Fracture Resistance of Premolars Restored with Inlay/Onlay Composite and Lithium Disilicate CAD/CAM Block Restorations (An In Vitro Study)
DOI:
https://doi.org/10.32828/mdj.v19i2.892Keywords:
fracture-resistant, premolars, inlay/onlay restorations, E-max, CerasmartAbstract
Aim: To assess the fracture resistance of Premolars restored with inlay and onlay composite and E-max CAD/CAM block restoration.
Material and method: Randomly, fifty maxillary premolar teeth were separated into three major groups: The first group was left unaltered (control group), while the other two groups were prepared with inlay and onlay cavities and restored with lithium disilicate blocks (IPS E.max CAD) and ceramic blocks (Cerasmart). Restorations were bonded using adhesive resin cement (RelyX Ultimate). All samples were thermocycling 500 cycles, between 5 to 55°C, and the cycle time was set at the 30s. The specimen was undergone compressive axial loading in a universal testing machine till the fracture occurred. The result was analyzed using one-way ANOVA, and LSD tests with a significance level set at 0.05.
Result: There were no significant differences in means between the control group and the inlay groups that were restored with Emax and Cerasmart (P >.05).but, the control group has significantly higher means than onlay groups restored with Emax and Cerasmart (P< .05). The two materials show comparable results in both designs.
Conclusion: The fracture resistance of inlay-prepared teeth showed comparable strength to the intact teeth. Conversely, the fracture resistance of onlay-prepared teeth is comparatively lower than intact teeth. The two materials show comparable results irrespective of cavity design.
References
Reference
Soares CJ, Martins LRM, Fonseca RB, et al. Influence of cavity preparation design on fracture resistance of posterior Leucite-reinforced ceramic restorations. J Prosthet Dent. 2006;95(6):421–429
Beier US, Kapferer I, & Dumfahrt H. Clinical long-term evaluation and failure characteristics of 1,335 all-ceramic restorations International Journal of Prosthodontics.2012; 25(1) 70-78.
Frankenberger R, Hehn J, Hajtó J, Krämer N, Naumann M, Koch A, & Roggendorf MJ. Effect of proximal box elevation with resin composite on marginal quality of ceramic inlays in vitro Clinical Oral Investigations.2013; 17(1) 177-183.
Barone A, Derchi G, Rossi A, et al. Longitudinal clinical evaluation of bonded composite inlays: a 3-year study. Quintessence Int. 2008;39: 65–71.
Stappert CF, Att W, Gerds T, Strub JR. Fracture resistance of different partial-coverage ceramic molar restorations: An in vitro investigation. J Am Dent Assoc 2006;137:514-22.
Taschner M, Krämer N, Lohbauer U, Pelka M, Breschi L, Petschelt A, & Frankenberger R . Leucite-reinforced glass ceramic inlays luted with self-adhesive resin cement: A 2-year in vivo study Dental Materials.2012; 28(5) 535-540.
Awada A., Nathanson D., Mechanical properties of resin-ceramic CAD/CAM restorative materials. J Prosthet Dent. 2015; 114(4): 587-593.
Coldea A, Swain MV, Thiel N : Mechanical properties of polymer- infiltrated- ceramic-network materials. Dent Mater.2013;(29): 419-426.
Rosentritt M, Hahnel S, Engelhardt F, Behr M :In vitro performance and fracture resistance of CAD/CAM-fabricated implant supported molar crowns. Clin Oral Invest.2017(21): 1213-1219.
Zarone F, Ferrari M, Mangano FG, Leone R, Sorrentino R :"Digitally Oriented Materials": Focus on Lithium Disilicate Ceramics. Int J Dent.2016 (18): 9840594.
Vanoorbeek S, Vandamme K, Lijnen I, Naert I.Computer- aided designed/computer-assisted manufactured composite resin versus ceramic single-tooth restorations: a 3-year clinical study. IntJ Prosthodont.2010; 23: 223-230.
Menini M, Conserva E, Tealdo T, Bevilacqua M, Pera F, et al.,: Shock absorption capacity of restorative materials for dental implant prostheses: an in vitro study. Int J Prosthodont .2013(26): 549-556.
Hamouda IM., Shehata SH., Fracture resistance of posterior teeth restored with modern restorative materials. J Biomed Res. 2011; 25(6): 418-424.
Mortazavi V., Fathi M., Katiraei N., Shahnaseri S., Badrian H., Khalighinejad N., Fracture resistance of structurally compromised and normal endodonticaly treated teeth restored with different post systems: An in vitro study. Dent Res J. 2012; 9(2):185-191.
