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Hoffmann M, Stawarczyk B, Günster J, Zocca A. Influence of additives and binder on the physical properties of dental silicate glass-ceramic feedstock for additive manufacturing. J Mech Behav Biomed Mater 2024; 155:106563. [PMID: 38678747 DOI: 10.1016/j.jmbbm.2024.106563] [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: 02/15/2024] [Revised: 04/23/2024] [Accepted: 04/23/2024] [Indexed: 05/01/2024]
Abstract
OBJECTIVES The aim of the study was to investigate the impact of organic additives (binder, plasticizer, and the cross-linking ink) in the formulation of water-based feedstocks on the properties of a dental feldspathic glass-ceramic material developed for the slurry-based additive manufacturing technology "LSD-print." MATERIAL AND METHODS Three water-based feldspathic feedstocks were produced to study the effects of polyvinyl alcohol (AC1) and poly (sodium 4-styrenesulfonate) (AC2) as binder systems. A feedstock without organic additives was tested as the control group (CG). Disc-shaped (n = 15) and bar (n = 7) specimens were slip-cast and characterized in the green and fired states. In the green state, density and flexural strength were measured. In the fired state, density, shrinkage, flexural strength (FS), Weibull modulus, fracture toughness (KIC), Martens parameters, and microstructure were analyzed. Disc-shaped and bar specimens were also cut from commercially available CAD/CAM blocks and used as a target reference (TR) for the fired state. RESULTS In the green state, CG showed the highest bulk density but the lowest FS, while the highest FS in the green state was achieved with the addition of a cross-linking ink. After firing, no significant differences in density and a similar microstructure were observed for all slip-cast groups, indicating that almost complete densification could be achieved. The CAD/CAM specimens showed the highest mean FS, Weibull modulus, and KIC, with significant differences between some of the slip-cast groups. SIGNIFICANCE These results suggest that the investigated feedstocks are promising candidates for the slurry-based additive manufacturing of restorations meeting the class 1a requirements according to DIN EN ISO 6871:2019-01.
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Affiliation(s)
- Moritz Hoffmann
- Department of Prosthetic Dentistry, Dental School, University Hospital, LMU Munich, Goethestraße 70, 80336, Munich, Germany.
| | - Bogna Stawarczyk
- Department of Prosthetic Dentistry, Dental School, University Hospital, LMU Munich, Goethestraße 70, 80336, Munich, Germany
| | - Jens Günster
- Division 5.4 Advanced Multi-materials Processing, Bundesanstalt für Materialforschung und -prüfung, Unter Den Eichen 87, 12205, Berlin, Germany; Institute of Non-Metallic Materials, Clausthal University of Technology, 38678 Clausthal-Zellerfeld, Germany
| | - Andrea Zocca
- Division 5.4 Advanced Multi-materials Processing, Bundesanstalt für Materialforschung und -prüfung, Unter Den Eichen 87, 12205, Berlin, Germany
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Hoffmann M, Coldea A, Dönmez MB, Meinen J, Stawarczyk B. Mechanical Properties of High- and Low-Fusing Zirconia Veneering Ceramics Fired on Different Trays and Substrates. MATERIALS (BASEL, SWITZERLAND) 2024; 17:2261. [PMID: 38793327 PMCID: PMC11123089 DOI: 10.3390/ma17102261] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/11/2024] [Revised: 04/30/2024] [Accepted: 04/30/2024] [Indexed: 05/26/2024]
Abstract
This study aimed to evaluate the effect of ceramic type, firing tray, and firing substrate on the density, shrinkage, biaxial flexural strength, Martens' hardness, and elastic indentation modulus of zirconia veneering ceramics. Disk-shaped specimens were fabricated from a high-fusing (HFZ) and a low-fusing (STR) zirconia veneering ceramic. These specimens were then divided into 10 groups according to firing trays (round, small honeycomb-shaped, cordierite [RSC]; round, large honeycomb-shaped, aluminum oxide [RLA]; rectangular, plane, silicon nitride [RCPS]; round, plane, silicon nitride [RPS]; and rectangular, plane, calcium silicate [RCPC]) and firing substrates (firing cotton and platinum foil) used (n = 12). The density, shrinkage, biaxial flexural strength, Martens' hardness, and indentation modulus were measured, and analyzed with generalized linear model analysis (α = 0.05). The interaction between the ceramic type and firing substrate affected density (p < 0.001), and the other outcomes were affected by the interaction among all main factors (p ≤ 0.045). Higher density was observed with HFZ or platinum foil (p ≤ 0.007). RSC and RLA led to a higher density than RCPS within HFZ and led to the lowest density within STR (p ≤ 0.046). STR had a higher shrinkage (p < 0.001). RSC mostly led to a lower shrinkage of HFZ (p ≤ 0.045). The effect of ceramic type and firing substrates on the biaxial flexural strength, Martens' hardness, and indentation modulus was minimal while there was no clear trend on the effect of firing tray on these properties. Ceramic type, firing tray, and firing substrate affected the mechanical properties of the tested zirconia veneering ceramics. Firing the tested zirconia veneering ceramics over a round and small honeycomb-shaped cordierite firing tray with firing cotton mostly led to improved mechanical properties.
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Affiliation(s)
- Moritz Hoffmann
- Department of Prosthetic Dentistry, Dental School, Ludwig-Maximilians-Universität München, 80336 Munich, Germany; (M.H.); (A.C.); (J.M.); (B.S.)
| | - Andrea Coldea
- Department of Prosthetic Dentistry, Dental School, Ludwig-Maximilians-Universität München, 80336 Munich, Germany; (M.H.); (A.C.); (J.M.); (B.S.)
| | - Mustafa Borga Dönmez
- Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, 3010 Bern, Switzerland
- Department of Prosthodontics, Faculty of Dentistry, Istinye University, Istanbul 34010, Turkey
| | - John Meinen
- Department of Prosthetic Dentistry, Dental School, Ludwig-Maximilians-Universität München, 80336 Munich, Germany; (M.H.); (A.C.); (J.M.); (B.S.)
| | - Bogna Stawarczyk
- Department of Prosthetic Dentistry, Dental School, Ludwig-Maximilians-Universität München, 80336 Munich, Germany; (M.H.); (A.C.); (J.M.); (B.S.)
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Dokuzlu SN, Subaşı MG. Effect of sintering programs and surface treatments on monolithic zirconia. J Adv Prosthodont 2024; 16:25-37. [PMID: 38455679 PMCID: PMC10917628 DOI: 10.4047/jap.2024.16.1.25] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2023] [Revised: 01/28/2024] [Accepted: 02/13/2024] [Indexed: 03/09/2024] Open
Abstract
PURPOSE To investigate the effect of sintering programs and surface treatments on surface properties, phase transformation and flexural strength of monolithic zirconia. MATERIALS AND METHODS Zirconia specimens were sintered using three distinct sintering programs [classic (C), speed (S), and superspeed (SS)] (n = 56, each). One sample from each group underwent scanning electron microscopy (SEM) and grain size analysis following sintering. Remaining samples were divided into five subgroups (n = 11) based on the surface treatments: control (CL), polish (P), glaze (G), grind + polish (GP), and grind + glaze (GG). One sample from each subgroup underwent SEM analysis. Remaining samples were thermally aged. Monoclinic phase volume, surface roughness, and three-point flexural strength were measured. Monoclinic phase volume and surface roughness were analyzed by Kruskal-Wallis and Dunn tests. Flexural strength was analyzed by two-way ANOVA and Weibull analysis. The relationships among the groups were analyzed using Spearman's correlation analysis. RESULTS Sintering program, surface treatment, and sintering × surface treatment (P ≤ .010) affected the monoclinic phase volume, whereas the type of surface treatment and sintering × surface treatment affected the surface roughness (P < .001). Type of sintering program or surface treatment did not affect the flexural strength. Weibull analysis revealed no significant differences between the m and σo values. Monoclinic phase volume was positively correlated with surface roughness in the SGG and SSP groups. CONCLUSION After sintering monolithic zirconia in each of the three sintering programs, each of the surface treatments can be used. However, for surface quality and aging resistance, G or GG can be recommended as a surface finishing method.
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Affiliation(s)
| | - Meryem Gülce Subaşı
- Department of Prosthodontics, Faculty of Dentistry, Kütahya Sağlık Bilimleri University, Kütahya, Turkey
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Coldea A, Donmez MB, Stawarczyk B. Effect of final temperature and heating rate on the mechanical and optical properties of a zirconia veneering ceramic. J Mech Behav Biomed Mater 2024; 149:106235. [PMID: 37976995 DOI: 10.1016/j.jmbbm.2023.106235] [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: 09/18/2023] [Revised: 11/07/2023] [Accepted: 11/08/2023] [Indexed: 11/19/2023]
Abstract
PURPOSE To evaluate the effect of firing temperature and heating rate on the volumetric shrinkage, translucency, flexural strength, hardness, and fracture toughness of a zirconia veneering ceramic. MATERIAL AND METHODS Zirconia veneering ceramic specimens (N = 45) with varying final temperatures (730 °C, 750 °C, and 770 °C) and heating rates (70 °C/min, 55 °C/min, and 40 °C/min) were fabricated (n = 5). Each specimen's shrinkage, translucency, flexural strength, hardness, and fracture toughness were determined. Two-way analysis of variance, Scheffé test, and Pearson's correlation analysis were used to evaluate data (α = 0.05). RESULTS The shrinkage (44.9 ± 3.1-47.5 ± 1.6 vol%) and flexural strength (74.1 ± 17.4-107.0 ± 27.1 MPa) were not affected by tested parameters (P ≥ 0.288). The interaction between the main factors affected the translucency, hardness, and fracture toughness of the specimens (P ≤ 0.007). Specimens with 770 °C final temperature and 70 °C/min heating rate had the lowest (21.8 ± 3.2 %) translucency (P ≤ 0.039). The hardness ranged between 4.98 ± 0.51 GPa (730 °C; 70 °C/min) and 5.60 ± 0.37 GPa (770 °C; 70 °C/min). Fracture toughness ranged between 0.54 ± 0.04 MPa√m and 0.67 ± 0.08 MPa√m with the highest values for specimens fired at 730 °C with 70 °C/min (P ≤ 0.001). There was a positive correlation between translucency and hardness (r = 0.335, P = 0.012), and a negative correlation between fracture toughness and all parameters other than shrinkage (translucency: r = -0.693/P < 0.001, flexural strength: r = -0.258/P = 0.046, hardness: r = -0.457/P < 0.001). CONCLUSIONS Heating rate and final temperature should be considered while fabricating veneered zirconia restorations with tested ceramic as they affected the translucency, hardness, and fracture toughness.
