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Quasistatic Mechanical Testing for Computer-Aided Design and Manufacturing Occlusal Veneers Cemented to Milled Dentin Analog Material
Published on: December 20, 2024
Biomechanical Evaluation of CAD/CAM Inlay Restorations Through Experimental Flexural Strength Testing and Finite
Omer Sagsoz1, Mehmet Yildiz2, Hojjat Ghahramanzadeh Asl3
1Department of Restorative Treatment, Faculty of Dentistry, Atatürk University, 25240 Erzurum, Türkiye.
Background:
This study aimed to investigate the biomechanical behavior of conservative inlay restorations fabricated from different CAD/CAM materials by combining experimental flexural strength testing with finite element analysis.
Methods:
Five CAD/CAM materials were evaluated: feldspathic ceramic (Cerec Blocs), leucite-reinforced ceramic (IPS Empress CAD), resin nano-ceramic (Lava Ultimate), polymer-infiltrated ceramic network (VITA Enamic), and lithium disilicate ceramic (IPS e.max CAD). Young's modulus and Poisson's ratio were experimentally determined using three-point bending and nanoindentation tests and used as inputs for 3D FEA. Von Mises (VM) stress distributions within the inlays were analyzed under simulated occlusal loading.
Results:
Maximum VM stresses showed an inverse relationship with material elasticity. IPS e.max CAD exhibited the highest maximum VM stress (45.571 MPa), whereas the resin nano-ceramic showed the lowest (25.419 MPa). Despite higher stress concentrations in high-modulus ceramics, VM values for all materials remained well below their FS limits.
Conclusions:
All materials demonstrated adequate mechanical stability under physiological loading. Lithium disilicate showed a comparatively larger margin between stress levels and flexural strength, while lower-modulus materials tended to promote greater stress transfer to supporting structures.

