<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" "journalpublishing.dtd">
<article article-type="research-article" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xml:lang="EN">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Dent. Med</journal-id>
<journal-title>Frontiers in Dental Medicine</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Dent. Med</abbrev-journal-title>
<issn pub-type="epub">2673-4915</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fdmed.2024.1409150</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Dental Medicine</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Application of non-destructive testing methods for assessing fracture resistance in dental ceramics: the sound harvesting test</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes"><name><surname>Haddad</surname><given-names>Camille</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="corresp" rid="cor1">&#x002A;</xref><uri xlink:href="https://loop.frontiersin.org/people/2701558/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/data-curation/"/>
<role content-type="https://credit.niso.org/contributor-roles/formal-analysis/"/>
<role content-type="https://credit.niso.org/contributor-roles/funding-acquisition/"/>
<role content-type="https://credit.niso.org/contributor-roles/investigation/"/>
<role content-type="https://credit.niso.org/contributor-roles/methodology/"/>
<role content-type="https://credit.niso.org/contributor-roles/project-administration/"/>
<role content-type="https://credit.niso.org/contributor-roles/resources/"/>
<role content-type="https://credit.niso.org/contributor-roles/software/"/>
<role content-type="https://credit.niso.org/contributor-roles/supervision/"/>
<role content-type="https://credit.niso.org/contributor-roles/validation/"/>
<role content-type="https://credit.niso.org/contributor-roles/visualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author"><name><surname>Gebran</surname><given-names>Jean</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author"><name><surname>El Zoghbi</surname><given-names>Amine</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
</contrib-group>
<aff id="aff1"><label><sup>1</sup></label><institution>Department of Prosthodontics and Occlusion, Saint Joseph University</institution>, <addr-line>Beirut</addr-line>, <country>Lebanon</country></aff>
<aff id="aff2"><label><sup>2</sup></label><institution>Charge d&#x0027;enseignement, IESAV, Saint Joseph University</institution>, <addr-line>Beirut</addr-line>, <country>Lebanon</country></aff>
<aff id="aff3"><label><sup>3</sup></label><institution>Department of Prosthodontics and Occlusion, Laboratoire de Recherche Cranio-Faciale-Unite d&#x0027;anomalie Cranio-Faciale, Saint Joseph University</institution>, <addr-line>Beirut</addr-line>, <country>Lebanon</country></aff>
<author-notes>
<fn fn-type="edited-by"><p><bold>Edited by:</bold> Alfredo Iandolo, University of Salerno, Italy</p></fn>
<fn fn-type="edited-by"><p><bold>Reviewed by:</bold> Gaetano Paolone, Vita-Salute San Raffaele University, Italy</p>
<p>Dario Santonocito, University of Messina, Italy</p></fn>
<corresp id="cor1"><label>&#x002A;</label><bold>Correspondence:</bold> Camille Haddad <email>camhaddad@gmail.com</email></corresp>
</author-notes>
<pub-date pub-type="epub"><day>06</day><month>06</month><year>2024</year></pub-date>
<pub-date pub-type="collection"><year>2024</year></pub-date>
<volume>5</volume><elocation-id>1409150</elocation-id>
<history>
<date date-type="received"><day>29</day><month>03</month><year>2024</year></date>
<date date-type="accepted"><day>20</day><month>05</month><year>2024</year></date>
</history>
<permissions>
<copyright-statement>&#x00A9; 2024 Haddad, Gebran and El Zoghbi.</copyright-statement>
<copyright-year>2024</copyright-year><copyright-holder>Haddad, Gebran and El Zoghbi</copyright-holder><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License (CC BY)</ext-link>. The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<abstract>
<sec><title>Introduction</title>
<p>Evaluating the fracture resistance of dental ceramics such as monolithic zirconia crowns is crucial for assessing their durability. Conventional destructive laboratory tests often fail to accurately evaluate the timing and failing crack formation of these brittle materials. Non-destructive testing methods, such as acoustic emission testing (AET), offers an alternative by providing valuable data on material properties without causing damage to the samples.The <italic>in vitro</italic> study aimed to evaluate the sensitivity of a sound harvesting modified acoustic emission testing by comparing the fracture resistance of posterior monolithic zirconia crowns (MZCs) measured via the modified set up with that of a conventional fracture toughness test.</p>
</sec>
<sec><title>Material and methods</title>
<p>A modified acoustic emission set up, the sound harvesting test (SHT), featuring a condenser microphone, an amplifier, a custom audio chipset and a cut-off switch integrated into a universal testing machine, was compared to a conventional fracture toughness test to measure fracture loads on 50 posterior monolithic zirconia crowns divided in two groups.</p>
</sec>
<sec><title>Results</title>
<p>The sound harvesting test recorded a mean fracture load of 1,108.99&#x2005;N, significantly less than the 1,292.52&#x2005;N measured with the conventional test, indicating a more sensitive detection of fractures. Statistically significant differences (<italic>p</italic>&#x2009;&#x003C;&#x2009;0.05) were observed between the two groups.</p>
</sec>
<sec><title>Conclusion</title>
<p>Despite its limitations, the study suggests considering sound harvesting testing as an potential alternative for fracture load testing of dental brittle materials due to its ability to identify failures at lower loads enhancing therefore a more accurate evaluation of the behavior of dental materials. However, further testing on a broader range of dental materials is warranted to improve result accuracy and applicability.</p>
</sec>
</abstract>
<kwd-group>
<kwd>monolithic zirconia</kwd>
<kwd>fracture resistance test</kwd>
<kwd>acoustic emission testing</kwd>
<kwd>sound harvesting test</kwd>
<kwd>brittle materials</kwd>
</kwd-group>
<counts>
<fig-count count="3"/>
<table-count count="2"/><equation-count count="0"/><ref-count count="39"/><page-count count="7"/><word-count count="0"/></counts><custom-meta-wrap><custom-meta><meta-name>section-at-acceptance</meta-name><meta-value>Dental Materials</meta-value></custom-meta></custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro"><label>1</label><title>Introduction</title>
<p>Over the past decades, ceramic materials have gained significant importance in dentistry due to their optical properties and biocompatibility, making them ideal for dental prostheses notably, monolithic zirconia material commonly used in the posterior crowns due to its high strength compared to all ceramic materials which contribute to the stability and longevity of posterior fixed partial dentures (FPDs) (<xref ref-type="bibr" rid="B1">1</xref>).</p>
<p>However, ceramics are naturally brittle, with limited tensile strength and susceptibility to time-dependent stress failure when subjected to various forces within the oral cavity, including masticatory forces, occlusal stresses, and thermal changes (<xref ref-type="bibr" rid="B2">2</xref>). As a result, fracture resistance is a critical aspect of their performance, as it directly impacts the longevity and durability of dental restoration (<xref ref-type="bibr" rid="B3">3</xref>, <xref ref-type="bibr" rid="B4">4</xref>).</p>
