Evidence map›Paper›PMID 41398996›Full record

ArticleClinical and experimental dental research2025

A Comparative Study on the Fracture Resistance of CAD/CAM-Fabricated Single-Piece Post-Crowns.

Ali Erdem, Mehmet Selim Bilgin, Ibrahim Ersoy, Erhan Dilber, Ebru Nur Işık, Tan Fırat Eyüboğlu, Mutlu Özcan

Abstract readComparative Study
In one paragraph

Article in Clinical and experimental dental research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Ali ErdemPrivate Practice, İzmir, Türkiye.
Mehmet Selim BilginPrivate Practice, İzmir, Türkiye.
Ibrahim ErsoyPrivate Practice, İzmir, Türkiye.
Erhan DilberFaculty of Dentistry, Department of Prosthodontics, Alanya Alaaddin Keykubat University, Alanya, Türkiye.
Ebru Nur IşıkPrivate Practice, İstanbul, Türkiye.
Tan Fırat EyüboğluDepartment of Endodontics, Faculty of Dentistry, Istanbul Medipol University, Istanbul, Türkiye.
Mutlu ÖzcanClinic of Masticatory Disorders and Dental Biomaterials, Center for Dental Medicine, University of Zurich, Zurich, Switzerland.ORCID 0000-0002-9623-6098

Funding

The authors received no specific funding for this study.
6 · The paper itself

Abstract

objectivesRecently, CAD/CAM materials have become popular in dental clinics; however, information about their fracture resistance as post-crowns remains limited. This study compared the initial fracture resistance of potential single-piece post-crown materials made with CAD/CAM milling to sound teeth. MATERIALS AND

methodsFifty freshly extracted, non-carious human central incisor teeth underwent endodontic treatment. The roots were then randomly divided into five groups based on the post systems: the control group included teeth filled only with gutta-percha. Monoblock post-crowns were made using four different systems for the other groups: LDS (IPS e.max CAD®, lithium disilicate glass-ceramic), YTZP (inCoris ZI®, Yttrium tetragonal zirconia polycrystal), RNC (Lava Ultimate®, resin-based nanoceramic), and PICN (VITA Enamic®, polymer-infiltrated ceramic network). The post-crowns were cemented with resin cement and tested with a universal testing machine at a crosshead speed of 1.0 mm/min. Data analysis used one-way ANOVA and multiple comparison post-hoc Tukey tests (α = 0.05).

resultsSignificant differences were found between the groups (p < 0.001). The control group exhibited the highest fracture resistance (749.25 ± 225.02 N). YTZP showed similar resistance to the control (p = 0.99) and LDS (447.28 ± 168.72 N, p = 0.081), but was significantly higher than RNC (343.79 ± 157.08 N, p = 0.0051) and PICN (348.78 ± 157.44 N, p = 0.0059). LDS, RNC, and PICN did not differ significantly. YTZP experienced more non-repairable fractures (5/10), while PICN predominantly failed in a repairable manner (9/10).

conclusionsAll CAD/CAM post-crowns exceeded functional loads for the anterior region. YTZP and LDS demonstrated greater strength, whereas PICN and RNC, despite being weaker, favored repairable failures-highlighting the importance of balancing strength and clinical manageability.

Indexed as

Computer-Aided DesignCrownsDental Prosthesis DesignDental Restoration FailurePost and Core TechniqueTooth FracturesCeramicsDental MaterialsDental PorcelainDental Stress AnalysisHumansIncisorMaterials TestingResin CementsZirconiumDental MaterialsDental PorcelainGlass ceramicslithia disilicateResin CementsVITA EnamicZirconiumCAD/CAMdental materialsfracture resistancepolymer‐infiltrated ceramic networkpost‐crownYttrium tetragonal zirconia polycrystal

Identifiers

PMID41398996
PMCPMC12705900

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