Marginal adaptation and fracture resistance of virgilite-based occlusal veneers with varying thickness
Abstract Statement of problem CAD/CAM occlusal veneers have been developed for minimally invasive prosthetic restoration of eroded teeth. Marginal adaptation and fracture resistance are crucial for the long-term survivability and clinical success of such restorations. Virgilite-based lithium disilic...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-03-01
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| Series: | BMC Oral Health |
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| Online Access: | https://doi.org/10.1186/s12903-024-04071-6 |
| _version_ | 1797273063163691008 |
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| author | Amr Rizk Jylan El-Guindy Ahmed Abdou Reem Ashraf Citra Kusumasari Farid Emad Eldin |
| author_facet | Amr Rizk Jylan El-Guindy Ahmed Abdou Reem Ashraf Citra Kusumasari Farid Emad Eldin |
| author_sort | Amr Rizk |
| collection | DOAJ |
| description | Abstract Statement of problem CAD/CAM occlusal veneers have been developed for minimally invasive prosthetic restoration of eroded teeth. Marginal adaptation and fracture resistance are crucial for the long-term survivability and clinical success of such restorations. Virgilite-based lithium disilicate glass-ceramic is a newly introduced material with claims of high strength. However, constructing occlusal veneers from this material of varying thickness has not been investigated. Purpose The current study aimed to assess the impact of CAD/CAM occlusal veneer thickness and materials on marginal adaptation and fracture resistance. Materials and methods Thirty-two occlusal veneers were constructed and divided into two groups (n = 16) based on the CAD/CAM material into Brilliant Crios and CEREC Tessera. Each group was further subdivided into two subgroups (n = 8) according to the thickness: 0.6 and 0.9 mm. Occlusal veneers were bonded to epoxy resin dies. The marginal gap was evaluated before and after thermodynamic aging. Fracture resistance and failure mode were evaluated for the same samples after aging. Marginal adaptation was analyzed using the Mann-Whitney U test. Fracture resistance was analyzed using Weibull analysis (α = 0.05). Results The marginal gap was significantly increased following thermodynamic aging for tested groups (P < 0.001). CEREC Tessera showed a significantly higher marginal gap than Brilliant Crios before and after aging for both thicknesses (P < 0.05). CEREC Tessera recorded lower significant fracture load values compared to Brilliant Crios (P < 0.05). Conclusions Both CEREC Tessera and Brilliant Crios demonstrated clinically accepted marginal gap values. All groups showed fracture resistance values higher than the average masticatory forces in the premolar region except for 0.6 mm CEREC Tessera. Clinical implications Reinforced composite occlusal veneers demonstrated more favorable outcomes in terms of marginal gap and fracture resistance at both tested thicknesses compared to virgilite-based lithium disilicate glass-ceramic. Additionally, caution should be exercised during the construction of occlusal veneers from virgilite-based lithium disilicate glass-ceramic with reduced thickness. |
| first_indexed | 2024-03-07T14:38:12Z |
| format | Article |
| id | doaj.art-cd6ad9db2bae46508a02ba7a0bf0b9c1 |
| institution | Directory Open Access Journal |
| issn | 1472-6831 |
| language | English |
| last_indexed | 2024-03-07T14:38:12Z |
| publishDate | 2024-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj.art-cd6ad9db2bae46508a02ba7a0bf0b9c12024-03-05T20:33:17ZengBMCBMC Oral Health1472-68312024-03-012411810.1186/s12903-024-04071-6Marginal adaptation and fracture resistance of virgilite-based occlusal veneers with varying thicknessAmr Rizk0Jylan El-Guindy1Ahmed Abdou2Reem Ashraf3Citra Kusumasari4Farid Emad Eldin5Fixed Prosthodontics division, Department of Prosthetic Dentistry, Faculty of Dentistry, King Salman International UniversityFixed Prosthodontics division, Department of Prosthetic Dentistry, Faculty of Dentistry, King Salman International UniversityFaculty of Dentistry, Al-Ayen UniversityBiomaterials Division, Department of Prosthetic Dentistry, Faculty of Dentistry, King Salman International UniversityConservative Dentistry department, Faculty of Dentistry, Universitas IndonesiaFixed Prosthodontics department, Faculty of Dentistry, British University in EgyptAbstract Statement of problem CAD/CAM occlusal veneers have been developed for minimally invasive prosthetic restoration of eroded teeth. Marginal adaptation and fracture resistance are crucial for the long-term survivability and clinical success of such restorations. Virgilite-based lithium disilicate glass-ceramic is a newly introduced material with claims of high strength. However, constructing occlusal veneers from this material of varying thickness has not been investigated. Purpose The current study aimed to assess the impact of CAD/CAM occlusal veneer thickness and materials on marginal adaptation and fracture resistance. Materials and methods Thirty-two occlusal veneers were constructed and divided into two groups (n = 16) based on the CAD/CAM material into Brilliant Crios and CEREC Tessera. Each group was further subdivided into two subgroups (n = 8) according to the thickness: 0.6 and 0.9 mm. Occlusal veneers were bonded to epoxy resin dies. The marginal gap was evaluated before and after thermodynamic aging. Fracture resistance and failure mode were evaluated for the same samples after aging. Marginal adaptation was analyzed using the Mann-Whitney U test. Fracture resistance was analyzed using Weibull analysis (α = 0.05). Results The marginal gap was significantly increased following thermodynamic aging for tested groups (P < 0.001). CEREC Tessera showed a significantly higher marginal gap than Brilliant Crios before and after aging for both thicknesses (P < 0.05). CEREC Tessera recorded lower significant fracture load values compared to Brilliant Crios (P < 0.05). Conclusions Both CEREC Tessera and Brilliant Crios demonstrated clinically accepted marginal gap values. All groups showed fracture resistance values higher than the average masticatory forces in the premolar region except for 0.6 mm CEREC Tessera. Clinical implications Reinforced composite occlusal veneers demonstrated more favorable outcomes in terms of marginal gap and fracture resistance at both tested thicknesses compared to virgilite-based lithium disilicate glass-ceramic. Additionally, caution should be exercised during the construction of occlusal veneers from virgilite-based lithium disilicate glass-ceramic with reduced thickness.https://doi.org/10.1186/s12903-024-04071-6Vertical marginal gapTabletopAdvanced lithium disilicateVirgiliteComposite CAD/CAM blocksThermodynamic aging |
| spellingShingle | Amr Rizk Jylan El-Guindy Ahmed Abdou Reem Ashraf Citra Kusumasari Farid Emad Eldin Marginal adaptation and fracture resistance of virgilite-based occlusal veneers with varying thickness BMC Oral Health Vertical marginal gap Tabletop Advanced lithium disilicate Virgilite Composite CAD/CAM blocks Thermodynamic aging |
| title | Marginal adaptation and fracture resistance of virgilite-based occlusal veneers with varying thickness |
| title_full | Marginal adaptation and fracture resistance of virgilite-based occlusal veneers with varying thickness |
| title_fullStr | Marginal adaptation and fracture resistance of virgilite-based occlusal veneers with varying thickness |
| title_full_unstemmed | Marginal adaptation and fracture resistance of virgilite-based occlusal veneers with varying thickness |
| title_short | Marginal adaptation and fracture resistance of virgilite-based occlusal veneers with varying thickness |
| title_sort | marginal adaptation and fracture resistance of virgilite based occlusal veneers with varying thickness |
| topic | Vertical marginal gap Tabletop Advanced lithium disilicate Virgilite Composite CAD/CAM blocks Thermodynamic aging |
| url | https://doi.org/10.1186/s12903-024-04071-6 |
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