Abstract

Objective The aim of this in vitro study was to evaluate marginal adaptation and fracture strength of inlays produced by CEREC Omnicam using different types of blocs and heat-pressed technique. Methods: Seventy-five extracted human mandibular molars were divided randomly into 5 groups (n=15). 60 molars in four groups received MOD inlay preparations. Experimental groups were CO: Intact teeth, EC: IPS e.max CAD and CEREC, LU: Lava Ultimate and CEREC, EL: IPS Empress CAD and CEREC, EP: IPS Empress Esthetic ingots and heat-pressed technique. Marginal gap measurements were taken with a stereomicroscope. Restorations were cemented with Variolink N and stored in distilled water at 37°C for 24 hours. All samples were subjected to thermocycling. The fracture strength of specimens was determined at a 0.5 mm/min crosshead speed until fracture. Fracture modes were determined. Statistical analyses were performed using one-way analysis of variance for fracture strength data and Kruskal–Wallis for marginal gap data (p=0.05). Results The mean marginal gap size of EC, LU, EL, and EP were 33.54 µm, 33.77 µm, 34.23 µm, and 85.34 µm, respectively. EP had statistically higher values than other groups. The fracture strength values were significantly higher in the intact teeth group (3959,00 ± 1279,79 N) than those of restored groups EC (2408,00 ± 607,97 N), LU (2206,73 ± 675,16), EL (2573.27 ± 644,73) ve EP (2879,53 ± 897,30). Conclusion Inlays fabricated using CEREC Omnicam demonstrated better marginal adaptation than inlays produced with heat-pressed technique, whereas fracture strength values of inlays fabricated with different type of blocks using CEREC Omnicam exhibited similarity to those fabricated with heat-pressed technique.

Highlights

  • Multiple parameters influence the longevity of dental restorations such as material properties, patient’s health status, dentist’s experience, and fabrication methods [1]

  • A wide collection of ceramic materials has been available for both computer aided design and computer aided manufacturing (CAD/CAM) technology and heat-pressed technique, ranging

  • Noncarious, unrestored teeth were included in the study. ese teeth were randomly divided into four groups (n 15). e root of each tooth was embedded in an autopolymerizing acrylic resin (Meliodent, Heraeus Kulzer GmbH, Hanau, Germany) up to 2 mm below the cementoenamel junction

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Summary

Introduction

Multiple parameters influence the longevity of dental restorations such as material properties, patient’s health status, dentist’s experience, and fabrication methods [1]. Heat-pressed technique is one of the frequently used methods for making ceramic restorations. Fabricated machinable ceramics are produced for technician use in laboratory and clinician use for chair-side applications. Digital systems such as computer aided design and computer aided manufacturing (CAD/CAM) have evolved as an alternative for high-temperature injection molding using the lost-wax technique [4]. Restorations fabricated using industrially made CAD/CAM ceramic blocks have remarkably improved mechanical properties such as reduction in cracks and voids in comparison with restorations produced in laboratory [6]. A wide collection of ceramic materials has been available for both CAD/CAM technology and heat-pressed technique, ranging

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