Fracture Resistance of Monolithic Glass-Ceramics Versus Bilayered Zirconia-Based Restorations
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Updated: Feb 20, 2026
Quasistatic Mechanical Testing for Computer-Aided Design and Manufacturing Occlusal Veneers Cemented to Milled Dentin Analog Material
Published on: December 20, 2024
Tamer A Hamza1, Rana M Sherif2
1Department of Crowns and Fixed Prosthodontics, Faculty of Oral and Dental Medicine, Misr International University, Cairo, Egypt.
Purpose:
To compare the fracture resistance of monolithic reinforced glass-ceramic restorations with bilayer zirconia-based restorations.
Materials And Methods:
Fifteen ceramic crowns were fabricated on epoxy dies duplicated from a stainless steel master die. They were divided into 3 equal groups (n = 5) according to the type of ceramic material used: group I, monolithic lithium disilicate (IPS e.max CAD), group V, monolithic zirconia-reinforced lithium silicate (Vita Suprinity), and group B (bilayered zirconia substructure with veneering ceramic). All specimens were cemented on epoxy dies with a self-adhesive resin cement (Rely X Unicem), subjected to a chewing simulator, and then loaded until fracture in a universal testing machine. The results were tabulated and statistically analyzed using one-way ANOVA to compare among the 3 materials. The Bonferroni post hoc test was used for pairwise comparisons when the ANOVA test was significant.
Results:
Zirconia-reinforced lithium silicate (Vita Suprinity) crowns showed the highest statistically significant (p < 0.05) mean fracture resistance values (1742.9 ± 102.7 N), followed by lithium disilicate (IPS e.max CAD) (1565.2 ± 89.7 N). Bilayered zirconia-based crowns showed the lowest statistically significantly mean fracture resistance values (1267.8 ± 86.1 N).
Conclusions:
Monolithic reinforced glass-ceramics (lithium disilicate and zirconia-reinforced lithium silicate) have better fracture resistance than bilayered zirconia-based ceramics.
Clinical Implications:
The use of monolithic reinforced ceramic restorations (lithium disilicate and zirconia-reinforced lithium silicate) is preferred to bilayered zirconia-based restorations to avoid chipping of the ceramic veneer.
