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Shrestha R, Reddy N, Fredeen S, Zhang Y, Kim J. Functionally graded bi-material interface for Porcelain Veneered Zirconia dental crowns: A study using viscoelastic finite element analysis. Dent Mater 2024; 40:1267-1281. [PMID: 38876830 PMCID: PMC11260237 DOI: 10.1016/j.dental.2024.06.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2024] [Revised: 05/30/2024] [Accepted: 06/03/2024] [Indexed: 06/16/2024]
Abstract
OBJECTIVES During the manufacturing of Porcelain Veneered Zirconia (PVZ) dental crowns, the veneer-core system undergoes high-temperature firing cycles and gets fused together which is then, under a controlled setting, cooled down to room temperature. During this cooling process, the mismatch in thermal properties between zirconia and porcelain leads to the development of transient and residual thermal stresses within the crown. These thermal stresses are inherent to the PVZ dental crown systems and render the crown structure weak, acting as a precursor to veneer chipping, fracture, and delamination. In this study, the introduction of an intermediate functionally graded material (FGM) layer at the bi-material interface is investigated as a potentially viable alternative for providing a smoother transition of properties between zirconia and porcelain in a PVZ crown system. METHODS Anatomically correct 3D crown models were developed for this study, with and without the FGM layer modeled at the bi-material interface. A viscoelastic finite element model was developed and validated for an anatomically correct bilayer PVZ crown system which was then used for predicting residual and transient stresses in the bilayer PVZ crown. Subsequently, the viscoelastic finite element model was further extended for the analysis of graded sublayers within the FGM layer, and this extended model was used for predicting the residual and transient stresses in the functionally graded PVZ crown, with an FGM layer at the bi-material interface. RESULTS The study showed that the introduction of an FGM layer at the bi-material interface has the potential to reduce the effects from transient and residual stresses within the PVZ crown system relative to a bilayer PVZ crown structure. Furthermore, the study revealed that the FGM layer causes stress redistribution to alleviate the stress concentration at the interfacial surface between porcelain and zirconia which can potentially enhance the durability of the PVZ crowns towards interfacial debonding or fracture. SIGNIFICANCE Thus, the use of an FGM layer at the bi-material interface shows a good prospect for enhancing the longevity of the PVZ dental crown restorations by alleviating the abrupt thermal property difference and relaxing thermal stresses.
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Affiliation(s)
- Rupesh Shrestha
- Department of Civil and Environmental Engineering, University of Connecticut, Storrs, CT 06269, USA
| | - Niyati Reddy
- Department of Preventive and Restorative Sciences, University of Pennsylvania, School of Dental Medicine, Philadelphia, PA 19104, USA
| | - Steven Fredeen
- Department of Preventive and Restorative Sciences, University of Pennsylvania, School of Dental Medicine, Philadelphia, PA 19104, USA
| | - Yu Zhang
- Department of Preventive and Restorative Sciences, University of Pennsylvania, School of Dental Medicine, Philadelphia, PA 19104, USA.
| | - Jeongho Kim
- Department of Civil and Environmental Engineering, University of Connecticut, Storrs, CT 06269, USA.
