Polymer Infiltrated Ceramic Network In Dentistry: A Narrative Review
DOI:
https://doi.org/10.51173/ijmhs.v2i2.4Keywords:
Polymer Inflitrated Ceramic Network , Hybrid Ceramic , PICN , VITA Enamic , MicrostructureAbstract
Background: The excellent mechanical compatibility of polymer-infiltrated ceramic network materials (PICN) with human enamel has contributed to their exploration as a crown restoration material. PICNs were produced by polymerizing a resin monomer that has been soaked into porous ceramics.
Objective of study: Analyze effect PICN materials that have many characteristics with dentin and enamel. PICNs have properties that are transitional between those of resins and ceramics due to their unusual microstructure, which consists of a dual-network consisting of the ceramic framework and polymer phases.
Materials and Methods: The scientific literature on this topic was searched through both an electronic systematic review (using Science Direct, PubMed, the Web of Science, and Google Scholar) and a manual search. This review was a compilation, analysis, and selection of articles published between 2013 and 2023. Studies of ceramic networks infused with polymers for use in dentistry were described. This evaluation includes over 38 papers that were selected for their potential relevance to the topic at hand.
Results: The results demonstrate that the information at issue was adequate for characterising the microstructure and determining some mechanical features of the commercially available polymer-infiltrated ceramic-network (PICN) material (Vita Enamic, Vita Zahnfabrik). PICN may be a good option for in-office dental procedures because it does not need to be sintered or burned after milling. The manufacturer recommends PICN for use in both the anterior as well as posterior crowns (including implant-supported crowns), inlays, onlays, partial crowns and veneers for single teeth.
Conclusion: Researchers have shown that PICN materials have many characteristics with dentin and enamel; it reduces abrasion on opposing tooth surfaces more than other dental ceramics; and it is harder than composites, making it more wear-resistant.
References
References
Akan, E., Colgecen, O., Meşe, I. T., & Bağiş, B. (2021). Effects of different finishing procedures on surface roughness of hybrid CAD/CAM materials. J Dent Indones, 28, 185-191. https://doi.org/10.14693/jdi.v28i3.1298.
Chen, C., & Zeng, X. (2022). [Retracted] Effects of Different Polishing Systems on Surface Roughness and Crystal Structure of Zirconia. Applied Bionics and Biomechanics, 2022(1), 5360893. https://doi.org/10.1155/2022/5360893.
Turki, S. A., Abdulsattar, M. H., & Alwahab, Z. N. (2023). Effect of Different Polishing Systems on Surface Roughness of IPS Empress Ceramic Materials. Journal of Techniques, 5(3), 234-239. https://doi.org/10.51173/jt.v5i3.1074.
Fouad, R. I., Al Jorani, L. E. A., & Al-Azzawi, A. K. J. K. (2023). Evaluation of the Effect of Different Glazing Brands on Surface Roughness of Monolithic Zirconia. Journal of Techniques, 5(2), 155-162.. https://doi.org/10.51173/jt.v5i2.940.
Albero, A., Pascual, A., Camps, I., & Grau-Benitez, M. (2015). Comparative characterization of a novel cad-cam polymer-infiltrated-ceramic-network. Journal of clinical and experimental dentistry, 7(4), e495. doi: 10.4317/jced.52521
Pereira, F. M. G. (2019). Update on the new polymer infiltrated ceramic network material (PICN). PQDT-Global. https://doi.org/10.1111/jerd.12370.
Alsilani, R. S., Sherif, R. M., & Elkhodary, N. A. (2022). Evaluation of colour stability and surface roughness of three CAD/CAM materials (IPS e. max, Vita Enamic, and PEEK) after immersion in two beverage solutions: an in vitro study. Int J Appl Dent Sci, 8(1), 439-49. doi: 10.2174/1874210620130904003.
Skorulska, A., Piszko, P., Rybak, Z., Szymonowicz, M., & Dobrzyński, M. (2021). Review on polymer, ceramic and composite materials for cad/cam indirect restorations in dentistry—Application, mechanical characteristics and comparison. Materials, 14(7), 1592. https://doi.org/10.3390/ma14071592.
Facenda, J. C., Borba, M., & Corazza, P. H. (2018). A literature review on the new polymer‐infiltrated ceramic‐network material (PICN). Journal of Esthetic and Restorative Dentistry, 30(4), 281-286.. https://doi.org/10.1111/jerd.12370.
Lin, J., Cai, P., Zhuo, Y., Lin, L., & Zheng, Z. (2023). Effect of abutment design on fracture resistance of resin-matrix ceramic crowns for dental implant restoration: An in vitro study. BMC Oral Health, 23(1), 410. https://doi.org/10.1186/s12903-023-03100-0.
