Comparative evaluation of fracture resistance of anterior provisional restorations fabricated using conventional and digital techniques – An in vitro study

Aim: Comparative evaluation of the fracture resistance of anterior provisional crowns fabricated by conventional and digital techniques. Settings and Design: Department of Prosthodontic, PGIDS, Rohtak, An in-vitro – Comparative study. Materials and Methods: Thirty recently extracted maxillary centra...

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Main Authors: Maqbul Alam, Anshul Chugh, Adarsh Kumar, Manu Rathee, Prachi Jain
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:The Journal of Indian Prosthodontic Society
Subjects:
Online Access:http://www.j-ips.org/article.asp?issn=0972-4052;year=2022;volume=22;issue=4;spage=361;epage=367;aulast=Alam
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author Maqbul Alam
Anshul Chugh
Adarsh Kumar
Manu Rathee
Prachi Jain
author_facet Maqbul Alam
Anshul Chugh
Adarsh Kumar
Manu Rathee
Prachi Jain
author_sort Maqbul Alam
collection DOAJ
description Aim: Comparative evaluation of the fracture resistance of anterior provisional crowns fabricated by conventional and digital techniques. Settings and Design: Department of Prosthodontic, PGIDS, Rohtak, An in-vitro – Comparative study. Materials and Methods: Thirty recently extracted maxillary central incisors were handpicked. Tooth preparation was done according to the principles of tooth preparation. A single-step impression technique was used for impression making of the prepared tooth and stone models were poured. Extracted teeth were divided into 3 groups (n = 10 each) based on provisional crown fabrication technique. A bis-acryl-based (Protemp 4 3M ESPE) resin was used to fabricate the provisional crowns by the conventional indirect technique. The rest of the stone models (20) were scanned using lab scanner (Dentsply Sirona InLab EOS X5). CAD/CAM provisional material (Dentsply Sirona multilayer PolyMethyl Methacrylate) PMMA disc was used for fabrication of provisional restoration through milling technique. 3D printed temporary provisional material (NextDent C&B resin) was utilized for 3D printed provisional crowns. Cementation of provisional crowns was done using eugenol free temporary luting cement (Templute, Prime dental). All cemented provisional crowns were subjected to load under Universal Testing Machine. The maximum load to produce fracture for each specimen was recorded in Newton (N). Statistical Analysis Used: Shapiro–Wilk test was employed to test the normality of data. Kruskal- Wallis Test was used to compare the mean fracture resistance between all the groups. For intergroup comparison Mann-Whitney U Test was used. Results: The mean fracture resistance of group I (Conventional technique) was found to be 558.8459700 ± 22.33 N; for group II (CAD/CAM technique) 960.8427200 ± 37.49 N and for group III (3D Printed technique) 1243.1774000 ± 68.18 N. Group I had the least fracture resistance value while group III showed maximum value. Conclusion: Provisional crowns fabricated using 3-D printing technique showed higher fracture resistance followed by CAD/CAM technique and conventional technique. Additive manufacturing of provisional crowns using 3-D printing technique could be considered a reliable and conservative method for the fabrication of stronger provisional restorations.
