Evidence map›Paper›PMID 41862866›Full record

ArticleBMC oral health2026

Fracture resistance and mode of failure of CAD/CAM milled versus 3D-printed resin composite inlays: an in vitro study.

Mostafa Nasser Abdel-Moniem, Ola Mohammed Ibrahim Fahmy, Rehab Khalil Safy

Abstract readComparative Study
In one paragraph

Article in BMC oral health, 2026. 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

3 authors.

Mostafa Nasser Abdel-MoniemDepartment of Conservative Dentistry, Faculty of Dentistry, Suez Canal University, Ismailia, Egypt. Mostafa_nasser@dent.suez.edu.eg.
Ola Mohammed Ibrahim FahmyDepartment of Conservative Dentistry, Faculty of Oral and Dental Medicine Dentistry, Misr International University, Cairo, Egypt.
Rehab Khalil SafyDepartment of Conservative Dentistry, Faculty of Dentistry, Suez Canal University, Ismailia, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study investigated the fracture resistance and mode of failure of CAD/CAM milled versus 3D printed resin composite inlays under the influence of thermocycling. MATERIALS AND

methodsBrilliant Crios CAD/CAM milled and Crowntec 3D printed resin composite materials were used in this study. Twenty sound freshly extracted human mandibular third molars were selected for this study and randomly divided based on manufacturing technique into two groups: CAD/CAM milled, and 3D printed resin composite inlays. A universal testing machine was used to estimate the fracture resistance, and the mode of failure was investigated for fractured specimens. Inferential statistics for evaluating and comparing milling and 3D-printed manufacturing techniques were carried out via independent samples t tests at the 0.05 significance level.

resultsWhile the 3D printing group recorded numerically higher fracture resistance, no statistically significant difference was found (p > 0.05). Evaluating the mode of failure of the CAD/CAM milling group specimens revealed that there was no significant difference between all the recorded failure modes (P > 0.05). On the other hand, a significant difference was revealed between the different recorded modes of failure in the 3D printing group (P < 0.05).

conclusionsBoth 3D-printed, and CAD/CAM milled resin inlays had comparable fracture resistance that exceeded the physiological masticatory force in molar region; however, most of the failure modes recorded for both materials were irreparable failures involving more than half of the tooth and extending below the CEJ. CLINICAL SIGNIFICANCE: 3D printed resin composite material is a promising option in fabrication of indirect restorations with lower cost and more time saving. Long term clinical studies are recommended to evaluate clinical performance of 3D printed resin composite materials.

Indexed as

Composite ResinsComputer-Aided DesignDental Restoration FailureInlaysPrinting, Three-DimensionalDental Stress AnalysisHumansIn Vitro TechniquesMaterials TestingComposite Resins3D printingCAD/CAM millingFailure modeFracture resistanceMOD inlay

Identifiers

PMID41862866
PMCPMC13064180

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