<p>In vitro studies are crucial for evaluating the potential clinical performance of dental materials before embarking on costly and time-consuming clinical investigations (<xref ref-type="bibr" rid="B5">5</xref>). Assessing their fracture resistance allows clinicians and researchers to evaluate their suitability for different clinical applications and to predict their clinical performance over time. This evaluation process involves testing the materials under simulated loading conditions to measure their resistance to crack propagation and failure (<xref ref-type="bibr" rid="B6">6</xref>).</p>
<p>Several destructive testing (DT) techniques, including strength tests and fracture toughness tests (FT), are used to evaluate the performance and properties of dental ceramics. Using a universal testing machine (UTM) with a stainless-steel indenter, the FT test is based on applying a compressive load to the occlusal surface of samples, to measure the force required to cause fracture. However, the DT, while effective, have several limitations. First, these tests involve sample destruction, rendering the samples unusable for further testing, which can be costly for materials that are expensive or available in limited quantities. Second, DT provides only a single-point evaluation of the material&#x0027;s properties at a specific moment, failing to capture early changes, such as crack initiation, over time due to factors like aging in clinical situations (<xref ref-type="bibr" rid="B7">7</xref>). Finally, DT also offers only a limited assessment of failure modes, focusing primarily on determining the maximum failure strength without providing detailed insights into specific failure mechanisms. To address these limitations, non-destructive testing (NDT) methods offer an alternative approach to evaluating brittle dental ceramics, preserving their functionality while assessing structural integrity, quality, and performance (<xref ref-type="bibr" rid="B8">8</xref>).</p>
<p>NDT techniques are valuable tools for assessing the integrity of structures and materials in various industries, including dentistry and ceramic production. These methods enable researchers to evaluate materials or components without causing damage, offering significant cost savings, and ensuring the quality of engineered systems and products. In ceramic production, NDT methods are crucial for detecting structural defects without causing damage, although certain key areas still lack viable testing methods, emphasizing the need for the development of additional accurate and effective NDT techniques to ensure ceramic product quality (<xref ref-type="bibr" rid="B9">9</xref>, <xref ref-type="bibr" rid="B10">10</xref>). Commonly used NDT methods include visual inspection, penetration testing, ultrasonic testing, radiographic testing, infrared thermography, laser ultrasonics, x-rays, optical coherence tomography, laser ultrasonics, computed tomography, and acoustic emission testing (AET) (<xref ref-type="bibr" rid="B11">11</xref>).</p>
<p>The fundamental principle of the AET involves harvesting electrical energy from mechanical vibrations generated by sound waves (<xref ref-type="bibr" rid="B10">10</xref>) effectively identifying the initiation and progression of failure in brittle materials while maintaining the integrity of the tested samples. It is used to assess properties such as fracture strength. Integrated with conventional static fracture test machines, AET can determine the onset of failure, locate the initial damage site, track damage propagation, and expose the complex mechanisms leading to material failure (<xref ref-type="bibr" rid="B7">7</xref>&#x2013;<xref ref-type="bibr" rid="B9">9</xref>).</p>
<p>One variant of AET involves using a microphone instead of an ultrasound sensor to harvest the early sound emitted by the crack formation in failing ceramic material. When converted to electrical signals, the emitted noises can be used to transform traditional destructive strength testing into NDT by activating a cutoff switch to halt the UTM load on crack initiation (<xref ref-type="bibr" rid="B12">12</xref>).</p>
<p>The fundamental of sound harvesting test (SHT), is the transmission of an electrical signal from a brittle material such as zirconia to a microphone, amplifier, and switch breaker; this process involves various factors influencing the speed of transmission. These factors include the distance between the material and the microphone, microphone sensitivity, amplifier quality, and switch breaker response time (<xref ref-type="bibr" rid="B13">13</xref>). Assuming that high-quality elements with low latency are used, the signal&#x0027;s travel time can be estimated. Sound waves travel quickly through materials such as ceramic, but once reaching a microphone, they are converted into electrical signals transmitted through a cable to an amplifier. The amplifier processes the signal and sends it to the switch breaker, ideally with minimal latency.</p>
<p>The speed of the signal in the cable is influenced by the cable length, quality, and electrical properties such as resistance and capacitance. Additionally, the amplifier&#x0027;s processing time depends on its design and settings, with modern amplifiers typically having low latency (<xref ref-type="bibr" rid="B14">14</xref>). Because they travel at the speed of light, electric signal transmission through wires is much faster than the speed of sound in air. Material characteristics, such as composition and stress conditions, affect crack propagation speed. The electrical circuit&#x0027;s ability to rapidly stop the test upon crack initiation is vital for accurate data collection (<xref ref-type="bibr" rid="B15">15</xref>). By integrating a high-sensitivity microphone within the fracture toughness test, we can precisely monitor the noise emissions generated by the samples during loading. This setup, coupled with a custom-designed &#x201C;cut-off&#x201D; switch system, enables automatic halting of the load process upon detecting abnormal sounds indicative of crack initiation.</p>
<p>The objective of this <italic>in vitro</italic> study was to evaluate the sensitivity of a modified acoustic emission testing, the sound harvesting test (SHT), by comparing the fracture resistance of posterior monolithic zirconia crowns (MZCs) measured via the technique with that of a conventional fracture toughness test.</p>
</sec>
<sec id="s2" sec-type="methods"><label>2</label><title>Materials and methods</title>
<sec id="s2a"><label>2.1</label><title>Sample preparation</title>
<p>A total of 50 zirconia monolithic crowns (Initial Zirconia Disk&#x00AE; monolithic translucent produced by GC&#x00AE;, Leuven, Belgium) were tested in this experiment. They were evenly distributed into two groups: 25 crowns underwent SHT, while the remaining 25 served as a control group with a FT. The study employed a blinded assessment for unbiased evaluation.</p>
<p>An operator milled a single intact artificial mandibular first molar (Frasaco&#x00AE;, Tettnang, Germany) with a turbine handpiece and diamond burs of different diameters. The occlusal surface area was reduced by 1.5&#x2005;mm (functional cusps). The axial walls were tapered by four degrees and reduced by 1.2&#x2005;mm (Komet&#x00AE; 8862, Lemgo, Germany). The artificial tooth was prepared with a feather-edge margin of 0.5&#x2005;mm (<xref ref-type="bibr" rid="B13">13</xref>). All edges were rounded and polished with a handpiece micromotor, silicone polishing burs of different grain diameters, and a polishing brush with polishing paste (Dialux&#x00AE; blanc, Salisbury, UK). The tooth that had been prepared was subsequently placed horizontally along the customized metallic mold&#x0027;s axis, which held cold-cure acrylic resin with dimensions measuring 2.5&#x2009;&#x00D7;&#x2009;2.5&#x2009;&#x00D7;&#x2009;3&#x2005;mm<sup>3</sup>.</p>
