RT Journal Article T1 Fracture resistance of cantilevered full-arch implant-supported hybrid prostheses with carbon fiber frameworks after thermal cycling A1 Haroyan-Darbinyan, Evelina A1 Romeo Rubio, Marta A1 Río Highsmith, Jaime Del A1 Lynch, Christopher D. A1 Castillo De Oyague, Raquel AB ObjectivesThis in vitro study aimed to find the best combination of mesostructure and veneering materials for full-arch implant-supported hybrid prostheses (HPs) in terms of the fracture resistance (FR) of their cantilevers.MethodsThree groups (n = 5 each) of maxillary HPs were fabricated: Group-1 (CC-A, control): Co-Cr frameworks coated with acrylic resin; Group-2 (CF-A): carbon fiber veneered with acrylic resin; and Group-3 (CF-R): carbon fiber coated with composite resin. All specimens were submitted to 5,000 thermal cycles (5 °C – 55 °C, dwell time: 30 s), and subjected to a single cantilever bending test in a universal testing machine (crosshead speed: 0.5 mm/min) until failure. The fracture pattern was assessed using stereo microscope and SEM. The one-way ANOVA and Bonferroni tests were run (α= 0.05).ResultsThe FR yielded significant differences among the three groups (p< 0.001). CC-A samples reached the highest FR values (p ≤ 0.001), whereas both CF-A and CF-R HPs exhibited the comparably (p = 0.107) lowest FR. CC-A specimens failed cohesively (100%): mostly without chipping (80%). CF-A mesostructures were always broken at the connections of the distal implants. CF-R prostheses often failed adhesively (80%).ConclusionsThe HPs made of Co-Cr veneered with acrylic demonstrated the best mechanical behavior, being the only group whose 13-mm long cantilevers exceeded the clinically acceptable FR of 900 N. The HPs constructed with carbon fiber frameworks showed, additionally, more unfavorable fracture patterns.Clinical significanceFor HPs with cantilevers up to 13 mm, Co-Cr mesostructures coated with acrylic may represent the optimum combination of materials. PB Elsevier SN 0300-5712 YR 2022 FD 2022-11 LK https://hdl.handle.net/20.500.14352/93653 UL https://hdl.handle.net/20.500.14352/93653 LA eng NO Haroyan-Darbinyan E, Romeo-Rubio M, Río-Highsmith JD, Lynch CD, Castillo-Oyagüe R. Fracture resistance of cantilevered full-arch implant-supported hybrid prostheses with carbon fiber frameworks after thermal cycling. J Dent 2022;116:103902. DS Docta Complutense RD 6 oct 2024