Evidence map›Paper›PMID 40646474›Full record

ArticleBMC oral health2025

Impact of endodontic access cavity preparation on the fracture resistance of CAD-CAM crowns.

Abdelazim Gamal, Mohamed F Aldamaty, Hussein R Mohamed, Hesham I Othman

Abstract read
In one paragraph

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 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

4 authors.

Abdelazim GamalDepartment of Fixed Prosthodontics, Faculty of Dental Medicine, Al-Azhar University 11651, Cairo, Egypt.
Mohamed F AldamatyDepartment of Fixed Prosthodontics, Faculty of Dental Medicine, Al-Azhar University 11651, Cairo, Egypt. m.damaty@azhar.edu.eg.
Hussein R MohamedDepartment of Fixed Prosthodontics, Faculty of Dental Medicine, Al-Azhar University 11651, Cairo, Egypt.
Hesham I OthmanDepartment of Fixed Prosthodontics, Faculty of Dental Medicine, Al-Azhar University 11651, Cairo, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe present research aimed to assess the impact of endodontic access cavity preparation on the fracture resistance of CAD-CAM crowns. MATERIALS AND

methodsA total of 40 extracted human upper first premolars were utilized in present research. All premolars were affixed in epoxy resin blocks, prepared by utilizing a CNC milling machine to receive full coverage ceramic crowns, and evenly split into two primary groups based on the type of ceramic; Group LD: teeth restored with lithium-disilicate (LD) crowns, and Group PIC: teeth restored with polymer-infiltrated ceramic (PIC) crowns. Every group was subdivided into 2 subgroups (n=10); Subgroup LDI: Intact LD crowns, Subgroup LDR: Repaired LD crowns, Subgroup PICI: Intact vita PIC crowns, and Subgroup PICR: Repaired PIC crowns. Crowns were cemented using Calibra Universal resin cement. The repaired subgroups received a standardized access cavity at the center of the occlusal surface and then repaired with direct composite resin. All samples were exposed to thermo-mechanical loading in a chewing simulator for 118,000 cycles, loaded until failure, and then statistically analyzed.

resultsFor intact control subgroups, the greatest mean scores were showed in PICI (1308.71±244.15 N) compared to LDI (1154.38±133.83 N), and the variation was not statistically significant (P=0.097). For repaired subgroups, the highest mean values were recorded for PICR (727.84±240.52 N) compared to LDR (707.03±298.28 N), and the variation was not statistically significant (P=0.866).

conclusionsBoth LD and PIC crowns perform the same after exposure to an endodontic access cavity, suggesting their repairability and useability.

Indexed as

Computer-Aided DesignCrownsDental Restoration FailureBicuspidDental PorcelainDental Prosthesis DesignDental Stress AnalysisHumansMaterials TestingDental Porcelainlithia disilicateCeramic repairEndodontic access cavityFailure modeFracture resistanceLithium disilicatePolymer-infiltrated ceramicThermo-mechanical loading

Identifiers

PMID40646474
PMCPMC12254986

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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.