Porcelain adherence to dental cast CP titanium: effects of surface modifications

Biomedical Applications of Titanium Alloys: A Comprehensive Review

Titanium alloys have emerged as the most successful metallic material to ever be applied in the field of biomedical engineering. This comprehensive review covers the history of titanium in medicine, the properties of titanium and its alloys, the production technologies used to produce biomedical implants, and the most common uses for titanium and its alloys, ranging from orthopedic implants to dental prosthetics and cardiovascular devices. At the core of this success lies the combination of machinability, mechanical strength, biocompatibility, and corrosion resistance. This unique combination of useful traits has positioned titanium alloys as an indispensable material for biomedical engineering applications, enabling safer, more durable, and more efficient treatments for patients affected by various kinds of pathologies. This review takes an in-depth journey into the inherent properties that define titanium alloys and which of them are advantageous for biomedical use. It explores their production techniques and the fabrication methodologies that are utilized to machine them into their final shape. The biomedical applications of titanium alloys are then categorized and described in detail, focusing on which specific advantages titanium alloys are present when compared to other materials. This review not only captures the current state of the art, but also explores the future possibilities and limitations of titanium alloys applied in the biomedical field.

Effect of Yb: Fiber laser on surface roughness and wettability of titanium

Background/Aim: In recent years, the role of computer aided design (CAD) and computer aided manufacturing (CAM) in dentistry has increasingly become important. However, the influence of different Yb: fiber laser applications on surface roughness of CAD/CAM implant has rarely been studied. The aim of this study is to investigate the effect of different Yb: fiber laser parameters on the surface roughness of CAD/CAM titanium. Material and Methods: Titanium samples, produced by CAD/CAM, were divided into 11 groups according to laser parameters such as scanning types (ST), application angles (AA) and hatch interval (HI). The surface roughness of CAD/CAM titanium was examined for each group. Wettability contact angles (CA) were also determined. Results: The highest surface roughness (43 mm) value was obtained for Group 10 (three-ways ST, 60o AA, 0.07mm HI). The lowest value (2.77 mm) after control group was obtained for Group 6. Surface roughness values, for Group 3, Group 9 and Group 10 were significantly higher than for the other groups (P= 0.000). In contact angle evaluations, the highest contact angle (144o) was observed in Group 10, while the lowest (95o) was observed in control group. Conclusions: Surface roughness was dependent on mixed effect of the laser application parameters. Three-ways ST, 60o AA, 0.07mm HI provided highest surface roughness and wettability contact angles. The surface roughness values of one-way ST, 0.06 mm HI, two-ways HT, 45o AA and 0.08 mm HI and three-ways ST, 60o AA and 0.07 mm HI were significantly higher than for the other groups (P=0.000).

Influence of Sandblasting and Chemical Etching on Titanium 99.2-Dental Porcelain Bond Strength

The metal-ceramic interface requires proper surface preparation of both metal and ceramic substrates. This process is complicated by the differences in chemical bonds and physicochemical properties that characterise the two materials. However, adequate bond strength at the interface and phase composition of the titanium-bioceramics system is essential for the durability of dental implants and improving the substrates' functional properties. In this paper, the authors present the results of a study determining the effect of mechanical and chemical surface treatment (sandblasting and etching) on the strength and quality of the titanium-low-fusing dental porcelain bond. To evaluate the strength of the metal-ceramic interface, the authors performed mechanical tests (three-point bending) according to EN ISO 9693 standard, microscopic observations (SEM-EDS), and Raman spectroscopy studies. The results showed that depending on the chemical etching medium used, different bond strength values and failure mechanisms of the metal-ceramic system were observed. The analyzed samples met the requirements of EN ISO 9693 for metal-ceramic systems and received strength values above 25 MPa. Higher joint strength was obtained for the samples after sandblasting and chemical etching compared to the samples subjected only to sandblasting.

Investigation on the properties of borate bonding agents: Ti6Al4V-porcelain bonding, chemical durability and preliminary cytotoxicity

The purpose of this study was to investigate the properties of the borate bonding agents (BBAS) including chemical durability, biocompatibility and bonding characteristics of porcelain to Ti6Al4V. The bond strength was performed by the three-point bending test. And the chemical durability and ion release of BBAS were tested by chemical soaking and inductively coupled plasma optical emission spectrometry (ICP-OES), respectively. Moreover, cytotoxicity was evaluated by cell viability assay and cell adhesion using human osteosarcoma cells (MG-63) and cell counter kit-8 (CCK-8) assay. To investigate the influences of composition and microstructure changes on all the properties mentioned above, the ¹¹B and ²⁷Al spectra and infrared spectra of BBAS were measured by solid-state nuclear magnetic resonance (SSNMR) and Fourier transform infrared spectroscopy (FTIR), respectively. Combined with all these properties of BBAS, the optimal addition proportion of Al₂O₃ into BBAS is 20 mol%. The relative contents of [BO3], [BO4], [AlO4], [AlO5] and [AlO6] have great influences on these properties of BBAS. BBAS, possessing excellent chemical durability, good biocompatibility and low ion release and being an effective way to improve the Ti6Al4V-porcelain bond strength, have significant clinical potentials in porcelain fused to metal restorations.

