scholarly journals Comparative Analysis of Fracture Resistance between CAD/CAM Materials for Interim Fixed Prosthesis

Materials ◽  
2021 ◽  
Vol 14 (24) ◽  
pp. 7791
Author(s):  
Cristian Abad-Coronel ◽  
Elena Carrera ◽  
Nancy Mena Córdova ◽  
Jorge I. Fajardo ◽  
Paulina Aliaga
Keyword(s):  
Rapid Prototyping ◽  
Computer Aided Design ◽  
Testing Machine ◽  
Clinical Importance ◽  
Sao Paulo ◽  
Computer Assisted ◽  
São Paulo ◽  
Hybrid Resin ◽  
Fixed Dental Prosthesis ◽  
Cad Cam

The aim of this study was to evaluate and compare the resistance to fracture of interim restorations obtained through additive techniques (3D impressions) and subtractive techniques (milling) using a computer-aided design and manufacture (CAD/CAM) system of a three-unit fixed dental prosthesis (FDP) to ascertain its clinical importance. (1) Materials and methods: In total, 40 samples were manufactured and divided into two groups (n = 20) using: (1) light-curing micro hybrid resin for temporary crowns and bridges (PriZma 3D Bio Prov, MarketechLabs, São Paulo, Brazil) for the rapid prototyping group (RP) and (2) a polymethylmethacrylate (PMMA) CAD/CAM disc (Vipiblock Trilux, VIPI, São Paulo, Brazil) for the computer-assisted milling (CC). The resistance to fracture was determined with a universal testing machine. (2) Results: The strength and the standard deviation for the computer-assisted milling group were higher (1663.57 ± 130.25 N) than the rapid prototyping (RP) group, which had lower values of (1437.74 ± 73.41 N). (3) Conclusions: The provisional restorations from the computer-assisted milling group showed a greater resistance to fracture than the provisional restorations obtained from the rapid prototyping group.

scholarly journals Fracture Load of Metal, Zirconia and Polyetheretherketone Posterior CAD-CAM Milled Fixed Partial Denture Frameworks

Materials ◽  
2021 ◽  
Vol 14 (4) ◽  
pp. 959
Author(s):  
Verónica Rodríguez ◽  
Celia Tobar ◽  
Carlos López-Suárez ◽  
Jesús Peláez ◽  
María J. Suárez
Keyword(s):  
Computer Aided Design ◽  
Testing Machine ◽  
Fracture Load ◽  
Fracture Pattern ◽  
Bending Test ◽  
Weibull Statistics ◽  
Promising Alternative ◽  
Computer Aided ◽  
Cad Cam ◽  
Group 2

The aim of this study was to investigate the load to fracture and fracture pattern of prosthetic frameworks for tooth-supported fixed partial dentures (FPDs) fabricated with different subtractive computer-aided design and computer-aided manufacturing (CAD-CAM) materials. Materials and Methods: Thirty standardized specimens with two abutments were fabricated to receive three-unit posterior FDP frameworks with an intermediate pontic. Specimens were randomly divided into three groups (n = 10 each) according to the material: group 1 (MM)—milled metal; group 2 (L)—zirconia; and group 3 (P)—Polyetheretherketone (PEEK). The specimens were thermo-cycled and subjected to a three-point bending test until fracture using a universal testing machine (cross-head speed: 1 mm/min). Axial compressive loads were applied at the central fossa of the pontics. Data analysis was made using one-way analysis of variance, Tamhane post hoc test, and Weibull statistics (α = 0.05). Results: Significant differences were observed among the groups for the fracture load (p < 0.0001). MM frameworks showed the highest fracture load values. The PEEK group registered higher fracture load values than zirconia samples. The Weibull statistics corroborated these results. The fracture pattern was different among the groups. Conclusions: Milled metal provided the highest fracture load values, followed by PEEK, and zirconia. However, all tested groups demonstrated clinically acceptable fracture load values higher than 1000 N. PEEK might be considered a promising alternative for posterior FPDs.

scholarly journals Chairside CAD/CAM Materials: Current Trends of Clinical Uses

Biology ◽  
2021 ◽  
Vol 10 (11) ◽  
pp. 1170
Author(s):  
Giulio Marchesi ◽  
Alvise Camurri Piloni ◽  
Vanessa Nicolin ◽  
Gianluca Turco ◽  
Roberto Di Lenarda
Keyword(s):  
Clinical Outcome ◽  
Computer Aided Design ◽  
Fabrication Process ◽  
Computer Assisted ◽  
Current Trends ◽  
Computer Aided ◽  
Restorative Materials ◽  
Cad Cam ◽  
Aided Design

