Evidence map›Paper›PMID 38351386›Full record

ArticleClinical oral investigations2024

Biaxial flexural strength of 3D-printed 3Y-TZP zirconia using a novel ceramic printer.

Andreas Zenthöfer, Ali Ilani, Clemens Schmitt, Peter Rammelsberg, Sebastian Hetzler, Stefan Rues

Open access · hybridAbstract read
In one paragraph

Article in Clinical oral investigations, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
7.2field-weighted citation impact, top 2% of its field
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

8 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Translucency of 3D-Printed 3Y- and 5Y-Doped Zirconia.Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] · 2026
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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 at 2 institutions in 1 country.

Andreas ZenthöferDepartment of Prosthodontics, University Clinic Heidelberg, University of Heidelberg, 69120, Heidelberg, Germany. andreas.zenthoefer@med.uni-heidelberg.de.
Ali IlaniDepartment of Prosthodontics, University Clinic Heidelberg, University of Heidelberg, 69120, Heidelberg, Germany.
Clemens SchmittDepartment of Prosthodontics, University Clinic Heidelberg, University of Heidelberg, 69120, Heidelberg, Germany.
Peter RammelsbergDepartment of Prosthodontics, University Clinic Heidelberg, University of Heidelberg, 69120, Heidelberg, Germany.
Sebastian HetzlerDepartment of Prosthodontics, University Clinic Heidelberg, University of Heidelberg, 69120, Heidelberg, Germany.
Stefan RuesDepartment of Prosthodontics, University Clinic Heidelberg, University of Heidelberg, 69120, Heidelberg, Germany.
University Hospital Heidelberg · DEHeidelberg University · DE

Funding

DFG 524875261
6 · The paper itself

Abstract

objectivesTo compare the strength and reliability of 3D-printed 3Y-TZP zirconia manufactured with various printing orientations and staining. MATERIALS AND

methodsA total of one-hundred cylindrical zirconia specimens were designed and fabricated using 3D printing and processed according to ISO 6872 standards. Of these specimens, 80 were 3D printed using the new ZIPRO-D (ZD) 3D ceramic printer. In this ZD group, 60 specimens were printed in a vertical orientation and were either stained after debinding (ZD1, x-orientation, n = 20) or not stained (ZD2, x-orientation, n = 20; ZD3, y-orientation, n = 20) and the remaining 20 specimens out of n = 80 were printed in a horizontal orientation (ZD4). Further 20 specimens out of the entire sample N = 100 were printed vertically with the CeraFab7500 3D ceramic printer (LC). All completed specimens were loaded until fracture using a universal testing machine. Biaxial flexural strengths and Weibull parameters were computed for the ZD groups and for the LC group. Group and sub-group effects were evaluated using Welch ANOVA (alpha = 0.05).

resultsThe mean (standard deviation, SD) biaxial flexural strengths of vertically oriented ZD samples with (ZD1) and without (ZD2/ZD3) staining were 811 (197) and 850 (152) MPa, respectively (p > 0.05). The ZD4 (horizontally printed), 1107 (144) MPa, and LC (1238 (327)) MPa samples had higher mean (SD) flexural strengths than the ZD1-3 specimens. No difference was observed between the ZD4 and LC group (p > 0.05). Weibull moduli were between m = 4.6 (ZD1) and 9.1 (ZD4) in the ZD group and m = 3.5 in the LC group.

conclusionsAll tested 3D-printed zirconia specimens exceeded the flexural strengths required for class 5 restorations according to ISO 6872 standards. While the flexural strengths of zirconia printed using the novel ZD device in the vertical orientation are lower than those of zirconia printed using the LC printer, the ZD printer shows at least comparable reliability. CLINICAL RELEVANCE: 3D-printing of zirconia is a new technology in dental application. Based on the presented strengths values, clinical application of 3D-printed zirconia for fixed dental protheses can be recommended.

Indexed as

CeramicsFlexural StrengthDental MaterialsMaterials TestingPrinting, Three-DimensionalReproducibility of ResultsSurface PropertiesZirconiumDental MaterialsZirconiumzirconium oxide3D printingAdditive manufacturingCeramicsFlexural strengthZirconia

Identifiers

PMID38351386
PMCPMC10864574
OpenAlexW4391772265

What OpenQuestion holds

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LicenceCC BY
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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.