dobrota, Ioana Veja
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Abstract

Objective: This in vitro study aimed to evaluate the influence of cervical margin design-tangential versus chamfer-on the fracture resistance of monolithic crowns fabricated from lithium disilicate and zirconia ceramics.

Materials and methods: Forty extracted human molars were randomly assigned to two preparation types: chamfer and tangential. Each group was restored with CAD/CAM-fabricated crowns made from either zirconia (IPS e.max® ZirCAD Prime) or lithium disilicate (IPS e.max® CAD), resulting in four subgroups (n = 10). Standardized adhesive cementation protocols were applied. After 24 h storage in distilled water, the specimens underwent static load-to-failure testing using a ZwickRoell ProLine Z005 universal testing machine.

Results: Zirconia crowns with chamfer margins exhibited the highest mean fracture resistance (2658 N), while lithium disilicate crowns with tangential margins showed the lowest (1862 N). Chamfer preparation significantly increased the fracture resistance of lithium disilicate crowns (p < 0.01), whereas margin design had no significant effect on zirconia. All restorations exceeded physiological masticatory forces, confirming their clinical viability.

Conclusions: Cervical margin design significantly affected the fracture performance of lithium disilicate crowns but not zirconia. Chamfer preparations are recommended when using lithium disilicate to optimize mechanical strength. These findings underscore the importance of preparation geometry in guiding material selection for CAD/CAM ceramic restorations.

CAD/ cam制造的不同边缘设计的氧化锆和二硅酸锂冠的抗断裂性:对数字牙科的影响。
目的:探讨切向和倒角型颈缘设计对二硅酸锂和氧化锆陶瓷单片冠抗骨折性能的影响。材料与方法:40颗拔除的人磨牙随机分为倒角和切向两种制备类型。每组使用CAD/ cam制造的由氧化锆(IPS e.max®ZirCAD Prime)或二硅酸锂(IPS e.max®CAD)制成的冠修复,分为四个亚组(n = 10)。采用标准化胶粘剂胶结方案。在蒸馏水中保存24 h后,使用ZwickRoell ProLine Z005万能试验机进行静载荷至失效测试。结果:沿倒角边缘的氧化锆冠抗折能力最强(2658 N),沿切向边缘的二硅酸锂冠抗折能力最低(1862 N)。倒角设计显著提高了二硅酸锂冠的抗断裂能力(p < 0.01),而边缘设计对氧化锆冠的抗断裂能力无显著影响。所有修复体均超过了生理咀嚼力,证实了其临床可行性。结论:颈缘设计对二硅酸锂冠的断裂性能有显著影响,而对氧化锆冠的断裂性能无显著影响。当使用二硅酸锂时,建议进行倒角准备,以优化机械强度。这些发现强调了制备几何在指导CAD/CAM陶瓷修复材料选择中的重要性。
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来源期刊
Journal of Functional Biomaterials
Journal of Functional Biomaterials Engineering-Biomedical Engineering
CiteScore
4.60
自引率
4.20%
发文量
226
审稿时长
11 weeks
期刊介绍: Journal of Functional Biomaterials (JFB, ISSN 2079-4983) is an international and interdisciplinary scientific journal that publishes regular research papers (articles), reviews and short communications about applications of materials for biomedical use. JFB covers subjects from chemistry, pharmacy, biology, physics over to engineering. The journal focuses on the preparation, performance and use of functional biomaterials in biomedical devices and their behaviour in physiological environments. Our aim is to encourage scientists to publish their results in as much detail as possible. Therefore, there is no restriction on the length of the papers. The full experimental details must be provided so that the results can be reproduced. Several topical special issues will be published. Scope: adhesion, adsorption, biocompatibility, biohybrid materials, bio-inert materials, biomaterials, biomedical devices, biomimetic materials, bone repair, cardiovascular devices, ceramics, composite materials, dental implants, dental materials, drug delivery systems, functional biopolymers, glasses, hyper branched polymers, molecularly imprinted polymers (MIPs), nanomedicine, nanoparticles, nanotechnology, natural materials, self-assembly smart materials, stimuli responsive materials, surface modification, tissue devices, tissue engineering, tissue-derived materials, urological devices.
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