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Nogueira VDF, Rodrigues CDS, Grangeiro MTV, Contreras LPC, Marinho RMDM, Bottino MA. Interface adhesion on layered zirconia: Effects of the veneering ceramic material and veneering technique. J Prosthodont 2024; 33:677-683. [PMID: 37626443 DOI: 10.1111/jopr.13756] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2023] [Revised: 08/21/2023] [Accepted: 08/21/2023] [Indexed: 08/27/2023] Open
Abstract
PURPOSE To evaluate the effect of different veneering ceramics and veneering techniques on the bond strength to zirconia. MATERIALS AND METHODS 3Y-TZP zirconia blocks were sliced into 60 slabs, polished, and sintered. Each slab received one ceramic cylinder (Ø = 3.4 mm, 5 mm-high), according to the veneering ceramic type (feldspathic-FEL or lithium disilicate-based-LD) and the veneering technique (file-splitting with resin-based luting agent-RC, file-splitting with fusion ceramic-FC, or heat-pressing-HT), which resulted in six groups: FEL-RC, FEL-FC, FEL-HT, LD-RC, LD-FC, LD-HT. After preparation, the samples were immersed in distilled water for 24 h before the shear bond strength (SBS) test. The failure modes were classified as adhesive, predominantly adhesive, or cohesive. Representative failure mode images were taken in a Scanning Electron Microscope. The SBS data were analyzed by two-way ANOVA and Tukey's test. RESULTS Both type of veneering ceramic and technique affected the bond strength. FC led to the highest SBS values. RC and HP provided similar results when compared within each veneering ceramic. Lithium disilicate achieved lower bond strength than feldspathic ceramic when the heat-pressing technique was applied. The most frequent failure modes were predominantly adhesive and adhesive for FEL and LD, respectively. CONCLUSION File-splitting with fusion ceramic provided the highest adhesion to zirconia when feldspathic or lithium disilicate-based ceramics were used. The heat-pressing technique for veneering with lithium disilicate significantly decreased the bond strength when compared to the feldspathic ceramic.
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Affiliation(s)
- Vanessa de Fátima Nogueira
- Department of Dental Materials and Prosthodontics, Institute of Science and Technology, São Paulo State University (UNESP), São José dos Campos, SP, Brazil
| | - Camila da Silva Rodrigues
- Department of Dental Materials and Prosthodontics, Institute of Science and Technology, São Paulo State University (UNESP), São José dos Campos, SP, Brazil
- Graduate Program in Dentistry, Federal University of Pelotas (UFPel), Pelotas, RS, Brazil
| | - Manassés Tercio Vieira Grangeiro
- Department of Dental Materials and Prosthodontics, Institute of Science and Technology, São Paulo State University (UNESP), São José dos Campos, SP, Brazil
- School of Dentistry, Anhanguera University, São José dos Campos, SP, Brazil
| | - Lisseth Patricia Claudio Contreras
- Department of Dental Materials and Prosthodontics, Institute of Science and Technology, São Paulo State University (UNESP), São José dos Campos, SP, Brazil
| | - Renata Marques de Melo Marinho
- Department of Dental Materials and Prosthodontics, Institute of Science and Technology, São Paulo State University (UNESP), São José dos Campos, SP, Brazil
| | - Marco Antônio Bottino
- Department of Dental Materials and Prosthodontics, Institute of Science and Technology, São Paulo State University (UNESP), São José dos Campos, SP, Brazil
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Rodrigues JVM, Demachkia AM, da Silva de Assis RAS, Gomes MM, Campos TMB, Dapieve KS, Valandro LF, de Melo RM. Fatigue and failure mode analyses of glass infiltrated 5Y-PSZ bonded onto dentin analogues. Sci Rep 2024; 14:13262. [PMID: 38858417 PMCID: PMC11164944 DOI: 10.1038/s41598-024-64110-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2024] [Accepted: 06/05/2024] [Indexed: 06/12/2024] Open
Abstract
The purpose of this study was to evaluate the fatigue survival of 5Y-PSZ zirconia infiltrated with an experimental glass and bonded onto dentin analogues. Disc-shaped specimens of a 5Y-PSZ (Katana UTML Kuraray Noritake) were cemented onto dentin analogs (NEMA G10) and divided into four groups (n = 15): Zctrl Group (control, without infiltration); Zglz Group (Glaze, compression surface); Zinf-comp Group (Experimental Glass, compression surface); Zinf-tens Group (Experimental Glass, tension surface). Surface treatments were varied. Cyclic fatigue loading, oblique transillumination, stereomicroscope examination, and scanning electron microscopy were performed. Fatigue data were analyzed (failure load and number of cycles) using survival analysis (Kaplan-Meier and Log-Rank Mantel-Cox). There was no statistically significant difference in fatigue survival between the Zglz, Zctrl, and Zinf-comp groups. The Zinf-tens group presented a significantly higher failure load when compared to the other groups and exhibited a different failure mode. The experimental glass effectively infiltrated the zirconia, enhancing structural reliability, altering the failure mode, and improving load-bearing capacity over more cycles, particularly in the group where the glass was infiltrated into the tensile surface of the zirconia. Glass infiltration into 5Y-PSZ zirconia significantly enhanced structural reliability and the ability to withstand loads over an increased number of cycles. This approach has the potential to increase the durability of zirconia restorations, reducing the need for replacements and save time and resources, promoting efficiency in clinical practice.
