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Tabata LF, Hilgert LA, Pereira ALC, Ribeiro APD, Pereira PNR. Microshear bond strength of resin cement to glass-ceramics after intaglio surface staining. J Prosthet Dent 2024; 131:314-319. [PMID: 35300848 DOI: 10.1016/j.prosdent.2021.11.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2021] [Revised: 11/09/2021] [Accepted: 11/09/2021] [Indexed: 11/29/2022]
Abstract
STATEMENT OF PROBLEM Applying stains to the intaglio surface of computer-aided design and computer-aided manufacturing (CAD-CAM) monolithic ceramic restorations has been proposed as an option to help mask darkened substrates. However, little is known about the effects of this procedure on the adhesion between the resin cement and the ceramic. PURPOSE The purpose of this in vitro study was to evaluate the effect of intaglio surface staining on the microshear bond strength between 2 CAD-CAM ceramics and a resin cement. MATERIAL AND METHODS Lithium disilicate (Gmax) and leucite-reinforced (Gpress) ceramic blocks were sectioned, crystalized when indicated, and polished. They received either none, 1, or 2 layers of ceramic stains and a glaze liquid mixture followed by a firing cycle. The surfaces of groups Gmax0, Gmax1, and Gmax2 were etched with 9% hydrofluoric acid etching (HF) for 20 seconds, and those of groups Gpress0 and Gpress1 were etched for 60 seconds. After rinsing and drying, a ceramic primer was applied and air-dried. Resin cement rods (n=24 per group) were built from a silicone mold. Specimens were stored in distilled water for 24 hours before microshear bond testing. Failure mode was observed under a digital microscope. Data were analyzed by using the Kruskal-Wallis and Mann-Whitney nonparametric tests (α=.05). RESULTS Intaglio staining negatively affected the microshear bond strength for both ceramics. A significant difference was observed between Gmax1 (3.5 ±1.73 MPa) and Gmax2 (3.7 ±2.1 MPa) when compared with Gmax0 (14.2 ±4.4 MPa) and also between GPress0 (25.7 ±5.1 MPa) and Gpress1 (1.8 ±2.7 MPa). No difference was observed between 1 and 2 stain layers for Gmax. Most failures were adhesive for Gmax0, mixed for Gpress, and cohesive within the stain layer for experimental groups. CONCLUSIONS Intaglio surface staining with a stain and glaze mixture caused a significant reduction in bond strength between resin cement and both ceramics tested.
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Affiliation(s)
- Lucas F Tabata
- Professor, Dentistry Department, School of Health Sciences, University of Brasilia (UnB), Brasilia, Distrito Federal, Brazil.
| | - Leandro A Hilgert
- Professor, Dentistry Department, School of Health Sciences, University of Brasilia (UnB), Brasilia, Distrito Federal, Brazil
| | | | - Ana Paula D Ribeiro
- Professor, Operative Dentistry Department, College of Dentistry, University of Florida, Gainesville, Fla
| | - Patrícia N R Pereira
- Professor, Operative Dentistry Department, College of Dentistry, University of Florida, Gainesville, Fla
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Al Ahmari NM, Alshehri AH, Gadah TS, Alqahtani JA, Almushafi MA, Al Moaleem MM, Al Hatlan EN, Alqhatani AS, Alabydi SM. Comparison of color changes, fracture strengths, and failure modes of conventional endocrowns and endocrowns with different design modifications. Technol Health Care 2024; 32:2395-2408. [PMID: 38427513 DOI: 10.3233/thc-231175] [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] [Indexed: 03/03/2024]
Abstract
BACKGROUND Endocrowns (ECs) are alternatives for rebuilding severely damaged teeth and show superior efficacy in molars over premolars. OBJECTIVE The objective of this in vitro study is to evaluate the effects of different preparation designs with short pulp chambers on the mean color change (ΔE), fracture resistance, and failure types of mandibular molar ECs. METHOD A total of 40 extracted mandibular molars were treated endodontically and divided into four groups. Samples in groups 1, 2, 3, and 4 had occlusal preparation depths of 5 mm, 3 mm, 3 mm with ferrule, and 3 mm with boxes, respectively. The samples were immersed in coffee and their ΔE values were measured by using the Commission Internationale de l'Eclairage color system. They were also subjected to a fracture test. Next, all specimens were examined visually under a stereomicroscope to evaluate their failure modes and identify their fracture origins. Data were entered and analyzed by using Statistical Package for Social Sciences. RESULTS Among all groups, group 4 (3 mm + boxes) presented the highest ΔE (4.15) after immersion in coffee. Moreover, ANOVA revealed that the ΔE of group 4 (occlusal preparation depth of 3 mm with boxes) was significantly different (p< 0.05) from that of group 2 (3 mm + ferrule, 3.07). The EC with a 3 mm chamfer and ferrule showed the highest maximum load of 2847.68 ± 693.27 N, whereas that with a 5 mm chamfer finish line had a marginally reduced load at fracture of 2831.52 ± 881.83 N. The EC with a 3 mm chamber and boxes had a slightly increased maximum load of 2700.75 ± 436.40 N, whereas that with the 3 mm chamber had the lowest maximum load at fracture of 2385.97 ± 465.61 N. One-way ANOVA showed that different EC preparation designs had no effect on maximum fracture load (F [3,16] = 0.550, p= 0.6). CONCLUSION The recorded ΔE values of ECs in all groups were equal or marginally higher than the acceptable values. The EC with a 3 mm chamfer and ferrule displayed the highest mean maximum load. The EC with a 5 mm chamfer finish line had a marginally lower maximum load at fracture than other ECs. Failures, such as ceramic fracture, split fracture, and ceramic and tooth splitting above the cemento-enamel junction (CEJ) or vertically were predominant in samples with occlusal preparation depths of 3 mm with ferrule and 5 mm.
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Affiliation(s)
| | - Abdulkarim H Alshehri
- Department of Prosthetic Dental Science, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Thrya S Gadah
- College of Dentistry, King Khalid University, Abha, Saudi Arabia
| | - Jaber A Alqahtani
- Aseer Specialized Dental Center, Ministry of Health, Abha, Saudi Arabia
| | | | - Mohammed M Al Moaleem
- Department of Prosthetic Dental Science, College of Dentistry, Jazan University, Jazan, Saudi Arabia
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Batyrbekova G, Hekimoğlu C. Evaluation of gingival porcelains: Color change and surface properties. J Prosthodont 2023. [PMID: 37795925 DOI: 10.1111/jopr.13779] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2022] [Revised: 09/25/2023] [Accepted: 10/01/2023] [Indexed: 10/06/2023] Open
Abstract
PURPOSE This in vitro study aimed to evaluate the effect of thermal cycling (TC) on the color stability, translucency, and surface roughness of two different gingival porcelain materials. MATERIALS AND METHODS The gingival porcelains IPS e.max Ceram Gingiva (Ceram) and IPS InLine Gingiva (InLine) were tested. A total of 66 disc-shaped specimens were prepared and glazed using porcelain powders of G1, G3, and G5 colors. The samples were divided into two porcelain groups by their types and into three subgroups (n11) by their colors. Thermal cycling was performed at 6000 cycles simulating an oral environment of 5 years. The color and surface roughness measurements of the samples were made before and after the thermal cycling. Color measurements were made with a spectrophotometer. Surface roughness (mean surface roughness [Ra; μm]) was measured using a contact profilometer. Data before thermal cycling were evaluated using the Kruskal-Wallis test followed by the Dunn Bonferonni paired comparison test. Two-way ANOVA with repeated measurements and a pairwise comparison test with Bonferroni correction were used to evaluate the change in roughness and translucency parameter (TP) data between groups due to thermal cycling. RESULTS The color change was below the clinically perceptible color change threshold (∆E00 = 2.1) in all groups after thermal cycling. However, all materials had significantly increased roughness (p < 0.05). An increase in roughness was detected in the Ceram group and was higher than that in the InLine group. The change in the translucency parameters of the samples after thermal cycling was not statistically significant; a small increase was observed in all groups. The highest translucency values were seen in the G1, G3, and G5 colors. CONCLUSIONS Thermal cycling caused a significant increase in the roughness values (Ra) of all materials and a minimal increase in their translucency. The color change of gingival porcelains after thermal cycling was less than the clinically perceptible threshold.
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Affiliation(s)
- Gulaiym Batyrbekova
- Department of Prosthodontics, Hacettepe University, Faculty of Dentistry, Ankara, Türkiye
| | - Canan Hekimoğlu
- Department of Prosthodontics, Hacettepe University, Faculty of Dentistry, Ankara, Türkiye
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Souza LFB, Soares PM, Ribeiro VF, Scotti N, Kleverlaan CJ, Bacchi A, Pereira GKR. Influence of coloring techniques on the surface characteristics and color stability of a monolithic zirconia ceramic. J Prosthet Dent 2023; 130:392.e1-392.e9. [PMID: 37516645 DOI: 10.1016/j.prosdent.2023.07.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2023] [Revised: 07/03/2023] [Accepted: 07/05/2023] [Indexed: 07/31/2023]
Abstract
STATEMENT OF PROBLEM The color of monolithic zirconia restorations is obtained by presintering or postsintering coloring techniques. However, studies on the differences in surface characteristics and their influence on color stability are lacking. PURPOSE The purpose of this in vitro study was to evaluate the influence of shading and staining techniques for a zirconia ceramic on the surface characteristics and colorimetric parameters (color difference, translucency, and whiteness index) after exposure to coffee or red wine and then polishing. MATERIAL AND METHODS Ceramic disks (N=30; Ø10×1mm) were allocated into 3 groups: preshaded-shaded by the manufacturer (IPS e.max ZirCAD MT, shade A2); manually shaded-unshaded zirconia (IPS e.max ZirCAD MT, bleaching shade-BL) colored by the brushing technique, before sintering; stained-unshaded zirconia (IPS e.max ZirCAD MT BL) colored by the staining technique, after sintering. Spectrophotometric color assessments ensured the same initial perceived color (Vita Classical A2) for specimens included in the study (∆E00<1.77 acceptability threshold). Surface characteristics were assessed by scanning electron microscopy and atomic force microscopy. The specimens were immersed in coffee (n=5) or red wine (n=5) for 12 and 24 days and subsequently polished. The data were statistically and descriptively analyzed for color differences (∆E00), translucency parameters (TP00), and whiteness indexes for dentistry (WID), considering acceptability and perceptibility thresholds. RESULTS The shaded groups found an irregular ceramic surface with uniformly sized zirconia crystals. The stained group found a glass-covered smoother surface. Significant alterations in color parameters (∆E00, TP00, WID) were observed with immersion in pigmenting beverages (P<.001) both after 12 days, and after 24 days. The shaded specimens had greater color alterations after immersion but benefited from the polishing procedure, which reduced color differences below an acceptable threshold in comparison with the baseline. Stained specimens had lower color alterations after immersion, but the polishing protocol was detrimental as it whitened the ceramic by subsurface exposure. CONCLUSIONS The coloring technique influences the surface characteristics of zirconia ceramic and also the color parameters after exposure to colored beverages and polishing.
