Evidence map›Paper›PMID 42187358›Full record

ArticleBiomimetics (Basel, Switzerland)2026

Fracture Resistance of CAD/CAM Resin-Matrix Ceramic Overlays and Full-Coverage Crowns for Maxillary Premolars.

Ali Abulkasim Mohamed, Brian Morrow, Stella Mireles, Carlos A Jurado, Mark A Antal, Silvia Rojas-Rueda, Hamid Nurrohman, Franklin Garcia-Godoy

Abstract read
In one paragraph

Article in Biomimetics (Basel, Switzerland), 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

8 authors.

Ali Abulkasim MohamedDivision of Operative Dentistry, Department of General Dentistry, College of Dentistry, University of Tennessee Health Science Center, Memphis, TN 38103, USA.
Brian MorrowDepartment of Bioscience Research, College of Dentistry, The University of Tennessee Health Science Center, Memphis, TN 38163, USA.ORCID 0000-0001-6649-0338
Stella MirelesCollege of Dentistry, University of Tennessee Health Science Center, Memphis, TN 38103, USA.
Carlos A JuradoDivision of Operative Dentistry, Department of General Dentistry, College of Dentistry, University of Tennessee Health Science Center, Memphis, TN 38103, USA.ORCID 0000-0001-7437-4855
Mark A AntalDepartment of Operative and Esthetic Dentistry, Faculty of Dentistry, University of Szeged, 6720 Szeged, Hungary.ORCID 0000-0002-4109-9356
Silvia Rojas-RuedaSchool of Dental Medicine, Ponce Health Sciences University, Ponce 00732, Puerto Rico.ORCID 0009-0003-3245-5245
Hamid NurrohmanDepartment of Restorative Dentistry & Prosthodontics, The University of Texas School of Dentistry, Houston, TX 77054, USA.
Franklin Garcia-GodoyDepartment of Bioscience Research, College of Dentistry, The University of Tennessee Health Science Center, Memphis, TN 38163, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCAD-CAM technology enables biomimetic dentistry by producing highly accurate, minimally invasive restorations that replicate the biomechanical behavior of intact teeth. This study evaluated the fracture resistance of overlays with margins at different supragingival levels, including a flat occlusal design and compared them with conventional full crowns. All restorations were fabricated from chairside CAD/CAM resin-matrix ceramic for maxillary premolars. METHODS AND MATERIALS: Sixty-four CAD/CAM resin-matrix ceramic restorations were fabricated and randomly assigned to four groups (n = 16): (1) overlay with a margin 2 mm above the gingiva (Ov2m); (2) overlay with a 4 mm supragingival margin (Ov4m); (3) overlay with a 4 mm margin and flat occlusal surface (OvF4m); and (4) full-coverage crown with a gingival-level margin (FCC). Preparations were standardized by one operator. Restorations were adhesively cemented to resin dies, thermocycled 10,000 times (5-55 °C), and loaded to failure in a universal testing machine (1 mm/min). Data were analyzed using one-way ANOVA and post hoc tests (α = 0.001).

resultsAmong overlays, Ov2m showed the highest fracture resistance (1605 ± 88 N), followed by Ov4m (1403 ± 63 N). OvF4m recorded the lowest value (1257 ± 73 N). FCC exhibited the greatest overall resistance (1838 ± 106 N), significantly higher than that of any overlay group.

conclusionsOverlays with margins 2 mm above the gingiva had higher fracture resistance than those with more coronal margins or flat occlusal designs. Full-coverage crowns showed the greatest strength, highlighting the impact of margin position and preparation design on restoration performance.

Indexed as

CAD-CAMcrownsoverlaypartial crownspremolarresin-matrix ceramic

Identifiers

PMID42187358
PMCPMC13204123

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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.