Abstract

Objective: Evaluation of wear behavior of computer-aided design/computer-aided manufacturing (CAD/CAM) crowns from various restorative materials and natural antagonists. Method: Full CAD/CAM crowns fabricated with nanoceramic resin (Lava Ultimate (LU)), a glass ceramic in a resin interpenetrating matrix (Vita Enamic (VE)) and a lithium silicate reinforced ceramic enriched with zirconia (Vita Suprinity (VS)) were cemented on human molars. The crown and antagonists were subjected to simulated chewing. 3D data sets, before and after the chewing simulation, were generated and matched. Occlusal surface roughness, vertical and volume loss of the crowns and antagonists were analyzed. Results: Crown roughness was significantly different between the LU and VE groups after chewing simulation. Crown vertical loss differed in all groups. The highest crown volume loss was found in the LU group, and the lowest in the VE group. Comparisons between the LU and VE groups and the LU and VS groups were significantly different. The highest antagonist volume loss was reached in the VE group, the lowest was in the LU group. Conclusion: Roughness increased after chewing simulation. LU crowns are the most natural antagonist-friendly; these were the most susceptible to vertical and volume loss. Of the tested materials, the VE crowns are the most stable regarding occlusion.

Highlights

  • Engineering, physics, and material science have contributed to the technological developments for the progress of modern health care [1]

  • The highest antagonist volume loss was reached in the VE group, the lowest was in the LU group

  • The two key technologies that opened new possibilities for restorative dentistry are the development of dental materials on the ceramic base and computer-aided design/computer-aided manufacturing (CAD/CAM) [2,3]

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Summary

Introduction

Engineering, physics, and material science have contributed to the technological developments for the progress of modern health care [1]. The two key technologies that opened new possibilities for restorative dentistry are the development of dental materials on the ceramic base and computer-aided design/computer-aided manufacturing (CAD/CAM) [2,3]. There are different types of CAD/CAM block ceramic-glass-polymer materials [4] with different compositions and physical properties: IPS empress leucite ceramic, e.max press lithium disilicate ceramic [5], lithium disilicate glass-ceramic [6,7,8], Y-TZP ceramic [9], heat-pressed lithium disilicate ceramic, feldspathic porcelain, glass ceramic [2,10], zirconia, lithium disilicate, feldspathic ceramic [11], nanoceramic [4], resin nanoceramic [4,6], zirconia-reinforced lithium silicate ceramic (Vita Suprinity) [7], and polymer infiltrated ceramic network (PICN) materials, called hybrid ceramics [4,12] or glass ceramic in a resin interpenetrating matrix (Vita Enamic) [13]

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