Tokunaga, J., Ikeda, H., Nagamatsu, Y., Awano, S., & Shimizu, H. (2022). Wear of polymer-infiltrated ceramic network materials against enamel. Materials, 15(7), 2435. https://doi.org/10.3390/ma15072435.
Papathanasiou, I., Zinelis, S., Papavasiliou, G., & Kamposiora, P. (2023). Effect of aging on color, gloss and surface roughness of CAD/CAM composite materials. Journal of dentistry, 130, 104423. https://doi.org/10.1016/j.jdent.2023.104423.
Kang, L., Zhou, Y., Lan, J., Yu, Y., Cai, Q., & Yang, X. (2020). Effect of resin composition on performance of polymer-infiltrated feldspar-network composites for dental restoration. Dental Materials Journal, 39(5), 900-908. https://doi.org/10.4012/dmj.2019-180.
Baig, M. R., Akbar, A. A., & Embaireeg, M. (2021). Effect of finish line design on the fit accuracy of CAD/CAM monolithic polymer-infiltrated ceramic-network fixed dental prostheses: an in vitro study. Polymers, 13(24), 4311.https://doi.org/10.3390/polym13244311.
Al-Haj Husain, N., Özcan, M., Molinero-Mourelle, P., & Joda, T. (2020). Clinical performance of partial and full-coverage fixed dental restorations fabricated from hybrid polymer and ceramic CAD/CAM materials: A systematic review and meta-analysis. Journal of clinical medicine, 9(7), 2107. https://doi.org/10.3390/jcm9072107.
Aslan, Y. U., Coskun, E., Ozkan, Y., & Dard, M. (2019). Clinical Evaluation of Three Types of CAD/CAM Inlay/Onlay Materials After 1-Year Clinical Follow Up. The European Journal of Prosthodontics and Restorative Dentistry, 27(3), 131-140.https://doi.org/10.1922/ejprd_01891aslan10.
Zhang, S., Wang, X., Yang, J., Chen, H., & Jiang, X. (2023). Micromechanical interlocking structure at the filler/resin interface for dental composites: a review. International journal of oral science, 15(1), 21. https://doi.org/10.1038/s41368-023-00226-3.
Awada, A., & Nathanson, D. (2015). Mechanical properties of resin-ceramic CAD/CAM restorative materials. The Journal of prosthetic dentistry, 114(4), 587-593. https://doi.org/10.1016/j.prosdent.2015.04.016.
Ikeda, H., Nagamatsu, Y., & Shimizu, H. (2019). Preparation of silica–poly (methyl methacrylate) composite with a nanoscale dual-network structure and hardness comparable to human enamel. Dental Materials, 35(6), 893-899. https://doi.org/10.1016/j.dental.2019.03.006.
Wang, F., Guo, J., Li, K., Sun, J., Zeng, Y., & Ning, C. (2019). High strength polymer/silicon nitride composites for dental restorations. Dental Materials, 35(9), 1254-1263. https://doi.org/10.1016/j.dental.2019.05.022.
El-Ashkar, A. S., & Nabil, O. (2022). Recent Developments and Potential Challenges in Dealing with Internal and External Surfaces of Glass Matrix and Resin Matrix Ceramic Materials. A Literature Review. Acta Scientific Dental Sciences (ISSN: 2581-4893), 6(3). https://doi.org/10.3390/jfb14030158.
Lawson, N. C., Bansal, R., & Burgess, J. O. (2016). Wear, strength, modulus and hardness of CAD/CAM restorative materials. Dental Materials, 32(11), e275-e283. https://doi.org/10.1016/j.dental.2016.08.222.
Kawajiri, Y., Ikeda, H., Nagamatsu, Y., Masaki, C., Hosokawa, R., & Shimizu, H. (2021). PICN nanocomposite as dental CAD/CAM block comparable to human tooth in terms of hardness and flexural modulus. Materials, 14(5), 1182. https://doi.org/10.3390/ma14051182.
Enamic, V. (2018). Multichromatic and highly translucent hybrid ceramic Vita Enamic. Int. J. Comput. Dent, 21, 239-250. doi: 10.2174/1874210620130904003.
Conejo, J., Ozer, F., Mante, F., Atria, P. J., & Blatz, M. B. (2021). Effect of surface treatment and cleaning on the bond strength to polymer-infiltrated ceramic network CAD-CAM material. The Journal of Prosthetic Dentistry, 126(5), 698-702.https://doi.org/10.1016/j.prosdent.2020.08.016.