Multistage implantology-orthodontic-prosthetic treatment: A case report

BACKGROUND AND OVERVIEW

Patients increasingly expect esthetic and comfortable fixed restorations on implants, are aware how important it is to maintain healthy tooth tissue, and draw attention to the final result of treatment.

CASE DESCRIPTION

In this case report, the authors describe implantology-orthodontic-prosthetic treatment provided on a patient who reported symptoms of head, back, and neck pain and had an impaired prosthetic plane, lack of space for prosthetic crowns after the introduction of the implants and no good treatment plan, and broken tooth roots of the mandibular anterior teeth. In addition, the patient wanted to correct the shape and color of the rest of her teeth. The authors present the different stages of the implantology-orthodontic-prosthetic treatment and the final result after treatment. The patient was satisfied with the achieved results of the treatment in terms of functionality and esthetics. She felt a significant reduction in pain in the temporal, masseter, and sternocleidomastoid muscles. The clenching of teeth at night decreased, and she began to sleep better. Her well-being improved.

CONCLUSIONS AND PRACTICAL IMPLICATIONS

Before the beginning of the treatment, dentists should make an accurate diagnosis and determine if patients qualify for the treatment and the appropriate materials are selected. Achieving the desired functional and esthetic effect often requires cooperation with physicians in various specialties and multistage treatment.

A facile sol-gel synthesis of low-fusing titanium opaque porcelain using borate-silicate system and its bioactivity

The titanium opaque porcelain was synthesized through sol-gel using borate-silicate system. The porcelain was characterized by DSC-TG, X-ray diffraction, N₂ adsorption-desorption isotherms and scanning electron microscope tests. The results of DSC showed that the nitrates could be decomposed completely when the bioglass xerogel precursor was heat-treated at 760 ℃. The XRD results showed that the Na₂Ca₃Si₆O₁₆ was the major phase of the opaque porcelain. The synthesized opaque porcelain powders had an average particle size of about 5-25 µm with nanopores of around 50-70 nm on the surface. The BET average surface area of the porcelain was 12.67 m²/g, while the average pore diameters for adsorption and desorption were 9.73 and 10.16 nm, respectively. The flexure strength significantly increased from 47.4 MPa to 116.2 MPa with the sintering temperature increasing from 575 ℃ to 600 ℃. The XRD, FTIR and EDS results proved that hydroxyapatite had formed on the porcelain surface after incubation in simulated body fluid.

Effect of chemical surface treatment of titanium on its bond with dental ceramics

STATEMENT OF PROBLEM

Airborne-particle abrasion of titanium is a clinically accepted method of surface preparation. As a side effect of airborne-particle abrasion, particles of the abrasive material get embedded into the surface. How particle presence or removal from the titanium surface affects the strength of the titanium-ceramic bond is unclear.

PURPOSE

The purpose of this in vitro study was to determine the effect of removing Al₂O₃ particles embedded into the surface by means of chemical surface treatment on the strength of the titanium-ceramic bond.

MATERIAL AND METHODS

Titanium (TritanCpTi 1, Dentaurum, 99.5% Ti) disks were airborne-particle abraded with 110 μm Al₂O₃ at a pressure of 0.4 MPa and an angle of approximately 45 degrees. The surface was etched chemically using 1 of 8 reagents, and the veneering ceramic applied and fired. The strength of the metal-ceramic bond was determined using the shear strength test. Further, the effect of thermal fatigue on the bond strength was evaluated. The results were analyzed with 2-way ANOVA and the Tukey honest significant difference (HSD) test (α=.05). Fractographic investigations and microscopic tests were also performed to determine the quality of the titanium-ceramic bond.

RESULTS

Effective etching of the titanium surface and removal of Al₂O₃ particles included a 30% water solution of HNO₃ + 3% HF, a mixture of HNO₃ + HF + glycerin, a 4% solution of HF in H₂O₂, and a 4% solution of HF in H₂O. A statistically significant difference (of about 50%) in bond strength was found between the groups subjected to chemical etching and the control group (P<.05). Additionally, a statistically significant difference (about 25%) was found after thermocycling (P<.05).

CONCLUSIONS

Removing the Al₂O₃ particles embedded into the titanium surface after airborne-particle abrasion lowers the strength of the titanium-ceramic bond (P<.05). Thermocycling also weakens the strength of the titanium-ceramic bond, regardless of the surface preparation (P<.05).

Cast, milled and EBM-manufactured titanium, differences in porcelain shear bond strength

The objectives were to analyze the oxide layer generated between titanium and porcelain during firing and compare it in different manufacturing techniques: cast, milled and EBM-technique. Seventy two specimens were manufactured, subdivided according to surface treatment: time of passivation (P) and no time of passivation (NP) before porcelain firing. Specimens from each group were analyzed with scanning electron microscopy: one only fired once, and one subjected to six firings. Remaining specimens were subjected to shear bond strength test. The EBM-produced NP-group had highest mean value (25.0 MPa) and the milled P-group showed lowest mean value (18.5 MPa) when all factors were compared. No significant difference was detected according to time of passivation. SEM showed consistent and well-defined boundary between the different layers. Time of passivation and impact on oxide growth was not detected. The bond strength of porcelain to milled titanium is lower when compared to cast titanium and EBM-produced titanium.

