Mechanical behavior of different machinable ceramic crowns using vertical and horizontal preparations: an in-vitro study

Abstract

Objective: the aim of this study was to compare the mechanical behavior of different ceramics when used in thin vertical preparations versus traditional horizontal preparation. Material and Methods: two stainless-steel dies were milled to simulate a minimally invasive vertical preparation (VP) and a traditional horizontal preparation (HP) for an all-ceramic crown of a maxillary first premolar. The stainless-steel dies were duplicated using epoxy resin. Eighty monolithic crowns were milled and divided into 2 groups according to preparation design. Each design group was subdivided into 4 sub-groups according to material (n=10): IPS e.max CAD (lithium disilicate), Bruxzir shaded zirconia (full contour zirconia), CeraSmart (resin nanoceramic) and CEREC Tessera (advanced lithium disilicate). The crowns were cemented on their relevant epoxy resin dies using self-adhesive resin cement. All specimens were subjected to 15,000 thermocycles and then loaded to fracture in a universal testing machine. Data were analyzed using two-way ANOVA and Tukey pair wise comparison test. Results: the fracture resistance mean values of the VP (1344 + 118 N) was significantly lower than the HP design (1646 + 191 N). Ceramic crowns made of full contour zirconia had higher fracture resistance mean values (2842 + 380 N) than advanced lithium disilicate (1272 + 125 N) followed by lithium disilicate crowns (983 + 52 N) and resin nanoceramic (882 + 61 N). Conclusion: both vertical and horizontal preparations, regardless the different ceramic materials, showed clinically acceptable fracture resistance values.

Effect of Aging on the Flexural Strength of Lithium Disilicate and Advanced Lithium Disilicate CAD-CAM Ceramic Materials: An in Vitro Study

“…5 However, there are limited studies that has been conducted to invistigate the properties of ALDS glass ceramic materials. [15][16][17][18] The objective of this in vitro study was to investigate the exural strength of lithium disilicate and advanced lithium disilicate with and without simulated aging, emulating ve years of clinical service. The null hypothesis proposed was that there would be no difference in exural strength between the two materials under investigation, with or without aging.…”