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Affiliation(s)
- Luiza Freitas Brum Souza
- Postgraduate Program in Oral Sciences (Prosthodontics Units), Faculty of Odontology, Federal University of Santa Maria (UFSM), Santa Maria, RS, Brazil
| | - Pablo Machado Soares
- Postgraduate Program in Oral Sciences (Prosthodontics Units), Faculty of Odontology, Federal University of Santa Maria (UFSM), Santa Maria, RS, Brazil
| | - Vinícius Fogliato Ribeiro
- Undergraduate student, Department of Restorative Dentistry, Postgraduate Program in Oral Sciences, Federal University of Santa Maria (UFSM), Santa Maria, RS, Brazil
| | - Nicola Scotti
- Department of Surgical Sciences, Dental School, University of Turin, Turin, Italy
| | - Cornelis Johannes Kleverlaan
- Department of Dental Materials Science, Academic Centre for Dentistry Amsterdam (ACTA), Universiteit van Amsterdam and Vrije Universiteit, Amsterdam, Noord-Holland, the Netherlands
| | - Ataís Bacchi
- Postgraduate Program in Dentistry, Paulo Picanço School of Dentistry, Fortaleza, CE, Brazil
| | - Gabriel Kalil Rocha Pereira
- Undergraduate student, Department of Restorative Dentistry, Postgraduate Program in Oral Sciences, Federal University of Santa Maria (UFSM), Santa Maria, RS, Brazil.
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Kim SY, Bae HJ, Lee HH, Lee JH, Kim YJ, Choi YS, Lee JH, Shin SY. The Effects of Thermocycling on the Physical Properties and Biocompatibilities of Various CAD/CAM Restorative Materials. Pharmaceutics 2023; 15:2122. [PMID: 37631336 PMCID: PMC10459511 DOI: 10.3390/pharmaceutics15082122] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2023] [Revised: 07/31/2023] [Accepted: 08/03/2023] [Indexed: 08/27/2023] Open
Abstract
The purpose of this study is to evaluate the changes in physical properties and biocompatibilities caused by thermocycling of CAD/CAM restorative materials (lithium disilicate, zirconia reinforced lithium silicate, polymer-infiltrated ceramic network, resin nanoceramic, highly translucent zirconia). A total of 225 specimens were prepared (12.0 × 10.0 × 1.5 mm) and divided into three groups subjected to water storage at 37 °C for 24 h (control group), 10,000 cycles in distilled water at 5-55 °C (first aged group), and 22,000 cycles in distilled water at 5-55 °C (second aged group) [(n= 15, each]). The nanoindentation hardness and Young's modulus (nanoindenter), surface roughness (atomic force microscopy (AFM)), surface texture (scanning electron microscopy (FE-SEM)), elemental concentration (energy dispersive spectroscopy (EDS)) and contact angle were evaluated. The morphology, proliferation and adhesion of cultured human gingival fibroblasts (HGFs) were analyzed. The data were analyzed using one-way ANOVA and Tukey's test (p < 0.05). The results showed that the nanoindentation hardness and Young's modulus were decreased after thermocycling aging. Cell viability and proliferation of the material decreased with aging except for the highly translucent zirconia. Zirconia-reinforced lithium silicate exhibited significantly lower cell viability compared to other materials. The surface roughnesses of all groups increased with aging. Cell viability and Cell adhesion were influenced by various factors, including the surface chemical composition, hydrophilicity, surface roughness, and topography.
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Affiliation(s)
- Se-Young Kim
- Department of Prosthodontics, College of Dentistry, Dankook University, 119 Dandae-ro, Cheonan 31116, Republic of Korea; (S.-Y.K.); (J.-H.L.)
| | - Han-Jin Bae
- Institute of Tissue Regeneration Engineering (ITREN), Dankook University, 119 Dandae-ro, Cheonan 31116, Republic of Korea; (H.-J.B.); (H.-H.L.)
- Department of Nanobiomedical Science & BK21 PLUS NBM Global Research Center for Regenerative Medicine, Dankook University, 119 Dandae-ro, Cheonan 31116, Republic of Korea
- Cell & Matter Institute, Dankook University, 119 Dandae-ro, Cheonan 31116, Republic of Korea
| | - Hae-Hyoung Lee
- Institute of Tissue Regeneration Engineering (ITREN), Dankook University, 119 Dandae-ro, Cheonan 31116, Republic of Korea; (H.-J.B.); (H.-H.L.)
- Department of Nanobiomedical Science & BK21 PLUS NBM Global Research Center for Regenerative Medicine, Dankook University, 119 Dandae-ro, Cheonan 31116, Republic of Korea
- Department of Biomaterials Science, College of Dentistry, Dankook University, 119 Dandae-ro, Cheonan 31116, Republic of Korea;
- UCL Eastman-Korea Dental Medicine Innovation Centre, Dankook University, 119 Dandae-ro, Cheonan 31116, Republic of Korea
| | - Jong-Hyuk Lee
- Department of Prosthodontics, College of Dentistry, Dankook University, 119 Dandae-ro, Cheonan 31116, Republic of Korea; (S.-Y.K.); (J.-H.L.)
| | - Yu-Jin Kim
- Department of Biomaterials Science, College of Dentistry, Dankook University, 119 Dandae-ro, Cheonan 31116, Republic of Korea;
| | - Yu-Sung Choi
- Department of Prosthodontics, College of Dentistry, Dankook University, 119 Dandae-ro, Cheonan 31116, Republic of Korea; (S.-Y.K.); (J.-H.L.)
- Mechanobiology Dental Medicine Research Center, Dankook University, Cheonan 31116, Republic of Korea
| | - Jung-Hwan Lee
- Institute of Tissue Regeneration Engineering (ITREN), Dankook University, 119 Dandae-ro, Cheonan 31116, Republic of Korea; (H.-J.B.); (H.-H.L.)
- Department of Nanobiomedical Science & BK21 PLUS NBM Global Research Center for Regenerative Medicine, Dankook University, 119 Dandae-ro, Cheonan 31116, Republic of Korea
- Cell & Matter Institute, Dankook University, 119 Dandae-ro, Cheonan 31116, Republic of Korea
- Department of Biomaterials Science, College of Dentistry, Dankook University, 119 Dandae-ro, Cheonan 31116, Republic of Korea;
- UCL Eastman-Korea Dental Medicine Innovation Centre, Dankook University, 119 Dandae-ro, Cheonan 31116, Republic of Korea
- Mechanobiology Dental Medicine Research Center, Dankook University, Cheonan 31116, Republic of Korea
- Department of Regenerative Dental Medicine, School of Dentistry, Dankook University, Cheonan 31116, Republic of Korea
| | - Soo-Yeon Shin
- Department of Prosthodontics, College of Dentistry, Dankook University, 119 Dandae-ro, Cheonan 31116, Republic of Korea; (S.-Y.K.); (J.-H.L.)
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Abreu JLBD, Hirata R, Witek L, Benalcazar Jalkh EB, Nayak VV, de Souza BM, Silva EMD. Manufacturing and characterization of a 3D printed lithium disilicate ceramic via robocasting: A pilot study. J Mech Behav Biomed Mater 2023; 143:105867. [PMID: 37163816 DOI: 10.1016/j.jmbbm.2023.105867] [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: 02/16/2023] [Revised: 04/20/2023] [Accepted: 04/22/2023] [Indexed: 05/12/2023]
Abstract
OBJECTIVE The objective of this study was to manufacture and to evaluate the physico-mechanical properties of the Lithium disilicate (Li2O5Si2) ceramic structures fabricated using additive manufacturing (3D printing). METHODS Li2O5Si2 samples were divided into (n = 30/group): SM (subtractively manufactured) and AR (additive/robocasting). For the AR group, Li2O5Si2 powder was combined with ammonium polyacrylate, hydroxypropyl methylcellulose, and polyelectrolyte to create a colloidal gel, which was then used for printing. A digital CAD model of a disc was designed, and the G-code transferred to a custom built DIW 3D printer. The control group samples were prepared using pre-crystallized ceramic blocks, which were cut to obtain discs with same dimensions as the AR group. Disc-shaped specimens from both groups were crystallized at 840 °C. Mechanical properties were evaluated using biaxial flexural strength test (BFS) and Vickers hardness test. Representative fractographic images of the specimens were acquired using scanning electron microscopy (SEM) to analyze the fracture origin and crack propagation. Energy-dispersive X-ray spectroscopy (EDS) and attenuated total reflection Fourier transform infrared spectroscopy (FTIR-ATR) were used for chemical analysis, and X-ray diffractometry (XRD) was performed to analyze the crystalline phases. RESULTS AR group yielded lower values of BFS (120.02 MPa ±33.91) and hardness (4.07 GPa ±0.30), relative to the SM group, (325.09 MPa ±63.98) and (5.63 GPa ±0.14), respectively. For EDS analysis, AR and SM groups showed similar elemental composition. In FTIR-ATR analysis, higher peaks referring to the crystalline structure were found for SM group. XRD analysis indicated a decreased formation of Li2O5Si2 from Lithium metasilicate (Li2O-SiO2) in the AM group. SEM micrographs showed a more porous microstructure associated with the 3D printed samples. SIGNIFICANCE The viability of fabricating Li2O5Si2 ceramic constructs using the Robocasting technique was successful. However, the samples prepared using subtractive manufacturing presented higher mechanical properties compared to the 3D printed constructs. The difference in properties between the manufacturing may be correlated to the decreased formation of Li2O5Si2 crystals and higher degrees of porosity.