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Affiliation(s)
- Andrea Coldea
- Department of Prosthetic Dentistry, Dental School, Ludwig-Maximilians-Universität München, Munich, Germany
| | - Mustafa Borga Donmez
- Department of Prosthodontics, Faculty of Dentistry, Istinye University, Istanbul, Turkey; Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland.
| | - Bogna Stawarczyk
- Department of Prosthetic Dentistry, Dental School, Ludwig-Maximilians-Universität München, Munich, Germany
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Antón X, Liebermann A, Hampe R, Joda T, Stawarczyk B. Impact of high-speed sintering and choice of preshaded monochrome or multilayered blanks on fatigue behavior of 4 mol% yttria-stabilized tetragonal zirconia polycrystal. J Prosthet Dent 2023; 130:639-645. [PMID: 34930599 DOI: 10.1016/j.prosdent.2021.11.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2021] [Revised: 10/31/2021] [Accepted: 11/01/2021] [Indexed: 11/25/2022]
Abstract
STATEMENT OF PROBLEM High-speed sintering allows the rapid fabrication of esthetic restorations with adequate flexural strength. However, data on the fatigue behavior of high-speed sintered 4 mol% yttria-stabilized tetragonal zirconia polycrystal (4Y-TZP) are lacking. PURPOSE The purpose of this in vitro study was to examine the effect of high-speed sintering and the preshading of blanks (monochrome versus multilayer) on the fatigue behavior of 4Y-TZP ceramics. MATERIAL AND METHODS Four-point flexural strength specimens (N=405) were fabricated from high-speed sintered multilayer 4Y-TZP (Zolid DRS) processed at 1580 °C for about 20 minutes and conventionally sintered at 1450 °C for about 10 hours, multilayer 4Y-TZP (Zolid Gen-x), and monochrome 4Y-TZP (Ceramill Zolid HT+PS), the control group. The specimens were loaded under 5 different dynamic test conditions for fatigue testing (P1-P5). Three were step-stress protocols (P1: 50 N for 5000 cycles; P2: 10 N for 1000 cycles, P3: 5% for 5000 cycles), 1 was tested with a constant force of 720 N (P4), and 1 was tested for different constant load levels (P5). For analysis of P1-P3, the Kaplan-Meier test and Mantel Cox test were performed (α=.05). P4 was analyzed with the Kolmogorov-Smirnov, Kruskal-Wallis, and Mann-Whitney U tests, and P5 by creating a load-cycle diagram. A fracture analysis was performed. RESULTS ZMLC showed better fatigue behavior than ZMLH (P≤.006) and ZMOC (P≤.002) in all 3 step-stress protocols (P1-P3). ZMLH showed results comparable with those for ZMOC (P≥.285). In P4 and P5, all materials showed comparable values (P=.163 for P4). CONCLUSIONS The multilayer technique showed a positive effect on the fatigue behavior of 4Y-TZP. In contrast, high-speed sintering negatively influenced the fatigue behavior of multilayer 4Y-TZP. The high-speed sintered material showed no deterioration compared with the conventional sintered monochrome material.
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Affiliation(s)
- Xenia Antón
- Doctoral student, Dental Materials Unit, Department of Prosthetic Dentistry, University Hospital, LMU Munich, Munich, Germany.
| | - Anja Liebermann
- Assistant Professor, Department of Prosthetic Dentistry, University Hospital, LMU Munich, Munich, Germany
| | - Rüdiger Hampe
- Guest Researcher, Department of Prosthetic Dentistry, University Hospital, LMU Munich, Munich, Germany
| | - Tim Joda
- Professor, Department of Reconstructive Dentistry, University Center for Dental Medicine Basel, University of Basel, Basel, Switzerland
| | - Bogna Stawarczyk
- Scientific Head, Dental Materials Unit, Department of Prosthetic Dentistry, University Hospital, LMU Munich, Munich, Germany
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Flexural Strength Properties of Five Different Monolithic Computer-Aided Design/Computer-Aided Manufacturing Ceramic Materials: An In Vitro Study. Cureus 2023; 15:e36958. [PMID: 37009356 PMCID: PMC10064933 DOI: 10.7759/cureus.36958] [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: 03/31/2023] [Indexed: 04/03/2023] Open
Abstract
Objective The purpose of this in vitro study is to compare the flexural strength and Weibull modulus of 5 different monolithic computer-aided design/computer-aided manufacturing (CAD/CAM) ceramics. Methods A total of 50 specimens were fabricated, 10 from each of the following materials: lithium disilicate-based ceramic (IPS e.max CAD), zirconia -reinforced lithium-silicate ceramic (Vita Suprinity), leucite-based glass ceramic (IPS Empress CAD), and two zirconia-based ceramics (Zenostar and CopraSmile). The specimens were 4 mm wide, 2 mm thick, and 16 mm long. Flexural strength test was executed using a universal testing machine (Model 5980, Instron Industrial Products, Norwood, MA, USA). The two-parameter Weibull distribution function was used to analyze the variability of flexural strength values. Statistical analysis was performed on SPSS Version 23 (IBM Corp., Armonk, NY, USA) using one-way analysis of variance (ANOVA) and post-hoc Tukey’s test. Results Suprinity had the highest Weibull modulus value, while Empress CAD displayed the lowest value. One-way ANOVA showed significant difference in the flexural strength between the different materials tested (p<0.05). Post-hoc analysis revealed significant differences among all the test groups in terms of flexural strength. Zenostar presented the highest mean flexural strength value (1033.90 MPa), while Empress CAD had the lowest value. Conclusion High-translucency zirconia had superior flexural properties than translucent zirconia, lithium disilicate ceramics, zirconia-reinforced lithium silicate ceramics, and leucite-based glass ceramics.
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Amer A, Mohsen C, Hashem R. Effect of Nanosilica Incorporation on Flexural Strength, Shear Bond Strength, and Color of Veneering Porcelain after Thermocycling. Open Access Maced J Med Sci 2022. [DOI: 10.3889/oamjms.2022.10390] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
AIM: The focus of this research was to see how silica nanoparticles changed veneering porcelain over a zirconia core affected flexure strength, shear bond strength, and color.
METHODS: A total number of 30 zirconia core veneer samples were constructed and classified according to silica nanoparticles modification of veneering porcelain into two groups: Group 1 (control group) veneering porcelain without any modification (n = 15) and Group 2 (modified group) veneering porcelain modified by silica nanoparticles (n = 15). Silica nanoparticles were added to the veneering porcelain powder at a rate of 5% by weight. Silica nanoparticles powder and veneering porcelain powder were manually crushed for about 10 min using a pestle and mortar then the mixed powder was combined with the porcelain moldings liquid to make a paste. After thermal cycling, each group was examined for flexural strength, shear bond strength, and color measurement (n = 5). Universal testing equipment was used to determine flexural and shear bond strength. The color shift was measured using a spectrophotometer.
RESULTS: Flexural strength levels in the modified group (280.9 ± 29.85 Mpa) were substantially higher than in the control group (431.78 ± 22.73 Mpa). Shear bond strength values in the modified group (34.31 ± 5.6) were significantly higher than in the control group (26.97 ± 4.03). Color change was within the clinical acceptable range (1.71 ± 0.32).
CONCLUSIONS: The addition of silica nanoparticles to veneering porcelain improved the flexural and shear bond strength, as well as, color change was within the clinical acceptable limits.
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Development of Ceramic Tiles from Philippine Nickel Laterite Mine Waste by Ceramic Casting Method. MINERALS 2022. [DOI: 10.3390/min12050579] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
Siltation is the biggest environmental challenge associated with nickel laterite mining in the Philippines. The amount of silt generated is huge and one mitigation strategy currently employed by the mining companies is the construction of siltation ponds where the bulk of the clayey- and silt-sized surface runoffs is collected. However, this poses several serious environmental hazards such as landslides due to heavy rainfall and the potential release of hazardous heavy metals. A promising approach to reduce the risks associated with long-term storage of nickel mine waste (NMW) is to employ circular economy by repurposing it for ceramic applications. While generating useful materials with economic value out of a mine waste, it will result in a reduction in volume of waste for disposal. In this study, the method employed to produce NMW-based ceramic wall and floor tiles is slip casting as it is the most appropriate method in forming tiles with complex surface features. Five formulations of NMW-based slips were made for the casting of ceramic tiles and each slip was characterized for its suitability as raw material. The results of NMW characterization show that NMW could be utilized as raw materials for both ceramic wall and floor tiles and the addition of feldspar can enhance casting and physical properties.
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Hensel J, Reise M, Liebermann A, Buser R, Stawarczyk B. Impact of multiple firings on thermal properties and bond strength of veneered zirconia restorations. J Mech Behav Biomed Mater 2022; 128:105134. [DOI: 10.1016/j.jmbbm.2022.105134] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2021] [Revised: 02/09/2022] [Accepted: 02/13/2022] [Indexed: 10/19/2022]
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Baysal N, Tuğba Kalyoncuoğlu Ü, Ayyıldız S. Mechanical Properties and Bond Strength of Additively Manufactured and Milled Dental Zirconia: A Pilot Study. J Prosthodont 2021; 31:629-634. [PMID: 34940979 DOI: 10.1111/jopr.13472] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/13/2021] [Indexed: 11/30/2022] Open
Abstract
PURPOSE To evaluate and compare the mechanical properties and ceramic bond of additively manufactured and milled dental zirconia materials. MATERIALS AND METHODS Disc (r = 10 mm, h = 2 mm) and bar (254) shaped milled (M group) (Nacera Pearl; Doceram) and additively manufactured (AM group) (NanoParticul Jetting; XJet, Carmel 1400) zirconia specimens were prepared for 2 experimental groups. Ceramic was applied to the disc specimens (h = 4 mm, r = 6 mm) (n =9) and their shear bond strength (SBS) was measured. The surface morphology of disc specimens was analyzed with a scanning electron microscope (SEM). The Vickers microhardness (Vh), surface roughness (Ra), and three-point flexural strength (FS) of bar specimens (n = 9) were measured. Results were statistically analyzed with Mann-Whitney U-test (α = 0.05) RESULTS: : Significant differences were found in FS and Vh values of the M and AM groups. M group (1501.4 ± 60.1 HV1) showed a significantly higher Vh value than the AM group (1169.2 ± 48.4 HV1) (p < 0.001). FS of the M group (1287.5 ± 115.2 MPa) exhibited significantly high value than the AM (1030.0 ± 29.2 MPa) group (p < 0.001). Statistically, no significant differences were seen in SBS and Ra values of the M and AM groups. CONCLUSION Within the limitations of this in vitro study, the manufacturing technique affected the mechanical properties of the zirconia materials. AM zirconia material showed lower Vh and FS values than M zirconia. Additionally AM zirconia demonstrated adequate bond strength with dental ceramic. This article is protected by copyright. All rights reserved.