<p>The die, including an artificially prepared tooth and acrylic base, was scanned by a laboratory scanner (Dental Wings, Exocad, 3 Shape&#x00AE;, Montreal, CA, USA). The standard tessellation language (STL) file was analyzed using computer-aided design (CAD) software (Mayka Dental V6, Picasoft&#x00AE;, Yangon, Burma).</p>
<p>The 3D virtual die was adjusted in the CAD software according to the manufacturer&#x0027;s directives with a 0.5&#x2005;mm feather-edge margin. By using the gap thickness tool in the CAD software, a space of 40 microns dedicated to the cement was formed. Based on the CAD die, 50 polymethylmethacrylate (PMMA) dies were printed (Formlabs 2&#x00AE;, Somerville, MA, USA) by a 3D printing machine.</p>
<p>The MZCs were milled by a five-axis milling unit (Kavo Everest&#x00AE;, Charlotte, NC, USA) from four monolithic zirconia discs measuring 98&#x2005;mm&#x2009;&#x00D7;&#x2009;16&#x2005;mm (Initial Zirconia Disk&#x00AE; monolithic translucent by GC&#x00AE;). The MZCs were sintered at 1,500&#x00B0;C in a sintering furnace according to the manufacturer&#x0027;s instructions.</p>
<p>After sandblasting (50-micron 1.5 bar), MZC were then cemented to printed PMMA models with a universal dual cure resin cement (G Cem one&#x00AE;, GC&#x00AE;) light cured for 3&#x2005;s with a curing light machine offering a light intensity of 2,500&#x2005;mW/cm<sup>2</sup> (Woodpecker iLED&#x00AE;).</p>
<p>A 1&#x2005;mm rubber cylinder was made and placed between the indenter tool and the crown to prevent direct damage and evenly distribute the forces. To secure the sample on the die, a universal testing machine applied a 20 Newton vertical load on the top surface. The same operator repeated this process for each MZC- PMMA die cementation. All samples were kept in an incubator for 7 days prior to mechanical testing (<xref ref-type="bibr" rid="B15">15</xref>).</p>
<p>A thermocycling procedure was then carried out. It consisted of 500,000 cycles alternating between 5 and 55&#x00B0;C. The immersion time in each bath was 20&#x2005;seconds, and the transfer time was 5&#x2005;seconds (<xref ref-type="bibr" rid="B14">14</xref>, <xref ref-type="bibr" rid="B15">15</xref>).</p>
</sec>
<sec id="s2b"><label>2.2</label><title>Fracture toughness tests</title>
<p>To prevent Hertzian damage during both tests, a 2&#x2005;mm urethane rubber cylinder was placed between the indenter and the sample.</p>
<p>To perform the conventional fracture toughness test with control group, a ball-shaped indenter was used to create an axial load on the occlusal surface of the samples (<xref ref-type="bibr" rid="B3">3</xref>). The compressive load was applied at a crosshead speed of 0.5&#x2005;mm per minute until fracture. Load values were recorded by the UTM (Laboratoire de Recherche Cranio-faciale-Saint Joseph university) (<xref ref-type="bibr" rid="B16">16</xref>).</p>
<p>Sound Harvesting test was carried out by placing a microphone near the sample within the UTM (<xref ref-type="bibr" rid="B16">16</xref>) (YLE&#x00AE; GmbH, Waldstra&#x00DF;e Bad K&#x00F6;nig, Germany) (<xref ref-type="bibr" rid="B17">17</xref>). Specifically, a condenser microphone (MiniSPL&#x00AE;, NTI) was positioned 1&#x2005;cm away from the sample (<xref ref-type="bibr" rid="B18">18</xref>). It was connected to an amplifier (Avalon Design 737<italic>&#x00AE;</italic>, Nashville, TN, USA) in wich was integrated a motherboard chipset (<xref ref-type="fig" rid="F1">Figure&#x00A0;1</xref>) (<xref ref-type="bibr" rid="B19">19</xref>).</p>
<fig id="F1" position="float"><label>Figure 1</label>
<caption><p>Condenser microphone, urethan sheet, PMMA base and a MZC sample in the SHT setup.</p></caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="fdmed-05-1409150-g001.tif"/>
</fig>
<p>To safeguard the samples from destruction, a custom made &#x201C;cut-off&#x201D; switch system was integrated within the UTM, stopping the test upon detecting the specific sound of a crack forming (<xref ref-type="fig" rid="F2">Figure 2</xref>).</p>
<fig id="F2" position="float"><label>Figure 2</label>
<caption><p>The sound harvesting test setup.</p></caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="fdmed-05-1409150-g002.tif"/>
</fig>
<p>To ensure the UTM&#x0027;s operational sounds did not interfere, a preload of 20&#x2005;N was applied to secure the crown onto its PMMA base (<xref ref-type="bibr" rid="B9">9</xref>). Subsequently, the recording was reinitialized, and the desired test commenced.</p>
<p>Throughout the test, the amplifier continuously monitored for any deviations from normal machine noise. The chipset was programmed to differentiate between normal UTM noise descending and crack sounds emitted by the sample. Upon detecting a crack sound, the chipset triggered an electric command through the cutoff switch to halt the UTM, automatically recording the load values in Newton. To minimize external sound interference, corrugated foam sheets (Cactus&#x00AE; USA) were used for noise cancellation during the tests (<xref ref-type="bibr" rid="B20">20</xref>).</p>
<p>The SHT data were collected by the UTM software for analysis and storage.</p>
</sec>
<sec id="s2c"><label>2.3</label><title>Visual inspection of cracks</title>
<p>Following the static load test, cracks in the samples were identified, and subsequent meticulous examination under a low-magnification microscope (Leica Microsystems&#x00AE;, Wetzlar, Germany) was conducted. Photographic documentation of the samples was carried out using a DSL camera (Nikon&#x00AE;, Tokyo, Japan) for further analysis of the crack location or potential fractures. Photographs of all the samples were taken in various positions and analyzed to determine the location of the crack or eventual fracture (<xref ref-type="fig" rid="F3">Figure&#x00A0;3</xref>).</p>
<fig id="F3" position="float"><label>Figure 3</label>
<caption><p>Detected early crack on MZC.</p></caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="fdmed-05-1409150-g003.tif"/>
</fig>
</sec>
<sec id="s2d"><label>2.4</label><title>Statistical analysis</title>
<p>The statistical analyses for the study were performed with SPSS Statistics for Windows, version 25.0 (IBM&#x00AE; Corp, Armonk, NY, USA). Independent samples <italic>t</italic>-testing was conducted to examine whether there was a significant difference in the load means between the two tested groups. In every situation, a <italic>p</italic>-value less than 0.05 was considered statistically significant.</p>
</sec>
</sec>
<sec id="s3" sec-type="results"><label>3</label><title>Results</title>
<p><xref ref-type="table" rid="T1">Table&#x00A0;1</xref> presents fracture loads (in Newtons, N) for MZCs obtained using SHT and the conventional technique. With SHT, the fracture loads ranged from 217.99&#x2005;N to 1,748.00&#x2005;N, with a mean of 1,108.99&#x2005;N and standard deviation (SD) of 327.89. Without SHT, the fracture loads ranged from 840.00&#x2005;N to 1,840.00&#x2005;N, with a mean of 1,292.52&#x2005;N and SD of 271.42. Statistical analysis revealed a significant difference (<italic>p</italic>&#x2009;&#x003D;&#x2009;0.036) between the two techniques, as determined by the independent samples <italic>t</italic>-test.</p>
<table-wrap id="T1" position="float"><label>Table 1</label>
<caption><p>Fracture loads in newtons (N) obtained for the 2 testing methods (<italic>n</italic>&#x2009;&#x003D;&#x2009;50).</p></caption>
<table frame="hsides" rules="groups">
<colgroup>
<col align="left"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
</colgroup>
<thead>
<tr>
