Static immersion and irritation tests of dental metal-ceramic alloys

Does Simulated Porcelain Firing Influence Corrosion Properties of Casted and Sintered CoCr Alloys?

The aim of the study was to evaluate how heat processing used for dental porcelain firing influences the surface properties of sintered and casted CoCr alloy. Two CoCr alloys, Soft Metal LHK (milling in soft material and sintering) and MoguCera C (casting), were used for the study. The samples were examined using SEM-EDS before and after heat treatment. Next, corrosion examinations (E_corr, j_corr, polarization curve, E_br) were performed. Finally, the samples were evaluated under SEM. Based on the results, the following conclusions might be drawn: 1. Thermal treatment (porcelain firing) did not cause chemical impurities formation on the surface of CoCr alloy; 2. The sintered metal exhibited significantly higher corrosion resistance than the casted one due to its homogeneity of structure and chemical composition; 3. Heat treatment (porcelain firing) decreased the resistance of casted and sintered CoCr alloy to electrochemical corrosion. The reduction in corrosion resistance was significantly higher for the casted alloy than for the sintered alloy; 4. The corrosion resistance decrease might be due to an increased thickness and heterogeneity of oxide layers on the surface (especially for the casted alloy). The development of corrosion process started in the low-density areas of the oxide layers; 5. The sintered metal seems to be a favourable framework material for porcelain fused to metal crowns.

Scaffold-Type Structure Dental Ceramics with Different Compositions Evaluated through Physicochemical Characteristics and Biosecurity Profiles

The design and development of ceramic structures based on 3D scaffolding as dental bone substitutes has become a topic of great interest in the regenerative dentistry research area. In this regard, the present study focuses on the development of two scaffold-type structures obtained from different commercial dental ceramics by employing the foam replication method. At the same time, the study underlines the physicochemical features and the biological profiles of the newly developed scaffolds, compared to two traditional Cerabone^® materials used for bone augmentation, by employing both the in vitro Alamar blue proliferation test at 24, 48 and 96 h poststimulation and the in ovo chick chorioallantoic membrane (CAM) assay. The data reveal that the newly developed scaffolds express comparable results with the traditional Cerabone^® augmentation masses. In terms of network porosity, the scaffolds show higher pore interconnectivity compared to Cerabone^® granules, whereas regarding the biosafety profile, all ceramic samples manifest good biocompatibility on primary human gingival fibroblasts (HGFs); however only the Cerabone^® samples induced proliferation of HGF cells following exposure to concentrations of 5 and 10 µg/mL. Additionally, none of the test samples induce irritative activity on the vascular developing plexus. Thus, based on the current results, the preliminary biosecurity profile of ceramic scaffolds supports the usefulness for further testing of high relevance for their possible clinical dental applications.

Corrosion Resistance of Cr–Co Alloys Subjected to Porcelain Firing Heat Treatment—In Vitro Study

The procedure of ceramics fusion to cobalt–chromium (Co–Cr) base dental crowns affects their corrosion behavior and biological tolerance. This study’s purpose was to comparatively evaluate the effect of heat treatment (HT) applicable for dental ceramics firing on the corrosion properties among Co–Cr base alloys fabricated via different methods: casting (CST), milling soft metal and post sintering (MSM), and selective laser melting (SLM). All specimens were subjected to a heat treatment corresponding to a full firing schedule. The microstructure and elemental composition of oxidized surfaces were investigated by scanning electron microscopy and energy dispersive spectroscopy. Corrosion properties were examined by electrochemical potentiodynamic polarization tests. The values of jcorr, Ecorr, Rp, and breakdown potential Ebr were estimated. The oxide layers formed during the HT process corresponded to the composition of the original alloys’ structure. Among the thermal treated alloys, SLM showed the highest corrosion resistance, followed by the MSM and CST. This may be attributed to uniform distribution of alloying elements in homogenous structure and to the reduced porosity, which enhances corrosion resistance and decreases the risk of crevice corrosion. The overall corrosion behavior was strongly influenced by the segregation of alloying elements in the microstructure, thus, is directly determined by the manufacturing method.

Comparative evaluation of HET-CAM and ICE methods for objective assessment of ocular irritation caused by selected pesticide products

Eye irritation potency of pesticides (fungicides, herbicides, insecticides) was comparatively tested by HET-CAM and ICE method. Based on the results of the tests the statistical analysis of agreement between classification using individual methods was done by Goodman-Kruskal's rank correlation and determination (calculation) of Cohen's kappa coefficient. Statistical analysis of agreement between classification revealed significant correlation between results of in vivo and in HET-CAM assays (76%). There was no significant correlation between result of in vivo and in ICE methods (64%). Weakest correlation was found between the data from in vitro HET-CAM and ICE tests. The percentage of agreement between two in vitro data was 48%. They may be recommended as a part of a battery of tests to reduce experimentation on mammals and to limit or eliminate pain and injury inflicted on experimental animals. The HET-CAM test is a useful tool for studying in vivo the potential conjunctival irritation, while the ICE test can be used to study corneal irritant effects in detail.

