Study of the physical properties of type IV gypsum, resin-containing, and epoxy die materials

The Effect of Different Additives on the Hydration and Gelation Properties of Composite Dental Gypsum

Dental mold gypsum materials require fine powder, appropriate liquidity, fast curing, and easy-to-perform clinical operations. They require low linear expansion coefficient and high strength, reflecting the master model and facilitating demolding. In this article, the suitable accelerators and reinforcing agents were selected as additives to modify dental gypsum. The main experimental methods used were to compare the trends of linear expansion coefficients of several commercially available dental gypsum products over 72 h and to observe the cross-sectional microstructure of cured bodies before and after dental gypsum modification using scanning electron microscopy. By adjusting the application of additives, the linear expansion coefficient of dental gypsum decreased from 0.26% to 0.06%, while the flexural strength increased from 6.7 MPa to 7.4 MPa at 2 h. Formulated samples showed good stability and gelation properties with linear expansion completed within 12 h. It is indicated that the performance of dental gypsum materials can be improved by adding additives and nanomaterials, which provided a good reference for clinical preparation of high-precision dental prosthesis.

Stone verification device for verifying the definitive cast of an implant-supported restoration: A dental technique

To reduce the risk of implant and prosthetic complications, implant-supported prostheses should be passive. A verification device is used to verify the abutment analog position on the definitive cast, and hence its accuracy. This article describes the fabrication of a Type IV stone implant verification device for verifying the accuracy of the definitive cast.

Effect of Water Dilution on Full-Arch Gypsum Implant Master Casts

The objective of this study was to assess if the setting expansion, compressive strength, compressive modulus and Knoop hardness is reduced in Type III, IV and V gypsum products when excess water is added to recommended water/powder (W/P) ratios for full-arch implant master casts. Four properties were measured: linear setting expansion, compressive strength, compressive modulus, and Knoop hardness. Three dental stones were evaluated: ISO Type III, Type IV, and Type V. Water was added to recommended W/P ratios as follows: (1) 0%, the manufacturer’s recommend W/P ratio, (2) 50%, 1.5 times the manufacturer’s recommendation of water, (3) 100%, three times the manufacturer’s recommendation of water, (4) 150%, 2.5 times the manufacturer’s recommendation of water, and (5) 200%, three times the manufacturer’s recommendation of water. For all three gypsum types, 50% water additions minimally affected the setting expansion and compressive modulus (p > 0.05), but lowered compressive strength by 26% to 52% (p < 0.05). Knoop hardness was lowered by 24% and 48% for Types V and III (p < 0.05), whereas Type IV was not significantly affected (p > 0.05). With few exceptions, the physical properties for the three gypsum types reached minimum values at 100% dilution, with few changes noted at higher dilutions. Increased W/P ratios did not adequately reduce the setting expansion and adversely affected other physical properties. Of the gypsums tested, Type IV is still recommended due to its lower setting expansion for full-arch implant master casts.

Accuracy of Implant Analogs in 3D Printed Resin Models

PURPOSE

To study the effect of implant analog system, print orientation, and analog holder radial offset on 3D linear and absolute angular distortions of implant analogs in 3D printed resin models.

MATERIALS AND METHODS

A sectional master model simulating a 2-implant, 3-unit fixed prosthesis in a partially edentulous jaw was fabricated. Three implant analog systems for 3D printed resin models-Straumann (ST), Core3DCentres (CD) and Medentika (MD)-were tested. The corresponding scan bodies were secured onto the implants and scanned using an intraoral scanner. Models were obtained with a Digital Light Processing printer. Each implant analog system had 2 print orientations (transverse [X] and perpendicular [Y] to the printer door) and 2 analog holder radial offsets (0.04 mm and 0.06 mm), for a total of 60 models. The physical positions of the implants in the master model and the analogs in the printed resin models were directly measured with a Coordinate Measuring Machine (CMM). 3D linear distortion (ΔR) and absolute angular distortion (Absdθ) defined the 3D accuracy of the analogs in the printed models. Univariate ANOVA was used to analyse data followed by post hoc tests (Tukey HSD, α = 0.05).

RESULTS

Mean ΔR for ST (-155.7 ± 60.6 µm), CD (124.9 ± 65.0 µm) and MD (-92.9 ± 48.0 µm) were significantly different (p < 0.01). Mean Absdθ was not significantly different between ST (0.57 ± 0.48°) and CD (0.41 ± 0.27°), but both were significantly different from MD (2.11 ± 1.14°) (p < 0.01). Print orientation had a significant effect on ΔR only but no discernible trend could be found. Analog holder radial offset had no significant effect on ΔR and Absdθ.

CONCLUSIONS

Implant analog system had a significant effect on ΔR and Absdθ. Compared to the master model, CD produced greater mean interanalog distances, while ST and MD produced smaller mean interanalog distances. MD exhibited the greatest mean angular distortion which was significantly greater than ST and CD.

