Effects of ceramic type, connector dimension, and thermomechanical-aging on the fracture resistance and fit of CAD-CAM produced inlay-retained fixed partial dentures

Dent Mater J. 2023 Aug 2;42(4):523-531. doi: 10.4012/dmj.2022-230. Epub 2023 Jun 3.

Abstract

The purpose of the present study is to evaluate the fracture resistance and the fit of CAD-CAM produced inlay-retained fixed partial dentures. Eighteen experimental groups were generated according to different CAD-CAM ceramic materials (zirconia, lithium disilicate, and zirconia-reinforced lithium silicate), different connector dimensions (12, 14, and 16 mm2), and application of thermomechanical-aging (1,200,000 cycles of cyclic loading with simultaneous thermal cycling). Gap values of thermomechanically-aged groups were measured by using periapical radiographs. Then, the specimens were tested for fracture resistance and failure types were examined. The results were statistically analyzed (α=0.05). Higher gap values were observed after aging. Zirconia showed the highest fracture resistance values among the most of the experimental groups. In non-aged groups, the most frequent failure type was decementation in zirconia group. In the aged groups, the most frequent failure type was molar connector fracture. Thermomechanical-aging increased the gap values and decreased the fracture resistance values.

Keywords: Adaptation; Aging; CAD-CAM; Ceramics; Fracture resistance.

MeSH terms

  • Ceramics
  • Computer-Aided Design
  • Dental Porcelain
  • Dental Restoration Failure*
  • Dental Stress Analysis
  • Denture, Partial, Fixed
  • Inlays*
  • Materials Testing
  • Zirconium

Substances

  • zirconium oxide
  • Dental Porcelain
  • Zirconium