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To test different Cerec CAD/CAM system ceramic blocks, comparing mean flexural strength (sigma), Weibull modulus (m), and Weibull characteristic strength (sigma0) in an ISO standardized set-up. Following the recent ISO Standard (ISO 6872:2008), 11 types of ceramic blocks were tested: IPS e.max CAD MO, IPS e.max CAD LT and IPS e.max CAD HT (lithium disilicate glass-ceramic); In-Ceram SPINELL, In-Ceram Alumina and In-Ceram Zirconia (glass-infiltrated materials); inCoris AL and In-Ceram AL (densely sintered alumina); In-Ceram YZ, IPS e.max Zir-CAD and inCoris ZI (densely sintered zirconia). Specimens were cut out from ceramic blocks, finished, crystallized/infiltrated/sintered, polished, and tested in a three-point bending test apparatus. Flexural strength, Weibull characteristic strength, and Weibull modulus were obtained. A statistically significant difference was found (P < 0.001) among lithium disilicate glass-ceramic (sigma = 272.6 +/- 376.8 MPa, m = 6.2 +/- 11.3, sigma0 = 294.0 +/- 394.1 MPa) and densely sintered alumina (sigma = 441.8 +/- 541.6 MPa, m = 11.9 +/- 19.0, sigma0 = 454.2 +/- 565.2 MPa). No statistically significant difference was found (P = 0.254) in glass infiltrated materials (sigma = 376.9 +/- 405.5 MPa, m = 7.5 +/- 11.5, sigma0 = 393.7 +/- 427.0 MPa). No statistically significant difference was found (P = 0.160) in densely sintered zirconia (sigma = 1,060.8 +/- 1,227.8 MPa, m = 5.8 +/- 7.4, sigma0 = 1,002.4 +/- 1,171.0 MPa). Not all the materials tested fulfilled the requirements for the clinical indications recommended by the manufacturer.


Maurizio Sedda, Alessandro Vichi, Francesco Del Siena, Chris Louca, Marco Ferrari. Flexural resistance of Cerec CAD/CAM system ceramic blocks. Part 2: Outsourcing materials. American journal of dentistry. 2014 Feb;27(1):17-22

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PMID: 24902400

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