Evidence map›Paper›PMID 39853710›Full record

ArticleClinical and experimental dental research2025

Marginal Fit and Fracture Resistance of Vertical Versus Horizontal Margins in Monolithic Zirconia Crowns.

Mohamed A Salama, Mohamed F Aldamaty, Moamen A Abdalla, Elsayed Ali Omar, Mohammed H AbdElaziz, Ahmed Yaseen Alqutaibi

Abstract read
In one paragraph

Article in Clinical and experimental dental research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
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  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.

Mohamed A SalamaFixed Prosthodontic Specialist, Medical Services of the Egyptian Armed Forces, Basrah, Egypt.
Mohamed F AldamatyDepartment of Fixed Prosthodontics, Faculty of Dental Medicine, Al-Azhar University, Cairo, Egypt.ORCID 0000-0001-6906-4342
Moamen A AbdallaDepartment of Substitutive Dental Science, College of Dentistry, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia.
Elsayed Ali OmarFixed Prosthodontics Department, Faculty of Dental Medicine, Al-Azhar University, Cairo, Egypt.ORCID 0000-0001-9067-9552
Mohammed H AbdElazizFixed Prosthodontics Department, Faculty of Dental Medicine, Al-Azhar University, Cairo, Egypt.ORCID 0000-0003-0956-2854
Ahmed Yaseen AlqutaibiDepartment of Prosthodontics, Faculty of Dentistry, Ibb University, Yemen.ORCID 0000-0001-6536-8269

Funding

Self-funded.
6 · The paper itself

Abstract

objectiveThe use of vertical margin design in all-ceramic restoration has generated inquiries regarding its clinical efficacy under diverse dynamic oral conditions. This research aims to assess the marginal fit and fracture resistance of monolithic zirconia crowns featuring vertical margin design as opposed to those with conventional horizontal margin design. MATERIALS AND

methodsTwo metal dies were employed to generate replicated resin dies mimicking mandibular first molar preparation. The metal dies were precision-engineered with two margin designs: vertical margin design presenting a shoulderless configuration (Featheredge) and horizontal margin design (Radial Shoulder). Forty zirconia crowns were produced on the replicated resin dies using two varieties of monolithic zirconia, with twenty crowns in each category: pre-shaded and multilayered zirconia. Both sets were further subdivided into two groups based on the finish line configuration utilized (n = 10). The vertical marginal gap of the zirconia crowns was gauged before and after thermocycling (5-55oC/5000 cycles), followed by loading the crowns until fracture occurred. Statistical analysis was performed using one-way analysis of variance (ANOVA), accompanied by Bonferroni's post hoc test and independent t-test for pairwise comparisons.

resultsThe Shoulder subgroup of BruxZir exhibited the highest mean marginal gap value (120.06 ± 10.15 µ), while the Featheredge subgroup of BruxZir displayed the lowest value (49.72 ± 6.53 µ). Among the BruxZir group, the Featheredge subgroup showcased the highest mean fracture resistance value (4251.57 ± 279.90 N), whereas the Shoulder subgroup recorded the lowest value (1721.60 ± 225.16 N).

conclusionMonolithic zirconia crowns with vertical margin design (Featheredge) demonstrated statistically enhanced performance compared to conventional horizontal margin design, as evidenced by lower marginal gap values and increased fracture resistance tolerance.

Indexed as

CrownsDental Marginal AdaptationDental Prosthesis DesignDental Restoration FailureZirconiumDental Stress AnalysisHumansMaterials TestingZirconiumzirconium oxidefracture resistancehorizontal marginsmarginal fitmonolithic zirconiathermocyclingvertical margins

Identifiers

PMID39853710
PMCPMC11757025

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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.