Comparison of the bond strength of ceramics to Co-Cr alloys made by casting and selective laser melting

PURPOSE

Considering the importance of metal-ceramic bond, the present study aimed to compare the bond strength of ceramics to cobalt-chrome (Co-Cr) alloys made by casting and selective laser melting (SLM).

MATERIALS AND METHODS

In this in-vitro experimental study, two sample groups were prepared, with one group comprising of 10 Co-Cr metal frameworks fabricated by SLM method and the other of 10 Co-Cr metal frameworks fabricated by lost wax cast method with the dimensions of 0.5 × 3 × 25 mm (following ISO standard 9693). Porcelain with the thickness of 1.1 mm was applied on a 3 × 8-mm central rectangular area of each sample. Afterwards, bond strengths of the samples were assessed with a Universal Testing Machine. Statistical analysis was performed with Kolmogorov-Smirnov test and T-test.

RESULTS

Bond strength in the conventionally cast group equaled 74.94 ± 16.06 MPa, while in SLM group, it equaled 69.02 ± 5.77 MPa. The difference was not statistically significant (P ≤ .05).

CONCLUSION

The results indicated that the bond strengths between ceramic and Co-Cr alloys made by casting and SLM methods were not statistically different.

Effect of sandblasting on fracture load of titanium ceramic crowns

Purpose of the Study:

It is difficult to achieve a reliable bond between the titanium and veneering porcelain. The aim of this study was to evaluate the bond strength between titanium ceramic crowns.

Materials and Methods:

The surfaces of titanium copings were divided in two groups. Group A sandblasted with 250 um (n = 10) and Group B without sandblasting (n = 10). Low-fusing porcelain was bonded over copings. A universal testing machine was used to determine the fracture load (N) of the crowns. All data were compared using Student's t-test.

Results:

There was a significant difference in fracture toughness between two groups (P = 0.05). The mean value of fracture strength for Group A was 721.66 N and for Group B was 396.39 N.

Conclusions:

Sandblasting improves the bond strength between titanium, and ceramic, mechanical bonding plays a crucial role in the bonding between titanium and ceramic.

Surface modifications and Nano-composite coatings to improve the bonding strength of titanium-porcelain

Surface modifications of Ti and nano-composite coatings were employed to simultaneously improve the surface roughness, corrosion resistance and chemical bonding between porclain-Ti. The specimens were studied by field-emission scanning electron microscopy, surface roughness, differential scanning calorimetry, Fourier transform infrared spectroscopy, corrosion resistance and bonding strength tests. The SEM results showed that hybrid structures with micro-stripes, nano-pores and nano-protuberances were prepared by surface modification of Ti, which significantly enhanced the surface roughness and corrosion resistance of Ti. Porous nano-composite coatings were synthesized on Ti anodized with pre-treatment in 40% HF acid. TiO2 nanoparticles were added into the hybrid coating to increase the solid phase content of the sols and avoid the formation of microcracks. With the TiO2 content increasing from 45 wt% to 60 wt%, the quantities of the microcracks on the coating surface gradually decreased. The optimal TiO2 content for the nanocomposite coatings is 60 wt% in this research. Compared to the uncoated group, the bonding strength of the coated groups showed a bonding strength improvement of 23.96%. The cytotoxicity of the 4# coating group was ranked as zero, which corresponds to non-cytotoxicity.

Comparative study of the shear bond strength of various veneering materials on grade II commercially pure titanium

PURPOSE

To compare the shear bond strength of various veneering materials to grade II commercially pure titanium (CP-Ti).

MATERIALS AND METHODS

Thirty specimens of CP-Ti disc with 9 mm diameter and 10 mm height were divided into three experimental groups. Each group was bonded to heat-polymerized acrylic resin (Lucitone 199), porcelain (Triceram), and indirect composite (Sinfony) with 7 mm diameter and 2 mm height. For the control group (n=10), Lucitone 199 were applied on type IV gold alloy castings. All samples were thermocycled for 5000 cycles in 5-55℃ water. The maximum shear bond strength (MPa) was measured with a Universal Testing Machine. After the shear bond strength test, the failure mode was assessed with an optic microscope and a scanning electron microscope. Statistical analysis was carried out with a Kruskal-Wallis Test and Mann-Whitney Test.

RESULTS

The mean shear bond strength and standard deviations for experimental groups were as follows: Ti-Lucitone 199 (12.11 ± 4.44 MPa); Ti-Triceram (11.09 ± 1.66 MPa); Ti-Sinfony (4.32 ± 0.64 MPa). All of these experimental groups showed lower shear bond strength than the control group (16.14 ± 1.89 MPa). However, there was no statistically significant difference between the Ti-Lucitone 199 group and the control group, and the Ti-Lucitone 199 group and the Ti-Triceram group. Most of the failure patterns in all experimental groups were adhesive failures.

CONCLUSION

The shear bond strength of veneering materials such as heat-polymerized acrylic resin, porcelain, and indirect composite to CP-Ti was compatible to that of heatpolymerized acrylic resin to cast gold alloy.