Soares CJ, Martins LRM, Fonseca RB, et al. Influence of cavity preparation design on fracture resistance of posterior Leucite-reinforced ceramic restorations. J Prosthet Dent. 2006;95(6):421–429
Taha NA., Palamara JE., Messer HH., Cuspal deflection, strain and microleakage of
endodontically treated premolar teeth restored with direct resin composites. J Dent. 2009; 37(9): 724-730
Kikuti WY., Chaves FO., Di Hipólito V., Rodrigues FP., D’Alpino PHP., Fracture resistance of teeth restored with different resin based restorative systems. Braz Oral Res. 2012; 26(3): 275-281.
Abdo SB., Masudi SM., Luddin N., Husien A., Khamis MF., Fracture resistance of overflared root canals filled with MTA and resin-based material: an in vitro study. Braz J Oral Sci. 2012; 11(4):451-457.
Hegde V., Sali AV., Fracture resistance of posterior teeth restored with high-viscosity bulkfill resin composites in comparison to the incremental placement technique. J Conserv Dent. 2017; 20(5): 360-364.
Hamad AF., Ali AA., Microleakage of different laminated veneer materials with different adhesive methods (a comparative in vitro study). A master thesis, University of Baghdad 2017.
Saridag S, Sevimay M, Pekkan G. Fracture resistance of teeth restored with all-ceramic inlays and onlays: an in vitro study. Oper Dent. 2013;38(6):626–634.
Ewadh AM, Jasim HH. The influence of different CAD/CAM materials on the marginal fit of endocrown with different cavity depths (A comparative in-vitro study). Materials Today: Proceedings. 2022 1;61:695-9.
Guindy, J. E.,Sherif, R. E. & Aboul-Ezz, A. A. Evaluation of marginal discrepancy and microleakage of lava ultimate (Resin nano ceramic) versus lithium disilicate (Ips e. max cad) endocrowns. in vitro study. Indian Journal of Scientific Research. 2016;7, 27-34.
De Kok P, Kleverlaan CJ, de Jager N, Kuijs R, Feilzer AJ : Mechanical performance of implant-supported posterior crowns. J Prosthet Dent.2015 (114): 59-66.
Weyhrauch, M.,Igiel, C.,Scheller, H.,Weibrich, G. & Lehmann, K. M. Fracture Strength of Monolithic All-Ceramic Crowns on Titanium Implant Abutments. International Journal of Oral & Maxillofacial Implants. 2016;31.
Mohammadi N., Abed Kahnamoii M., Yeganeh P K., Navimipour E J., Effect of Fiber Post and Cusp Coverage on Fracture Resistance of Endodontically Treated Maxillary Premolars Directly Restored with Composite Resin. J Endod. 2009; 35(10): 1428-1432.
Hada YS., Panwar S., Comparison of the fracture resistance of three different recent composite systems in large Class II mesio-occlusal distal cavities: An in vitro study. J Conserv Dent. 2019; 22(3): 287-291.
Tsitrou, E. A.,Northeast, S. E. & Van Noort, R. Brittleness index of machinable dental materials and its relation to the marginal chipping factor. Journal of dentistry. 2007;35, 897-902.
Taha NA., Palamara JE., Messer HH., Fracture strength and fracture patterns of root filled teeth restored with direct resin restorations. J Dent. 2011;39(8): 527-535.
Saridag S, Sevimay M, Pekkan G. Fracture resistance of teeth restored with all-ceramic inlays and onlays: an in vitro study. Oper Dent. 2013;38(6):626–634.
Montenegro AC, do Couto CF, Ventura PR, et al. In vitro comparative analysis of resistance to compression of laboratory resin composites and a ceramic system. Indian J Dent Res. 2010; 0;21(1):68–71.
Piwowarczyk A, Lauer HC, Sorensen JA. In vitro shear bond strength of cementing agents to fixed prosthodontic restorative materials. J Prosthet Dent. 2004;92(3):265–273.
Anunmana, C., Charoenchitt, M. & Aavanund, C Gap comparison between single crown and three-unit bridge zirconia substructures. The journal of advanced prosthodontics. 2014; 6, 253.
Dimashkieh M. The Effect of Veneering Porcelain on the Marginal Fit of Cercon Zirconia Copings (Doctoral dissertation, Department of Prosthetic Dental Science Collage of Dentistry, King Saud University Riyadh, Saudi Arabia).2010.
Cubas GB, Habekost L, Camacho GB, Pereira-Cenci T. Fracture resistance of premolars restored with inlay and onlay ceramic restorations and luted with two different agents. J Prosthodont Res 2011;55:53-9.
Yu W, Guo K, Zhang B, Weng W. Fracture resistance of endodontically treated premolars restored with lithium disilicate CAD/CAM crowns or onlays and luted with two luting agents. Dent Mater J 2014;33:349-54.
