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Reliability and failure behavior of CAD-on fixed partial dentures.

G R Basso1, R R Moraes1, M Borba2

  • 1School of Dentistry, Federal University of Pelotas, Rua Gonçalves Chaves 457, CEP 96015-560, Pelotas, RS, Brazil.

Dental Materials : Official Publication of the Academy of Dental Materials
|February 22, 2016
PubMed
Summary

This study assessed the reliability of CAD-on fixed partial dentures (FPDs). Testing methods significantly impacted FPD reliability but not failure modes, indicating crucial considerations for material selection and design.

Keywords:
Dental ceramicsFatigueLithium disilicateStep stressZirconia

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Area of Science:

  • Biomaterials Science
  • Dental Materials
  • Mechanical Engineering

Background:

  • The CAD-on technique offers a method for fabricating fixed partial dentures (FPDs).
  • Understanding the reliability and failure mechanisms of these restorations is crucial for clinical success.

Purpose of the Study:

  • To estimate the reliability and failure behavior of FPDs fabricated using the CAD-on technique.
  • To compare failure modes under different testing conditions (fast fracture vs. fatigue).

Main Methods:

  • Twenty-five three-unit FPDs were fabricated using CAD/CAM with IPS e.max materials.
  • Mechanical fatigue testing was performed using cyclic loading, with data analyzed via Weibull cumulative damage models.
  • Failure modes were examined using field emission scanning electron microscopy.

Main Results:

  • Porcelain chipping was the primary failure mode in fast fracture tests (60%), while connector failure dominated fatigue tests (67%).
  • Weibull modulus (β) values were higher for fast fracture data (7.8 combined, 7.9 for chipping, 2.9 for connector fracture).
  • Fatigue testing yielded lower β values (1.6 for connector fracture, 1.3 for chipping) compared to fast fracture estimates.

Conclusions:

  • The testing methodology (fast fracture or fatigue) significantly influenced the estimated reliability of CAD-on FPDs.
  • However, the testing method did not alter the fundamental failure behavior observed in these FPDs.
  • These findings highlight the importance of considering test conditions when evaluating the durability of CAD-on FPDs.