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Song Y, Yao T, Peng S, Zhu M, Meng M, Ma J, Zeng D, Huang J, Bian Z, Wang Y. b-MAR: bidirectional artifact representations learning framework for metal artifact reduction in dental CBCT. Phys Med Biol 2024; 69:145010. [PMID: 38588680 DOI: 10.1088/1361-6560/ad3c0a] [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: 12/04/2023] [Accepted: 04/08/2024] [Indexed: 04/10/2024]
Abstract
Objective.Metal artifacts in computed tomography (CT) images hinder diagnosis and treatment significantly. Specifically, dental cone-beam computed tomography (Dental CBCT) images are seriously contaminated by metal artifacts due to the widespread use of low tube voltages and the presence of various high-attenuation materials in dental structures. Existing supervised metal artifact reduction (MAR) methods mainly learn the mapping of artifact-affected images to clean images, while ignoring the modeling of the metal artifact generation process. Therefore, we propose the bidirectional artifact representations learning framework to adaptively encode metal artifacts caused by various dental implants and model the generation and elimination of metal artifacts, thereby improving MAR performance.Approach.Specifically, we introduce an efficient artifact encoder to extract multi-scale representations of metal artifacts from artifact-affected images. These extracted metal artifact representations are then bidirectionally embedded into both the metal artifact generator and the metal artifact eliminator, which can simultaneously improve the performance of artifact removal and artifact generation. The artifact eliminator learns artifact removal in a supervised manner, while the artifact generator learns artifact generation in an adversarial manner. To further improve the performance of the bidirectional task networks, we propose artifact consistency loss to align the consistency of images generated by the eliminator and the generator with or without embedding artifact representations.Main results.To validate the effectiveness of our algorithm, experiments are conducted on simulated and clinical datasets containing various dental metal morphologies. Quantitative metrics are calculated to evaluate the results of the simulation tests, which demonstrate b-MAR improvements of >1.4131 dB in PSNR, >0.3473 HU decrements in RMSE, and >0.0025 promotion in structural similarity index measurement over the current state-of-the-art MAR methods. All results indicate that the proposed b-MAR method can remove artifacts caused by various metal morphologies and restore the structural integrity of dental tissues effectively.Significance.The proposed b-MAR method strengthens the joint learning of the artifact removal process and the artifact generation process by bidirectionally embedding artifact representations, thereby improving the model's artifact removal performance. Compared with other comparison methods, b-MAR can robustly and effectively correct metal artifacts in dental CBCT images caused by different dental metals.
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Affiliation(s)
- Yuyan Song
- School of Biomedical Engineering, Southern Medical University, Guangzhou 510515, People's Republic of China
- Pazhou Lab (Huangpu), Guangzhou 510700, People's Republic of China
| | - Tianyi Yao
- School of Biomedical Engineering, Southern Medical University, Guangzhou 510515, People's Republic of China
- Pazhou Lab (Huangpu), Guangzhou 510700, People's Republic of China
| | - Shengwang Peng
- School of Biomedical Engineering, Southern Medical University, Guangzhou 510515, People's Republic of China
- Pazhou Lab (Huangpu), Guangzhou 510700, People's Republic of China
| | - Manman Zhu
- School of Biomedical Engineering, Southern Medical University, Guangzhou 510515, People's Republic of China
- Pazhou Lab (Huangpu), Guangzhou 510700, People's Republic of China
| | - Mingqiang Meng
- School of Biomedical Engineering, Southern Medical University, Guangzhou 510515, People's Republic of China
- Pazhou Lab (Huangpu), Guangzhou 510700, People's Republic of China
| | - Jianhua Ma
- School of Biomedical Engineering, Southern Medical University, Guangzhou 510515, People's Republic of China
- Pazhou Lab (Huangpu), Guangzhou 510700, People's Republic of China
| | - Dong Zeng
- School of Biomedical Engineering, Southern Medical University, Guangzhou 510515, People's Republic of China
- Pazhou Lab (Huangpu), Guangzhou 510700, People's Republic of China
| | - Jing Huang
- School of Biomedical Engineering, Southern Medical University, Guangzhou 510515, People's Republic of China
| | - Zhaoying Bian
- School of Biomedical Engineering, Southern Medical University, Guangzhou 510515, People's Republic of China
- Pazhou Lab (Huangpu), Guangzhou 510700, People's Republic of China
| | - Yongbo Wang
- School of Biomedical Engineering, Southern Medical University, Guangzhou 510515, People's Republic of China
- Pazhou Lab (Huangpu), Guangzhou 510700, People's Republic of China
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Dhamande MM, Beri A, Sathe S, Jaiswal T, Dubey SA. Transforming Smiles: A Case Study on Monolithic Zirconia Prosthetic Solutions. Cureus 2024; 16:e57889. [PMID: 38725786 PMCID: PMC11079848 DOI: 10.7759/cureus.57889] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2024] [Accepted: 04/09/2024] [Indexed: 05/12/2024] Open
Abstract
In order to effectively address challenges related to anterior teeth restoration and achieve natural-looking results, considerations such as shape, size, gingival contour, and color are crucial. Due to an increasing desire for visually appealing alternatives that are free of metal, materials such as dental zirconia have become popular because of their superior aesthetics and mechanical characteristics. This case report presents clinical insights into anterior teeth rehabilitation with the use of layered zirconia fixed dental prostheses. It delves into the experiences associated with zirconia dental restorations on both endodontically treated and vital abutments, aiming to discern how various factors influence treatment outcomes. Beginning with the design of the restoration, its intricacies significantly impact its fit, strength, and overall durability. Moreover, the composition of zirconia used plays a pivotal role, as different formulations offer varying degrees of mechanical properties, influencing factors such as resilience and wear resistance. The shade selection is also scrutinized, as it directly affects the restoration's aesthetic integration with surrounding natural teeth, contributing to a more harmonious smile. Furthermore, the layering technique employed, particularly when additional porcelain or ceramic layers are applied, is essential for both cosmetic enhancement and structural integrity. Lastly, considerations of occlusion are paramount, ensuring proper alignment and contact between teeth to prevent premature wear and discomfort. By exploring these facets in zirconia restorations across different abutment types, this inquiry seeks to illuminate best practices for achieving favorable treatment outcomes in dental restoration procedures. The choice of zirconia composition, framework design, and shade must be carefully tailored to suit the characteristics of each individual abutment. This emphasizes the significance of adopting a tailored approach to tackle the distinct challenges posed by every clinical scenario. The manuscript provides detailed observations from a clinical case involving the restoration of anterior teeth utilizing monolithic zirconia-fixed dental prostheses. Through a combination of root canal treatment and composite buildup, successful restoration was achieved, with meticulous attention paid to aesthetic considerations. The utilization of computer-aided designing/computer-aided manufacturing (CAD/CAM) technology in crafting zirconia restorations ensured precise fit and superior biocompatibility, contributing to the overall success of the treatment. The study underscores the importance of personalized treatment strategies in achieving optimal outcomes in anterior teeth restoration, emphasizing the need for careful consideration of various factors such as design, composition, and shade selection. Overall, the findings shed light on the potential of zirconia-based restorations in addressing the unique challenges associated with anterior teeth rehabilitation, offering valuable insights for dental practitioners striving to deliver aesthetically pleasing and functionally sound outcomes for their patients.
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Affiliation(s)
| | - Arushi Beri
- Prosthodontics, Sharad Pawar Dental College and Hospital, Acharya Vinoba Bhave Rural Hospital (AVBRH), Wardha, IND
| | - Seema Sathe
- Prosthodontics, Sharad Pawar Dental College, Wardha, IND
| | - Tanvi Jaiswal
- Prosthodontics, Sharad Pawar Dental College, Wardha, IND
| | - Surekha A Dubey
- Prosthodontics and Crown & Bridge, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Medical Sciences (Deemed to be University) (DMIMSU), Wardha, IND
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Pîrvulescu IL, Faur A, Ille C, Jivănescu A. Optical properties of zirconia-reinforced lithium silicate veneers obtained with CAD/CAM milling and hot-pressing techniques: a comparative in vitro study. Med Pharm Rep 2024; 97:205-214. [PMID: 38746037 PMCID: PMC11090280 DOI: 10.15386/mpr-2654] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2023] [Accepted: 08/10/2023] [Indexed: 05/16/2024] Open
Abstract
Background and aims Dental veneers have become increasingly required among patients, but little is known about the optical properties of veneers obtained from the same ceramic material through different processing techniques. Methods In this study we compared the translucency and the opalescence parameters of zirconia-reinforced lithium silicate (ZLS) veneers restorations fabricated through CAD/CAM milling and hot-pressing techniques on the upper central incisor. Eighty specimens divided into 8 groups (n=10) were sectioned (Celtra Duo) and heat pressed (Celtra Press) to obtain 0.8 mm thickness. The optical parameters were calculated from the color difference against different backgrounds. Analysis of variance, one way ANOVA and post-hoc multiple comparison tests were used to evaluate and compare the optical properties of the same material, with a significance level of p < 0.05. Results The processing method had significant effect on optical parameters. Celtra Duo HT proved to be the material with the highest transparency degree. The hot-pressing technique led to higher opacity than CAD/CAM milling technique. Conclusions For a bio-mimetic aesthetic prosthetic restoration, the ceramic materials must have the same translucency and opacity as the real tooth. The results of this study revealed that high translucency ZLS obtained through hot pressing technique was the material of choice, as it fulfilled these requirements.
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Affiliation(s)
- Ioana-Ligia Pîrvulescu
- Department of Prosthodontics, Faculty of Dental Medicine, “Victor Babes” University of Medicine and Pharmacy, Timişoara, Romania
| | - Andrei Faur
- Department of Prosthodontics, Faculty of Dental Medicine, “Victor Babes” University of Medicine and Pharmacy, Timişoara, Romania
| | - Codruţa Ille
- Department of Prosthodontics, Faculty of Dental Medicine, “Victor Babes” University of Medicine and Pharmacy, Timişoara, Romania
- TADERP Research Center—Advanced and Digital Techniques for Endodontic, Restorative and Prosthetic Treatment, “Victor Babeş” University of Medicine and Pharmacy, Timişoara, Romania
| | - Anca Jivănescu
- Department of Prosthodontics, Faculty of Dental Medicine, “Victor Babes” University of Medicine and Pharmacy, Timişoara, Romania
- TADERP Research Center—Advanced and Digital Techniques for Endodontic, Restorative and Prosthetic Treatment, “Victor Babeş” University of Medicine and Pharmacy, Timişoara, Romania
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Dhamande MM, Beri A, Bhoyar A, Dubey SA, Sathe S. Esthetic Solutions With Layered Zirconia Prostheses: A Case Report. Cureus 2023; 15:e49822. [PMID: 38164308 PMCID: PMC10758237 DOI: 10.7759/cureus.49822] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2023] [Accepted: 12/02/2023] [Indexed: 01/03/2024] Open
Abstract
To meet the challenges of rehabilitating anterior teeth and achieving natural-looking restorations, it is essential to address issues such as improper shape, size, irregular gingival contour, and unaesthetic shades. The increasing demand for aesthetically pleasing and metal-free solutions has popularized materials like dental zirconia, offering optimal aesthetics and desirable mechanical properties. Within this context, a case report highlights clinical experiences with layered zirconia fixed dental prostheses designed specifically for anterior teeth. The report focuses on the prosthetic rehabilitation of both endodontically treated and vital abutments, exploring the influence of zirconia composition, design, layering technique, shade selection, occlusion, and the unique clinical challenges associated with each condition. The selection of zirconia composition, framework design, and shade in layered zirconia prostheses is intricately tied to the characteristics of the abutments. This interconnectedness underscores the importance of a thoughtful and customized approach to address the specific requirements of each clinical scenario.
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Affiliation(s)
- Mithilesh M Dhamande
- Prosthodontics, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Arushi Beri
- Prosthodontics, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Anjali Bhoyar
- Prosthodontics, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Surekha A Dubey
- Prosthodontics, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Seema Sathe
- Prosthodontics, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND
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Liu H, Inokoshi M, Xu K, Tonprasong W, Minakuchi S, Van Meerbeek B, Vleugels J, Zhang F. Does speed-sintering affect the optical and mechanical properties of yttria-stabilized zirconia? A systematic review and meta-analysis of in-vitro studies. JAPANESE DENTAL SCIENCE REVIEW 2023; 59:312-328. [PMID: 37705876 PMCID: PMC10495607 DOI: 10.1016/j.jdsr.2023.08.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2022] [Revised: 08/02/2023] [Accepted: 08/22/2023] [Indexed: 09/15/2023] Open
Abstract
Zirconia restorations are increasingly popular in dental treatment. Yttria-stabilized zirconia (YSZ) needs to be sintered for clinical applications and novel speed-sintering protocols are being developed for chairside treatments. Whether the properties of speed-sintered YSZ meet clinical requirements, however, remains unclear. Therefore, we conducted a systematic review and meta-analysis on the influence of speed-sintering on the optical and mechanical properties of dental YSZ according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines. A literature search was conducted using PubMed, Embase, and Web of Science databases for relevant articles published between January 1, 2010 and February 28, 2022 in English, Chinese, or Japanese. After full-text evaluation and quality assessment, 26 articles were selected. Meta-analysis revealed that speed-sintering does not significantly affect the CIEDE2000-based translucency parameter, contrast ratio, three-point flexural strength, biaxial flexural strength, or fracture toughness of YSZ (p < 0.01) compared to conventional sintering. However, the CIELab-based translucency parameter of conventionally sintered YSZ is higher than that of speed-sintered YSZ. The descriptive analysis indicated that speed-sintering does not affect the hardness of YSZ compared to that of conventionally sintered YSZ. The results indicate that speed-sintering is suitable for preparing YSZ for dental restorations.