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Affiliation(s)
- Jonas Vinicius Meireles Rodrigues
- Department of Dental Materials and Prosthodontics, Institute of Science and Technology, São Paulo State University (UNESP), Av. Engenheiro Francisco José Longo, 777, Jardim São Dimas, São José dos Campos, São Paulo, 12245-000, Brazil
| | - Amir Mohidin Demachkia
- Department of Dental Materials and Prosthodontics, Institute of Science and Technology, São Paulo State University (UNESP), Av. Engenheiro Francisco José Longo, 777, Jardim São Dimas, São José dos Campos, São Paulo, 12245-000, Brazil
| | - Rita Adriana Souza da Silva de Assis
- Department of Dental Materials and Prosthodontics, Institute of Science and Technology, São Paulo State University (UNESP), Av. Engenheiro Francisco José Longo, 777, Jardim São Dimas, São José dos Campos, São Paulo, 12245-000, Brazil.
| | - Mariana Marques Gomes
- Department of Dental Materials and Prosthodontics, Institute of Science and Technology, São Paulo State University (UNESP), Av. Engenheiro Francisco José Longo, 777, Jardim São Dimas, São José dos Campos, São Paulo, 12245-000, Brazil
| | - Tiago Moreira Bastos Campos
- Aeronautics Technological Institute (ITA), Praça Marechal Eduardo Gomes, 50, Vila das Acácias, São José dos Campos, São Paulo, 12228-900, Brazil
| | - Kiara Serafini Dapieve
- Post-Graduate Program in Oral Science, Faculty of Dentistry, Federal University of Santa Maria (UFSM), Av. Roraima, 1000, Cidade Universitária, Camobi, Santa Maria, Rio Grande do Sul, 97105-900, Brazil
| | - Luiz Felipe Valandro
- Post-Graduate Program in Oral Science, Faculty of Dentistry, Federal University of Santa Maria (UFSM), Av. Roraima, 1000, Cidade Universitária, Camobi, Santa Maria, Rio Grande do Sul, 97105-900, Brazil
| | - Renata Marques de Melo
- Department of Dental Materials and Prosthodontics, Institute of Science and Technology, São Paulo State University (UNESP), Av. Engenheiro Francisco José Longo, 777, Jardim São Dimas, São José dos Campos, São Paulo, 12245-000, Brazil
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da Silva Rodrigues C, da Silva AC, Sabino CF, de Melo RM, Campos TMB. Borosilicate glass as a surface finishing alternative for improving the mechanical properties of third-generation zirconia. Dent Mater 2024; 40:477-483. [PMID: 38145923 DOI: 10.1016/j.dental.2023.12.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2023] [Revised: 12/10/2023] [Accepted: 12/11/2023] [Indexed: 12/27/2023]
Abstract
OBJECTIVE This study evaluated the effect of an experimental borosilicate glass on the mechanical and optical behavior of 5Y-PSZ zirconia and comparing it to commercial glaze and as-sintered. METHODS Disc-shaped specimens of a 5Y-PSZ (Zpex Smile) were prepared and sintered (1550 °C, 2 h). The zirconia discs were randomly divided according to the surface treatment: as-sintered (C), commercial glaze (G), and experimental borosilicate glass (SL). Glaze and experimental glass powders were mixed with building liquids and applied to zirconia with a brush. G specimens were fired at 950 °C and SL at 1200 °C. An extended dwell time of 20 min was applied to both groups. Biaxial flexural strength, roughness (Ra and Rz), translucency (TP00), color alteration (ΔE00), Vickers hardness, fracture toughness, residual stresses, and x-ray diffraction analyses were conducted. Statistical analyses were performed with Weibull statistics, Kruskal-Wallis, or ANOVA tests (α = 5%). RESULTS SL yielded the highest flexural strength (799.35 MPa), followed by G (662.34 MPa), and C (485.38 MPa). The fracture origin of SL specimens was in the bulk zirconia, while G and C showed fractures starting at the surface. As-sintered reached the highest fracture toughness and hardness. Glaze and borosilicate glass provided surface compressive stresses. Borosilicate glass application led to phase transformation (t→m). SL and G showed the lowest roughness. TP00 and ΔE00 were similar among groups. SIGNIFICANCE Borosilicate glass improved strength without harming the optical properties of third-generation zirconia. Toughness and roughness provided by the experimental glass were similar to those from commercial glaze.