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Affiliation(s)
- Nurten Baysal
- Department of Prosthodontics, Faculty of Gülhane Dentistry, University of Health Sciences Turkey, Ankara, Turkey
| | - Ülkü Tuğba Kalyoncuoğlu
- Department of Prosthodontics, Faculty of Gülhane Dentistry, University of Health Sciences Turkey, Ankara, Turkey
| | - Simel Ayyıldız
- Department of Prosthodontics, Faculty of Gülhane Dentistry, University of Health Sciences Turkey, Ankara, Turkey
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The Effect of Translucency and Surface Treatment on the Flexural Strength of Aged Monolithic Zirconia. Int J Dent 2021; 2021:8022430. [PMID: 34795763 PMCID: PMC8594981 DOI: 10.1155/2021/8022430] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2021] [Revised: 10/06/2021] [Accepted: 10/28/2021] [Indexed: 11/17/2022] Open
Abstract
Aims This in vitro study aimed to evaluate the effect of the degrees of translucency in different types of monolithic zirconia as well as the aging and surface treatment with airborne particle abrasion on the flexural strength of monolithic zirconia. Materials and Methods Sixty bar-shaped specimens were fabricated from three different types of presintered monolithic zirconia (n = 20 per group) including low translucent (LT) (DD Bio ZW iso, high strength zirconia, Dental Direkt, Germany), high translucent (HT) (DD Bio ZX2 98, high translucent zirconia, Dental Direkt, Germany), and multilayered system (ML) (DD cubeX2®ML, multilayer, cubic zirconia system, Dental Direkt, Germany). Each monolithic zirconia group was equally subdivided according to be either air-abraded with 110 µm aluminium oxide particles or left untreated (control). After thermocycling, the flexural strength was measured by using a universal testing machine. Two-way ANOVA followed by Tukey's post hoc and independent samples t-test were used for the statistical analyses (P < 0.05). Results Surface treatment and types of zirconia were found to have a significant interaction (P = 0.010). Having controlled the effect of surface treatment, the flexural strength of HT and LT zirconia was found to be significantly higher than the ML zirconia system (P ≤ 0.001). Airborne particle abrasion could significantly decrease the flexural strength of monolithic zirconia only in ML zirconia (P = 0.002). Conclusions Multilayered zirconia system had the lowest flexural strength among all groups. Moreover, the flexural strength of this system was attenuated by surface treatment with airborne particles abrasion.
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Singh RG, Li KC, Lyons KM, Waddell JN. Effect of Two Brands of Glaze Material on the Flexural Strength and Probability of Failure of High Translucent Monolithic Zirconia. MATERIALS 2021; 14:ma14227022. [PMID: 34832419 PMCID: PMC8623283 DOI: 10.3390/ma14227022] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/14/2021] [Revised: 11/09/2021] [Accepted: 11/17/2021] [Indexed: 11/25/2022]
Abstract
(1) Background: The effect of glazing on the mechanical properties of monolithic high translucent zirconia is not well reported. Therefore, the purpose of this study was to evaluate the effect of glazing on the flexural strength of high translucent zirconia; (2) Methods: Ninety specimens were prepared from second-generation 3Y-TZP high translucent blocks and divided into three groups. Glaze materials were applied on one surface of the specimen and subjected to a four-point bending test and flexural stress and flexural displacement values were derived. Descriptive fractographic analysis of surfaces was conducted to observe the point of failure and fracture pattern.; (3) Results: Control-nonglazed (647.17, 1σ = 74.71 MPa) presented higher flexural strength values compared to glaze I (541.20, 1σ = 82.91 MPa) and glaze II (581.10, 1σ = 59.41 MPa). Characteristic strength (σƟ) from Weibull analysis also observed higher (660.67 MPa) values for the control specimens. Confocal microscopy revealed that glazed surfaces were much rougher than control surfaces. Descriptive fractographic analysis revealed that there was no correlation between the point of failure initiation and flexural strength; (4) Conclusions: The test results demonstrated that glazing significantly decreased the flexural strength and flexural displacement of the zirconia specimens.
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Al-Qaysi SH, Saleh ARM, El-Damanhoury HM. Fracture resistance and failure mode of layered translucent zirconia with different crown designs. Dent Mater J 2021; 41:54-59. [PMID: 34483200 DOI: 10.4012/dmj.2021-051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
This study investigated the impact of different veneering design on the fracture resistance and failure mode of layered translucent zirconia crowns, compared to the full monolithic zirconia crowns. Ninety crowns with different designs were divided into six groups (n=15); one fully contoured monolithic crown (FMC), one fully veneered with porcelain (FVC), or four partially veneered designs. All crowns were thermo-cycled, and then loaded to failure in a universal testing machine. The fracture resistance (N) and fracture modes were assessed. One-way ANOVA was performed followed by Tukey's multiple comparison (α<0.05). Results demonstrated that all the tested partially veneered designs exhibited enhanced fracture resistances and were comparable to that of the full-contour monolithic translucent zirconia crowns.
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Affiliation(s)
- Saif H Al-Qaysi
- Department of Clinical Sciences, College of Dentistry, Ajman University
| | | | - Hatem M El-Damanhoury
- Department of Preventive and Restorative Dentistry, College of Dental Medicine, University of Sharjah
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Iwaguro S, Shimoe S, Takenaka H, Wakabayashi Y, Peng TY, Kaku M. Effects of dimensions of laser-milled grid-like microslits on shear bond strength between porcelain or indirect composite resin and zirconia. J Prosthodont Res 2021; 66:151-160. [PMID: 34321372 DOI: 10.2186/jpr.jpr_d_20_00197] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
PURPOSE Zirconia cores and frameworks are widely used in restorative dentistry. Although these structures are veneered with porcelain for esthetic reasons, the use of indirect composite resins (ICRs) is expected to increase in the future. The purpose of this study was to investigate the effects of microslits of different dimensions formed by Nd:YVO 4 laser machining on the bond strength between two types of zirconia (3 mol% yttria-partially stabilized zirconia (Y-TZP) and ceria-partially stabilized zirconia/alumina nanocomposite (Ce-TZP/A)) and porcelain or an ICR. METHODS The zirconia disks were assigned as follows: 1) blasted with alumina particles (AB) and 2-4) surface machined with gridded microslits with a width, pitch, and depth of 50, 75, or 100 µm (MS50, MS75, and MS100, respectively). After the bonding of the veneering materials to the disks, half of the specimens veneered with the ICR were subjected to thermocycling (4-60°C, 20000 cycles). All the specimens were subsequently shear tested (n = 10/group). RESULTS There was no significant difference between the groups of the disks bonded to porcelain. On the other hand, for the disks bonded to the ICR, the bond strengths of the MS groups after thermocycling were statistically higher than that of the AB group. However, there was no significant difference in the bond strengths of the disks with different microslits. CONCLUSIONS Within the study limitations, it can be concluded that, for porcelain, the design of the mechanical retentive structure must be modified. However, for the investigated ICR, a simple gridded pattern can improve the bond strength with zirconia.
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Affiliation(s)
- Shogo Iwaguro
- Division of Dental Technician, Department of Clinical Practice and Support, Hiroshima University Hospital, Hiroshima
| | - Saiji Shimoe
- Department of Anatomy and Functional Restorations, Integrated Health Sciences, Hiroshima University Graduate School of Biomedical & Health Sciences, Hiroshima
| | - Hiroto Takenaka
- Dental Laboratory Center, Department of Medical Technology, Nagasaki University Hospital, Nagasaki
| | - Yuki Wakabayashi
- Department of Dental Medical Laboratory, Hokkaido University Hospital, Sapporo, Hokkaido
| | - Tzu-Yu Peng
- School of Dentistry, College of Oral Medicine, Taipei Medical University, Taipei
| | - Masato Kaku
- Department of Anatomy and Functional Restorations, Integrated Health Sciences, Hiroshima University Graduate School of Biomedical & Health Sciences, Hiroshima
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Impact of thermocycling on mechanical properties and discoloration of veneering composite resins after storage in various staining media. J Prosthet Dent 2021; 125:940-945. [DOI: 10.1016/j.prosdent.2020.03.030] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2019] [Revised: 03/23/2020] [Accepted: 03/23/2020] [Indexed: 11/23/2022]
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Al-Haj Husain N, Dürr T, Özcan M, Brägger U, Joda T. Mechanical stability of dental CAD-CAM restoration materials made of monolithic zirconia, lithium disilicate, and lithium disilicate-strengthened aluminosilicate glass ceramic with and without fatigue conditions. J Prosthet Dent 2021; 128:73-78. [PMID: 33546860 DOI: 10.1016/j.prosdent.2020.12.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2020] [Revised: 12/03/2020] [Accepted: 12/04/2020] [Indexed: 10/22/2022]
Abstract
STATEMENT OF PROBLEM Studies investigating the mechanical stability of lithium disilicate-strengthened aluminosilicate glass ceramic that do not require sintering after milling compared with other computer-aided design and computer-aided manufacturing (CAD-CAM) materials are lacking. PURPOSE The purpose of this in vitro study was to investigate the flexural strength of CAD-CAM zirconia, lithium disilicate, and lithium disilicate-strengthened aluminosilicate glass ceramics with and without fatigue conditions. MATERIAL AND METHODS Specimens (N=90, n=15) (12×4×3 mm) from the following CAD-CAM materials were prepared and polished: lithium disilicate glass ceramic (IPS e.max CAD); lithium disilicate-strengthened aluminosilicate glass ceramic (N!ce); and zirconium dioxide ceramic (IPS e.max ZirCAD). All specimens were divided into 2 subgroups: immediate testing without aging and simulation of aging by using a mastication simulator for 1 200 000 cycles (5 °C-55 °C). Thereafter, flexural strength testing was performed by using a universal testing machine (1 mm/min) on nonaged and aged specimens. The data were evaluated by using nonparametric 2-way ANOVA and Wilcoxon rank post hoc tests (α=.05). RESULTS Both the material type and aging significantly affected the results (P<.001). The interaction was not significant (P>.05). Under nonaged conditions, zirconium dioxide ceramic (1136 ±162 MPa) showed significantly higher mean ±standard deviation flexural strength (P<.001) than lithium disilicate (304 ±34 MPa) and lithium disilicate-strengthened aluminosilicate glass ceramic (202 ±17 MPa). The glass ceramic groups were also significantly different from each other (P<.001). After aging, zirconium dioxide (1087.9 ±185.3 MPa) also presented significantly higher mean ±standard deviation flexural strength (P<.001) than lithium disilicate (259 ±62 MPa) and lithium disilicate-strengthened aluminosilicate glass ceramic (172 ±11 MPa) (P<.001). Aging significantly decreased the flexural strength of lithium disilicate (14.6%) (P=.03) and lithium disilicate-strengthened aluminosilicate glass ceramic (14.5%) (P=.01) but had minimal effect on the zirconium dioxide ceramic (4.3%) (P=.29). CONCLUSIONS Among the tested CAD-CAM materials, the mechanical performance of lithium disilicate-strengthened aluminosilicate glass ceramic was comparable with that of lithium disilicate and considerably lower than that of zirconia. Aging decreased the flexural strength of both lithium disilicate and lithium disilicate-strengthened aluminosilicate glass ceramic.