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Affiliation(s)
- Hengyi Liu
- Department of Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo, Tokyo 113-8549, Japan
| | - Masanao Inokoshi
- Department of Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo, Tokyo 113-8549, Japan
| | - Kaiqi Xu
- Department of Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo, Tokyo 113-8549, Japan
| | - Watcharapong Tonprasong
- Department of Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo, Tokyo 113-8549, Japan
| | - Shunsuke Minakuchi
- Department of Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo, Tokyo 113-8549, Japan
| | - Bart Van Meerbeek
- KU Leuven (University of Leuven), Department of Oral Health Sciences, BIOMAT & UZ Leuven (University Hospitals Leuven), Dentistry, Kapucijnenvoer 7 blok a, B-3000 Leuven, Belgium
| | - Jef Vleugels
- KU Leuven (University of Leuven), Department of Materials Engineering, Kasteelpark Arenberg 44, BE-3001 Leuven, Belgium
| | - Fei Zhang
- KU Leuven (University of Leuven), Department of Oral Health Sciences, BIOMAT & UZ Leuven (University Hospitals Leuven), Dentistry, Kapucijnenvoer 7 blok a, B-3000 Leuven, Belgium
- KU Leuven (University of Leuven), Department of Materials Engineering, Kasteelpark Arenberg 44, BE-3001 Leuven, Belgium
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Kongkiatkamon S, Rokaya D, Kengtanyakich S, Peampring C. Current classification of zirconia in dentistry: an updated review. PeerJ 2023; 11:e15669. [PMID: 37465158 PMCID: PMC10351515 DOI: 10.7717/peerj.15669] [Citation(s) in RCA: 9] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2023] [Accepted: 06/09/2023] [Indexed: 07/20/2023] Open
Abstract
Zirconia, a crystalline oxide of zirconium, holds good mechanical, optical, and biological properties. The metal-free restorations, mostly consisting of all-ceramic/zirconia restorations, are becoming popular restorative materials in restorative and prosthetic dentistry choices for aesthetic and biological reasons. Dental zirconia has increased over the past years producing wide varieties of zirconia for prosthetic restorations in dentistry. At present, literature is lacking on the recent zirconia biomaterials in dentistry. Currently, no article has the latest information on the various zirconia biomaterials in dentistry. Hence, the aim of this article is to present an overview of recent dental zirconia biomaterials and tends to classify the recent zirconia biomaterials in dentistry. This article is useful for dentists, dental technicians, prosthodontists, academicians, and researchers in the field of dental zirconia.
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Affiliation(s)
- Suchada Kongkiatkamon
- Department of Prosthetic Dentistry, Faculty of Dentistry, Prince of Songkla University, Songkhla, Thailand
| | - Dinesh Rokaya
- Faculty of Dentistry, Zarqa University, Zarqa, Jordan
| | - Santiphab Kengtanyakich
- Prosthodontic Section, Department of Restorative Dentistry, Naresuan University, Phitsanulok, Thailand
| | - Chaimongkon Peampring
- Department of Prosthetic Dentistry, Faculty of Dentistry, Prince of Songkla University, Songkhla, Thailand
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Sahoo N, Carvalho O, Özcan M, Silva F, Souza JCM, Lasagni AF, Henriques B. Ultrashort pulse laser patterning of zirconia (3Y-TZP) for enhanced adhesion to resin-matrix cements used in dentistry: An integrative review. J Mech Behav Biomed Mater 2023; 143:105943. [PMID: 37276650 DOI: 10.1016/j.jmbbm.2023.105943] [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: 03/30/2023] [Revised: 05/25/2023] [Accepted: 05/28/2023] [Indexed: 06/07/2023]
Abstract
Surface modification of yttria-stabilized tetragonal zirconia polycrystals (Y-TZP) using lasers for adhesion enhancement with resin-matrix cement has been increasingly explored. However, Y-TZP is chemically inert and non-reactive, demanding surface modification using alternative approaches to enhance its bond strength to resin-matrix cements. The main aim of this study was to conduct an integrative review on the influence of ultrashort pulse laser patterning of zirconia (3Y-TZP) for enhanced bonding to resin-matrix cements. An electronic search was performed on web of science, SCOPUS, Pubmed/Medline, Google Scholar and EMBASE using a combination of the following search items: zirconia, 3Y-TZP, surface modification, laser surface treatment, AND laser, ultrashortpulse laser, bonding, adhesion, and resin cement. Articles published in the English language, up to January 2022, were included regarding the influence of surface patterning on bond strength of Y-TZP to resin-matrix cements. Out of the 12 studies selected for the present review 10 studies assessed femtosecond lasers while 2 studies assessed picosecond lasers. Ultrashort pulsed laser surface patterning successfully produced different surface morphological aspects without damaging the bulk properties of zirconia. Contrarily, defects such as micro-cracks occurs after surface modification using traditional methods such as grit-blasting or long-pulsed laser patterning. Ultrashort pulsed laser surface patterning increase bond strength of zirconia to resin-matrix cements and therefore such alternative physical method should be considered in dentistry. Also, surface defects were avoided using ultrashort pulsed laser surface patterning, which become the major advantage when compared with traditional physical methods or long pulse laser patterning.
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Affiliation(s)
- Narayan Sahoo
- Centre Microelectromechanical Systems (CMEMS-UMinho), University of Minho, Campus Azurém, Guimarães, 4800-058, Portugal; LABBELS Associate Laboratory, University of Minho, Guimarães, 4710-057, Braga, Portugal
| | - Oscar Carvalho
- Centre Microelectromechanical Systems (CMEMS-UMinho), University of Minho, Campus Azurém, Guimarães, 4800-058, Portugal; LABBELS Associate Laboratory, University of Minho, Guimarães, 4710-057, Braga, Portugal
| | - Mutlu Özcan
- Division of Dental Materials, Center for Dental Medicine, Clinic of Reconstructive Dentistry, University of Zurich, Zurich, 8032, Switzerland
| | - Filipe Silva
- Centre Microelectromechanical Systems (CMEMS-UMinho), University of Minho, Campus Azurém, Guimarães, 4800-058, Portugal; LABBELS Associate Laboratory, University of Minho, Guimarães, 4710-057, Braga, Portugal
| | - Júlio C M Souza
- Centre Microelectromechanical Systems (CMEMS-UMinho), University of Minho, Campus Azurém, Guimarães, 4800-058, Portugal; LABBELS Associate Laboratory, University of Minho, Guimarães, 4710-057, Braga, Portugal; Department of Dental Sciences, University Institute of Health Sciences (IUCS), CESPU, Gandra, PRD, 4585-116, Portugal
| | - Andrés-Fabian Lasagni
- Institute for Manufacturing Technology, Technische Universität Dresden, 01062, Dresden, Germany
| | - Bruno Henriques
- Centre Microelectromechanical Systems (CMEMS-UMinho), University of Minho, Campus Azurém, Guimarães, 4800-058, Portugal; LABBELS Associate Laboratory, University of Minho, Guimarães, 4710-057, Braga, Portugal; Ceramic and Composite Materials Research Group (CERMAT), Federal University of Santa Catarina (UFSC), Campus Trindade, Florianópolis, SC, 88040-900, Brazil.
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Bizo L, Mureşan-Pop M, Barabás R, Barbu-Tudoran L, Berar A. In Vitro Degradation of Mg-Doped ZrO 2 Bioceramics at the Interface with Xerostom ® Saliva Substitute Gel. MATERIALS (BASEL, SWITZERLAND) 2023; 16:2680. [PMID: 37048973 PMCID: PMC10096315 DOI: 10.3390/ma16072680] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/07/2023] [Revised: 03/19/2023] [Accepted: 03/27/2023] [Indexed: 06/19/2023]
Abstract
Zirconia-based bioceramics, one of the most important materials used for dental applications, have been intensively studied in recent years due to their excellent mechanical resistance and chemical inertness in the mouth. In this work, the structural, morphological and dissolution properties of the Zr1-xMgxO2 (x = 0.05, 0.1, 0.15, 0.2, 0.25, and 0.3) system, prepared by the conventional ceramic method, were evaluated before and after immersion in saliva substitute gel (Xerostom®, Biocosmetics Laboratories, Madrid, Spain), one of the most common topical dry mouth products used in dentistry. The X-ray powder diffraction (XRPD), Fourier transform infrared spectroscopy (FTIR) and scanning electron microscopy/energy-dispersive X-ray spectroscopy (SEM/EDS) techniques were employed to investigate the phase transformations and morphology of the ceramics during the degradation process in Xerostom®. In vitro analyses showed overall good stability in the Xerostom® environment, except for the x = 0.05 composition, where significant t- to m-ZrO2 transformation occurred. In addition, the strong interconnection of the grains was maintained after immersion, which could allow a high mechanical strength of the ceramics to be obtained.
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Affiliation(s)
- Liliana Bizo
- Department of Chemical Engineering, Faculty of Chemistry and Chemical Engineering, Babeş-Bolyai University, 11 Arany Janos Str., RO-400028 Cluj-Napoca, Romania
- Nanostructured Materials and Bio-Nano-Interfaces Center, Institute for Interdisciplinary Research on Bio-Nano-Sciences, Babeş-Bolyai University, 42 Treboniu Laurian Str., RO-400271 Cluj-Napoca, Romania;
| | - Marieta Mureşan-Pop
- Nanostructured Materials and Bio-Nano-Interfaces Center, Institute for Interdisciplinary Research on Bio-Nano-Sciences, Babeş-Bolyai University, 42 Treboniu Laurian Str., RO-400271 Cluj-Napoca, Romania;
| | - Réka Barabás
- Department of Chemistry and Chemical Engineering of Hungarian Line of Study, Faculty of Chemistry and Chemical Engineering, Babeş-Bolyai University, 11 Arany Janos Str., RO-400028 Cluj-Napoca, Romania;
| | - Lucian Barbu-Tudoran
- Electron Microscopy Center “Prof. C. Craciun”, Faculty of Biology and Geology, Babeș-Bolyai University, 5-7 Clinicilor Str., RO-400006 Cluj-Napoca, Romania;
- Electron Microscopy Integrated Laboratory, National Institute for R&D of Isotopic and Molecular Technologies, 67-103 Donath Str., RO-400293 Cluj-Napoca, Romania
| | - Antonela Berar
- Department of Prosthetic Dentistry, Faculty of Dental Medicine, Iuliu Haţieganu University of Medicine and Pharmacy, 32 Clinicilor Str., RO-400006 Cluj-Napoca, Romania;
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Mechanical Properties of Translucent Zirconia: An In Vitro Study. PROSTHESIS 2023. [DOI: 10.3390/prosthesis5010004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
Background: The introduction of translucent zirconia has improved mimetics: nevertheless, a reduction in the mechanical performance was registered. The study aim was to investigate the mechanical characteristics of a high-translucent zirconia used for monolithic restorations before and after the aging process compared to a low-translucent zirconia. Methods: A total of 23 specimens were used in the present study. Group A (n = 10) was made of a high-translucent Y-TZP; group B (n = 7) was made of a low-translucent Y-TZP and finally group C (n = 6) was an aged high-translucent Y-TZP. Flexural strength, fracture toughness, brittleness, microcrack’s propagation and grain size were analyzed. Results: The Vickers hardness was: 1483 ± 187 MPa (group C); 1102 ± 392 MPa (group A); 1284 ± 32 MPa (group B). The flexural strength was: 440 (±96.2) MPa (group C); 427 (±59.5) MPa (group A); 805 (±198.4) MPa (group B). The fracture toughness was: 5.1 (±0.7) MPa.m1/2 (group C); 4.9 (±0.9) MPa.m1/2 (group A); 8.9 (±1.1) MPa.m1/2 (group B). The brittleness was: 295 (±42.8) (group C), 230.9 (±46.4) (group A) and 144.9 (±20.3) (group B). The grain size was: 2.75 (±1.2) µm2 (group A); 0.16 (±0.05) µm2 (group B); 3.04 (±1.1) µm2 (group C). Conclusions: The significant reduction in the mechanical properties of high-translucent zirconia, compared to the traditional one, suggests their use in the anterior/lateral area (up to premolars).