Students' perspectives on the use of digital versus conventional dental impression techniques in orthodontics

BACKGROUND

Despite the increasing use of digital impressions in orthodontics, this technique does not usually form part of the learning objectives in dental training. The aim of this study was to determine how students assess the user-friendliness of intraoral scanners compared to a conventional impression technique after a theoretical and practical teaching module.

METHODS

Thirty-one dental students in their seventh semester (4th year) received and conducted digital (3 M, St. Paul, NM) and conventional (alginate) impressions from: (i) the dentist's perspective, and (ii) the patient's perspective. Each student completed four questionnaires to evaluate: (i) the user-friendliness of intraoral scanning, and (ii) intraoral scanning compared to the conventional method.

RESULTS

Thirty (97%) students had not previously performed digital impressions. Twenty-four (77%) students were overall "very" or "rather" satisfied with the handling of the intraoral scanning method, and 18 (58%) preferred digital to alginate impressions from the dentist's perspective. From the "patient's" perspective, the students did not report any significant differences between the two methods. However, the impression tray in conventional impressions reduced "patient" comfort significantly more than the camera in digital impressions (Z = - 3.496, p < 0.001).

CONCLUSIONS

Dental students were able to practice both conventional alginate and modern digital impressions without prior knowledge of intraoral impression techniques after basic training and an introduction from dentists. Students reported a preference for the digital technique. Implementing digital intraoral impressions into undergraduate training is recommended to familiarise students with this rapidly developing digital technique at an early stage.

Accuracy of fit of implant-supported bars fabricated on definitive casts made by different dental stones

BACKGROUND

The purpose of this study was to evaluate the accuracy of fitting of an implant supported screw-retained bar made on definitive casts produced by 4 different dental stone products.

MATERIAL AND METHODS

The dental stones tested were QuickRock (Protechno), FujiRock (GC), Jade Stone (Whip Mix) and Moldasynt (Heraeus). Three external hexagon implants were placed in a polyoxymethylene block. Definitive impressions were made using monophase high viscosity polyvinylsiloxane in combination with custom trays. Then, definitive models from the different types of dental stones were fabricated. Three castable cylinders with a machined non-enganging base were cast and connected with a very small quantity of PMMA to a cast bar, which was used to verify the marginal discrepancies between the abutments and the prosthetic platforms of the implants. For that purpose special software and a camera mounted on an optical microscope were used. The gap was measured by taking 10 measurements on each abutment, after the Sheffield test was applied. Twelve definitive casts were fabricated for each gypsum product and 40 measurements were performed for each cast. Mean, minimum, and maximum values were calculated. The Shapiro-Wilk test of normality was performed. Mann-Whitney test (P<.06) was used for the statistical analysis of the measurements.

RESULTS

The non-parametric Kruskal-Wallis test revealed a statistically significant effect of the stone factor on the marginal discrepancy for all Sheffield test combinations: 1. Abutment 2 when screw was fastened on abutment 1 (χ2=3, df=35.33, P<0.01), 2. Abutment 3 when the screw was fastened on abutment 1 (χ2=3, df=37.74, P<0.01), 3. Abutment 1 when the screw was fastened on abutment 3 (χ2=3, df=39.79, P<0.01), 4. Abutment 2 when the screw was fastened on abutment 3 (χ2=3, df=37.26, P<0.01).

CONCLUSIONS

A significant correlation exists between marginal discrepancy and different dental gypsum products used for the fabrication of definitive casts for implant supported bars. The smallest marginal discrepancy was noted on implant supported bars fabricated on definitive casts made by Type III mounting stone. The biggest marginal discrepancy was noted on implant supported bars fabricated on definitive casts made by Type V dental stone. The marginal discrepancies presented on implant supported bars fabricated on definitive casts made by two types of Type IV dental stone were not significantly different. Key words:Dental implant, passive fit, dental stones, marginal discrepancy.

Comparative Evaluation of Tensile Strength in Die Stone Incorporated with Sodium and Calcium Hypochlorite as Disinfectants: An in vitro Study

AIM

The aim of this study was to evaluate the tensile strength of die stone incorporated with sodium and calcium hypochlorite as disinfectants.

MATERIALS AND METHODS

Two commercially available type IV die stone (Kalrock: Kalabhai Karson Pvt., Ltd and Pearlstone: Asian Chemicals) and two commercially available disinfectant solutions (sodium hypochlorite and calcium hypochlorite: Beachem Laboratory Chemical Private Limited, Chennai and Leo Chem Private Limited, Bengaluru) were used in this study, and the tensile strength was measured using Lloyd's Universal Testing Machine.

RESULTS

The results show that incorporating the disinfecting solutions decreases the tensile strength of both products. The effect of decreasing tensile strength on type IV gypsum product is seen more in calcium hypochlorite when compared with sodium hypochlorite disinfecting solution, and the tensile strength of Kalrock specimens is higher than Pearlstone specimens after disinfecting with sodium hypochlorite and calcium hypochlorite solution. The statistical results also show significant results in all the groups when compared with the control group.

