Fracture resistance and marginal fit of three different overlay designs using advanced zirconia-reinforced lithium disilicate CAD/CAM material
2025

Impact of Overlay Designs on Fracture Resistance and Fit of Dental Restorations

Sample size: 27 publication Evidence: moderate

Author Information

Author(s): Heidi Refaey, Sanaa H. Abdelkader, Yasser M. Aly

Primary Institution: Faculty of Dentistry, Alexandria University, Alexandria, Egypt

Hypothesis

The study investigates the impact of three distinct overlay preparation designs on the marginal fit and fracture resistance of overlay restorations.

Conclusion

The design of tooth preparation significantly affects both the fracture resistance and the marginal fit of zirconia-reinforced lithium disilicate overlays.

Supporting Evidence

  • Group OS had the lowest micro gap compared to groups OG and O.
  • Group O recorded the highest fracture resistance among the studied groups.
  • Thermal aging increased the marginal gap in all groups.

Takeaway

Different ways to prepare a tooth for a dental overlay can change how well it fits and how strong it is. Some designs work better than others.

Methodology

The study used a standardized preparation protocol to create three groups of typodont molars, each receiving a different overlay design, followed by testing for marginal fit and fracture resistance.

Limitations

The study was conducted in vitro, which may not fully replicate clinical conditions, and internal adaptability was not evaluated.

Statistical Information

P-Value

0.032

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/s12903-024-05315-1

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