Fatigue resistance of CAD/CAM resin composite molar crowns
•Monolithic Lava Ultimate crowns tolerate fatigue loads 3–4 times higher than IPS Empress CAD.•Lava Ultimate crowns may offer an esthetic alternative for ceramic posterior crowns.•This nanohybrid indirect resin composite has a potential to be used in high stress-bearing applications. To demonstrate...
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| Published in | Dental materials Vol. 32; no. 4; pp. 499 - 509 |
|---|---|
| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
England
Elsevier Ltd
01.04.2016
|
| Subjects | |
| Online Access | Get full text |
| ISSN | 0109-5641 1879-0097 1879-0097 |
| DOI | 10.1016/j.dental.2015.12.005 |
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| Abstract | •Monolithic Lava Ultimate crowns tolerate fatigue loads 3–4 times higher than IPS Empress CAD.•Lava Ultimate crowns may offer an esthetic alternative for ceramic posterior crowns.•This nanohybrid indirect resin composite has a potential to be used in high stress-bearing applications.
To demonstrate the fatigue behavior of CAD/CAM resin composite molar crowns using a mouth-motion step-stress fatigue test. Monolithic leucite-reinforced glass-ceramic crowns were used as a reference.
Fully anatomically shaped monolithic resin composite molar crowns (Lava Ultimate, n=24) and leucite reinforced glass-ceramic crowns (IPS Empress CAD, n=24) were fabricated using CAD/CAM systems. Crowns were cemented on aged dentin-like resin composite tooth replicas (Filtek Z100) with resin-based cements (RelyX Ultimate for Lava Ultimate or Multilink Automix for IPS Empress). Three step-stress profiles (aggressive, moderate and mild) were employed for the accelerated sliding-contact mouth-motion fatigue test. Twenty one crowns from each group were randomly distributed among these three profiles (1:2:4). Failure was designated as chip-off or bulk fracture. Optical and electron microscopes were used to examine the occlusal surface and subsurface damages, as well as the material microstructures.
The resin composite crowns showed only minor occlusal damage during mouth-motion step-stress fatigue loading up to 1700N. Cross-sectional views revealed contact-induced cone cracks in all specimens, and flexural radial cracks in 2 crowns. Both cone and radial cracks were relatively small compared to the crown thickness. Extending these cracks to the threshold for catastrophic failure would require much higher indentation loads or more loading cycles. In contrast, all of the glass-ceramic crowns fractured, starting at loads of approximately 450N.
Monolithic CAD/CAM resin composite crowns endure, with only superficial damage, fatigue loads 3–4 times higher than those causing catastrophic failure in glass-ceramic CAD crowns. |
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| AbstractList | Objective To demonstrate the fatigue behavior of CAD/CAM resin composite molar crowns using a mouth-motion step-stress fatigue test. Monolithic leucite-reinforced glass-ceramic crowns were used as a reference. Methods Fully anatomically shaped monolithic resin composite molar crowns (Lava Ultimate, n =24) and leucite reinforced glass-ceramic crowns (IPS Empress CAD, n =24) were fabricated using CAD/CAM systems. Crowns were cemented on aged dentin-like resin composite tooth replicas (Filtek Z100) with resin-based cements (RelyX Ultimate for Lava Ultimate or Multilink Automix for IPS Empress). Three step-stress profiles (aggressive, moderate and mild) were employed for the accelerated sliding-contact mouth-motion fatigue test. Twenty one crowns from each group were randomly distributed among these three profiles (1:2:4). Failure was designated as chip-off or bulk fracture. Optical and electron microscopes were used to examine the occlusal surface and subsurface damages, as well as the material microstructures. Results The resin composite crowns showed only minor occlusal damage during mouth-motion step-stress fatigue loading up to 1700N. Cross-sectional views revealed contact-induced cone cracks in all specimens, and flexural radial cracks in 2 crowns. Both cone and radial cracks were relatively small compared to the crown thickness. Extending these cracks to the threshold for catastrophic failure would require much higher indentation loads or more loading cycles. In contrast, all of the glass-ceramic crowns fractured, starting at loads of approximately 450N. Significance