CONCLUSION

The incorporation of sodium and calcium hypochlorite disinfecting solutions is not an encouraging method for both die materials as it reduces the tensile strength of type IV gypsum product. Tensile strength of Kalstone® die material is superior than Pearlstone® die material after mixing with sodium hypochlorite and calcium hypochlorite.

CLINICAL SIGNIFICANCE

According to the recommendations of Americans with Disability Act (ADA) and the Centers for Disease Control and Prevention, disinfecting the whole cast without or minimal changes in physical and mechanical properties was the motto of the study. The tensile strength in type IV gypsum product plays a most important role in retrieval of cast from impression, especially in narrow tooth preparation. This study reveals that incorporating method of disinfecting solutions is not recommended as it reduces the tensile strength.

Interproximal distance analysis of stereolithographic casts made by CAD-CAM technology: An in vitro study

STATEMENT OF PROBLEM

The accuracy of interproximal distances of the definitive casts made by computer-aided design and computer-aided manufacturing (CAD-CAM) technology is not yet known.

PURPOSE

The purpose of this in vitro study was to compare the interproximal distances of stereolithographic casts made by CAD-CAM technology with those of stone casts made by the conventional method.

MATERIAL AND METHODS

Dentoform teeth were prepared for a single ceramic crown on the maxillary left central incisor, a 3-unit fixed dental prosthesis (FDP) on the second premolar for a metal-ceramic crown, and a maxillary right first molar for a metal crown. Twenty digital intraoral impressions were made on the dentoform with an intraoral digital impression scanner. The digital impression files were used to fabricate 20 sets of stereolithographic casts, 10 definitive casts for the single ceramic crown, and 10 definitive casts for the FDP. Furthermore, 20 stone casts were made by the conventional method using polyvinyl siloxane impression material with a custom tray. Each definitive cast for stereolithographic cast and stone cast consisted of removable die-sectioned casts (DC) and nonsectioned solid casts (SC). Measurements of interproximal distance of each cast were made using CAD software to provide mean ±standard deviation (SD) values. Data were first analyzed by repeated measures analysis of variance (ANOVA), using different methods of cast fabrication (stone and stereolithography) as one within subject factor and different cast types (DC and SC) as another within subject factor. Post hoc analyses were performed to investigate the differences between stone and stereolithographic casts depending upon the results from the repeated measures ANOVA (α=.05).

RESULTS

Analysis of interproximal distances showed the mean ±SD value of the single ceramic crown group was 31.2 ±24.5 μm for stone casts and 261.0 ±116.1 μm for stereolithographic casts, whereas the mean ±SD value for the FDP group was 46.0 ±35.0 μm for stone casts and 292.8 ±216.6 μm for stereolithographic casts. For both the single ceramic crown and the FDP groups, there were significant differences in interproximal distances between stereolithographic casts and stone casts (P<.001). In addition, the comparisons of DC with SC of stone and stereolithographic casts for the single ceramic crown and FDP groups demonstrated there was statistically significant differences among interproximal distances between DC stereolithographic casts and SC stereolithographic casts only for the FDP group (P<.001).

CONCLUSIONS

For both the single ceramic crown and the FDP groups, the stereolithographic cast group showed significantly larger interproximal distances than the stone cast group. In terms of the comparison between DC and SC, DC stereolithographic casts for the FDP group only showed significantly larger interproximal values than those of the SC stereolithographic casts for the FDP group.

The addition of silica nanoparticles on the mechanical properties of dental stone

STATEMENT OF PROBLEM

The current application of nanotechnology in dentistry is limited to nanoparticles incorporated into adhesive systems and composite resins. Dental stone is a widely used material, and the incorporation of silica nanoparticles is still unexplored.

PURPOSE

The purpose of this in vitro study was to evaluate the mechanical properties of dental stone after the addition of silica nanoparticles in different concentrations.

MATERIAL AND METHODS

A total of 180 specimens were prepared, 90 for each dental stone (Durone and Fuji Rock). For the control group (CG), no silica particles were added, while test group TGnI had silica nanoparticles added to 1 wt%, and test group TGnV had silica nanoparticles added to 5 wt%. The roughness, diametral tensile strength (DTS), and compressive strength were measured 24 hours after the start of spatulation.

RESULTS

The mean roughness values for Durone were 0.55, 0.36, and 0.28 μm for CG, TGnI, and TGnV; for Fuji Rock, the mean roughness values were 0.47 for CG, 0.31 for TGnI, and 0.35 μm for TGnV. The mean DTS values for Durone were 6.0, 5.1, and 5.0 MPa for CG, TGnI, and TGnV, respectively, and for Fuji Rock, the mean DTS values were 6.4, 5.2, and 4.5 MPa for CG, TGnI, and TGnV, respectively. The mean compressive strength values for Durone were 35.4, 32.7, and 32.4 MPa for CG, TGnI, and TGnV, respectively, and for Fuji Rock, the mean compressive strength values were 42.9, 31.2, and 29.8 MPa for CG, TGnI, and TGnV respectively.