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Affiliation(s)
- Camila da Silva Rodrigues
- Department of Dental Materials and Prosthodontics, Institute of Science and Technology, São Paulo State University (UNESP), São José dos Campos, SP, Brazil; Graduate Program in Dentistry, Federal University of Pelotas (UFPel), Pelotas, RS, Brazil.
| | - Ana Carolina da Silva
- Department of Dental Materials and Prosthodontics, Institute of Science and Technology, São Paulo State University (UNESP), São José dos Campos, SP, Brazil.
| | - Clarice Ferreira Sabino
- Department of Dental Materials and Prosthodontics, Institute of Science and Technology, São Paulo State University (UNESP), São José dos Campos, SP, Brazil.
| | - Renata Marques de Melo
- Department of Dental Materials and Prosthodontics, Institute of Science and Technology, São Paulo State University (UNESP), São José dos Campos, SP, Brazil.
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Teng WS, Yew HZ, Jamadon NH, Qamaruz Zaman J, Meor Ahmad MI, Muchtar A. Effect of porcelain veneering technique in bilayered zirconia on bond strength and residual stress distribution. J Mech Behav Biomed Mater 2024; 151:106361. [PMID: 38176199 DOI: 10.1016/j.jmbbm.2023.106361] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2023] [Revised: 12/26/2023] [Accepted: 12/27/2023] [Indexed: 01/06/2024]
Abstract
The use of all porcelain materials in dentistry has significantly increased in recent years. However, chipping has remained a common problem that affects bilayered zirconia restorations. Bonding between porcelain and the underlying zirconia framework is crucial to the success of the restoration. The bond strength may be affected by such factors as residual thermal stress and the veneering technique. This research focuses on investigating the potential and constraints of materials through an examination of the porcelain veneering technique, particularly hand-layering and heat-pressing. Forty-two cylindrical disc samples of zirconia (n = 7/group) were fabricated in the dimensions of 10 × 1.2 mm (diameter [D] × height [H]). The zirconia specimens were milled from IPS e.max® ZirCad [Z] block and Luxen Zr [L] block (n = 21/zirconia). The zirconia cores were layered with IPS e.max® Zirliner and heat-pressed with IPS e.max® ZirPress to produce a final veneer dimension of 5 × 3 mm (D × H). Conventional layering was performed for the rest of the zirconia cores using IPS e.max® Ceram and Shofu Vintage Zr. The final study groups were Luxen-Vintage (LV), Luxen-Ceram (LC), Luxen Zirpress (LP), ZirCad-Vintage (ZV), ZirCad-Ceram (ZC) and ZirCad-Zirpress (ZP). Five samples were subjected to shear bond testing (SBS) with a universal testing machine with a 5 kN load cell and 0.5 mm/min crosshead speed (n = 5/group). A sample underwent nanoindentation, and another was sectioned using Isomet machine to study the bonding interface. One-way ANOVA was used to run the statistical analyses of the SBS test. Statistical differences were found between ZV with LC and LP (p < 0.05). Residual stress is estimated to be higher in the middle of the porcelain compared with that on the surface and the interface. FESEM imaging reveals portions of visible bare zirconia on Luxen zirconia, whilst crack propagation occurred through voids in all hand-layered groups. Heat-pressed veneering showed comparable but not superior results to conventional hand-layered veneering. Heat-pressed veneering produced similar stress distribution profiles compared with hand-layered veneering.