Effect of Surface Treatment of Titanium Elements on the Bond Strength to Zirconium Dioxide

The aim of the study was to examine the effect of surface treatment of titanium elements on the bond strength to zirconium dioxide. Forty cylindrical titanium discs (Tritan CpTi 1) were divided into four groups (n=10) that were subject to: grinding (Group A), grinding and acid-etching with 5% HF (Group B), sandblasting with 60μm alumina particles (Group C) and sandblasting with 60μm alumina particles and acid-etching with 5% HF (Group D). Prepared materials were bonded to cylindrical discs made of zirconium dioxide (Ceramill Zi) by composite cement (Panavia F 2.0). The specimens were tested for the shear bond strength. The load was applied to the moment of the bond failure. Than the debonded specimens were vertically sectioned and the fractographic analysis of interfacial fractures under SEM as well as the analysis of chemical composition of the obtained fractures using radiographic spectrum were performed. The results were subject to the statistical analysis by using the analysis of variance. The highest values of bond strength were obtained for specimens whose surface was sandblasted and abraded. Fractographic investigation and the analysis of chemical composition of the cross-sections of the interfacial fractures revealed that the fracture occurred at the titanium-resin cement interface. Air abrasion treatment considerably improves the titanium and composite cement bonding and should be recommended for cementation of prosthodontic restorations constructed on titanium implants.

Surface characteristics and castability of Zr-14Nb alloy dental castings

The purpose of this study was to evaluate mechanical properties, surface characteristics and castability of Zr-14Nb dental castings. The mean 0.2% proof and ultimate tensile strengths of Zr-14Nb were approximately 68% and 76% those of Ti-6Al-7Nb, respectively, while they were comparable to Co-29Cr-6Mo. Elongation of Zr-14Nb was the highest of all alloys tested. The hardened reaction layer was formed on the surfaces of the Zr-14Nb castings. The layer consisted of oxygen and aluminum originating form investment. The castability of Zr-14Nb was comparable to that of Ti-6Al-7Nb. Dental castings of Zr-14Nb reveal mechanical properties that were within the range of the other dental alloys. Further improvements in castability and minimization of the surface reaction layer are needed for applications in dental prostheses.

Improvement in Ti-porcelain bonding by SiO(2) modification of titanium surface through cast method

This study aimed to improve Ti-porcelain bonding strength through SiO2 modifications. Wax patterns were coated with SiO2 mixed with tetraethoxy silane (group C), patterns without coating were used as controls and subdivided into sandblasting group (group S) and polishing group (group P). Castingsurfaces were analyzed with XRD, while Ti-ceramic interfaces were characterized using SEM/EDS. Metal-ceramic specimens were tested in three point bending, and characterizations were also analyzed with SEM/EDS of porcelain debonding surfaces. In group C, SiO2 and Ti5Si3 phases were observed; SEM micrograph showed that Ti-porcelain had a compacted interface, and EDS maps of the interface illustrated the diffusion of Si, Al, and Sn to Ti, and cohesive fracture within the bonding agent. The bond strength of group C was 39.04±5.0 MPa, which was 15% higher than that of group S and 32% higher than that of group P. SiO2 coating could improve Ti-porcelain bond strength.

Withdrawn. Duplicate: Effect of gold sputtering on the adhesion of porcelain to cast and machined titanium

STATEMENT OF PROBLEM

The bond strength of porcelain to titanium is insufficient to provide a clinically acceptable alternative to existing alloys for metal ceramic restorations.

PURPOSE

The purpose of the study was to investigate the effect of gold coating on the adhesion of porcelain to titanium.

MATERIAL AND METHODS

Forty titanium plates (25 × 8 × 1 mm) were prepared by casting and machining procedures to make 2 groups of each type (n=10). All plates were subjected to airborne-particle abrasion with alumina powder. One of each of the cast and machined groups was gold sputtered. A layer of porcelain was built up onto the titanium plates of all groups with a conventional technique. A precrack was created at the center of the specimen. Specimens were then subjected to a 4-point bending test with a universal testing machine. The load recorded from the test was used to determine adhesion in terms of the strain energy release rate (G value). The data were analyzed with ANOVA and post hoc testing (α=.05). The interfacial area of the tested specimen was then examined with scanning electron microscopy.

RESULTS

The G values of the gold-sputtered groups were significantly higher than those of the uncoated groups for both cast and machined groups (P<.05). No significant differences were noted within the groups.

CONCLUSIONS

The adhesion between porcelain and titanium was significantly improved when titanium was sputter coated with gold in both the cast and machined groups.

Treatment of multiple ceramic alloys before recasting

STATEMENT OF PROBLEM

Dental laboratories often reuse dental casting alloys by recasting them, but the processing methods before recasting require further research.

PURPOSE

The purpose of the study was to determine the treatment methods to remove the surface contamination of the previously melted alloys before recasting.

MATERIAL AND METHODS

Cobalt-chromium (Co-Cr), commercially pure titanium (CP Ti), palladium-copper-gallium (Pd-Cu-Ga), and gold-platinum (Au-Pt) ceramic alloys were investigated in the present study. Field emission scanning electron microscopy, energy-dispersive x-ray spectroscopy (EDAX), and x-ray photoelectron spectroscopy (XPS) were used to evaluate the changes in the surface structures and compositions of Co-Cr, CP Ti, Pd-Cu-Ga, and Au-Pt ceramic alloys after airborne-particle abrasion and immersion in various chemical solutions for different time periods. The data obtained by EDAX and XPS were statistically analyzed by Kruskal-Wallis and Nemenyi tests (α=.05).