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Affiliation(s)
- Nadin Al-Haj Husain
- Specialization Candidate, Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland.
| | - Tobias Dürr
- Master student, School of Dental Medicine, University of Bern, Bern, Switzerland
| | - Mutlu Özcan
- Professor and Head, Division of Dental Biomaterials, Clinic for Reconstructive Dentistry, University of Zurich, Zurich, Switzerland
| | - Urs Brägger
- Professor, Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland
| | - Tim Joda
- Professor, Department of Reconstructive Dentistry, University Center for Dental Medicine Basel, University of Basel, Basel, Switzerland
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Development of Scheelite Tailings-Based Ceramic Formulations with the Potential to Manufacture Porcelain Tiles, Semi-Stoneware and Stoneware. MATERIALS 2020; 13:ma13225122. [PMID: 33202868 PMCID: PMC7697586 DOI: 10.3390/ma13225122] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/02/2020] [Revised: 10/27/2020] [Accepted: 10/28/2020] [Indexed: 01/18/2023]
Abstract
New ceramic formulations based on scheelite tailing were developed, and their potential in the ceramic industry was evaluated. Green bodies with different contents of scheelite tailing (0–8 wt%) were sintered (1150 °C, 1200 °C, and 1250 °C) and characterized in terms of the main mineralogical phases, microstructure, and physico-mechanical properties. The mullite was the main phase identified in all sintered temperatures. This result was also ratified with the aid of scanning electron microscope (SEM) images, in which small needles of the mullite were detected. The presence of mullite is required because it contributes to increasing the mechanical resistance of the material. The physico-mechanical properties measured (water absorption, linear shrinkage, apparent porosity, and flexural strength) were compared to the ISO 13006, and the samples sintered at 1150 °C presented potential to be used as semi-stoneware, while those sintered at 1200 °C and 1250 °C can be employed stoneware and porcelain tiles, respectively.
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Sustainable Ceramic Materials Manufactured from Ceramic Formulations Containing Quartzite and Scheelite Tailings. SUSTAINABILITY 2020. [DOI: 10.3390/su12229417] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
Abstract
In this study, we develop ceramic formulations based on quartzite and scheelite tailings collected from mining companies in the northeast of Brazil (Rio Grande do Norte State). New ceramic samples (27 wt% of kaolin, 29 wt% of plastic clay, 11 wt% of quartzite tailing, and 0–8 wt% scheelite tailing) were uniaxially pressed in two steps (20 MPa and 50 Mpa for 20 s); dried at 110 °C for 24 h; and sintered at 1150 °C, 1200 °C, and 1250 °C. The main mineralogical phases (mullite, quartz, calcite, and anorthite) of the sintered samples were identified using X-ray diffraction (XRD). After evaluation of the physical-mechanical properties (water absorption, linear shrinkage, apparent porosity, and flexural strength), it was observed that the incorporation of scheelite tailing by up to 8 wt% did not significantly alter the properties of samples sintered at all temperatures. Our results indicate that the new ceramics formulations developed have strong potentials in manufacturing sustainable materials such as ceramic tiles and porcelain stoneware.
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Meirelles PD, da Rocha LS, Pecho OE, Della Bona A, Benetti P. Intraoral repair of a chipped porcelain-zirconia restoration. J ESTHET RESTOR DENT 2020; 32:444-450. [PMID: 32442351 DOI: 10.1111/jerd.12592] [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: 06/06/2019] [Revised: 04/09/2020] [Accepted: 04/20/2020] [Indexed: 01/18/2023]
Abstract
OBJECTIVE Ceramic fracture is an undesirable outcome of the rehabilitation with fixed partial dentures (FPD), mainly because it may involve additional cost and clinical time for intraoral repair or replacement of the restoration. This clinical report describes a 5 years survival intraoral repair of a chipped porcelain veneered zirconia framework restoration using a resin-based composite. CLINICAL CONSIDERATIONS A FPD of porcelain veneered zirconia was made. After 18 months, the FPD presented a porcelain chip (porcelain fracture without exposure to the zirconia structure) on the buccal side of the pontic. An epoxy resin replica of the fractured surface was obtained and was examined under scanning electron microscopy. Fracture origin was found at the cervical area of the pontic. Intraoral repair by bonding the chipped fragment back in place was performed. After 15 days, the porcelain fragment debonded without patient knowledge and the fragment was lost. Then, intraoral repair using composite resin to restore the fractured area was performed and is still in function to date. CONCLUSIONS Based on the 5-years survival of the performed intraoral repair, the composite resin reconstruction technique has shown to be an adequate alternative treatment for fractured FPD. CLINICAL SIGNIFICANCE A resin composite repair of the fracture site can be performed in one clinical session, using much less time and cost than for the replacement of FPD. This clinical case survived 5 years to date.
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Affiliation(s)
- Potira Dalques Meirelles
- Post-Graduate Program in Dentistry, School of Dentistry, University of Passo Fundo, Passo Fundo, Rio Grande do Sul, Brazil
| | - Larissa Simião da Rocha
- Post-Graduate Program in Dentistry, School of Dentistry, University of Passo Fundo, Passo Fundo, Rio Grande do Sul, Brazil
| | - Oscar E Pecho
- Post-Graduate Program in Dentistry, School of Dentistry, University of Passo Fundo, Passo Fundo, Rio Grande do Sul, Brazil
| | - Alvaro Della Bona
- Post-Graduate Program in Dentistry, School of Dentistry, University of Passo Fundo, Passo Fundo, Rio Grande do Sul, Brazil
| | - Paula Benetti
- Post-Graduate Program in Dentistry, School of Dentistry, University of Passo Fundo, Passo Fundo, Rio Grande do Sul, Brazil
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Wang G, Fu K, Wang S, Yang B. Optimization of mechanical and tribological properties of a dental SiO 2-Al 2O 3-K 2O-CaO-P 2O 5 glass-ceramic. J Mech Behav Biomed Mater 2019; 102:103523. [PMID: 31877524 DOI: 10.1016/j.jmbbm.2019.103523] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2019] [Revised: 11/03/2019] [Accepted: 11/04/2019] [Indexed: 11/24/2022]
Abstract
Dental glass-ceramics with main crystal of fluorapatite are usually employed as veneering porcelain. However, failure of the porcelain happens clinically in the form of fracture or excessive wear. The aims of the study were to evaluate the influence of microstructures of a SiO2-Al2O3-K2O-CaO-P2O5 fluorapatite glass-ceramic on its mechanical properties and tribological behaviors, and to improve the comprehensive performance by adjusting content and sintering process. The glass-ceramics were fabricated by sintering method with different CaO contents and heat treatment regimes. Phase compositions and crystal length of specimens were characterized by X-ray diffractometer and scanning electron microscope. Combined with mechanical properties, friction and wear behaviors in both dry and artificial saliva lubrication conditions were investigated. The results show that different content of CaO and heat treatment temperature could change crystallinity of main fluorapatite crystal. Larger crystallinity improves the mechanical properties, significantly influencing friction and wear behaviors. The specimens with 6.0 wt % CaO and sintered at 1100 °C have the best comprehensive performance, which show excellent mechanical properties and wear resistance.
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Affiliation(s)
- Gaoqi Wang
- School of Mechanical Engineering, University of Jinan, Jinan, 250022, China
| | - Kun Fu
- School of Mechanical Engineering, University of Jinan, Jinan, 250022, China
| | - Shouren Wang
- School of Mechanical Engineering, University of Jinan, Jinan, 250022, China.
| | - Bingbing Yang
- School of Mechanical Engineering, University of Jinan, Jinan, 250022, China
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Longhini D, Rocha C, de Oliveira LT, Olenscki NG, Bonfante EA, Adabo GL. Mechanical Behavior of Ceramic Monolithic Systems With Different Thicknesses. Oper Dent 2019; 44:E244-E253. [PMID: 31265354 DOI: 10.2341/18-083-l] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
OBJECTIVES This study assessed the fully stabilized zirconia (FSZ) Prettau Anterior, the partially stabilized zirconia (PSZ) Prettau, and the lithium disilicate IPS e.max CAD (LD) through microstructural and mechanical characterization and effect of thickness on fracture load of the ceramics. METHODS AND MATERIALS Disk-shaped specimens (12 mm diameter and 1.2 mm thickness) were prepared for biaxial flexural strength (BFS) and Weibull statistics (n=30). For the fracture load static test (FLST) and Weibull statistics (n=30), disk-shaped specimens 12 mm in diameter and thicknesses of 0.5 mm, 1 mm, and 1.5 mm were cemented on an epoxy-resin substrate. RESULTS BFS (MPa) results were PSZ: 683.0 ± 70.23; FSZ: 438.6 ± 64.1; and LD: 248.6 ± 37.3. One-way analysis of variance (ANOVA) for BFS was significant (p<0.001), and the Tukey post hoc test showed differences among all ceramics. There was difference in characteristic strength, but there was no difference in Weibull modulus. Two-way ANOVA for FLST was significant for ceramic (p<0001), thickness (p<0001), and interaction (p<0001). There was no difference among all ceramics at the 0.5 mm thickness. PSZ had higher values for the 1.0 mm and 1.5 mm thicknesses. LD of 1.5 mm thickness exhibited a higher FLST than FSZ. CONCLUSIONS PSZ had the highest BFS, but when cemented on a substrate, all ceramics with 0.5 mm thickness behaved similarly. Despite the lower BFS, LD had a fracture load similar or superior to FSZ when cemented on a substrate.
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Optical properties of translucent zirconia: A review of the literature. EUROBIOTECH JOURNAL 2019. [DOI: 10.2478/ebtj-2019-0005] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
Abstract
Translucent monolithic zirconia is the newest option of zirconia-based ceramics, which aimed to substitute the opaque classic yttria-stabilized tetragonal zirconia polycrystal (Y-TZPs) in more demanding esthetic cases.
The aim of this review was to assess the available literature regarding the optical, chemical and mechanical properties of translucent zirconia ceramics.