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Affiliation(s)
- Wen Sheng Teng
- Restorative Department, Faculty of Dentistry, National University of Malaysia, Malaysia
| | - Hsu Zenn Yew
- Restorative Department, Faculty of Dentistry, National University of Malaysia, Malaysia.
| | - Nashrah Hani Jamadon
- Department of Mechanical & Manufacturing Engineering, Faculty of Engineering & Built Environment, National University of Malaysia, Malaysia
| | - Jasmina Qamaruz Zaman
- Restorative Department, Faculty of Dentistry, National University of Malaysia, Malaysia
| | - Meor Iqram Meor Ahmad
- Department of Mechanical & Manufacturing Engineering, Faculty of Engineering & Built Environment, National University of Malaysia, Malaysia
| | - Andanastuti Muchtar
- Department of Mechanical & Manufacturing Engineering, Faculty of Engineering & Built Environment, National University of Malaysia, Malaysia
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Alshahrani AM, Lim CH, Kim J, Zhang Y. Transient thermal stresses developed during speed sintering of 3 mol% yttria-stabilized tetragonal zirconia polycrystals. Dent Mater 2023; 39:522-528. [PMID: 37045719 PMCID: PMC10168597 DOI: 10.1016/j.dental.2023.04.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2022] [Accepted: 04/05/2023] [Indexed: 04/14/2023]
Abstract
OBJECTIVES To investigate transient thermal stresses that developed in 3Y-TZP green compacts during speed sintering. METHODS A total of 312 disc-shaped green compacts (Ø17.1 ×1, 1.5, 2, 2.5, 3 mm) were cold-isostatically pressed from 3Y-TZP powder (Zpex, Tosoh Corp.) for speed sintering studies as well as compositional analysis and biaxial flexural strength measurements (both at room temperature and following heating at 90 °C/min to 500 °C). Flexural strength was determined using the piston-on-3-ball method. Phase assemblies were analyzed using the X-ray diffraction method. Effects of heating/cooling rates on transient stresses were investigated by conducting definitive sintering studies to determine the threshold for fracture. Finite element analysis (FEA) was used to validate the experimental findings using measured thermomechanical properties. RESULTS The bulk and relative density of the green compact were 2.95 ± 0.03 g/cm3 and 48.52% ± 0.45%. The flexural strength was drastically decreased from 10.3 ± 0.4 MPa to 1.09 ± 0.07 MPa following heating at 90 °C/min to 500 °C. The monoclinic and tetragonal contents were 54.9% and 45.1%, respectively. The threshold for fracture was located at 500 °C during the first heating stage with a 90 °C/min heating rate in specimens of 2.5 mm thickness or greater. No fractures occurred in the second heating stage and cooling phase. The FEA estimated that the principal transient tensile stress was ∼1.14 MPa at 500 °C during the heating phase, which exceeded the corresponding flexural strength (1.09 ± 0.07 MPa). SIGNIFICANCE Advanced FEA methods are an accurate and efficient tool to analyze the history of transient stresses during sintering of ceramic dental restorations.