<th valign="top" align="left" rowspan="2">&#x00A0;</th>
<th valign="top" align="center" colspan="4">SHT</th>
<th valign="top" align="center" colspan="4">Conventional</th>
<th valign="top" align="center" rowspan="2"><italic>p</italic>-Value</th>
</tr>
<tr>
<th valign="top" align="left">Min</th>
<th valign="top" align="center">Max</th>
<th valign="top" align="center">Mean</th>
<th valign="top" align="center">SD</th>
<th valign="top" align="center">Min</th>
<th valign="top" align="center">Max</th>
<th valign="top" align="center">Mean</th>
<th valign="top" align="center">SD</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">MZC</td>
<td valign="top" align="center">217.99</td>
<td valign="top" align="center">1748.00</td>
<td valign="top" align="center">1108.99</td>
<td valign="top" align="center">327.89</td>
<td valign="top" align="center">840.00</td>
<td valign="top" align="center">1840.00</td>
<td valign="top" align="center">1292.52</td>
<td valign="top" align="center">271.42</td>
<td valign="top" align="center"><bold>0</bold>.<bold>036</bold></td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>A <italic>p</italic>-value less than 0.05 was considered statistically significant.</p></fn>
</table-wrap-foot>
</table-wrap>
<sec id="s3a"><label>3.1</label><title>Classification of crack/fracture</title>
<p><xref ref-type="table" rid="T2">Table&#x00A0;2</xref> provides a comparison between the SHT method and the conventional method for detecting fractures and cracks.</p>
<table-wrap id="T2" position="float"><label>Table 2</label>
<caption><p>Crack to fracture ratio with the 2 testing methods.</p></caption>
<table frame="hsides" rules="groups">
<colgroup>
<col align="left"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
</colgroup>
<thead>
<tr>
<th valign="top" align="left" rowspan="2">&#x00A0;</th>
<th valign="top" align="center">SHT</th>
<th valign="top" align="center">Conventional</th>
<th valign="top" align="center">Total</th>
</tr>
<tr>
<th valign="top" align="center"><italic>n</italic> (&#x0025;)</th>
<th valign="top" align="center"><italic>n</italic> (&#x0025;)</th>
<th valign="top" align="center"><italic>n</italic></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Fracture</td>
<td valign="top" align="center">6 (24&#x0025;)</td>
<td valign="top" align="center">18 (72&#x0025;)</td>
<td valign="top" align="center">24 (48&#x0025;)</td>
</tr>
<tr>
<td valign="top" align="left">Crack</td>
<td valign="top" align="center">19 (76&#x0025;)</td>
<td valign="top" align="center">7 (28&#x0025;)</td>
<td valign="top" align="center">26 (52&#x0025;)</td>
</tr>
<tr>
<td valign="top" align="left">Total</td>
<td valign="top" align="center">25 (50&#x0025;)</td>
<td valign="top" align="center">25 (50&#x0025;)</td>
<td valign="top" align="center">50 (100&#x0025;)</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="table-fn1"><p>Percentage of cracks (<italic>n</italic>&#x2009;&#x003D;&#x2009;50).</p></fn>
</table-wrap-foot>
</table-wrap>
<p>Sound harvesting test detected 6 out of 25 fractures (24&#x0025;), while the conventional method detected 18 out of 25 fractures (72&#x0025;), resulting in a total of 24 fractures out of 50 samples (48&#x0025;).</p>
<p>For cracks, SHT detected 19 out of 25 cases (76&#x0025;), whereas with the conventional method only 2 samples out of 25 cracked (28&#x0025;).</p>
</sec>
</sec>
<sec id="s4" sec-type="discussion"><label>4</label><title>Discussion</title>
<p>In the presented study, the effectiveness of a sound harvesting test was examined for its ability to detect cracks in brittle dental ceramics such as monolithic zirconia crowns. The performance of SHT in monitoring fracture events was evaluated and compared with conventional fracture toughness test that measure fracture loads in Newtons (N).</p>
<p>The results revealed that SHT identified lower mean fracture loads of 1,108.99&#x2005;N compared to 1,292.52&#x2005;N with standard tests, showcasing SHT&#x0027;s higher sensitivity in detecting fractures at earlier stages. Statistical analysis showed that these differences were significant, supporting the hypothesis that SHT can provide more accurate fracture load assessments.</p>
<p>Statistical analyses supported by significant <italic>p</italic>-values emphasize the non-random nature of these differences, aligning with prior research, such as Jin and al (<xref ref-type="bibr" rid="B21">21</xref>). which emphasized the influence of detection methods on crown fracture load.</p>
<p>For cracks, SHT detected (76&#x0025;), whereas with the conventional method only 2 samples out of 25 cracked (28&#x0025;). Overall, SHT exhibited higher sensitivity in detecting cracks.</p>
<p>Regarding the selection of research materials, careful consideration was granted to ensure optimal sound isolation, transmission, and collection. The die material was chosen to replicate the characteristics of natural teeth. PMMA resin was chosen due to its similarity to natural teeth in terms of the modulus of elasticity and acoustic response (<xref ref-type="bibr" rid="B22">22</xref>).</p>
<p>A study by Nakamura et al. revealed that the modulus of elasticity of a resin-based die is lower compared to that of zirconia crowns (<xref ref-type="bibr" rid="B23">23</xref>). Additionally, previous publications have investigated the acoustic response of PMMA. Chen et al. found that PMMA resin has an approximate modulus of elasticity of 2,100.05&#x2009;&#x00B1;&#x2009;114.28&#x2005;MPa. Furthermore, Chen et al. found that PMMA resin has an approximate modulus of elasticity of 2,100.05&#x2009;&#x00B1;&#x2009;114.28&#x2005;MPa.</p>
<p>Thus, using PMMA/MZC specimens in load-to-fracture tests can yield clinically relevant outcomes.</p>
<p>Zirconia, a widely used material in dentistry, was chosen as the material for validating SHT due to its technical acoustic properties (<xref ref-type="bibr" rid="B21">21</xref>), which makes it suitable for studying crack initiation and propagation in dental ceramics (<xref ref-type="bibr" rid="B24">24</xref>) and because of its high flexural strength, enabling effective transmission and propagation of acoustic waves.</p>
<p>Acoustic emission testing is a non-destructive method utilized in various industries, including dentistry, to detect and analyze stress waves resulting from sudden stress redistributions in materials. AET relies on harvesting released energy from the object under examination. Equipped with specialized tools such as sensors, amplifiers, and filters, it collects failing energy data from tested samples (<xref ref-type="bibr" rid="B25">25</xref>).</p>
<p>Roques et al. applied AET to analyze bone cement failure through fatigue tests, suggesting AE&#x0027;s usefulness as a preclinical measurement of the strength of cemented implants (<xref ref-type="bibr" rid="B26">26</xref>). Silva et al. found that the precision of acoustic testing was comparable with that of micro-CT for detecting cracks in dental ceramics, showcasing its reliability (<xref ref-type="bibr" rid="B27">27</xref>). Moreover, Lim et al. studied micro-crack growth in ceramic/dentin interfaces, revealing AET&#x0027;s promise in assessing the integrity of such materials (<xref ref-type="bibr" rid="B28">28</xref>). These studies collectively affirm the efficacy of AE methods in detecting material defects, a crucial aspect in ensuring the longevity of dental restorations. However, due to the complexity of dental restorations morphology, adapting ultrasonic receptors to the test setup can be challenging (<xref ref-type="bibr" rid="B29">29</xref>).</p>
<p>Our SHT applies AET to dental materials by converting sound-generated vibrations into electrical energy to evaluate material strength and fracture resistance (<xref ref-type="bibr" rid="B10">10</xref>, <xref ref-type="bibr" rid="B28">28</xref>).</p>