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Schelkopf S, Dini C, Beline T, Wee AG, Barão VAR, Sukotjo C, Yuan JCC. The Effect of Smoking and Brushing on the Color Stability and Stainability of Different CAD/CAM Restorative Materials. MATERIALS (BASEL, SWITZERLAND) 2022; 15:ma15196901. [PMID: 36234241 PMCID: PMC9571481 DOI: 10.3390/ma15196901] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/05/2022] [Revised: 09/22/2022] [Accepted: 10/02/2022] [Indexed: 05/14/2023]
Abstract
This study aimed to investigate and compare the color stability and stainability of computer-aided design/computer-aided manufacturing (CAD/CAM) restorative materials in their glazed (G) and polished (P) state when exposed to cigarette smoke, as well as after brushing. Three CAD/CAM restorative materials were investigated: lithium disilicate CAD (LD), zirconia (Zr), and Telio PMMA CAD (PMMA), according to their surface finishing and assignment to cigarette smoking exposure or soaking in the saliva (control) group. The color change (∆E) was calculated before and after the intervention performed for all specimens, using the L*a*b values to quantitatively assess the shade differences. Statistical analysis was performed using one-way repeated measures ANOVA and Bonferroni multiple comparison analysis (α = 0.05). The surface finishing did not influence the materials’ stainability. Color change was noted after smoking, LD and Zr-G and Zr-P had a comparable color change (p > 0.05), while PMMA presented lower ∆E values (p < 0.05). After brushing, all specimens had a significant color change that was high for LD-G and LD-P, and Zr-G, compared with Zr-P and PMMA (p < 0.05). In conclusion, the exposure to cigarette smoke showed that LD, Zr, and PMMA are all susceptible to staining, but brushing decreases surface staining.
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Affiliation(s)
- Stuart Schelkopf
- Private Practice, University Associates in Dentistry, 222 N Lasalle St., Chicago, IL 60601, USA
| | - Caroline Dini
- Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas (UNICAMP), Av. Limeira, 901, Piracicaba 13414-903, São Paulo, Brazil
| | - Thamara Beline
- Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas (UNICAMP), Av. Limeira, 901, Piracicaba 13414-903, São Paulo, Brazil
| | - Alvin G. Wee
- Department of Restorative Sciences, School of Dentistry, University of Minnesota, 9-470 Moos Tower, 515 Delaware St. SE, Minneapolis, MN 55455, USA
| | - Valentim A. R. Barão
- Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas (UNICAMP), Av. Limeira, 901, Piracicaba 13414-903, São Paulo, Brazil
| | - Cortino Sukotjo
- Department of Restorative Dentistry, College of Dentistry, University of Illinois Chicago, 801 S Paulina, Chicago, IL 60612, USA
- Correspondence: (C.S.); (J.C.-C.Y.)
| | - Judy Chia-Chun Yuan
- Department of Restorative Dentistry, College of Dentistry, University of Illinois Chicago, 801 S Paulina, Chicago, IL 60612, USA
- Correspondence: (C.S.); (J.C.-C.Y.)
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11
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Rada S, Zhang J, Rada R, Culea E. Advanced zirconia ceramics stabilized with yttria and magnesia: Structure and Vickers microhardness. J Mech Behav Biomed Mater 2022; 134:105425. [PMID: 36030611 DOI: 10.1016/j.jmbbm.2022.105425] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2022] [Revised: 08/16/2022] [Accepted: 08/17/2022] [Indexed: 11/24/2022]
Abstract
The samples 8YSZ containing 70, 75, 80 mol% ZrO2 and other oxides were prepared by. a high temperature solid state reaction process. Using X-ray diffraction (XRD), Scanning Electron Microscopy (SEM) and spectroscopic methods were evaluated the effect of oxide addition on the properties of yttria-doped zirconia. X-ray data shows the formation of zirconia (Y-doped), YSZ and/or tetragonal zirconia crystalline phases in all samples. IR data indicate the stretching vibrations of the Si-O bonds from tetrahedral [SiO4] units and the stretching vibrations of the Fe-O bonds from [FeO6] structural units, respectively. EPR results indicate the destroying of the local ordering of the Fe+3 ion vicinities situated in the rhombic distorted octahedral geometries by the increasing of ZrO2 content in the host ceramic. The highest values of Vickers hardness were recorded for the ceramics containing 70 and 75 mol% ZrO2. This superior performance can be explained considering the presence of a smaller amount of monoclinic ZrO2 crystalline phase in the ceramic structure. The analysis of the X-ray Absorption Near Edge Structure (XANES) and Extended X-ray Absorption Fine Structure (EXAFS) data shows the presence of Fe+2 and Fe+3 ions. In the ceramics with higher ZrO2 contents the iron atoms adopt a randomly structure due to the highly distorted [FeO6] structural units and non-equivalent Fe-O distances in the first coordination shell.
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Affiliation(s)
- S Rada
- Physics and Chemistry Department, Technical University of Cluj-Napoca, 400641, Cluj-Napoca, Romania; National Institute for Research and Development of Isotopic and Molecular Technologies, 400293, Cluj-Napoca, Romania.
| | - J Zhang
- Institute of High Energy Physics, Chinese Academy of Sciences, Beijing, 100049, People's Republic of China
| | - R Rada
- Physics and Chemistry Department, Technical University of Cluj-Napoca, 400641, Cluj-Napoca, Romania
| | - E Culea
- Physics and Chemistry Department, Technical University of Cluj-Napoca, 400641, Cluj-Napoca, Romania
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12
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A Review on CAD/CAM Yttria-Stabilized Tetragonal Zirconia Polycrystal (Y-TZP) and Polymethyl Methacrylate (PMMA) and Their Biological Behavior. Polymers (Basel) 2022; 14:polym14050906. [PMID: 35267729 PMCID: PMC8912793 DOI: 10.3390/polym14050906] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2022] [Revised: 02/20/2022] [Accepted: 02/21/2022] [Indexed: 02/06/2023] Open
Abstract
Yttria-stabilized tetragonal zirconia polycrystal (Y-TZP) and polymethyl methacrylate (PMMA) are used very often in dentistry. Y-TZP is the most widely used zirconia dental ceramic, and PMMA has classically been used in removable prosthesis manufacturing. Both types of materials are commercialized in CAD/CAM system blocks and represent alternatives for long-lasting temporary (PMMA) or definitive (Y-TZP) implantological abutments. The aim of the present work is to reveal that human gingival fibroblasts (HGFs) have a favorable response when they are in contact with Y-TZP or PMMA as a dental implant abutment or implant-supported fixed prosthesis, and also to review their principal characteristics. We conducted an electronic search in the PubMed database. From an initial search of more than 32,000 articles, the application of filters reduced this number to 5104. After reading the abstracts and titles, we reduced the eligible articles to 23. Ultimately, we have included eight articles in this review.
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Akyol O, Olgar T, Toklu T, Eren H, Dirican B. Dose distrubution evaluation of different dental implants on a real human dry-skull model for head and neck cancer radiotherapy. Radiat Phys Chem Oxf Engl 1993 2021. [DOI: 10.1016/j.radphyschem.2021.109751] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Zhang LX, Hong DW, Zheng M, Yu H. Is the bond strength of zirconia-reinforced lithium silicate lower than that of lithium disilicate? A systematic review and metaanalysis. J Prosthodont Res 2021; 66:530-537. [PMID: 34853237 DOI: 10.2186/jpr.jpr_d_20_00112] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
PURPOSE This study systematically reviewed the literature to compare the bond strength of resin composites with that of zirconia-reinforced lithium silicate (ZLS) and lithium disilicate (LD). STUDY SELECTION This review was structured based on the Preferred Reporting Items for Systematic Reviews and MetaAnalyses (PRISMA 2020) statement. This study was registered at the International Prospective Register of Systematic Reviews (CRD42021256900). Studies were searched via PubMed, Web of Science, and Google Scholar databases without language or publication year limits. In vitro studies that evaluated the bond strength of the resin composites to ZLS and LD were included. The risk of bias in all the included articles was evaluated. Statistical analyses were performed using the Review Manager software (version 5.3, Cochrane Collaboration, Oxford, UK). RESULTS Of the 90 potentially related articles, the full texts of 16 articles were evaluated after screening. Finally, sevenstudies were included in the qualitative synthesis and meta-analysis. All the studies presented a medium risk of bias. The results showed no significant difference in bond strength between the ZLS and LD groups (P = 0.94, mean difference=0.08, and 95% confidence interval=-1.93 to 2.10). However, a significant difference was found in the subgroup analysis considering different types of aging treatments (P = 0.0008) and different types of bond strength tests (P < 0.00001). CONCLUSION The bond strength of resin composites was found to be similar to that of ZLS and LD, but different aging treatments and bond strength tests exhibited varying effects on the bond strength.
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Affiliation(s)
- Li-Xian Zhang
- Fujian Key Laboratory of Oral Diseases & Fujian Provincial Engineering Research Center of Oral Biomaterial & Stomatological Key Laboratory of Fujian College and University, School and Hospital of Stomatology, Fujian Medical University, Fuzhou, China
| | - Deng-Wei Hong
- Fujian Key Laboratory of Oral Diseases & Fujian Provincial Engineering Research Center of Oral Biomaterial & Stomatological Key Laboratory of Fujian College and University, School and Hospital of Stomatology, Fujian Medical University, Fuzhou, China
| | - Ming Zheng
- Fujian Key Laboratory of Oral Diseases & Fujian Provincial Engineering Research Center of Oral Biomaterial & Stomatological Key Laboratory of Fujian College and University, School and Hospital of Stomatology, Fujian Medical University, Fuzhou, China
| | - Hao Yu
- Fujian Key Laboratory of Oral Diseases & Fujian Provincial Engineering Research Center of Oral Biomaterial & Stomatological Key Laboratory of Fujian College and University, School and Hospital of Stomatology, Fujian Medical University, Fuzhou, China.,Department of Applied Prosthodontics, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan
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Effect of Simultaneous Sintering of Bioglass to a Zirconia Core on Properties and Bond Strength. MATERIALS 2021; 14:ma14237107. [PMID: 34885262 PMCID: PMC8658472 DOI: 10.3390/ma14237107] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/30/2021] [Revised: 11/05/2021] [Accepted: 11/08/2021] [Indexed: 01/23/2023]
Abstract
This study aimed to assess bioglass sintering to a zirconia core on surface properties and bonding strength to resin cement. Zirconia specimens were divided into four groups: G I: sintered; G II: bioglass modified zirconia (a bioglass slurry was sintered with zirconia at 1550 °C); G III: sandblasted using 50 μm Al2O3 particles; and G IV: Z-prime plus application. Surface morphology and chemical analysis were studied using a scanning electron microscope and energy-dispersive spectroscopy. Surface roughness was evaluated using a profilometer. Surface hardness was measured using an indentation tester. For the microshear bond strength test, resin cement cylinders were bonded to a zirconia surface. Half of the specimens were tested after 24 h; the other half were thermocycled (5-55 °C) for 1000 cycles. A shearing load was applied at a crosshead speed of 0.5 mm/min on a universal testing machine. Data were analyzed with ANOVA using SPSS software at (p < 0.05). Results: tThe mean surface roughness of G II was significantly higher than G I and G III. The microhardness of G II was significantly lower than all groups. For bond strength, there was no significant difference between groups II, III, and IV after thermocycling. Conclusions: Bioactive glass can increase the bond strength of zirconia to resin cement, and is comparable to sandblasting and Z-prime bonding agents.
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Kaliaraj GS, Siva T, Ramadoss A. Surface functionalized bioceramics coated on metallic implants for biomedical and anticorrosion performance - a review. J Mater Chem B 2021; 9:9433-9460. [PMID: 34755756 DOI: 10.1039/d1tb01301g] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
In modern days, the usage of trauma fixation devices has significantly increased due to sports injury, age-related issues, accidents, and revision surgery purposes. Numerous materials such as stainless steel, titanium, Co-Cr alloy, polymers, and ceramics have been used to replace the missing or defective parts of the human body. After implantation, body fluids (Na+, K+, and Cl-), protein, and blood cells interact with the surface of metallic implants, which favours the release of ions from the metallic surface to surrounding body tissues, leading to a hypersensitive reaction. Body pH, temperature, and interaction of immune cells also cause metal ion leaching and lose host cell interaction and effective mineralization for better durability. Moreover, microbial invasion is another important crisis, which produces extracellular compounds onto the biomaterial surface through which it escapes from the antimicrobial agents. To enhance the performance of materials by improving mechanical, corrosion resistance, antimicrobial, and biocompatibility properties, surface modification is a prerequisite method in which chemical vapour deposition (CVD), physical vapour deposition (PVD), sol-gel method, and electrochemical deposition are generally involved. The properties of bioceramics such as chemical inertness, bioactivity, biocompatibility, and corrosion protection make them most suitable for the surface functionalization of metallic implants. To the best of our knowledge, very limited literature is available to discuss the interaction of body proteins, pH, and temperature onto bioceramic coatings. Hence, the present review focuses on the corrosion behaviour of different ceramic composite coating materials with different conditions. This review initially briefs the properties and surface chemistry of metal implants and the need for surface modifications by different deposition techniques. Further, mechanical, cytotoxicity, antimicrobial property, and electrochemical behaviour of ceramics and metal nitride coatings are discussed. Finally, future perspectives of coatings are outlined for biomedical applications.
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Affiliation(s)
- Gobi Saravanan Kaliaraj
- Centre for Nanoscience and Nanotechnology, Sathyabama Institute of Science and Technology, Chennai 600119, India.
| | - T Siva
- School for Advanced Research in Petrochemicals, Laboratory for Advanced Research in Polymeric Materials, Central Institute of Petrochemicals Engineering & Technology, Bhubaneswar 751024, India.
| | - Ananthakumar Ramadoss
- School for Advanced Research in Petrochemicals, Laboratory for Advanced Research in Polymeric Materials, Central Institute of Petrochemicals Engineering & Technology, Bhubaneswar 751024, India.
