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Browsing by Author "Cook, Norman Blaine, 1954-"
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Item The antimicrobial efficacy of innovative 3D triple antibiotic paste-mimic tubular scaffold against actinomyces naeslundii(2015) Azabi, Asma Abulqasem; Bottino, Marco C.; Gregory, Richard L.; Spolnik, Kenneth J.; Cook, Norman Blaine, 1954-; Chu, Tien-Min GabrielBackground: Root canal disinfection is an essential requirement for the success of regenerative endodontics. Currently, the so-called triple antibiotic paste (TAP) is considered the standard of care. Notwithstanding the good antimicrobial capacity, the high concentration of TAP has shown significant toxicity to human cells, especially dental pulp stem cells. A novel drug release system, i.e., a triple antibiotic paste-mimic electrospun scaffold containing low concentrations of the antibiotics present in the TAP, has emerged as an effective and reliable alternative to fight root canal infections without potential toxic effects on dental stem cells, which are an integral part of the regenerative treatment. Objectives: The aim of this study was to determine the antimicrobial efficacy of an innovative three-dimensional (3D) triple antibiotic paste-mimic tubular scaffold against Actinomyces naeslundii biofilm formed inside human root canal dentinal tubules. Materials and methods: Pure polydioxanone (PDS) polymer solution and PDS loaded with metronidazole, ciprofloxacin and minocycline (35 wt.% of each antibiotic, 3D-TAP-mimic scaffold) were spun into 3D fibrous scaffolds. A. naeslundii (ATCC 43146) was centrifuged to induce biofilm formation inside human root canal dentinal tubules using a dentin slice model (1 mm thickness and 2.5 mm canal diameter). The infected dentin slices were exposed to the 3D-TAP-mimic scaffold, TAP solution (50 mg/mL of each antibiotic), and antibiotic-free PDS. Biofilm elimination was quantitatively and qualitatively analyzed by confocal laser scanning microscopy (CLSM) and scanning electron microscopy (SEM), respectively. Results: A dense penetration of A. naeslundii biofilm was observed by CLSM throughout the dentinal tubules. 3D-TAP-mimic scaffold significantly reduced the percentage of viable bacteria compared with PDS (p <.05). TAP solution completely eliminated viable bacteria without differing from 3D-TAP-mimic scaffolds. SEM images showed results similar to CLSM. Conclusion: Collectively, the proposed tubular 3D-TAP-mimic scaffold holds significant clinical potential for root canal disinfection strategy prior to regenerative endodontics.Item The effect of filler on the mechanical properties of a novel resin-based calcium phosphate cement(2010) Al Dehailan, Laila; Chu, Tien-Min Gabriel; Lund, Melvin R, 1922-; Cochran, Michael A. (Michael Alan), 1944-; Martinez Mier, Esperanza de los A. (Esperanza de los Angeles), 1967-; Cook, Norman Blaine, 1954-Several studies have found that resin-based amorphous calcium phosphate (ACP) composites can function well for applications that do not require high mechanical demand. Milled tricalcium phosphate (TCP), a new calcium-phosphate-releasing material, is crystalline in nature, suggesting it to be strong. In the present study, we investigated the use of a TCP-filled composite resin as a possible tooth restorative-material. An experimental TCP-based composite was prepared using monomer with a mixture of 34.3 percent by mass of EBPADMA, 34.2 percent by mass of HmDMA, and 30.5 percent by mass of HEMA. TCP fillers were added to the monomer mixture at different levels (30 percent, 40 percent, 50 percent, and 60 percent by weight). A universal testing machine (Sintech Renew 1121; Instron Engineering Corp., Canton, MA) was used to measure the compressive strength and modulus. FTIR was used to measure the degree of conversion. The depth of cure was determined according to the ISO standards for dental resin 4049 using the scrapping technique. Knoop hardness numbers were obtained by a microhardness tester (M-400; Leco Co., St. Joseph, MI). The viscosities of the experimental resin were determined in a viscometer (DV-II+ Viscometer; Brookfield, Middleboro, MA). The data were analyzed using a one-way analysis of variance (ANOVA). A 5-percent significance level was used for all the tests. Resin composites with 30-percent TCP filler showed the highest compressive strength and hardness values. Also, this group showed the lowest degree of conversion. Resin composites with 60-percent TCP filler showed the highest degree of conversion. However, this group showed the lowest compressive strength, depth of cure, and hardness. Resin composites with 