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Updated: Oct 9, 2026
Quasistatic Mechanical Testing for Computer-Aided Design and Manufacturing Occlusal Veneers Cemented to Milled Dentin Analog Material
Published on: December 20, 2024
In vitro comparison of resin cement bond strength to milled and 3D-printed resins
Jason Tupper1, Daranee Tantbirojn2, Wainscott Hollis1
1Department of Prosthodontics, College of Dentistry, University of Tennessee Health Science Center, 875 Union Avenue, Memphis, TN, 38103, USA.
Objective:
Contemporary minimally invasive strategies for fixed rehabilitation emphasize tooth structure preservation, with secure adhesion between thin restorations and resin cement vital to avoid failure. This study compares bond strengths of a common resin cement to 4 modern milling and 3D-printing resin-based restorative materials, with conventional lithium disilicate as control.
Methods:
Rectangular beams (12.5 mm × 2 mm × 2 mm) were pressed (EMX: IPS e.Max Press), milled (TET: Tetric CAD; LAV: Lava Ultimate), or 3D-printed (PRO: Straumann P Pro Crown&Bridge; SPR: SprintRay Ceramic Crown). After surface-treatment following manufacturer's recommendations and application of universal adhesive, including on the lithium disilicate control, beams were cemented with RelyX Universal, forming 25 mm-long specimens. Specimens (n = 15) were subjected to a 4-point bend test after 24 h or artificial-aging with thermocycling. Bond strengths were calculated and statistically analyzed using ANOVA and pairwise comparisons (α = 0.05).
Results:
Three of the 4 resins demonstrated significantly higher bond strengths (82-84 MPa) than the control (50 MPa); PRO was not significantly different (67 MPa). Aging significantly reduced the cement bond strength to the 2 milled materials (TET, LAV). Although the bond strength of PRO 3D-printed material did not significantly decrease following artificial aging, the majority of these specimens succumbed to cohesive failure. After thermocycling, additional tests using monolithic PRO beams confirmed a significant decrease in cohesive strength.
Conclusions:
Bond strength between resin cement and modern milled and 3D-printed resins were generally higher than the lithium disilicate control. Artificial aging tended to decrease bond strengths, except for SPR. Cohesive strength of PRO 3D-printed resin was significantly lower after artificial aging.