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Shelar P, Abdolvand H, Butler S. On the behaviour of zirconia-based dental materials: A review. J Mech Behav Biomed Mater 2021; 124:104861. [PMID: 34600431 DOI: 10.1016/j.jmbbm.2021.104861] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2021] [Revised: 09/23/2021] [Accepted: 09/24/2021] [Indexed: 11/28/2022]
Abstract
Zirconia-based dental materials are extensively used in clinical practice due to their tooth-like appearance, biofunctionality, biocompatibility, and affordability. However, premature clinical failures of veneering porcelains raise a concern about their integrity. Extensive studies have been performed over a decade to resolve this issue, but it is challenging to reference all information effectively. A single source identifying the significance of potential parameters on material performance has not previously been available. An evidence-based meta-narrative review technique was used to review the characteristic parameters that can affect the overall behaviour of zirconia-based materials. Keywords were chosen to assess manuscripts based on scientific coherence with this paper's research objective. Online keyword searches were carried out on ScienceDirect, PubMed, and SAGE databases for relevant published manuscripts from year 1985-2020.261 out of 3170 identified manuscripts were included. A total of 10 parameters were identified and classified into the material, manufacturing, and geometric aspects. The effect of every parameter was reviewed on the performance of the material. A discrepancy in findings was observed and is attributed to the fact that there is no standard methodology. This review acts as a single source that summarizes various parameters' contribution to zirconia-based dental materials' performance. This review facilitates manufacturing improvements by accounting for every parameter's effect on overall performance.
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Affiliation(s)
- Prashant Shelar
- Department of Mechanical & Materials Engineering, Western University, London, Ontario, Canada
| | - Hamidreza Abdolvand
- Department of Mechanical & Materials Engineering, Western University, London, Ontario, Canada
| | - Sheila Butler
- Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada.
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18
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Rodaev VV, Zhigachev AO, Tyurin AI, Razlivalova SS, Korenkov VV, Golovin YI. An Engineering Zirconia Ceramic Made of Baddeleyite. MATERIALS 2021; 14:ma14164676. [PMID: 34443197 PMCID: PMC8401327 DOI: 10.3390/ma14164676] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/15/2021] [Revised: 08/12/2021] [Accepted: 08/18/2021] [Indexed: 11/21/2022]
Abstract
Wet high-energy milling and uniaxial pressing are used to fabricate CaO-stabilized tetragonal zirconia polycrystalline ceramic (Ca-TZP) with decent mechanical characteristics, i.e., a hardness of 11.5 GPa, Young’s modulus of 230 GPa, and fracture toughness of 13 MPa·m0.5. The effect of CaO concentration and the sintering temperature on phase composition and mechanical characteristics of CaO-stabilized zirconia ceramic made of baddeleyite is investigated.
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19
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Nanoscale physico-mechanical properties of an aging resistant ZTA composite. J Mech Behav Biomed Mater 2021; 123:104690. [PMID: 34385065 DOI: 10.1016/j.jmbbm.2021.104690] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2021] [Revised: 06/26/2021] [Accepted: 07/02/2021] [Indexed: 11/21/2022]
Abstract
OBJECTIVE To characterize the effects of aging on the nanomechanical properties and 3D surface topographical parameters of an experimental Zirconia Toughened Alumina (ZTA) composite compared to its respective individual counterpart materials. METHODS Disk-shaped specimens comprised of three material groups were processed: 1) ZTA 70/30 (70% alumina reinforced with 30% second-generation 3Y-TZP); 2) Zpex (Second-generation 3Y-TZP), and; 3) Al2O3 (High purity Alumina) (n = 10/material, 12 × 1 mm). After synthesis, ceramic powders were pressed, the green-body samples were sintered and polished. Nanoindentation testing was performed to record elastic modulus (E) and hardness (H). Interferometry was utilized to assess 3D surface roughness parameters (Sa, Sq), while X-ray diffraction (XRD) and scanning electron microscope (SEM) assessed the crystalline content and microstructure. All tests were performed before and after simulated aging (134°C, 2.2 bar, 20 h). Statistical analyses were performed using linear mixed-model and least square difference pos-hoc tests (α = 5%). RESULTS XRD spectra indicated increase of monoclinic peaks for Zpex (~18%) relative to ZTA 70/30 (~2.5%) after aging. Additionally, aging did not affect the surface roughness parameters of ZTA 70/30 and Al2O3, although a significant increase in Sa was recorded for Zpex following aging (~90 nm) (p < 0.001). Al2O3 yielded the highest H and E values (H:21 GPa, E: 254 GPa), followed by ZTA 70/30 (H: 13 GPa, E: 214 GPa) and Zpex (H:11 GPa, E: 167 GPa), all significantly different (p < 0.03). CONCLUSION ZTA 70/30 and Al2O3 presented high hydrothermal stability with respect to all evaluated variables, where artificial aging significantly increased the monoclinic content and surface roughness of Zpex.
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Daguano JKMB, Dantas L, Soares VO, Alves MFRP, Santos CD, Zanotto ED. Optimizing the microstructure of a new machinable bioactive glass-ceramic. J Mech Behav Biomed Mater 2021; 122:104695. [PMID: 34293695 DOI: 10.1016/j.jmbbm.2021.104695] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2021] [Revised: 06/28/2021] [Accepted: 07/02/2021] [Indexed: 10/20/2022]
Abstract
OBJECTIVES This study aimed to optimize the crystallization process and the microstructure of a new bioactive glass-ceramic (GC) previously developed by our research group to obtain machinable glass-ceramics. METHODS Differential scanning calorimetry (DSC) analyses were conducted to explore the characteristic temperatures and construct a semi-quantitative nucleation curve. The GC specimens were characterized by X-ray diffraction (XRD) and Rietveld refinement. Their brittleness index (B) and machinability were characterized and compared with IPS e.max-CAD®. Their Young's modulus, fracture toughness, and hardness were assessed. RESULTS We found that the maximum crystal nucleation rate temperature of this GC is ~470 °C. Treatments were designed based on the 1st DSC peak onset (570 °C), 1st peak offset (650 °C), and 2nd peak offset (705 °C) crystallization temperatures of lithium metasilicate (LS, LiSi2O3) and lithium disilicate (LS2, Li2Si2O5). Rietveld refinement indicated an increase in LS2 and a reduction in LS and amorphous phase for increased temperatures and longer treatment times. Their B values indicate good machinability compared with that of the control group based on statistical analyses. As expected, lower levels of LS2 increase the machinability regardless of the rotation speed adopted, leading to a greater depth of cut and reduced Edge Chipping Damage Depth (ECDD). CONCLUSION This bioactive GC with optimized microstructure presents high machinability. For treatment temperatures above 570 °C, the number of elongated LS2 crystals increases and decreases the amorphous phase content, which reduce the machinability of the GC, and should therefore be avoided. The best results were obtained using heat treatment at 570 °C, which produces LS crystals embedded in a glassy matrix (67%) with small contents of secondary phases.
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Affiliation(s)
- Juliana K M B Daguano
- Center for Engineering, Modeling and Applied Social Sciences, Federal University of ABC, São Bernardo do Campo, SP, Brazil; Center for Information Technology Renato Archer, Campinas, SP, Brazil
| | - Laís Dantas
- Vitreous Materials Laboratory, Materials Engineering Department, Federal University of São Carlos, São Carlos, SP, Brazil
| | - Viviane O Soares
- Vitreous Materials Laboratory, Materials Engineering Department, Federal University of São Carlos, São Carlos, SP, Brazil
| | - Manuel F R P Alves
- Materials and Processes Laboratory, Faculty of Technology, State University of Rio de Janeiro, Resende, RJ, Brazil
| | - Claudinei Dos Santos
- Materials and Processes Laboratory, Faculty of Technology, State University of Rio de Janeiro, Resende, RJ, Brazil.
| | - Edgar D Zanotto
- Vitreous Materials Laboratory, Materials Engineering Department, Federal University of São Carlos, São Carlos, SP, Brazil
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Rathee G, Bartwal G, Rathee J, Mishra YK, Kaushik A, Solanki PR. Emerging Multimodel Zirconia Nanosystems for High‐Performance Biomedical Applications. ADVANCED NANOBIOMED RESEARCH 2021. [DOI: 10.1002/anbr.202100039] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022] Open
Affiliation(s)
- Garima Rathee
- Special Centre for Nano science Jawaharlal Nehru University New Delhi India
| | - Gaurav Bartwal
- Hemwati Nandan Bahuguna Garhwal University Birla Campus, Pauri Garhwal Srinagar Uttarakhand 246174 India
| | - Jyotsna Rathee
- CSE Department Deenbandhu Chhoturam University of Science and Technology Murthal Haryana 131039 India
| | - Yogendra Kumar Mishra
- Mads Clausen Institute NanoSYD University of Southern Denmark Alison 2 6400 Sønderborg Denmark
| | - Ajeet Kaushik
- NanoBioTech Laboratory Department of Natural Sciences, Division of Sciences, Art, and Mathematics Florida Polytechnic University Lakeland FL 33805 USA
| | - Pratima R. Solanki
- Special Centre for Nano science Jawaharlal Nehru University New Delhi India
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22
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Three-Dimensional Zirconia-Based Scaffolds for Load-Bearing Bone-Regeneration Applications: Prospects and Challenges. MATERIALS 2021; 14:ma14123207. [PMID: 34200817 PMCID: PMC8230534 DOI: 10.3390/ma14123207] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/11/2021] [Revised: 05/30/2021] [Accepted: 06/01/2021] [Indexed: 02/05/2023]
Abstract
The design of zirconia-based scaffolds using conventional techniques for bone-regeneration applications has been studied extensively. Similar to dental applications, the use of three-dimensional (3D) zirconia-based ceramics for bone tissue engineering (BTE) has recently attracted considerable attention because of their high mechanical strength and biocompatibility. However, techniques to fabricate zirconia-based scaffolds for bone regeneration are in a stage of infancy. Hence, the biological activities of zirconia-based ceramics for bone-regeneration applications have not been fully investigated, in contrast to the well-established calcium phosphate-based ceramics for bone-regeneration applications. This paper outlines recent research developments and challenges concerning numerous three-dimensional (3D) zirconia-based scaffolds and reviews the associated fundamental fabrication techniques, key 3D fabrication developments and practical encounters to identify the optimal 3D fabrication technique for obtaining 3D zirconia-based scaffolds suitable for real-world applications. This review mainly summarized the articles that focused on in vitro and in vivo studies along with the fundamental mechanical characterizations on the 3D zirconia-based scaffolds.
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Clinical evaluation of monolithic zirconia multiunit posterior fixed dental prostheses. J Prosthet Dent 2021; 128:1258-1264. [PMID: 33902890 DOI: 10.1016/j.prosdent.2021.02.034] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2020] [Revised: 02/13/2021] [Accepted: 02/16/2021] [Indexed: 11/21/2022]
Abstract
STATEMENT OF PROBLEM Monolithic zirconia restorations have been evaluated with in vitro studies, but limited clinical evidence of their longevity and reliability is available. PURPOSE The purpose of this clinical study was to evaluate the clinical performance of posterior multiunit glazed monolithic zirconia fixed dental prostheses. MATERIAL AND METHODS A total of 20 participants received 33 monolithic posterior zirconia fixed dental prostheses (Zolid white; Amann Girrbach AG) with minimally invasive preparations. Bilaterally supported fixed dental prostheses with a connector area of at least 9 mm2 were luted with resin-modified glass ionomer cement. The clinical evaluations were performed after 1 week, 6 months, and then annually after completion of the treatment. The biologic outcomes were evaluated by assessing the pocket depth, attachment level, plaque control, bleeding on probing, caries, and tooth vitality. Esthetics and the functional performance of the prostheses (color match, cavosurface marginal discoloration, anatomic form, marginal adaptation) were evaluated as per the rating scales of Cvar and Ryge. An analysis of survival was made by using the Kaplan-Meier method. RESULTS After 39.8 ±16.7 months of observation, the overall survival rate of the monolithic zirconia multiunit posterior prostheses was 93.9%. No caries were found on the abutment teeth, signs of gingivitis were noted in 1 participant after 24 months, and increased probing depths of the abutment teeth were detected in 5 prostheses (15.1%). No loss of retention was detected. Two prostheses had to be replaced: 1 because of a biologic complication and 1 because of a technical complication. The remaining 31 prostheses received Alfa scores for marginal adaptation, cavosurface marginal discoloration, and caries. Twenty-seven (87.1%) prostheses were rated as Alfa and 4 (12.9%) as Bravo for anatomic form. The color match was noted as Alfa in 15 (48.3%) prostheses, and 16 (51.6%) were rated as Bravo. CONCLUSIONS Monolithic zirconia restorations demonstrated a reliable treatment option after medium-term clinical use for the replacement of missing posterior teeth.
