Evidence map›Paper›PMID 42699689›Full record

ArticlePeerJ2026

Fracture load and failure patterns of zirconia and 3D-printed resin endocrowns: an

Okba Mahmoud, Muaiyed Mahmoud Buzayan, Selva Malar Munusamy, Aeman Elkezza, Eshamsul Sulaiman, Maysara Adnan Ibrahim

Abstract read
In one paragraph

Article in PeerJ, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Okba MahmoudCollege of Dentistry, Department of Clinical Sciences, Ajman University, Ajman, United Arab Emirates.
Muaiyed Mahmoud BuzayanDepartment of Restorative Dentistry, Faculty of Dentistry, Universiti Malaya, Kuala Lumpur, Malaysia.
Selva Malar MunusamyDepartment of Restorative Dentistry, Faculty of Dentistry, Universiti Malaya, Kuala Lumpur, Malaysia.
Aeman ElkezzaDepartment of Restorative Dentistry, Faculty of Dentistry, Universiti Malaya, Kuala Lumpur, Malaysia.
Eshamsul SulaimanDepartment of Restorative Dentistry, Faculty of Dentistry, Universiti Malaya, Kuala Lumpur, Malaysia.
Maysara Adnan IbrahimDepartment of Restorative Dentistry, College of Dental Medicine University of Sharjah, Sharjah, United Arab Emirates.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Endodontically treated teeth are more prone to fracture and often require durable restorative solutions. Endocrowns offer a conservative alternative to conventional post-and-core systems. This Materials and methods: Eighteen extracted human molars were endodontically treated and standardized, then prepared for endocrown restorations using a uniform design (two mm occlusal reduction with a four mm intracoronal extension). Specimens were randomly assigned to receive either Computer-Aided Design (CAD)/ Computer-Aided Manufacturing (CAM) milled zirconia (ZR) or 3D-printed resin-based endocrowns fabricated from VarseoSmile Crown Plus (VS) ( Results: Statistical analysis revealed a highly significant difference in fracture load between the two groups ( Conclusion: The ZR group showed substantially higher fracture load, but failures more frequently involved tooth structure. VS group exhibited lower strength, yet a higher proportion of simple, potentially repairable fractures confined to the restoration, highlighting a tradeoff between maximum load capacity and repairability. Within the limitations of this

Indexed as

CrownsDental Restoration FailurePrinting, Three-DimensionalZirconiumComputer-Aided DesignDental Stress AnalysisHumansIn Vitro TechniquesMaterials TestingMolarZirconiumzirconium oxide3D-printingEndocrownFracture resistanceVarseoSmile Crown PlusZirconia

Identifiers

PMID42699689
PMCPMC13544117

What OpenQuestion holds

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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.