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Amongst chairside CAD/CAM materials, the use of lithium-based silicate glass-ceramics (LSGC) for indirect restorations has recently been increasing. Flexural strength is one of the most important parameters to consider in the clinical selection of materials. The aim of this paper is to review the flexural strength of LSGC and the methods used to measure it. METHODS: The electronic search was completed within PubMed database from 2 June 2011 to 2 June 2022. English-language papers investigating the flexural strength of IPS e.max CAD, Celtra Duo, Suprinity PC, and n!ce CAD/CAM blocks were included in the search strategy. RESULTS: From 211 potential articles, a total of 26 were identified for a comprehensive analysis. Categorization per material was carried out as follows: IPS e.max CAD (n = 27), Suprinity PC (n = 8), Celtra Duo (n = 6), and n!ce (n = 1). The three-point bending test (3-PBT) was used in 18 articles, followed by biaxial flexural test (BFT) in 10 articles, with one of these using the four-point bending test (4-PBT) as well. The most common specimen dimension was 14 × 4 × 1.2 mm (plates) for the 3-PBT and 12 × 1.2 mm (discs) for BFT. The flexural strength values for LSGC materials varied widely between the studies. SIGNIFICANCE: As new LSGC materials are launched on the market, clinicians need to be aware of their flexural strength differences, which could influence the clinical performance of restorations.

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OBJECTIVES: This study aimed to optimize the crystallization process and the microstructure of a new bioactive glass-ceramic (GC) previously developed by our research group to obtain machinable glass-ceramics. METHODS: Differential scanning calorimetry (DSC) analyses were conducted to explore the characteristic temperatures and construct a semi-quantitative nucleation curve. The GC specimens were characterized by X-ray diffraction (XRD) and Rietveld refinement. Their brittleness index (B) and machinability were characterized and compared with IPS e.max-CAD®. Their Young's modulus, fracture toughness, and hardness were assessed. RESULTS: We found that the maximum crystal nucleation rate temperature of this GC is ~470 °C. Treatments were designed based on the 1st DSC peak onset (570 °C), 1st peak offset (650 °C), and 2nd peak offset (705 °C) crystallization temperatures of lithium metasilicate (LS, LiSi2O3) and lithium disilicate (LS2, Li2Si2O5). Rietveld refinement indicated an increase in LS2 and a reduction in LS and amorphous phase for increased temperatures and longer treatment times. Their B values indicate good machinability compared with that of the control group based on statistical analyses. As expected, lower levels of LS2 increase the machinability regardless of the rotation speed adopted, leading to a greater depth of cut and reduced Edge Chipping Damage Depth (ECDD). CONCLUSION: This bioactive GC with optimized microstructure presents high machinability. For treatment temperatures above 570 °C, the number of elongated LS2 crystals increases and decreases the amorphous phase content, which reduce the machinability of the GC, and should therefore be avoided. The best results were obtained using heat treatment at 570 °C, which produces LS crystals embedded in a glassy matrix (67%) with small contents of secondary phases.

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Objective: The purpose of this in vitro study was to evaluate the marginal fit of laminate veneers made of zirconia-reinforced lithium silicate with two thicknesses using different CAD/CAM systems. Material and methods: 42 Laminate veneers milled from zirconia-reinforced lithium silicate were divided into three main groups according to milling machine used into: group X5, laminate veneers fabricated by inLab MCX5 milling machine; group CM, laminate veneers fabricated by Ceramill motion 2 milling machine; and group XL, laminate veneers fabricated by inLab MCXL milling machine. Each group was divided into two subgroups according to veneer thickness into: subgroup I, 0.5 mm thickness laminate veneers and subgroup II, 0.3 mm thickness laminate veneers. The marginal fit was measured using stereomicroscope. The results were tabulated and statistically analyzed using two-way ANOVA test followed by Tukey's post hoc test. Comparisons of main and simple effects were done utilizing Bonferroni correction. The significance level was set at (p ≤0.05) for all tests. Results: The mean( ± SD) highest marginal discrepancy was recorded in subgroup CMII at 85.45 ± 1.82 µm while the least mean marginal discrepancy was recorded in subgroup X5I (71.24 ± 2.64 µm). Conclusion: Both thicknesses(0.5 mm thickness and 0.3 mm thickness) and all tested CAD/CAM systems produced zirconia-reinforced lithium silicate laminate veneers with clinically acceptable marginal gaps; however, the closed CAD/CAM systems produced veneers with superior marginal fit than open systems at 0.3 mm thickness. The CAD/CAM system with the 5-axis milling machine produced the best marginal fit with 0.5 mm thickness. (AU)