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Affiliation(s)
- João Luiz Bittencourt de Abreu
- Department of Dental Clinic, School of Dentistry, Federal University of Rio de Janeiro, R. Prof. Rodolpho Paulo Rocco, 325, 21941617, Rio de Janeiro, RJ, Brazil; Analytical Laboratory of Restorative Biomaterials - LABiom-R, Universidade Federal Fluminense, School of Dentistry, Rua Mário Santos Braga, 30, 24020140, Niterói, Rio de Janeiro, Brazil; Biomaterials Division, NYU College of Dentistry, New York, NY, USA.
| | - Ronaldo Hirata
- Biomaterials Division, NYU College of Dentistry, New York, NY, USA.
| | - Lukasz Witek
- Biomaterials Division, NYU College of Dentistry, New York, NY, USA; Department of Biomedical Engineering, New York University Tandon School of Engineering, Brooklyn, NY, USA; Hansjörg Wyss Department of Plastic Surgery, NYU Grossman School of Medicine, New York, NY, USA.
| | - Ernesto Byron Benalcazar Jalkh
- Department of Prosthodontics and Periodontology, University of São Paulo - Bauru School of Dentistry, Bauru, SP, Brazil.
| | - Vasudev Vivekanand Nayak
- Department of Mechanical and Aerospace Engineering, New York University Tandon School of Engineering, Brooklyn, NY, USA; Department of Biochemistry and Molecular Biology, University of Miami Miller School of Medicine, Miami, FL, USA.
| | - Bruno Martins de Souza
- Laboratory of Biomaterials, Military Engineering Institute, Rio de Janeiro, Rio de Janeiro, Brazil. Pç General Tibúrcio, 80, Rio de Janeiro, RJ, Brazil
| | - Eduardo Moreira da Silva
- Analytical Laboratory of Restorative Biomaterials - LABiom-R, Universidade Federal Fluminense, School of Dentistry, Rua Mário Santos Braga, 30, 24020140, Niterói, Rio de Janeiro, Brazil.
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Hickel R, Mesinger S, Opdam N, Loomans B, Frankenberger R, Cadenaro M, Burgess J, Peschke A, Heintze SD, Kühnisch J. Revised FDI criteria for evaluating direct and indirect dental restorations-recommendations for its clinical use, interpretation, and reporting. Clin Oral Investig 2023; 27:2573-2592. [PMID: 36504246 PMCID: PMC10264483 DOI: 10.1007/s00784-022-04814-1] [Citation(s) in RCA: 11] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2022] [Accepted: 11/27/2022] [Indexed: 12/14/2022]
Abstract
OBJECTIVES The FDI criteria for the evaluation of direct and indirect dental restorations were first published in 2007 and updated in 2010. Meanwhile, their scientific use increased steadily, but several questions from users justified some clarification and improvement of the living document. MATERIALS AND METHODS An expert panel (N = 10) initiated the revision and consensus process that included a kick-off workshop and multiple online meetings by using the Delphi method. During and after each round of discussion, all opinions were collected, and the aggregated summary was presented to the experts aiming to adjust the wording of the criteria as precisely as possible. Finally, the expert panel agreed on the revision. RESULTS Some categories were redefined, ambiguities were cleared, and the descriptions of all scores were harmonized to cross-link different clinical situations with possible management strategies: reviewing/monitoring (score 1-4), refurbishment/reseal (score 3), repair (score 4), and replacement (score 5). Functional properties (domain F: fracture of material and retention, marginal adaptation, proximal contact, form and contour, occlusion and wear) were now placed at the beginning followed by biological (domain B: caries at restoration margin, hard tissue defects, postoperative hypersensitivity) and aesthetic characteristics (domain A: surface luster and texture, marginal staining, color match). CONCLUSION The most frequently used eleven categories of the FDI criteria set were revised for better understanding and handling. CLINICAL RELEVANCE The improved description and structuring of the criteria may help to standardize the evaluation of direct and indirect restorations and may enhance their acceptance by researchers, teachers, and dental practitioners.
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Affiliation(s)
- Reinhard Hickel
- Department of Conservative Dentistry and Periodontology, University Hospital, Ludwig-Maximilians-University of Munich, Munich, Germany.
| | - Sabine Mesinger
- Department of Conservative Dentistry and Periodontology, University Hospital, Ludwig-Maximilians-University of Munich, Munich, Germany
| | - Niek Opdam
- Department of Dentistry, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Bas Loomans
- Department of Dentistry, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Roland Frankenberger
- Department of Operative Dentistry, Endodontics, and Pediatric Dentistry Medical Center for Dentistry, University Medical Center Giessen and Marburg, Campus Marburg, Marburg, Germany
| | - Milena Cadenaro
- Department of Medical Sciences, University of Trieste, Trieste, Italy and Children's Hospital "Burlo Garofolo," Institute for Maternal and Child Health, Trieste, Italy
| | - John Burgess
- Louisiana State University Health Sciences Center, New Orleans, LA, USA
| | - Arnd Peschke
- IvoclarVivadent AG, Research & Development, Schaan, Liechtenstein
| | | | - Jan Kühnisch
- Department of Conservative Dentistry and Periodontology, University Hospital, Ludwig-Maximilians-University of Munich, Munich, Germany
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Mahrous AA, Alhammad A, Alqahtani F, Aljar Y, Alkadi A, Taymour N, Alotaibi A, Akhtar S, Gad MM. The Toothbrushing Effects on Surface Properties and Color Stability of CAD/CAM and Pressable Ceramic Fixed Restorations-An In Vitro Study. MATERIALS (BASEL, SWITZERLAND) 2023; 16:2950. [PMID: 37109785 PMCID: PMC10142931 DOI: 10.3390/ma16082950] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/13/2023] [Revised: 04/04/2023] [Accepted: 04/05/2023] [Indexed: 06/19/2023]
Abstract
Pressable ceramic restorations have been introduced and investigated, and found comparable to CAD/CAM ceramic in terms of mechanical properties; however, the effect of toothbrushing on the pressable ceramic has not been thoroughly investigated. The objective of the current study was to assess the effect of artificial toothbrushing simulation on the surface roughness, microhardness, and color stability of different ceramic materials. Three lithium disilicate-based ceramics (IPS Emax CAD [EC], IPS Emax Press [EP]; (Ivoclar Vivadent AG), and LiSi Press [LP] (GC Corp, Tokyo, Japan)) were examined. For each ceramic material, eight bar-shaped specimens were prepared and subjected to 10,000 brushing cycles. Surface roughness, microhardness, and color stability (∆E) were measured before and after brushing. Scanning electron microscopy (SEM) was used for surface profile analysis. The results were analyzed using one-way ANOVA, Tukey's post hoc test, and paired sample t-test α = 0.05. The findings revealed a non-significant decrease in the surface roughness of EC, EP, and LP groups (p > 0.05), and both LP and EP have the lowest surface roughness values (0.64 ± 0.13, 0.64 ± 0.08 µm) after brushing, respectively. Toothbrushing showed a decrease in the microhardness of the three groups: EC and LP, p < 0.001; EP, p = 0.012). EP showed the lowest hardness value after brushing (862.45 ± 273.83). No significant changes (∆E) were observed in all groups (p > 0.05); however, the EC group was found to be considerably affected by color changes, in comparison to the EC and LP groups. Toothbrushing had no effect on surface roughness and color stability of all tested materials, but it decreased the microhardness. Material type, surface treatments, and glazing of ceramic materials contributed to the surface changes in the ceramic materials, necessitating further investigations in terms of the toothbrushing effect with different glazing as variables.
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Affiliation(s)
- Amr A. Mahrous
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia; (A.A.M.); (N.T.); (A.A.)
| | - Abdullah Alhammad
- College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia; (A.A.); (F.A.); (Y.A.)
| | - Faisal Alqahtani
- College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia; (A.A.); (F.A.); (Y.A.)
| | - Yousif Aljar
- College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia; (A.A.); (F.A.); (Y.A.)
| | - Ahmed Alkadi
- College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia; (A.A.); (F.A.); (Y.A.)
| | - Noha Taymour
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia; (A.A.M.); (N.T.); (A.A.)
| | - Abdulkareem Alotaibi
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia; (A.A.M.); (N.T.); (A.A.)
| | - Sultan Akhtar
- Department of Biophysics, Institute for Research and Medical Consultations (IRMC), Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia;
| | - Mohammed M. Gad
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia; (A.A.M.); (N.T.); (A.A.)
