Influence of Tooth Mold Materials in Composite Resin CAD/CAM Crown Destructive Test.

A range of experimental designs have been used in destructive testing of composite resin CAD/CAM crowns. Various materials have been adopted for the abutment in such tests, including human or bovine dentin, stainless steel, PMMA, and composite resin, the selection of which is made in accordance with study objective or preference of the researcher. The purpose of this study was to determine how the material selected for the abutment material affected fracture load and maximum displacement. Destructive tests were conducted on composite resin crowns of the same design. Three types of material were used for the abutments together with 2 types of adhesive material. Images of each sample were acquired before destruction using a microfocus X-ray CT scanner to confirm the feasibility of a non-destructive test.The load required to fracture the composite CAD/CAM resin crowns depended on the abutment material used, with a decrease being observed in the order of composite resin, stainless steel, and PMMA. Maximum displacement decreased in the order of PMMA, composite resin, and stainless steel. Differences in the material used for setting (adhesive resin or polycarboxylate cement) showed no effect on fracture load. These results indicate that the load required to achieve destruction of resin CAD/CAM crowns varies according to the abutment material used.

Effect of Differences in Axial Thickness and Type of Cement on Fracture Resistance in Composite Resin CAD/CAM Crowns.

The purpose of this study was to investigate the influence of differences in axial thickness and type of cement on fracture load in CAD/CAM crowns. Assuming the mandibular first premolar to be the abutment tooth, 4 types of crown with different axial thicknesses and radii of curvature were prepared. To unify external design, the morphology of the crown margins was set at 0.15, 0.30, 0.45, or 0.60 mm, thus maintaining uniform axial form of the crowns. The CAD/CAM crowns and abutment teeth were bonded using each of 2 types of resin cement or polycarboxylate cement. The fracture load value was measured using a universal testing machine and the destruction phase observed.No significant difference was observed with change in axial thickness. The fracture load values with each of the 2 types of resin cement used were significantly higher than that with polycarboxylate cement (p<0.01). These results suggest that the fracture load values of CAD/CAM crowns are not influenced by differences in the axial thickness of the crown, and that they are higher when bonding is achieved with resin rather than polycarboxylate cement.