Evidence map›Paper›PMID 38133089›Full record

ArticleBrazilian dental journal

Fatigue resistance of monolithic and multilayer zirconia crowns using veneer layering or CAD-on technique.

Alvim Gustavo Fasolin Tomm, Pablo Soares Machado, Lucas Saldanha da Rosa, Gabriel Kalil Rocha Pereira, Aloisio Oro Spazzin, Rodrigo Alessandretti

Abstract read
In one paragraph

Article in Brazilian dental journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Alvim Gustavo Fasolin TommAtitus Educação, Passo Fundo, Rio Grande do Sul, Brazil.ORCID http://orcid.org/0000-0002-9644-0486
Pablo Soares MachadoPost-Graduate Program in Oral Sciences, Center for Development of Advanced Materials, Division of Prosthodontics-Biomaterials, Federal University of Santa Maria (UFSM), Santa Maria, Brazil.ORCID http://orcid.org/0000-0002-7702-0013
Lucas Saldanha da RosaPost-Graduate Program in Oral Sciences, Center for Development of Advanced Materials, Division of Prosthodontics-Biomaterials, Federal University of Santa Maria (UFSM), Santa Maria, Brazil.ORCID http://orcid.org/0000-0002-2159-3787
Gabriel Kalil Rocha PereiraPost-Graduate Program in Oral Sciences, Center for Development of Advanced Materials, Division of Prosthodontics-Biomaterials, Federal University of Santa Maria (UFSM), Santa Maria, Brazil.ORCID http://orcid.org/0000-0002-9077-9067
Aloisio Oro SpazzinAtitus Educação, Passo Fundo, Rio Grande do Sul, Brazil.ORCID http://orcid.org/0000-0002-2392-1836
Rodrigo AlessandrettiAtitus Educação, Passo Fundo, Rio Grande do Sul, Brazil.ORCID http://orcid.org/0000-0002-3997-9370

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aims to evaluate the fatigue resistance of monolithic zirconia (Yz) and multilayer ceramic structures using the CAD-on technique in different thicknesses. Fifty (N=50) standardized single crowns preparations were made in fiberglass-reinforced epoxy resin (NEMA grade G10), digitalized, and restorations were machined in CAD-CAM, composing 5 groups (n= 10): Control: 1.5 mm (milled zirconia framework + manual layered porcelain); Yz monolithic 1.5 mm; Yz monolithic 1.0 mm; CAD-on 1.5 mm; and CAD-on 1.0 mm (milled zirconia framework 0.5 mm thickness bonded by a low fuse ceramic to a milled lithium disilicate layer of 1.0 mm or 0.5 mm, respectively). The G10 bases were conditioned with 10% hydrofluoric acid; the crowns were air abraded with 110 μm alumina particles; and then luted onto each other with self-adhesive resin cement. A cyclic fatigue test was performed (initial load: 400N for 10,000 cycles, frequency of 20 Hz, step size of 200N) until failure, and the data was submitted to a survival statistical analysis. No failures were observed at Yz monolithic 1.5 mm. High and similar performance was observed for Cad-On groups and Yz monolithic 1.0 mm. The control group depicted the worst behavior. The Weibull modulus of CAD-on 1.5 mm was higher than the control while being similar to the other conditions. Both the monolithic systems and the CAD-on technique showed high and similar fatigue fracture behavior and survival rates, which were also higher than the control bilayer system. Both systems reduced the occurrence of delamination failures, making them suitable for clinical use.

Indexed as

CrownsDental PorcelainCeramicsComputer-Aided DesignDental Restoration FailureDental Stress AnalysisMaterials TestingSurface PropertiesZirconiumDental PorcelainZirconiumzirconium oxide

Identifiers

PMID38133089
PMCPMC10742353

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.