This systematic review was developed according to the PRISMA (Preferred Reporting Items for Systematic Review and Meta-analysis) guidelines. An electronic literature search was undertaken through Medline (National Library of Medicine) via PubMed to identify relevant articles, published in the interval 2010-2018. The search was limited to the English language publications, in vitro studies of color and microstructure of translucent zirconia material.
Yttria-stabilized tetragonal zirconia polycrystals (Y-TZPs) has excellent mechanical properties, but its intense white color and high opacity represent an esthetic limit. Cubic zirconia represents a new generation of dental ceramics with molecular structure and physical properties different from the conventional zirconia. Dental manufacturers created new formulations of this restorative material, introducing new cubic varieties of zirconia with improved optical properties. Translucent monolithic zirconia provides a new restorative option that combines strength with improved esthetics, due to its increased translucency. Translucent zirconia is indicated for anterior and posterior restorations but should be used carefully for discolored teeth, because the background color can affect the final esthetic appearance of the restoration.
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Evaluation of Dual-Cure Resin Cement Polymerization under Different Types and Thicknesses of Monolithic Zirconia. BIOMED RESEARCH INTERNATIONAL 2019; 2019:4567854. [PMID: 30729124 PMCID: PMC6343131 DOI: 10.1155/2019/4567854] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/11/2018] [Accepted: 12/26/2018] [Indexed: 02/04/2023]
Abstract
Purpose The aim of the present study was to investigate the effects of the type and thickness of the zirconia material on the microhardness of the underlying dual-cure resin cement. Materials and Methods Eight disk-shaped zirconia specimens with a 4-mm diameter and four varying thicknesses (0.5, 1.0, 1.5, and 2.0 mm) were fabricated from two different monolithic zirconia materials: posterior monolithic zirconia (Prettau) and anterior monolithic zirconia (Prettau Anterior). Dual-cure resin cement specimens with a 4-mm diameter and 5-mm height were prepared using Teflon cylinder molds and activated by light beneath the eight zirconia disks and without any zirconia disk for 20 s (n=12). A total of 108 specimens were embedded in acrylic. Vickers hardness of each specimen was measured at three different depths using a microhardness device with a 50-g load. All data were statistically evaluated using three-way ANOVA, one-way ANOVA, independent samples t-tests, and Bonferroni corrected post hoc tests (α=.05). Results Dual-cure resin cement's microhardness was significantly higher for the samples polymerized beneath anterior monolithic zirconia compared to posterior monolithic zirconia. The hardness decreased as the thickness increased for both types of zirconia; the latter was attributed to an attenuated curing efficiency. Conclusion Microhardness of the dual-cure resin cement is influenced by both the type and the thickness of the monolithic zirconia restoration. Polymerization efficiency for resin cement cured under anterior monolithic zirconia may be superior to cured beneath posterior monolithic zirconia.
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Vagropoulou GI, Klifopoulou GL, Vlahou SG, Hirayama H, Michalakis K. Complications and survival rates of inlays and onlays vs complete coverage restorations: A systematic review and analysis of studies. J Oral Rehabil 2018; 45:903-920. [PMID: 30019391 DOI: 10.1111/joor.12695] [Citation(s) in RCA: 38] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2017] [Revised: 07/07/2018] [Accepted: 07/16/2018] [Indexed: 12/17/2022]
Abstract
OBJECTIVE The aim of this study was to identify if different types of indirect restorations used for single teeth had different biological and technical complications, as well as survival rates. METHOD An electronic search was performed in various electronic databases to identify articles, published between 1980 and 2017. The search terms were categorised into 4 groups: inlay, onlay, inlay/onlay and crown. Manual searches of published full-text articles and related reviews were also performed. RESULTS A total number of 2849 papers were retrieved initially. After a detailed assessment for eligibility, 9 studies were selected for inclusion. The heterogeneity of the studies did allow neither a meta-analysis nor any meaningful comparison between types of restorations or materials. Only some pooling was performed for representative reasons. The mean survival rate of inlays was 90.89%, while for onlays and crowns it was 93.50% and 95.38%, respectively. For the fourth study group, consisting of both inlays and onlays, the survival rate was found to be 99.43%. Statistical analysis demonstrated caries to be the main biological complication for all types of restorations, followed by a root and/or tooth fracture incidence (11.34%) and endodontic incidence. Ceramic fractures represented the most common technical complication, followed by loss of retention and porcelain chipping. CONCLUSION The 5-year survival rate for crowns and inlays/onlays is very high, exceeding 90%. An association between the kind of complications and different types of restorations could not be established. Nevertheless, a relatively high failure rate due to caries and ceramic fractures was noted.
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Affiliation(s)
- Georgia I Vagropoulou
- Department of Prosthodontics, Division of Graduate Prosthodontics, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | | | - Stefania G Vlahou
- School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Hiroshi Hirayama
- Department of Restorative Sciences and Biomaterials, Division of Graduate Prosthodontics, Henry M Goldman School of Dental Medicine, Boston University, Boston, Massachusetts
| | - Konstantinos Michalakis
- Department of Prosthodontics, Division of Graduate Prosthodontics, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece.,Department of Prosthodontics, Division of Graduate and Postgraduate Prosthodontics, School of Dental Medicine, Tufts University, Boston, Massachusetts
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Sawada T, Schille C, Wagner V, Spintzyk S, Schweizer E, Geis-Gerstorfer J. Biaxial flexural strength of the bilayered disk composed of ceria-stabilized zirconia/alumina nanocomposite (Ce-TZP/A) and veneering porcelain. Dent Mater 2018; 34:1199-1210. [DOI: 10.1016/j.dental.2018.05.003] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2017] [Revised: 01/17/2018] [Accepted: 05/02/2018] [Indexed: 10/16/2022]
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Ebadian B, Mosharraf R, Abbasi M. Effect of ceramic cooling protocols and zirconia coloring on fracture load of zirconia-based restorations. Dent Res J (Isfahan) 2018; 15:17-24. [PMID: 29497443 PMCID: PMC5806426 DOI: 10.4103/1735-3327.223612] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023] Open
Abstract
Background: Residual thermal stresses in dental porcelains can cause clinical failure. Porcelain cooling protocols may affect the amount of residual stresses within porcelain and also porcelain–zirconia bond strength. The objective of this study was to assess the effect of cooling protocols on the fracture load of porcelain veneered zirconia restorations. Materials and Methods: Forty zirconia bars (31 mm × 6.5 mm × 1.35 mm ± 0.1 mm) were fabricated by computer-aided design and computer-aided manufacturing technology. Half of the specimens were immersed in the coloring agent for 2 min before sintering (yellow group). Thus, the specimens were divided into two groups of white (W) and yellow (Y) samples (n = 20). Heat-pressed ceramic was applied to all bars. After pressing, half of the samples in each group were immediately removed from the oven (fast cooling) while the other specimens remained in the partially open door (30%) oven until the temperature reached to 500°C. Samples were thermocycled for 5000 cycles and subjected to modified four-point flexural strength test by a universal testing machine at a crosshead speed of 0.5 mm/min. Two-way ANOVA, One-way ANOVA followed by post hoc Tukey honest significant difference tests were used for data analysis (α = 0.05). Results: Fractures were cohesive in all samples (within the porcelain adjacent to the interface). Two-way ANOVA showed that the effect of cooling protocol on the fracture load of samples was statistically significant (P < 0.001). In addition, the fracture load of W and Y groups was significantly different (P < 0.001). The white slow group showed the highest fracture load (179.88 ± 23.43 N). Conclusion: Slow cooling protocol should be preferably applied for zirconia restorations. Coloring agent used in this study had a significant negative effect on fracture load.
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Affiliation(s)
- Behnaz Ebadian
- Department of Prosthodontics, Dental Implant Research Center, School of Dentistry, Isfahan University of Medical Science, Isfahan, Iran
| | - Ramin Mosharraf
- Department of Prosthodontics, Dental Material Research Center, School of Dentistry, Isfahan University of Medical Science, Isfahan, Iran
| | - Mahsa Abbasi
- Department of Prosthodontics, School of Dentistry, Shahrekord University of Medical Science, Shahrekord, Iran
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Tabatabaian F. Color in Zirconia-Based Restorations and Related Factors: A Literature Review. J Prosthodont 2018; 27:201-211. [DOI: 10.1111/jopr.12740] [Citation(s) in RCA: 40] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/16/2017] [Indexed: 11/30/2022] Open
Affiliation(s)
- Farhad Tabatabaian
- Department of Prosthodontics, School of Dentistry; Shahid Beheshti University of Medical Sciences; Tehran Iran
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Askari E, Flores P, Silva F. A particle swarm-based algorithm for optimization of multi-layered and graded dental ceramics. J Mech Behav Biomed Mater 2018; 77:461-469. [DOI: 10.1016/j.jmbbm.2017.10.005] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2017] [Revised: 09/27/2017] [Accepted: 10/02/2017] [Indexed: 10/18/2022]
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All-ceramic, bi-layered crowns supported by zirconia implants: Three-year results of a prospective multicenter study. J Dent 2017; 67:58-65. [DOI: 10.1016/j.jdent.2017.09.008] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2017] [Revised: 09/16/2017] [Accepted: 09/18/2017] [Indexed: 11/18/2022] Open
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Comparison of three and four point bending evaluation of two adhesive bonding systems for glass-ceramic zirconia bi-layered ceramics. Dent Mater 2017; 33:1004-1011. [DOI: 10.1016/j.dental.2017.06.007] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2017] [Revised: 05/19/2017] [Accepted: 06/09/2017] [Indexed: 11/23/2022]
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Zaher AM, Hochstedler J, Rueggeberg FA, Kee EL. Shear bond strength of zirconia-based ceramics veneered with 2 different techniques. J Prosthet Dent 2017; 118:221-227. [DOI: 10.1016/j.prosdent.2016.11.016] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2016] [Revised: 11/22/2016] [Accepted: 11/28/2016] [Indexed: 10/20/2022]
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Lundberg K, Wu L, Papia E. The effect of grinding and/or airborne-particle abrasion on the bond strength between zirconia and veneering porcelain: a systematic review. ACTA BIOMATERIALIA ODONTOLOGICA SCANDINAVICA 2017. [PMID: 28642927 PMCID: PMC5463334 DOI: 10.1080/23337931.2017.1293486] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Objective: The aim of the study was to make an inventory of current literature on the bond strength between zirconia and veneering porcelain after surface treatment of zirconia by grinding with diamond bur and/or with airborne-particle abrasion. Material and methods: The literature search for the present review was made following recommended guidelines using acknowledged methodology on how to do a systematic review. The electronic databases PubMed, Cochrane Library, and Science Direct were used in the present study. Results: Twelve studies were selected. Test methods used in the original studies included shear bond strength (SBS) test, tensile bond strength test, and micro-tensile bond strength test. The majority of studies used SBS. Results showed a large variation within each surface treatment of zirconia, using different grain size, blasting time, and pressure. Conclusions: Airborne-particle abrasion might improve the bond strength and can therefore be considered a feasible surface treatment for zirconia that is to be bonded. Grinding has been recommended as a surface treatment for zirconia to improve the bond strength; however, this recommendation cannot be verified. A standardized test method and surface treatment are required to be able to compare the results from different studies and draw further conclusions.
