Marginal Adaptability and Fracture Resistance of Endodontically Treated Premolars Restored with 3D printed and milled Endo-crowns | ||||
| Egyptian Dental Journal | ||||
| Volume 69, Issue 3, July 2023, Page 2137-2152 PDF (1.47 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/edj.2023.204867.2513 | ||||
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| Authors | ||||
Ahmed Arafa   1; Ahmed Ziada 2
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| 1Lecturer, Department of Fixed Prosthodontics, Faculty of Dentistry, Beni-Suef University, Beni-Suef, Egypt. | ||||
| 2Associate Professor, Department of Fixed Prosthodontics, Faculty of Dentistry, Beni-Suef University, Beni-Suef, Egypt. | ||||
| Abstract | ||||
| Objectives: to evaluate marginal adaptability of root canal treated premolars restored with 3D printed and milled endo-crowns before and after thermo-mechanical aging, fracture resistance, and failure modes. Materials and methods: Thirty-six mandibular first premolars were endodontically treated and prepared to receive endo-crowns that were divided according to CAD-CAM restorative material used into 3 groups (n=12): 3D printed (Varseo Smile) group, Brilliant Crios (BC) group and PEEK group. Marginal gap was measured before and after thermo-mechanical aging for 60000 loading cycles and 5000 thermocycles. Fracture loads were recorded, and failure modes were evaluated. Results: Paired t-test revealed significant increase in overall marginal gap rates after thermo-mechanical aging of all tested groups with significant difference among them as verified by One Way ANOVA test. There was a significant difference between fracture resistance mean values of all tested groups (P<0.0001) where insignificant difference between Brilliant Crios (1879.45 ± 477.60 N) and PEEK groups (1730.5 ± 210.56 N) both revealed statistically significantly higher mean fracture resistance than 3D printed group (743.39 ± 68.71 N) as verified by Tukey’s Post Hoc test. Conclusions: Marginal adaptability of PEEK endo-crowns was better than those of Brilliant Crios and 3D printed (VarseoSmile) before and after thermo-mechanical aging which resulted in significant reduction of marginal adaptability of all tested endo-crowns. Fracture resistance of Brilliant Crios endo-crowns was higher than those of PEEK and 3D printed (VarseoSmile). Regarding failure mode, all tested endo-crowns showed repairable (favorable) fractures. | ||||
| Keywords | ||||
| 3D printing; CAD-CAM; marginal adaptability; fracture resistance; premolar endo-crown | ||||
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