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Jurado CA, Amarillas-Gastelum C, Afrashtehfar KI, Argueta-Figueroa L, Fischer NG, Alshabib A. Ceramic and Composite Polishing Systems for Milled Lithium Disilicate Restorative Materials: A 2D and 3D Comparative In Vitro Study. MATERIALS (BASEL, SWITZERLAND) 2022; 15:ma15155402. [PMID: 35955341 PMCID: PMC9369544 DOI: 10.3390/ma15155402] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/08/2022] [Revised: 07/30/2022] [Accepted: 08/01/2022] [Indexed: 05/20/2023]
Abstract
Purpose: This study aims to evaluate the effectiveness of two ceramic and two composite polishing systems for a novel chairside computer-aided design/computer-aided manufacturing (CAD/CAM) lithium disilicate ceramic with three-dimensional and two-dimensional microscopy images. This ceramic material can be used for implant-supported or tooth-borne single-unit prostheses. Materials and Methods: Sixty flat samples of novel chairside CAD/CAM reinforced lithium disilicate ceramic (Amber Mill, Hass Bio) were divided into five groups (n = 15/group) and treated as follows: Group 1 (NoP), no polished treatment; group 2 (CeDi), polished with ceramic Dialite LD (Brasseler USA); group 3, (CeOp) polished with ceramic OptraFine (Ivoclar Vivadent); group 4, (CoDi) polished with composite DiaComp (Brasseler USA), and group 5 (CoAs), polished with composite Astropol (Ivoclar Vivadent). The polished ceramic surface topography was observed and measured with three-dimensional and two-dimensional images. Results: All polishing systems significantly reduced the surface roughness compared with the non-polished control group (Sa 1.15 μm). Group 2 (CeDi) provided the smoothest surface arithmetical mean eight with 0.32 μm, followed by group 3 (CeOp) with 0.34 μm. Group 5 (CoAs) with 0.52 μm provided the smoothest surface among the composite polishing kits. Group 4 (CoDi) with 0.66 μm provided the least smooth surface among all polishing systems tested. Conclusions: Despite the effectiveness of ceramic polishing systems being superior to composite polishing systems of the CAD/CAM lithium disilicate restorative material, both polishing systems significantly improved the smoothness.
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Affiliation(s)
- Carlos A. Jurado
- Woody L. Hunt School of Dental Medicine, Texas Tech University Health Sciences Center, El Paso, TX 79905, USA
| | | | - Kelvin I. Afrashtehfar
- Clinical Sciences Department, College of Dentistry, Ajman University, Ajman City P.O. Box 346, United Arab Emirates
- Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, 3010 Berne, Switzerland
| | | | - Nicholas G. Fischer
- Minnesota Dental Research Center for Biomaterials and Biomechanics, University of Minnesota School of Dentistry, Minneapolis, MN 55455, USA
| | - Abdulrahman Alshabib
- Department of Restorative Dentistry, King Saud University College of Dentistry, Riyadh 12372, Saudi Arabia
- Engineer Abdullah Bugshan Research Chair for Dental and Oral Rehabilitation, King Saud University, Riyadh 11545, Saudi Arabia
- Correspondence:
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Surface Modification to Modulate Microbial Biofilms-Applications in Dental Medicine. MATERIALS 2021; 14:ma14226994. [PMID: 34832390 PMCID: PMC8625127 DOI: 10.3390/ma14226994] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/06/2021] [Revised: 11/12/2021] [Accepted: 11/12/2021] [Indexed: 12/21/2022]
Abstract
Recent progress in materials science and nanotechnology has led to the development of advanced materials with multifunctional properties. Dental medicine has benefited from the design of such materials and coatings in providing patients with tailored implants and improved materials for restorative and functional use. Such materials and coatings allow for better acceptance by the host body, promote successful implantation and determine a reduced inflammatory response after contact with the materials. Since numerous dental pathologies are influenced by the presence and activity of some pathogenic microorganisms, novel materials are needed to overcome this challenge as well. This paper aimed to reveal and discuss the most recent and innovative progress made in the field of materials surface modification in terms of microbial attachment inhibition and biofilm formation, with a direct impact on dental medicine.