Restorative materials are experiencing an extensive upgrade thanks to the use of chairside Computer-aided design/computer-assisted manufacturing (CAD/CAM) restorations. Therefore, due to the variety offered in the market, choosing the best material could be puzzling for the practitioner. The clinical outcome of the restoration is influenced mainly by the material and its handling than by the fabrication process (i.e., CAD/CAM). Information on the restorative materials performances can be difficult to gather and compare. The aim of this article is to provide an overview of chairside CAD/CAM materials, their classification, and clinically relevant aspects that enable the reader to select the most appropriate material for predictable success.

scholarly journals Computer-Assisted Mandibular Reconstruction using a Patient-Specific Reconstruction Plate Fabricated with Computer-Aided Design and Manufacturing Techniques

2014 ◽  
Vol 7 (2) ◽  
pp. 158-166 ◽  
Author(s):  
Frank Wilde ◽  
Carl-Peter Cornelius ◽  
Alexander Schramm
Keyword(s):  
Computer Aided Design ◽  
Mandibular Reconstruction ◽  
Patient Specific ◽  
Computer Assisted ◽  
Reconstruction Plate ◽  
Fibula Flap ◽  
Computer Aided ◽  
Cad Cam ◽  
Aided Design ◽  
Five Axis

We investigated the workflow of computer-assisted mandibular reconstruction that was performed with a patient-specific mandibular reconstruction plate fabricated with computer-aided design and computer-aided manufacturing (CAD/CAM) techniques and a fibula flap. We assessed the feasibility of this technique from virtual planning to the completion of surgery. Computed tomography (CT) scans of a cadaveric skull and fibula were obtained for the virtual simulation of mandibular resection and reconstruction using ProPlan CMF software (Materialise®/DePuy Synthes®). The virtual model of the reconstructed mandible provided the basis for the computer-aided design of a patient-specific reconstruction plate that was milled from titanium using a five-axis milling machine and CAM techniques. CAD/CAM techniques were used for producing resection guides for mandibular resection and cutting guides for harvesting a fibula flap. Mandibular reconstruction was simulated in a cadaveric wet laboratory. No problems were encountered during the procedure. The plate was fixed accurately to the residual bone without difficulty. The fibula segments were attached to the plate rapidly and reliably. The fusion of preoperative and postoperative CT datasets demonstrated high reconstruction precision. Computer-assisted mandibular reconstruction with CAD/CAM-fabricated patient-specific reconstruction plates appears to be a promising approach for mandibular reconstruction. Clinical trials are required to determine whether these promising results can be translated into successful practice and what further developments are needed.

scholarly journals Fracture Resistance and Microleakage of Endocrowns Utilizing Three CAD-CAM Blocks

2015 ◽  
Vol 40 (2) ◽  
pp. 201-210 ◽  
Author(s):  
HM El-Damanhoury ◽  
RN Haj-Ali ◽  
JA Platt
Keyword(s):  
Fracture Mode ◽  
Computer Aided Design ◽  
Fracture Resistance ◽  
Testing Machine ◽  
Resin Cement ◽  
Blue Dye ◽  
Endodontically Treated Teeth ◽  
Modes Of Failure ◽  
Computer Aided ◽  
Cad Cam

SUMMARY This study assessed marginal leakage and fracture resistance of computer-aided design/computer-aided manufacturing (CAD/CAM) fabricated ceramic crowns with intracoronal extensions into the pulp chambers of endodontically treated teeth (endocrowns) using either feldspathic porcelain (CEREC Blocks [CB], Sirona Dental Systems GmbH, Bensheim, Germany), lithium disilicate (e.max [EX], Ivoclar Vivadent, Schaan, Liechtenstein), or resin nanoceramic (Lava Ultimate [LU], 3M ESPE, St Paul, MN, USA).). Thirty extracted human permanent maxillary molars were endodontically treated. Standardized preparations were done with 2-mm intracoronal extensions of the endocrowns into the pulp chamber. Teeth were divided into three groups (n=10); each group was restored with standardized CAD/CAM fabricated endocrowns using one of the three tested materials. After cementation with resin cement, specimens were stored in distilled water at 37°C for one week, subjected to thermocycling, and immersed in a 5% methylene-blue dye solution for 24 hours. A compressive load was applied at 35 degrees to long axis of the teeth using a universal testing machine until failure. Failure load was recorded, and specimens were examined under a stereomicroscope for modes of failure and microleakage. Results were analyzed using one-way analysis of variance and Bonferroni post hoc multiple comparison tests (α=0.05). LU showed significantly (p&lt;0.05) higher fracture resistance and more favorable fracture mode (ie, fracture of the endocrown without fracture of tooth) as well as higher dye penetration than CB and EX. In conclusion, although using resin nanoceramic blocks for fabrication of endocrowns may result in better fracture resistance and a more favorable fracture mode than other investigated ceramic blocks, more microleakage may be expected with this material.

