ArticleBMC oral health2025
Effect of multiple firings on mechanical and optical properties of CAD/CAM lithium disilicate-based glass ceramics.
Article in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeThe longevity of computer-aided design and computer-aided manufacturing (CAD/CAM) lithium disilicate-based restoration varies significantly depending on the type of restoration, the properties of materials used, and their esthetics. This study investigated the effect of multiple firings on flexural strength, microhardness, bond strength, and color stability of different CAD/CAM lithium disilicate-based glass ceramics. MATERIALS AND
methodsThree different lithium disilicate-based glass ceramics, IPS e.max CAD (EM), CEREC Tessera (CT), and LiSi CAD (LC) were wet-sectioned into rectangular (approximately 14.5 × 12.4 × 1.2 mm
resultsAccording to the 2-way ANOVA, the color stability was significantly influenced by both materials and number of firing cycles. The color stability of LC statistically significant increased upon increasing the number of firings (p < 0.0001). In addition, a significant between materials and number of firings was also observed (p < 0.0001). There was no apparent impact on the biaxial flexural strength and microhardness from multiple firings (p > 0.05). However, EM exhibited the highest biaxial flexural strength, while LC showed the highest microhardness, regarding to the materials (p < 0.0001). For shear bond strength, material (p < 0.001) and number of firings (p = 0.0277) were found significant, specifically LiSi CAD.
conclusionThere was no apparent impact on biaxial flexural strength and microhardness of CAD/CAM lithium disilicate-based glass ceramics after multiple firings. However, multiple firings affected the color stability and shear bond strength of lithium disilicate-based glass ceramics. The color change was noticeable after the third firing cycle, specifically CEREC Tessera. The shear bond strength of LiSi CAD increased as a function of multiple firings. Cautiously corrective adjustments and recontouring are required to minimize the unessential firings.
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