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spelling doaj.art-1af47b0eb8004f6ea1d532641d8ac9642022-12-22T04:14:10ZengWolters Kluwer Medknow PublicationsThe Journal of Indian Prosthodontic Society0972-40521998-40572022-01-0122436136710.4103/jips.jips_547_21Comparative evaluation of fracture resistance of anterior provisional restorations fabricated using conventional and digital techniques – An in vitro studyMaqbul AlamAnshul ChughAdarsh KumarManu RatheePrachi JainAim: Comparative evaluation of the fracture resistance of anterior provisional crowns fabricated by conventional and digital techniques. Settings and Design: Department of Prosthodontic, PGIDS, Rohtak, An in-vitro – Comparative study. Materials and Methods: Thirty recently extracted maxillary central incisors were handpicked. Tooth preparation was done according to the principles of tooth preparation. A single-step impression technique was used for impression making of the prepared tooth and stone models were poured. Extracted teeth were divided into 3 groups (n = 10 each) based on provisional crown fabrication technique. A bis-acryl-based (Protemp 4 3M ESPE) resin was used to fabricate the provisional crowns by the conventional indirect technique. The rest of the stone models (20) were scanned using lab scanner (Dentsply Sirona InLab EOS X5). CAD/CAM provisional material (Dentsply Sirona multilayer PolyMethyl Methacrylate) PMMA disc was used for fabrication of provisional restoration through milling technique. 3D printed temporary provisional material (NextDent C&B resin) was utilized for 3D printed provisional crowns. Cementation of provisional crowns was done using eugenol free temporary luting cement (Templute, Prime dental). All cemented provisional crowns were subjected to load under Universal Testing Machine. The maximum load to produce fracture for each specimen was recorded in Newton (N). Statistical Analysis Used: Shapiro–Wilk test was employed to test the normality of data. Kruskal- Wallis Test was used to compare the mean fracture resistance between all the groups. For intergroup comparison Mann-Whitney U Test was used. Results: The mean fracture resistance of group I (Conventional technique) was found to be 558.8459700 ± 22.33 N; for group II (CAD/CAM technique) 960.8427200 ± 37.49 N and for group III (3D Printed technique) 1243.1774000 ± 68.18 N. Group I had the least fracture resistance value while group III showed maximum value. Conclusion: Provisional crowns fabricated using 3-D printing technique showed higher fracture resistance followed by CAD/CAM technique and conventional technique. Additive manufacturing of provisional crowns using 3-D printing technique could be considered a reliable and conservative method for the fabrication of stronger provisional restorations.http://www.j-ips.org/article.asp?issn=0972-4052;year=2022;volume=22;issue=4;spage=361;epage=367;aulast=Alamcomputer-aided design and computer/aided manufacturing technologyfracture resistanceprovisional restorationthree-dimensional printing
spellingShingle Maqbul Alam
Anshul Chugh
Adarsh Kumar
Manu Rathee
Prachi Jain
Comparative evaluation of fracture resistance of anterior provisional restorations fabricated using conventional and digital techniques – An in vitro study
The Journal of Indian Prosthodontic Society
computer-aided design and computer/aided manufacturing technology
fracture resistance
provisional restoration
three-dimensional printing
title Comparative evaluation of fracture resistance of anterior provisional restorations fabricated using conventional and digital techniques – An in vitro study
title_full Comparative evaluation of fracture resistance of anterior provisional restorations fabricated using conventional and digital techniques – An in vitro study
title_fullStr Comparative evaluation of fracture resistance of anterior provisional restorations fabricated using conventional and digital techniques – An in vitro study
title_full_unstemmed Comparative evaluation of fracture resistance of anterior provisional restorations fabricated using conventional and digital techniques – An in vitro study
title_short Comparative evaluation of fracture resistance of anterior provisional restorations fabricated using conventional and digital techniques – An in vitro study
title_sort comparative evaluation of fracture resistance of anterior provisional restorations fabricated using conventional and digital techniques an in vitro study
topic computer-aided design and computer/aided manufacturing technology
fracture resistance
provisional restoration
three-dimensional printing
url http://www.j-ips.org/article.asp?issn=0972-4052;year=2022;volume=22;issue=4;spage=361;epage=367;aulast=Alam
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AT anshulchugh comparativeevaluationoffractureresistanceofanteriorprovisionalrestorationsfabricatedusingconventionalanddigitaltechniquesaninvitrostudy
AT adarshkumar comparativeevaluationoffractureresistanceofanteriorprovisionalrestorationsfabricatedusingconventionalanddigitaltechniquesaninvitrostudy
AT manurathee comparativeevaluationoffractureresistanceofanteriorprovisionalrestorationsfabricatedusingconventionalanddigitaltechniquesaninvitrostudy
AT prachijain comparativeevaluationoffractureresistanceofanteriorprovisionalrestorationsfabricatedusingconventionalanddigitaltechniquesaninvitrostudy