50-percent filler showed the highest compressive modulus. Resin composites with 40-percent filler showed higher viscosity values than resin composites with 30-percent filler. In conclusion, increasing the filler level significantly reduced the compressive strength, hardness, and depth of cure, but increased the degree of conversion. Also, resin composites with the lowest filler level (30 percent) had the highest compressive strength, depth of cure, and hardness. From these results, it can be concluded that the experimental TCP-filled resin used in this study cannot be used as restorative material.Item The effect of full-contour Y-TZP ceramic surface roughness on the wear of bovine enamel and synthetic hydroxyapatite : an in-vitro study(2011) Sabrah, Alaá Hussein Aref, 1984-; Bottino, Marco C.; Lund, Melvin R., 1922-; Cochran, Michael A. (Michael Alan), 1944-; Hara, Anderson T.; Cook, Norman Blaine, 1954-THE EFFECT OF FULL-CONTOUR Y-TZP CERAMIC SURFACE ROUGHNESS ON THE WEAR OF BOVINE ENAMEL AND SYNTHETIC HYDROXYAPATITE: AN IN-VITRO STUDY by Alaa Hussein Aref Sabrah Indiana University School of Dentistry Indianapolis, Indiana Full-contour yttrium-stabilized tetragonal zirconia polycrystal (Y-TZP) restorations have been advocated recently in clinical situations where occlusal/palatal space is limited, or to withstand parafunctional activities. The objectives of this in-vitro study were to investigate the effects of different polishing techniques on the surface roughness of Y-TZP (Ardent Dental, Inc.) and to investigate the effects of different polishing techniques on the wear behavior of synthetic hydroxyapatite (HA) and bovine enamel. An in-vitro study was conducted by fabrication of 48 Y-TZP sliders (diameter = 2 mm × 1.5 mm in height) using CAD/CAM technique; then the samples were embedded in acrylic resin using brass holders. Samples were then randomly allocated into four groups according to the finishing/polishing procedure: G1-as-machined (n = 8), G2- glazed (n = 16), G3-diamond bur-finishing (Brasseler, USA) (n = 8) and G4- G3+OptraFine polishing kit (Ivoclar-Vivadent) (n = 16). Thirty-two sintered HA disks (diameter = 11 mm × 2.9 mm in height) and 16 bovine enamel samples with a minimum surface area of 64 mm2 were mounted in brass holders. Baseline surface roughness (Ra and Rq, in μm) were recorded using a non-contact profilometer (Proscan 2000) for all the samples. A two-body pin-on-disk wear test was performed for 25,000 cycles at 1.2 Hz in which the four zirconia groups were tested against HA, and only G2-glazed and G4- G3+OptraFine polishing kit (Ivoclar-Vivadent) were tested against bovine enamel. Vertical substance loss (μm) and volume loss (mm3) of HA were measured (Proscan). Zirconia height loss was measured using a digital micrometer. One-way ANOVA was used for statistical analysis. The results indicated that surface roughness measurements showed significant differences among the surface treatments with G1 (Ra = 0.84, Rq = 1.13 μm) and G3 (Ra = 0.89, Rq = 1.2 μm) being the roughest, and G2 (Ra = 0.42, Rq = 0.63 μm) the smoothest. The glazed group showed the highest vertical loss (35.39 μm) suggesting wear of the glaze layer, while the polished group showed the least vertical loss (6.61 μm). HA antagonist volume loss and vertical height loss for groups (G1, G2 and G3) were similar, while polished group (1.3 mm3, 14.7 μm) showed significant lower (p = 0.0001) values. Antagonist height loss and antagonist volume loss were significantly higher for bovine antagonist than for HA antagonist (197.6 μm/116.2 μm, and 28.5 mm3/17.7 mm3 for bovine against glazed/polished zirconia sliders, respectively) (p < 0.0001). From the results it can be concluded that glazed zirconia provided an initially smooth surface, but a significant increased antagonist wear compared with the polished surface was seen. Bovine enamel showed higher wear compared with HA, which suggested that more studies should be performed to validate the use of bovine enamel as a substitute for human enamel in wear studies.Item Effect of halloysite aluminosilicate clay nanotube incorporation into bonding agents on shear bond strength to human dentin(2013) Alkatheeri, Mohammed Saeed; Bottino, Marco C.; Chu, Tien-Min Gabriel; Platt, Jeffrey A., 1958-; Cook, Norman Blaine, 1954-; Cochran, Michael A. (Michael Alan), 1944-In adhesive dentistry, obtaining a good bond is a fundamental goal. It has been suggested that filler addition to the adhesives would increase the bonding strength of the adhesive layer. Halloysite aluminosilicate nanotubes (HNTs) are biocompatible, hydrophilic, durable, and have high mechanical strength. These advantages make them