Evidence map›Paper›PMID 40008256›Full record

SynthesisFrontiers in dental medicine2025

Additive-manufactured ceramics for dental restorations: a systematic review on mechanical perspective.

Yuqing Lu, Anouk van Steenoven, Amanda Maria de Oliveira Dal Piva, João Paulo Mendes Tribst, Li Wang, Cornelis J Kleverlaan, Albert J Feilzer

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in dental medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
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

7 authors.

Yuqing LuDepartment of Dental Materials Science, Academic Centre for Dentistry Amsterdam (ACTA), Universiteit van Amsterdam and Vrije Universiteit, Amsterdam, Netherlands.
Anouk van SteenovenDepartment of Dental Materials Science, Academic Centre for Dentistry Amsterdam (ACTA), Universiteit van Amsterdam and Vrije Universiteit, Amsterdam, Netherlands.
Amanda Maria de Oliveira Dal PivaDepartment of Dental Materials Science, Academic Centre for Dentistry Amsterdam (ACTA), Universiteit van Amsterdam and Vrije Universiteit, Amsterdam, Netherlands.
João Paulo Mendes TribstDepartment of Reconstructive Oral Care, Academic Centre for Dentistry Amsterdam (ACTA), Universiteit van Amsterdam and Vrije Universiteit, Amsterdam, Netherlands.
Li WangJiangsu Key Laboratory of Advanced Food Manufacturing Equipment and Technology, School of Mechanical Engineering, Jiangnan University, Wuxi, Jiangsu, China.
Cornelis J KleverlaanDepartment of Dental Materials Science, Academic Centre for Dentistry Amsterdam (ACTA), Universiteit van Amsterdam and Vrije Universiteit, Amsterdam, Netherlands.
Albert J FeilzerDepartment of Dental Materials Science, Academic Centre for Dentistry Amsterdam (ACTA), Universiteit van Amsterdam and Vrije Universiteit, Amsterdam, Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Additive manufacturing (AM) is rapidly expanding as a substitute for conventional heat-pressing and milling techniques for ceramic restorations. However, experimental and clinical evidence on the mechanical properties and performance of the final ceramic products is yet insufficient. This systematic review aimed to update the latest advances in additive manufacturing of restorative ceramics with a focus on their mechanical properties. Methods: This systematic review was structured using the 5-step methodology based on the research question: what are the mechanical properties of additive-manufactured restorative ceramics in comparison with subtractive manufacturing? The electronic literature search was performed independently by 2 authors in the following databases: PubMed/MEDLINE, Web of Science, and Scopus. Published articles from 2019 to 2023 were screened, analysed and the relevant papers were selected for inclusion in this review. Results: A total of 40 studies were included. The available ceramics include zirconia, alumina and alumina-zirconia composites, lithium disilicate, porcelain and fluorapatite glass ceramic. The mechanical properties were summarized according to material and technique: density (15 studies), flexural strength (31 studies), fracture toughness (7 studies), Young's modulus (7 studies), hardness (11 studies) and performance (7 studies). Overall, the properties exhibited an upward trend toward the values of conventional techniques. Typical processing defects, including porosity, agglomerates, cracks, surface roughness, and other defects, were also analyzed. Conclusions: With significant technological advancements, the mechanical properties of AM ceramics have come close to ceramics by conventional manufacturing, whereas their reliability, the influence of printing layer orientations, and long-term performance still need further investigation.

Indexed as

additive manufacturingceramicsdental restorationprosthodonticsstrengthvat photopolymerization

Identifiers

PMID40008256
PMCPMC11847793

What OpenQuestion holds

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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.