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Affiliation(s)
- Abdulaziz M Alshahrani
- Department of Preventive and Restorative Sciences, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA; Department of Restorative Dental Sciences, College of Dentistry, King Khalid University, Abha, Saudi Arabia
| | - Chek Hai Lim
- Department of Preventive and Restorative Sciences, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA
| | - Jeongho Kim
- Department of Civil and Environmental Engineering, University of Connecticut, 261 Glenbrook Rd, U-3037, Storrs, CT 06269, USA
| | - Yu Zhang
- Department of Preventive and Restorative Sciences, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
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Dolve E, Ben-Izhack G, Meirowitz A, Erel H, Rosner O, Biadsee A, Lugassy D, Shely A. The Light Reflection Changes of Monolithic Zirconia and Lithium Disilicate after Using Two External Staining Kits following by Thermocycling. MATERIALS (BASEL, SWITZERLAND) 2023; 16:2057. [PMID: 36903172 PMCID: PMC10004587 DOI: 10.3390/ma16052057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/04/2023] [Revised: 02/24/2023] [Accepted: 02/28/2023] [Indexed: 06/18/2023]
Abstract
BACKGROUND The purpose of the study was to evaluate the changes of light reflection% on two materials (monolithic zirconia and lithium disilicate) after using two external staining kits following by thermocycling. METHODS Specimens were sectioned from monolithic zirconia (n = 60) and lithium disilicate (n = 60) then divided into six groups (n = 20). Two different types of external staining kits were used and applied to the specimens. The light reflection% was measured before staining, after staining and after thermocycling using a spectrophotometer. RESULTS The light reflection% of zirconia was significantly higher compared to lithium disilicate at the beginning of the study (p = 0.005), after staining with kit 1 (p = 0.005) and kit 2 (p = 0.005) and after thermocycling (p = 0.005). For both materials, the light reflection% was lower after staining with Kit 1 compared to kit 2 (p < 0.043). After thermocycling, the light reflection% of lithium disilicate increased (p = 0.027) and was unchanged with Zirconia (p = 0.527). CONCLUSIONS There is a difference between the materials regarding light reflection% as the monolithic zirconia showed higher light reflection% comparing lithium disilicate throughout the entire experiment. For lithium disilicate, we recommend using kit 1 as we found that, after thermocycling, the light reflection% of kit 2 was increased.
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Alves LMM, Rodrigues CDS, Ramos NDC, Buizastrow J, Campos TMB, Bottino MA, Zhang Y, Melo RMD. Silica infiltration on translucent zirconia restorations: Effects on the antagonist wear and survivability. Dent Mater 2022; 38:2084-2095. [PMID: 36446649 PMCID: PMC9928576 DOI: 10.1016/j.dental.2022.11.015] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2022] [Revised: 09/23/2022] [Accepted: 11/11/2022] [Indexed: 11/27/2022]
Abstract
OBJECTIVE To assess potential antagonist wear and survival probability of silica-infiltrated zirconia compared to glass-graded, glazed, and polished zirconia. METHODS Table top restorations made of 3Y-TZP (3Y), 5Y-PSZ (5Y), and lithium disilicate (LD) were bonded onto epoxy resin preparations. Each zirconia was divided into five groups according to the surface treatment: polishing; glaze; polishing-glaze; glass infiltration; and silica infiltration. The LD restorations received a glaze layer. Specimens were subjected to sliding fatigue wear using a steatite antagonist (1.25 ×106 cycles, 200 N). The presence of cracks, fractures, and/or debonding was checked every one/third of the total number of cycles was completed. Roughness, microstructural, Scanning electron microscopy, wear and residual stress analyses were conducted. Kaplan-Meier, Mantel-Cox (log-rank) and ANOVA tests were performed for statistical analyses. RESULTS The survival probability was different among the groups. Silica infiltration and polishing-glaze led to lower volume loss than glaze and glass-infiltration. Difference was observed for roughness among the zirconia and surface treatment, while lithium disilicate presented similar roughness compared to both glazed zirconia. Scanning electron microscopy revealed the removal of the surface treatment after sliding fatigue wear in all groups. Compressive stress was detected on 3Y surfaces, while tensile stress was observed on 5Y. SIGNIFICANCE 3Y and 5Y zirconia behaved similarly regarding antagonist wear, presenting higher antagonist wear than the glass ceramic. Silica-infiltrated and polished-glazed zirconia produced lower antagonist volume loss than glazed and glass-infiltrated zirconia. Silica-infiltrated 3Y and lithium disilicate restorations were the only groups to show survival probabilities lower than 85%.
