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Effect of thermomechanical aging on fracture strength of anterior crowns fabricated with different CAD-CAM materials

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Purpose. The purpose of this study was to assess the effect of thermomechanical aging on fracture strength of CAD/CAM (computer aided design and computer aided manufacturing) anterior crowns. Materials and methods. A resin maxillary central incisor was prepared and 96 epoxy resin replicas were obtained. Anterior crowns were produced and divided into four groups: IPS (IPS e.max CAD, 1.5 mmthickness), CD (Celtra Duo, 1.5 mm thickness), GC (GC Initial UHT, 1.5 mm thickness) and GC1 (GC Initial UHT, 1 mm thickness). Twelve crowns of each group were subjected to a chewing simulator for 240,000 cycles, and the other 12 crowns were regarded as control. Fracture resistance of aged and non-aged crowns were tested using a universal testing machine (Shimadzu AGS-X). One-way ANOVA, Tukey post hoc and independent sample t-tests were used to analyze the data and a P value < .05 was considered significant. Results. IPS crowns without aging had the highest (2094.3 ± 399.31 N), and the GC1 crowns after aging had the lowest (1216.99 ± 302.96 N) fracture strength values. The difference of fracture strength among the same thickness samples without aging was not statistically significant (P > .05). The fracture strength of the GC1 group was significantly lower than those of the other groups (P < .05). After aging; GC group showed significantly higher fracture strength than the IPS and GC1 groups. The CD group’s fracture strength was significantly higher than the GC1 group (P < .05). Aging significantly decreased the fracture strength of the IPS group (P < .05). Conclusion. All monolithic crowns employed in this research proved to be resistant to physiological chewing forces in the anterior region.

Abstract

Purpose. The purpose of this study was to assess the effect of thermomechanical aging on fracture strength of CAD/CAM (computer aided design and computer aided manufacturing) anterior crowns. Materials and methods. A resin maxillary central incisor was prepared and 96 epoxy resin replicas were obtained. Anterior crowns were produced and divided into four groups: IPS (IPS e.max CAD, 1.5 mmthickness), CD (Celtra Duo, 1.5 mm thickness), GC (GC Initial UHT, 1.5 mm thickness) and GC1 (GC Initial UHT, 1 mm thickness). Twelve crowns of each group were subjected to a chewing simulator for 240,000 cycles, and the other 12 crowns were regarded as control. Fracture resistance of aged and non-aged crowns were tested using a universal testing machine (Shimadzu AGS-X). One-way ANOVA, Tukey post hoc and independent sample t-tests were used to analyze the data and a P value < .05 was considered significant. Results. IPS crowns without aging had the highest (2094.3 ± 399.31 N), and the GC1 crowns after aging had the lowest (1216.99 ± 302.96 N) fracture strength values. The difference of fracture strength among the same thickness samples without aging was not statistically significant (P > .05). The fracture strength of the GC1 group was significantly lower than those of the other groups (P < .05). After aging; GC group showed significantly higher fracture strength than the IPS and GC1 groups. The CD group’s fracture strength was significantly higher than the GC1 group (P < .05). Aging significantly decreased the fracture strength of the IPS group (P < .05). Conclusion. All monolithic crowns employed in this research proved to be resistant to physiological chewing forces in the anterior region.

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