CONCLUSIONS

Surface roughness was statistically lower for the Durone and Fuji Rock stones (P<.001) when silica nanoparticles were added. The addition of silica nanoparticles did not significantly affect the DTS and compressive strength of Durone compared with CG (P>.05) but did affect the DTS of Fuji Rock when 5 wt% was added and the compressive strength in both concentrations (P<.05).

Analysis of the Mechanical Behavior and Surface Rugosity of Different Dental Die Materials

AIM

This work evaluated the mechanical and surface behavior of different die materials. The studied materials are polyurethane resin Exakto-Form (Bredent), Gypsum type IV, Fuji Rock EP (Gc), and Durone (Dentsply).

MATERIALS AND METHODS

Two metallic matrices molded in polyvinyl siloxane provided 30 cylindrical test specimens for the diametral compression test and 30 hemispherical test specimens for the surface rugosity test. The cylindrical test specimens were submitted to tests of diametral compression strength using a DL2000 universal assay machine, with a load cell of 2000 Kgf and constant speed of 1 mm/min connected to the software. Kruskal-Wallis and Dunn's nonparametric tests were used to analyze the results. The hemispheres were submitted to the surface rugosity assay using a SJ201-P rugosimeter with a sensitivity of 300 μm, speed of 0.5 mm/s, and cut-off of 0.8 mm, and the readings were taken on the convex surface of the test specimens and metallic matrix. Results were analyzed using with Fisher's least significant differences test (LSD) and Dunnett's test.

RESULTS

Kruskal-Wallis test showed significant difference between die materials for diametral compression strength (P = 0.002). Dunn's test showed significantly higher values for modified polyurethane resin (Exakto-Form). The gypsum type IV, which did not significantly differ regarding diametral compression strength, showed 34.0% (Durone) and 42.7% (Fuji Rock) lower values in comparison to Exakto-Form.

CONCLUSION

Within the parameters adopted in this study, it is possible to conclude that Exakto-Form polyurethane resin showed higher resistance to compression and was closer to the metallic matrix rugosity, and, along with the gypsum type IV Durone, showed better reproducibility of details relative to the Fuji Rock.

Does fixed retention prevent overeruption of unopposed mandibular second molars in maxillary first molar extraction cases?

Background

The objective of this study was to investigate whether multistranded fixed retainers prevented overeruption of unopposed mandibular second molars in maxillary first molar extraction cases.

Methods

The panoramic radiographs of 65 Class II Division 1 Caucasian Whites (28 females, 37 males) consecutively treated with bilateral maxillary first molar extraction and the Begg technique, and with records taken after treatment (T1) and in retention (T2), were withdrawn from private practice records. After appliance removal, mandibular second molars were retained with sectional wires till at least T2 in case of lack of occlusal contact with the antagonist. The subjects were assigned to study-retention and control-nonretention groups based on the retention status of mandibular second molars. Radiographic analysis was carried out to determine inclination of mandibular molars and the resulting movement of second molar centroids. Parametric and nonparametric tests were performed to assess the changes between T1 and T2.

Results

No statistically significant differences in molar inclination were observed between groups and timepoints (P > 0.05). There were no statistically significant differences in molar movement percentages (P > 0.05) irrespective of whether fixed retention had been used or not.

Conclusions

No significant eruption occurred in unopposed mandibular second molars bonded with fixed sectional retainers compared to molars partially occluded with the antagonists without fixed retention. Given the study limitations, fixed retention should be considered with caution in restricting tooth overeruption in unopposed molars.

Impact of surface roughness of gypsum materials on adaptation of zirconia cores

PURPOSE

The present study investigated the influences of various gypsum materials on the precision of fit of CAD/CAM-fabricated prostheses and analyzed their correlation with surface roughness.

MATERIALS AND METHODS

The master model of the mandibular right first molar was replicated, and four experimental groups based on two types of Type IV stone (GC Fujirock EP, Die keen) and two types of scannable stone (Aesthetic-Basegold, Everest Rock) were created to include a total of 40 specimens, 10 in each group. The surface roughness of the working models for the respective experimental groups was measured. Once the zirconia cores had been fabricated, the marginal and internal fits were measured with a digital microscope using the silicone replica technique. The mean and standard deviation of the respective points of measurement were computed and analyzed through the one-way ANOVA and Tukey's HSD test. The correlation between surface roughness and the precision of fit of the zirconia core was analyzed using the Pearson correlation analysis (α=.05).

