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In literature, it has been stated that the failure load of LDS crowns was higher than veneered zirconia and could be comparable with metal ceramic systems.

Discussion : Comparison of CAD/CAM manufactured implant-supported crowns (2)

author: Elif Yein Mustafa Hayati Atala | publisher: drg. Andreas Tjandra, Sp. Perio, FISID

In literature, it has been stated that the failure load of LDS crowns was higher than veneered zirconia and could be comparable with metal ceramic systems. Doğan et al. evaluated the fracture strength of different CAD/CAM-manufactured crowns and concluded that the monolithic LDS crowns had the highest fracture resistance. Present study confirmed as monolithic LDS crowns demonstrated so satisfying failure load values. On the other hand, veneer application caused a significant decrease in the failure load of LDS crowns (L-M 2891 N; L-V 2077 N) in accordance with the study of Zhao et al..

IPS e.max Ceram is a veneering ceramic compatible with both lithium disilicate and zirconia cores. Since the coefficient of thermal expansion of IPS e.max Ceram is closer to that of lithium disilicate, its use with zirconia core would probably result in some fractures because the coefficient of thermal expansion differences between two materials causes the residual stresses and decreases the bond strength which can result in failures.

In group L-V, the only failure mode was bulk fracture instead of chipping that is observed in zirconia restorations. This finding confirmed the compatibility between e.max Ceram and e.max CAD core. In addition, crowns of the group ZL-V exhibited bulk fracture, as in monolithic crowns, consistent with previous studies. Zhao et al. explained that the integration of glass phases between the glass ceramic core and veneering porcelain during the firing procedure makes the multilayered structure a homogeneous material.

Recently, a new CAD/CAM material, zirconia-reinforced lithium silicate ceramics (ZLS), has been marketed. ZLS ceramics combine the mechanical strength of polycrystalline ceramics with the esthetic features of glass-ceramics. They are milled in a precrystallization phase and can be manually veneered as in LDS ceramics. Elsaka and Elnaghy indicated that ZLS ceramics revealed higher mechanical properties compared to LDS ceramics.

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