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Ding SJ, Chu YH, Chen PT. Mechanical Biocompatibility, Osteogenic Activity, and Antibacterial Efficacy of Calcium Silicate-Zirconia Biocomposites. ACS OMEGA 2021; 6:7106-7118. [PMID: 33748624 PMCID: PMC7970563 DOI: 10.1021/acsomega.1c00097] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/06/2021] [Accepted: 02/24/2021] [Indexed: 06/12/2023]
Abstract
Zirconia ceramics with high mechanical properties have been used as a load-bearing implant in the dental and orthopedic surgery. However, poor bone bonding properties and high elastic modulus remain a challenge. Calcium silicate (CaSi)-based ceramic can foster osteoblast adhesion, growth, and differentiation and facilitate bone ingrowth. This study was to prepare CaSi-ZrO2 composites and evaluate their mechanical properties, long-term stability, in vitro osteogenic activity, and antibacterial ability. The Escherichia coli (E. coli) and Staphylococcus aureus (S. aureus) bacteria and human mesenchymal stem cells (hMSCs) were used to evaluate the antibacterial and osteogenic activities of implants in vitro, respectively. Results indicated that the three-point bending strength of ZrO2 was 486 MPa and Young's modulus was 128 GPa, which were much higher than those of the cortical bone. In contrast, the bending strength and modulus of 20% (201 MPa and 48 GPa, respectively) and 30% CaSi (126 MPa and 20 GPa, respectively) composites were close to the reported strength and modulus of the cortical bone. As expected, higher CaSi content implants significantly enhanced cell growth, differentiation, and mineralization of hMSCs. It is interesting to note the induction ability of CaSi in osteogenic differentiation of hMSCs even when cultured in the absence of an osteogenic differentiation medium. The composite with the higher CaSi contents exhibited the greater bacteriostatic effect against E. coli and S. aureus. In conclusion, the addition of 20 wt % CaSi can effectively improve the mechanical biocompatibility, osteogenesis, and antibacterial activity of ZrO2 ceramics, which may be a potential choice for load-bearing applications.
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Affiliation(s)
- Shinn-Jyh Ding
- Institute
of Oral Science, Chung Shan Medical University, Taichung 402, Taiwan
- Department
of Stomatology, Chung Shan Medical University
Hospital, Taichung 402, Taiwan
| | - Ying-Hung Chu
- Institute
of Oral Science, Chung Shan Medical University, Taichung 402, Taiwan
| | - Pei-Tung Chen
- Institute
of Oral Science, Chung Shan Medical University, Taichung 402, Taiwan
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Bioinstructive Micro-Nanotextured Zirconia Ceramic Interfaces for Guiding and Stimulating an Osteogenic Response In Vitro. NANOMATERIALS 2020; 10:nano10122465. [PMID: 33317084 PMCID: PMC7764817 DOI: 10.3390/nano10122465] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/14/2020] [Revised: 12/01/2020] [Accepted: 12/05/2020] [Indexed: 01/17/2023]
Abstract
Osseous implantology’s material requirements include a lack of potential for inducing allergic disorders and providing both functional and esthetic features for the patient’s benefit. Despite being bioinert, Zirconia ceramics have become a candidate of interest to be used as an alternative to titanium dental and cochlear bone-anchored hearing aid (BAHA) implants, implying the need for endowing the surface with biologically instructive properties by changing basic parameters such as surface texture. Within this context, we propose anisotropic and isotropic patterns (linear microgroove arrays, and superimposed crossline microgroove arrays, respectively) textured in zirconia substrates, as bioinstructive interfaces to guide the cytoskeletal organization of human mesenchymal stem cells (hMSCs). The designed textured micro-nano interfaces with either steep ridges and microgratings or curved edges, and nanoroughened walls obtained by direct femtosecond laser texturing are used to evaluate the hMSC response parameters and osteogenic differentiation to each topography. Our results show parallel micro line anisotropic surfaces are able to guide cell growth only for the steep surfaces, while the curved ones reduce the initial response and show the lowest osteogenic response. An improved osteogenic phenotype of hMSCs is obtained when grown onto isotropic grid/pillar-like patterns, showing an improved cell coverage and Ca/P ratio, with direct implications for BAHA prosthetic development, or other future applications in regenerating bone defects.
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Sarfaraz H, Rasheed MN, Shetty SK, Prabhu UM, Fernandes K, Mohandas S. Comparison of the Bond Strength of Composite Resin to Zirconia and Composite Resin to Polyether Ether Ketone: An In Vitro Study. JOURNAL OF PHARMACY AND BIOALLIED SCIENCES 2020; 12:S504-S509. [PMID: 33149512 PMCID: PMC7595458 DOI: 10.4103/jpbs.jpbs_147_20] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2020] [Revised: 03/02/2020] [Accepted: 03/09/2020] [Indexed: 11/22/2022] Open
Abstract
Aim: The aim of the study was to compare the shear bond strength of composite resin bonded to polyether ether ketone (PEEK) and zirconia, and also to evaluate the effect of thermocycling on the shear bond strength. Materials and Methods: A total of 22 zirconia (Group 1) and 22 PEEK (Group 2) specimens (disks of 10 mm in diameter and 10 mm in thickness) were machine milled using computer-aided design (CAD)/computer-aided manufacturing (CAM) from commercially available zirconia and PEEK. These specimens were air abraded with 110-μm aluminum oxide. Following which these two groups were subdivided into four groups, that is, Group 1A: 11 zirconia specimens before thermocycling, Group 1B: 11 zirconia specimens after thermocycling, Group 2A: 11 PEEK specimens before thermocycling, and Group 2B: 11 PEEK specimens after thermocycling. These four groups of specimens were embedded in an acrylic block, and bonding agent was applied over the upper surfaces of the disks of each of these specimens. Composite resin was then cured, and then Group 1B and group 2B were thermocycled under a standard temperature. The bond strength of the specimen was tested using universal testing machine. Result: The result showed that there was no significant difference in shear bond strength between the groups, although higher shear bond strength was observed in the PEEK group. Conclusion: Shear bond strength of PEEK is similar to zirconia. The results suggest that the pretreatment method and primers used were effective in improving the bonding of resin cements to zirconia ceramic and the bonding properties of the veneering resin to the PEEK surface.
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Affiliation(s)
- Hasan Sarfaraz
- Department of Prosthodontics, Yenepoya Dental College, Mangaluru, Karnataka, India
| | - Mohammed N Rasheed
- Department of Prosthodontics, Yenepoya Dental College, Mangaluru, Karnataka, India
| | - Sanath K Shetty
- Department of Prosthodontics, Yenepoya Dental College, Mangaluru, Karnataka, India
| | - Uma M Prabhu
- Department of Prosthodontics, Yenepoya Dental College, Mangaluru, Karnataka, India
| | - Kevin Fernandes
- Department of Prosthodontics, Yenepoya Dental College, Mangaluru, Karnataka, India
| | - Smrithi Mohandas
- Department of Prosthodontics, Yenepoya Dental College, Mangaluru, Karnataka, India
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Juntavee N, Juntavee A, Kornrum S. Influence of Margin Designs on Crack Initiation of High Translucency Monolithic Zirconia Crowns. J Prosthodont 2020; 30:490-499. [PMID: 33009879 DOI: 10.1111/jopr.13269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/01/2020] [Indexed: 11/29/2022] Open
Abstract
PURPOSE Zirconia crowns often crack at the margin. This study determined the loads and the times at which cracks are initiated in high-translucency monolithic zirconia crowns with different margin designs. MATERIALS AND METHODS A total of 90 crowns were fabricated from Zirconia blanks. The fabricated crowns had different margin thicknesses (light-chamfer, CL and heavy-chamfer, CH ) and collar heights (no-collar, NC ; low-collar, LC ; high-collar, HC ). They were grouped as CL NC , CL LC , CL HC , CH NC , CH LC , and CH HC (15 crowns/group). The crowns were seated on a metal model and loaded vertically through round end punch (Φ = 10 mm) at 0.2 mm/min crosshead speed until cracks began to be seen. Videos of the crack initiation were recorded at the rate of 50 frames/second. Load-initiated cracks and durability time were compared for significant differences using analysis of variance. RESULTS The mean ± standard deviation values of load (N) and time (s) taken to initiate cracks were 3190 ±775, 212 ±47 for CL NC ; 2754 ±1109, 180 ±42 for CL LC ; 2887±832, 191±27 for CL HC ; 4082 ±896, 241 ±36 for CH NC ; 4180 ±1029, 220 ±28 for CH LC ; 4119 ±1124, 222 ±39 for CH HC . This indicates that the thickness of the margin has a significant influence on load-withstanding crack initiation capacity and durability time (p < 0.05). No significant impact of collar height was observed on either load-withstanding capacity or durability time (p > 0.05). No interaction was observed among these factors. CONCLUSION Heavy chamfer margin provided a stronger zirconia crown than the light chamfer margin, but both of them were capable of withstanding crack-initiated load higher than the theoretical maximum masticatory force. The presence or absence of a collar did not have any impact on the crack initiation. Fabrication of zirconia crowns with either a heavy or light chamfer margin and with or without the presence of a collar should be generated by considering the relevant emergence profile.
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Affiliation(s)
- Niwut Juntavee
- Department of Prosthodontics, Faculty of Dentistry, Khon Kaen University, Khon Kaen, Thailand
| | - Apa Juntavee
- Division of Pediatric Dentistry, Department of Preventive Dentistry, Faculty of Dentistry, Khon Kaen University, Khon Kaen, Thailand
| | - Sasiprapa Kornrum
- Division of Biomaterials and Prosthodontics Research, Faculty of Dentistry, Khon Kaen University, Khon Kaen, Thailand
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Ibrahim OH, Othman KI, Hassan AA, El-Houte S, Ali MES. Effect of gadolinia addition on the mechanical and physical properties of zirconia/ceria ceramics. SN APPLIED SCIENCES 2020. [DOI: 10.1007/s42452-020-03578-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Rosentritt M, Preis V, Behr M, Strasser T. Fatigue and wear behaviour of zirconia materials. J Mech Behav Biomed Mater 2020; 110:103970. [DOI: 10.1016/j.jmbbm.2020.103970] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2020] [Revised: 06/29/2020] [Accepted: 07/01/2020] [Indexed: 01/10/2023]
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Kalinina EG. Features of the Electrophoretic Formation of Bulk Compacts Based on Zirconium Oxide Nanopowder. RUSSIAN JOURNAL OF PHYSICAL CHEMISTRY A 2020. [DOI: 10.1134/s0036024420090113] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Microstructural, mechanical, and optical characterization of an experimental aging-resistant zirconia-toughened alumina (ZTA) composite. Dent Mater 2020; 36:e365-e374. [PMID: 32943230 DOI: 10.1016/j.dental.2020.08.010] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2020] [Revised: 07/05/2020] [Accepted: 08/29/2020] [Indexed: 02/04/2023]
Abstract
OBJECTIVE To evaluate the effect of aging on the microstructural, mechanical, and optical properties of an experimental zirconia-toughened alumina composite with 80%Al2O3 and 20%ZrO2 (ZTA Zpex) compared to a translucent zirconia (Zpex) and Alumina. METHODS Disc-shaped specimens were obtained by uniaxial and isostatic pressing the synthesized powders (n = 70/material). After sintering and polishing, half of the specimens underwent aging (20 h, 134 °C, 2.2 bar). Crystalline content and microstructure were evaluated using X-ray diffraction and scanning electron microscopy, respectively. Specimens underwent biaxial flexural strength testing to determine the characteristic stress, Weibull modulus, and reliability. Translucency parameter (TP) and Contrast ratio (CR) were calculated to characterize optical properties. RESULTS ZTA Zpex demonstrated a compact surface with a uniform dispersion of zirconia particles within the alumina matrix, and typical alumina and zirconia crystalline content. ZTA Zpex and alumina exhibited higher CR and lower TP than Zpex. ZTA Zpex and Zpex showed significantly higher characteristic stress relative to alumina. While aging did not affect optical and mechanical properties of ZTA Zpex and alumina, Zpex demonstrated a significant increase in translucency, as well as a in characteristic stress. Alumina reliability was significantly lower than others at 300 MPa, ZTA Zpex and Zpex reliability decreased at 800 MPa, except for aged Zpex. SIGNIFICANCE While aging did not affect the mechanical nor the optical properties of ZTA Zpex and alumina, it did alter both properties of Zpex. The results encourage further investigations to engineer ZTA as a framework material for long span fixed dental prostheses specially where darkened substrates, such as titanium implant abutments or endodontically treated teeth, demand masking.