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Affiliation(s)
- Larissa Marcia Martins Alves
- Department of Dental Materials and Prosthodontics, São Paulo State University (Unesp), Institute of Science and Technology, Av. Eng. Francisco José Longo, 777, Jardim São Dimas, 12245-000 São José dos Campos, SP, Brazil; Department of Biomaterials and Biomimetics, New York University College of Dentistry, 433 1st Ave., New York, NY 10010, United States
| | - Camila da Silva Rodrigues
- Department of Dental Materials and Prosthodontics, São Paulo State University (Unesp), Institute of Science and Technology, Av. Eng. Francisco José Longo, 777, Jardim São Dimas, 12245-000 São José dos Campos, SP, Brazil; Department of Biomaterials and Biomimetics, New York University College of Dentistry, 433 1st Ave., New York, NY 10010, United States
| | - Nathalia de Carvalho Ramos
- Department of Dental Materials and Prosthodontics, São Paulo State University (Unesp), Institute of Science and Technology, Av. Eng. Francisco José Longo, 777, Jardim São Dimas, 12245-000 São José dos Campos, SP, Brazil
| | - Jeff Buizastrow
- Department of Biomaterials and Biomimetics, New York University College of Dentistry, 433 1st Ave., New York, NY 10010, United States
| | - Tiago Moreira Bastos Campos
- Department of Physics, Aeronautics Technological Institute (ITA), Praça Marechal Eduardo Gomes, 50, 12228-900 São José dos Campos, SP, Brazil
| | - Marco Antonio Bottino
- Department of Dental Materials and Prosthodontics, São Paulo State University (Unesp), Institute of Science and Technology, Av. Eng. Francisco José Longo, 777, Jardim São Dimas, 12245-000 São José dos Campos, SP, Brazil
| | - Yu Zhang
- Department of Preventive and Restorative Sciences, School of Dental Medicine, University of Pennsylvania, PA 19104, United States
| | - Renata Marques de Melo
- Department of Dental Materials and Prosthodontics, São Paulo State University (Unesp), Institute of Science and Technology, Av. Eng. Francisco José Longo, 777, Jardim São Dimas, 12245-000 São José dos Campos, SP, Brazil.
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Hensel J, Reise M, Liebermann A, Buser R, Stawarczyk B. Impact of multiple firings on thermal properties and bond strength of veneered zirconia restorations. J Mech Behav Biomed Mater 2022; 128:105134. [DOI: 10.1016/j.jmbbm.2022.105134] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2021] [Revised: 02/09/2022] [Accepted: 02/13/2022] [Indexed: 10/19/2022]
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Dhital S, Rodrigues C, Zhang Y, Kim J. Metal-ceramic and porcelain-veneered lithium disilicate crowns: a stress profile comparison using a viscoelastic finite element model. Comput Methods Biomech Biomed Engin 2022; 25:412-423. [PMID: 34289770 PMCID: PMC9903966 DOI: 10.1080/10255842.2021.1955869] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
Abstract
Metal-ceramics (MC) are one of the oldest dental restorative systems, which are considered to be the gold standard for full crown restoration. Porcelain-veneered lithium disilicate (PVLD), on the other hand, are newer material systems that have shown high survival rate in clinical follow-ups but needs to be studied more. This study compares the stresses developed in the single crowns made from newer PVLD system against those with MC configuration. For this comparison, influence of the layer thickness and cooling rates is also taken into consideration. An experimentally validated viscoelastic finite element model (VFEM) has been developed to predict the stress profile in these systems. Three-dimensional rotationally symmetric crowns were analyzed using this validated model for both material systems, three veneer to core thickness ratios (2:1, 1:1, 1:2), and two cooling rates: slow cooling at 1.74E-5 W/mm2K (∼30 K/min) and fast cooling at 1.74E-4 W/mm2K (∼300 K/min). PVLD showed lower values of transient and residual stresses than MC. The maximum tensile residual stresses in MC systems were observed in the cusp area, whereas those in PVLD were located in the central fossa. With the reduction in veneer layer, there was reduction in residual stress in MC; however, the veneer thickness had little to no effect in PVLD. The effect of cooling rate was also evident as slow cooling resulted in lower residual and tensile stresses for both material systems.