Monolithic CAD/CAM resin composite crowns endure, with only superficial damage, fatigue loads 3-4 times higher than those causing catastrophic failure in glass-ceramic CAD crowns. To demonstrate the fatigue behavior of CAD/CAM resin composite molar crowns using a mouth-motion step-stress fatigue test. Monolithic leucite-reinforced glass-ceramic crowns were used as a reference. Fully anatomically shaped monolithic resin composite molar crowns (Lava Ultimate, n=24) and leucite reinforced glass-ceramic crowns (IPS Empress CAD, n=24) were fabricated using CAD/CAM systems. Crowns were cemented on aged dentin-like resin composite tooth replicas (Filtek Z100) with resin-based cements (RelyX Ultimate for Lava Ultimate or Multilink Automix for IPS Empress). Three step-stress profiles (aggressive, moderate and mild) were employed for the accelerated sliding-contact mouth-motion fatigue test. Twenty one crowns from each group were randomly distributed among these three profiles (1:2:4). Failure was designated as chip-off or bulk fracture. Optical and electron microscopes were used to examine the occlusal surface and subsurface damages, as well as the material microstructures. The resin composite crowns showed only minor occlusal damage during mouth-motion step-stress fatigue loading up to 1700N. Cross-sectional views revealed contact-induced cone cracks in all specimens, and flexural radial cracks in 2 crowns. Both cone and radial cracks were relatively small compared to the crown thickness. Extending these cracks to the threshold for catastrophic failure would require much higher indentation loads or more loading cycles. In contrast, all of the glass-ceramic crowns fractured, starting at loads of approximately 450N. Monolithic CAD/CAM resin composite crowns endure, with only superficial damage, fatigue loads 3-4 times higher than those causing catastrophic failure in glass-ceramic CAD crowns. •Monolithic Lava Ultimate crowns tolerate fatigue loads 3–4 times higher than IPS Empress CAD.•Lava Ultimate crowns may offer an esthetic alternative for ceramic posterior crowns.•This nanohybrid indirect resin composite has a potential to be used in high stress-bearing applications. To demonstrate the fatigue behavior of CAD/CAM resin composite molar crowns using a mouth-motion step-stress fatigue test. Monolithic leucite-reinforced glass-ceramic crowns were used as a reference. Fully anatomically shaped monolithic resin composite molar crowns (Lava Ultimate, n=24) and leucite reinforced glass-ceramic crowns (IPS Empress CAD, n=24) were fabricated using CAD/CAM systems. Crowns were cemented on aged dentin-like resin composite tooth replicas (Filtek Z100) with resin-based cements (RelyX Ultimate for Lava Ultimate or Multilink Automix for IPS Empress). Three step-stress profiles (aggressive, moderate and mild) were employed for the accelerated sliding-contact mouth-motion fatigue test. Twenty one crowns from each group were randomly distributed among these three profiles (1:2:4). Failure was designated as chip-off or bulk fracture. Optical and electron microscopes were used to examine the occlusal surface and subsurface damages, as well as the material microstructures. The resin composite crowns showed only minor occlusal damage during mouth-motion step-stress fatigue loading up to 1700N. Cross-sectional views revealed contact-induced cone cracks in all specimens, and flexural radial cracks in 2 crowns. Both cone and radial cracks were relatively small compared to the crown thickness. Extending these cracks to the threshold for catastrophic failure would require much higher indentation loads or more loading cycles. In contrast, all of the glass-ceramic crowns fractured, starting at loads of approximately 450N. Monolithic CAD/CAM resin composite crowns endure, with only superficial damage, fatigue loads 3–4 times higher than those causing catastrophic failure in glass-ceramic CAD crowns. Highlights • Monolithic Lava Ultimate crowns tolerate fatigue loads 3–4 times higher than IPS Empress CAD. • Lava Ultimate crowns may offer an esthetic alternative for ceramic posterior crowns. • This nanohybrid indirect resin composite has a potential to be used in high stress-bearing applications. To demonstrate the fatigue behavior of CAD/CAM resin composite molar crowns using a mouth-motion step-stress fatigue test. Monolithic leucite-reinforced glass-ceramic crowns were used as a reference.OBJECTIVETo demonstrate the