ceramic crowns in the posterior area, molars and premolars, remains a real challenge. The purpose of this article is to identify and evaluate the parameters that can signiﬁcantly inﬂuence their resistance when preparing a tooth. The analysis proposed in this article relies on interrelated studies conducted at three levels: in vitro (mechanical tests), in silico (ﬁnite elements simulations) and in vivo (clinical survival rates). The in vitro and the in silico studies proved that an appropriate variation of the geometric design of the preparations enables to increase up to 80% the mechanical strength of ceramic reconstructions. The in vivo clinical study of CAD/CAM full ceramic crowns was performed in accordance with the principles stated within the in vitro and the in silico studies and provided a 98.97% success rate over a 6 years period. The variations of geometric design parameters for dental preparation allows for reconstructions with a mechanical breaking up to 80% higher than that of a non-appropriate combination. These results are conﬁrmed in clinical practice. 1 Introduction The start of the fatal “Molar life cycle”, also deﬁned as the “Cycle of Death” by Simonsen [1, 2], includes a succession * Jean-Cédric Durand of increasingly invasive and destructive
Journal of Materials Science: Materials in Medicine – Springer Journals
Published: Aug 19, 2017
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