RESULTS

By using appropriate mechanical and chemical treatment procedures, the contamination content of previously cast ceramic alloys was found to be below the detection limits of EDAX and XPS. The statistical results showed that, compared to the control group (new alloys after polishing), the impurity element was not detected after being treated with these methods, which was not statistically different to control group.

CONCLUSIONS

The surface contamination of ceramic alloys was effectively removed by using certain mechanical and/or chemical treatment methods. Within the limitations of the present study, the most appropriate ways to treat ceramic alloys before recasting were as follows: (1) for Co-Cr ceramic alloys: Al2O3 airborne-particle abrasion and immersion in aqua regia for 15 min; (2) for CP Ti ceramic alloys: Al2O3 airborne-particle abrasion and immersion in 65% HNO3 and 40% HF 1:7 (V/V) for 60 min; (3) for Pd-Cu-Ga ceramic alloys: glass bead airborne-particle abrasion and immersion in 40% HF solution for 30 min; and (4) for Au-Pt ceramic alloys: glass bead airborne-particle abrasion.

Effect of gold sputtering on the adhesion of porcelain to cast and machined titanium

STATEMENT OF PROBLEM

The bond strength of porcelain to titanium is insufficient to provide a clinically acceptable alternative to existing alloys for metal ceramic restorations.

PURPOSE

The purpose of the study was to investigate the effect of gold coating on the adhesion of porcelain to titanium.

MATERIAL AND METHODS

Forty titanium plates (25 × 8 × 1 mm) were prepared by casting and machining procedures to make 2 groups of each type (n=10). All plates were subjected to airborne-particle abrasion with alumina powder. One of each of the cast and machined groups was gold sputtered. A layer of porcelain was built up onto the titanium plates of all groups with a conventional technique. A precrack was created at the center of the specimen. Specimens were then subjected to a 4-point bending test with a universal testing machine. The load recorded from the test was used to determine adhesion in terms of the strain energy release rate (G value). The data were analyzed with ANOVA and post hoc testing (α=.05). The interfacial area of the tested specimen was then examined with scanning electron microscopy.

RESULTS

The G values of the gold-sputtered groups were significantly higher than those of the uncoated groups for both cast and machined groups (P<.05). No significant differences were noted within the groups.

CONCLUSIONS

The adhesion between porcelain and titanium was significantly improved when titanium was sputter coated with gold in both the cast and machined groups.

Effect of laser welding on the titanium ceramic tensile bond strength

Titanium reacts strongly with elements, mainly oxygen at high temperature. The high temperature of titanium laser welding modifies the surface, and may interfere on the metal-ceramic tensile bond strength.

OBJECTIVE

The influence of laser welding on the titanium-ceramic bonding has not yet been established. The purpose of this in vitro study was to analyze the influence of laser welding applied to commercially pure titanium (CpTi) substructure on the bond strength of commercial ceramic. The influence of airborne particle abrasion (Al2O3) conditions was also studied.

MATERIAL AND METHODS

Forty CpTi cylindrical rods (3 mm x 60 mm) were cast and divided into 2 groups: with laser welding (L) and without laser welding (WL). Each group was divided in 4 subgroups, according to the size of the particles used in airborne particle abrasion: A - Al2O3 (250 µm); B - Al2O3 (180 µm); C - Al2O3 (110 µm); D - Al2O3 (50 µm). Ceramic rings were fused around the CpTi rods. Specimens were invested and their tensile strength was measured at fracture with a universal testing machine at a crosshead speed of 2.0 mm/min and 200 kgf load cell. Statistical analysis was carried out with analysis of variance and compared using the independent t test (p<0.05).

RESULTS

Significant differences were found among all subgroups (p<0.05). The highest and the lowest bond strength means were recorded in subgroups WLC (52.62 MPa) and LD (24.02 MPa), respectively.

CONCLUSION

Airborne particle abrasion yielded significantly lower bond strength as the Al2O3 particle size decreased. Mechanical retention decreased in the laser-welded specimens, i.e. the metal-ceramic tensile bond strength was lower.

Bonding between titanium and dental porcelain: a systematic review

OBJECTIVES

The aims of this literature review are to provide answers to questions on how to improve bonding between titanium and dental porcelain and how to further implement, in clinical practice, ceramic-veneered titanium as an alternative to conventional metal-ceramic systems.

MATERIAL AND METHODS

A literature search of PubMed and also among referenced published scientific papers was performed and 24 fulfilled the search criteria, namely mentions of titanium, ceramics and bond strength. These papers were compiled for comparison and evaluated regarding the bond strength achieved with different methods.

RESULTS

The results strongly indicate that there are possibilities to improve both the present materials and methods for titanium-ceramic veneering.

CONCLUSIONS

The results indicate that present knowledge is sufficient to conclude that veneering titanium with low-fused porcelain for crowns and fixed partial dentures can be recommended for routine clinical use.

The effect of a ceramic coating on the cpTi-porcelain bond strength

OBJECTIVES

To investigate the bond strength between cpTi and low fusing porcelains after different treatments.