good candidates to be used as reinforcing agents for improving the properties of dental adhesives. The objective of this study was to evaluate the effect of incorporating HNTs into a commercial two-step etch-and-rinse adhesive system or one-step self-etch adhesive system on dentin shear bond strength. HNTs were incorporated into the two commercial adhesive systems in 0 wt%, 5 wt%, 10 wt%, and 20 wt%. The commercial control adhesives and the experimental adhesives were used to bond occlusal dentin of 120 extracted human molar teeth and then tested for shear bond strength by a universal testing machine with a semi-circular edge at a crosshead speed of 1.0 mm/min. Debonded specimens were examined under light microscopy to evaluate the fracture pattern. Resin-dentin interface were evaluated under scanning electron microscopy (SEM) after bonding dentin slabs using commercial control adhesives and experimental adhesive that showed numerically highest shear bond strength from each adhesive system. Two-way ANOVA was used to evaluate the effects of adhesive system and nanofiller content on shear bond strength. Pair-wise comparisons between groups were made using Fisher's (LSD) (p < 0.05). For the self-etch adhesive system, only incorporation of 5 wt% showed a significant increase in shear bond strength to dentin compared with the commercial control group. For the etch-and-rinse adhesive system, there was no significant difference in shear bond strength between HNTs filled adhesives groups and the commercial control group. Resin-dentin interface SEM evaluation showed nanotubes infiltrated into dentinal tubules. In conclusion, incorporating the self-etch adhesive system with 5 wt% HNTs increased the bond strength to dentin. Incorporation of up to 10 wt% filler concentration into both the self-etch and the etch-and-rinse adhesive systems did not adversely affect the bond strength to dentin or the handling properties. HNTs can penetrate along with resin tags into dentinal tubules, which could expand the use of their unique properties.Item Effect of nylon-6 and chitosan nanofibers on the physicomechanical and antibacterial properties of an experimental resin-based sealant(2014) Hamilton, Maria Fernanda; Bottino, Marco C.; Cook, Norman Blaine, 1954-; Hara, Anderson T.; Zandoná, Andréa G. Ferreira (Andréa Gonçalves Ferreira), 1969-; Gregory, Richard L.; Soto Rojas, Armando E.Purpose: Dental sealant forms a physical barrier to prevent pit and fissure caries; therefore, the retention rate becomes a main factor of the sealant’s effectiveness. Electrospun nylon-6/N6 nanofibers have shown good mechanical properties, such as high tensile strength and fracture toughness. Chitosan/CH has received significant attention due to properties such as antibacterial activity. The purpose of this study was to synthesize and evaluate the effect of incorporating N6 and CH electrospun nanofibers on the physical-mechanical and antibacterial properties of an experimental resin-based sealant. Methods and Materials: Nanofiber synthesis: N6 pellets were dissolved in 1,1,1,3,3,3-hexafluoro-2-propanol at a concentration of 10wt%. Practical-grade chitosan was dissolved in trifluoroacetic acid and dichloromethane (60:40 TFA/DCM) at 7 wt%. Electrospinning parameters were optimized in order to fabricate defect-free N6 and chitosan nanofiber mats. Morphological and chemical characterizations were performed by scanning electron microscopy (SEM) and Fourier transform infrared (FTIR) spectroscopy, respectively after vacuum drying the mats for 48 h. The average fiber diameter was determined from SEM images by measuring the diameter of 120 fibers using ImageJ software. Experimental Sealant: N6 and CH electrospun mats (3×3cm2) were immersed into a resin mixture of BIS-GMA/TEGDMA. Once no bubbles were seen, the resin-modified N6 and CH mats were put on a glass plate, light-cured (“TRIAD 2000”) for 2 min and then submitted to a cryomilling process to obtain a fine micron-sized powder. Three different filler levels (1 wt%, 2.5 wt%, 5 wt%) were used to prepare the N6 and CH incorporated resin-based sealants. Additionally, a commercially available resin-based sealant and the experimental resin mixture (unfilled) were used as controls. Three-point flexural testing, Vickers microhardness testing, and agar diffusion testing were performed on the experimental sealants and the commercial sealant. Data were analyzed by one-way ANOVA and Fisher's Protected Least Significant Differences Pair-wise comparisons between groups (5%). Results: The average fiber diameter for N6 was found to be 503±304 nm and 595±411 nm for CH. No significant difference was found between fiber diameter (p = 0.0601). FTIR confirmed the characteristic peaks for N6 ((CO-NH and [-(CH2)5-].) and CH (N-H and C2F3O2-). CH-5% group had significantly higher (p = 0.0000) FS (115.3±4.5 MPa) than all other groups. CH-1% and CH-2.5% groups had significantly higher FS than the control (unfilled) (p = 0.0016 and p = 0.0033 respectively); Helioseal Clear (p = 0.0000), and nylon groups. N6-5% had significantly higher flexural strength than Helioseal Clear (p = 0.0013) and N6-2.5% (p = 0.0250). CH-1% had significantly higher hardness values than all other groups, and CH-5% (p = 0.0414) had significantly higher values than N6-2.5%. No antibacterial inhibition was seen in any of the tested groups. Conclusions: CH and N6 nanofibers were successfully prepared via electrospinning and used to modify the experimental resin-based dental sealants. The overall results indicated that CH-containing sealants presented the highest flexural strength and hardness; however, none of the CH groups displayed antimicrobial properties. Further investigation is needed to enhance the physico-mechanical properties of the experimental resin-based sealants using nylon-6 and CH.Item In-vitro wear and hardness of new conventional glass ionomer cement coated with nano-filled resin(2011) AlJamhan, Abdullah Saleh; Platt, Jeffrey Alan, 1958-; Matis, Bruce A.; Cochran, Michael A. (Michael Alan), 1944-; Cook, Norman Blaine, 1954-; Zandoná, Andréa G. Ferreira (Andréa Gonçalves Ferreira),1969-Background: Since the introduction of glass ionomer cements (GICs) in the 1970s, many attempts have been made to improve them and expand their application in restorative dentistry. Recently, GC America introduced a new glass ionomer restorative system called EQUIA. The manufacturer claims that this material has improved wear resistance by coating the surface of high-strength GIC with a nano-filled resin coating. Objective: The objective of this study was to measure the wear resistance and hardness of EQUIA and to compare it to other current restorative materials. Materials and Methods: Four different materials were used in this study: EQUIA, Fuji IX GP Extra, Fuji II LC and Z-100. Six specimens of each material were made and then tested in a toothbrush abrasion machine for 20,400 cycles, after which the amount of volume loss was calculated. Eight specimens of each material were made and tested in a three-body Alabama wear testing machine under a load of 75 N for 400,000 cycles. Four surface profiles were obtained from each specimen and volume loss was calculated using computer software. Five specimens of each material were made and Knoop microhardness was determined by using the mean of the three values from the top surface of the specimen. Results of each test were collected and compared with the other materials using one-way analysis of variance (ANOVA) at a significance level of 0.05. Results: Wear-resistance results showed that EQUIA has wear-resistance values comparable to composite resin and higher values than those for the high-strength GIC. The results also showed that Fuji II LC had the highest wear among all tested materials. Microhardness results showed that EQUIA has significantly lower microhardness than Fuji IX GP Extra and Z-100. Conclusion: Based on the results of the present study, it can be concluded that coating the surface of glass ionomer restorations with a nano-filled resin coat results in increasing the wear resistance and decreasing the microhardness of the material. Within the limitations of this study, EQUIA has comparable wear resistance to composite resin.Item Interaction between tin/flouride-containing solutions and artificially created dental pellicles on erosion prevetion in vitro(2013) Algarni, Amnah Abdullah A.; Hara, Anderson; Lippert, Frank; Gregory, Richard L.; Zandoná, Andréa F. Gerreira (Andréa Gonçalves Ferreira), 1969-; Cook, Norman Blaine, 1954-BACKGROUND: Fluoride and stannous ions have been reported to be relevant for dental erosion prevention. However, their interaction with the acquired dental pellicle (ADP), a clinically relevant erosion protective factor, is not well known and needs to be investigated. OBJECTIVES: To investigate the anti-erosive properties of fluoride-containing solutions and stannous solutions on enamel and dentin surfaces with a previously formed ADP. To characterize the protein profile of the ADP treated with the test solutions. METHODS: Phase I tested four solutions: SnCl2/NaF, NaF, SnCl2 and deionized water (DIW) (as negative control). Forty bovine enamel and dentin specimens 104 (4x4x2 mm3) were prepared and randomly distributed into 4 groups (n = 10). The specimens were incubated in clarified