IPS e.max CAD Lithium Disilicate Study Van Thompson DDS Petra Guess Single crowns made of IPS e.max lithium disilicate can be… 3X STRONGER than a Zirconia single unit crowns! Buccal Lingual cusp loaded increasing cyclical load every 10k cycles until failure Use Level P r ob ab ilit y Log n or m al 99.00 Use Level CB@90%2-Si ded Ema x Ce ram HandL Y-TZP Cumula tiv e Damage L ognormal 200 N L oad F =17 | S=1 St d= 0. 08; Al pha(0)= 10. 10; Al pha(1)= 0. 24 U n re l i a b i l i ty Data Poi nts Use Level Li ne Top CB-I 50.00 10.00 5.00 1.00 10000 Bottom Radial Crack 100000 Cyc les 1000000 Fatigue Zirconia supported / Press-on 200 N 40 K Load 300 N 50 K Load Fatigue IPS e.max CAD Lithium Disilicate Survivor at 900 N and 180 K cycles (profile I) Fatigue IPS e.max CAD Lithium Disilicate Survivor at 900 N and 180 K cycles (profile I) Only superficial damage at load surface IPS e.max CAD Lithium Disilicate Biaxial mouth motion step stress fatigue • No Cracks - only superficial surface damage • Specimens were tested up to 900 N of force with 180,000 cycles and no cusp shearing ! Survival of test materials based on Load and Number of Cycles Crowns Zirconia veneered Zirconia pressed Lithium Disilicate 0 200 400 600 800 Load (N) and cycles per thousand Load cycles (x 1000) 1000 IPS e.max CAD Lithium Disilicate “This is by far the most robust system we have tested to date” Van Thompson DDS