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Related Experiment Video

Updated: May 5, 2026

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

Published on: December 20, 2024

955

Mechanical Performance of a Monolithic 3D-Printed Orthodontic Bracket-Crown System: An In-Vitro Study.

Selcen Eser Mısır1, Serkan Görgülü1, Simel Ayyıldız1

  • 1Department of Orthodontics, Gulhane Faculty of Dental Medicine, University of Health Sciences, 06018 Ankara, Turkey.

Materials (Basel, Switzerland)
|May 4, 2026
PubMed
Summary

A novel monolithic prosthetic design demonstrated superior structural resistance compared to traditional methods. This 3D-printed approach offers a durable alternative for orthodontic-prosthetic integration, especially when conventional bonding is challenging.

Keywords:
additive manufacturingdigital workflowmonolithic restorationorthodontic attachmentshear bond strength

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Area of Science:

  • Biomaterials Engineering
  • Dental Prosthetics
  • Orthodontics

Background:

  • Conventional orthodontic treatments often rely on bonded attachments, which can be prone to failure.
  • Digital fabrication offers new possibilities for integrated prosthetic and orthodontic solutions.
  • Evaluating the mechanical resistance of novel designs is crucial for clinical application.

Purpose of the Study:

  • To assess the load-bearing capacity of a new monolithic prosthetic design with integrated orthodontic components.
  • To compare the structural resistance of this novel design against conventional porcelain crowns and natural teeth.
  • To determine the clinical feasibility of a fully digital, patient-specific orthodontic-prosthetic workflow.

Main Methods:

  • Sixty-six specimens were divided into three groups: monolithic 3D-printed copings, porcelain crowns with bonded attachments, and natural teeth with bonded attachments.
  • Specimens included premolar (bracket) and molar (tube) subgroups.
  • Shear loading tests were performed using a universal testing machine to measure resistance.

Main Results:

  • The monolithic group exhibited significantly higher structural resistance (92.56 ± 63.88 MPa) compared to other groups (p < 0.001).
  • No significant differences in resistance were found between porcelain crowns and natural teeth.
  • All tested values exceeded the clinically acceptable threshold for resistance.

Conclusions:

  • Eliminating the adhesive interface in monolithic designs enhances structural integrity under shear forces.
  • This novel monolithic orthodontic-prosthetic approach presents a viable alternative to conventional bonding.
  • The design supports a fully digital, patient-specific workflow, integrating with scanner libraries.