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All crowns were subjected to a combination firing that included crystallization and glaze firing according to each manufacturer’s guidelines in the ceramic furnace (Vita Vacumat 6000 M, Vita Zahnfabrik, Bad Sackingen, Germany).

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

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

All crowns were subjected to a combination firing that included crystallization and glaze firing according to each manufacturer’s guidelines in the ceramic furnace (Vita Vacumat 6000 M, Vita Zahnfabrik, Bad Sackingen, Germany).

For veneered restorations, the design mode was changed to “split,” and the core was constructed in 0.6-mm thickness. In group L-V (n = 12), e.max CAD core and nano-fluorapatite veneering ceramic (e.max Ceram Dentin, Ivoclar Vivadent) and in group ZL-V (n = 12), Vita Suprinity core and low-fusing fine-structure feldspar ceramic (VM-11, Vita Zahnfabrik) were used. The restorations of group L-V were conducted to wash firing and two dentin firing according to the manufacturer’s instructions. For wash firing, e.max Ceram Dentin was mixed with IPS Build-Up Liquids allround (Ivoclar Vivadent) and applied to the entire core as a thin coat. All cores were than layered with the same porcelain using a silicon index guide obtained from a monolithic crown to standardize the thickness of the veneering porcelain. Since the wash firing was not recommended in group ZL-V, only two dentin-firing cycles were performed with Vita VM-11 Dentin materials, and the silicon index was used as in group L-V. After the veneering procedure was completed, all restorations were glazed.

All crowns were cemented to abutments with zinc phosphate cement (Adhesor, Spofa-Dental, Czech Republic) with a standard load of 30 N. Cemented crowns were then stored in distilled water at 37 °C for 24 h before load-to-failure testing.

Load-to-failure testing

The test was carried out with a dynamic/static testing machine (Instron 8801, INSTRON Ltd, England) at a cross-head speed of 0.5 mm/min. The vertical load was applied with a stainless steel ball (5.0 mm in diameter) placed on the occlusal surface of the crowns. The software (Bluehill) of the testing machine recorded the failure load of the crowns.

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