fatigue behavior of CAD/CAM resin composite molar crowns using a mouth-motion step-stress fatigue test. Monolithic leucite-reinforced glass-ceramic crowns were used as a reference.Fully anatomically shaped monolithic resin composite molar crowns (Lava Ultimate, n=24) and leucite reinforced glass-ceramic crowns (IPS Empress CAD, n=24) were fabricated using CAD/CAM systems. Crowns were cemented on aged dentin-like resin composite tooth replicas (Filtek Z100) with resin-based cements (RelyX Ultimate for Lava Ultimate or Multilink Automix for IPS Empress). Three step-stress profiles (aggressive, moderate and mild) were employed for the accelerated sliding-contact mouth-motion fatigue test. Twenty one crowns from each group were randomly distributed among these three profiles (1:2:4). Failure was designated as chip-off or bulk fracture. Optical and electron microscopes were used to examine the occlusal surface and subsurface damages, as well as the material microstructures.METHODSFully anatomically shaped monolithic resin composite molar crowns (Lava Ultimate, n=24) and leucite reinforced glass-ceramic crowns (IPS Empress CAD, n=24) were fabricated using CAD/CAM systems. Crowns were cemented on aged dentin-like resin composite tooth replicas (Filtek Z100) with resin-based cements (RelyX Ultimate for Lava Ultimate or Multilink Automix for IPS Empress). Three step-stress profiles (aggressive, moderate and mild) were employed for the accelerated sliding-contact mouth-motion fatigue test. Twenty one crowns from each group were randomly distributed among these three profiles (1:2:4). Failure was designated as chip-off or bulk fracture. Optical and electron microscopes were used to examine the occlusal surface and subsurface damages, as well as the material microstructures.The resin composite crowns showed only minor occlusal damage during mouth-motion step-stress fatigue loading up to 1700N. Cross-sectional views revealed contact-induced cone cracks in all specimens, and flexural radial cracks in 2 crowns. Both cone and radial cracks were relatively small compared to the crown thickness. Extending these cracks to the threshold for catastrophic failure would require much higher indentation loads or more loading cycles. In contrast, all of the glass-ceramic crowns fractured, starting at loads of approximately 450N.RESULTSThe resin composite crowns showed only minor occlusal damage during mouth-motion step-stress fatigue loading up to 1700N. Cross-sectional views revealed contact-induced cone cracks in all specimens, and flexural radial cracks in 2 crowns. Both cone and radial cracks were relatively small compared to the crown thickness. Extending these cracks to the threshold for catastrophic failure would require much higher indentation loads or more loading cycles. In contrast, all of the glass-ceramic crowns fractured, starting at loads of approximately 450N.Monolithic CAD/CAM resin composite crowns endure, with only superficial damage, fatigue loads 3-4 times higher than those causing catastrophic failure in glass-ceramic CAD crowns.SIGNIFICANCEMonolithic CAD/CAM resin composite crowns endure, with only superficial damage, fatigue loads 3-4 times higher than those causing catastrophic failure in glass-ceramic CAD crowns. |
| Author | Shembish, Fatma A. Opdam, Niek J. Zhang, Yu Tong, Hui Janal, Malvin N. Thompson, Van P. Kaizer, Marina |
| AuthorAffiliation | 2 School of Metallurgy and Environment, Central South University, Changsha, Hunan 410083, P.R. China 1 Department of Biomaterials and Biomimetics, New York University College of Dentistry, 433 First Avenue, New York, NY 10010, USA 3 Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil 4 Department of Epidemiology and Health Promotion, New York University College of Dentistry 5 Biomaterials, Biomimetics and Biophotonics, King’s College London Dental Institute 6 Radboud University Nijmegen Medical Centre, College of Dental Sciences, Preventive and Restorative Dentistry, Ph van Leydenlaan 25, PO Box 9101 6500HB Nijmegen, The Netherlands |
| AuthorAffiliation_xml | – name: 6 Radboud University Nijmegen Medical Centre, College of Dental Sciences, Preventive and Restorative Dentistry, Ph van Leydenlaan 25, PO Box 9101 6500HB Nijmegen, The Netherlands – name: 5 Biomaterials, Biomimetics and Biophotonics, King’s College London Dental Institute – name: 4 Department of Epidemiology and Health Promotion, New York University College of Dentistry – name: 2 School of Metallurgy and Environment, Central South University, Changsha, Hunan 410083, P.R. China – name: 1 Department of Biomaterials and Biomimetics, New York University College of Dentistry, 433 First Avenue, New York, NY 10010, USA – name: 3 Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil |