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Affiliation(s)
- Karin Lundberg
- Department of Materials Science and Technology, Faculty of Odontology, Malmö UniversityMalmöSweden
| | - Lindsey Wu
- Department of Materials Science and Technology, Faculty of Odontology, Malmö UniversityMalmöSweden
| | - Evaggelia Papia
- Department of Materials Science and Technology, Faculty of Odontology, Malmö UniversityMalmöSweden
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DIKICIER S, AYYILDIZ S, OZEN J, SIPAHI C. Influence of core thickness and artificial aging on the biaxial flexural strength of different all-ceramic materials: An in-vitro study. Dent Mater J 2017; 36:296-302. [DOI: 10.4012/dmj.2016-157] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
| | - Simel AYYILDIZ
- Department of Prosthodontics, Center for Dental Sciences, Health Sciences University
| | - Julide OZEN
- Department of Prosthodontics, Istanbul Aydin University Faculty of Dentistry
| | - Cumhur SIPAHI
- Department of Prosthodontics, Center for Dental Sciences, Health Sciences University
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Alghazzawi TF. The effect of extended aging on the optical properties of different zirconia materials. J Prosthodont Res 2016; 61:305-314. [PMID: 27964931 DOI: 10.1016/j.jpor.2016.11.002] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2016] [Revised: 10/12/2016] [Accepted: 11/06/2016] [Indexed: 10/20/2022]
Abstract
PURPOSE The purpose of this study was to determine if the optical properties of zirconia and glass-ceramic (e.max) were affected by low-temperature degradation (aging). METHODS Experiment samples were fabricated with seven zirconia brands (n=10): Zenostar, Zirlux, Katana, Bruxzir, DD-BioZX2, DD-cubeX2, NexxZr; and e.max were used as a control. This resulted in a total of 80 samples in the experiment. The L*, a* and b* were measured for each sample, and then the optical properties including translucency parameter (TP), contrast ratio (CR), and opalescence parameter (OP) were calculated. The samples were aged (20, 40, 60, 80, 100h), and the optical properties were calculated after each interval. RESULTS Most zirconia brands had lower L*, higher a*, higher b* with increased aging, which visually corresponds to darker, redder, and more yellow. Aging also increased CR, lowered TP, and lowered OP. e.max was also affected by aging but still had the highest TP (23.9±2.8), L* (81.7±3.4), and lowest CR (0.41±0.05) compared to any zirconia. The Zenostar had the closest TP (24.1±0.4), and L* (90.2±0.5) values to e.max before aging. However, after 100h of aging, the DD-cubeX2 was least effected and had the highest TP (22.2±0.6) and lowest CR (0.43±0.01) compared with other zirconia samples and highest OP (11.3±0.2) of all ceramic samples. CONCLUSIONS The optical properties of zirconia and e.max materials were affected by aging with the effects increasing with time. The magnitude of change was affected by seven brands of dental zirconia.
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Affiliation(s)
- Tariq F Alghazzawi
- Department of Prosthetic Dental Sciences, College of Dentistry, Taibah University, Medina, Saudi Arabia; Department of Materials Science and Engineering, School of Engineering, The University of Alabama at Birmingham, United States.
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Calha N, Messias A, Guerra F, Martinho B, Neto MA, Nicolau P. Effect of geometry on deformation of anterior implant-supported zirconia frameworks: An in vitro study using digital image correlation. J Prosthodont Res 2016; 61:139-148. [PMID: 27667555 DOI: 10.1016/j.jpor.2016.08.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2015] [Revised: 07/20/2016] [Accepted: 08/27/2016] [Indexed: 10/21/2022]
Abstract
PURPOSE To evaluate the effect of geometry on the displacement and the strain distribution of anterior implant-supported zirconia frameworks under static load using the 3D digital image correlation method. METHODS Two groups (n=5) of 4-unit zirconia frameworks were produced by CAD/CAM for the implant-abutment assembly. Group 1 comprised five straight configuration frameworks and group 2 consisted of five curved configuration frameworks. Specimens were cemented and submitted to static load up to 200N. Displacements were captured with two high-speed photographic cameras and analyzed with video correlation system in three spacial axes U, V, W. Statistical analysis was made using the nonparametric Mann-Whitney test. RESULTS Up to 150N loads, the vertical displacements (V axis) were statistically higher for curved frameworks (-267.83±23.76μm), when compared to the straight frameworks (-120.73±36.17μm) (p=0.008), as well as anterior displacements in the W transformed axis (589.55±64.51μm vs 224.29±50.38μm for the curved and straight frameworks), respectively (p=0.008). The mean von Mises strains over the surface frameworks were statistically higher for the curved frameworks under any load. CONCLUSION Within the limitations of this in vitro study, it is possible to conclude that the geometric configuration influences the deformation of 4-unit anterior frameworks under static load. The higher strain distribution and micro-movements of the curved frameworks reflect less rigidity and increased risk of fractures associated to FPDs.
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Affiliation(s)
- Nuno Calha
- Department of Dentistry, Faculty of Medicine, University of Coimbra, Portugal
| | - Ana Messias
- Department of Dentistry, Faculty of Medicine, University of Coimbra, Portugal; Centre for Mechanical Engineering, University of Coimbra, Portugal.
| | - Fernando Guerra
- Department of Dentistry, Faculty of Medicine, University of Coimbra, Portugal; Centre for Mechanical Engineering, University of Coimbra, Portugal
| | - Beatriz Martinho
- Department of Dentistry, Faculty of Medicine, University of Coimbra, Portugal
| | | | - Pedro Nicolau
- Department of Dentistry, Faculty of Medicine, University of Coimbra, Portugal; Centre for Mechanical Engineering, University of Coimbra, Portugal
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Fabris D, Souza JC, Silva FS, Fredel M, Mesquita-Guimarães J, Zhang Y, Henriques B. The bending stress distribution in bilayered and graded zirconia-based dental ceramics. CERAMICS INTERNATIONAL 2016; 42:11025-11031. [PMID: 28104926 PMCID: PMC5241077 DOI: 10.1016/j.ceramint.2016.03.245] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
The purpose of this study was to evaluate the biaxial flexural stresses in classic bilayered and in graded zirconia-feldspathic porcelain composites. A finite element method and an analytical model were used to simulate the piston-on-ring test and to predict the biaxial stress distributions across the thickness of the bilayer and graded zirconia-feldspathic porcelain discs. An axisymmetric model and a flexure formula of Hsueh et al. were used in the FEM and analytical analysis, respectively. Four porcelain thicknesses were tested in the bilayered discs. In graded discs, continuous and stepwise transitions from the bottom zirconia layer to the top porcelain layer were studied. The resulting stresses across the thickness, measured along the central axis of the disc, for the bilayered and graded discs were compared. In bilayered discs, the maximum tensile stress decreased while the stress mismatch (at the interface) increased with the porcelain layer thickness. The optimized balance between both variables is achieved for a porcelain thickness ratio in the range of 0.30-0.35. In graded discs, the highest tensile stresses were registered for porcelain rich interlayers (p=0.25) whereas the zirconia rich ones (p=8) yield the lowest tensile stresses. In addition, the maximum stresses in a graded structure can be tailored by altering compositional gradients. A decrease in maximum stresses with increasing values of p (a scaling exponent in the power law function) was observed. Our findings showed a good agreement between the analytical and simulated models, particularly in the tensile region of the disc. Graded zirconia-feldspathic porcelain composites exhibited a more favourable stress distribution relative to conventional bilayered systems. This fact can significantly impact the clinical performance of zirconia-feldspathic porcelain prostheses, namely reducing the fracture incidence of zirconia and the chipping and delamination of porcelain.