<p>Because of the complexity of the sample design and size of the crown, the application of ultrasonic receptors to harvest mechanical vibrations was difficult; the vibrating descending indenter was another handicap. The choice was for an audio AET with a sound harvesting system.</p>
<p>By integrating a high-sensitivity microphone within the fracture toughness test, we precisely monitored the noise emissions generated by the samples during loading. The positioning of the microphone at just 1&#x2005;cm away from the sample ensures optimal sensitivity to detect even subtle crack sounds. This setup, coupled with a custom-designed &#x201C;cut-off&#x201D; switch system, enables automatic halting of the load process upon detecting abnormal sounds indicative of crack initiation.</p>
<p>The incorporation of an amplifier and motherboard chipset further augmented the sensitivity and accuracy of the SHT setup (<xref ref-type="bibr" rid="B30">30</xref>). By programming the chipset to differentiate between normal machine noise and crack sounds, we ensured reliable detection of crack events during testing. Moreover, the automatic recording of load values in Newton upon the detection of crack sounds enabled efficient data collection and analysis (<xref ref-type="bibr" rid="B6">6</xref>, <xref ref-type="bibr" rid="B27">27</xref>). The use of noise-cancellation materials, such as corrugated foam sheets, further minimized external sound interference, thereby controlling environmental variables (<xref ref-type="bibr" rid="B31">31</xref>).</p>
<p>While the SHT is generally nondestructive, a minor fraction of the samples catastrophically broke during testing. This could be due to the transmission pathway of the signal from a zirconia crack to a microphone and then through an amplifier to a switch breaker, which involves several variables such as distance, microphone sensitivity, electric wires (XLR,Pig Hog PHM10 8mm&#x00AE;), amplifier quality (93 db), and the speed at which the switch breaker reacts as well material characteristics, including composition, impurities, stress conditions, and specific wave types involved in crack propagation. In addition, sound travels through air at speeds influenced by temperature, humidity, and pressure; at standard conditions, it&#x0027;s about 343 meters per second in dry air, much slower than electrical signals in wires. These electrical signals can nearly reach the speed of light (<xref ref-type="bibr" rid="B32">32</xref>).</p>
<p>In the field of dental ceramics, the application of sound harvesting test is relatively unexplored. Our research supports previous findings indicating that the method of crack detection significantly impacts the measured fracture loads in various materials (<xref ref-type="bibr" rid="B33">33</xref>, <xref ref-type="bibr" rid="B34">34</xref>). Wang and al.&#x0027;s work, which shows the superior sensitivity and specificity of acoustic methods over dye penetration for finding cracks in dental ceramics, supports our observations of reduced fracture loads when using sound-based detection (<xref ref-type="bibr" rid="B8">8</xref>). Furthermore, Al-Zubaidi and al. and Zhang and al. studies reinforce this perspective, with all reporting that acoustic testing, particularly with the employment of a microphone, is more sensitive than conventional testing (<xref ref-type="bibr" rid="B35">35</xref>, <xref ref-type="bibr" rid="B36">36</xref>).</p>
<p>Complementing these acoustic methods, Akono and al. introduced a micro-scratch technique using scratch data for a quantitative assessment of material toughness, offering a highly reproducible and minimally invasive alternative to acoustic and optical assessments (<xref ref-type="bibr" rid="B37">37</xref>). Akg&#x00FC;n and al. used impulse noise testing to detect defects in ceramic materials, adding another layer to the evolving testing designs (<xref ref-type="bibr" rid="B38">38</xref>). These studies suggest that variations in the testing results are influenced by the choice of method, material types, and the specifics of the detection techniques employed, contributing to a broader understanding of how dental materials respond to different testing modalities. Nevertheless, our study adds to the current understanding by examining how brittle dental materials react acoustically.</p>
<p>However, this study is limited to a single type of sample selection. Future studies could include a wider range of brittle materials to enhance the sensitivity of the technique.</p>
</sec>
<sec id="s5" sec-type="conclusions"><label>5</label><title>Conclusion</title>
<p>In summary, the sound harvesting methodology outlined in this study presents a promising approach for assessing the fracture resistance of dental ceramics compared to conventional fracture toughness test for identifying early crack formation in brittle materials subjected to stress, thereby allowing for a more accurate values of dental ceramics&#x2019; fracture toughness.</p>
<p>The study suggests that variations in the testing results are influenced by the choice of method and the specifics of the detection techniques employed, contributing to a broader understanding of how dental materials respond to different testing modalities.</p>
<p>However, further research on wider range of brittle materials is warranted to support its broader application in dentistry.</p>
</sec>
</body>
<back>
<sec id="s6" sec-type="data-availability"><title>Data availability statement</title>
<p>The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.</p>
</sec>
<sec id="s7" sec-type="author-contributions"><title>Author contributions</title>
<p>CH: Conceptualization, Data curation, Formal Analysis, Funding acquisition, Investigation, Methodology, Project administration, Resources, Software, Supervision, Validation, Visualization, Writing &#x2013; original draft, Writing &#x2013; review &#x0026; editing. JG: Writing &#x2013; original draft, Conceptualization, Writing &#x2013; review &#x0026; editing. AE: Writing &#x2013; original draft, Writing &#x2013; review &#x0026; editing.</p>
</sec>
<sec id="s8" sec-type="funding-information"><title>Funding</title>
<p>The author(s) declare that no financial support was received for the research, authorship, and/or publication of this article.</p>
</sec>
<sec id="s9" sec-type="COI-statement"><title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s10" sec-type="disclaimer"><title>Publisher&#x0027;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<ref-list><title>References</title>
<ref id="B1"><label>1.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Francesco</surname><given-names>F</given-names></name><name><surname>Paolone</surname><given-names>G</given-names></name><name><surname>Di Domenico</surname><given-names>GL</given-names></name><name><surname>Pagani</surname><given-names>N</given-names></name><name><surname>Gherlone</surname><given-names>EF</given-names></name></person-group>. <article-title>SEM evaluation of the marginal accuracy of zirconia, lithium disilicate, and composite single crowns created by CAD/CAM method: comparative analysis of different materials</article-title>. <source>Materials (Basel)</source>. (<year>2023</year>) <volume>16</volume>(<issue>6</issue>):<fpage>2413</fpage>. <pub-id pub-id-type="doi">10.3390/ma16062413</pub-id><pub-id pub-id-type="pmid">36984293</pub-id></citation></ref>
<ref id="B2"><label>2.</label><citation citation-type="book"><person-group person-group-type="author"><name><surname>Mahalaxmi</surname><given-names>S</given-names></name></person-group>. <source>Materials Used in Dentistry</source>. <publisher-loc>Gurugram, India</publisher-loc>: <publisher-name>Wolters Kluwer India Pvt Ltd.</publisher-name> (<year>2020</year>).</citation></ref>