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Wawrzyk A, Łobacz M, Adamczuk A, Sofińska-Chmiel W, Wilczyński S, Rahnama M. The Use of a Diode Laser for Removal of Microorganisms from the Surfaces of Zirconia and Porcelain Applied to Superstructure Dental Implants. Microorganisms 2021; 9:2359. [PMID: 34835484 PMCID: PMC8625943 DOI: 10.3390/microorganisms9112359] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2021] [Revised: 11/05/2021] [Accepted: 11/10/2021] [Indexed: 11/17/2022] Open
Abstract
The aim of this paper was to study the effectiveness of a diode laser (LD) for removal of microorganisms isolated from porcelain and zirconia crown surfaces used in implantoprosthetics in order to minimize infections around dental implants. In order to optimize biocidal efficacy of the process (at the same time, avoiding increasing the surface roughness during decontamination) the effects of diode laser doses were investigated. The irradiation was performed with a diode laser at the wavelength of λ = 810 nm in three variants with a different number of repetitions (1 × 15 s, 2 × 15 s, 3 × 15 s). The quantitative microbial contamination of the surface of teeth, porcelain and zirconia crowns assessment was made using the culture-dependent method. The identification of microorganisms took place using the matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) and next-generation sequencing (NGS) methods. The studies of the surface morphology and roughness were carried out by means of the optical profilometry, scanning electron microscopy (SEM) and optical microscopy with the C1 confocal attachment. The most important conclusion from the research is the fact that the laser operation, regardless of the exposure time, effectively eliminates the microorganisms from the surfaces used for dental implant rebuilding and does not have a destructive effect on the tested material.
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Affiliation(s)
- Anna Wawrzyk
- Silesian Park of Medical Technology Kardio-Med Silesia in Zabrze, M. Curie Skłodowskiej 10C Str., 41-800 Zabrze, Poland;
| | - Michał Łobacz
- Chair and Department of Oral Surgery, Medical University of Lublin, Chodźki 6 Str., 20-093 Lublin, Poland;
| | - Agnieszka Adamczuk
- Institute of Agrophysics PAS, Doświadczalna 4 Str., 20-290 Lublin, Poland;
| | - Weronika Sofińska-Chmiel
- Analytical Laboratory, Faculty of Chemistry, Institute of Chemical Sciences, Maria Curie Skłodowska University, Maria Curie Skłodowska Sq. 2, 20-031 Lublin, Poland;
| | - Sławomir Wilczyński
- Departament of Basic Medical Science, Faculty of Farmaceutical Sciences in Sosnowiec, Medical University of Silesia, Kasztanowa Str. 3, 41-200 Sosnowiec, Poland;
| | - Mansur Rahnama
- Chair and Department of Oral Surgery, Medical University of Lublin, Chodźki 6 Str., 20-093 Lublin, Poland;
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Mahrous AA, Ellakany P, Abualsaud R, Al-Thobity AM, Akhtar S, Siddiqui IA, Gad MM. Comparative Study of the Effectiveness of Laboratory-Formulated Polishing Pastes for Two CAD/CAM Ceramic Restorative Materials. J Prosthodont 2021; 31:529-536. [PMID: 34693606 DOI: 10.1111/jopr.13444] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/17/2021] [Indexed: 11/27/2022] Open
Abstract
PURPOSE To evaluate the effect of different polishing pastes with different particle sizes on the surface finish of two different CAD/CAM ceramics. MATERIALS AND METHODS A total of 128 specimens were prepared of two CAD/CAM ceramics: lithium disilicate (12.4 × 14.5 × 2 mm) and monolithic zirconia (17.5 × 12.5 × 2.5 mm). They were divided randomly into 8 groups according to surface treatment (n = 8). Group 1 (control) was left as received after crystallization or sintering with no further surface treatment; Group 2 (glazed); Group 3 (positive control), where specimens were polished using standardized surface treatment (medium grit silicon carbide discs, rubber cup and pumice slurry, then rubber cup and toothpaste). For groups 4 to 8, in addition to silicon carbide and pumice slurry polishing, specimens were further polished using a diamond paste (DP), and polishing pastes of microzirconia (MZ), nanosilica (NS), nanodiamond (ND), and nanozirconia (NZ), respectively. Surface roughness (Ra ) was measured using noncontact profilometer. The mean values were compared using ANOVA and Post Hoc Tukey's test (α = 0.05). Specimens' surfaces were studied using a scanning electron microscope (SEM). RESULTS Positive control group and MZ exhibited significant Ra of lithium disilicate compared to control (p ˂ 0.001), glazed (p = 0.001), DPs (p = 0.002), NS (p ˂ 0.001), ND (p ˂ 0.001), and NZ (p = 0.002). In the case of zirconia, positive control showed a significantly higher Ra compared to all other groups (p ˂ 0.001). No statistical difference was found between all other polishing techniques (positive control, glazed, DPs, NS, ND, MZ, and NZ) (p > 0.05). CONCLUSION Polishing with ND, NZ, and NS lab-formulated pastes produced surfaces with comparable smoothness to control and glazed specimens for lithium disilicate and zirconia ceramic materials.