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9
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Yamalı Y, Bankoğlu Güngör M, Karakoca Nemli S, Turhan Bal B. The effects of cement thickness and cement shade on the final color of lithium disilicate crowns. J Adv Prosthodont 2023; 15:93-100. [PMID: 37153007 PMCID: PMC10154146 DOI: 10.4047/jap.2023.15.2.93] [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: 03/02/2023] [Revised: 04/12/2023] [Accepted: 04/21/2023] [Indexed: 05/09/2023] Open
Abstract
PURPOSE The aim of this study is to evaluate the effect of resin cement color, cement thickness, and thermocycling on the final color of monolithic lithium disilicate crowns. MATERIALS AND METHODS A total of ninety prepared central incisors of typodont teeth were restored with lithium disilicate crowns which have different cement thicknesses (40 µm, 80 µm, and 120 µm) and cement shades (clear, yellow, and white). Color parameters of restorations were measured with a spectrophotometer in three different steps 1) before cementing 2) after cementing and 3) after thermocycling with 10000 cycles. Color differences (ΔE00) were calculated with the CIEDE2000 formula and evaluated according to perceptibility (0.8) and acceptability (1.8) thresholds. The ΔE00 data were analyzed by using two-way ANOVA before and after thermocycling (α = .05). RESULTS There was no interaction between the cement shade and the cement thickness factors. After cementation, the mean ΔE00 was under the perceptibility threshold in the group of 40 µm cement thickness and clear cement while it was between the perceptibility and acceptability thresholds (0.8 < ΔE00 < 1.8) for all other groups. After thermocycling, the ΔE00 values were between the perceptibility and acceptability thresholds for all experimental groups. Although there were no significant differences among the groups, thermocycling increased the color difference values. CONCLUSION The cementation of restorations with clear, yellow, and white resin cements resulted in color differences with uncemented restorations except for the group cemented with clear cement in 40 µm cement thickness. All study groups revealed perceptible color change after thermocycling.
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Affiliation(s)
| | - Merve Bankoğlu Güngör
- Department of Prosthodontics, Faculty of Dentistry, Gazi University, Ankara, Türkiye
| | - Seçil Karakoca Nemli
- Department of Prosthodontics, Faculty of Dentistry, Gazi University, Ankara, Türkiye
| | - Bilge Turhan Bal
- Department of Prosthodontics, Faculty of Dentistry, Gazi University, Ankara, Türkiye
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Al-Angari NS, Quwayhis S, Almayouf N, Meaigel S, Aldahash A, Al-Angari SS. Effect of staining and whitening systems on color stability of computer aided design/computer aided manufacturing lithium disilicate glass ceramic. Saudi Dent J 2023; 35:359-364. [DOI: 10.1016/j.sdentj.2023.03.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2022] [Revised: 03/26/2023] [Accepted: 03/27/2023] [Indexed: 04/03/2023] Open
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Elkhishen EA, Al-Zordk W, Hassouna M, Elsherbini A, Sakrana AA. Effect of ceramic and resin cement type on color stability and translucency of ceramic laminate veneers for diastema closure: an in vitro study. Sci Rep 2022; 12:22082. [PMID: 36543821 PMCID: PMC9772217 DOI: 10.1038/s41598-022-26581-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2022] [Accepted: 12/16/2022] [Indexed: 12/24/2022] Open
Abstract
To investigate the effect of resin cements on the color stability and translucency of ceramic laminate veneers used for diastema closure. Sixty resin abutments were prepared for ceramic laminate veneers and divided into six groups according to the ceramic type (lithium disilicate, zirconia-reinforced lithium silicate, and translucent zirconia) and the cement type (Variolink Esthetic LC and RelyX Veneer). Color coordinates and translucency were analyzed after cementation and after soaking in the coffee solution. Differences in color and translucency were estimated, and results were statistically assessed (α = 0.05). Ceramic materials showed a significant impact on color changes after soaking in coffee within Variolink Esthetic groups. Translucent zirconia showed the highest color change, followed by zirconia reinforced lithium silicate and lithium disilicate. Ceramic materials showed a significant impact among the RelyX Veneer groups. A significant interaction in color changes was found between ceramic types and cement types after cementation, and after soaking in coffee was found. All groups showed a clinically acceptable difference in translucency parameters after soaking in coffee. The resin cement affects the color and translucency of ceramic laminate veneers used for diastema closure, and ceramic laminate veneers bonded with Variolink Esthetic LC resin cement are more translucent, while ceramic laminate veneers bonded with RelyX Veneer resin are more resistant to coffee staining. The lithium disilicate laminate veneer is more resistant to coffee staining than zirconia reinforced lithium silicate and translucent zirconia laminate veneers used for diastema closure.
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Affiliation(s)
- Eman Adel Elkhishen
- grid.10251.370000000103426662Department of Fixed Prosthodontics, Mansoura University, Faculty of Dentistry, Mansoura, Egypt
| | - Walid Al-Zordk
- grid.10251.370000000103426662Department of Fixed Prosthodontics, Mansoura University, Faculty of Dentistry, Mansoura, Egypt ,Department of Fixed Prosthodontics, Horus University, Faculty of Dentistry, New Damietta, Egypt
| | - Mahy Hassouna
- grid.10251.370000000103426662Department of Fixed Prosthodontics, Mansoura University, Faculty of Dentistry, Mansoura, Egypt
| | - Ahmed Elsherbini
- grid.26999.3d0000 0001 2151 536XDepartment of Oral-Maxillofacial Surgery, Dentistry and Orthodontics, The University of Tokyo, Tokyo, Japan
| | - Amal Abdelsamad Sakrana
- grid.10251.370000000103426662Department of Fixed Prosthodontics, Mansoura University, Faculty of Dentistry, Mansoura, Egypt ,Department of Fixed Prosthodontics, Horus University, Faculty of Dentistry, New Damietta, Egypt
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12
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Qaraghuli AM, Signore A, Benedicenti S, Halawani MTE, Solimei L. Comparison and Effect of Common Beverages on Color Stability of Different Esthetic Restorative Materials: An In Vitro Study. J Contemp Dent Pract 2022; 23:1085-1090. [PMID: 37073930 DOI: 10.5005/jp-journals-10024-3419] [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] [Indexed: 04/20/2023]
Abstract
AIM The aim of this in vitro study is to assess the color stability of different esthetic veneer restorative materials (feldspathic ceramic, hybrid ceramic, zirconia-reinforced lithium silicate glass ceramic, and composite resin) after being exposed to commonly consumed beverages that have staining potential. MATERIALS AND METHODS Sixty specimens were prepared into rectangular blocks with fixed dimensions of 10 × 12 × 2.5 mm. Machinable feldspathic ceramic (FC), zirconia-reinforced lithium silicate glass ceramic (LS), and a hybrid ceramic (HC) were milled using CAD/CAM (n = 15), and specimens of microparticle composite resin (MPC) were manually prepared by with the same dimensions (n = 15). All specimens were randomly divided into three subgroups (= 5) according to immersing solutions used (coffee, black tea, and red wine). All specimens were immersed for a period of 72 hours. A colorimetric evaluation was done for each specimen before and after immersion using a spectrophotometer and the difference in color was calculated according to the CIE-Lab system. To analyze the data, two-way ANOVA and one-way ANOVA tests of significance were used to compare between the different study groups, followed by pairwise comparisons using post hoc test (Tukey). RESULTS Different restorative materials showed statistical significance regarding color change after staining (p < 0.001); however, no statistical significance in color change (p > 0.05) was found between the different beverages used. CONCLUSION All tested ceramic materials had better color stability compared with composite resin. All the staining beverages used in the current study might cause a significant color change in the tested restorative materials. CLINICAL SIGNIFICANCE The color stability of esthetic restorative materials affects their clinical performance in the oral cavity, where the restorative materials are usually exposed to staining beverages that are frequently consumed by patients. Therefore, it is important to understand the staining effect of the different beverages on esthetic restorative materials.
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Affiliation(s)
- Abdulkhaleq Mohammed Qaraghuli
- Department of Surgical Sciences and Integrated Diagnostics, University of Genoa, Largo R Benzi, Genoa, Italy; Department of Dentistry, Al-Farabi University College, Baghdad, Iraq, Phone: +9647704333814 e-mail: ;
| | - Antonio Signore
- Department of Therapeutic Stomatology, Institute of Dentistry, IM Sechenov First Moscow State Medical University, Moscow, Russia
| | - Stefano Benedicenti
- Department of Surgical Sciences and Integrated Diagnostics, University of Genoa, Largo R Benzi, Genoa, Italy
| | - Mohamed Tarek El Halawani
- Conservative Dentistry Department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt; Prosthodontics Department, Faculty of Dentistry, Alamein International University, Al Alamein City, Matrouh, Egypt
| | - Luca Solimei
- Department of Surgical Sciences and Integrated Diagnostics, University of Genoa, Largo R Benzi, Genoa, Italy
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13
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Schelkopf S, Dini C, Beline T, Wee AG, Barão VAR, Sukotjo C, Yuan JCC. The Effect of Smoking and Brushing on the Color Stability and Stainability of Different CAD/CAM Restorative Materials. MATERIALS (BASEL, SWITZERLAND) 2022; 15:ma15196901. [PMID: 36234241 PMCID: PMC9571481 DOI: 10.3390/ma15196901] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/05/2022] [Revised: 09/22/2022] [Accepted: 10/02/2022] [Indexed: 05/14/2023]
Abstract
This study aimed to investigate and compare the color stability and stainability of computer-aided design/computer-aided manufacturing (CAD/CAM) restorative materials in their glazed (G) and polished (P) state when exposed to cigarette smoke, as well as after brushing. Three CAD/CAM restorative materials were investigated: lithium disilicate CAD (LD), zirconia (Zr), and Telio PMMA CAD (PMMA), according to their surface finishing and assignment to cigarette smoking exposure or soaking in the saliva (control) group. The color change (∆E) was calculated before and after the intervention performed for all specimens, using the L*a*b values to quantitatively assess the shade differences. Statistical analysis was performed using one-way repeated measures ANOVA and Bonferroni multiple comparison analysis (α = 0.05). The surface finishing did not influence the materials’ stainability. Color change was noted after smoking, LD and Zr-G and Zr-P had a comparable color change (p > 0.05), while PMMA presented lower ∆E values (p < 0.05). After brushing, all specimens had a significant color change that was high for LD-G and LD-P, and Zr-G, compared with Zr-P and PMMA (p < 0.05). In conclusion, the exposure to cigarette smoke showed that LD, Zr, and PMMA are all susceptible to staining, but brushing decreases surface staining.