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Alagiriswamy G, Krishnan CS, Ramakrishnan H, Jayakrishnakumar SK, Mahadevan V, Azhagarasan NS. Surface Characteristics and Bioactivity of Zirconia (Y-TZP) with Different Surface Treatments. J Pharm Bioallied Sci 2020; 12:S114-S123. [PMID: 33149441 PMCID: PMC7595469 DOI: 10.4103/jpbs.jpbs_39_20] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2020] [Accepted: 03/02/2020] [Indexed: 12/04/2022] Open
Abstract
Background: Zirconia being a bio-inert material needs to be surface treated to render it more bioactive and enhance its osseointegration potential. However, bioactivity studies focusing on the ability of sandblasting and ultraviolet photofunctionalization (UVP) surface treatments in inducing apatite precipitation using simulated body fluid (SBF) are lacking. Aim: The aim of the study was to comparatively evaluate the effect of two different surface treatments—sandblasting with 50 µm alumina and UVP with ultraviolet C (UVC) light on the bioactivity of zirconia. Materials and Methods: A total of 33 discs with dimensions 10 mm × 2 mm were obtained from zirconia blanks (Amann Girrbach, Koblach, Austria) and randomly divided into three groups (n = 11), namely Group I (untreated), Group II (sandblasted), and Group III (UVP). Surface characteristics of representative test samples were analyzed using X-ray diffraction (XRD), atomic force microscopy (AFM), contact angle goniometry, scanning electron microscopy (SEM), and energy dispersive X-ray spectroscopy (EDX), to assess type of crystal phase of zirconia, surface roughness, wettability, surface topography, and elemental composition, respectively. SBF was prepared and calcium content in SBF (Ca-SBF) was determined using inductively coupled plasma mass spectrometry (ICP-MS). Results: Data were analyzed by one-way analysis of variance (ANOVA), post hoc Tukey honestly significant difference (HSD), and Student’s t test for statistical significance (P < 0.05, significant; P < 0.01, highly significant). Surface characteristics analyses revealed that XRD showed predominant tetragonal (t) zirconia crystal phase for all test groups. Mean surface roughness (Sa) of Group I was 41.83 nm, and it was significantly lesser than that of Group II (115.65 nm) and Group III (102.43 nm). Mean contact angles were 98.26°, 86.77°, and 68.03° for Groups I, II, and III, respectively, and these differences were highly significant. Mean pre-immersion Ca content in SBF was found to be 159 mg/L. Mean post-immersion Ca content was 70.10, 60.80, and 56.20 mg/L for Groups I, II, and III, respectively. Significant differences were found between Group I as compared to both Groups II and III. Bioactivity of Group III was marginally, but insignificantly higher with respect to Group II. Groups II and III were insignificant with respect to each other. Post-immersion XRD revealed predominant “t” phase, and SEM-EDX revealed well-formed, abundant calcium apatite layer on the treated samples as compared to that on untreated sample and an increasing Ca/P ratio from 1.15, 1.79 to 2.08, respectively from Group I to Group III. Conclusion: Within the limitations of this study, both sandblasting and UVP significantly and similarly improved bioactivity of zirconia as compared to the untreated samples, which was corroborated by the SEM-EDX results.
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Affiliation(s)
- Gayathree Alagiriswamy
- Department of Prosthodontics & Implantology, Ragas Dental College & Hospital, Chennai, Tamil Nadu, India
| | - Chitra Shankar Krishnan
- Department of Prosthodontics & Implantology, Ragas Dental College & Hospital, Chennai, Tamil Nadu, India
| | - Hariharan Ramakrishnan
- Department of Prosthodontics & Implantology, Ragas Dental College & Hospital, Chennai, Tamil Nadu, India
| | | | - Vallabh Mahadevan
- Department of Prosthodontics & Implantology, Ragas Dental College & Hospital, Chennai, Tamil Nadu, India
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Effect of Marginal Designs on Fracture Strength of High Translucency Monolithic Zirconia Crowns. Int J Dent 2020; 2020:8875609. [PMID: 32831840 PMCID: PMC7421695 DOI: 10.1155/2020/8875609] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2020] [Revised: 07/04/2020] [Accepted: 07/14/2020] [Indexed: 11/18/2022] Open
Abstract
Introduction Monolithic zirconia is able to achieve certain aesthetic, but its durability in resisting fracture has been questioned, as fractures often originate from margins of restoration. This study determined fracture resistance of highly translucent monolithic zirconia crowns with different margin designs in terms of marginal thickness and collar height. Materials and Methods Zirconia blanks (Ceramill® Zolid HT+) were selected for the fabrication of zirconia crowns according to different designs, including varying margin thicknesses (light chamfer, CL; heavy chamfer, CH) and collar heights (no collar, NC; low collar, LC; high collar, HC), which resulted in CLNC, CLLC, CLHC, CHNC, CHLC, and CHHC groups (15 crowns each). The crowns were seated on a metal die and loaded vertically through round end punch (θ = 10 mm), contacting with inclined planes of cusp in a testing machine with crosshead speed of 0.2 mm/min until fracture. Videos with a rate of 50 frames/second were used to record fracture. Fracture load (N) and durable period (s) were compared for significant differences using ANOVA and Bonferroni test (α = 0.05). Results The mean ± sd of fracture load (N) and durable time (s) were 3211 ± 778 and 212 ± 47 for CLNC; 3041 ± 1370 and 188 ± 53 for CLLC; 2913 ± 828 and 192 ± 27 for CLHC; 4226 ± 905 and 245 ± 35 for CHNC; 4486 ± 807 and 228 ± 29 for CHLC; and 4376 ± 1043 and 227 ± 37 for CHHC. This indicated that marginal thickness had a significant influence on load-bearing capacity and durable time (p < 0.05). No significant impact of collar height was shown, either on load-bearing capacity or durable time (p > 0.05). No interaction between two factors was presented (p > 0.05). Conclusions Heavy chamfer margin provided stronger zirconia crown than light chamfer, but both were capable of withstanding fracture load higher than maximum masticatory force. Neither presence nor absence of collar indicated any impact on strength. Fabrication of zirconia crowns with either heavy or light chamfer margin and either presence or absence of collar, with the consideration of emergence profile, should be considered.
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Falahchai M, Babaee Hemmati Y, Neshandar Asli H, Neshandar Asli M. Marginal adaptation of zirconia‐reinforced lithium silicate overlays with different preparation designs. J ESTHET RESTOR DENT 2020; 32:823-830. [DOI: 10.1111/jerd.12642] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2020] [Revised: 07/21/2020] [Accepted: 07/30/2020] [Indexed: 12/01/2022]
Affiliation(s)
- Mehran Falahchai
- Dental Sciences Research Center, Department of Prosthodontics School of Dentistry, Guilan University of Medical Sciences Rasht Iran
| | - Yasamin Babaee Hemmati
- Dental Sciences Research Center, Department of Orthodontics School of Dentistry, Guilan University of Medical Sciences Rasht Iran
| | - Hamid Neshandar Asli
- Dental Sciences Research Center, Department of Prosthodontics School of Dentistry, Guilan University of Medical Sciences Rasht Iran
| | - Marzieh Neshandar Asli
- Undergraduate student, Dental School Anzali Campus, Guilan University of Medical Sciences Rasht Iran
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A combined study of the thermoluminescence and electron paramagnetic resonance of point defects in ZrO2:Er3+. Radiat Phys Chem Oxf Engl 1993 2020. [DOI: 10.1016/j.radphyschem.2020.108767] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Fahmi M, Giordano R, Pober R. Effect of time period on biaxial strength for different
Y‐TZP
veneering porcelains. J ESTHET RESTOR DENT 2020; 32:505-511. [DOI: 10.1111/jerd.12607] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2019] [Revised: 01/16/2020] [Accepted: 05/18/2020] [Indexed: 11/29/2022]
Affiliation(s)
- Mohammed Fahmi
- Restorative Sciences & Biomaterials departmentFaculty of Dentistry, Taif University Taif Saudi Arabia
| | - Russell Giordano
- Restorative Sciences & Biomaterials departmentBoston University Henry M. Goldman School of Dental Medicine, Boston University Boston Massachusetts USA
| | - Richard Pober
- Restorative Sciences & Biomaterials departmentBoston University Henry M. Goldman School of Dental Medicine, Boston University Boston Massachusetts USA
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Darmawan BA, Fisher JG, Trung DT, Sakthiabirami K, Park SW. Two-Step Sintering of Partially Stabilized Zirconia for Applications in Ceramic Crowns. MATERIALS 2020; 13:ma13081857. [PMID: 32326496 PMCID: PMC7215467 DOI: 10.3390/ma13081857] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/05/2020] [Revised: 04/09/2020] [Accepted: 04/13/2020] [Indexed: 12/11/2022]
Abstract
Partially-stabilized zirconia is used in ceramic crowns due to its excellent mechanical properties and bio-inertness but does not match the natural color and translucency of tooth enamel. To reduce scattering of light and improve translucency, the grain size of zirconia ceramics should be less than the wavelength of visible light (0.4–0.7 μm), and porosity should be eliminated. The aim of the present work was to study the effect of two-step sintering of a commercial powder (Zpex Smile, Tosoh Corp., Tokyo, Japan) on the grain size and translucency of zirconia for use in ceramic crowns. Samples were sintered at a first step temperature (T1) of 1300, 1375 and 1400 °C for 5 min, followed by a decrease to the second step temperature (T2) and holding at T2 for 5–20 h. Samples were also conventionally sintered at 1450 °C for 2 h for comparison. Two-step sintered samples with an almost equal density, smaller grain size and narrower grain size distribution compared to conventionally sintered samples could be sintered. However, the translucency of two-step sintered samples had lower values compared to conventionally sintered samples. This is due to the slightly higher porosity in the two-step sintered samples. Density and translucency of both conventionally and two-step sintered samples could be increased further by using a ball milled powder.
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Affiliation(s)
- Bobby Aditya Darmawan
- School of Materials Science and Engineering, Chonnam National University, Gwangju 61186, Korea
| | - John G. Fisher
- School of Materials Science and Engineering, Chonnam National University, Gwangju 61186, Korea
- Correspondence: (J.G.F.); (S.-W.P.); Tel.: +82-62-530-1702 (J.G.F.); +82-62-530-5842 (S.-W.P.); Fax: +82-62-530-1699 (J.G.F.); +82-62-530-5634 (S.-W.P.)
| | - Doan Thanh Trung
- School of Materials Science and Engineering, Chonnam National University, Gwangju 61186, Korea
| | - Kumaresan Sakthiabirami
- Department of Prosthodontics, Dental Science Research Institute, School of Dentistry, Chonnam National University, Gwangju 61186, Korea
| | - Sang-Won Park
- Department of Prosthodontics, Dental Science Research Institute, School of Dentistry, Chonnam National University, Gwangju 61186, Korea
- Correspondence: (J.G.F.); (S.-W.P.); Tel.: +82-62-530-1702 (J.G.F.); +82-62-530-5842 (S.-W.P.); Fax: +82-62-530-1699 (J.G.F.); +82-62-530-5634 (S.-W.P.)
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Mosquim V, Ferrairo BM, Vertuan M, Magdalena AG, Fortulan CA, Lisboa-Filho PN, Cesar PF, Bonfante EA, Honório HM, Sanches Borges AF. Structural, chemical and optical characterizations of an experimental SiO 2-Y-TZP ceramic produced by the uniaxial/isostatic pressing technique. J Mech Behav Biomed Mater 2020; 106:103749. [PMID: 32250942 DOI: 10.1016/j.jmbbm.2020.103749] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2019] [Revised: 03/19/2020] [Accepted: 03/24/2020] [Indexed: 10/24/2022]
Abstract
This study aimed to produce a new SiO2+Y-TZP ceramic via uniaxial/isostatic compression that was structurally and chemically characterized relating to its translucency and flexural strength. SiO2 and Y-TZP were mixed using a ball mill, pressed and sintered at 1150 °C. The optical and mechanical properties of the specimens were compared to lithium disilicate (LD) and zirconia-reinforced lithium silicate (ZLS) (Kruskal-Wallis, α = 0.05). The Fourier Transform Infrared Spectroscopy bands suggested an interaction between Si, O and Zr. Contrast ratio and translucency parameter of the experimental ceramic were higher and lower, (p = 0.000001) respectively, than those of the LD and ZLS. The experimental ceramic presented similar flexural strength to ZLS, but lower than LD (p < 0.0001). It can be concluded that this processing method is efficient to obtain a SiO2+Y-TZP ceramic and 1150 °C crystallizes SiO2 without inducing t-m transformation. The SiO2+Y-TZP ceramic presented lower translucency and higher masking ability than the commercially available glass-ceramics, but similar flexural strength to one glass-ceramics.
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Affiliation(s)
- Victor Mosquim
- Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil
| | - Brunna Mota Ferrairo
- Department of Prosthodontics and Periodontics, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil
| | - Mariele Vertuan
- Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil
| | | | - Carlos Alberto Fortulan
- Department of Mechanical Engineering, São Carlos School of Engineering, University of São Paulo, São Carlos, SP, Brazil
| | | | - Paulo Francisco Cesar
- Department of Biomaterials and Oral Biology, School of Dentistry, University of São Paulo, São Paulo, SP, Brazil
| | - Estevam Augusto Bonfante
- Department of Prosthodontics and Periodontics, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil
| | - Heitor Marques Honório
- Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil
| | - Ana Flávia Sanches Borges
- Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil.