METHODS

72 patterns were covered with a ceramic coating and invested with phosphate-bonded material (group A), another 72 were invested with magnesia material (group B) and all cast with cpTi. 31 solid castings were selected from each group. The castings of group B were ground and sandblasted, while the castings of group A were only sandblasted. Aluminum content of the metal surface was determined by EDS and castings were submitted to a 3-point bending test to determine the modulus of elasticity (E). The porcelains Duceratin Plus, Noritake Ti22 and Triceram were applied respectively and specimens were submitted to a 3-point bending test. The fracture mode and the remaining porcelain were determined by optical microscopy and SEM/EDS. Bond strength and fracture mode were calculated by two-way ANOVA.

RESULTS

The E of groups A and B was 98.3 GPa and 98.6 GPa respectively. The bond strength was 26+/-3 MPa (Duceratin Plus), 28+/-3 MPa (Noritake Ti22), 27+/-2 MPa (Triceram) for group A and 24+/-1 MPa, 29+/-2 MPa, 27+/-1 MPa for group B respectively. No significant differences were found for the same porcelain between the two groups (p<0.05). A significant difference was found between Duceratin Plus and Noritake Ti22, for group B (p<0.05). The mode of failure was mainly adhesive for all specimens. A significant reduction in aluminum was recorded in all subgroups.

SIGNIFICANCE

The special coating of patterns makes the Ti casting procedure inexpensive, without reducing the metal-ceramic bond strength.

The effect of surface modifications on titanium to enable titanium–porcelain bonding

OBJECTIVES

Titanium-ceramic restorations are currently used, despite the pending problem of titanium-ceramic bonding, which has only been partially solved. The surface treatment of the metal proposed by the manufacturer promotes lower bond strength between titanium and porcelain when compared to the conventional metal-ceramic systems. The objective of this study was to evaluate the influence of acid and caustic baths on the bonding characteristics of specific titanium porcelain bonded to cast commercially pure titanium (CP Ti).

METHODS

Eighty strips of cast CP Ti were obtained in dimensions of 25mm x 3mm x 0.5mm, and divided into eight groups (n=10) which were subjected to surface treatment by immersion in one of the follow solutions-group HF: HF 10%; group NaOH+HF: NaOH 50%-CuSO(4).5H(2)O 10% followed by HF 10%; group HCl: HCl 35%; group NaOH+HCl: NaOH 50%-CuSO(4).5H(2)O 10% followed by HCl 35%; group HNO(3): HNO(3) 35%-HF 5%; group NaOH+HNO(3): NaOH 50%-CuSO(4).5H(2)O 10% followed by HNO(3) 35%-HF 5%; control group: treated according to the manufacturer's instructions; NaOH+control group: treated according to the manufacturer's instructions followed by immersion in NaOH 50%-CuSO(4).5H(2)O 10%. Low fusion porcelain (Vita Titankeramik) was applied to the center of one of the sides of each CP Ti sample with dimensions of 8mm x 3mm x 1mm. All groups were submitted to a three-point flexure test. Scanning electron microscopy (SEM) photomicrographs were taken to characterize the failed surfaces at the titanium-porcelain interface. Anova and Tukey's multiple comparison tests were used to analyze the data at a 5% probability level.

RESULTS

All groups treated with NaOH 50%-CuSO(4).5H(2)O 10% solution showed significant superior values when compared to groups treated exclusively with acid solution. There were no significant differences between HF (21.2MPa) and HCl (23.4MPa) groups; control (25.2MPa), HCl (23.4MPa) and HNO(3) (26.6MPa) groups; NaOH+HF (29.9MPa) and NaOH+HCl (30.8MPa) groups; NaOH+HNO(3) (34.8MPa) and NaOH+control (32.1MPa) groups. SEM analysis indicated a combination of cohesive and adhesive fractures in NaOH+HNO(3) and NaOH+control groups, while mainly adhesive fractures were found in the other groups.

SIGNIFICANCE

Bond strength between porcelain and cast CP Ti can be increased by use of a caustic bath prior to porcelain firing.

Effects of airborne-particle abrasion, sodium hydroxide anodization, and electrical discharge machining on porcelain adherence to cast commercially pure titanium

The aim of this study was to determine the effect of airborne-particle abrasion (APA), sodium hydroxide anodization (SHA), and electrical discharge machining (EDM) on cast titanium surfaces and titanium-porcelain adhesion. Ninety titanium specimens were cast with pure titanium and the alpha-case layer was removed. Specimens were randomly divided into three groups. Ten specimens from each group were subjected to APA. SHA was applied to the second subgroups, and the remaining specimens were subjected to the EDM. For the control group, 10 specimens were cast using NiCr alloy and subjected to only APA. Surfaces were examined by using scanning electron microscope and a surface profilometer. Three titanium porcelains were fused on the titanium surfaces, whereas NiCr specimens were covered with conventional porcelain. Titanium-porcelain adhesion was characterized by a 3-point bending test. Statistical analysis showed that the porcelain-metal bond strength of the control group was higher than that of the titanium-porcelain system (p < 0.05). There were no significant differences between the bond strengths of titanium groups (p 0.05), except the bond strengths of Noritake Super Porcelain TI-22 groups on which APA and SHA were applied (p < 0.05). SHA and EDM as surface treatment did not improve titanium-porcelain adhesion when compared to APA.