<ref id="B3"><label>3.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Haddad</surname><given-names>C</given-names></name><name><surname>Harouny</surname><given-names>R</given-names></name><name><surname>Corbani</surname><given-names>K</given-names></name><name><surname>Nasr</surname><given-names>L</given-names></name><name><surname>Tassidis</surname><given-names>R</given-names></name></person-group>. <article-title>Influence of the margin design on the fracture resistance of implant-supported monolithic zirconia crowns:an in vitro study</article-title>. <source>Int Arab J Dent</source>. (<year>2023</year>) <volume>14</volume>:<fpage>7</fpage>.</citation></ref>
<ref id="B4"><label>4.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Albelasy</surname><given-names>EH</given-names></name><name><surname>Hamama</surname><given-names>HH</given-names></name><name><surname>Tsoi</surname><given-names>JK</given-names></name><name><surname>Mahmoud</surname><given-names>SH</given-names></name></person-group>. <article-title>Fracture resistance of CAD/CAM occlusal veneers: a systematic review of laboratory studies</article-title>. <source>J Mech Behav Biomed Mater</source>. (<year>2020</year>) <volume>110</volume>:<fpage>103948</fpage>. <pub-id pub-id-type="doi">10.1016/j.jmbbm.2020.103948</pub-id><pub-id pub-id-type="pmid">32957240</pub-id></citation></ref>
<ref id="B5"><label>5.</label><citation citation-type="book"><person-group person-group-type="author"><name><surname>Mazumdar</surname><given-names>P</given-names></name><name><surname>Chowdhury</surname><given-names>D</given-names></name></person-group>. <source>Manual of Laboratory Testing Methods for Dental Restorative Materials</source>. <publisher-loc>Hoboken, NJ, USA</publisher-loc>: <publisher-name>John Wiley &#x0026; Sons</publisher-name> (<year>2021</year>).</citation></ref>
<ref id="B6"><label>6.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Si</surname><given-names>Y</given-names></name><name><surname>Rouse</surname><given-names>J</given-names></name><name><surname>Hyde</surname><given-names>C</given-names></name></person-group>. <article-title>Potential difference methods for measuring crack growth: a review</article-title>. <source>Int J Fatigue</source>. (<year>2020</year>) <volume>136</volume>:<fpage>105624</fpage>. <pub-id pub-id-type="doi">10.1016/j.ijfatigue.2020.105624</pub-id></citation></ref>
<ref id="B7"><label>7.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ellakwa</surname><given-names>A</given-names></name><name><surname>Raju</surname><given-names>R</given-names></name><name><surname>Sheng</surname><given-names>C</given-names></name><name><surname>Rajan</surname><given-names>G</given-names></name><name><surname>Prusty</surname><given-names>BG</given-names></name></person-group>. <article-title>Acoustic emission and finite element study on the influence of cusp angles on zirconia dental crowns</article-title>. <source>Dent Mater</source>. (<year>2020</year>) <volume>36</volume>:<fpage>1524</fpage>&#x2013;<lpage>35</lpage>. <pub-id pub-id-type="doi">10.1016/j.dental.2020.09.007</pub-id><pub-id pub-id-type="pmid">32981750</pub-id></citation></ref>
<ref id="B8"><label>8.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>B</given-names></name><name><surname>Zhong</surname><given-names>S</given-names></name><name><surname>Lee</surname><given-names>T-L</given-names></name><name><surname>Fancey</surname><given-names>KS</given-names></name><name><surname>Mi</surname><given-names>J</given-names></name></person-group>. <article-title>Non-destructive testing and evaluation of composite materials/structures: a state-of-the-art review</article-title>. <source>Adv Mech Eng</source>. (<year>2020</year>) <volume>12</volume>:<fpage>168781402091376</fpage>. <pub-id pub-id-type="doi">10.1177/1687814020913761</pub-id></citation></ref>
<ref id="B9"><label>9.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Omori</surname><given-names>NE</given-names></name><name><surname>Bobitan</surname><given-names>AD</given-names></name><name><surname>Vamvakeros</surname><given-names>A</given-names></name><name><surname>Beale</surname><given-names>AM</given-names></name><name><surname>Jacques</surname><given-names>SDM</given-names></name></person-group>. <article-title>Recent developments in x-ray diffraction/scattering computed tomography for materials science</article-title>. <source>Philos Trans R Soc A Math Phys Eng Sci</source>. (<year>2023</year>) <volume>381</volume>:<fpage>20220350</fpage>. <pub-id pub-id-type="doi">10.1098/rsta.2022.0350</pub-id></citation></ref>
<ref id="B10"><label>10.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Yuan</surname><given-names>M</given-names></name><name><surname>Cao</surname><given-names>Z</given-names></name><name><surname>Luo</surname><given-names>J</given-names></name><name><surname>Chou</surname><given-names>X</given-names></name></person-group>. <article-title>Recent developments of acoustic energy harvesting: a review</article-title>. <source>Micromachines (Basel)</source>. (<year>2019</year>) <volume>10</volume>:<fpage>48</fpage>. <pub-id pub-id-type="doi">10.3390/mi10010048</pub-id><pub-id pub-id-type="pmid">30641876</pub-id></citation></ref>
<ref id="B11"><label>11.</label><citation citation-type="book"><person-group person-group-type="author"><name><surname>Freiman</surname><given-names>SW</given-names></name><name><surname>Mecholsky</surname><given-names>JJ</given-names></name></person-group>. <source>The Fracture of Brittle Materials</source>. <publisher-loc>Hoboken, NJ, USA</publisher-loc>: <publisher-name>Wiley</publisher-name> (<year>2012</year>). <pub-id pub-id-type="doi">10.1002/9781118147757</pub-id></citation></ref>
<ref id="B12"><label>12.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gupta</surname><given-names>M</given-names></name><name><surname>Khan</surname><given-names>MA</given-names></name><name><surname>Butola</surname><given-names>R</given-names></name><name><surname>Singari</surname><given-names>RM</given-names></name></person-group>. <article-title>Advances in applications of non-destructive testing (NDT): a review</article-title>. <source>Adv Mater Process Technol</source>. (<year>2022</year>) <volume>8</volume>:<fpage>2286</fpage>&#x2013;<lpage>307</lpage>. <pub-id pub-id-type="doi">10.1080/2374068X.2021.1909332</pub-id></citation></ref>
<ref id="B13"><label>13.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Skalskyi</surname><given-names>V</given-names></name><name><surname>Makeev</surname><given-names>V</given-names></name><name><surname>Stankevych</surname><given-names>O</given-names></name><name><surname>Dubytskyi</surname><given-names>O</given-names></name></person-group>. <article-title>Acoustic properties of fracture of dental restorative materials and endocrown restorations under quasi-static loading</article-title>. <source>Dent Mater</source>. (<year>2020</year>) <volume>36</volume>:<fpage>617</fpage>&#x2013;<lpage>25</lpage>. <pub-id pub-id-type="doi">10.1016/j.dental.2020.03.014</pub-id><pub-id pub-id-type="pmid">32299664</pub-id></citation></ref>
<ref id="B14"><label>14.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname><given-names>X-P</given-names></name><name><surname>Xiang</surname><given-names>Z-X</given-names></name><name><surname>Song</surname><given-names>X-F</given-names></name><name><surname>Yin</surname><given-names>L</given-names></name></person-group>. <article-title>Machinability: zirconia-reinforced lithium silicate glass ceramic versus lithium disilicate glass ceramic</article-title>. <source>J Mech Behav Biomed Mater</source>. (<year>2020</year>) <volume>101</volume>:<fpage>103435</fpage>. <pub-id pub-id-type="doi">10.1016/j.jmbbm.2019.103435</pub-id><pub-id pub-id-type="pmid">31586883</pub-id></citation></ref>
