Fracture Resistance of Composite Veneers with Different Preparation Designs

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Summary

Background: The aim of this in vitro study was to examine the fracture load of composite veneers using three different preparation designs. Material and methods: Fifteen extracted, intact, human maxillary central incisors were selected. Teeth were divided into three groups with different preparation design: 1) feather preparation, 2) bevel preparation, and 3) incisal overlap- palatal chamfer. Teeth were restored with composite veneers, and the specimens were loaded to failure. The localization of the fracture was recorded as incisal, gingival or combined. Results: Composite veneers with incisal overlap - palatal chamfer showed higher fracture resistance compared to feather preparation and bevel preparation. The mean (SD) fracture loads were: Group 1: 100.6±8.0 N, Group 2: 107.4±6.8 N, and Group 3: 122.0±8.8 N. The most common mode of failure was debonding for veneers with feather preparation and fracture when incisal edge is reduced. The most frequent localization of fracture was incisal. Conclusion: The type of preparation has a significant effect on fracture load for composite veneers. This study indicates that using an incisal overlap- palatal chamfer preparation design significantly increases the fracture resistance compared to feather and bevel preparation designs.

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