Evidence map›Paper›PMID 39755589›Full record

ArticleBMC oral health2025

Fracture resistance and marginal fit of three different overlay designs using advanced zirconia-reinforced lithium disilicate CAD/CAM material.

Heidi Saad Refaey, Sanaa H Abdelkader, Yasser M Aly

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Article in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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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

7 citing papers in PubMed.

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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

3 authors.

Heidi Saad RefaeyDepartment of Conservative Dentistry, Faculty of Dentistry, Alexandria University, Alexandria, Egypt. Heidi.refaey.dent@alexu.edu.eg.ORCID 0009-0001-1327-3599
Sanaa H AbdelkaderDepartment of Conservative Dentistry, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.
Yasser M AlyDepartment of Conservative Dentistry, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundConservative dentistry introduced modern restoration designs, contributing to the greater use of partial-coverage ceramic restorations. New strong bondable ceramic materials made fabricating partial coverage ceramic restorations easier to restore the badly destructed teeth. AIM OF THE STUDY: This study investigated the impact of three distinct overlay preparation designs on the marginal fit (both before and after thermal aging) and the fracture resistance of overlay restorations fabricated using advanced zirconia-reinforced lithium disilicate (ALD) CAD/CAM glass-ceramic blocks. MATERIALS AND

methodsUsing a standardized preparation protocol, three typodont molars were prepared to receive three different indirect overlay ceramic restoration designs. The typodont teeth were duplicated to get 27 resin dies that were randomly allocated into three groups (n = 9) based on the preparation design; group (O): a traditional overlay preparation with anatomical occlusal reduction, group (OS): anatomical occlusal reduction with circumferential shoulder finish line, and group (OG): anatomical occlusal reduction with a central groove preparation at the mid-occlusal surface. After standardized restorations fabricated following the manufacturer's guidelines, the restorations were cemented to their corresponding dies and exposed to thermal aging corresponding to 6-month clinical service. Marginal gap was measured before and after thermal aging procedure using an optical microscope. To measure fracture resistance, specimens were loaded till failure using the universal testing machine. The Kruskal Wallis test was utilized to assess data among the groups, followed by Dunn's post hoc test with Bonferroni correction. Differences in the marginal fit before and after thermal aging were evaluated using Wilcoxon Sign Rank test.

resultsA statistically significant difference in marginal fit was observed between the studied groups, with a p-value of 0.032 where group OS has the lowest micro gap compared to group OG and group O. The fracture resistance group (O) recorded the highest fracture resistance with a statistically significant difference between the studied groups at p value = 0.043.

conclusionsAdjusting the tooth preparation significantly influenced both the fracture resistance load and the marginal fit observed for advanced zirconia-reinforced lithium disilicate glass-ceramic (ALD) overlays.

Indexed as

CeramicsComputer-Aided DesignDental Marginal AdaptationDental PorcelainDental Prosthesis DesignDental Restoration FailureZirconiumDental MaterialsDental Stress AnalysisHumansMaterials TestingDental MaterialsDental PorcelainGlass ceramicslithia disilicateZirconiumzirconium oxideAdvanced lithium disilicateCAD-CAM materialsCeramicsFracture resistanceGlass ceramicsLithium disilicateMarginal fitOverlay

Identifiers

PMID39755589
PMCPMC11699763

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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.