RESULTS

The zirconia cores fabricated from the scannable stone working models exhibited a superior precision of fit as compared to those fabricated from the Type IV stone working models. The correlation analysis results showed a clear positive correlation between surface roughness and the precision of fit of zirconia cores in all of the experimental groups (P<.05).

CONCLUSION

The results confirmed that the surface roughness of dental working models has a decisive influence on the precision of fit of zirconia cores.

Influence of various gypsum materials on precision of fit of CAD/CAM-fabricated zirconia copings

The clinical applicability of CAD/CAM-fabricated zirconia copings is tested using working models made from four different highstrength Type IV gypsum materials. Each of the four materials was used to fabricate 15 zirconia copings. Precision of fit was measured with a digital electron microscope using the silicone replica technique. The mean and standard deviation of each reference point were analyzed using the one-way analysis of the variance (ANOVA) and Tukey's honest significant difference (HSD) tests (α=0.05). The overall marginal and internal fits of the zirconia copings were as follows: GS (GS: Grey Stone) group: 91.43 μm, LS (LS: Light green Stone) Group: 87.89 μm, RS (RS: Red Stone) Group: 88.75 μm, BS (BS: Beige Stone) Group: 82.78 μm. There were no significant differences between the mean adaptations of the gypsum varieties (p>0.05). This confirmed that the type of gypsum material used does not determine the precision of fit of a prosthesis.

The influence of postpouring time on the roughness, compressive strength, and diametric tensile strength of dental stone

STATEMENT OF PROBLEM

The optimum time after pouring a dental impression before removing the dental cast is unknown with regard to the strength and roughness of the stone. Setting times and the commercial products used are important variables.

PURPOSE

The purpose of this study was to evaluate the effect of postpouring time on the surface roughness, compressive strength, and diametric tensile strength of Type IV dental stone.

MATERIAL AND METHODS

A total of 270 specimens were prepared from 3 commercial brands of dental stone (Durone, Fuji Rock, and Tuff Rock). Surface roughness, compressive strength, and diametric tensile strength were assessed at 1 hour, 24 hours, and 7 days after pouring. Specimens 6 mm in diameter and 3 mm in height were produced for roughness and diametric tensile strength tests. Specimens 3 mm in diameter and 6 mm in height were used to measure compressive strength. The results were analyzed with the general linear model and Tukey honestly significant difference test (α=.05).

RESULTS

The surface roughness measured for the different types of dental stone tested varied from 0.3 μm (Durone, 1 hour) to 0.64 μm (Tuff Rock, 7 days). The diametric tensile strength ranged from 3.94 MPa (Tuff Rock, 1 hour) to 9.20 MPa (Durone, 7 days). The compressive strength varied from 26.67 MPa (Durone, 1 hour) to 65.14 MPa (Fuji Rock, 7 days).

CONCLUSIONS

Surface roughness (P=.005), diametric tensile strength (P=.001), and compressive strength (P=.001) increased significantly with time after pouring. The commercial brand used affected roughness (P=.001), diametric tensile strength (P=.004), and compressive strength (P=.001). Tuff Rock exhibited the highest surface roughness. The highest diametric tensile strength values were recorded for Durone and Fuji Rock. Fuji Rock exhibited the highest compressive strength.

Comparison of digital and conventional impression techniques: evaluation of patients' perception, treatment comfort, effectiveness and clinical outcomes

BACKGROUND

The purpose of this study was to compare two impression techniques from the perspective of patient preferences and treatment comfort.

METHODS

Twenty-four (12 male, 12 female) subjects who had no previous experience with either conventional or digital impression participated in this study. Conventional impressions of maxillary and mandibular dental arches were taken with a polyether impression material (Impregum, 3 M ESPE), and bite registrations were made with polysiloxane bite registration material (Futar D, Kettenbach). Two weeks later, digital impressions and bite scans were performed using an intra-oral scanner (CEREC Omnicam, Sirona). Immediately after the impressions were made, the subjects' attitudes, preferences and perceptions towards impression techniques were evaluated using a standardized questionnaire. The perceived source of stress was evaluated using the State-Trait Anxiety Scale. Processing steps of the impression techniques (tray selection, working time etc.) were recorded in seconds. Statistical analyses were performed with the Wilcoxon Rank test, and p < 0.05 was considered significant.

RESULTS

There were significant differences among the groups (p < 0.05) in terms of total working time and processing steps. Patients stated that digital impressions were more comfortable than conventional techniques.

CONCLUSIONS

Digital impressions resulted in a more time-efficient technique than conventional impressions. Patients preferred the digital impression technique rather than conventional techniques.

Comparison of dimensional accuracy of four different die materials before and after disinfection of the impression: an in vitro study

BACKGROUND

This study was conducted to compare the linear dimensional accuracy of die materials before and after disinfection of the impression. Type IV and V conventional dental stone, type IV-resin impregnated and copper-plated die materials were studied.

