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  1. Zanul Abidin Z, Mohd Salleh N, Himratul-Aznita WH, Ahmad SF, Lim GS, Raja Mohd N, et al.
    PeerJ, 2023;11:e15750.
    PMID: 37601266 DOI: 10.7717/peerj.15750
    BACKGROUND: The study's objective is to assess the adherence of C. albicans in different types of denture polymers and the effectiveness of eugenol and commercialized denture cleansers in the removal of C. albicans. Three types of denture base polymers (Lucitone® 199 (High-Impact PMMA), Impact® (conventional PMMA) and Eclipse® (UDMA)) and two hard denture reline materials (Kooliner® and Tokuyama® Rebase II Fast) were used in this study.

    METHODS: Three hundred samples were prepared (6 × 2 mm disc shape) and divided into five groups of denture polymers (n = 60) and further subjected into five treatment groups (Polident®, Steradent, distilled water, eugenol 5-minutes, and eugenol 10-min). Three samples were extracted from each treatment group for baseline data (n = 12). Baseline data were used to calculate the initial number of C. albicans adherence. A 0.5 ml immersion solution from each specimen was cultured on YPD agar and incubated for 48 h at 37 °C. Visible colonies were counted using a colony counter machine (ROCKER Galaxy 230).

    RESULTS: The result showed that the denture base polymer significantly affected the initial adherence (p = 0.007). The removal of C. albicans was also considerably affected by the denture base polymers and denture cleansers (p 

  2. Awang Iskanderdzulkarnein PMB, Raja Mohd N, Ahmad Ubaidillah AH, Noor Zari MAI, Ahmad SF, Sulaiman E
    PeerJ, 2026;14:e21801.
    PMID: 42928894 DOI: 10.7717/peerj.21801
    BACKGROUND: Endocrowns have gained popularity as a conservative option for restoring endodontically treated molars because their success rates are comparable to those of conventional crowns. However, there is limited evidence on the effectiveness of different endocrown marginal designs, particularly concerning their fracture resistance and failure modes under axial and oblique loading. This in vitro study aimed to evaluate the fracture resistance and failure modes of three different endocrown marginal designs on mandibular molars and compare them with endocrowns under axial and oblique loading.

    METHODS: Sixty-four extracted mandibular molars were root-treated and lined with flowable composite (1.5 mm thickness) before being embedded in epoxy resin blocks. The samples were divided into four groups (n = 16): three endocrown groups with different preparation designs (butt-joint, 0.8 mm chamfer, and 1.0 mm shoulder) and one group with conventional crowns. Crown preparations were performed with a high-speed handpiece mounted on a modified milling device, targeting a 2.0 mm anatomical occlusal reduction for conventional crowns and a 4.0 mm central chamber depth with a 2.0 mm axial wall height (ferrule) for endocrowns (except the butt-joint design, which had no ferrule preparation). Restorations were fabricated using the Chairside Economical Restoration of Esthetic Ceramics (CEREC) Computer-Aided Design and Computer-Aided Manufacturing (CAD/CAM) system with lithium disilicate (IPS e.max CAD; minimum occlusal thickness: 1.5 mm) as the restorative material and cemented with the RelyX Ultimate dual-cure resin adhesive. After 1,500 thermocycling cycles, the samples were divided into two subgroups (n = 8) for axial and oblique loading tests. The fracture resistance was tested using a universal testing machine at a crosshead speed of 0.5 mm/min, applying a load of up to 5,000 N until fracture. Failure modes were examined using a stereomicroscope at 5x magnification and categorized as catastrophic or non-catastrophic. The mean fracture resistance was compared using one-way Analysis of Variance (ANOVA) with Bonferroni post-hoc tests, and Fisher's exact test was used to assess the association between preparation designs and failure modes (p < 0.05).

    RESULTS: Endocrowns with shoulder margins showed significantly higher fracture resistance (3,042.83 ± 850.76 N) than conventional crowns (1,908.28 ± 635.82 N) under axial loading (p = 0.02). No significant differences were found under oblique loading between the preparation designs. The preparation design significantly influenced the failure mode under axial loading (p = 0.049). Endocrowns exhibited a higher rate of catastrophic fractures than conventional crowns, regardless of loading direction.

    CONCLUSIONS: Endocrowns provide a conservative alternative to conventional crowns, offering a higher fracture resistance under axial loading. Further research is needed to evaluate the endocrown performance under oblique loading.

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