journal article·2024-11-29Open access

Mechanical Resistance of Different Dental Ceramics and Composite, Milled, or Printed Materials: A Laboratory Study

Georgi Iliev, Radosveta Vasileva, Dimitar Kirov, Elitsa Deliverska, Janet Kirilova

Applied Sciences· Volume 14· Issue 23

Abstract

Contemporary indirect restorative materials vary in their physical and mechanical properties, necessitating additional research. This investigation aims to compare the mechanical properties (such as fatigue and compressive strength) of indirect dental restorative materials. In an in vitro study, the mechanical behaviour of monolithic onlay restorations made from a lithium disilicate glass–ceramic (Group A), a ceramic-infiltrated composite (Group B), a polymer-based composite resin (Group C), and zirconia (Group D), bonded to a prepared tooth model, was evaluated after ageing and mechanical cycling. The average value of compressive strength (stage of cracking) in each group was as follows: Group A, 871 N; Group B, 728 N; Group C, 2655 N; and Group D, 2005 N. Moreover, the results of the compressive strength test (stage of destruction) in each group were as follows: Group A, 2516.5 N; Group B, 2266 N; Group C, 5670 N; and Group D, 3543 N. An analysis of variance (ANOVA) followed by Tukey’s (HSD) post hoc test was conducted to assess pairwise comparisons among group means. Statistical analysis revealed significant differences between Groups C and D and the others, highlighting the potential of these materials in clinical applications. Based on the average values, it can be concluded that the 3D-printed ceramic-infiltrated composite onlays exhibited the highest compressive resistance values among the materials evaluated. The lithium disilicate glass–ceramic and the ceramic-infiltrated composite are brittle materials, which should be considered when covering teeth with high occlusal stress.
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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 Dental Medicine, Faculty of Dental Medicine, Medical University, 1431 Sofia, Bulgaria

Department of Conservative Dental Medicine, Faculty of Dental Medicine, Medical University, 1431 Sofia, Bulgaria

Department of Dental, Oral and Maxillofacial Surgery, Faculty of Dental Medicine, Medical University, 1431 Sofia, Bulgaria

Funding

Medical University Sofia

References (30)

