Fracture resistance of CAD/CAM milled versus direct hand-made interim laminate veneers.

Abuhammoud, Salahaldeen; Emtier, Banan; Fu, Chin-Chuan; Rojas-Rueda, Silvia; Jurado, Carlos A; Afrashtehfar, Kelvin I (2024). Fracture resistance of CAD/CAM milled versus direct hand-made interim laminate veneers. The Saudi dental journal, 36(6), pp. 920-925. Elsevier 10.1016/j.sdentj.2024.04.002

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BACKGROUND

Comparative studies of interim veneer restorations crafted using subtractive computer-aided manufacturing (s-CAM) milling technology and traditional direct hand-made approaches are needed.

PURPOSE

This comparative in vitro study evaluated the fracture resistance of two types of provisional veneer restorations for maxillary central incisors: milled (s-CAM) and traditional direct hand-made bis-acryl veneers.

MATERIALS AND METHODS

Fifty maxillary right central incisor veneers (25 specimens per group) were fabricated and divided according to the fabrication method: (1) s-CAM milled (Structure CAD, VOCO Dental); and (2) hand-made (Protemp Plus, 3M). The restorations were cemented onto 3D-printed resin dies using temporary cement and subjected to 1000 cycles of thermal cycling between 5° and 55 °C. These restorations subsequently were subjected to compressive loading until fracture occurred. Images of the fractured samples were captured using a scanning electron microscope (SEM). Statistical analysis was performed using the one-way ANOVA test and the Mann-Whitney U test.

RESULTS

Significant differences (p < 0.001) in the fracture resistance were observed between the two groups. s-CAM milled interim veneers displayed higher fracture resistance values (439.60 ± 26 N) compared to the traditional method (149.15 ± 10 N).

CONCLUSION

The manufacturing method significantly influences the fracture resistance of interim veneer restorations. s-CAM interim laminate veneer restorations for maxillary central incisors exhibit a fracture resistance superior to that of the traditional method using bis-acryl.Clinical relevanceClinicians should consider CAD/CAM milled veneers for scenarios demanding long-term interim restoration and the withstanding of high occlusal forces.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine > Department of Reconstructive Dentistry and Gerodontology

UniBE Contributor:

Afrashtehfar, Kelvin Ian

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1013-9052

Publisher:

Elsevier

Language:

English

Submitter:

Pubmed Import

Date Deposited:

18 Jun 2024 11:04

Last Modified:

19 Jun 2024 13:28

Publisher DOI:

10.1016/j.sdentj.2024.04.002

PubMed ID:

38883892

Uncontrolled Keywords:

Aesthetic dentistry CAD/CAM systems Cosmetic dentistry Dental materials Dental prosthesis Dental prosthesis design Dental restorations Dental veneers Direct restorations Fracture resistance Indirect restorations Interim restorations Laminate veneers Partial restorations Provisional restorations Temporary restorations

BORIS DOI:

10.48350/197902

URI:

https://boris.unibe.ch/id/eprint/197902

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