In-Vitro Comparison of Fracture Strength of Endocrowns and Overlays in Endodontically Treated Teeth Manufactured with Monolithic Lithium Disilicate and Zirconia

To evaluate the fracture strength and the failure mode of endodontically treated molars restored with monolithic lithium disilicate and zirconia endocrowns and overlays. A total of 48 extracted mandibular molars were endodontically treated, decoronated 2 mm above the cementoenamel junction and divid...

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Main Authors: Maya Veselinova, Sofia Diamantopoulou, Chariklia Paximada, Efstratios Papazoglou
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Journal of Functional Biomaterials
Subjects:
Online Access:https://www.mdpi.com/2079-4983/14/8/422
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author Maya Veselinova
Sofia Diamantopoulou
Chariklia Paximada
Efstratios Papazoglou
author_facet Maya Veselinova
Sofia Diamantopoulou
Chariklia Paximada
Efstratios Papazoglou
author_sort Maya Veselinova
collection DOAJ
description To evaluate the fracture strength and the failure mode of endodontically treated molars restored with monolithic lithium disilicate and zirconia endocrowns and overlays. A total of 48 extracted mandibular molars were endodontically treated, decoronated 2 mm above the cementoenamel junction and divided into four 12-specimen groups. Group ELD: lithium disilicate endocrowns. Group EZ: monolithic zirconia endocrowns. Group OLD: lithium disilicate overlays. Group OZ: monolithic zirconia overlays. Overlays did not extend in the pulp chamber and endocrowns extended in the pulp chamber 2 mm. After adhesive bonding of the restorations, the specimens were subjected to thermocycling (×5000 cycles) and then to fracture resistance testing at lateral static loading (1 mm/min) at a universal testing machine. The failure mode of the specimens was qualitatively evaluated. Differences in means were compared using with t-tests for independent samples or Mann–Whitney test (<i>p</i> < 0.05). Weibull distribution analysis was also performed. Group ELD showed significantly higher fracture strength than all other groups (<i>p</i> = 0.001), and the highest Weibull modulus. Conclusions: Lithium disilicate endocrowns exhibit higher fracture strength and are more reliable compared to the other types of restorations examined. Endocrowns had more catastrophic failures compared to overlays.
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spelling doaj.art-81ecde53b7e648ee94cef314066660e72023-11-19T01:43:17ZengMDPI AGJournal of Functional Biomaterials2079-49832023-08-0114842210.3390/jfb14080422In-Vitro Comparison of Fracture Strength of Endocrowns and Overlays in Endodontically Treated Teeth Manufactured with Monolithic Lithium Disilicate and ZirconiaMaya Veselinova0Sofia Diamantopoulou1Chariklia Paximada2Efstratios Papazoglou3Department of Operative Dentistry, National and Kapodistrian University of Athens, 11527 Athens, GreeceDepartment of Operative Dentistry, National and Kapodistrian University of Athens, 11527 Athens, GreeceDepartment of Operative Dentistry, National and Kapodistrian University of Athens, 11527 Athens, GreeceDepartment of Operative Dentistry, National and Kapodistrian University of Athens, 11527 Athens, GreeceTo evaluate the fracture strength and the failure mode of endodontically treated molars restored with monolithic lithium disilicate and zirconia endocrowns and overlays. A total of 48 extracted mandibular molars were endodontically treated, decoronated 2 mm above the cementoenamel junction and divided into four 12-specimen groups. Group ELD: lithium disilicate endocrowns. Group EZ: monolithic zirconia endocrowns. Group OLD: lithium disilicate overlays. Group OZ: monolithic zirconia overlays. Overlays did not extend in the pulp chamber and endocrowns extended in the pulp chamber 2 mm. After adhesive bonding of the restorations, the specimens were subjected to thermocycling (×5000 cycles) and then to fracture resistance testing at lateral static loading (1 mm/min) at a universal testing machine. The failure mode of the specimens was qualitatively evaluated. Differences in means were compared using with t-tests for independent samples or Mann–Whitney test (<i>p</i> < 0.05). Weibull distribution analysis was also performed. Group ELD showed significantly higher fracture strength than all other groups (<i>p</i> = 0.001), and the highest Weibull modulus. Conclusions: Lithium disilicate endocrowns exhibit higher fracture strength and are more reliable compared to the other types of restorations examined. Endocrowns had more catastrophic failures compared to overlays.https://www.mdpi.com/2079-4983/14/8/422endocrownsoverlaysmonolithic lithium disilicatemonolithic zirconia
spellingShingle Maya Veselinova
Sofia Diamantopoulou
Chariklia Paximada
Efstratios Papazoglou
In-Vitro Comparison of Fracture Strength of Endocrowns and Overlays in Endodontically Treated Teeth Manufactured with Monolithic Lithium Disilicate and Zirconia
Journal of Functional Biomaterials
endocrowns
overlays
monolithic lithium disilicate
monolithic zirconia
title In-Vitro Comparison of Fracture Strength of Endocrowns and Overlays in Endodontically Treated Teeth Manufactured with Monolithic Lithium Disilicate and Zirconia
title_full In-Vitro Comparison of Fracture Strength of Endocrowns and Overlays in Endodontically Treated Teeth Manufactured with Monolithic Lithium Disilicate and Zirconia
title_fullStr In-Vitro Comparison of Fracture Strength of Endocrowns and Overlays in Endodontically Treated Teeth Manufactured with Monolithic Lithium Disilicate and Zirconia
title_full_unstemmed In-Vitro Comparison of Fracture Strength of Endocrowns and Overlays in Endodontically Treated Teeth Manufactured with Monolithic Lithium Disilicate and Zirconia
title_short In-Vitro Comparison of Fracture Strength of Endocrowns and Overlays in Endodontically Treated Teeth Manufactured with Monolithic Lithium Disilicate and Zirconia
title_sort in vitro comparison of fracture strength of endocrowns and overlays in endodontically treated teeth manufactured with monolithic lithium disilicate and zirconia
topic endocrowns
overlays
monolithic lithium disilicate
monolithic zirconia
url https://www.mdpi.com/2079-4983/14/8/422
work_keys_str_mv AT mayaveselinova invitrocomparisonoffracturestrengthofendocrownsandoverlaysinendodonticallytreatedteethmanufacturedwithmonolithiclithiumdisilicateandzirconia
AT sofiadiamantopoulou invitrocomparisonoffracturestrengthofendocrownsandoverlaysinendodonticallytreatedteethmanufacturedwithmonolithiclithiumdisilicateandzirconia
AT charikliapaximada invitrocomparisonoffracturestrengthofendocrownsandoverlaysinendodonticallytreatedteethmanufacturedwithmonolithiclithiumdisilicateandzirconia
AT efstratiospapazoglou invitrocomparisonoffracturestrengthofendocrownsandoverlaysinendodonticallytreatedteethmanufacturedwithmonolithiclithiumdisilicateandzirconia