Show source-provided references
1. Abduo, J., Lyons, K., and Bennamoun, M. (2014). Trends in computer-aided manufacturing in prosthodontics: A review of the available streams. Int. J. Dent., 2014.10.1155/2014/783948 ↗
2. 3D printed, and CAD/CAM milled indirect restorations from hybrid polymers. Mechanical properties. A Literature Review
3. Bakitian, F. (2024). Flexural Strength of Translucent Zirconia Materials Produced with Different Multilayer Technologies: An In Vitro Study. Int. J. Dent., 2024.10.1155/2024/8410101 ↗
4. Marchesi, G., Camurri Piloni, A., Nicolin, V., Turco, G., and Di Lenarda, R. (2021). Chairside CAD/CAM Materials: Current Trends of Clinical Uses. Biology, 10.10.3390/biology10111170 ↗
5. Evaluation of marginal discrepancy of pressable ceramic veneer fabricated using CAD/CAM system: Additive and subtractive manufacturing10.4047/jap.2018.10.5.347 ↗
6. The marginal discrepancy of lithium disilicate onlays: Computer-aided design versus press10.4103/JCD.JCD_31_19 ↗
7. Ten-year survival and complication rates of lithium-disilicate (Empress 2) tooth-supported crowns, implant-supported crowns, and fixed dental prostheses10.1016/j.jdent.2016.10.017 ↗
8. Fracture Resistance of Pressed and Milled Lithium Disilicate Anterior Complete Coverage Restorations Following Endodontic Access Preparation10.1111/jopr.12798 ↗
9. Lukomska-Szymanska, M., Radwanski, M., Kharouf, N., Mancino, D., Tassery, H., Caporossi, C., Inchingolo, F., de Almeida Neves, A., Chou, Y.F., and Sauro, S. (2023). Evaluation of Physical-Chemical Properties of Contemporary CAD/CAM Materials with Chromatic Transition “Multicolor”. Materials, 16.10.3390/ma16114189 ↗
10. Two-body wear rate of CAD/CAM resin blocks and their enamel antagonists10.1016/S0022-3913(13)60309-1 ↗
11. Clinical performance comparison between lithium disilicate and hybrid resin nano-ceramic CAD/CAM onlay restorations: A two-year randomized clinical split-mouth study10.1007/s10266-023-00841-w ↗
12. Liebermann, A., Vehling, D., Eichberger, M., and Stawarczyk, B. (2019). Impact of storage media and temperature on color stability of tooth-colored CAD/CAM materials for final restorations. J. Appl. Biomater. Funct. Mater., 17.10.1177/2280800019836832 ↗
13. Iliev, G., Filtchev, D., Branka, T., Jevremovic, D., Pavlova, Z., Slavkov, S., and Stoeva, D. (2023). Mechanical Resistance of Different Implant Suprastructures: A Laboratory Study. Appl. Sci., 13.10.3390/app13106100 ↗
14. Pöppel, M.L., Rosentritt, M., Sturm, R., Beuer, F., Hey, J., Schmid, A., and Schmidt, F. (2022). Fracture Load and Fracture Patterns of Monolithic Three-Unit Anterior Fixed Dental Prostheses after In Vitro Artificial Aging-A Comparison between Color-Gradient and Strength-Gradient Multilayer Zirconia Materials with Varying Yttria Content. J. Clin. Med., 11.10.3390/jcm11174982 ↗
15. Severe Tooth Wear: European Consensus Statement on Management Guidelines
16. Brunner, K.C., and Özcan, M. (2020). Load bearing capacity and Weibull characteristics of inlay-retained resin-bonded fixed dental prosthesis made of all-ceramic, fiber-reinforced composite and metal-ceramic after cyclic loading. J. Mech. Behav. Biomed. Mater., 109.10.1016/j.jmbbm.2020.103855 ↗
17. Clinical Performance of Posterior Inlay-Retained and Wing-Retained Monolithic Zirconia Resin-Bonded Fixed Partial Dentures: Stage One Results of a Randomized Controlled Trial10.1111/jopr.13258 ↗
18. Translucent zirconia in the ceramic scenario for monolithic restorations: A flexural strength and translucency comparison test10.1016/j.jdent.2017.03.002 ↗
19. Kongkiatkamon, S., Rokaya, D., Kengtanyakich, S., and Peampring, C. (2023). Current classification of zirconia in dentistry: An updated review. PeerJ, 11.10.7717/peerj.15669 ↗
20. Benalcázar-Jalkh, E.B., Bergamo, E.T.P., Campos, T.M.B., Coelho, P.G., Sailer, I., Yamaguchi, S., Alves, L.M.M., Witek, L., Tebcherani, S.M., and Bonfante, E.A. (2023). A Narrative Review on Polycrystalline Ceramics for Dental Applications and Proposed Update of a Classification System. Materials, 16.10.3390/ma16247541 ↗
21. Skorulska, A., Piszko, P., Rybak, Z., Szymonowicz, M., and Dobrzyński, M. (2021). Review on Polymer, Ceramic and Composite Materials for CAD/CAM Indirect Restorations in Dentistry-Application, Mechanical Characteristics and Comparison. Materials, 14.10.3390/ma14071592 ↗
22. Resin-Based Composites for Direct and Indirect Restorations: Clinical Applications, Recent Advances, and Future Trends10.1016/j.cden.2022.05.003 ↗
23. The effect of preparation design on fracture resistance of endodontically treated maxillary premolars restored with lithium disilicate computer-aided design/computer-aided manufacturing endocrowns: An in vitro study10.4103/JCDE.JCDE_66_23 ↗
24. Comparison of mechanical properties of different reinforced glass-ceramics10.1016/j.prosdent.2020.06.027 ↗
25. Labetić, A., Klaser, T., Skoko, Ž., Jakovac, M., and Žic, M. (2024). Flexural Strength and Morphological Study of Different Multilayer Zirconia Dental Materials. Materials, 17.10.3390/ma17051143 ↗
26. Zirconia restoration types, properties, tooth preparation design, and bonding. A narrative review10.1111/jerd.13151 ↗
27. Liao, Y., Gruber, M., Lukic, H., McLees, J., Chen, S., Boghosian, A., and Megremis, S. (2023). Survey of the mechanical and physical behaviors of yttria-stabilized zirconia from multiple dental laboratories. J. Am. Dent. Assoc., 2.10.1016/j.jfscie.2022.100018 ↗
28. Interblock and intrablock homogeneity of CAD-CAM composites mechanical properties10.4012/dmj.2023-090 ↗
29. Physical and surface properties of a 3D-printed composite resin for a digital workflow10.1016/j.prosdent.2020.03.029 ↗
30. Comparison of the accuracy of resin-composite crowns fabricated by three-dimensional printing and milling methods10.4012/dmj.2022-074 ↗