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Affiliation(s)
- Douglas Fabris
- Ceramic and Composite Materials Research Group (CERMAT), Federal University of Santa Catarina (UFSC), Campus Trindade, Florianópolis/SC, Brazil
| | - Júlio C.M. Souza
- CMEMS-UMinho, University of Minho, Campus de Azurém, 4800-058 Guimarães, Portugal
- School of Dentistry (DODT), Post-Graduation Program in Dentistry (PPGO), Federal University of Santa Catarina, Campus Trindade, 88040-900, Florianópolis/SC, Brazil
| | - Filipe S. Silva
- CMEMS-UMinho, University of Minho, Campus de Azurém, 4800-058 Guimarães, Portugal
| | - Márcio Fredel
- Ceramic and Composite Materials Research Group (CERMAT), Federal University of Santa Catarina (UFSC), Campus Trindade, Florianópolis/SC, Brazil
| | - Joana Mesquita-Guimarães
- Ceramic and Composite Materials Research Group (CERMAT), Federal University of Santa Catarina (UFSC), Campus Trindade, Florianópolis/SC, Brazil
| | - Yu Zhang
- Department of Biomaterials and Biomimetics, New York University College of Dentistry, New York University, New York, USA
| | - Bruno Henriques
- Ceramic and Composite Materials Research Group (CERMAT), Federal University of Santa Catarina (UFSC), Campus Trindade, Florianópolis/SC, Brazil
- School of Dentistry (DODT), Post-Graduation Program in Dentistry (PPGO), Federal University of Santa Catarina, Campus Trindade, 88040-900, Florianópolis/SC, Brazil
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Malkondu Ö, Tinastepe N, Akan E, Kazazoğlu E. An overview of monolithic zirconia in dentistry. BIOTECHNOL BIOTEC EQ 2016. [DOI: 10.1080/13102818.2016.1177470] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
Affiliation(s)
- Özlem Malkondu
- Faculty of Dentistry, Department of Prosthodontics, Yeditepe University, Istanbul, Turkey
| | - Neslihan Tinastepe
- Faculty of Dentistry, Department of Prosthodontics, Yeditepe University, Istanbul, Turkey
| | - Ender Akan
- Faculty of Dentistry, Department of Prosthodontics, İzmir Katip Çelebi University, Izmir, Turkey
| | - Ender Kazazoğlu
- Faculty of Dentistry, Department of Prosthodontics, İzmir Katip Çelebi University, Izmir, Turkey
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Spies BC, Kohal RJ, Balmer M, Vach K, Jung RE. Evaluation of zirconia-based posterior single crowns supported by zirconia implants: preliminary results of a prospective multicenter study. Clin Oral Implants Res 2016; 28:613-619. [DOI: 10.1111/clr.12842] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/06/2016] [Indexed: 11/29/2022]
Affiliation(s)
- Benedikt Christopher Spies
- Department of Prosthetic Dentistry; Center for Dental Medicine; Medical Center - University of Freiburg; Freiburg Germany
| | - Ralf-Joachim Kohal
- Department of Prosthetic Dentistry; Center for Dental Medicine; Medical Center - University of Freiburg; Freiburg Germany
| | - Marc Balmer
- Clinic of Fixed and Removable Prosthodontics and Dental Material Science; Center of Dental Medicine; University of Zurich; Zurich Switzerland
| | - Kirstin Vach
- Center for Medical Biometry and Medical Informatics; Institute for Medical Biometry and Statistics; Medical Center - University of Freiburg; Freiburg Germany
| | - Ronald E. Jung
- Clinic of Fixed and Removable Prosthodontics and Dental Material Science; Center of Dental Medicine; University of Zurich; Zurich Switzerland
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Schatz C, Strickstrock M, Roos M, Edelhoff D, Eichberger M, Zylla IM, Stawarczyk B. Influence of Specimen Preparation and Test Methods on the Flexural Strength Results of Monolithic Zirconia Materials. MATERIALS 2016; 9:ma9030180. [PMID: 28773307 PMCID: PMC5456702 DOI: 10.3390/ma9030180] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/21/2015] [Revised: 02/09/2016] [Accepted: 03/02/2016] [Indexed: 11/16/2022]
Abstract
The aim of this work was to evaluate the influence of specimen preparation and test method on the flexural strength results of monolithic zirconia. Different monolithic zirconia materials (Ceramill Zolid (Amann Girrbach, Koblach, Austria), Zenostar ZrTranslucent (Wieland Dental, Pforzheim, Germany), and DD Bio zx2 (Dental Direkt, Spenge, Germany)) were tested with three different methods: 3-point, 4-point, and biaxial flexural strength. Additionally, different specimen preparation methods were applied: either dry polishing before sintering or wet polishing after sintering. Each subgroup included 40 specimens. The surface roughness was assessed using scanning electron microscopy (SEM) and a profilometer whereas monoclinic phase transformation was investigated with X-ray diffraction. The data were analyzed using a three-way Analysis of Variance (ANOVA) with respect to the three factors: zirconia, specimen preparation, and test method. One-way ANOVA was conducted for the test method and zirconia factors within the combination of two other factors. A 2-parameter Weibull distribution assumption was applied to analyze the reliability under different testing conditions. In general, values measured using the 4-point test method presented the lowest flexural strength values. The flexural strength findings can be grouped in the following order: 4-point < 3-point < biaxial. Specimens prepared after sintering showed significantly higher flexural strength values than prepared before sintering. The Weibull moduli ranged from 5.1 to 16.5. Specimens polished before sintering showed higher surface roughness values than specimens polished after sintering. In contrast, no strong impact of the polishing procedures on the monoclinic surface layer was observed. No impact of zirconia material on flexural strength was found. The test method and the preparation method significantly influenced the flexural strength values.
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Affiliation(s)
- Christine Schatz
- Department of Prosthodontics, Dental School, Ludwig-Maximilians-University Munich, Goethestrasse 70, Munich 80336, Germany.
| | - Monika Strickstrock
- Faculty of Engineering and Computer Science, Material Science and Analysis, University of Applied Sciences, Hochschule Osnabrück, Albrechtstrasse 30, Osnabrück 49076, Germany.
| | - Malgorzata Roos
- Department of Biostatistics, Epidemiology Biostatistics and Prevention Institute, University of Zurich, Hirschengraben 84, Zurich 8001, Switzerland.
| | - Daniel Edelhoff
- Department of Prosthodontics, Dental School, Ludwig-Maximilians-University Munich, Goethestrasse 70, Munich 80336, Germany.
| | - Marlis Eichberger
- Department of Prosthodontics, Dental School, Ludwig-Maximilians-University Munich, Goethestrasse 70, Munich 80336, Germany.
| | - Isabella-Maria Zylla
- Faculty of Engineering and Computer Science, Material Science and Analysis, University of Applied Sciences, Hochschule Osnabrück, Albrechtstrasse 30, Osnabrück 49076, Germany.
| | - Bogna Stawarczyk
- Department of Prosthodontics, Dental School, Ludwig-Maximilians-University Munich, Goethestrasse 70, Munich 80336, Germany.
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Mahmood DJH, Linderoth EH, Wennerberg A, Vult Von Steyern P. Influence of core design, production technique, and material selection on fracture behavior of yttria-stabilized tetragonal zirconia polycrystal fixed dental prostheses produced using different multilayer techniques: split-file, over-pressing, and manually built-up veneers. Clin Cosmet Investig Dent 2016; 8:15-27. [PMID: 26929667 PMCID: PMC4758792 DOI: 10.2147/ccide.s94343] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
AIM To investigate and compare the fracture strength and fracture mode in eleven groups of currently, the most commonly used multilayer three-unit all-ceramic yttria-stabilized tetragonal zirconia polycrystal (Y-TZP) fixed dental prostheses (FDPs) with respect to the choice of core material, veneering material area, manufacturing technique, design of connectors, and radii of curvature of FDP cores. MATERIALS AND METHODS A total of 110 three-unit Y-TZP FDP cores with one intermediate pontic were made. The FDP cores in groups 1-7 were made with a split-file design, veneered with manually built-up porcelain, computer-aided design-on veneers, and over-pressed veneers. Groups 8-11 consisted of FDPs with a state-of-the-art design, veneered with manually built-up porcelain. All the FDP cores were subjected to simulated aging and finally loaded to fracture. RESULTS There was a significant difference (P<0.05) between the core designs, but not between the different types of Y-TZP materials. The split-file designs with VITABLOCS(®) (1,806±165 N) and e.max(®) ZirPress (1,854±115 N) and the state-of-the-art design with VITA VM(®) 9 (1,849±150 N) demonstrated the highest mean fracture values. CONCLUSION The shape of a split-file designed all-ceramic reconstruction calls for a different dimension protocol, compared to traditionally shaped ones, as the split-file design leads to sharp approximal indentations acting as fractural impressions, thus decreasing the overall strength. The design of a framework is a crucial factor for the load bearing capacity of an all-ceramic FDP. The state-of-the-art design is preferable since the split-file designed cores call for a cross-sectional connector area at least 42% larger, to have the same load bearing capacity as the state-of-the-art designed cores. All veneering materials and techniques tested in the study, split-file, over-press, built-up porcelains, and glass-ceramics are, with a great safety margin, sufficient for clinical use both anteriorly and posteriorly. Analysis of the fracture pattern shows differences between the milled veneers and over-pressed or built-up veneers, where the milled ones show numerically more veneer cracks and the other groups only show complete connector fractures.
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Affiliation(s)
| | - Ewa H Linderoth
- Department of Prosthetic Dentistry, Faculty of Odontology, Malmö University, Malmö, Sweden
| | - Ann Wennerberg
- Department of Prosthetic Dentistry, Faculty of Odontology, Malmö University, Malmö, Sweden
| | - Per Vult Von Steyern
- Department of Prosthetic Dentistry, Faculty of Odontology, Malmö University, Malmö, Sweden
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Nobuaki A, Keiichi Y, Takashi S. Effects of air abrasion with alumina or glass beads on surface characteristics of CAD/CAM composite materials and the bond strength of resin cements. J Appl Oral Sci 2016; 23:629-36. [PMID: 26814465 PMCID: PMC4716701 DOI: 10.1590/1678-775720150261] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2015] [Accepted: 09/30/2015] [Indexed: 11/22/2022] Open
Abstract
Objective The study aimed to evaluate effects of air abrasion with alumina or glass beads on bond strengths of resin cements to CAD/CAM composite materials. Material and Methods CAD/CAM composite block materials [Cerasmart (CS) and Block HC (BHC)] were pretreated as follows: (a) no treatment (None), (b) application of a ceramic primer (CP), (c) alumina-blasting at 0.2 MPa (AB), (d) AB followed by CP (AB+CP), and (e) glass-beads blasting at 0.4 MPa (GBB) followed by CP (GBB+CP). The composite specimens were bonded to resin composite disks using resin cements [G-CEM Cerasmart (GCCS) and ResiCem (RC)]. The bond strengths after 24 h (TC 0) and after thermal cycling (TC 10,000 at 4–60°C) were measured by shear tests. Three-way ANOVA and the Tukey compromise post hoc tests were used to analyze statistically significant differences between groups (α=0.05). Results For both CAD/CAM composite materials, the None group exhibited a significant decrease in bond strength after TC 10,000 (p<0.05). AB showed significantly higher bond strength after TC 10,000 than the None group, while CP did not (p<0.05). GBB exhibited smaller surface defects than did AB; however, their surface roughnesses were not significantly different (p>0.05). The AB+CP group showed a significantly higher bond strength after TC 10,000 than did the AB group for RC (p<0.05), but not for GCCS. The GBB+CP group showed the highest bond strength for both thermal cyclings (p<0.05). Conclusions Air abrasion with glass beads was more effective in increasing bond durability between the resin cements and CAD/CAM composite materials than was using an alumina powder and a CP.
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Affiliation(s)
- Arao Nobuaki
- Department of Applied Prosthodontics, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan
| | - Yoshida Keiichi
- Clinic of Fixed Prosthodontics, Nagasaki University Hospital, Nagasaki, Japan
| | - Sawase Takashi
- Department of Applied Prosthodontics, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan
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Tong H, Tanaka CB, Kaizer MR, Zhang Y. Characterization of three commercial Y-TZP ceramics produced for their high-translucency, high-strength and high-surface area. CERAMICS INTERNATIONAL 2016; 42:1077-1085. [PMID: 26664123 PMCID: PMC4671392 DOI: 10.1016/j.ceramint.2015.09.033] [Citation(s) in RCA: 86] [Impact Index Per Article: 10.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Developing yttria-stabilized tetragonal zirconia polycrystal (Y-TZP) with high strength and translucency could significantly widen the clinical indications of monolithic zirconia restorations. This study investigates the mechanical and optical properties of three Y-TZP ceramics: High-Translucency, High-Strength and High-Surface Area. The four-point bending strengths (mean ± standard error) for the three Y-TZP ceramics (n = 10) were 990 ± 39, 1416 ± 33 and 1076 ± 32 MPa for High-Translucency, High-Strength and High-Surface Area, respectively. The fracture toughness values (mean ± standard error) for the three zirconias (n = 10) were 3.24 ± 0.10, 3.63 ± 0.12 and 3.21 ± 0.14 MPa m1/2 for High-Translucency, High-Strength and High-Surface Area, respectively. Both strength and toughness values of High-Strength zirconia were significantly higher than High-Surface Area and High-Translucency zirconias. Translucency parameter values of High-Translucency zirconia were considerably higher than High-Strength and High-Surface Area zirconias. However, all three zirconias became essentially opaque when their thickness reached 1 mm or greater. Our findings suggest that there exists a delicate balance between mechanical and optical properties of the current commercial Y-TZP ceramics.
