journal article·2025-10-08Open access

Fracture Resistance of 3D-Printed Hybrid Abutment Crowns Made from a Tooth-Colored Ceramic Filled Hybrid Composite: A Pilot Study

Josef Schweiger, Kurt-Jürgen Erdelt, Isabel Lente, Daniel Edelhoff, Tobias Graf, Oliver Schubert

Journal of Functional Biomaterials· Volume 16· Issue 10

Abstract

The aim of this pilot in vitro study is to investigate the fracture strength of hybrid abutment crowns (HACs) made of a 3D-printable, tooth-colored, ceramic-reinforced composite (CRC). Based on an upper first premolar, a crown was designed, and specimens were additively fabricated from a composite material (VarseoSmile Crown plus) (N = 32). The crowns were bonded to standard abutments using a universal resin cement. Half (n = 16) of the samples were subjected to artificial aging, during which three samples suffered minor damage. All specimens were mechanically loaded at an angle of 30° to the implant axis. In addition, an FEM simulation was computed. Statistical analysis was performed at a significance level of p < 0.05. The mean fracture load without aging was 389.04 N (SD: 101.60 N). Two HACs suffered screw fracture, while the crowns itself failed in all other specimens. In the aged specimens, the mean fracture load was 391.19 N (SD: 143.30 N). The failure mode was predominantly catastrophic crown fracture. FEM analysis showed a maximum compressive stress of 39.79 MPa, a maximum tensile stress of 173.37 MPa and a shear stress of 60.29 MPa when loaded with 389 N. Within the limitations of this pilot study, the tested 3D-printed hybrid abutment crowns demonstrated fracture resistance above a clinically acceptable threshold, suggesting promising potential for clinical application. However, further investigations with larger sample sizes, control groups, and clinical follow-up are required.
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Research context

OpenAlex topics: Dental materials and restorations · Dental Implant Techniques and Outcomes · Endodontics and Root Canal Treatments

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Department of Prosthetic Dentistry, University Hospital, LMU Munich, 80336 Munich, Germany

Funding

BEGO Implant Systems (Germany)

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