human saliva (CHS) for 24 h for pellicle formation and then they were subjected to a cycling procedure that included a 5-min erosive challenge (0.3-percent citric acid, pH 2.6); a 2-min treatment with the solution (between 1st, 3rd and 6th cycles); a 2-h immersion in CHS, and overnight immersion in CHS. Cycles were repeated 6x/day for 5 days. The outcome measure was surface loss (SL) using profilometry. Phase II: Thirty-two (32) bovine enamel specimens (882 mm3) (n = 8) were similarly prepared and incubated in saliva for 24 h and then treated with the solutions for 2 min followed by CHS immersion for 2 h. This cycle was repeated 3x for one day. The pellicles formed and treated with the test rinse solutions were collected, digested, and analyzed for specific protein content using liquid chromatography electrospray ionization tandem mass spectrometry (LCESI-MS/MS). RESULTS: Phase I: for enamel, SnCl2/NaF, SnCl2, NaF solutions provided 89 percent, 67 percent, and 42 percent SL reduction respectively compared with the control, while in dentin they provided 60 percent, 23 percent, and 36 percent, respectively, all significant at p < 0.05. Phase II: Seventy-two (72) common proteins were identified in all groups, 30 exclusive to DIW, 20 to SnCl2/NaF, 19 to NaF, and 13 to SnCl2. SnCl2/NaF increased the abundance of pellicle proteins than each one alone. CONCLUSION: SnCl2/NaF showed the best anti-erosive effect on both enamel and dentin. The findings suggest that the composition of acquired pellicle changes with different solutions, which may be related to their anti-erosive effect.Item The ion release behaviours and water sorption of novel resin-based calcium phosphate cement(2010) AlZain, Afnan Omar, 1981-; Chu, Tien-Min Gabriel; Lund, Melvin R., 1922-; Cochran, Michael A. (Michael Alan), 1944-; Martinez Mier, Esperanza de los A. (Esperanza de los Angeles), 1967-; Cook, Norman Blaine, 1954-Calcium phosphate-filled restorative materials were developed to provide calcium (Ca) and phosphate (PO4) ions, which have been proposed to enhance remineralization of demineralized tooth structure. Recently, tricalcium phosphate (TCP)-filled restorative materials were introduced as an alternative to amorphous calcium phosphate. The TCP filler has a more crystalline structure than ACP and is therefore potentially stronger. The aim of the present study was to examine TCP-filled restorative resins at different concentration levels at different time intervals to characterize the concentrations of Ca and PO4 ions released, and to measure the water sorption (WS) of these resins. An in vitro study was conducted by formulating resin composite using TCP as the filler mixed with EBPADMA, HmDMA, and HEMA as the resin matrix. One-hundred- sixty samples were prepared, 40 samples of each filler concentration (30 percent, 40 percent, 50 percent, and 60 percent) by weight. From each filler concentration, 5 samples of each of the 8 time points (time intervals of 4 h, 8 h, 12 h, 24 h, 3 d, 7 d, 14 d, and 21 d) were immersed in 100-ml deionized water. Calcium and PO4 ions were measured using atomic absorption spectroscopy and light spectroscopy, respectively. Water sorption (WS) was measured according to ISO 4049 specification and then the WS and the diffusion coefficient were calculated. The significance level was set at p = 0.001. The results indicated that Ca and PO4 ion release increased with increasing filler level at a rate faster than being linear. In addition, WS results were very high and failed to meet the ISO 4049 specification requirement. Diffusion coefficient results were also high. One-way ANOVA test for only 21-day data revealed that there is a statistically significant difference in filler level percent, and two-way ANOVA testing revealed that there is a statistically significant interaction between time and filler level percent on the Ca, PO4 released and WS. It can be concluded that the concentrations of Ca and PO4 released and WS were affected by composition of the monomers, filler level and type, dispersion, and the absence of coupling agent. Although this TCP-filled restorative material may release Ca and PO4, it cannot serve as a restorative material due to high WS values. Further study is needed to improve the material and evaluate its ability in promoting remineralization of the tooth structure in order for it to serve its purpose.Item Kalirin : novel role in osteocyte function(2013) Wayakanon, Kornchanok; Bruzzaniti, Angela; Windsor, Lester Jack; Chu, Tien-Min Gabriel; Cho, Sopanis D.; Cook, Norman Blaine, 1954-Communication between bone cells is important for the maintenance of bone mass. Although osteocytes are deeply