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Related Experiment Video

Updated: Sep 7, 2025

Quasistatic Mechanical Testing for Computer-Aided Design and Manufacturing Occlusal Veneers Cemented to Milled Dentin Analog Material
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Quasistatic Mechanical Testing for Computer-Aided Design and Manufacturing Occlusal Veneers Cemented to Milled Dentin Analog Material

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A Completely Digital Workflow for Nanoceramic Endocrowns: A 5-Year Prospective Study.

Valentin Vervack, Filip Keulemans, Geert Hommez

    The International Journal of Prosthodontics
    |June 21, 2022
    PubMed
    Summary

    Monolithic endocrowns fabricated digitally show acceptable survival rates after five years. However, a high complication rate, including fractures and debonding, was observed in this study.

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    Area of Science:

    • Dentistry
    • Dental Materials
    • Digital Dentistry

    Background:

    • Endocrowns are an alternative to traditional crowns for restoring devitalized teeth.
    • Digital workflows offer potential advantages in fabrication and fit.

    Purpose of the Study:

    • To evaluate the clinical success and survival rates of monolithic endocrowns fabricated using a digital workflow.
    • To assess complications associated with these restorations over a 5-year period.

    Main Methods:

    • Twenty-three patients received monolithic endocrowns made from resin composite or polymer-infiltrated ceramic.
    • Intraoral scanning and digital fabrication were employed.
    • Restorations were evaluated clinically and radiographically for 5 years using USPHS criteria.

    Main Results:

    • After 5 years, the restorative success rate was 70.8%, with survival rates of 87.5% for restorations and 91.6% for teeth.
    • Complications included chippings, fractures, and debonding, particularly with certain materials.
    • Two teeth were extracted due to secondary caries and root fracture.

    Conclusions:

    • Digitally fabricated nanoceramic endocrowns demonstrate an acceptable 5-year survival rate.
    • A significant complication rate necessitates further investigation and material refinement.