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Affiliation(s)
- Stuart Schelkopf
- Private Practice, University Associates in Dentistry, 222 N Lasalle St., Chicago, IL 60601, USA
| | - Caroline Dini
- Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas (UNICAMP), Av. Limeira, 901, Piracicaba 13414-903, São Paulo, Brazil
| | - Thamara Beline
- Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas (UNICAMP), Av. Limeira, 901, Piracicaba 13414-903, São Paulo, Brazil
| | - Alvin G. Wee
- Department of Restorative Sciences, School of Dentistry, University of Minnesota, 9-470 Moos Tower, 515 Delaware St. SE, Minneapolis, MN 55455, USA
| | - Valentim A. R. Barão
- Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas (UNICAMP), Av. Limeira, 901, Piracicaba 13414-903, São Paulo, Brazil
| | - Cortino Sukotjo
- Department of Restorative Dentistry, College of Dentistry, University of Illinois Chicago, 801 S Paulina, Chicago, IL 60612, USA
- Correspondence: (C.S.); (J.C.-C.Y.)
| | - Judy Chia-Chun Yuan
- Department of Restorative Dentistry, College of Dentistry, University of Illinois Chicago, 801 S Paulina, Chicago, IL 60612, USA
- Correspondence: (C.S.); (J.C.-C.Y.)
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Lin F, Wang B, Zhang Y, Li S, Zhang Q, Xiao Y, Zuo Q. The effect of prolonged holding time on the mechanical property and microstructural property of lithium disilicate glass-ceramic. JOURNAL OF MATERIALS SCIENCE. MATERIALS IN MEDICINE 2022; 33:69. [PMID: 36190565 PMCID: PMC9529710 DOI: 10.1007/s10856-022-06693-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/23/2021] [Accepted: 09/12/2022] [Indexed: 06/16/2023]
Abstract
Repeat firing produces uncertainty about stabilizing lithium disilicate glass-ceramic (LDGC) material properties, even though prolonged holding time can enhance the mechanical property of LDGC during a single firing cycle. However, the effect of prolonged holding time and repeat firing on the mechanical property and microstructure of LDGC is not fully understood. In the present study, three groups of LDGC material were created: (i) extension of holding time (7 vs. 14 vs. 28 min) at 780-800 °C; (ii) holding time extension (7 vs. 14 min) and dual sintering at 800-820 °C, respectively; (iii) dual sintering with prolonged holding time (7 vs. 14 min) at 820-840 °C. The nano-indenter test revealed that prolonged holding time (14 and 28 min) promoted the enhancement of LDGC hardness and Young's modulus. X-ray photoelectron spectroscopy, X-ray diffraction and Fourier transform infrared spectroscopy confirmed that prolonged holding time increased and stabilized LD phase in LDGC, as well as induced residual compressive stress. Scanning electron microscopy showed that prolonged holding time increased LD crystal grains homogeneously and facilitated LDGC to form dense interlocking structure without enlarging crystal size grains significantly. In contrast, LDGC that dual sintered alone at 820-840 °C possessed inferior mechanical properties, coupled with heterogeneous crystal phases, residual tensile stress, and melted crystals grains in the porous microstructure. Interestingly, these deteriorated properties of LDGC caused by dual sintering alone could be counteracted by prolonging the holding time. Nevertheless, the LDGC materials displayed an excellent biocompatibility throughout the study. This study identified that prolonged holding time during repeated firing cycles stabilized LD phase and crystal grain size of LDGC, thus enhanced the mechanical properties, which provided a new insight to extend the repeat fired restoration longevity of LDGC. Graphical abstract.
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Affiliation(s)
- Feng Lin
- Stomatological Hospital of Xiamen Medical College, Xiamen Medical College, Xiamen, PR China
- Xiamen Key Laboratory of Stomatological Disease Diagnosis and Treatment, Xiamen, PR China
- Engineering Research Center of Fujian University for Stomatological Biomaterials, Xiamen, PR China
| | - Bin Wang
- Stomatological Hospital of Xiamen Medical College, Xiamen Medical College, Xiamen, PR China
- Xiamen Key Laboratory of Stomatological Disease Diagnosis and Treatment, Xiamen, PR China
- Engineering Research Center of Fujian University for Stomatological Biomaterials, Xiamen, PR China
| | - Yanmei Zhang
- State Key Laboratory of Physical Chemistry of Solid Surfaces, College of Chemistry and Chemical Engineering, Xiamen University, Xiamen, China
| | - Shuigen Li
- Stomatological Hospital of Xiamen Medical College, Xiamen Medical College, Xiamen, PR China
- Xiamen Key Laboratory of Stomatological Disease Diagnosis and Treatment, Xiamen, PR China
- Engineering Research Center of Fujian University for Stomatological Biomaterials, Xiamen, PR China
| | - Qiufang Zhang
- Stomatological Hospital of Xiamen Medical College, Xiamen Medical College, Xiamen, PR China
- Xiamen Key Laboratory of Stomatological Disease Diagnosis and Treatment, Xiamen, PR China
| | - Yin Xiao
- Institute of Health and Biomedical Innovation, School of Chemistry, Physics, Mechanical Engineering, Queensland University of Technology, Brisbane, QLD, Australia.
- Australia-China Centre for Tissue Engineering and Regenerative Medicine, Brisbane, QLD, Australia.
| | - Qiliang Zuo
- Stomatological Hospital of Xiamen Medical College, Xiamen Medical College, Xiamen, PR China.
- Xiamen Key Laboratory of Stomatological Disease Diagnosis and Treatment, Xiamen, PR China.
- Engineering Research Center of Fujian University for Stomatological Biomaterials, Xiamen, PR China.
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15
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Impact of thermocycling on surface roughness, microhardness and optical properties of three different lithium disilicate ceramics. Saudi Dent J 2022; 34:589-595. [PMID: 36267536 PMCID: PMC9577348 DOI: 10.1016/j.sdentj.2022.08.004] [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: 06/05/2022] [Revised: 08/01/2022] [Accepted: 08/08/2022] [Indexed: 11/25/2022] Open
Abstract
Objectives This investigation was carried out to examine the influence of thermocycling aging on the surface roughness (Ra, µm), color parameters (L*, a*, b*), lightness change (ΔL*), chroma change (ΔC*ab), color change (ΔE), and microhardness (VH) of three lithium disilicate ceramics. Materials and methods Forty-five specimens were prepared from three lithium disilicate materials (n = 15)—e.max CAD (EC), e.max Press (EP), and GC Initial LiSi Press (LP) ceramics—with dimensions of 6.0 × 1.2 × 16.0 ± 0.2 mm following the manufacturers’ instructions. All specimens were exposed to 5000 thermal cycles with bath temperatures ranging between 5 °C and 55 °C. Data of surface roughness, color parameters, and microhardness were obtained using an optical profiler, a spectrophotometer, and a Vickers hardness tester, respectively. One-way ANOVA, a post-hoc Tukey’s test, and a paired sample t-test were implemented for statistical analysis (p ≤ 0.05). Results For surface roughness, insignificant differences were reported between the materials either before or after thermocycling (p > 0.05) while each material displayed a significant increase after being subjected to thermocycling (p < 0.05). For color parameters, LP showed significantly lower L* and b* after thermocycling while EC presented a significant reduction in a* in comparison with other materials (p < 0.05). EP showed a significant decrease in ΔL*, ΔC*ab and ΔE compared with other materials (p < 0.05). Regarding microhardness, LP showed significantly increase value in comparison with other materials (p < 0.05). Conclusions Thermocycling had a major impact on the surface roughness, microhardness and optical characteristics of the tested materials. E.max Press displayed less changes in (ΔL*), (ΔC*ab) and (ΔE), while GC LiSi Press had better behavior in terms of microhardness.
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16
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Al-Angari SS, Meaigel S, Almayouf N, Quwayhis S, Aldahash A, Al-Angari NS. The Effects of a coffee beverage and whitening systems on surface roughness and gloss of CAD/CAM lithium disilicate glass ceramics. J Appl Biomater Funct Mater 2021; 19:22808000211058866. [PMID: 34816765 DOI: 10.1177/22808000211058866] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVES To investigate the effects of a coffee beverage and two whitening systems on the surface roughness and gloss of glazed Lithium Disilicate Glass-Ceramics (LDGC) for computer-aided design/computer-aided manufacturing (CAD/CAM) systems. METHODS Sixty-eight LDGC disks (12 × 10 × 2 mm) were prepared from blocks of CAD/CAM systems (IPS e.max CAD ceramic). Baseline measurements for surface roughness (Ra) and gloss (GU) were taken using a 3-D optical profilometer and a glossmeter, respectively; then specimens were randomized into four groups (n = 17). All specimens were immersed in a coffee solution (24 h × 12 days) then subjected to two whitening systems. G1-negative control (kept moist × 7 days); G2-positive control (brushed with distilled water, 200 g/load, 2 min twice daily × 7 days); G3-whitening toothpaste (Colgate optic white; relative dentin abrasivity (RDA) = 100, 200 g/load, 2 min twice daily × 7 days); and G4-simulated at-home bleaching protocol (Opalescence,15% carbamide peroxide (CP), 6 h/day × 7 days). The study outcomes were measured at baseline and after the treatments. Data were analyzed using paired T-test and one-way ANOVA (α = 0.05). RESULTS The mean surface roughness significantly increased (p ⩽ 0.002) for all groups after the designated treatment protocols. Among groups, the mean surface roughness of G2 and G3 were significantly higher (p ⩽ 0.001) (Ra: 0.51 and 0.57 μm, respectively) compared to the control group (Ra: 0.23 μm), and were not significantly different from G4 (Ra: 0.46 μm). Surface gloss decreased with no significant change within or among groups after treatment. CONCLUSION All glazed LDGC had a significant increase in surface roughness after being subjected to simulated 1 year of coffee drinking and whitening systems (15% CP and whitening toothpaste), and the greatest change was associated with brushing (simulating 8 months). However, coffee beverages and whitening systems had no significant effect on the surface gloss.
