Evidence map›Paper›PMID 39896916›Full record

ArticleClinical, cosmetic and investigational dentistry2025

The Effect of Chewing Simulation on Flexural Strength of Different Lithium Disilicate Ceramics.

Osamah Alsulimani, Salah A Yousief, Raghad A Al-Dabbagh, Esraa A Attar, Dalea M Bukhary, Hamad Algamaiah, Khadija Musawa, Awatif Subahi, Samar H Abuzinadah, Abdulrahman J Alhaddad and 4 more

Abstract read
In one paragraph

Article in Clinical, cosmetic and investigational dentistry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

14 authors.

Osamah AlsulimaniDepartment of Oral Diagnostic Sciences, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.
Salah A YousiefDepartment of Restorative and Prosthetic Dental Sciences, College of Dentistry, Dar Al Uloom University, Riyadh, 13313, Saudi Arabia.ORCID 0000-0003-2549-3465
Raghad A Al-DabbaghDepartment of Oral and Maxillofacial Prosthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.
Esraa A AttarDepartment of Oral and Maxillofacial Prosthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.
Dalea M BukharyDepartment of Oral and Maxillofacial Prosthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.ORCID 0000-0001-6553-9881
Hamad AlgamaiahDepartment of Restorative Dental Science, King Saud University, College of Dentistry, Riyadh, Saudi Arabia.
Khadija MusawaBDS, General Dentist, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.
Awatif SubahiBDS, General Dentist, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.
Samar H AbuzinadahDepartment of Restorative Dentistry, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.ORCID 0000-0002-8007-4178
Abdulrahman J AlhaddadDepartment of Oral and Maxillofacial Prosthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.ORCID 0000-0001-8187-8883
Waleed M S AlqahtaniDepartment of Prosthetic Dentistry, College of Dentistry, King Khalid University, Abha, Saudi Arabia.
Abdel Naser M EmamDepartment of Prosthetic Dental Science, Faculty of Dentistry, Najran University, Najran, Saudi Arabia.
Mohammad A AlqhtaniDepartment of Prosthetic Dental Science, Faculty of Dentistry, Najran University, Najran, Saudi Arabia.
Ahmed M ElmarakbyDepartment of Restorative and Prosthetic Dental Sciences, College of Dentistry, Dar Al Uloom University, Riyadh, 13313, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Improved Lithium Disilicate Ceramic has been highly valued in dentistry for over two decades, owing to its durability and aesthetic qualities, making it a preferred choice for both anterior and posterior crowns. Objective: This study aimed to evaluate the flexural strength of two types of lithium disilicate blocks post-chewing simulation. Materials and Methods: Seventy-six lithium disilicate specimens were utilized in this study. They were divided into two primary groups (n=38) based on two brands: IPS Emax CAD LT (Ivoclar Vivadent) designated as (E), and Initial Lisi LT/B1 (GC America) designated as (L). Each primary group was further split into two subgroups (n=19) based on surface treatment: group E into (E0 & E1) and group L into (L0 & L1). Half of the specimens were subjected to flexural testing without chewing simulation cycles and designated as (E0 and L0), while the remainder were tested after 24×10 Statistical Analysis: Data were gathered, organized, and subjected to Shapiro-Wilk's and Levene's tests (p-value < 0.05), followed by analysis with Brown-Forsythe two-way ANOVA and Tamhane's post hoc tests to assess group differences (p-value <0.05). Results: There were significant statistical differences in the flexural strength values between the different brand groups before and after chewing simulation (p-value < 0.05). The IPS Emax CAD group showed values approximately twice that of the Initial Lisi group (307.2-310.5 MPa ± 48.5-67 vs 148.1-158.5 MPa ± 24.6-25.6). Conclusion: Within the limitation of the current study, the following may be concluded: 1. The study's findings suggest that Initial Lisi blocks should not be used for posterior teeth restorations. 2. This study can provide valuable insights for dental professionals to make informed decisions about which material is most appropriate for various clinical situations.

Indexed as

ceramicsflexural strengthlithium disilicatemastication

Identifiers

PMID39896916
PMCPMC11786796

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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.