MATERIALS AND METHODS

A stainless-steel master die analogs to a complete veneer crown preparation with three scribed lines (I: vertical, II and III: horizontal) was machined and measurements were made from these scribed reference lines. Impressions were made with monophase addition silicone impression material for each of the specimens. 2% glutaraldehyde was used as a disinfectant. The fabricated dies were measured to the nearest 0.0001 mm. ANOVA and post hoc was carried out using Scheffe multiple comparison test at significance level of 0.05.

RESULTS

Type IV resin-impregnated dental stone and copperplated dies approximated the dimensions of the master die. Type IV and V conventional dental stone dies showed greater variation in measurements. Statistically significant differences were observed for type IV resin-impregnated and copper-plated dies in dimension I and III. For dimension II no significant differences were found for dies fabricated from four die materials. A one-way analysis of variance indicated no statistical significant differences among the two groups of dies fabricated from disinfectant treated impressions and those fabricated from nondisinfectant treated impressions.

CONCLUSION

Type IV resin-impregnated dental stone and copper-plated dies are dimensionally more accurate than type IV and V conventional dental stone die materials. No significant linear distortion in the dies fabricated from the disinfected impressions was observed.

Surface detail reproduction under simulated pulpal pressure: a 3-dimensional optical profilometer and scanning electron microscopy evaluation

STATEMENT OF PROBLEM

It is not clear whether more hydrophilic impression materials are better able to copy and transfer dentin surface detail than less hydrophilic ones.

PURPOSE

The purpose of this study was to evaluate the reproduction of dentin surface detail by means of hydrophobic and hydrophilic elastomeric impression materials under simulated pulpal pressure and their ability to transfer surface detail onto casts produced from such impressions.

MATERIAL AND METHODS

The wettability of the impression materials (n=8) was determined by contact angle measurement with an evolution period of 135 seconds. Dentin moisture was provided by means of pulpal pressure simulation, and objective analyses were performed by measuring the average roughness value (Ra) with a 3-D optical profilometer (n=10). One specimen from each group was analyzed with scanning electron microscopy. Contact-angle values were analyzed with a repeated measures ANOVA, and detail reproduction was tested with 3-way ANOVA (α=.05). The Bonferroni correction was used to control Type I error for follow-up analyses.

RESULTS

Contact angle measurements revealed significant differences depending on the impression material used and time of the measurement (P<.001). The Ra values of the hydrophilic impression materials, which were made from dry specimens, and the pulpal pressure simulated dentin surfaces did not differ from the dentin surfaces (P>.013). The hydrophobic impression material showed similar detail reproduction ability in a dry field, but loss of detail (evaluated subjectively) and increased roughness values (evaluated objectively) were recorded in a moisturized field (P=.004). Polyurethane-based cast material successfully reproduced the surface texture (P≥.006), whereas Type IV gypsum material was unable to reproduce this texture to the same extent.

CONCLUSIONS

The hydrophilic impression materials tested showed similar ability to reproduce detail under simulated pulpal pressure. Polyurethane-based cast material successfully reproduced the surface texture.

Comparative evaluation of few physical properties of epoxy resin, resin-modified gypsum and conventional type IV gypsum die materials: an in vitro study

AIM

To compare and evaluate few physical properties of epoxy resin, resin-modified gypsum and conventional type-IV gypsum die material.

MATERIALS AND METHODS

In the present study, dimensional accuracy, surface detail reproduction and transverse strength of three die materials like epoxy resin (Diemet-E), resin-modified gypsum (Synarock) and conventional type-IV gypsum (Ultrarock) are analyzed. For dimensional accuracy, master die (Bailey's die) is used and calibrations were made with digital microscope. For surface detail reproduction and transverse strength, rectangular stainless steel master die (Duke's die) was used and calibrations were made with Toolmaker's microscope and Instron universal testing machine respectively. One-way analysis of variance (ANOVA) was performed on the means and standard deviation for groups of each test.

RESULTS

The results of the study showed statistically significant difference among these materials in dimensional accuracy, surface detail reproduction and transverse strength.

CONCLUSION

Epoxy resin exhibited superiority in dimensional accuracy, surface detail reproduction and transverse strength and is nearest to the standards of accurate die material.

Dimensional accuracy of an epoxy die material using different polymerization methods

PURPOSE

Shrinkage of resinous die materials during setting reaction limits their acceptance, even though these materials show several advantages compared to stone die materials with respect to strength, abrasion resistance, and detail reproduction. The purpose of this study was to determine if retarding the setting reaction during polymerization and altering the base-to-catalyst ratio, as suggested by previous studies, can be recommended for resinous die materials to reduce the inaccuracy in transferring the spatial position of teeth or implants from the oral cavity to the master cast.