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Affiliation(s)
- Sarah S Al-Angari
- Department of Restorative Dental Science, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Shahad Meaigel
- Department of Prosthodontics, King Abdulaziz Medical City, National Guard Health Affairs, Riyadh, Saudi Arabia.,King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.,Department of Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences (KSAU-HS), Riyadh, Saudi Arabia
| | - Nouf Almayouf
- King Abdullah International Medical Research Center, Riyadh, Saudi Arabia
| | - Shahad Quwayhis
- Department of Prosthodontics, King Abdulaziz Medical City, National Guard Health Affairs, Riyadh, Saudi Arabia.,King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.,Department of Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences (KSAU-HS), Riyadh, Saudi Arabia
| | - Abdulelah Aldahash
- Department of Prosthodontics, King Abdulaziz Medical City, National Guard Health Affairs, Riyadh, Saudi Arabia.,King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.,Department of Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences (KSAU-HS), Riyadh, Saudi Arabia
| | - Nadia S Al-Angari
- Department of Prosthodontics, King Abdulaziz Medical City, National Guard Health Affairs, Riyadh, Saudi Arabia.,King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.,Department of Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences (KSAU-HS), Riyadh, Saudi Arabia
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Aldosari LI, Alshadidi AA, Porwal A, Al Ahmari NM, Al Moaleem MM, Suhluli AM, Shariff M, Shami AO. Surface roughness and color measurements of glazed or polished hybrid, feldspathic, and Zirconia CAD/CAM restorative materials after hot and cold coffee immersion. BMC Oral Health 2021; 21:422. [PMID: 34461868 PMCID: PMC8404315 DOI: 10.1186/s12903-021-01770-2] [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: 12/19/2020] [Accepted: 08/11/2021] [Indexed: 11/25/2022] Open
Abstract
Background The purpose of this study evaluates and compares the effect of surface roughness (Ra) and color stability on computer-aided design/computer-aided manufacturing (CAD/CAM) hybrid resin (Vita Enamic), feldspathic (Vitablocs® Mark II), and lithium disilicate Zirconia (Vita Suprinity) glazed or polished ceramics immersed in hot Arabic Qahwa and cold coffee. Methods A total of 96 standardized samples were prepared from CAD/CAM restorative materials. Half of the samples were polished as per the manufacturer’s instructions using a porcelain polishing kit, and the other half were glazed. Samples were distributed and immersed in hot Arabian Qahwa and cold coffee followed by thermocycling. Ra measurements and color changes were conducted before and after immersion. SEM images were captured from each type of glazed or polished ceramic. One-way ANOVA paired Student’s t-test, and Bonferroni test were conducted to detect significant difference between the groups. P > 0.05 was a significant level. Results Of all the tested samples, Ra increased without any significant difference; however, mean color changes (ΔE*) showed significant differences. An increase in Ra was noted for all the glazed and polished samples after immersion and thermocycling. However, differences were significant only in VM II. In addition, ΔE* was significant only in Vita Suprinity (VS) samples. For immersion groups, significant Ra changes were noticed in glazed samples, only in Vita Enamic (VE) with no ΔE*. In polished samples, mean Ra changes were observed in VM II and VS samples. Significant differences were also noticed in polished VE and VS subgroups of ΔE*. Conclusions Ra affects all the tested samples, providing higher values on the polished specimens. The ΔE* caused by hot Arabic Qahwa and cold coffee on glazed or polished CAD/CAM restorative materials were clinically acceptable.
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Affiliation(s)
- Lujain I Aldosari
- Prosthetic Department, College of Dentistry, King Khalid University, Abha, Kingdom of Saudi Arabia
| | | | - Amit Porwal
- Department of Prosthetic Dental Science, College of Dentistry, Jazan University, Jazan, 45142, Kingdom of Saudi Arabia
| | - Nasser M Al Ahmari
- Prosthetic Department, College of Dentistry, King Khalid University, Abha, Kingdom of Saudi Arabia
| | - Mohammed M Al Moaleem
- Department of Prosthetic Dental Science, College of Dentistry, Jazan University, Jazan, 45142, Kingdom of Saudi Arabia.
| | - Ahmed M Suhluli
- Intern Department, College of Dentistry, Jazan University, Jazan, Kingdom of Saudi Arabia
| | - Mansoor Shariff
- Prosthetic Department, College of Dentistry, King Khalid University, Abha, Kingdom of Saudi Arabia
| | - Ahmed O Shami
- Intern Department, College of Dentistry, Jazan University, Jazan, Kingdom of Saudi Arabia
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Mešić K, Majnarić I, Mehulić K. Effect of Aging on the Microstructure and Optical Properties of Translucent ZrO 2 Ceramics. Acta Stomatol Croat 2021; 55:114-128. [PMID: 34248145 PMCID: PMC8255040 DOI: 10.15644/asc55/2/1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2021] [Accepted: 05/31/2021] [Indexed: 02/04/2023] Open
Abstract
Objectives The development and placement of translucent zirconia ceramics on the dental materials market is in full swing. This research aimed to investigate how aging protocols affect the microstructure, color parameters and translucency of a new-generation monolithic zirconia ceramic. Material and methods Translucent zirconia ceramics KATANA-Zirconia STML with different surface treatments (as sintered - control, glazed, polished) was tested using two aging protocols (hydrothermal degradation in autoclave at 134 °C and 2 bars for three hours, chemical degradation in four-percent acetic acid at 80 °C for 16 hours) in order to examine phase composition using X-ray diffraction analysis and ΔE, ΔL and ΔC color parameters through spectrophotometry. The translucency parameter (TP) was calculated using parameters L*, a* and b* on a black and white surface. Results Regardless of the surface treatment, aging protocols did not cause a tetragonal-to-monoclinic phase transformation, although hydrothermal degradation in the autoclave transformed the hybrid tetragonal-cubic structure of all specimens to a tetragonal one. All polished and glazed specimens during chemical degradation demonstrated a significant color change ΔE. Lightness ΔL significantly changed in polished specimens aged in the autoclave. In all specimens, ΔC underwent a change manifested through statistically insignificant yellowing. None of the aging protocols altered the translucency of specimens. Conclusions Aging, regardless of the final surface treatment, did not manifest a monoclinic phase in the specimens. A tetragonal-cubic microstructure dominates. Unlike polishing, glazing the surface of translucent zirconia ceramics contributed to minor changes in color, lightness and chromaticity. The translucency of translucent zirconia ceramics remains stable regardless of aging and surface treatment.
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Affiliation(s)
- Korina Mešić
- DMD; Polyvalent Dental Office, 10 000 Zagreb, Croatia
| | - Igor Majnarić
- Associate Professor; Faculty of Graphic Arts, 10 000 Zagreb, Croatia
| | - Ketij Mehulić
- Professor; Dental Clinic, University Hospital Centre Zagreb, 10 000 Zagreb, Croatia
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Kim SH, Choi YS, Kang KH, Att W. Effects of thermal and mechanical cycling on the mechanical strength and surface properties of dental CAD-CAM restorative materials. J Prosthet Dent 2021; 128:79-88. [PMID: 33546857 DOI: 10.1016/j.prosdent.2020.11.014] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2019] [Revised: 11/24/2020] [Accepted: 11/24/2020] [Indexed: 11/24/2022]
Abstract
STATEMENT OF PROBLEM The properties of dental computer-aided design and computer-aided manufacturing (CAD-CAM) materials vary. Studies regarding the effects of aging on the properties of these materials are lacking. PURPOSE The purpose of this in vitro study was to evaluate the changes in the mechanical and surface properties of different CAD-CAM materials after thermocycling and mechanical loading. MATERIAL AND METHODS In total, 150 bar-shaped specimens (17.0×4.0×2.0 mm) were prepared from feldspathic glass-ceramic (VM; Vitablocs Mark II), lithium disilicate glass-ceramic (EX; IPS e.max CAD), zirconia-reinforced lithium silicate glass-ceramic (CD; Celtra Duo), polymer-infiltrated ceramic network (VE; Vita Enamic), and resin-nanoceramic (CS; Cerasmart). Each type was divided into 2 groups (n=15; each). One group was subjected to thermocycling in distilled water at 5 °C to 55 °C for 6000 cycles and 50 N mechanical loading for 1.2×106 cycles. The other group was stored in 37 °C water for 24 hours. Nanoindentation hardness, Young modulus, and 3-point flexural strength were measured for the analyses of the mechanical properties. Surface roughness, surface microstructure, and elemental composition were measured to analyze the surface characteristics. Statistical analyses were performed with 1-way ANOVA with the Tukey HSD post hoc test, independent samples t test, Kruskal-Wallis test with Bonferroni post hoc test, Mann-Whitney U test, and 2-way ANOVA (α=.05). RESULTS Before and after aging, CS exhibited the lowest hardness (1.20 to 1.04 GPa) and Young modulus (13.76 to 13.48 GPa) values (P<.05). EX exhibited the highest flexural strengths (393.43 to 391.86 MPa), and VM exhibited the lowest (109.98 to 112.73 MPa) values (P<.05). CS exhibited the highest surface roughness (Sa and Sq; 10.60 to 28.82, 14.21 to 38.27 nm) values (P<.05). After aging, the hardness and Young modulus of VM, EX, and VE decreased significantly (P<.001). No significant difference was observed in the flexural strengths of the CAD-CAM materials (P>.05). Significant increases were observed in the surface roughness of all the materials (P<.05), with altered microstructures. Except for the flexural strength, the mechanical properties and surface characteristics of the CAD-CAM materials were significantly affected by the material type after aging. CONCLUSIONS Before and after aging, resin-nanoceramic exhibited the lowest hardness and Young modulus, and the highest surface roughness. Lithium disilicate glass-ceramic exhibited the highest flexural strength and feldspathic glass-ceramic exhibited the lowest value. After aging, increased surface roughness and microstructure alterations were observed. Significant interactions between aging process and material type were found for the mechanical properties and surface characteristics except for the flexural strength.