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Affiliation(s)
- Sukirti Dhital
- Department of Civil and Environmental Engineering, University of Connecticut, Storrs, CT, USA
| | - Camila Rodrigues
- Graduate Program in Dental Sciences, Federal University of Santa Maria, Santa Maria, RS, Brazil
| | - Yu Zhang
- Department of Preventive and Restorative Sciences, University of Pennsylvania School of Dental Medicine, Philadelphia, PA, USA
| | - Jeongho Kim
- Department of Civil and Environmental Engineering, University of Connecticut, Storrs, CT, USA
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Sarfraz Z, Arooj Z, Fahim A, Manzoor S, Javed M, Saeed A, Khan AS, Khan SA, Alam MK. Determination of Shear Bond Strength of Nanocomposite to Porcelain and Metal Alloy. PESQUISA BRASILEIRA EM ODONTOPEDIATRIA E CLÍNICA INTEGRADA 2022. [DOI: 10.1590/pboci.2022.044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Affiliation(s)
| | | | | | | | | | - Asfia Saeed
- Islamabad Medical and Dental College, Pakistan
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Blatz MB, Hariton‐Gross K, Anadioti E, Mante F, Zhang Y, Saleh N. Prospective 5-year clinical evaluation of posterior zirconia fixed dental prostheses veneered with milled lithium disilicate (CADon). J ESTHET RESTOR DENT 2022; 34:136-144. [PMID: 35083844 PMCID: PMC9934977 DOI: 10.1111/jerd.12877] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2021] [Revised: 01/07/2022] [Accepted: 01/11/2022] [Indexed: 01/21/2023]
Abstract
OBJECTIVE Bi-layer zirconia-based posterior fixed dental prostheses (FDPs) have reportedly a high incidence of veneering ceramic fractures. The CADon technique employs zirconia frameworks veneered with milled lithium disilicate glass-ceramic to overcome these shortcomings but long-term clinical studies are missing. This study evaluated the clinical efficacy of posterior 3-unit CADOn FDPs over a 5-year period. MATERIALS AND METHODS A total of 25 patients, 16 male and 9 female with a mean age of 55.6 years, received a total of 25 posterior three-unit CADOn FDPs. Patients were recalled for baseline and for follow-up visits at 6, 12, 24, and 60 months. Parameters evaluated were fracture, marginal adaptation, marginal discoloration, wear, polish, color match, surface staining, and retention of these restorations as well as secondary caries of the abutment teeth. RESULTS A total of 21 FDPs evaluated at 60-months revealed a 100% survival rate. All evaluated clinical parameters were satisfactory (alpha or bravo) and there was no statistically significant difference at different time points, except for surface staining, which was also worse at 60 months compared to baseline (p ≤ 0.001). CONCLUSIONS CADOn three-unit posterior FDPs demonstrate excellent fracture resistance after 5 years of clinical function. All evaluated clinical parameters were satisfactory, except for surface stain, which also increased over time. CLINICAL SIGNIFICANCE Conventionally veneered bi-layer zirconia-based posterior FDPs have limited clinical success. Based on this study, alternative methods such as zirconia frameworks veneered with milled lithium disilicate glass-ceramic provide a viable alternative with excellent long-term clinical outcomes.
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Affiliation(s)
- Markus B. Blatz
- Department of Preventive and Restorative Sciences University of Pennsylvania School of Dental Medicine Philadelphia Pennsylvania USA
| | - Karina Hariton‐Gross
- Department of Preventive and Restorative Sciences University of Pennsylvania School of Dental Medicine Philadelphia Pennsylvania USA
| | - Evanthia Anadioti
- Department of Preventive and Restorative Sciences University of Pennsylvania School of Dental Medicine Philadelphia Pennsylvania USA
| | - Francis Mante
- Department of Preventive and Restorative Sciences University of Pennsylvania School of Dental Medicine Philadelphia Pennsylvania USA
| | - Yu Zhang
- Department of Preventive and Restorative Sciences University of Pennsylvania School of Dental Medicine Philadelphia Pennsylvania USA
| | - Najeed Saleh
- Department of Preventive and Restorative Sciences University of Pennsylvania School of Dental Medicine Philadelphia Pennsylvania USA
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