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In vitro investigation of fracture load and aging resistance of high-speed sintered monolithic tooth-borne zirconia crowns. J Prosthodont Res 2020; 64:182-187. [DOI: 10.1016/j.jpor.2019.07.003] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2018] [Revised: 06/27/2019] [Accepted: 07/03/2019] [Indexed: 11/19/2022]
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Chluba C, Siemsen K, Bechtold C, Zamponi C, Selhuber-Unkel C, Quandt E, Lima de Miranda R. Microfabricated bioelectrodes on self-expandable NiTi thin film devices for implants and diagnostic instruments. Biosens Bioelectron 2020; 153:112034. [PMID: 31989946 DOI: 10.1016/j.bios.2020.112034] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2019] [Revised: 01/12/2020] [Accepted: 01/16/2020] [Indexed: 12/30/2022]
Abstract
State of the art minimally invasive treatments and diagnostics of neurological and cardiovascular diseases demand for flexible instruments and implants that enable sensing and stimulation of bioelectric signals. Besides medical applications, implantable bioelectronic brain-computer interfaces are envisioned as the next step in communication and data transfer. Conventional microelectrode arrays used for these types of applications are based on polymer substrates that are not suitable for biostable, rigid and self-expanding devices. Here, we present fully integrated bioelectrodes on superelastic NiTi carriers fabricated by microsystem technology processes. The insulation between the metallic NiTi structure and the Pt electrode layer is realized by different oxide layers (SiOx, TaOx and Yttrium stabilized Zirconia YSZ). Key properties of bioelectronic implants such as dissolution in body fluids, biocompatibility, mechanical properties and bioelectrical sensing/stimulation capabilities have been investigated by in vitro methods. Particular devices with YSZ are biostable and biocompatible, enabling sensing and stimulation. The major advantage of this system is the combination of medically approved materials and novel fabrication technology that enables miniaturization and integration beyond the state-of-the-art processes. The results demonstrate that this functionalization of superelastic NiTi is an enabling technology for the development of new kinds of bioelectronic devices.
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Affiliation(s)
- C Chluba
- Institute for Materials Science, Kiel University, Germany; Acquandas GmbH, Kiel, Germany.
| | - K Siemsen
- Institute for Materials Science, Kiel University, Germany
| | | | - C Zamponi
- Institute for Materials Science, Kiel University, Germany; Acquandas GmbH, Kiel, Germany
| | | | - E Quandt
- Institute for Materials Science, Kiel University, Germany
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Pereira HF, Cengiz IF, Silva FS, Reis RL, Oliveira JM. Scaffolds and coatings for bone regeneration. JOURNAL OF MATERIALS SCIENCE. MATERIALS IN MEDICINE 2020; 31:27. [PMID: 32124052 DOI: 10.1007/s10856-020-06364-y] [Citation(s) in RCA: 52] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/03/2020] [Accepted: 02/13/2020] [Indexed: 05/28/2023]
Abstract
Bone tissue has an astonishing self-healing capacity yet only for non-critical size defects (<6 mm) and clinical intervention is needed for critical-size defects and beyond that along with non-union bone fractures and bone defects larger than critical size represent a major healthcare problem. Autografts are, still, being used as preferred to treat large bone defects. Mostly, due to the presence of living differentiated and progenitor cells, its osteogenic, osteoinductive and osteoconductive properties that allow osteogenesis, vascularization, and provide structural support. Bone tissue engineering strategies have been proposed to overcome the limited supply of grafts. Complete and successful bone regeneration can be influenced by several factors namely: the age of the patient, health, gender and is expected that the ideal scaffold for bone regeneration combines factors such as bioactivity and osteoinductivity. The commercially available products have as their main function the replacement of bone. Moreover, scaffolds still present limitations including poor osteointegration and limited vascularization. The introduction of pores in scaffolds are being used to promote the osteointegration as it allows cell and vessel infiltration. Moreover, combinations with growth factors or coatings have been explored as they can improve the osteoconductive and osteoinductive properties of the scaffold. This review focuses on the bone defects treatments and on the research of scaffolds for bone regeneration. Moreover, it summarizes the latest progress in the development of coatings used in bone tissue engineering. Despite the interesting advances which include the development of hybrid scaffolds, there are still important challenges that need to be addressed in order to fasten translation of scaffolds into the clinical scenario. Finally, we must reflect on the main challenges for bone tissue regeneration. There is a need to achieve a proper mechanical properties to bear the load of movements; have a scaffolds with a structure that fit the bone anatomy.
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Affiliation(s)
- Helena Filipa Pereira
- 3B's Research Group, I3Bs-Research Institute on Biomaterials, Biodegradables and Biomimetics, Headquarters of the European Institute of Excellence on Tissue Engineering and Regenerative Medicine, University of Minho, AvePark, Parque de Ciência e Tecnologia, Zona Industrial da Gandra, Barco, 4805-017, Guimarães, Portugal.
- ICVS/3B's-PT Government Associate Laboratory, Braga/Guimarães, Portugal.
- Center for Micro-Electro Mechanical Systems, University of Minho, Azurém Campus, 4800-058, Guimarães, Portugal.
| | - Ibrahim Fatih Cengiz
- 3B's Research Group, I3Bs-Research Institute on Biomaterials, Biodegradables and Biomimetics, Headquarters of the European Institute of Excellence on Tissue Engineering and Regenerative Medicine, University of Minho, AvePark, Parque de Ciência e Tecnologia, Zona Industrial da Gandra, Barco, 4805-017, Guimarães, Portugal
- ICVS/3B's-PT Government Associate Laboratory, Braga/Guimarães, Portugal
- The Discoveries Centre for Regenerative and Precision Medicine, Headquarters at University of Minho, AvePark, Barco, 4805-017, Guimarães, Portugal
| | - Filipe Samuel Silva
- Center for Micro-Electro Mechanical Systems, University of Minho, Azurém Campus, 4800-058, Guimarães, Portugal
| | - Rui Luís Reis
- 3B's Research Group, I3Bs-Research Institute on Biomaterials, Biodegradables and Biomimetics, Headquarters of the European Institute of Excellence on Tissue Engineering and Regenerative Medicine, University of Minho, AvePark, Parque de Ciência e Tecnologia, Zona Industrial da Gandra, Barco, 4805-017, Guimarães, Portugal
- ICVS/3B's-PT Government Associate Laboratory, Braga/Guimarães, Portugal
- The Discoveries Centre for Regenerative and Precision Medicine, Headquarters at University of Minho, AvePark, Barco, 4805-017, Guimarães, Portugal
| | - Joaquim Miguel Oliveira
- 3B's Research Group, I3Bs-Research Institute on Biomaterials, Biodegradables and Biomimetics, Headquarters of the European Institute of Excellence on Tissue Engineering and Regenerative Medicine, University of Minho, AvePark, Parque de Ciência e Tecnologia, Zona Industrial da Gandra, Barco, 4805-017, Guimarães, Portugal
- ICVS/3B's-PT Government Associate Laboratory, Braga/Guimarães, Portugal
- The Discoveries Centre for Regenerative and Precision Medicine, Headquarters at University of Minho, AvePark, Barco, 4805-017, Guimarães, Portugal
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Wang Y, Lam WYH, Luk HWK, Øilo M, Shih K, Botelho MG. The adverse effects of tungsten carbide grinding on the strength of dental zirconia. Dent Mater 2020; 36:560-569. [PMID: 32063392 DOI: 10.1016/j.dental.2020.02.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2019] [Revised: 01/14/2020] [Accepted: 02/04/2020] [Indexed: 10/25/2022]
Abstract
OBJECTIVES This study investigated the effects of tungsten-carbide grinding on the surface characteristics and mechanical strength of dental 3 mol% yttria-stabilized zirconia (3Y-TZP). METHODS Two types of tungsten-carbide burs (TC), 6-blade (TC1) and 8-blade (TC2) were used to grind 3Y-TZP, in a dental air-turbine handpiece with water-cooling and were also subjected to air-particle abrasion (APA): TC1 + APA and TC2 + APA; and rubber polishing (RP): TC1 + RP and TC2 + RP; one group received only rubber-polishing RP. The control group received no treatment. Surface characterization was examined by surface roughness (Ra) and atomic force microscopy. Specimens were also observed with scanning electron microscopy (SEM) and X-ray-diffraction (XRD) for microstructure and crystalline phases. A piston-on-three-balls biaxial-flexural strength (BFS) test was performed with 15 samples-per-group and the broken specimen were observed under SEM to investigate the fracture origin pattern. One-way ANOVA, Kruskal-Wallis test and Weibull analysis were performed at α = 0.05. RESULTS Groups TC1 and TC2 had the lowest mean BFS (p < 0.05) with up to 74 % reduction in strength. APA and RP both significantly increased the mean BFS after tungsten-carbide grinding but was still less than the control (p < 0.05). Compared to the control, the mean BFS was significantly reduced for all groups except for the RP group (p < 0.05). APA and rubber-polishing following TC2 grinding had significant higher mean BFS than those following TC1 grinding respectively (p < 0.05). SEM revealed distinct micro-cracks after tungsten-carbide grinding. SIGNIFICANCE Tungsten-carbide burs (6- and 8-blade) are not recommended for zirconia grinding due to the significant reduction of biaxial-flexural strength and observed micro-structural surface and subsurface damage.
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Affiliation(s)
- Yiru Wang
- Prosthodontics, Faculty of Dentistry, The University of Hong Kong, Hong Kong SAR, China; The Affiliated Stomatology Hospital and School of Stomatology, School of Medicine and Key Laboratory of Oral Biomedical Research of Zhejiang Province, Zhejiang University, Hangzhou, China
| | - Walter Y H Lam
- Prosthodontics, Faculty of Dentistry, The University of Hong Kong, Hong Kong SAR, China
| | - Henry W K Luk
- Prosthodontics, Faculty of Dentistry, The University of Hong Kong, Hong Kong SAR, China
| | - Marit Øilo
- Department of Clinical Dentistry, Faculty of Medicine, University of Bergen, Bergen, Norway
| | - Kaimin Shih
- Department of Civil Engineering, Faculty of Engineering, The University of Hong Kong, Hong Kong SAR, China
| | - Michael G Botelho
- Prosthodontics, Faculty of Dentistry, The University of Hong Kong, Hong Kong SAR, China.
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Kasem AT, Sakrana AA, Ellayeh M, Özcan M. Evaluation of zirconia and zirconia-reinforced glass ceramic systems fabricated for minimal invasive preparations using a novel standardization method. J ESTHET RESTOR DENT 2020; 32:560-568. [PMID: 32011094 DOI: 10.1111/jerd.12570] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2019] [Revised: 12/10/2019] [Accepted: 01/02/2020] [Indexed: 11/29/2022]
Abstract
OBJECTIVE Currently, minimal invasive approaches combining less invasive finish line preparations and reduced ceramic thickness are required. The aim of this study was to evaluate the fracture resistance of two ceramic systems fabricated with two preparation designs using CAD/CAM standardization technology. MATERIALS AND METHODS Forty intact human maxillary premolars were divided into two main groups according to the preparation technique. Group H (Horizontal): teeth with shoulder finish line and group V (Vertical): teeth with feather edge. Each main group was subdivided randomly into two subgroups according to the material used. Group CD (Celtra Duo) zirconia-reinforced glass ceramics and group K (KATANA) monolithic zirconia. CAD/CAM was used for standardization of natural teeth preparation. After cementation using self-adhesive resin cement, all specimens were subjected to 5000 thermal cycles and then were loaded until fracture. Failure types were evaluated using Stereomicroscopy and Scanning Electron Microscopy (SEM). RESULTS Nonsignificant; the higher mean value was recorded with VCD group (482.5 ± 103.8 N) and VK group (1347.6 ± 177.4 N) vs HCD group (471 ± 107.6 N) and HK group (1255.6 ± 121.3 N). SEM findings showed that fractures occurred mainly at the occlusal side of the crowns. CONCLUSIONS Vertical preparation showed a promising alternative to horizontal preparation. Moreover, both Celtra Duo and KATANA crowns can be used in premolar area with 0.5 mm margin thickness. CLINICAL SIGNIFICANCE Zirconia-reinforced glass ceramic and monolithic zirconia crowns may not necessitate the preparation of invasive finish lines as the type of finish line did not impair the strength after aging conditions.
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Affiliation(s)
- Ammar T Kasem
- Fixed Prosthodontics Department, Faculty of Dentistry, Mansoura University, Mansoura, Egypt
| | - Amal A Sakrana
- Fixed Prosthodontics Department, Faculty of Dentistry, Mansoura University, Mansoura, Egypt
| | - Mohamed Ellayeh
- Fixed Prosthodontics Department, Faculty of Dentistry, Mansoura University, Mansoura, Egypt
| | - Mutlu Özcan
- University of Zurich, Division of Dental Biomaterials, Center for Dental and Oral Medicine, Clinic for Reconstructive Dentistry, Zurich, Switzerland
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Hofer TS, Kilchert FM, Tanjung BA. An effective partial charge model for bulk and surface properties of cubic ZrO 2, Y 2O 3 and yttrium-stabilised zirconia. Phys Chem Chem Phys 2019; 21:25635-25648. [PMID: 31720638 DOI: 10.1039/c9cp04307a] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
Abstract
In this work a newly parametrised Coulomb plus Buckingham potential formulation for cubic ZrO2, Y2O3 and yttrium-stabilised zirconia (YSZ) is presented. The density and pair distributions obtained for neat ZrO2 and Y2O3 under ambient conditions are in excellent agreement with experimental data, while the vibrational power spectra are highly similar compared to those obtained via ab initio molecular dynamics simulations at the PBEsol level. In addition, it is shown that the use of effective partial charges has several advantages compared to interaction potentials employing the oxidation states in the evaluation of the coulombic interactions: (i) the diffusion coefficient and the associated activation energy of oxygen ions evaluated for YSZn (n = 4 to 12) display the best agreement with experimental data; (ii) no unphysical reorganisation of the interface and the bulk are observed in simulations of the (110) and (111) surfaces of cubic ZrO2 and Y2O3, while due to the strong coulombic contributions in the case of the tested full-charge models a pronounced restructuring of the interface and the bulk is observed in the ZrO2 case, and (iii) the use of effective partial charges ensures compatibility with existing solvent models and force-fields for the treatment of molecular compounds.
