Evidence map›Paper›PMID 40055647›Full record

ArticleBMC oral health2025

Evaluation of the marginal fit and fracture resistance of interim restorations fabricated using different techniques: an in vitro study.

Mostafa Elashkar, Yehia Aboushady, Merna Ihab, Mohamed T El Halawani

Abstract read
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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 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.

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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

4 authors.

Mostafa ElashkarDepartment of Conservative Dentistry, Faculty of Dentistry, Alexandria University, Alexandria, Egypt. Mostafa.Elashkar@alexu.edu.eg.
Yehia AboushadyDepartment of Conservative Dentistry, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.
Merna IhabDepartment of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.
Mohamed T El HalawaniDepartment of Conservative Dentistry, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInterim restorations are essential for preserving structural integrity and function until the definitive restoration is placed. Their mechanical properties and marginal fit are crucial for clinical performance and are influenced by the fabrication technique and material used.

aimThe aim of this in vitro study was to investigate the marginal fit and fracture resistance of manually fabricated, computer-aided design and computer-aided manufacturing (CAD/CAM) milled, and CAD/CAM three-dimensionally (3D) printed 3-unit interim fixed dental prostheses (FDPs). MATERIALS AND

methodsSixty-four 3-unit interim FDPs were fabricated on epoxy resin models using different fabrication techniques: manual fabrication with poly methyl methacrylate (PMMA) (n = 16), manual fabrication with Bis-acrylic composite resin (n = 16), CAD/CAM milling (n = 16), and CAD/CAM 3D-printing with a digital light processing (DLP) printer (n = 16). The vertical marginal fit of the interim FDPs was evaluated using a stereomicroscope. Following cementation, the specimens were subjected to cyclic loading and then tested for fracture resistance using a universal testing machine. Data were analyzed using one-way ANOVA, and Tukey's post hoc test was performed to identify statistical differences between the means of independent group pairs.

resultsThe smallest marginal gap (31.77 ± 9.0 μm) was observed in the milling group, followed by the 3D-printing group, with no significant difference between the two (p = 0.98). Both groups demonstrated significantly smaller marginal gaps compared to the manual fabrication groups (p < 0.001). In terms of fracture resistance, the 3D-printing group showed the highest values (1244.46 ± 290.04 N), followed by the milling group, with no significant difference between them (p = 0.32). Both groups exhibited significantly higher fracture resistance than the manual fabrication groups (p < 0.001).

conclusionCAD/CAM 3D-printed and milled interim FDPs demonstrated superior marginal fit and fracture resistance, making them more suitable than conventional techniques, particularly for multi-unit restorations or long-term applications.

Indexed as

Computer-Aided DesignDental Marginal AdaptationDental Prosthesis DesignDental Restoration FailureDental Restoration, TemporaryComposite ResinsDental MaterialsDental Stress AnalysisHumansIn Vitro TechniquesMaterials TestingPolymethyl MethacrylatePrinting, Three-DimensionalComposite ResinsDental MaterialsPolymethyl Methacrylate3D-printingAdditive manufacturingCAD/CAMFixed dental prosthesisFracture resistanceInterim restorationMarginal fit

Identifiers

PMID40055647
PMCPMC11887074

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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.