Effects of sandblasting and electrical discharge machining on porcelain adherence to cast and machined commercially pure titanium

The aim of this study was to determine the effect of sandblasting and electrical discharge machining (EDM) on cast and machined titanium surfaces and titanium-porcelain adhesion. Twenty machined titanium specimens were prepared by manufacturer (groups 1 and 2). Thirty specimens were prepared with autopolymerizing acrylic resin. Twenty of these specimens (groups 3 and 4) were cast with commercially pure titanium and the alpha-case layer was removed. For control group (group 5), 10 specimens were cast by using NiCr alloy. Groups 2 and 4 were subjected to EDM while groups 1, 3, and 5 were subjected to sandblasting. Surface examinations were made by using a scanning electron microscope (SEM). A low-fusing porcelain was fused on the titanium surfaces, whereas NiCr specimens were covered using a conventional porcelain. Titanium-porcelain adhesion was characterized by a 3-point bending test. Results were analyzed by Kruskal-Wallis and Mann-Whitney U tests. Metal-porcelain interfaces were characterized by SEM. The bond strength of control group was higher than that of the titanium-porcelain system. There was no significant difference between cast and machined titanium groups (p > 0.05). There was no significant difference between EDM and sandblasting processes (p > 0.05). The use of EDM as surface treatment did not improve titanium-porcelain adhesion compared with sandblasting.

The effect of investment material type on the contamination zone and mechanical properties of commercially pure titanium castings

STATEMENT OF PROBLEM

Different types of investment materials affect the formation of a surface contamination zone within commercially pure titanium (cpTi) castings. This contamination zone may possibly alter the mechanical properties of cast titanium, which may be problematic for castings used in the fabrication of removable and fixed prostheses.

PURPOSE

The purpose of this study was to evaluate the effect of different types of investments on the extent of contamination zone and the modulus of elasticity, yield strength, elongation, and hardness of cpTi castings.

MATERIAL AND METHODS

Forty wax patterns were fabricated according to ISO 9693 for tensile testing. The patterns were divided into 2 groups of 20 patterns each, invested, and cast in pairs using cpTi. The first group (P) was invested with a phosphate-bonded silica-based investment material (Ticoat S+L), and the second group (M), with a magnesia-alumina investment material (Rematitan Ultra). Investment materials were examined by x-ray diffraction analysis (XRD). One specimen from each group was sectioned and prepared for metallographic observation. The extent of the contamination zone was determined by scanning electron microscopy, using back-scattering electron imaging and energy dispersive spectroscopy analysis, as well as microhardness testing. The tensile strength of the specimens was determined in a universal testing machine. From the derived tensile curves, the modulus of elasticity, yield strength, and percentage elongation were calculated and statistically evaluated among the groups using the Student t test (alpha=.05). Three fractured specimens from each group were examined by scanning electron microscopy to determine the mode of fracture.

RESULTS

XRD analysis showed that silica and magnesia were the dominant phases of Ticoat S+L and Rematitan Ultra, respectively. The contamination zone was found to extend 50 to 80 mum for the P specimens and 15 to 20 mum for the M specimens. No significance difference was found for the modulus of elasticity (P=85 +/- 11 GPa, M=79 +/- 13 GPa), whereas significant differences were found for the yield strength (P=462 +/- 48 MPa, M=321 +/- 54 MPa; P<.001) and percentage elongation (P=12 +/- 2, M=21 +/- 7; P=.002) between the groups tested. The fracture mode was brittle externally and ductile internally for both groups.

CONCLUSIONS

According to the results of this study, the extent of the contamination zone as well as the yield strength and percentage elongation of the cpTi castings were significantly affected by the type of the investment material.

SEM/EDS evaluation of porcelain adherence to gold-coated cast titanium

The adhesion between titanium and dental porcelain is related to the diffusion of oxygen to the reaction layer formed on cast-titanium surfaces during porcelain firing. The diffusion of oxygen could be suppressed by coating the titanium surface with a thin gold layer. This study characterized the effects of gold coating on titanium-ceramic adhesion. ASTM grade II CP titanium was cast into a MgO-based investment (Selevest CB, Selec). The specimen surfaces were air abraded with 110-microm Al(2)O(3) particles. Gold coating was applied on titanium surfaces by three methods: gold-paste (Deck Gold NF, Degussa-Ney) coating and firing at 800 degrees C for three times, single gold-paste coating and firing followed by sputter coating (40 mA, 500 s), and sputter coating (40 mA, 1000 s). Surfaces only air abraded with Al(2)O(3) particles were used as controls. An ultra-low-fusing dental porcelain (Vita Titankeramik, Vident) was fused on titanium surfaces. Specimen surfaces were characterized by SEM/EDS and XRD. The titanium-ceramic adhesion was evaluated by a biaxial flexure test (N = 8), and area fraction of adherent porcelain (AFAP) was determined by EDS. Numerical results were statistically analyzed by one-way ANOVA and the Student-Newman-Keuls test at alpha = 0.05. SEM fractography showed a substantial amount of porcelains remaining on the gold-sputter-coated titanium surfaces. A new Au(2)Ti phase was found on gold-coated titanium surface after the firing. Significantly higher (p <.05) AFAP values were determined for the gold-sputter-coated specimens compared to the others. No significant differences were found among the other groups and the control. Results suggested that gold coatings used in this study are not effective barriers to completely protect titanium from oxidation during the porcelain firing, and porcelain adherence to cast titanium can be improved by gold-sputter coating used in the present study.

