Restaurações endocrown produzidas em CAD/CAM : ensaio de carga máxima de fratura e análise do padrão de falha

Abstract

Aims: to evaluate in vitro the fracture strength and failure pattern of endocrown restorations performed with Incoris TZI ceramics, Celta Duo and Empress CAD cemented on endodontically treated molars. Materials and methods: forty extracted sound molars were randomly distributed into 4 groups (n = 10). After being endodontically treated, they were restored with endocrowns carried out through the CEREC system with three different materials: Empress CAD (Ivoclar Vivadent), Celta Duo (Dentsply/Sirona) or Incoris TZI (Dentsply/Sirona). After, they were subjected to mechanical fatigue testing with vertical load application of 200N, totalling 500,000 cycles. Subsequently, the samples were submitted to the maximum fracture load under compressive force on the long axis of the tooth at cross-head speed of 1mm/min.. After the fracture strength testing the fracture patterns were evaluated being classified as repairable (cusps) or irreparable (pulp chamber floor rupture). Results: Sound: 4306Na ± 716.5; Incoris TZI: 3770NAb ± 846; Empress CAD: 1994Nc ± 498.5; Celta Duo: 3298Nb ± 1121. The Incoris TZI and Celta Duo presented the same proportion of irreparable fractures, 60%. The Empress Cad presented the same proportion for the repairable and irreparable fractures (50%). Conclusion: The Incoris TZI presented higher fracture strength, followed by Celta Duo, but did not differ statistically. In turn, the Empress CAD differed statistically from the others presenting lower fracture strength. The Incoris TZI and Celta Duo presented the same prognosis of failures with predominance of irreparable failures.