Objetivo: O objetivo deste estudo in vitro foi avaliar a adaptação marginal de facetas laminadas de silicato de lítio reforçado com zircônia com duas espessuras, utilizando diferentes sistemas CAD / CAM. Material e métodos: 42 facetas laminadas fresadas a partir desilicato de lítio reforçado com zircônia foram divididos em três grupos principais de acordo com a fresadora usada em: grupo X5, facetas laminadas fabricados pela fresadora inLab MCX5; grupo CM, facetas laminadas fabricados por Ceramill motion 2; e grupo XL, facetas laminadas fabricados pelo inLab MCXL. Cada grupo foi dividido em dois subgrupos, de acordo com a espessura do laminado, em: subgrupo I, facetas laminadas com 0,5 mm de espessura e subgrupo II, facetas laminadas com espessura de 0,3 mm. A adaptação marginal foi medida usando estereomicroscópio. Os resultados foram tabulados e analisados estatisticamente usando o teste ANOVA de dois fatores seguido pelo teste post hoc de Tukey. Comparações dos efeitos principais e simples foram realizadas utilizando a correção de Bonferroni (P ≤ 0,05). Resultados: A maior discrepância marginal média ( ± DP) foi registrada no subgrupo CMII em 85,45 ± 1,82 µm, enquanto a menor discrepância marginal média foi registrada no subgrupo X5I 71,24 ± 2,64 µm. Conclusão: Ambas as espessuras (0,5 mm e 0,3 mm)e todos os sistemas CAD / CAM testados produziram facetas de laminado de silicato de lítio reforçadas com zircônia com lacunas clinicamente aceitáveis. No entanto, os sistemas CAD / CAM fechados produziam facetas com adaptação marginal superior aos sistemas abertos com 0,3 mm de espessura. O sistema CAD / CAM com a fresadora de 5 eixos produziu a melhor adaptação marginal com 0,5 mm de espessura (AU)

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OBJECTIVES: The properties of lithium-silicate dental glass-ceramics are very sensitive to heat treatments which are conducted after CAD/CAM (Computer Aided Design/Computer Aided Machining) processing. In particular, temperature variations inside the furnace chamber which may occur between different models of furnaces may result in altered mechanical properties of these materials. In this work, the effect of thermal treatment parameters on the transformation of lithium metasilicate (Li2SiO3) into lithium disilicate (Li2Si2O5) and on the resulting mechanical properties has been investigated. METHODS: Lithium metasilicate samples. containing 59 vol% of amorphous phase, were thermal treated under vacuum at 820 °C for up to 9 min or at 840 °C for 7min (as control group). The samples were characterized by X-ray diffraction analysis using the Rietveld refinement and scanning electron microscopy. Hardness and fracture toughness (n = 30 indentations/group) were evaluated by the Vickers indentation technique. The elastic properties were measured by the Impulse Excitation Technique and the flexural strength (n = 15/group) was measured using the piston-on-three-ball (P-3B) testing assembly. Complementary Weibull statistic were conducted as statistical analysis. RESULTS: The results indicate a progressive reduction of the Li2SiO3 phase with increasing isothermal holding time at 820 °C until the conversion into Li2Si2O5, is completed for treatments longer than 7 min. A complete transformation of Li2SiO3 into Li2Si2O5 has also been observed for the control group of samples treated at 840 °C for 7min. Samples of the control group exhibited hardness, fracture toughness, Young's modulus and Poisson ratio 5.76 ±â€¯0.17 GPa, 1.60 ±â€¯0.03 MPa m1/2, 100.3 GPa e 0.21, respectively. The reduction of the thermal treatment temperature to 820 °C reduced the fracture toughness and the Young's modulus between 5-10%. Furthermore, the fracture strength was significantly reduced by approximately 71%, because of the lower amount of elongated Li2Si2O5 grains and higher amount of residual amorphous phase. CONCLUSION: In general, the glass-ceramic material containing residual amorphous phase associated with various crystalline phases, presented a reduction of its mechanical properties in relation to the lithium disilicate glass-ceramic. The reasons for these differences in the mechanical behavior are discussed by analyzing the influences of different phenomena such as thermal expansion anisotropy, residual stresses, amorphous phase content and microstructure on the properties.

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OBJECTIVE: To evaluate the reliability and failure mode of zirconia-reinforced lithium silicate (ZLS) molar crowns of different thicknesses. METHODS: Monolithic ZLS molar crowns (0.5mm, 1.0mm, and 1.5 mm thickness) were modeled and milled using a CAD/CAM system (n = 21/group). Crowns were cemented on dentin-like epoxy resin replicas with a resin cement. The specimens were subjected to single load-to-failure test for step-stress profiles designing. Mouth-motion step-stress accelerated-life test was performed under water by sliding an indenter 0.7 mm lingually down on the distobuccal cusp until specimen fracture or suspension. Use level probability Weibull curves and reliability were calculated and plotted. Polarized-light optical microscope and scanning electron microscope (SEM) were used to characterize fracture patterns. RESULTS: Irrespective of crown thickness, beta (ß) values were higher than 1 and fatigue accelerated failures. While 0.5 mm ZLS crowns exhibited a significant reduction in the probability of survival at 200N, 300N and 400 N mission loads (69%, 41% and 19%, respectively), no significant difference was observed between 1.0 mm and 1.5 mm crowns. Both thicknesses have maintained the survivability at approximately 90%. Failure primarily comprised bulk fracture where radial cracks originated from the cementation surface beneath the indenter loading trail and propagated towards the cervical margin. SIGNIFICANCE: 1.5 mm- and 1.0 mm-thickness monolithic ZLS crowns presented higher probability of survival compared to 0.5 mm crowns. Bulk fracture was the chief failure mode, regardless of thickness.

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