Comparative Toxicological In Vitro and In Ovo Screening of Different Orthodontic Implants Currently Used in Dentistry

Selecting the most biocompatible orthodontic implant available on the market may be a major challenge, given the wide array of orthodontic devices currently available on the market. The latest scientific data have suggested that in vitro evaluations using oral cell lines provide reliable data regarding the toxicity of residual particles released by different types of orthodontic devices. In this regard, the in vitro biocompatibility of three different commercially available implants (stainless steel and titanium-based implants) was assessed.

METHODS

As an in vitro model, human gingival fibroblasts (HGFs) were employed to evaluate the cellular morphology, cell viability, and cytotoxicity by means of 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) and lactate dehydrogenase (LDH) assays at 24 h and 72 h post-exposure to test implants.

RESULTS

The results correlate the composition and topography of the implant surface with biological experimental evaluations related to directly affected cells (gingival fibroblasts) and toxicological results on blood vessels (hen's egg test-chorioallantoic membrane (HET-CAM) assay). The stainless steel implant exhibits a relative cytotoxicity against HGF cells, while the other two samples induced no significant alterations of HGF cells.

CONCLUSION

Among the three test orthodontic implants, the stainless steel implant induced slight cytotoxic effects, thus increased vigilance is required in their clinical use, especially in patients with high sensitivity to nickel.

Microstructural, mechanical, ionic release and tarnish resistance characterization of porcelain fused to metal Co-Cr alloys manufactured via casting and three different CAD/CAM techniques

PURPOSE

To perform a comparative analysis of the microstructure, porosity, mechanical properties, corrosion, and tarnish resistance of Co-Cr alloys prepared by casting and three different computer aided designed/computer aided manufacturing (CAD/CAM) techniques.

METHODS

Four groups of metallic specimens were prepared, one each by conventional casting (CST), milling (MIL), selective laser melting (SLM), and milling soft metal (MSM). Ten samples were tested by X-rays, after which their microstructure and elemental composition were tested by scanning electron microscopy/energy dispersive X-ray spectroscopy (SEM/EDX) analysis. Martens hardness (HM) and elastic index (η_IT) were determined by instrumented indentation testing (IIT), while modulus of elasticity (E) was determined by three-point bending. Corrosion measurements were tested according to International Organization for Standardization (ISO) 10271. The electrolytes were analyzed by inductively coupled plasma atomic emission spectroscopy (ICP-AES). The results were analyzed by one-way ANOVA and Holm-Sidak's multiple-comparison test (α=0.05).

RESULTS

The CST group illustrated internal flaws while all CAD/CAM group samples were found to be free of them. No statistically significant differences were identified among groups in their elemental composition. SLM showed the highest HM, followed by the MIL, CST, and MSM. Elastic index showed significant differences among all groups, with CST showing the lowest and SLM the highest values. SLM showed the highest elastic modulus values, followed by MSM, MIL, and CST. No significant differences were found in ionic release among groups. No surface deterioration after static and cyclic tarnish testing was determined.

CONCLUSIONS

The manufacturing procedure significantly affects the microstructure, porosity, and mechanical properties of Co-Cr alloys. In contrast, ionic release and tarnish resistance are independent of the manufacturing technique used.

Metal free, full arch, fixed prosthesis for edentulous mandible rehabilitation on four implants

PURPOSE

The goal of this work is to describe an implant-prosthetic protocol for rehabilitation of edentulous mandible, by using a fixed prosthesis made of fiber-reinforced composite material (FRC). The protocol contemplates a minimal invasive surgery and ensures predictable and safe results, with good aesthetic and performance combined to cost savings.

METHODS

FRC material is used to build the substructure of a prosthetic framework supported by four short implants (5mm long and 4mm wide). The prosthesis substructure is made of Trinia immersed in a matrix of epoxy resin (FRC). It is supplied in milling blocks (pre-cured) for the CAD/CAM (computer-aided design/computer-aided manufacturing) technique. Implants are placed in lower edentulous jaw in position of first molar and canine, each side. Four month after, a resin bar is build based on a stone model, denture teeth are placed and the occlusion is checked. The resin bar and the stone model with milled abutments are scanned and a FRC bar is achieved with the CAD/CAM technique. The teeth are mounted to the substructure trough denture resin. Temporary cementation of framework is achieved on the abutments connected to the implants.

CONCLUSION

A protocol for a fixed mandibular implant-prosthetic rehabilitation is described. The protocol contemplates a minimal invasive surgery and ensures predictable and safe results, with good aesthetic and performance combined to cost savings. In addition, this technique allows performing basic surgery also in presence of atrophy.

