Marginal adaptation and fracture strength of endocrowns manufactured with different restorative materials: SEM and mechanical evaluation. Issue 2 (11th September 2020)

• Record Type: Journal Article
• Authors: Sağlam, Gaye; Cengiz, Seda; Karacaer, Özgül
• Is Part Of: Microscopy research and technique. Volume 84:Issue 2(2021)
• Page Start: 284
• Page End: 290
• Publication Date: 2020-09-11
• Subjects: CAD/CAM -- endocrown -- fracture strength -- marginal adaptation -- SEM; Electron microscopy -- Technique -- Periodicals; Microscopy -- Periodicals; Microscopy -- Technique -- Periodicals; 502.825
• DOI: 10.1002/jemt.23586
• Languages: English
• ISSNs: 1059-910X

Abstract

Abstract: Endocrowns were manufactured using different restorative materials to evaluate the marginal adaptation and fracture strength. Fifty endodontically treated mandibular first molar teeth were divided into five groups ( n = 10). Endocrowns were obtained from lithium disilicate glass ceramic ingots by heat‐press technique (Group e.max Press: GEP), and from feldspathic blocks (Group Cerec: GC), polymer infiltrated ceramic network blocks (Group Enamic: GE), lithium disilicate glass ceramic blocks (Group e.max CAD: GEC), and zirconia‐reinforced glass ceramic blocks (Group Suprinity: GS) by CAD/CAM technique. After thermocycling, marginal adaptation was evaluated under scanning electron microscope at ×200 magnification. The specimens' fracture strengths were tested in universal test machine, and fracture types were evaluated. Statistical analyses were performed with Kruskal–Wallis test. The highest marginal gap value was found in GEP, but no significant differences were determined among the other four groups ( p > .05). Significant differences were observed among the groups in terms of fracture strength ( p = .019). The fracture strength values of GEC were significantly higher than GE, GC, and GS ( p < .05). Values were not significantly different between the GEC and GEP groups ( p > .05). CAD/CAM endocrowns showed better marginal adaptation than heat‐pressed endocrowns. Clinically acceptable marginal gaps were seen in both endocrown types. Both CAD/CAM and heat‐pressed lithium disilicate glass ceramic endocrowns showed higher fracture strength. Abstract : Technique for manufacturing endocrowns affects the marginal adaptation, but CAD/CAM or heat‐pressed endocrowns present appropriate marginal fit. Lithium disilicate endocrowns present higher fracture strength; however, feldspathic and PICN endocrowns exhibit more favorable fracture modes.