Ludovichetti, F. S., Trindade, F. Z., Werner, A., Kleverlaan, C. J., & Fonseca, R. G. (2018). Wear resistance and abrasiveness of CAD-CAM monolithic materials. The Journal of prosthetic dentistry, 120(2), 318-e1. https://doi.org/10.1016/j.prosdent.2018.05.011.
Krishnan, P., Bhaskaran, S., Paul, M. M. C., Menon, S. K., Venugopalan, D., & Aryasree, P. M. (2020). CAD/CAM CERAMIC MATERIALS FOR INDIRECT RESTORATIONS IN DENTISTRY—A REVIEW. Journal of Advanced Prosthodontics, 9(486), 10-4047.https://doi.org/10.4047/jap.2020.12.1.22.
Alharbi, N., Teerakanok, S., Satterthwaite, J. D., Giordano, R., & Silikas, N. (2022). Quantitative nano-mechanical mapping AFM-based method for elastic modulus and surface roughness measurements of model polymer infiltrated ceramics. Dental Materials, 38(6), 935-945. https://doi.org/10.1016/j.dental.2022.03.002.
Bashary, N., Tashkandi, A., Fan, Y., Kaizer, M. R., Özcan, M., Husain, N. A. H., & Zhang, Y. (2022). Evaluating the bond strength of a polymer infiltrated ceramic network to zirconia using the crossbeam push-off method. The European journal of prosthodontics and restorative dentistry, 30(3), 207. 10.1922/EJPRD_2348Bashary07.
González-Angulo, E., Fernández-Estevan, L., Casas-Terrón, J., Senent-Vicente, G., Fons-Badal, C., García-Sala Bonmatí, F., ... & Román-Rodríguez, J. L. (2023). Microtensile bond strength of CAD-CAM restorative dental material blocks to resin cement: an in vitro study. Materials, 16(13), 4796. https://doi.org/10.3390/ma16134796.
Demirel, A., Bezgin, T., Akaltan, F., & Sarı, Ş. (2017). Resin Nanoceramic CAD/CAM Restoration of the Primary Molar: 3‐Year Follow‐Up Study. Case reports in dentistry, 2017(1), 3517187. https://doi.org/10.1155/2017/3517187.
Yin, R., Kim, Y. K., Jang, Y. S., Lee, J. J., Lee, M. H., & Bae, T. S. (2019). Comparative evaluation of the mechanical properties of CAD/CAM dental blocks. Odontology, 107(3), 360-367. https://doi.org/10.1007/s10266-018-0407-9.
Unterschütz, L., Fuchs, F., Mayer, L. A., Koenig, A., Challakh, N., Schulz-Kornas, E., ... & Hahnel, S. (2023). Influence of dental prophylaxis procedures on the tooth veneer interface in resin-based composite and polymer-infiltrated ceramic veneer restorations: an in vitro study. Clinical Oral Investigations, 27(6), 2595-2607. https://doi.org/10.1007/s00784-022-04816-z.
Calheiros-Lobo, M. J., Calheiros-Lobo, J. M., Carbas, R., da Silva, L. F., & Pinho, T. (2023). A polymer-infiltrated ceramic as base adherent in an experimental specimen model to test the shear bond strength of CAD-CAM monolithic ceramics used in resin-bonded dental bridges. Coatings, 13(7), 1218. https://doi.org/10.3390/coatings13071218.
Zaky, H. I., Haleem, C. H., & Kotb, S. N. (2023). Wear behavior of bonded occlusal veneers constructed from machine milled glass and polymer infiltrated ceramics in contact with enamel: An in vitro study. Int J Appl Dent Sci, 9, 251e3. https://doi.org/10.22271/oral.2023.v9.i1d.1690.
Saláta, J., Szabó, F., Csuti, P., Antal, M., Márton, P., Hermann, P., ... & Ábrám, E. (2023). Effect of thickness, translucency, and substrates on the masking ability of a polymer‐infiltrated ceramic‐network material. Journal of Esthetic and Restorative Dentistry, 35(6), 886-895. https://doi.org/10.1111/jerd.13071.
Dauti, R., Lilaj, B., Heimel, P., Moritz, A., Schedle, A., & Cvikl, B. (2020). Influence of two different cement space settings and three different cement types on the fit of polymer-infiltrated ceramic network material crowns manufactured using a complete digital workflow. Clinical Oral Investigations, 24(6), 1929-1938. 10.1007/s00784-019-03053-1.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Nisreen Manaa Khalaf , Zahra N Alwahab, Nihad AlFuraiji, Syed Qasim

This work is licensed under a Creative Commons Attribution 4.0 International License.