Corrosion behavior of cast titanium with reduced surface reaction layer made by a face-coating method

This study characterized the corrosion behavior of cast CP titanium made with a face-coating method. Wax patterns were coated with oxide slurry of Y(2)O(3) or ZrO(2) before investing with a MgO-based investment. Three surface preparations were tested: ground, sandblasted, and as-cast. Uncoated castings served as controls. Sixteen-hour open circuit potential (OCP) measurement, linear polarization and potentiodynamic cathodic polarization were performed in an aerated modified Tani-Zucchi synthetic saliva at 37 degrees C. Anodic polarization was conducted in the same deaerated medium. Polarization resistance (R(p)) and Tafel slopes were determined. Corrosion current density was calculated for each specimen. Results (n=4) were subjected to nonparametric statistical analysis (alpha=0.05). Cross sections of cast specimens were examined by optical microscopy. Energy dispersive spectroscopy (EDS) spot analysis was performed at various depths below the surface. The OCP stabilized within several hours for all the specimens. Apparent differences in anodic polarization behavior were observed among the different surfaces. A distinctive wide passive region followed by breakdown was seen on specimens with ground and sandblasted surfaces. There were no significant differences in the corrosion resistance among the control and the two face-coating groups for each group. The Mann-Whitney test showed significantly lower OCP and higher R(p) values for ground surfaces. The surface condition significantly affected the corrosion behavior more than the face coating methods. In most cases, specimens with as-cast surfaces exhibited the least corrosion resistance during the potentiodynamic anodic polarization.

Effects of interfacial variables on ceramic adherence to cast and machined commercially pure titanium

STATEMENT OF THE PROBLEM

Titanium-ceramic bonding is less optimal than conventional metal-ceramic bonding, due to excessive oxidation of titanium during porcelain firing.

PURPOSE

This in vitro study evaluated the effects of porcelain firing atmosphere and gold sputter coating on titanium surfaces on porcelain bonding to machined and as-cast titanium substrates. Material and methods Eight groups of ASTM grade 2 commercially pure (CP) titanium specimens (13 mm x13 mm x1 mm) were prepared (n=10). A conventional Au-Pd-In metal-ceramic alloy (Orion) and an ultra low-fusing porcelain (Finesse) served as the control (n=10). Forty machined titanium specimens were prepared from 1.00-mm thick titanium sheets with a diamond band saw. Forty titanium specimens were produced in a centrifugal dental titanium casting machine. All titanium specimens were airborne particle abraded with 110-microm alumina particles, whereas the control specimens were airborne particle abraded with 50-microm alumina particles. Forty titanium specimens (20 specimens each of as-cast and machined titanium) were randomly selected for gold sputter coating before ceramic firing. An ultra low-fusing porcelain (Vita Titankeramik) was fused on the central 6-mm diameter circular area on each titanium specimen. Porcelain firing environments for the titanium specimens consisted of vacuum and a reduced argon atmosphere. Porcelain was debonded by a biaxial flexure, constant strain test at a cross-head speed of 0.25 mm/min. Specimens were analyzed by standardized SEM/EDS analysis 3 times throughout the study to determine the silicon atomic percentage (Si at %): (1) after airborne particle abrasion, before porcelain application; (2) after the application of the first layer of porcelain; and (3) after the fracture of porcelain from the metal substrate. The titanium-ceramic adhesion was characterized by determining the area fraction of adherent porcelain (AFAP). Results were analyzed by analysis of variance and the Student-Newman-Keuls test (alpha=.05).

RESULTS

Statistical analysis showed a significant difference in the AFAP values among all the groups. AFAP value of the control group was significantly higher (135.35 +/- 23.68) than those of the experimental groups (P<.001). For the machined titanium, AFAP value of gold sputter-coated/argon group (91.38 +/- 7.93) was significantly higher than the rest of the groups (P<.001). For the as-cast titanium fired in vacuum, significantly lower AFAP values (P<.001) were found in the gold sputter-coated group (50.2 +/- 11.26 vs 66.15 +/- 10.41). AFAP values between the argon groups with or without the gold coating were not significantly different (P=.303); however, both argon groups (93.83 +/- 4.65 and 98.09 +/- 6.35) showed significantly higher AFAP values compared with the vacuum groups (P<.001).

CONCLUSION

Firing porcelain in a reduced argon atmosphere significantly improved titanium-ceramic bonding for machined and as-cast titanium. The sputter-coated gold layer on titanium provided improved titanium-ceramic bonding only when combined with firing porcelain in reduced argon atmosphere. When porcelain was fired in vacuum in the presence of the gold layer, the titanium-ceramic bonding was weakened in as-cast titanium and was not affected in machined titanium. Conventional noble metal-ceramic bonding was superior to titanium-ceramic bonding regardless of the interfacial variables examined in this study.