Evidence map›Paper›PMID 39209606›Full record

ArticleDental materials : official publication of the Academy of Dental Materials2024

Effect of elastic gradients on the fracture resistance of tri-layer restorative systems.

Luciano Madeira, Katia R Weber, Natan Carpenedo, Yu Zhang, Thiago S Porto, Josete Barbosa Cruz Meira, Carla C Gonzaga, Marina R Kaizer

Abstract read
In one paragraph

Article in Dental materials : official publication of the Academy of Dental Materials, 2024. 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. Article
  3. Hybrid TiONature communications · 2025
    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

8 authors.

Luciano MadeiraSchool of Dentistry, Universidade Positivo, Brazil. Electronic address: madeiraluciano0@gmail.com.
Katia R WeberSchool of Dentistry, Universidade Positivo, Brazil. Electronic address: katiaraquelweber@hotmail.com.
Natan CarpenedoSchool of Dentistry, Universidade Positivo, Brazil. Electronic address: natancarpenedo17@gmail.com.
Yu ZhangSchool of Dental Medicine, University of Pennsylvania, USA. Electronic address: yz21@upenn.edu.
Thiago S PortoCollege of Dentistry, The University of Iowa, USA. Electronic address: thiago-porto@uiowa.edu.
Josete Barbosa Cruz MeiraSchool of Dentistry, Universidade de São Paulo, Brazil. Electronic address: jo@usp.br.
Carla C GonzagaSchool of Dentistry, Universidade Positivo, Brazil. Electronic address: carlacgonzaga2@gmail.com.
Marina R KaizerSchool of Dentistry, Universidade Positivo, Brazil. Electronic address: marinakaizer@gmail.com.

Funding

Toward novel translucent and strong nanostructured dental zirconiaR01DE026772 · NIDCR · UNIVERSITY OF PENNSYLVANIA · PI ZHANG, YU · 2017 to 2021
$1.8M
Ultrafast sintering of dental zirconia: composition-processing-property relationships with high-throughput fail-fast screeningR01DE033545 · NIDCR · UNIVERSITY OF PENNSYLVANIA · PI Liangbing Hu, Yu Zhang · 2023 to 2026
$1.8M
NIDCR NIH HHS R01 DE026772NIDCR NIH HHS R01 DE033545
6 · The paper itself

Abstract

objectivesTo assess the impact of elastic gradients formed among restorative material, cement, and substrate on the fracture resistance of tri-layer restorative systems.

methodsFour CAD/CAM materials were utilized, two glass-ceramics (IPS e.max CAD, Vita Suprinity) and two resin-ceramic hybrids (Vita Enamic, Lava Ultimate). Their fracture resistance was examined by biaxial flexure (n = 8) and Hertzian indentation (n = 10) tests. Statistical analysis was conducted using ANOVA and Tukey tests (p = 5 %). Finite element analysis (FEA) was employed to simulate the Hertzian indentation test and elucidate the stress-fields formed on the intaglio surface below the loading area.

resultsThe biaxial flexural strength (MPa) of glass-ceramics exceeded the hybrid materials (e.max 417 SIGNIFICANCE: Detailed analysis of the fracture resistance of the tri-layer restorative systems showed that the elastic gradients play a more significant role than the flexural strength of the restorative materials. The coherence of the elastic moduli between the restorative material and supporting structures results in reduced tensile stress concentration at the intaglio surface beneath the loading area and enhances the ability to withstand load.

Indexed as

CeramicsDental PorcelainDental Stress AnalysisFinite Element AnalysisFlexural StrengthMaterials TestingComputer-Aided DesignDental MaterialsDental Restoration FailureElasticitySurface PropertiesDental MaterialsDental PorcelainGlass ceramicsIPS e.max CAD LTVITA EnamicVITA SuprinityCAD-CAMCeramicsComposite resinsElastic modulusFlexural strengthMechanical stress

Identifiers

PMID39209606
PMCPMC11563891

What OpenQuestion holds

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Registered trials

None linked

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.