<ref id="B15"><label>15.</label><citation citation-type="thesis"><person-group person-group-type="author"><name><surname>Dargaud</surname><given-names>M</given-names></name></person-group>. <source>Experimental and numerical analysis of the failure modes induced in ceramic materials under dynamic loading</source> (Ph.D. Thesis). <publisher-name>Universit&#x00E9; Grenoble Alpes, Saint-Martin-d&#x0027;H&#x00E8;res</publisher-name>, <publisher-loc>France</publisher-loc> (<year>2021</year>). <comment>Available online at:</comment> <ext-link ext-link-type="uri" xlink:href="https://theses.hal.science/tel-03320732">https://theses.hal.science/tel-03320732</ext-link> <comment>(accessed on March 24, 2024)</comment>.</citation></ref>
<ref id="B16"><label>16.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Haddad</surname><given-names>C</given-names></name><name><surname>Meyer</surname><given-names>J-M</given-names></name><name><surname>El Ahmadi&#x00E9;</surname><given-names>M</given-names></name></person-group>. <article-title>Influence of the connector area on the chipping rate of the VM9 veneering ceramic in a posterior four-unit yttria-stabilized tetragonal zirconia polycrystal fixed dental prostheses: a pilot study</article-title>. <source>Eur J Gen Dent</source>. (<year>2021</year>) <volume>10</volume>:<fpage>144</fpage>&#x2013;<lpage>50</lpage>. <pub-id pub-id-type="doi">10.1055/s-0041-1736373</pub-id></citation></ref>
<ref id="B17"><label>17.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zhou</surname><given-names>S</given-names></name><name><surname>You</surname><given-names>Y</given-names></name><name><surname>Hu</surname><given-names>C</given-names></name><name><surname>Sun</surname><given-names>T</given-names></name><name><surname>Shao</surname><given-names>L</given-names></name></person-group>. <article-title>Fractographic analysis of lithium disilicate ceramics and monolithic zirconia ceramics</article-title>. <source>J Mech Med Biol</source>. (<year>2022</year>) <volume>22</volume>:<fpage>2240012</fpage>. <pub-id pub-id-type="doi">10.1142/S0219519422400127</pub-id></citation></ref>
<ref id="B18"><label>18.</label><citation citation-type="other"><comment>MiniSPL-Measurement-Microphone-Product-Data.pdf</comment>. <comment>Available online at:</comment> <ext-link ext-link-type="uri" xlink:href="https://www.nti-audio.com/Portals/0/data/en/MiniSPL-Measurement-Microphone-Product-Data.pdf">https://www.nti-audio.com/Portals/0/data/en/MiniSPL-Measurement-Microphone-Product-Data.pdf</ext-link> <comment>(accessed on March 24, 2024)</comment>.</citation></ref>
<ref id="B19"><label>19.</label><citation citation-type="other"><comment>Avalon&#x2014;VT-737, Specs &#x0026; Details</comment>. <comment>Available online at:</comment> <ext-link ext-link-type="uri" xlink:href="https://www.avalondesign.com/vt737sp.html">https://www.avalondesign.com/vt737sp.html</ext-link> <comment>(accessed on March 24, 2024)</comment>.</citation></ref>
<ref id="B20"><label>20.</label><citation citation-type="other"><comment>Acoustic Panels and Sound Absorbing Panels&#x2014;Acoustical Solutions</comment>. <comment>Available online at:</comment> <ext-link ext-link-type="uri" xlink:href="https://acousticalsolutions.com/product-category/acoustic-panels/">https://acousticalsolutions.com/product-category/acoustic-panels/</ext-link> <comment>(accessed on March 24, 2024)</comment>.</citation></ref>
<ref id="B21"><label>21.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Jin</surname><given-names>J</given-names></name><name><surname>Takahashi</surname><given-names>H</given-names></name><name><surname>Iwasaki</surname><given-names>N</given-names></name></person-group>. <article-title>Effect of test method on flexural strength of recent dental ceramics</article-title>. <source>Dent Mater J</source>. (<year>2004</year>) <volume>23</volume>:<fpage>490</fpage>&#x2013;<lpage>6</lpage>. <pub-id pub-id-type="doi">10.4012/dmj.23.490</pub-id><pub-id pub-id-type="pmid">15688709</pub-id></citation></ref>
<ref id="B22"><label>22.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Tavakolizadeh</surname><given-names>S</given-names></name><name><surname>Yazdani</surname><given-names>N</given-names></name><name><surname>Ghoveizi</surname><given-names>R</given-names></name><name><surname>Mohammadi</surname><given-names>A</given-names></name><name><surname>Beyabanaki</surname><given-names>E</given-names></name><name><surname>Koulivand</surname><given-names>S</given-names></name></person-group>. <article-title>Fracture resistance of zirconia restorations with four different framework designs</article-title>. <source>Front Dent</source>. (<year>2023</year>) <volume>20</volume>:<fpage>2</fpage>. <pub-id pub-id-type="doi">10.18502/fid.v20i2.12197</pub-id><pub-id pub-id-type="pmid">37312822</pub-id></citation></ref>
<ref id="B23"><label>23.</label><citation citation-type="book"><collab>ASTM E384-17</collab>. <source>Standard Test Method for Microindentation Hardness of Materials</source>. <publisher-loc>West Conshohocken, PA, USA</publisher-loc>: <publisher-name>ASTM</publisher-name> (<year>2017</year>).</citation></ref>
<ref id="B24"><label>24.</label><citation citation-type="other"><comment>Manual of Laboratory Testing Methods for Dental Restorative Materials&#x2014;Paromita Mazumdar, Deepshikha Chowdhury&#x2014;Google Books</comment>. <comment>Available online at:</comment> <ext-link ext-link-type="uri" xlink:href="https://books.google.com.lb/books?hl=en&#x0026;lr=&#x0026;id=no06EAAAQBAJ&#x0026;oi=fnd&#x0026;pg=PR9&#x0026;dq=++In+vitro+studies+are+crucial+for+evaluating+the+potential+clinical+performance+of+new+dental+materials+before+embarking+on+costly+and+time-consuming+clinical+investigations&#x0026;ots=CI1IX8nqkq&#x0026;sig=n7_EnV-S30fvIAHTgI782apTsho&#x0026;redir_esc=y#v=onepage&#x0026;q&#x0026;f=false">https://books.google.com.lb/books?hl&#x003D;en&#x0026;lr&#x003D;&#x0026;id&#x003D;no06EAAAQBAJ&#x0026;oi&#x003D;fnd&#x0026;pg&#x003D;PR9&#x0026;dq&#x003D;&#x002B;&#x002B;In&#x002B;vitro&#x002B;studies&#x002B;are&#x002B;crucial&#x002B;for&#x002B;evaluating&#x002B;the&#x002B;potential&#x002B;clinical&#x002B;performance&#x002B;of&#x002B;new&#x002B;dental&#x002B;materials&#x002B;before&#x002B;embarking&#x002B;on&#x002B;costly&#x002B;and&#x002B;time-consuming&#x002B;clinical&#x002B;investigations&#x0026;ots&#x003D;CI1IX8nqkq&#x0026;sig&#x003D;n7_EnV-S30fvIAHTgI782apTsho&#x0026;redir_esc&#x003D;y&#x0023;v&#x003D;onepage&#x0026;q&#x0026;f&#x003D;false</ext-link> <comment>(accessed on March 24, 2024)</comment>.</citation></ref>
<ref id="B25"><label>25.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Nakamura</surname><given-names>T</given-names></name><name><surname>Waki</surname><given-names>T</given-names></name><name><surname>Kinuta</surname><given-names>S</given-names></name><name><surname>Tanaka</surname><given-names>H</given-names></name></person-group>. <article-title>Strength and elastic modulus of fiber-reinforced composites used for fabricating FPDs</article-title>. <source>Int J Prosthodont</source>. (<year>2003</year>) <volume>16</volume>(<issue>5</issue>):<fpage>549</fpage>&#x2013;<lpage>53</lpage>. PMID: <pub-id pub-id-type="pmid">14651244</pub-id><pub-id pub-id-type="pmid">14651244</pub-id></citation></ref>
