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EVALUATION OF FRACTURE RESISTANCE AND FIT ACCURACY OF THREE TYPES OF CAD/CAM FABRICATED CROWNS USING CONE BEAM COMPUTERIZED TOMOGRAPHY

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Last updated: 23 Dec 2024

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Abstract

Aim: The aim of this study was to evaluate the internal and marginal fit accuracy using cone beam computerized tomography as an innovative nondestructive method and to assess the fracture resistance of the recently introduced zirconia reinforced lithium silicate glass ceramic in comparison to lithium disilicate and monolithic zirconia. Materials and Methods: Three types of CAD/ CAM ceramic blocks were used; zirconia reinforced lithium silicate glass ceramics (Vita Suprinity), lithium disilicate glass ceramic (IPS e.max CAD) and partially sintered translucent zirconia (In-Coris TZI). A ceramic master die was fabricated and scanned using the Cerec Omnicam to produce a total number of 30 crowns, which were divided into 3 groups (n = 10) according to the ceramic material used . Group I: Vita Suprinity. Group II: IPS e.max CAD and Group III: In- Coris TZI. A highly computerized cone beam tomography (CBCT) was used to evaluate the fit accuracy of the crowns on the master die. For fracture resistance test, epoxy resin dies were optically scanned using Omnicam scanner and 30 crowns were fabricated using the CAD/ CAM ceramic materials (n = 10) for each tested material. The crowns were cemented using self-adhesive resin cement. A compressive load was applied at a cross head speed of 1mm/min and the fracture load in Newtons was recorded for each specimen. Fractured crowns were examined to determine the mode of fracture. Results: Marginal and internal fit evaluation showed that group I (Vita Suprinity) recorded the least mean in respect to all measuring points (103.6±10.4μm), while group III (In Coris TZI) showed the highest mean in respect to all points (146.7±9.23μm). For fracture resistance, In Coris TZI zirconia showed the highest fracture load (4548.9±200.9 N), while the lowest mean value was recorded in Vita Suprinity (3484.8±22.17 N). There was no significant difference between Vita Suprinity and IPS e.max CAD. Conclusion: Vita Suprinity crowns showed the best marginal and internal fit when compared to the other two materials. In- Coris TZI exhibited the highest fracture strength of all three groups. All values were within a clinically acceptable range for the three ceramic materials tested

DOI

10.21608/edj.2018.78100

Authors

First Name

Maha

Last Name

Abd El Moaty

MiddleName

Adly

Affiliation

Assistant Professor of Dental Biomaterials, Faculty of Dentistry, Alexandria University

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Orcid

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First Name

Amir

Last Name

Azer

MiddleName

Shoukry

Affiliation

Lecturer of Fixed Prosthodontics, Faculty of Dentistry, Alexandria University

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Orcid

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Volume

64

Article Issue

Issue 2 - April (Fixed Prosthodontics, Dental Materials, Conservative Dentistry & Endodontics)

Related Issue

11448

Issue Date

2018-04-01

Receive Date

2020-03-18

Publish Date

2018-04-01

Page Start

1,571

Page End

1,586

Print ISSN

0070-9484

Online ISSN

2090-2360

Link

https://edj.journals.ekb.eg/article_78100.html

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https://edj.journals.ekb.eg/service?article_code=78100

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20

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Original Article

Type Code

254

Publication Type

Journal

Publication Title

Egyptian Dental Journal

Publication Link

https://edj.journals.ekb.eg/

MainTitle

EVALUATION OF FRACTURE RESISTANCE AND FIT ACCURACY OF THREE TYPES OF CAD/CAM FABRICATED CROWNS USING CONE BEAM COMPUTERIZED TOMOGRAPHY

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Article

Created At

22 Jan 2023