embedded within the mineralized matrix, they are essential for the regulation of osteoblast and osteoclast functions. However, the intracellular proteins that control the morphology and function of osteocytes, and their ability to communicate with other bone cells are still unknown. Kalirin is a novel multi-domain GTP exchange factor (GEF) protein that activates the RhoGTPases. Recently, we found that 14 week old female Kalirin knockout (Kal-KO) mice exhibit a 45% decrease in trabecular bone density and have significantly lower cortical area, perimeter, thickness and polar cross-sectional moment of inertia (-12.6%, -7.2%, -7.6% and -21.9%, respectively) than WT mice. Kalirin was found to be expressed in osteoclasts and osteoblasts but its expression and function in osteocytes is currently unclear. We examined the role of Kalirin on the morphology and function of osteocytes. Primary osteocytes were isolated by sequential collagenase digestions from long bones (femurs and tibias) of 10-week old WT and Kal-KO mice. Immunofluorescent staining revealed Kalirin was localized to the perinuclear region of primary osteocytes and MLO-Y4 cells, and was detected along the cytoplasmic processes of primary osteocytes. We also examined primary osteocytes isolated from the long bones of Kal-KO and WT mice for changes in the length and number of cytoplasmic processes. Kal-KO osteocytes were found to express significantly fewer cytoplasmic processes per cell (3.3±0.21) than WT osteocytes (4.7±0.3). In addition, the cytoplasmic processes of Kal-KO osteocytes were shorter (79.5±4.6 µm) than those observed for WT osteocytes (85.4±3.6 µm) (p <0.01). Quantitative PCR revealed the expression of mRNA for the three major Kalirin isoforms (Kal-7, Kal-9, Kal-12) in primary osteocytes and in MLO-Y4 cells. Moreover, the mRNA levels of osteoprotegerin (OPG) and SOST, which are important for controlling osteoclast differentiation and Wnt signaling leading to bone formation, respectively, were reduced in Kal-KO osteocytes. Next, the role of Kalirin in osteocyte morphology and function was further examined. Treatment of MLO-Y4 cells for 5 days with nerve growth factor, which is known to activate Kalirin in neurons, or over-expression of the Ser-Thr kinase domain of Kal-12, promoted cytoplasmic process elongation and upregulated phosphorylated ERK and RhoA levels. Together, these results suggest that Kalirin controls osteocyte morphology and function in part by regulating cytoskeletal remodeling and the activity of ERK and RhoA. Furthermore, Kalirin may control the bone remodeling cycle by regulating osteocyte signaling to osteoclasts and osteoblasts.Item The Mechanical Properties of Full-Contour Zirconia(2014) Janabi, Anmar Uday; Chu, Tien-Min Gabriel; Matis, Bruce A.; Lund, Melvin R., 1922-; Cochran, Michael A. (Michael Alan), 1944-; Cook, Norman Blaine, 1954-The objectives: 1. To compare the flexural strength, flexural modulus, and fracture toughness of specimens fabricated from recently marketed translucent full-contour zirconia, traditional zirconia, and lithium disilicate glass ceramic. 2. To compare the load-to-failure of crowns fabricated from recently marketed translucent full-contour zirconia, traditional zirconia, and lithium disilicate glass ceramic at their recommended tooth-reduction thickness. Methodology: Four groups of translucent zirconia (BruxZir, KDZ Bruxer, CAP FZ, Suntech zirconia), one group of traditional zirconia (CAP QZ) and IPS e.maxCAD) were tested. Twelve bars of each material were made and tested for flexural strength, and fracture toughness. Fracture patterns were imaged under SEM. Forty-eight crowns (8 from each group) were fabricated with CAD/CAM technique following manufacturers’ recommendations for the amount of tooth reduction. All the crowns were cemented to prepared epoxy resin dies with RelyX Unicem and tested for static load to failure in a universal machine. Result: In bar-shape samples, CAP QZ (traditional zirconia) showed the highest flexural strength (788.12 MPa), fracture toughness (6.85 MPa.m1/2), and fracture resistance (2489.8 N). All translucent zirconia groups show lower mechanical properties than QZ. However, there were no differences between translucent and traditional zirconia in the fracture resistance of the crown-shape samples. There was no significant difference in fracture resistance between IPS e.max crowns at recommended thickness and other zirconia crowns at recommended thickness. Conclusion: With less reduction of tooth structure, a high inherent strength and chip resistance make full-zirconia crowns a good alternative to porcelain-fused-to-metal crowns and all other ceramic crowns.