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Affiliation(s)
- Sung-Ho Kim
- Graduate student, Graduate Prosthodontics, Department of Prosthodontics, College of Dentistry, Dankook University, Cheonan, Republic of Korea
| | - Yu-Sung Choi
- Associate Professor, Department of Prosthodontics, College of Dentistry, Dankook University, Cheonan, Republic of Korea; Visiting Professor, Department of Prosthodontics, Tufts University School of Dental Medicine, Boston, Mass.
| | - Ki-Ho Kang
- Professor and Advanced Education Program Director, Department of Prosthodontics, Tufts University School of Dental Medicine, Boston, Mass
| | - Wael Att
- Professor and Chairman, Department of Prosthodontics, Tufts University School of Dental Medicine, Boston, Mass
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Theocharidou A, Kontonasaki E, Koukousaki I, Koumpouli A, Betsani I, Koidis P. Effect of in vitro aging and acidic storage on color, translucency, and contrast ratio of monolithic zirconia and lithium disilicate ceramics. J Prosthet Dent 2021; 127:479-488. [PMID: 33504431 DOI: 10.1016/j.prosdent.2020.12.015] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2019] [Revised: 12/16/2020] [Accepted: 12/16/2020] [Indexed: 11/17/2022]
Abstract
STATEMENT OF PROBLEM How the translucency and color of ceramic restorations are affected by surface changes from the corrosive environment in the oral cavity and aging of materials is unclear. PURPOSE The purpose of this in vitro study was to compare the impact of acidic exposure and aging on the color and translucency of monolithic zirconia and lithium disilicate ceramics. MATERIAL AND METHODS Twenty computer-aided design and computer-aided manufacturing (CAD-CAM) monolithic zirconia specimens and 20 pressed lithium disilicate specimens were fabricated. Half of the specimens of each group were aged in an autoclave (7.5 hours, 134 °C, 0.2 MPa), and the rest were immersed in hydrochloric acid to simulate the acidic conditions in the oral cavity from gastric reflux. The color coordinates L∗, a∗, and b∗ were measured with an ultraviolet spectrophotometer before and after aging or acidic storage. The translucency parameters and contrast ratios were calculated, and the CIEDE2000 color difference formula was used to determine color differences before and after each treatment. ANOVA and ANCOVA test models were used for data analysis (α=.05), while differences of color parameters in respect to acceptability and perceptibility thresholds were evaluated with the 1-sample t test (α=.05). RESULTS Lithium disilicate presented a significantly higher translucency parameter and lower contrast ratio at baseline compared with monolithic zirconia specimens (P<.001). Acidic storage significantly impacted all parameters compared with aging, especially for the lithium disilicate group. Color differences were above the acceptability ΔΕ00 threshold for lithium disilicate after acidic storage (P=.001) and below for monolithic zirconia after acidic storage (P=.003). CONCLUSIONS The performance of lithium disilicate was slightly inferior compared with that of monolithic zirconia specimens, as they presented significant and clinically observable differences for the translucency parameter and ΔΕ00 after acidic storage and aging.
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Affiliation(s)
- Anna Theocharidou
- Lecturer, Department of Prosthodontics, School of Dentistry, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Eleana Kontonasaki
- Associate Professor, Department of Prosthodontics, School of Dentistry, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Ioanna Koukousaki
- Predoctoral student, School of Dentistry, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Alexandra Koumpouli
- Predoctoral student, School of Dentistry, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Ioanna Betsani
- Predoctoral student, School of Dentistry, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Petros Koidis
- Professor, Department of Prosthodontics, School of Dentistry, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece.
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Mešić K, Majnarić I, Obhođaš J, Baršić G, Mehulić K. The Effect of Aging on Composition and Surface of Translucent Zirconia Ceramic. Acta Stomatol Croat 2020; 54:339-352. [PMID: 33642598 PMCID: PMC7871433 DOI: 10.15644/asc54/4/1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Abstract
Objectives To examine the effect of two aging protocols on the chemical and phase composition as well as the surface state of monolithic translucent zirconia ceramics. Material and Methods Translucent zirconia ceramics KATANA-Zirconia STML with different surface treatments (no treatment, K1, K2; glazed, G1-G8; polished, P1-P8) underwent testing in order to examine how the two aging protocols (three-hour hydrothermal degradation in an autoclave at 134 °C and 2 bars: G1-G4, P1-P4, and sixteen-hour chemical degradation in four-percent acetic acid at 80 °C (ISO 6872): G5-G8, P5-P8) affect chemical composition, particularly the share of stabilizing yttrium oxide (Energy Dispersive X-Ray Fluorescence – EDXRF), phase composition (X-ray diffraction – XRD) and surface state in terms of roughness and gloss. Results Aging protocols did not affect the tested chemical composition stability of specimens and a high share of stabilizing yttrium-oxide (≥10% of total content), which correlates with the absence of monoclinic phase. A decrease in gloss on all specimens is statistically significant. Chemical degradation substantially increased the surface roughness of tested specimens. Conclusions Translucent monolithic zirconia demonstrated a stable chemical composition and resistance to tetragonal-to-monoclinic transformation. Surface gloss was significantly reduced, especially in polished specimens. Contrary to glazed specimens, the tested polished specimens manifested an increase in surface roughness. Glazing the surface of translucent monolithic zirconia produces better esthetic, tribological and hygienic effects than polishing.
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Affiliation(s)
- Korina Mešić
- Polyvalent Dental Office, 10 000 Zagreb, Croatia
| | | | | | - Gorana Baršić
- Faculty of Mechanical Engineering and Naval Architecture, 10 000 Zagreb, Croatia
| | - Ketij Mehulić
- School of Dental Medicine University of Zagreb & Dental Clinic, University Hospital Centre Zagreb, 10 000 Zagreb, Croatia
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Ozen F, Demirkol N, Parlar Oz O. Effect of surface finishing treatments on the color stability of CAD/CAM materials. J Adv Prosthodont 2020; 12:150-156. [PMID: 32601534 PMCID: PMC7314631 DOI: 10.4047/jap.2020.12.3.150] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2019] [Revised: 05/07/2020] [Accepted: 05/14/2020] [Indexed: 11/12/2022] Open
Abstract
PURPOSE The aim of this study was to evaluate the effect of different surface finishing processes on the color stabilities of lithium disilicate glass-ceramics, zirconia-reinforced lithium silicate ceramics, and resin nanoceramics after artificial ageing. MATERIALS AND METHODS 216 samples were prepared from 3 different CAD/CAM materials (LAVA Ultimate, IPS e.max CAD, VITA Suprinity) with A1 HT color at a size of 14 × 12 mm and a thickness of 0.5 ± 0.05 mm. Color measurements of the samples were performed with a spectrophotometer using color parameters and CIE Lab color system on a gray backing between baseline color and after 5000 cycles of artificial ageing in 4 stages (i.e. the first measurement before the treatment, the second measurement after polishing, the third measurement after cement application, and the fourth measurement after artificial ageing). The results were evaluated using the Variance analysis and Fisher's LSD test. RESULTS Resin nanoceramics (LU) exhibited higher color change values than zirconia-reinforced lithium silicate (VS) and lithium disilicate (EC) ceramics after artificial ageing. Manual polishing and glazing resulted in similar color change for LU and VS (P>.05). In the EC group, glazing provided statistically different results as compared to the manual polishing and control groups (P<.05). Among the ceramic groups, color change values of the subgroup, which was treated by glazing, of the zirconia-reinforced lithium silicate (VS) and lithium disilicate (EC) samples were below the clinically acceptable level (ΔE < 3.5). CONCLUSION The lowest color change for all stages was observed in Vita Suprinity.
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Affiliation(s)
- Funda Ozen
- Prosthodontics, Private Practice, Denizli, Turkey
| | - Nermin Demirkol
- Department of Prosthodontics, Faculty of Dentistry, Gaziantep University, Gaziantep, Turkey
| | - Ozge Parlar Oz
- Department of Prosthodontics, Faculty of Dentistry, Gaziantep University, Gaziantep, Turkey
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Vohra F, Andejani AF, Alamri O, Alshehri A, Al-Hamdan RS, Almohareb T, Abduljabbar T. Influence of electronic nicotine delivery systems (ENDS) in comparison to conventional cigarette on color stability of dental restorative materials. Pak J Med Sci 2020; 36:993-998. [PMID: 32704277 PMCID: PMC7372672 DOI: 10.12669/pjms.36.5.2303] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023] Open
Abstract
Objective: The use of Electronic Nicotine Delivery Systems (ENDS) is increasing rapidly. However, its discoloring effect on dental restorations is not known. This study aimed to evaluate the effect of ENDS aerosol when compared to conventional cigarette smoke (CS) on the color stability of dental ceramic (DC) and resin composite (RC). Methods: This research project was conducted from November 2018 to May 2019. In this study 30 discs each for DC and RC materials were fabricated to be equally divided into groups of exposure to CS, ENDS aerosol and storage in distilled water (No smoke; NS) respectively (n=10). Specimens were exposed for a total of 7 days, with a rate of 10 cycles per day, each cycle represented 10 puffs. The color change was assessed using the CIELAB color space, by calculating ΔE. Data was analysed using ANOVA and multiple comparisons test. Results: Ceramic specimens in CS (2.422 ± 0.771) and ENDS (2.396 ± 0.396) groups showed comparable ΔE (color change) (p=0.992). Similarly, composite specimens in CS (42.871 ± 2.442) and ENDS (46.866 ± 3.64) groups showed comparable ΔE (p>0.05). NS specimens in both composite and ceramic samples showed lower ΔE than CS and ENDS specimens respectively. Conclusions: Aerosol from Electronic nicotine delivery systems (ENDS) showed similar discoloration levels as cigarette smoking (CS). The level of discoloration for ceramic samples for both ENDS and CS was below clinically perceptible levels (Mean ΔE < 2.5). Discoloration of composite resin due to CS and ENDS was visually perceptible (Mean ΔE > 4.0).