Harsha MS, Praffulla M, Babu MR, Leneena G, Krishna TS, Divya G. The effect of cavity design on fracture resistance and failure pattern in monolithic zirconia partial coverage restorations – An in vitro study. J Clin Diagn Res 2017;11:ZC45-8.
Stappert CF, Att W, Gerds T, Strub JR. Fracture resistance of different partial-coverage ceramic molar restorations: An in vitro investigation. J Am Dent Assoc 2006;137:514-22.
Dalpino PH, Francischone CE, Ishikiriama A, Franco EB. Fractureresistance of teeth directly and indirectly restored with compositeresin and indirectly with ceramic materials. Am J Dent. 2002;15:389–394.
St-Georges AJ, Sturdevant JR, Swift EJ Jr, Thompson JY. Fracture resistance of prepared teeth restored with bonded inlay restorations. J Prosthet Dent. 2003;89(6):551.
Habekost LV, Camacho GB, Pinto MB, & Demarco FF . Fracture resistance of premolars restored with partial ceramic restoration and submitted to two different loading stresses Operative Dentistry.2006; 31(2) 204-211.
Yoon HI, Sohn PJ, Jin S, Elani H, Lee SJ. Fracture resistance of CAD/CAM-fabricated lithium disilicate MOD inlays and onlays with various cavity preparation designs. J Prosthodont 2019;28:e524-9.
Yamanel K, Caglar A, Gulsahi K, Ozden UA. Effects of different €ceramic and composite materials on stress distribution in inlay and onlay cavities: 3-D finite element analysis. Dent Mater J. 2009;28(6):661–670.
Stona D, Burnett LH, Mota EG, Spohr AM .Fracture resistance of computer-aided design and computer-aided manufacturing ceramic crowns cemented on solid abutments. J Am Dent Assoc .2015; 146: 501-507. 53.
Mohamed, Z.H. & Majeed ,M.A. Effect of Cementation Protocol on the Marginal Adaptation and Fracture Strength of Indirect Overlay Restorations Fabricated from Two Different All-Ceramic CAD/CAM Materials (A comparative in vitro study).A master thesis .University of Baghdad.2021.
Al-Shibri S, Elguindy J. Fracture resistance of endodontically treated teeth restored with lithium disilicate crowns retained. J Dent. 2017;7:464.
Abdel Ghany, S., Kehela, H., Abdel-Fattah, W. evaluation of fracture resistance of maxillary premolar teeth restored with CAD/CAM inlays and onlays(in-vitro study). Alexandria Dental Journal, 2022; 47(2): 155-161. doi: 10.21608/adjalexu.2021.62472.1160
Sornsuwan T, Ellakwa A, Swain MV. Occlusal geometrical considerations in all-ceramic pre-molar crown failure testing. Dental Materials. 2011 ;1;27(11):1127-34.
Lafuente JD, Chaves A, Carmiol R. Bond Strength of Dual‐Cured Resin Cements to Human Teeth. Journal of Esthetic and Restorative Dentistry. 2000;12(2):105-10.
De Menezes MJ, Arrais CA, Giannini M. Influence of light-activated and auto-and dual-polymerizing adhesive systems on bond strength of indirect composite resin to dentin. The journal of prosthetic dentistry. 2006 ;1;96(2):115-21.
Vaz, R. R., Hipolito, V. D., Dalpino, P. H. P. & Goes, M. F. D. Bond strength and interfacial micromorphology of etch‐and‐rinse and self‐adhesive resin cements to dentin. Journal of Prosthodontics: Implant, Esthetic and Reconstructive Dentistry.2012 ;21, 101-111.
Bilkhair, Asma. Fatigue behaviour and failure modes of monolithic CAD/CAM hybrid-ceramic and all-ceramic posterior crown restorations. 2013. PhD Thesis. Dissertation, Universität Freiburg, 2014.
Sieper K, Wille S, Kern M. Fracture strength of lithium disilicate crowns compared to polymer-infiltrated ceramic-network and zirconia reinforced lithium silicate crowns. Journal of the mechanical behavior of biomedical materials. 2017 ; 1;74:342-8.
Wafaie RA, Ibrahim Ali A, Mahmoud SH. Fracture resistance of prepared premolars restored with bonded new lab composite and all-ceramic inlay/onlay restorations: Laboratory study. J Esthet Restor Dent. 2018;00:1–11.
Yildiz C, Vanlıoglu BA, Evren B, et al. Fracture resistance of manually an CAD/CAM manufactured ceramic onlays. J Prosthodont. 2013;22(7):537–542.
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