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Fracture load of CAD/CAM-fabricated and 3D-printed composite crowns as a function of material thickness

2018; Springer Nature; Volume: 23; Issue: 6 Linguagem: Inglês

10.1007/s00784-018-2717-2

1436-3771

Moritz Zimmermann, Andreas Ender, G. Egli, Mutlu Özcan, Albert Mehl,

Endodontics and Root Canal Treatments

Indirect CAD/CAM restorations can be fabricated using both subtractive and additive CAD/CAM technology. This study investigated the fracture load of crowns fabricated from three particle-filled composite CAD/CAM materials and one 3D-printed composite material.Lava Ultimate, Cerasmart and Brilliant Crios were used as particle-filled composite CAD/CAM material and els-3D Harz as 3D-printed composite material. For each group, crowns with three different material thicknesses (0.5/1.0/1.5 mm) were fabricated. Control group was composed of ceramic-based CAD/CAM materials e.max CAD and Enamic. Totally, n = 180 crowns were fabricated and adhesively seated on SLA fabricated dies. Thermomechanical loading and fracture testing were performed. The data for fracture loading force were statistically analyzed by two-way ANOVA followed with multiple comparisons by post hoc Tukey's test (α = 0.05).In contrast to ceramics, all particle-filled composite crowns with 0.5-mm thickness survived fatigue testing. Forces varied statistically significantly. Brilliant Crios showed highest maximum loading force with 1580.4 ± 521.0 N (1.5 mm). Two-way ANOVA indicated that both the material and the thickness affected the fracture load (p < 0.05).Particle-filled composite resin CAD/CAM materials may have advantageous material characteristics compared to ceramic CAD/CAM materials for minimal restoration thicknesses.Composite-based CAD/CAM materials may offer new possibilities in minimally invasive restorative treatment concepts.