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Resistance to fracture of lithium disilicate feldspathic restorations manufactured using a cad/cam system and crystallized with different thermal units and programs

Abstract:

The aim of this study was to determine the resistance to fracture of feldspathic restorations with lithium disilicate and crystallized with different ovens and programs. Methods: Sixty monolithic restorations (LD) (EMAX CAD™ LT, Ivoclar-Vivadent™) were designed with the same parameters and milled with a CAD/CAM system (CEREC SW 5.1, CEREC MCXL, Dentsply-Sirona™, Bensheim). Each restoration was randomly assigned by randomization software (RANDNUM) to one of the three groups: a) (NF) Oven P310 (Ivoclar, Vivadent) normal crystallization program, b) (FF) Ivoclar P310 oven (Ivoclar-Vivadent™) rapid crystallization program, or c) (SF) SpeedFire oven (Dentsply-Sirona™). Results: There were statistically significant differences between the groups (ANOVA, p <0.05). The NF and FF groups showed the highest values of resistance to fracture, with statistically significant differences with the SF group. Conclusions: Using a furnace from the same dental company with predetermined programs from the material manufacturer, as well as using a predetermined program for rapid crystallization, has no effect on fracture resistance, and would save clinical time when performing ceramic restorations with lithium disilicate, while keeping their mechanical properties.