Resistencia a la fractura de endocrown en molares utilizando diferentes materiales CAD/CAM: una revisión narrativa de estudios in vitro.

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Title: Resistencia a la fractura de endocrown en molares utilizando diferentes materiales CAD/CAM: una revisión narrativa de estudios in vitro.
Alternate Title: Endocrown fracture resistance in molars using different CAD/CAM materials: a narrative review of invitro studies.
Authors: Mariano Maita-Castañeda, Luis1 lmaitac@unmsm.edu.pe, Maita-Véliz, Luis1 lmaitav@unmsm.edu.pe, Ramos-Perfecto, Donald1 dramosp@unmsm.edu.pe, Luque-Peralta, Sonia1 sluquep@unmsm.edu.pe
Source: Revista Kiru. abr-jun2025, Vol. 22 Issue 2, p112-120. 9p.
Subjects: DENTAL pulp cavities, BIBLIOGRAPHIC databases, FAILURE mode & effects analysis, COMPOSITE materials, IN vitro studies
Abstract (English): Traditionally, the restoration of endodontically treated posterior teeth with significant coronal structure loss was done with a conventional crown and a core post. With advancements in adhesive techniques, alternative restorative approaches emerged, such as the endocrown, which utilizes the pulp chamber as a macromechanical retentive mean, thereby preserving the maximum amount of remaining dental tissue. Furthermore, a variety of CAD/CAM materials are now increasingly accessible to clinicians. The objective is to know the findings of in vitro studies on molars regarding the fracture resistance of endocrown using different CAD/CAM materials. This narrative review compiled original articles from bibliographic databases including PubMed, LILACS, SciELO, Scopus, and Google Scholar published between 2018 and 2023. It is concluded that lithium disilicate ceramic endocrown demonstrated the highest mean fracture resistance values compared to other groups, while repairable failure modes were observed in polymer-infiltrated ceramic-network (PICN) and resin-based composite materials. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Tradicionalmente, la rehabilitación de los dientes posteriores tratados endodónticamente con gran pérdida de estructura coronaria era con una corona convencional y un poste con núcleo. Con el avance de la adhesión, aparecieron otras alternativas de restauración, como la endocrown que utiliza la cámara pulpar como un medio retentivo macromecánico, conservando así la mayor cantidad de tejido dentario remanente. Además, existe hoy en día una variedad de materiales con la tecnología CAD/CAM cada vez más al alcance del odontólogo. El objetivo es conocer los resultados de estudios in vitro en molares sobre la resistencia a la fractura de endocrown utilizando diferentes materiales CAD/CAM. En la presente revisión narrativa se recopilaron artículos originales de los motores bibliográficos como PubMed, LILACS, SciELO, Scopus y Google Scholar en el periodo 2018-2023. Se concluye que la endocrown de cerámica disilicato de litio obtuvo los promedios más altos de resistencia a la fractura respecto a los otros grupos y que los modos de falla reparable lo obtuvieron la cerámica infiltrada con polímero (PICN) y la resina. [ABSTRACT FROM AUTHOR]
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Database: MedicLatina
Description
Abstract:Traditionally, the restoration of endodontically treated posterior teeth with significant coronal structure loss was done with a conventional crown and a core post. With advancements in adhesive techniques, alternative restorative approaches emerged, such as the endocrown, which utilizes the pulp chamber as a macromechanical retentive mean, thereby preserving the maximum amount of remaining dental tissue. Furthermore, a variety of CAD/CAM materials are now increasingly accessible to clinicians. The objective is to know the findings of in vitro studies on molars regarding the fracture resistance of endocrown using different CAD/CAM materials. This narrative review compiled original articles from bibliographic databases including PubMed, LILACS, SciELO, Scopus, and Google Scholar published between 2018 and 2023. It is concluded that lithium disilicate ceramic endocrown demonstrated the highest mean fracture resistance values compared to other groups, while repairable failure modes were observed in polymer-infiltrated ceramic-network (PICN) and resin-based composite materials. [ABSTRACT FROM AUTHOR]
ISSN:18127886
DOI:10.24265/kiru.2025.v22n2.06