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Affiliation(s)
- Hui Tong
- New York University College of Dentistry, Department of Biomaterials and Biomimetics, 433 First Avenue, Room 810, New York, NY 10010, USA
- School of Metallurgy and Environment, Central South University, Changsha, Hunan, 410083, P.R. China
| | - Carina B. Tanaka
- New York University College of Dentistry, Department of Biomaterials and Biomimetics, 433 First Avenue, Room 810, New York, NY 10010, USA
- Department of Dental Materials, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Marina R. Kaizer
- New York University College of Dentistry, Department of Biomaterials and Biomimetics, 433 First Avenue, Room 810, New York, NY 10010, USA
- Federal University of Pelotas, Graduate Program in Dentistry, Pelotas, Brazil
| | - Yu Zhang
- New York University College of Dentistry, Department of Biomaterials and Biomimetics, 433 First Avenue, Room 810, New York, NY 10010, USA
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Chantranikul N, Salimee P. Biaxial flexural strength of bilayered zirconia using various veneering ceramics. J Adv Prosthodont 2015; 7:358-67. [PMID: 26576251 PMCID: PMC4644776 DOI: 10.4047/jap.2015.7.5.358] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2015] [Revised: 08/03/2015] [Accepted: 09/23/2015] [Indexed: 11/08/2022] Open
Abstract
PURPOSE The aim of this study was to evaluate the biaxial flexural strength (BFS) of one zirconia-based ceramic used with various veneering ceramics. MATERIALS AND METHODS Zirconia core material (Katana) and five veneering ceramics (Cerabien ZR; CZR, Lava Ceram; LV, Cercon Ceram Kiss; CC, IPS e.max Ceram; EM and VITA VM9; VT) were selected. Using the powder/liquid layering technique, bilayered disk specimens (diameter: 12.50 mm, thickness: 1.50 mm) were prepared to follow ISO standard 6872:2008 into five groups according to veneering ceramics as follows; Katana zirconia veneering with CZR (K/CZR), Katana zirconia veneering with LV (K/LV), Katana zirconia veneering with CC (K/CC), Katana zirconia veneering with EM (K/EM) and Katana zirconia veneering with VT (K/VT). After 20,000 thermocycling, load tests were conducted using a universal testing machine (Instron). The BFS were calculated and analyzed with one-way ANOVA and Tukey HSD (α=0.05). The Weibull analysis was performed for reliability of strength. The mode of fracture and fractured surface were observed by SEM. RESULTS It showed that K/CC had significantly the highest BFS, followed by K/LV. BFS of K/CZR, K/EM and K/VT were not significantly different from each other, but were significantly lower than the other two groups. Weibull distribution reported the same trend of reliability as the BFS results. CONCLUSION From the result of this study, the BFS of the bilayered zirconia/veneer composite did not only depend on the Young's modulus value of the materials. Further studies regarding interfacial strength and sintering factors are necessary to achieve the optimal strength.
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Affiliation(s)
- Natravee Chantranikul
- Department of Prosthodontics, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
| | - Prarom Salimee
- Department of Prosthodontics, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
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The Schwickerath adhesion test: A fracture mechanics analysis. Dent Mater 2015; 31:986-91. [DOI: 10.1016/j.dental.2015.05.007] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2014] [Revised: 03/26/2015] [Accepted: 05/15/2015] [Indexed: 11/18/2022]
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Comparison of interim restorations fabricated by CAD/CAM with those fabricated manually. J Prosthet Dent 2015; 114:414-9. [PMID: 26001490 DOI: 10.1016/j.prosdent.2015.03.007] [Citation(s) in RCA: 101] [Impact Index Per Article: 11.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2014] [Revised: 03/04/2015] [Accepted: 03/05/2015] [Indexed: 11/21/2022]
Abstract
STATEMENT OF PROBLEM Interim restorations represent an essential treatment step; however, the optimal resin material for long-term interim restorations requires investigation. PURPOSE The purpose of this in vitro study was to compare the color stability, water sorption, wear resistance, surface hardness, fracture resistance, and microleakage of computer-aided design/computer-aided manufacturing-(CAD/CAM) fabricated interim restorations with those of manually fabricated interim restorations. MATERIAL AND METHODS Epoxy replicas were made from a prepared maxillary first premolar. On the replicas, interim crowns were fabricated and divided into the following groups: CAD/CAM poly(methyl methacrylate) (PMMA) blocks (CC), autopolymerizing temporary resin (AP), automix temporary resin (AM), and thermoplastic resin (TP). After cementation, all specimens were subjected to thermocycling and dynamic fatigue. The CIE Laboratory color coordinates were then recorded before and after immersion in coffee, tea, carbonated cola, and red wine. Water sorption was evaluated by using an immersion technique. Wear resistance was measured in a surface abrasion device. Vickers microhardness was measured on polished specimens. Fracture resistance was evaluated by axial loading with a universal testing machine. Marginal dye penetration was evaluated by sectioning the interim restorations after immersion in methylene blue (α=.05). RESULTS Colorimetric analysis revealed a large degree of color alteration (ΔE) in the manually fabricated interim restorations: AP = ΔE of 6.7 ±2); AM = ΔE of 7.1 ±1.5), and TP = ΔE of =5.4 ±3.1. The CC group demonstrated color stability (ΔE=2.1 ±0.2). CAD/CAM interim restorations demonstrated significantly lower water sorption, higher wear resistance, higher surface hardness, and significantly higher fracture resistance (1289±56N) compared with manually fabricated interim restorations (AP=996 ±45, AM=899 ±37, and TP=1179 ±41). The stereomicroscopic examination of sectioned specimens demonstrated the absence of dye penetration in all tested specimens. CONCLUSIONS CAD/CAM interim crowns presented stable physical and mechanical properties and may be used for long-term interim restorations.
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Ueda K, Güth JF, Erdelt K, Stimmelmayr M, Kappert H, Beuer F. Light transmittance by a multi-coloured zirconia material. Dent Mater J 2015; 34:310-4. [PMID: 25904173 DOI: 10.4012/dmj.2014-238] [Citation(s) in RCA: 42] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Full-contour zirconia restorations are gaining in popularity. Highly translucent zirconia materials and multi-coloured zirconia blocks might help to overcome the aesthetic drawbacks of traditional zirconia. This study evaluated the transmittance of visible light (400-700 nm) through the four different layers (Enamel Layer EL, Transition Layer 1 TL1, Transition Layer 2 TL2, Body Layer BL) of a multi-coloured zirconia block (KATANA™ Zirconia Multi-Layered Disc (ML)) using a spectrophotometer. Forty specimens (thickness of 1±0.05 mm) from each layer were examined and statistically evaluated at a confidence-level of 5%. Light transmittance was expressed as a percentage of the through-passing light. The following mean values (SD) were found: EL 32.8% (1.5), TL1 31.2% (1.3), TL2 25.4% (1.3) and BL 21.7% (1.1). Significant differences were found between all groups (ANOVA, Student-Newman-Keuls). This multi-coloured zirconia block showed four layers with different light transmittance capabilities. It might therefore be useful for enhancing the aesthetic appearance of full-contour zirconia restorations made from this material.
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Affiliation(s)
- Kazuhiko Ueda
- Comprehensive Dental Care, Oral Implant Center, Niigata Hospital, Nippon Dental University
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Evaluation of a novel multiple phase veneering ceramic. Dent Mater 2015; 31:443-52. [DOI: 10.1016/j.dental.2015.01.012] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2014] [Revised: 06/06/2014] [Accepted: 01/20/2015] [Indexed: 11/23/2022]
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Ferrari M, Vichi A, Zarone F. Zirconia abutments and restorations: From laboratory to clinical investigations. Dent Mater 2015; 31:e63-76. [DOI: 10.1016/j.dental.2014.11.015] [Citation(s) in RCA: 45] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2014] [Revised: 11/19/2014] [Accepted: 11/21/2014] [Indexed: 10/24/2022]
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Monaco C, Tucci A, Esposito L, Scotti R. Adhesion mechanisms at the interface between Y-TZP and veneering ceramic with and without modifier. J Dent 2014; 42:1473-9. [DOI: 10.1016/j.jdent.2014.07.019] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2014] [Revised: 07/20/2014] [Accepted: 07/29/2014] [Indexed: 10/24/2022] Open
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Kosyfaki P, Swain MV. Adhesion determination of dental porcelain to zirconia using the Schwickerath test: strength vs. fracture energy approach. Acta Biomater 2014; 10:4861-4869. [PMID: 25091292 DOI: 10.1016/j.actbio.2014.07.028] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2014] [Revised: 07/07/2014] [Accepted: 07/23/2014] [Indexed: 11/18/2022]
Abstract
Two approaches to measure the fracture energy to delaminate four different porcelains from zirconia substrates are compared using Schwickerath adhesion strength test specimens. In all instances it was possible to stably extend the crack along or adjacent to the porcelain-zirconia interface. The fracture energy expended to delaminate the porcelain was found by determining the work of fracture upon loading to 12 N and then unloading. Additional tests were undertaken on specimens notched along the interface, which enabled the compliance of the cracked Schwickerath specimens to be calibrated. The strain energy and deflection of the Schwickerath specimen as a function of crack length were derived. On this basis a simple expression was determined for the strain energy release rate or interfacial fracture toughness from the minima in the force-displacement curves. Consequently two measures of the adhesion energy were determined, the work of fracture and the strain energy release rate. It was found that the ranking for the four porcelains bonded to zirconia differed depending upon the approach. The work of fracture was substantially different from the strain energy release rate for three of the porcelain-zirconia systems and appears to be directly related to the residual stresses present in the bonded structures. The relative merits of the strain energy release rate, work of fracture vs. the stress to initiate cracking in the case of the Schwickerath adhesion test, are discussed. The advantage of this test is that it enables three estimates of the adhesion for porcelain veneers bonded to zirconia.
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Affiliation(s)
- P Kosyfaki
- Zahnärztliche Prothetik, University Klinik, Albert-Ludwigs Universität Freiburg, Germany
| | - M V Swain
- Zahnärztliche Prothetik, University Klinik, Albert-Ludwigs Universität Freiburg, Germany; Biomaterials Lab, The University of Sydney, Sydney Dental Hospital, 2 Chalmers St, Surrey Heights, NSW 2010, Australia.
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