| Author_xml | – sequence: 1 givenname: Fatma A. surname: Shembish fullname: Shembish, Fatma A. organization: Department of Biomaterials and Biomimetics, New York University College of Dentistry, 433 First Avenue, New York, NY 10010, USA – sequence: 2 givenname: Hui surname: Tong fullname: Tong, Hui organization: Department of Biomaterials and Biomimetics, New York University College of Dentistry, 433 First Avenue, New York, NY 10010, USA – sequence: 3 givenname: Marina surname: Kaizer fullname: Kaizer, Marina organization: Department of Biomaterials and Biomimetics, New York University College of Dentistry, 433 First Avenue, New York, NY 10010, USA – sequence: 4 givenname: Malvin N. surname: Janal fullname: Janal, Malvin N. organization: Department of Epidemiology and Health Promotion, New York University College of Dentistry, 380 Second Avenue Suite 301, New York, NY 10010, USA – sequence: 5 givenname: Van P. surname: Thompson fullname: Thompson, Van P. organization: Tissue Engineering and Biophotonics, King's College London Dental Institute, United Kingdom – sequence: 6 givenname: Niek J. surname: Opdam fullname: Opdam, Niek J. organization: Radboud University Nijmegen Medical Centre, College of Dental Sciences, Preventive and Restorative Dentistry, Ph van Leydenlaan 25, PO Box 9101, 6500HB Nijmegen, The Netherlands – sequence: 7 givenname: Yu surname: Zhang fullname: Zhang, Yu email: yz21@nyu.edu organization: Department of Biomaterials and Biomimetics, New York University College of Dentistry, 433 First Avenue, New York, NY 10010, USA |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/26777092$$D View this record in MEDLINE/PubMed |
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| Keywords | Fatigue Resin composite Glass-ceramic Fracture CAD/CAM crowns Weibull analysis |
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| PublicationDate | 2016-04-01 |
| PublicationDateYYYYMMDD | 2016-04-01 |
| PublicationDate_xml | – month: 04 year: 2016 text: 2016-04-01 day: 01 |
| PublicationDecade | 2010 |
| PublicationPlace | England |
| PublicationPlace_xml | – name: England |
| PublicationTitle | Dental materials |
| PublicationTitleAlternate | Dent Mater |
| PublicationYear | 2016 |
| Publisher | Elsevier Ltd |
| Publisher_xml | – name: Elsevier Ltd |
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| Snippet | •Monolithic Lava Ultimate crowns tolerate fatigue loads 3–4 times higher than IPS Empress CAD.•Lava Ultimate crowns may offer an esthetic alternative for... Highlights • Monolithic Lava Ultimate crowns tolerate fatigue loads 3–4 times higher than IPS Empress CAD. • Lava Ultimate crowns may offer an esthetic... To demonstrate the fatigue behavior of CAD/CAM resin composite molar crowns using a mouth-motion step-stress fatigue test. Monolithic leucite-reinforced... Objective To demonstrate the fatigue behavior of CAD/CAM resin composite molar crowns using a mouth-motion step-stress fatigue test. Monolithic... |
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| SubjectTerms | Acrylic Resins - chemistry Advanced Basic Science Aluminum Silicates - chemistry CAD/CAM crowns Ceramics - chemistry Composite Resins - chemistry Computer-Aided Design Crowns Damage Dental Porcelain - chemistry Dental Prosthesis Design Dental Restoration Failure Dental Stress Analysis Dentistry Fatigue Fatigue cracks Fatigue failure Fracture Fracture mechanics Glass - chemistry Glass ceramics Glass-ceramic Humans In Vitro Techniques Materials Testing Molar Polymer matrix composites Polymers Polyurethanes - chemistry Resin Cements - chemistry Resin composite Resins Surface Properties Weibull analysis |
| Title | Fatigue resistance of CAD/CAM resin composite molar crowns |
| URI | https://www.clinicalkey.com/#!/content/1-s2.0-S0109564115005084 https://www.clinicalkey.es/playcontent/1-s2.0-S0109564115005084 https://dx.doi.org/10.1016/j.dental.2015.12.005 https://www.ncbi.nlm.nih.gov/pubmed/26777092 https://www.proquest.com/docview/1775169551 https://www.proquest.com/docview/1808066350 https://pubmed.ncbi.nlm.nih.gov/PMC4801772 |
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