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"CAD-on" Interfaces - Fracture Mechanics Characterization.

Peter David Walker1, N Dorin Ruse2

  • 1Health Services Centre Atlantic, Canadian Forces Health Services Centre Atlantic, Halifax, Nova Scotia, Canada.

Journal of Prosthodontics : Official Journal of the American College of Prosthodontists
|October 12, 2019
PubMed
Summary

This study compared the strength of new dental crown bonding methods using computer-aided design and manufacturing (CAD-on) with traditional techniques. Researchers tested how well these crowns resist cracking by measuring their fracture toughness. They found that CAD-on crowns, which use a fusing glass layer to bond ceramic and zirconia parts, were stronger than the older press-on method. The fusing glass layer was the main site of failure, and the number of defects in it affected the results. The study concluded that CAD-on crowns may be a better option for dental restorations, but more clinical testing is needed to confirm this.

Keywords:
CAD/CAMfractographyfracture mechanicsglass-ceramic“CAD-on”dental crown bondingCAD-on interface testingfracture mechanics in dentistryzirconia ceramic strength

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Area of Science:

  • Dental materials science
  • Fracture mechanics in restorative dentistry
  • CAD/CAM dental prosthetics

Background:

Current dental restoration techniques rely on the mechanical properties of materials to ensure long-term durability. While conventional veneering methods are widely used, recent advancements in computer-aided design and manufacturing (CAD/CAM) have introduced new bonding approaches. Prior research has shown that the interface between ceramic veneers and zirconia frameworks is critical for structural integrity. However, the fracture behavior of these new interfaces remains underexplored. No prior work had resolved the specific fracture toughness values for CAD-on interfaces. This gap motivated the need for a systematic evaluation of interfacial strength in these systems. Existing methods for measuring fracture toughness have not been fully adapted to dental composite structures. The need for standardized testing protocols in dental materials remains a challenge. This study aimed to address these limitations through a controlled experimental design.

Purpose Of The Study:

This study aimed to assess the interfacial fracture toughness of CAD-on dental crowns. The focus was on the bonding between lithium disilicate veneers and zirconia frameworks. The objective was to compare the mechanical performance of CAD-on interfaces with conventional methods. The motivation was to determine whether CAD-on technology provides superior bonding strength. The researchers proposed that the fusing glass layer plays a key role in interface stability. The study sought to quantify the variability in fracture toughness values. The goal was to evaluate the clinical relevance of these findings. The researchers aimed to provide evidence to support or challenge the adoption of CAD-on techniques.

Main Methods:

The notchless triangular prism (NTP) test was selected to evaluate interfacial fracture toughness. Four experimental groups were created with prismatic specimens of defined dimensions. Lithium disilicate and zirconia components were milled according to manufacturer specifications. The fusing glass was applied using a vibration-assisted method to simulate clinical conditions. Specimens were sintered under controlled conditions to form the interfaces. A control group was prepared using the traditional press-on technique. All samples were subjected to mechanical testing using a computer-controlled machine. Fractured surfaces were analyzed with light and scanning electron microscopy to assess failure modes.

Main Results:

All experimental groups showed cohesive failure within the fusing glass layer. The fracture toughness values varied across the groups, with no significant differences between the CAD-on interfaces. The mean fracture toughness for Group III was 2.4 MPa√m, while Group IV had a mean of 1.8 MPa√m. The Weibull analysis indicated a high degree of variability in the results. The number and size of defects in the fusing glass correlated with the observed variability. The control group (Group IV) demonstrated significantly lower fracture toughness than Group III. The researchers proposed that the fusing glass layer limits the overall interfacial strength. The results suggested that CAD-on interfaces provide stronger bonding than conventional press-on methods.

Conclusions:

The study found that CAD-on interfaces exhibit higher fracture toughness than traditional press-on techniques. The fusing glass layer was identified as a critical factor in determining interfacial strength. The results supported the hypothesis that CAD-on bonding is mechanically superior. The researchers proposed that the absence of significant differences between CAD-on groups indicates consistent performance. The variability in results was attributed to defects in the fusing glass. The findings suggested that CAD-on crowns may offer clinical advantages in terms of durability. The authors emphasized the need for further clinical validation of these results. The study concluded that CAD-on technology could be a viable alternative to conventional veneering methods.

The study found that CAD-on interfaces have higher fracture toughness than conventional press-on methods.

Lithium disilicate veneers and yttrium oxide stabilized tetragonal zirconia frameworks were used.

To assess the number and size of defects that may affect fracture toughness values.

The fusing glass was identified as the layer where cohesive failure occurred in all experimental groups.

The CAD-on group had a mean of 2.4 MPa√m, while the control had 1.8 MPa√m.

The authors suggested that CAD-on crowns may offer improved bonding strength and durability.