Análisis comparativo de la Resistencia a la fractura de un nuevo material de restauración CAD/CAM

Abstract

This in vitro study evaluated the fracture resistance of four CAD/CAM restorative materials: lithium disilicate ceramic (IPS e.max CAD, EM), hybrid ceramic (Vita Enamic, VE), a polymerbased composite (Cerasmart, CS), and a novel 3D-printed resin (Ceramic Crown, CC) fabricated using Digital Press Stereolithography (DPS) technology. Standardized fullcoverage crowns were designed and manufactured for each material. All specimens underwent thermocycling and fracture testing using a universal testing machine. EM exhibited the highest fracture resistance (mean: 440.49 N), while VE showed the lowest (173.82 N). CS (265.49 N) and CC (306.76 N) presented intermediate values without statistically significant differences between them. Stereomicroscopic analysis revealed differences in fracture patterns, with IPS e.max CAD showing smooth, brittle fractures, while hybrid and polymerbased materials exhibited tortuous or porous fracture surfaces. These results suggest that DPS technology achieves mechanical performance for Ceramic Crown comparable to that of milled polymer-based composites, while offering production advantages in terms of time efficiency. As one of the first studies to evaluate Ceramic Crown and DPS technology, these findings provide initial insights into their mechanical behavior. However, further studies are required to validate their clinical performance before widespread use can be recommended.