<ref id="B26"><label>26.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Roques</surname><given-names>A</given-names></name><name><surname>Browne</surname><given-names>M</given-names></name><name><surname>Thompson</surname><given-names>J</given-names></name><name><surname>Rowland</surname><given-names>C</given-names></name><name><surname>Taylor</surname><given-names>A</given-names></name></person-group>. <article-title>Investigation of fatigue crack growth in acrylic bone cement using the acoustic emission technique</article-title>. <source>Biomaterials</source>. (<year>2004</year>) <volume>25</volume>:<fpage>769</fpage>&#x2013;<lpage>78</lpage>. <pub-id pub-id-type="doi">10.1016/S0142-9612(03)00581-7</pub-id><pub-id pub-id-type="pmid">14609665</pub-id></citation></ref>
<ref id="B27"><label>27.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ii</surname><given-names>RG</given-names></name></person-group>. <article-title>Ceramics overview</article-title>. <source>Br Dent J</source>. (<year>2022</year>) <volume>232</volume>:<fpage>658</fpage>&#x2013;<lpage>63</lpage>. <pub-id pub-id-type="doi">10.1038/s41415-022-4242-6</pub-id><pub-id pub-id-type="pmid">35562468</pub-id></citation></ref>
<ref id="B28"><label>28.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Haddad</surname><given-names>C</given-names></name><name><surname>Azzi</surname><given-names>K</given-names></name></person-group>. <article-title>Influence of the type and thickness of cervical margins on the strength of posterior monolithic zirconia crowns: a review</article-title>. <source>Eur J Gen Dent</source>. (<year>2022</year>) <volume>11</volume>:<fpage>073</fpage>&#x2013;<lpage>80</lpage>. <pub-id pub-id-type="doi">10.1055/s-0042-1744207</pub-id></citation></ref>
<ref id="B29"><label>29.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hidayanti</surname><given-names>F</given-names></name><name><surname>Wati</surname><given-names>EK</given-names></name><name><surname>Akbar</surname><given-names>H</given-names></name></person-group>. <article-title>Energy harvesting system design for converting noise into electrical energy</article-title>. <source>Int J Adv Sci Technol</source>. (<year>2020</year>) <volume>29</volume>:<fpage>4791</fpage>&#x2013;<lpage>802</lpage>.</citation></ref>
<ref id="B30"><label>30.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lim</surname><given-names>C-S</given-names></name><name><surname>Parra-Velandia</surname><given-names>FJ</given-names></name><name><surname>Chen</surname><given-names>N</given-names></name><name><surname>Zhang</surname><given-names>P</given-names></name><name><surname>Teo</surname><given-names>SL-M</given-names></name></person-group>. <article-title>Optical coherence tomography as a tool for characterization of complex biological surfaces</article-title>. <source>J Microsc</source>. (<year>2014</year>) <volume>255</volume>:<fpage>150</fpage>&#x2013;<lpage>7</lpage>. <pub-id pub-id-type="doi">10.1111/jmi.12145</pub-id><pub-id pub-id-type="pmid">24894953</pub-id></citation></ref>
<ref id="B31"><label>31.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Skalskyi</surname><given-names>V</given-names></name><name><surname>Makeev</surname><given-names>V</given-names></name><name><surname>Stankevych</surname><given-names>O</given-names></name><name><surname>Pavlychko</surname><given-names>R</given-names></name></person-group>. <article-title>Features of fracture of prosthetic tooth-endocrown constructions by means of acoustic emission analysis</article-title>. <source>Dent Mater</source>. (<year>2018</year>) <volume>34</volume>(<issue>3</issue>):<fpage>e46</fpage>&#x2013;<lpage>55</lpage>. <pub-id pub-id-type="doi">10.1016/j.dental.2018.01.023</pub-id><pub-id pub-id-type="pmid">29409675</pub-id></citation></ref>
<ref id="B32"><label>32.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Mervin</surname><given-names>AB</given-names></name></person-group>. <article-title>Sound energy harvesting and converting electricity (SEHCE)</article-title>. <source>Ann Math Phys</source>. (<year>2022</year>) <volume>5</volume>:<fpage>146</fpage>&#x2013;<lpage>9</lpage>. <pub-id pub-id-type="doi">10.17352/amp.000056</pub-id></citation></ref>
<ref id="B33"><label>33.</label><citation citation-type="book"><person-group person-group-type="author"><name><surname>Storr</surname><given-names>W</given-names></name></person-group>. <source>Introduction to the Amplifier an Amplifier Tutorial</source>. <publisher-name>Basic Electronics Tutorials</publisher-name>. (<year>2023</year>). <comment>Available online at:</comment> <ext-link ext-link-type="uri" xlink:href="https://www.electronics-tutorials.ws/amplifier/amp_1.html">https://www.electronics-tutorials.ws/amplifier/amp_1.html</ext-link> <comment>(accessed on March 25, 2024)</comment>.</citation></ref>
<ref id="B34"><label>34.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Swain</surname><given-names>A</given-names></name><name><surname>Abdellatif</surname><given-names>E</given-names></name><name><surname>Mousa</surname><given-names>A</given-names></name><name><surname>Pong</surname><given-names>PWT</given-names></name></person-group>. <article-title>Sensor technologies for transmission and distribution systems: a review of the latest developments</article-title>. <source>Energies</source>. (<year>2022</year>) <volume>15</volume>:<fpage>7339</fpage>. <pub-id pub-id-type="doi">10.3390/en15197339</pub-id></citation></ref>
<ref id="B35"><label>35.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname><given-names>Y</given-names></name><name><surname>Lawn</surname><given-names>BR</given-names></name></person-group>. <article-title>Evaluating dental zirconia</article-title>. <source>Dent Mater</source>. (<year>2019</year>) <volume>35</volume>:<fpage>15</fpage>&#x2013;<lpage>23</lpage>. <pub-id pub-id-type="doi">10.1016/j.dental.2018.08.291</pub-id><pub-id pub-id-type="pmid">30172379</pub-id></citation></ref>
<ref id="B36"><label>36.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Al-Zubaidi</surname><given-names>SH</given-names></name><name><surname>Al-Haj Husain</surname><given-names>N</given-names></name><name><surname>&#x00D6;zcan</surname><given-names>M</given-names></name><name><surname>Eden</surname><given-names>E</given-names></name></person-group>. <article-title>Comparative study of crack detection methods in dental ceramics</article-title>. <source>J Prosthet Dent</source>. (<year>2020</year>) <volume>124</volume>:<fpage>412</fpage>&#x2013;<lpage>8</lpage>.</citation></ref>
<ref id="B37"><label>37.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Akono</surname><given-names>A-T</given-names></name><name><surname>Randall</surname><given-names>NX</given-names></name><name><surname>Ulm</surname><given-names>F-J</given-names></name></person-group>. <article-title>Experimental determination of the fracture toughness via microscratch tests: application to polymers, ceramics, and metals</article-title>. <source>J Mater Res</source>. (<year>2012</year>) <volume>27</volume>:<fpage>485</fpage>&#x2013;<lpage>93</lpage>. <pub-id pub-id-type="doi">10.1557/jmr.2011.402</pub-id></citation></ref>
<ref id="B38"><label>38.</label><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Akg&#x00FC;n</surname><given-names>&#x00D6;</given-names></name><name><surname>Cetin Akinci</surname><given-names>T</given-names></name><name><surname>Selcuk Nogay</surname><given-names>H</given-names></name><name><surname>Seker</surname><given-names>S</given-names></name></person-group>. <article-title>The defect detection in ceramic materials based on wavelet analysis by using the method of impulse noise</article-title>. <source>J Vibroeng</source>. (<year>2013</year>) <volume>15</volume>:<fpage>2</fpage>.</citation></ref></ref-list>
</back>
</article>