The current study aimed to compare the mechanical properties of CAD/CAM fabricated hybrid ceramic restorative materials. The current study assessed the mechanical properties of additively and subtractively manufactured CAD/CAM fabricated hybrid ceramic by conducting flexure strength test, compressive strength test, and Vickers hardness test. Flexural samples were subjected to a three-point bending test using a universal testing machine until the samples showed fracture. Moreover, samples for the compressive strength test were subjected to compression tests using a universal testing machine until samples were fractured. Samples for the Vickers hardness was tested using the Vickers hardness testing machine to determine the sample’s hardness values. There were significant differences (p = 0.0001) were observed among the additive and subtractive groups in terms of flexure strength and compressive strength test. Regarding the Vickers hardness test, significant differences (p = 0.0001) were observed between the polished and unpolished groups in additive manufacturing. However, no significant (p = 0.681) differences were observed in the subtractive manufacturing technique. The subtractive group achieved ISO specifications in terms of flexural strength and was superior to additive groups in hardness while exhibiting lower performance in compressive strength. Moreover, printing orientation had a significant influence on the performance of additive groups. Flexural strength and hardness were improved when the printing orientation was in alignment with the direction of load (90°) while compressive strength was improved when the printing orientation was perpendicular to the direction of load (0°).

Background/Objectives: The purpose of this in vitro study was to evaluate and compare the internal adaptation and cement film thickness of cast-gold custom post and core (CPC), three-dimensionally (3D)-printed titanium (Ti) CPC, and milled Ti CPC. Methods: Forty-eight 3D printed resin models, simulating a tooth prepared to receive a CPC, were fabricated. Models were randomly assigned to one of three groups (n = 16 per group): (A) cast-gold CPC (control group), (B) 3D-printed Ti CPC, and (C) milled Ti CPC. Following the manufacturing of CPCs, each CPC was cemented using dual-cure polymerizing resin cement. Then, each model/post-and-core assembly was sectioned at the coronal, middle, and apical thirds of the post at a specific point. Each section was photographed using a microscope in a standardized setting (25×). The pixel count for cement surface area was calculated for each image using Adobe Photoshop software. Descriptive statistics of the mean and standard deviation of the cement film thickness around posts were calculated. Kruskal–Wallis and Dwass–Steel–Critchlow–Fligner tests were used for statistical analysis, with a significance level of α = 0.05. Results: Pairwise comparisons in the coronal section revealed a statistically significant difference (p < 0.05) between groups A and B and groups B and C. In the middle section, there was a statistically significant difference (p < 0.05) between groups A and B only. In the apical section, there was a statistically significant difference (p < 0.05) between all groups. Conclusions: Within the limitation of the present study, neither 3D printed nor milled Ti CPC could achieve comparable cement film thickness to cast-gold CPC in all three sections. Cast-gold CPC cement film thickness was found to be more reduced and consistent, thus having superior internal adaptation to 3D-printed and milled Ti CPCs.