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Affiliation(s)
- Fahim Vohra
- Fahim Vohra Department of Prosthetic Dental Science, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia
| | - Abdulelah F Andejani
- Abdulelah F Andejani, Department of General Dentistry, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia
| | - Osamah Alamri
- Osamah Alamri Department of General Dentistry, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia
| | - Abdulaziz Alshehri
- Abdulaziz Alshehri Department of General Dentistry, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia
| | - Rana S Al-Hamdan
- Rana S Al-Hamdan Department of Restorative Dental Sciences, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia
| | - Thamer Almohareb
- Thamer Almohareb Department of Restorative Dental Sciences, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia
| | - Tariq Abduljabbar
- Tariq Abduljabbar Department of Prosthetic Dental Science, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia
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Al Moaleem MM, AlSanosy R, Al Ahmari NM, Shariff M, Alshadidi AA, Alhazmi HA, Khalid A. Effects of Khat on Surface Roughness and Color of Feldspathic and Zirconia Porcelain Materials under Simulated Oral Cavity Conditions. MEDICINA (KAUNAS, LITHUANIA) 2020; 56:E234. [PMID: 32414190 PMCID: PMC7279326 DOI: 10.3390/medicina56050234] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/03/2020] [Revised: 04/08/2020] [Accepted: 04/13/2020] [Indexed: 11/28/2022]
Abstract
Background and Objectives: Khat chewing is considered as a daily habit that is practiced by more than five million people globally. The effect of khat chewing on the surface roughness and the color stability of natural teeth and the material used in the fabrication of dental prosthesis remains unknown. This study was conducted to explore and compare the effect of khat homogenate (KH) on the surface roughness (Ra) and the average color changes (ΔE*) amongst natural teeth and selected shades from different porcelain types, namely, feldspathic metal ceramic (MC) VM13, computer-aided design/computer assisted manufacture (CAD/CAM) feldspathic (Vitablocs Mark II), and multilayer zirconia (Ceramill Zolid PS) porcelains. Materials and Methods: Seventy samples were prepared from natural teeth, feldspathic MC, CAD/CAM Vitablocs Mark II, and zirconia porcelain. The Ra values were measured using a profilometer and expressed in micrometers, whereas the ΔE* values were measured using VITA Easyshade® V spectrophotometer for all samples before and after frequent immersion and thermocycling in KH for 30 days. The surface topography was used to assess the materials surfaces (glazed or polished) after KH immersion by using a white light interferometry machine. Results: Results revealed that the Ra and the ΔE* values of the different types of tested porcelain were influenced by KH. The order of surface roughness values was glazed or polished MC > polished Zircon > polished Vitablocs Mark II > natural teeth. The lowest ΔE* values were recorded for glazed Vitablocs Mark II and MC, and the values could be arranged as polished zircon > natural teeth > glazed zircon > polished MC > polished Vitablocs Mark II. P values were significantly varied (< 0.001) among all the tested groups, except the zircon group (>0.05) for both Ra and ΔE*. Conclusion: KH significantly affected both surface parameter and color of glazed or polished porcelain materials and natural teeth.
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Affiliation(s)
- Mohammed M. Al Moaleem
- Department of Prosthetic Dental Science, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia
| | - Rashad AlSanosy
- Substance Abuse and Toxicology Research Center, Jazan 45142, Saudi Arabia; (R.A.); (H.A.A.); (A.K.)
| | - Nasser M. Al Ahmari
- Prosthetic Department, College of Dentistry, King Khalid University, Abha 62529, Saudi Arabia; (N.M.A.A.); (M.S.)
| | - Mansoor Shariff
- Prosthetic Department, College of Dentistry, King Khalid University, Abha 62529, Saudi Arabia; (N.M.A.A.); (M.S.)
| | | | - Hassan A. Alhazmi
- Substance Abuse and Toxicology Research Center, Jazan 45142, Saudi Arabia; (R.A.); (H.A.A.); (A.K.)
- Department of Pharmaceutical Chemistry, College of Pharmacy, Jazan University, Jazan 45142, Saudi Arabia
| | - Asaad Khalid
- Substance Abuse and Toxicology Research Center, Jazan 45142, Saudi Arabia; (R.A.); (H.A.A.); (A.K.)
- Medicinal and Aromatic Plants Research Institute, National Center for Research, Khartoum 11123, Sudan
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Effect of repeated firing on the translucency of CAD-CAM monolithic glass-ceramics. J Prosthet Dent 2020; 123:530.e1-530.e6. [DOI: 10.1016/j.prosdent.2019.10.028] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2018] [Revised: 10/13/2019] [Accepted: 10/14/2019] [Indexed: 11/20/2022]
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Aydın N, Karaoğlanoğlu S, Oktay EA, Kılıçarslan MA. Investigating the color changes on resin‐based CAD/CAM Blocks. J ESTHET RESTOR DENT 2019; 32:251-256. [DOI: 10.1111/jerd.12561] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2019] [Revised: 10/31/2019] [Accepted: 12/11/2019] [Indexed: 01/01/2023]
Affiliation(s)
- Numan Aydın
- Gulhane Faculty of Dentistry, Department of Restorative Dental TreatmentUniversity of Health Sciences Ankara Turkey
| | - Serpil Karaoğlanoğlu
- Gulhane Faculty of Dentistry, Department of Restorative Dental TreatmentUniversity of Health Sciences Ankara Turkey
| | - Elif A. Oktay
- Gulhane Faculty of Dentistry, Department of Restorative Dental TreatmentUniversity of Health Sciences Ankara Turkey
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Kurt M, Turhan Bal B. Effects of accelerated artificial aging on the translucency and color stability of monolithic ceramics with different surface treatments. J Prosthet Dent 2019; 121:712.e1-712.e8. [PMID: 30929661 DOI: 10.1016/j.prosdent.2019.01.014] [Citation(s) in RCA: 26] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2018] [Revised: 01/14/2019] [Accepted: 01/14/2019] [Indexed: 11/30/2022]
Abstract
STATEMENT OF PROBLEM Different surface finishing procedures can be applied to monolithic restorations. However, information is limited regarding the long-term performance of these procedures. PURPOSE The purpose of this in vitro study was to evaluate the effect of aging on the translucency and color stability of monolithic ceramics with different surface finishing procedures. MATERIAL AND METHODS Disk-shaped (14×1.5 mm) specimens of monolithic zirconia (Zirkonzahn Prettau [ZZ]) and lithium disilicate glass-ceramic (IPS e.max Press [IPS]) were fabricated. The specimens were divided into 3 subgroups according to the surface treatments (n=9, G: glazing, R: rubber polishing system, and P: rubber polishing system followed by polishing paste). Color measurements were made by using a spectrophotometer before and after an ultraviolet aging process. L*, a*, and b* parameters were recorded. ΔE and translucency parameter (TP) values were calculated. One specimen from each subgroup was examined by scanning electron microscopy (×30 000). The data were statistically analyzed using the Mann-Whitney U, Kruskal-Wallis, and post hoc tests (α=.05). RESULTS ΔE values of group ZZ (5.03) exceeded the clinically acceptable level (3.5); however, the color change was not clinically perceptible for IPS (0.41). The ΔE value of the subgroup P was found to be higher than that of the others for ZZ (P<.001). The ΔE value was not affected by the surface treatment for IPS. Group IPS showed significantly higher translucency than the ZZ group (P<.001). TP values were not affected by the surface treatment in either material and decreased after aging. However, changes in the TP values were too slight to be clinically perceptible. CONCLUSIONS Lithium disilicate ceramic was found to be more esthetic than monolithic zirconia ceramic in terms of color stability and translucency.
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Affiliation(s)
- Meral Kurt
- Research Assistant, Department of Prosthodontics, Faculty of Dentistry, Gazi University, Ankara, Turkey.
| | - Bilge Turhan Bal
- Professor, Department of Prosthodontics, Faculty of Dentistry, Gazi University, Ankara, Turkey
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Haralur SB, Raqe S. Alqahtani N, Alhassan Mujayri F. Effect of Hydrothermal Aging and Beverages on Color Stability of Lithium Disilicate and Zirconia Based Ceramics. ACTA ACUST UNITED AC 2019; 55:medicina55110749. [PMID: 31752316 PMCID: PMC6915526 DOI: 10.3390/medicina55110749] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2019] [Revised: 11/10/2019] [Accepted: 11/13/2019] [Indexed: 02/04/2023]
Abstract
Background and Objectives: All-ceramic prosthesis is widely used in modern dental practice because of its improved physico-mechanical and optical properties. These restorations are exposed to coloring agents from various nutrition and beverages in the oral cavity. Long-term color stability is critical for the success of these restorative materials. The purpose of this in vitro study was to assess the effect of common beverages and mouthwash on the color stability of lithium disilicate (LD), monolithic zirconia (MZ) and bilayer zirconia (BZ) surfaces. Materials and Method: Thirty disc-shaped specimens from each material were fabricated; each group was subdivided (n = 10) according to coffee, green tea and chlorhexidine immersion solutions. The baseline color of ceramic discs was recorded according to the CIE L*a*b* system with a portable spectrophotometer. The second measurement was recorded after 3000 thermocycling and immersion in coloring agents for 7 days. The mean color difference was calculated and data were compared with Kruskal-Wallis and Mann-Whitney post hoc tests (0.05). Results: ΔE values for LD with the immersion of coffee, tea, and Chlorhexidine gluconate (CHG) were 1.78, 2.241 and 1.58, respectively. Corresponding ΔE values for MZ were 5.60, 5.19, and 4.86; marginally higher than the clinically acceptable level of 3.5. Meanwhile, BZ showed better color stability compared to MZ with ΔE values of 4.22, 2.11 and 1.43. Conclusions: Among the ceramics evaluated, LD ceramic was found to be more color stable, while MZ ceramics displayed a higher susceptibility to discoloration. MZ and BZ ceramic colors were significantly altered with coffee immersion, while LD ceramics were more affected by green tea.
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Effect of beverage solutions and toothbrushing on the surface roughness, microhardness, and color stainability of a vitreous CAD-CAM lithium disilicate ceramic. J Prosthet Dent 2019; 121:711.e1-711.e6. [DOI: 10.1016/j.prosdent.2019.02.001] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2018] [Revised: 02/01/2019] [Accepted: 02/01/2019] [Indexed: 11/20/2022]
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