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Affiliation(s)
- Thomas S Hofer
- Theoretical Chemistry Division, Institute of General, Inorganic and Theoretical Chemistry, Center for Chemistry and Biomedicine, University of Innsbruck, Innrain 80-82, A-6020 Innsbruck, Austria.
| | - Franziska M Kilchert
- Theoretical Chemistry Division, Institute of General, Inorganic and Theoretical Chemistry, Center for Chemistry and Biomedicine, University of Innsbruck, Innrain 80-82, A-6020 Innsbruck, Austria.
| | - Bagas A Tanjung
- Theoretical Chemistry Division, Institute of General, Inorganic and Theoretical Chemistry, Center for Chemistry and Biomedicine, University of Innsbruck, Innrain 80-82, A-6020 Innsbruck, Austria.
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Sharma S, Kumar R, Kumar P, Jain A, Saxena S. New insights into the predicament of DFT assisted optimized energy, stability and distortions of optimized topologies of some novel complexes of Zirconium (IV) and enhancement of antimicrobial potential. Appl Organomet Chem 2019. [DOI: 10.1002/aoc.5080] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Affiliation(s)
- Shobhana Sharma
- Department of ChemistryS.S. Jain Subodh (autonomous) P.G. College, Rambagh Jaipur 302004 India
| | - Ramesh Kumar
- Department of ChemistryMNIT, JLN Marg Jaipur 302017 India
| | - Pradeep Kumar
- Department of ChemistryMNIT, JLN Marg Jaipur 302017 India
| | - Asha Jain
- Department of ChemistryUniversity of Rajasthan Jaipur 302004 India
| | - Sanjiv Saxena
- Department of ChemistryUniversity of Rajasthan Jaipur 302004 India
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Abstract
In 1986, the European Society of Biomaterials Consensus Conference gave a simplified definition of biomaterials as “a non-viable material used in a medical device intended to interact with biological systems”. This seems to be more appropriate when we look into the versatility of applications of biomaterials in the health sector, especially in cardiovascular practice. This field has expanded exponentially in every direction, with multifunctional capability. Heart valves have undergone an evolution in biomaterials and design. Patches and conduits have been developed to correct anatomical deficits, and solutions have been found for narrowing or ballooning of the arteries. Research is ongoing to find replacements for every part of this system by creating replicas made of various materials. To investigate problems pertaining to the cardiovascular system, catheters have undergone an astounding leap in material optimization. In these three sectors, the trends, successes, and failures are worth discussing. This review mainly focuses on the types of biomaterial used for making cardiovascular devices and their advantages and limitations.
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Affiliation(s)
- Soma Guhathakurta
- Department of Engineering Design, Indian Institute of Technology Madras, Chennai, India
| | - Satish Galla
- Bioengineering Division, SynkroMax Biotech Private Limited, Thirumazhisai, Chennai, India
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Chen XP, Xiang ZX, Song XF, Yin L. Machinability: Zirconia-reinforced lithium silicate glass ceramic versus lithium disilicate glass ceramic. J Mech Behav Biomed Mater 2019; 101:103435. [PMID: 31586883 DOI: 10.1016/j.jmbbm.2019.103435] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2019] [Revised: 08/27/2019] [Accepted: 09/14/2019] [Indexed: 10/26/2022]
Abstract
Diamond grinding used in dental adjustment of high-strength zirconia-reinforced lithium silicate glass ceramic (ZLS) and lithium disilicate glass ceramic (LDGC) is challenging in restorative dentistry. This study aimed to compare the machinability of ZLS and LDGC in diamond grinding in terms of machining forces and energy, debris, surface and edge chipping damage. Grinding experiments in simulation of dental adjustment were conducted using a computer-assisted high-speed dental handpiece and coarse diamond burs. A piezoelectric force dynamometer and a high-speed data acquisition system were used for on-processing monitoring for assessment of grinding forces and energy. Grinding debris and grinding-induced surface and edge chipping damage were examined using scanning electron microscopy. The results show that grinding of ZLS required higher tangential and normal forces and energy than LDGC (p < 0.05). ZLS was ranked the most difficult to machine among dental glass ceramics based on a machinability index associated with the material mechanical properties. The higher machinability indices of ZLS and LDGC pose a challenge for clinicians to conduct high-efficient material removal for dental adjustment and repair. Both ZLS and LDGC debris were micro fractured particles but the former were smaller than the latter due to the finer microstructure of ZLS. Ground ZLS surfaces contained more irregular microchipping and microfracture in comparison with LDGC surfaces with intergranular fracture or grain dislodgement. Grinding-induced edge chipping damage remained a serious issue for both ZLS and LDGC, which depths ranged approximately 20-100 μm and significantly increased with the material removal rate (p < 0.01). As the zirconia-reinforcement in ZLS only slightly reduced edge chipping damage (p > 0.05), continued efforts are required to explore new reinforcement technologies for optimized LDGC.
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Affiliation(s)
- Xing-Peng Chen
- Key Laboratory of Advanced Ceramics and Machining Technology of Ministry of Education, School of Mechanical Engineering, Tianjin University, Tianjin, 300354, China
| | - Zhong-Xia Xiang
- Key Laboratory of Advanced Ceramics and Machining Technology of Ministry of Education, School of Mechanical Engineering, Tianjin University, Tianjin, 300354, China
| | - Xiao-Fei Song
- Key Laboratory of Advanced Ceramics and Machining Technology of Ministry of Education, School of Mechanical Engineering, Tianjin University, Tianjin, 300354, China.
| | - Ling Yin
- School of Mechanical Engineering, The University of Adelaide, North Terrace, SA, 5005, Australia.
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Rizo-Gorrita M, Herráez-Galindo C, Torres-Lagares D, Serrera-Figallo MÁ, Gutiérre-Pérez JL. Biocompatibility of Polymer and Ceramic CAD/CAM Materials with Human Gingival Fibroblasts (HGFs). Polymers (Basel) 2019; 11:polym11091446. [PMID: 31484458 PMCID: PMC6780389 DOI: 10.3390/polym11091446] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2019] [Revised: 08/30/2019] [Accepted: 08/31/2019] [Indexed: 01/24/2023] Open
Abstract
Four polymer and ceramic computer-aided design/computer-aided manufacturing (CAD/CAM) materials from different manufacturers (VITA CAD-Temp (polymethyl methacrylate, PMMA), Celtra Duo (zirconia-reinforced lithium silicate ceramic, ZLS), IPS e.max CAD (lithium disilicate (LS2)), and VITA YZ (yttrium-tetragonal zirconia polycrystal, Y-TZP)) were tested to evaluate the cytotoxic effects and collagen type I secretions on human gingival fibroblasts (HGFs). A total of 160 disc-shaped samples (Ø: 10 ± 2 mm; h: 2 mm) were milled from commercial blanks and blocks. Direct-contact cytotoxicity assays were evaluated at 24, 48, and 72 h, and collagen type I (COL1) secretions were analysed by cell-based ELISA at 24 and 72 h. Both experiments revealed statistically significant differences (p < 0.05). At 24 and 48 h of contact, cytotoxic potential was observed for all materials. Later, at 72 h, all groups reached biologically acceptable levels. LS2 showed the best results regarding cell viability and collagen secretion in all of the time evaluations, while Y-TZP and ZLS revealed intermediate results, and PMMA exhibited the lowest values in both experiments. At 72 h, all groups showed sharp decreases in COL1 secretion regarding the 24-h values. According to the results obtained and the limitations of the present in vitro study, it may be concluded that the ceramic materials revealed a better cell response than the polymers. Nevertheless, further studies are needed to consolidate these findings and thus extrapolate the results into clinical practice.
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Affiliation(s)
- María Rizo-Gorrita
- Department of Oral Surgery, College of Dentistry, Seville University, Calle de Avicena, s/n, 41009 Seville, Spain.
| | - Cristina Herráez-Galindo
- Department of Oral Surgery, College of Dentistry, Seville University, Calle de Avicena, s/n, 41009 Seville, Spain.
| | - Daniel Torres-Lagares
- Department of Oral Surgery, College of Dentistry, Seville University, Calle de Avicena, s/n, 41009 Seville, Spain.
| | | | - José-Luis Gutiérre-Pérez
- Department of Oral Surgery, College of Dentistry, Seville University, Calle de Avicena, s/n, 41009 Seville, Spain.
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Comparative Effectiveness of Multiple Laser Scanning and Conventional Techniques on Zirconia Shear Bond Strength. COATINGS 2019. [DOI: 10.3390/coatings9070422] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
This study aimed to compare the impact of different laser scanning with that of conventional methods on zirconia surface treatment through evaluation of shear bond strength (SBS) values. One hundred and thirty-two sintered zirconia cubic-samples were prepared and randomly divided into six study groups: milling control (without surface treatment); grinding; sandblasting; and three-times, four-times, and five-times laser scanning groups. The treatment process for the first three groups was performed before the zirconia coating, while the last three groups were treated after zirconia coating with veneer slurry through a spraying technique. In the current study, the surface roughness Ra, contact angle measurement, phase transformation, topography and interfaces, SBS in unaged and aged conditions, and fracture mode patterns of zirconia cores were investigated. The results were analyzed using laser confocal scanning microscopy, drop analyzer, X-ray diffractometry (XRD), scanning electron microscope (SEM) equipped with energy dispersive spectroscopy (EDS), universal testing machine and stereomicroscope. The results indicated that three-times laser scanned specimens presented higher Ra values than the other studied groups. The minimum contact angle value was detected in the mentioned group, while the control group presented the highest value. The XRD showed phase transformation from tetragonal to monoclinic t–m following grinding and sandblasting. However, the laser scanned specimens and the control group preserved the structural integrity of the zirconia core, presenting the tetragonal phase only. The highest SBS values were recorded in specimens treated with three-times laser scanning in the unaged and aged conditions. A mixed fracture was a common fracture pattern among the studied groups. The results confirmed that SBS could be optimized through three-times laser scanning and it provided better adhesion between zirconia and the veneer ceramic material. Multiple scanning processes of more than three times are not recommended for zirconia surface treatment.
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50
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De Angelis P, Passarelli PC, Gasparini G, Boniello R, D'Amato G, De Angelis S. Monolithic CAD-CAM lithium disilicate versus monolithic CAD-CAM zirconia for single implant-supported posterior crowns using a digital workflow: A 3-year cross-sectional retrospective study. J Prosthet Dent 2019; 123:252-256. [PMID: 31202552 DOI: 10.1016/j.prosdent.2018.11.016] [Citation(s) in RCA: 36] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2018] [Revised: 11/05/2018] [Accepted: 11/05/2018] [Indexed: 10/26/2022]
Abstract
STATEMENT OF PROBLEM Dentistry has evolved significantly with the introduction of digital technologies and materials; however, clinical evidence for the performance of the complete digital workflow for single implant-supported posterior crowns is lacking. PURPOSE The purpose of this cross-sectional retrospective clinical study was to compare the clinical outcomes of 2 types of implant-supported crown used to replace a single missing posterior tooth in a completely digital workflow: transocclusal screw-retained monolithic lithium disilicate crowns versus transocclusal screw-retained monolithic zirconia crowns. MATERIAL AND METHODS A total of 38 participants who had been provided with dental implants and transocclusal screw-retained monolithic lithium disilicate or zirconia single crowns were evaluated in the study. Clinical and esthetic outcomes were recorded after a 3-year follow-up. RESULTS Both groups had comparable clinical outcomes with a survival rate of 100%. In the lithium disilicate group, 89% of the participants were free of technical complications, and 95%, in the zirconia group. Only 1 patient experienced minor chipping affecting a lithium disilicate crown. All complications were considered minor and were easily resolved, and none of the participants required replacement of a crown. No biological complications were recorded in either group. CONCLUSIONS Within the limitations of this cross-sectional retrospective clinical study, monolithic lithium disilicate and zirconia screw-retained single crowns fabricated using computer-aided design and computer-aided manufacturing (CAD-CAM) and a fully digital workflow were found to be reliable and suitable clinical options for restoring a posterior missing tooth on a dental implant.
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Affiliation(s)
- Paolo De Angelis
- Oral Surgery Resident, Department of Oral and Maxillofacial Surgery, Catholic University of the Sacred Heart Medical School, Rome, Italy.
| | - Pier Carmine Passarelli
- Oral Surgery Resident, Department of Oral Surgery, Catholic University of the Sacred Heart Medical School, Rome, Italy
| | - Giulio Gasparini
- Professor, Department of Oral and Maxillofacial Surgery, Catholic University of the Sacred Heart Medical School, Rome, Italy
| | - Roberto Boniello
- Attending Physician, Department of Oral and Maxillofacial Surgery, Catholic University of the Sacred Heart Medical School, Rome, Italy
| | - Giuseppe D'Amato
- Attending Physician, Department of Oral and Maxillofacial Surgery, Catholic University of the Sacred Heart Medical School, Rome, Italy
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