الفهرس | Only 14 pages are availabe for public view |
Abstract Purpose: The purpose of this study was to evaluate and compare the fracture resistance and failure mode of occlusal veneers constructed from lithium disilicate (Rosetta) and hybrid ceramic (VITA Enamic) materials with two preparation designs. Materials and Methods: Two mandibular first molars of a typodont were chosen to perform the master preparations; one for the Conventional Planar Occlusal veneer design and the second for the modified design, which consisted of occlusal veneer preparation with a 1 mm circumferential chamfer finish line. The preparations were duplicated into twenty epoxy resin dies over which the occlusal veneers were adhesively cemented using a standard bonding protocol. Each group of epoxy resin dies was subdivided randomly into two equal subgroups according to the ceramic material to be tested; lithium disilicate ”Rosetta ” and the hybrid ceramic ”VITA ENAMIC”. All the occlusal veneers were fabricated using the CAD/CAM Cerec Soft Wear 5.2 System. Then the fracture resistance and failure mode of occlusal veneers were evaluated. Results: The results showed that the CAD/CAM restorative materials used in this study had no statistically significant effect on mean fracture resistance regardless of preparation design. Additionally, preparation design had no statistically significant effect on mean fracture resistance regardless of the type of material used. Regarding the mode of failure, the comparison between different groups (group 1 and group II) , demonstrated that 100% of specimens made from hybrid ceramic (VITA ENAMIC) in both groups showed a repairable mode of failure (Mode 1), while 40% of specimens made from lithium disilicate (Rosetta) with a conventional design (group 1, subgroup A) and 17% of specimens made of lithium disilicate (Rosetta) with a modified design (group II, subgroup A) showed a repairable mode of failure (Mode 1). 20% of specimens made from lithium disilicate (Rosetta) with a conventional design (group 1, subgroup A), and 33% of specimens made from lithium disilicate (Rosetta) with a modified design (group II, subgroup A) showed a catastrophic failure (Mode 3). Conclusion: All the tested CAD/CAM materials showed fracture loads above the recommended minimum fracture strength for posterior restorations with different preparation designs. Hybrid ceramic (VITAENAMIC) occlusal veneer can be the first choice in cases with increased occlusal stresses as its failure mode was favorable than lithium disilicate (Rosetta). |