MATERIALS AND METHODS

A Blue Star Type E epoxy resin die material was tested. A reference triangular metal master die was fabricated. Forty medium-consistency polyether impressions of this model were made. Four groups (S, M, N, P) were compared, and ten dies were fabricated for each group. In the S group, the epoxy resin die material was manipulated according to the manufacturer's instructions; in the other three groups, the epoxy resin die material was manipulated by retarding the setting reaction and by modifying the epoxy resin base/activator ratio.

RESULTS

One-way ANOVA revealed significant differences between the four groups of the epoxy resin die material (p < 0.0001). Tukey's multiple comparisons test (p < 0.05) revealed that none of the resin groups was similar to the metal master die for each of the tested dimensions (A, B, and C). For the specific dimension C, however, the P group was statistically closer to the metal master die than the S group.

CONCLUSION

The epoxy resin die material tested in this research did not improve its dimensional accuracy following retarding polymerization or modifying the epoxy resin base/activator ratio. The epoxy resin material exhibited higher contraction variability across all tested groups. This shrinkage can significantly affect the dimension of the master cast.

Computer aided analysis of digitized dental stone replicas by dental CAD/CAM technology

OBJECTIVES

To determine the reproducibility of digitized dental stone replicas compared to the master model and the reliability of the computer aided analysis.

METHODS

Four master dies, prepared for complete crowns were fabricated in presintered yttria-stabilized tetragonal zirconia (Y-TZP). Eight vinyl polysiloxane impressions (PROVIL novo; Heraeus Kulzer) were taken of each die and stone replicas were poured in type IV stone (Vel-Mix Stone; Kerr). The master dies and the stone replicas were digitized in a touch-probe scanner (Procera Forte; Nobel Biocare AB), to create triangulated surface-models. The point-cloud from the first of the repeated digitizations of each master die was used as CAD-reference-models (CRM). Discrepancies between the points in the triangulated surface-models and the corresponding CRM were measured by a matching-software (CopyCAD 6.504 SP2; Delcam Plc). The distribution of the discrepancies was analyzed and presented in color-difference-maps.

RESULTS

The precision of the measuring method, presented as the repeatability coefficient, ranged between 7 and 16 microm (entire surface), whereas the analysis of the stone replicas revealed a precision (repeatability coefficient) ranging from 19 to 26 microm. The accuracy of the replica to master (the mean discrepancy) ranged from 0.5 to 2.0 microm (95% confidence interval 1.5-2.9 microm).

SIGNIFICANCE

The greatest precision of the measurement was seen in the jacket surface of the die. The size of the stone replicas varied and the repeatability coefficient was on average 15 microm (2-25 microm) greater for the replica-to-master alignment than the repeated digitizations of the master.

The influence of the cavity preparation design on marginal accuracy of laboratory-processed resin composite restorations

The aim of this study was to evaluate the influence of different cavity preparation designs on marginal accuracy of laboratory-processed resin composite restored teeth. Eighty mandibular human third molars were selected. There were two experimental factors, occlusal isthmus width (narrow vs wide) and cuspal coverage (inlay, one-cusp onlay, two-cusp onlay, and all-cusp onlay), resulting on eight groups (N = 10). Indirect composite restorations (SR Adoro, Ivoclar-Vivadent) were manufactured and positioned over each respective preparation. Marginal accuracy evaluation was accomplished using a stereomicroscope at three points on buccal, lingual, mesial, and distal regions with 40x magnification. The results showed significant differences (P = 0.00) with wide inlay showing the best overall marginal accuracy and narrow inlay the worst one. Two-way analysis of variance (ANOVA) showed significant differences when considering the factor occlusal isthmus width (P = 0.00). In general, preparations with wide occlusal isthmus presented better results than narrow ones, except for wide all-cusp onlays; however, the test failed to show differences when considering the cuspal coverage (P = 0.42) or the interaction between both factors (P = 0.30). The effect of occlusal width extension on marginal accuracy of indirect composite resin restorations is significant, with lower values of gaps width in wide preparations, but since in a clinical situation this would mean greater removal of sound tooth structure, less-aggressive preparations combined with other restorative procedures seem to be more feasible.

Dimensional accuracy of 7 die materials

PURPOSE

The purpose of this study was to compare the linear dimensional accuracy and the handling characteristics of 7 die materials.

MATERIALS AND METHODS

A master die analogous to a complete veneer crown preparation was machined from medical grade stainless steel, and 3 measurements (1: vertical; 2 and 3: horizontal) were made from 3 scribed reference lines. Individual polyvinylsiloxane impressions were made (n = 10) for each of the specimens. The fabricated dies were measured (50x) to the nearest 0.0001 mm. Data were subject to ANOVA/Duncan tests at significance level 0.05 and pairwise comparisons.

RESULTS

Type IV resin-impregnated dental stone and copper-plated dies most closely approximated the dimensions of the master die, and were not significantly different from each other in any of the pairwise comparisons. Conventional Types IV and V dental stone dies exhibited setting expansion within the range appropriate for gypsum. Epoxy resin die materials demonstrated shrinkage comparable to the expansion of the Types IV and V dies. Polyurethane dies displayed a combination of linear expansion and shrinkage. Bis-acryl composite resin dies had excessive shrinkage.