Fracture Strength and Precision of Fit of Implant-Retained Monolithic Zirconia Crowns

2018 ◽  
Vol 44 (5) ◽  
pp. 330-334 ◽  
Author(s):  
Pauliina Moilanen ◽  
Jenni Hjerppe ◽  
Lippo V. J. Lassila ◽  
Timo O. Närhi
Keyword(s):  
Fracture Strength ◽  
Computer Aided Design ◽  
Testing Machine ◽  
Implant Surface ◽  
Computer Aided ◽  
Cad Cam ◽  
Zirconia Crowns ◽  
Failure Loads ◽  
Monolithic Zirconia ◽  
Aided Design

New monolithic zirconia materials can be used to fabricate full-contour fixed dental prostheses with the computer-aided design/computer-aided manufacturing (CAD/CAM) method. The aim of this study was to examine the fracture strength and precision of fit of screw-retained monolithic zirconia crowns made directly on implants or by cementing on prefabricated titanium (Ti) bases. Monolithic screw-retained implant crowns (n = 6) were produced by CAD/CAM method using partially (PSZ) and fully stabilized (FSZ) zirconia. Industrially produced zirconia crowns were used as a reference. A lateral incisor study model was made onto an implant replica. Crowns were produced either directly on the implant or through cementing on a prefabricated titanium base (PSZ+Ti, FSZ+Ti). The crowns were tightened to implant replicas with a torque of 35 Ncm. The gap between the replica and the abutment or crown was measured from ×400 scanning electron microscope images for precision of fit. Mechanical testing until failure was completed with a universal testing machine with loading angle of 45°. Statistical analysis was performed (analysis of variance). Mean (±SD) failure loads were 259 ± 23 (PSZ), 140 ± 13 (FSZ), 453 ± 25 (PSZ+Ti), 439 ± 41 (FSZ+Ti), and 290 ± 39 (Procera). Mean (±SD) gap values were 2.2 ± 0.2 (PSZ), 2.5 ± 1.0 (FSZ), 7.0 ± 1.0 (PSZ+Ti), 7.7 ± 1.6 (FSZ+Ti), and 6.7 ± 1.7 (Procera). Monolithic zirconia crowns with a Ti base clearly show higher fracture strengths than the crowns fixed directly on the implant surface. Better marginal fit can be achieved with direct zirconia crowns than with crowns on a titanium base or industrially produced zirconia crowns.

scholarly journals Clinical outcomes and Complications of CAD-CAM Fabricated Complete Dentures; An update and review

2021 ◽  
Vol 38 (SI-2) ◽  
pp. 92-97
Author(s):  
Emir YÜZBAŞIOĞLU ◽  
Yeşim ÖLÇER US ◽  
Gökhan ÖZDEMİR ◽  
Berkman ALBAYRAK
Keyword(s):  
Clinical Outcomes ◽  
Computer Aided Design ◽  
Improve Patient Care ◽  
Computer Assisted ◽  
Complete Dentures ◽  
Dental Practitioners ◽  
Cad Cam ◽  
Promising Treatment ◽  
Edentulous Patients ◽  
Aided Design

For decades, conventional complete dentures (CD) have been a promising treatment for edentulous patients. The introduction of digital technology in CD fabrication streamlines and simplifies the treatment process and offers new and specific applications for the completely edentulous patients. Computer-aided design/computer-assisted manufactured (CAD/CAM) CD protocols can improve efficiency and offer specific applications in specific situations to improve patient care, satisfaction, and convenience. The aim of this review is to assess and evaluate the clinical outcomes and complication of CAD/CAM fabricated CD systems and to provide information about currently available systems for dental practitioners.

scholarly journals Evaluation of misfit and stress distribution in implant-retained prosthesis obtained by different methods

2021 ◽  
Vol 32 (5) ◽  
pp. 67-76
Author(s):  
Bruna Santos Honório Tonin ◽  
Raniel Fernandes Peixoto ◽  
Jing Fu ◽  
Bruna Neves de Freitas ◽  
Maria da Gloria Chiarello de Mattos ◽  
...  
Keyword(s):  
Stress Distribution ◽  
Computer Aided Design ◽  
High Stress ◽  
Optical Microscope ◽  
Conventional Casting ◽  
Fixed Dental Prosthesis ◽  
Edentulous Mandible ◽  
Computer Aided ◽  
Cad Cam ◽  
Passive Fit