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Affiliation(s)
- Amr A Mahrous
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Passent Ellakany
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Reem Abualsaud
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Ahmad M Al-Thobity
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Sultan Akhtar
- Department of Biophysics, Institute for Research and Medical Consultations, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Intisar A Siddiqui
- Department of Dental Education, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Mohammed M Gad
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
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A Double-Blind Crossover RCT Analyzing Technical and Clinical Performance of Monolithic ZrO 2 Implant Fixed Dental Prostheses (iFDP) in Three Different Digital Workflows. J Clin Med 2021; 10:jcm10122661. [PMID: 34208773 PMCID: PMC8235369 DOI: 10.3390/jcm10122661] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2021] [Revised: 06/14/2021] [Accepted: 06/14/2021] [Indexed: 12/26/2022] Open
Abstract
This double-blind randomized controlled trial with a crossover design analyzed the technical and clinical performance of three-unit monolithic ZrO2 implant-fixed dental prostheses (iFDPs), prepared using two complete digital workflows (Test-1, Test-2) and one mixed analog–digital workflow (Control). Each of the 20 study patients received three iFDPs, resulting in 60 restorations for analysis. The quality of the restorations was assessed by analyzing laboratory cross-mounting and calculating the chairside adjustment time required during fitting. All iFDPs could be produced successfully with all three workflows. The highest cross-mounting success rate was observed for the original pairing iFDP/model of the Control group. Overall, 60% of iFDPs prepared with Test-1 workflow did not require chairside adjustment compared with 50% for Test-2 and 30% for Controls. The mean total chairside adjustment time, as the sum of interproximal, pontic, and occlusal corrections was 2.59 ± 2.51 min (Control), 2.88 ± 2.86 min (Test-1), and 3.87 ± 3.02 min (Test-2). All tested workflows were feasible for treatment with iFDPs in posterior sites on a soft tissue level type implant system. For clinical routine, it has to be considered that chairside adjustments may be necessary, at least in every second patient, independent on the workflow used.
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Kalia P, Nair KC, Jaiswal D, Tikmani C, Banerjee D, Bera R. A comparative study on the effect of polishing systems on the color and surface texture of different porcelain systems - feldspathic, pressable, and computer-aided design/computer-aided manufacturing. J Indian Prosthodont Soc 2021; 21:173-179. [PMID: 33938867 PMCID: PMC8262439 DOI: 10.4103/jips.jips_425_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Aim: To find and compare the qualitative and quantitative change in color and surface texture of feldspathic ceramic, pressable ceramic and ceramic used in computer-aided design/computer-aided manufacturing CAD/CAM after different surface treatments namely glazing, abrading and polishing. To compare the effectiveness of pearl finish polishing paste and Soflex polishing system used in the study. Setting and Design: In-vitro, comparative study. Materials and Methods: Disc-shaped feldsapathic, pressable, CAD/CAM ceramic specimens were fabricated. Surface roughness and color parameters Δ L*, Δa*, and Δ b* were measured before glazing, after glazing, after abrasion with 02 diamond bur and after polishing with two different polishing systems. Surface roughness was measured qualitatively using scanning electron microscopy and quantitatively using an optical profilometer. The value of color parameters was obtained using a colorimeter. Data were statistically analyzed with ANOVA. Statistical Analysis Used: SPSS software 20.0 version (IBM, New York, United states of America). Results: Unglazed feldspathic, pressable and CAD/CAM porcelain specimens showed a mean surface roughness value of 2.73 ± 0.38, 3.54 ± 1.42, and 3 ± 1.74 specimens. After glazing and polishing, the surface roughness values decreased. After abrasion, surface roughness values increased. Polishing did not alter the color along the red green axis and yellow blue axis. Conclusions: Abraded specimens of feldspathic, pressable and CAD/CAM after polishing using pearl finish polishing paste and Soflex disc became smoother than glazed specimens. When pearl finish polishing paste and Soflex discs were compared for their effectiveness the former appeared to be more superior but not to a significant level. Mechanically altering feldspathic, pressable, and porcelain used in CAD/CAM technology does not cause any change in shade.
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Affiliation(s)
- Preeti Kalia
- Private Practice, ESIC Medical College and Hospital, Joka, Kolkata, West Bengal, India
| | - K Chandrasekharan Nair
- Department of Prosthodontics, Sri Sankara Dental College, Akathumuri, Trivandrum, Kerala, India
| | - Deepesh Jaiswal
- Department of Dentistry, ESIC Medical College and Hospital, Joka, Kolkata, West Bengal, India
| | - Chetna Tikmani
- Ur's Tooth fully Dental Laboratory, Kolkata, West Bengal, India
| | - Dhrubojyoti Banerjee
- Department of Prosthodontics, Dr. R. Ahmed Dental College and Hospital, Kolkata, West Bengal, India
| | - Ritwika Bera
- Gurunank Institute of Dental Sciences and Research, Kolkata, West Bengal, India
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