Marginal adaptation and fracture resistance of feldspathic and polymer-infiltrated ceramic network CAD/CAM endocrowns for maxillary premolars

Saglam G., Cengiz S., Karacaer O.

NIGERIAN JOURNAL OF CLINICAL PRACTICE, vol.23, no.1, pp.1-6, 2020 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 23 Issue: 1
  • Publication Date: 2020
  • Doi Number: 10.4103/njcp.njcp_231_19
  • Page Numbers: pp.1-6


Objective: The aim of this study was to evaluate the marginal adaptation and fracture resistance of feldspathic and Polymer-Infiltrated Ceramic Network (PICN) CAD/CAM endocrowns for maxillary premolars. Materials and Methods: Twenty extracted human permanent maxillary premolars were randomly divided into two groups (n = 10); Group CEREC (GC), which was produced by feldspathic ceramic and the Group Enamic (GE), which was produced by PICN. All teeth were endodontically treated and decoronated horizontally at 2 mm above the cemento-enamel junction. Endocrown preparations were done with 4 mm depth into the pulp chamber. Endocrowns were manufactured using CAD/CAM from ceramic blocks. Following adhesive cementation, all specimens were subjected to thermocycling. Marginal adaptation evaluated under SEM at 200 x magnification. Each specimen was fixed in a universal testing machine and a compressive load was applied at 45 degrees to long axis of the teeth until failure. Failure load was recorded and failure modes were evaluated. Statistical analyses were performed with SPSS 19.0 software and data were compared using Mann-Whitney U test. Results: There were no significant differences in the marginal adaptation between two groups (P > 0.05). GE presented significantly higher fracture resistance when compared to GC (P < 0.05). Failure pattern was similar and characterized by the tooth-ceramic fracture on the force-applied side. Conclusions: CAD/CAM fabricated feldspathic ceramic and PICN endocrowns provide sufficient marginal adaptation, but the PICN endocrowns shows higher fracture resistance than the feldspathic ceramic endocrowns.