CONCLUSIONS

Type IV resin-impregnated dental stone and copper-plated dies were more dimensionally accurate than the other die materials tested.

Alterations of surface hardness with gypsum die hardeners

STATEMENT OF PROBLEM

Die stones require abrasion resistance, dimensional stability with time, and high surface wettability material properties.

PURPOSE

The purpose of this study was to compare the surface microhardness (Knoop) of 4 contemporary gypsum materials with and without surface die hardener.

MATERIAL AND METHODS

Materials used were a Type III stone (Microstone) and 3 die stones (Die-Keen, Silky-Rock, and ResinRock). Die hardener was cyanoacrylate (Permabond 910) or Clear Coat. Specimens of stone were hand mixed with distilled room temperature water and vacuum spatulated according to manufacturer's directions. Five cylinders (15 x 15 mm) per group were poured, using vibration, into phenolic ring molds positioned on top of a glass slide. The face of each specimen was polished with 2400-grit Al2O sandpaper. One face of each of 5 specimens/material was coated with cyanoacrylate; 5 specimens/material were coated with Clear Coat, air thinned and dried; and 5 specimens/material had no treatment (control). Knoop hardness (kg/mm2) readings were made on each face (5 readings/time point) 3, 12, and 24 hours after pouring. An ANOVA procedure with post hoc Tukey tests were performed (alpha=.05).

RESULTS

Microhardness did not vary between 3 and 24 hours for any material (P>.05). Microstone had significantly lower surface hardness (P<.0001) than the die stones. Specimens coated with die hardener had lower hardness values (P<.001 in all cases)

CONCLUSIONS

The 3 types of die stones evaluated in this study did not differ significantly in surface microhardness. Under these conditions, die hardener coatings reduced the surface hardness of the gypsum material.

Influence of surface hardener on gypsum abrasion resistance and water sorption

STATEMENT OF PROBLEM

Abrasion is a major concern when gypsum products are used for dies, leading to the frequent recommendation that surface hardeners should be used before waxing or scanning.

PURPOSE

This study evaluated abrasion resistance and water sorption with 4 commonly used gypsum die materials with and without the application of surface die hardeners.

MATERIAL AND METHODS

Three ADA Type IV (Vel-Mix, ResinRock, and Silky-Rock) and 1 Type V die material (Die-Keen) were evaluated for abrasion resistance after application of 2 surface hardeners (Permabond 910 cyanoacrylate and Clear Coat). Thirty specimens of each material were fabricated using an impression of a standard brass die machined with 1-mm high ridges, sloped 45 degrees. Gypsum materials were mixed according to manufacturers' recommendations and allowed to set 1 hour before separating. All replicated dies were allowed to bench set for 14 days before testing. One hour before testing, specimens were arbitrarily assigned to 1 of 3 treatment subgroups (n=10/group): no treatment (control), coated with Permabond 910, or coated with Clear Coat. In the coated groups, die hardener was painted over the grooves and air dried. Abrasion resistance (measured by weight loss) was evaluated using a reciprocal abrasion device in which a stylus applied a 50-g mass perpendicular to the ridges. Mass loss was determined using an analytical balance before and after each test cycle. Five sets of 20 unidirectional passes were made on each specimen. A scanning electron microscope was used to evaluate the surface of specimens in each treatment subgroup. Water sorption was also evaluated using 2 Type IV (Silky-Rock, ResinRock) and 1 Type III (Microstone) gypsum materials. Specimen dies were separated 1 hour after pouring the impression and allowed to bench set 1 week before testing. Five specimens from each material group received a coating of a surface hardener 1 hour before testing. Specimens were placed in distilled water for 15 minutes and differences in mass were determined using an analytical balance before and after each test. A 2-way analysis of variance was completed followed by a Tukey post hoc test (alpha=.05).

RESULTS

The 2-way analysis of variance revealed an interaction between product and surface coating (P=.0459). Given this interaction, the 12 combinations determined by surface treatment and material type were considered individually using the Tukey method. Vel-Mix, control (2.62 +/- 2.64 mg) had the most material loss and Vel-Mix, Clear Coat (0.48 +/- 0.29 mg) had the least material loss. Water sorption results indicated an interaction between the gypsum material and the surface treatment (P<.0001). The control groups of Microstone (299.2 +/- 49.6 mg) and Silky-Rock (159.0 +/- 8.5 mg) showed the most water sorption compared with the other treatment groups.

CONCLUSIONS

This study demonstrated that a significant improvement in abrasion resistance occurred only with specific gypsum/surface hardener material combinations. Also, water sorption decreased significantly for Microstone and Silky-Rock gypsum materials when a surface hardener was used.