Abstract This study evaluated the vertical misfit, passivity, and stress distribution after tightening the screws of different prosthesis. Two implants were used to simulate the rehabilitation of partially edentulous mandible space from the second premolar to the second molar. 40 three-element screw-retained fixed dental prosthesis with distal cantilever were fabricated and divided into four groups according to the method of production of framework (n = 10): G1 = conventional casting one-piece framework, G2 = conventional casting sectioned and laser welding, G3 = conventional casting sectioned and tungsten inert gas (TIG) welding and G4 = framework obtained by CAD/CAM (computer-aided design/computer-aided manufacturing) system. The vertical misfits (both screws tightened) and the passive fit (one screw tightened) were measured under a comparator optical microscope. The data was submitted to Shapiro-Wilk test to enable comparison with ANOVA followed by Tukey with Bonferroni adjust (α = .05). The qualitative analysis of the stress distribution was performed by the photoelastic method. The vertical misfit (both screws tightened) of the G2 (24 μm) and G3 (27 μm) were significantly higher than G4 (10 μm) (p = 0,006). The passive fit (for the non-tightened) of the G1(64 μm) and G3 (61 μm) were significantly higher than the G4 (32 μm) (p=0,009). G1 showed high stress between the implants in the photoelastic analysis and G4 presented lower stress. In conclusion, CAD/CAM method results in less vertical misfit, more passivity, and consequently better stress distribution to the bone.

Enhancement of Design and Manufacturing Curriculum Through Rapid Prototyping Practices

2004 ◽  
Author(s):  
Ismail Fidan ◽  
Ken Patton
Keyword(s):  
Rapid Prototyping ◽  
Computer Aided Design ◽  
Physical Models ◽  
Web Based ◽  
Capstone Courses ◽  
Computer Aided ◽  
Design And Manufacturing ◽  
Cad Cam ◽  
Industrial Projects ◽  
Aided Design

Advances in computer technology opened new horizons in teaching Computer Aided Design (CAD) and Computer Aided Manufacturing (CAM) technologies. This paper will report the outcomes of two current NSF grants, 0311586 and 0302314, funded on Rapid Prototyping (RP) curriculum development. The objective of these RP projects is to provide advanced instruction and laboratory practices in the areas of CAD/CAM/CAE through challenging laboratory assignments and industrial projects that are integrated into any engineering curriculum. These projects create web-based materials, and also adapt and implement RP experiences and educational practices following successful similar models at various engineering schools to enhance pedagogy in design and manufacturing curriculum. Enhanced RP capabilities enable the students to build physical models directly from CAD data, where the prototype communicates important information about parts, including engineering data such as fit and limited functional testing, labeling, highlighting, and appearance simulation. Developed RP labs are used in junior and senior level design and manufacturing courses, including the senior capstone courses.

scholarly journals Fracture Resistance of CAD/CAM Versus Traditional Interim Fixed Dental Prostheses

2018 ◽  
Vol 55 (3) ◽  
pp. 361-363
Author(s):  
Daniel Alexandru Pop ◽  
R. Malaescu ◽  
Liviu Marsavina ◽  
Tiberiu Hosszu ◽  
Raul Rotar ◽  
...  
Keyword(s):  
Testing Machine ◽  
In Vitro Study ◽  
Maximum Load ◽  
Fracture Load ◽  
Digital Design ◽  
Computer Assisted ◽  
Dental Prostheses ◽  
Cad Cam ◽  
Fixed Dental Prostheses

The aim of this in vitro study is to compare the load-to-fracture performance of polymethyl methacrylates (PMMA) provisional restorations manufactured with a traditional laboratory technique in comparison to a computer-assisted design and computer-assisted manufacturing (CAD-CAM) technique. Five interim three-unit fixed dental prostheses were fabricated with the conventional indirect technique, on a standard typodont. The same model was scanned with an intraoral scanner and the digital design of identical fixed dental prostheses was made. Then other five interim three-unit fixed dental prostheses were milled from PMMA CAD/CAM blocks with an in office milling machine. All specimens were tested for flexural strength in a universal testing machine, and the maximum load to fracture was measured. For the conventional provisional restorations, the load to fracture was 121.16 � 24.6, in comparison to CAD/CAM interim restorations, for which the load to fracture was 728.88 � 228.7. Within the limitations of this study, one can conclude that CAD/CAM provisional restorations present a higher fracture load than the conventional manufactured interim restorations.

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