Reciprocal interaction between dental alloy biocorrosion and Streptococcus mutans virulent gene expression

Corrosion of dental alloys is a major concern in dental restorations. Streptococcus mutans reduces the pH in oral cavity and induces demineralization of the enamel as well as corrosion of restorative dental materials. The rough surfaces of dental alloys induced by corrosion enhance the subsequent accumulation of plaque. In this study, the corrosion process of nickel-chromium (Ni-Cr) and cobalt-chromium (Co-Cr) alloys in a nutrient-rich medium containing S. mutans was studied using inductively coupled plasma atomic emission spectrometry (ICP-AES), X-ray photoelectron spectroscopy (XPS) and electrochemical corrosion test. Our results showed that the release of Ni and Co ions increased, particularly after incubation for 3 days. The electrochemical corrosion results showed a significant decrease in the corrosion resistance (Rp) value after the alloys were immersed in the media containing S. mutans for 3 days. Correspondingly, XPS revealed a reduction in the relative dominance of Ni, Co, and Cr in the surface oxides after the alloys were immersed in the S. mutans culture. After removal of the biofilm, the pre-corroded alloys were re-incubated in S. mutans medium, and the expressions of genes associated with the adhesion and acidogenesis of S. mutans, including gtfBCD, gbpB, fif and ldh, were evaluated by detecting the mRNA levels using real-time reverse transcription polymerase chain reaction (RT-PCR). We found that the gtfBCD, gbpB, ftf and Idh expression of S. mutans were noticeably increased after incubation with pre-corroded alloys for 24 h. This study demonstrated that S. mutans enhanced the corrosion behavior of the dental alloys, on the other hand, the presence of corroded alloy surfaces up-regulated the virulent gene expression in S. mutans. Compared with smooth surfaces, the rough corroded surfaces of dental alloys accelerated the bacteria-adhesion and corrosion process by changing the virulence gene expression of S. mutans.

In vitro element release and biological aspects of base-metal alloys for metal-ceramic applications

Objective: The aims of this study were to investigate the release of element from, and the biological response in vitro to, cobalt–chromium alloys and other base–metal alloys used for the fabrication of metal-ceramic restorations.

Material and methods: Eighteen different alloys were investigated. Nine cobalt–chromium alloys, three nickel–chromium alloys, two cobalt–chromium–iron alloys, one palladium–silver alloy, one high-noble gold alloy, titanium grade II and one type III copper–aluminium alloy. Pure copper served as positive control. The specimens were prepared according to the ISO standards for biological and corrosion testing. Passive leaching of elements was measured by using Inductively Coupled Plasma – Mass Spectrometry (ICP-MS) after incubation in cell culture media, MEM, for 3 days. Corrosion testing was carried out in 0.9% sodium chloride (NaCl) and 1% lactic acid for 7 days, and the element release was measured by Inductively Coupled Plasma – Optical Emission Spectroscopy (ICP-OES). The biological response from the extract solutions was measured though MTT cytotoxicity testing and the Hen's egg test-chorio-allantoic membrane (HET-CAM) technique for irritationt.

Results: The corrosion test showed similar element release from base-metal alloys compared to noble alloys such as gold. Apart from the high-copper alloy, all alloys expressed low element release in the immersion test, no cytotoxic effect in the MTT test, and were rated non-irritant in the HET-CAM test.

Conclusions: Minimal biological response was observed for all the alloys tested, with the exception of the high-copper alloy.

The Effect of Porcelain Firing on Electrochemical Behavior of a Dental Alloy in Hydrogen Peroxide

PURPOSE

The aim of this study was to evaluate changes in electrochemical corrosion properties of porcelain firing simulated nickel-chromium dental casting alloy exposed to a 10% hydrogen peroxide bleaching agent.

MATERIALS AND METHODS

The electrochemical corrosion behavior of a Ni-Cr alloy was evaluated by cyclic polarization test in the aerated electrolyte (pH = 6.5). Test groups were produced in as-cast (group 1, control group) and simulated porcelain firing (group 2: heat-treated/mean value; group 3: heat-treated/cycle) conditions. Scanning electron microscopy (SEM) was also used to examine the alloy surfaces before and after the corrosion test.

RESULTS

The ranking of the groups with respect to Ecorr and Icorr was as follows: 1, 2, 3 and 3, 1, 2, respectively. Group 3 exhibited the greatest and group 2 displayed the least corrosion tendencies. An increase in corrosion rates was observed after heat treatment/cycle state. Post-corrosion SEM photographs were also consistent with the test results.

CONCLUSION

Within the parameters of this study, a single heat treatment is insufficient to cause upheaval in corrosion behavior of a Ni-Cr alloy subjected to 10% hydrogen peroxide.

Evaluation of metal ion release from Ti6Al4V and Co-Cr-Mo casting alloys: in vivo and in vitro study

PURPOSE

The aim of this study was to evaluate the amount of ions released from Ti6Al4V and Co-Cr-Mo alloys both in vivo and in vitro.

MATERIALS AND METHODS

Twenty-one discs of each alloy were constructed and divided into seven groups. Three specimens from each group were immersed in a buffered saline solution over a period of 1, 3, 5, 7, 14, 21, and 28 days. Twenty-eight participants were also included in the study, where the study group consisted of 14 mandibular partially edentulous patients, and the control group consisted of 14 volunteers. The study group was further divided into two equal groups: the first group received removable partial dentures (RPDs) constructed from Co-Cr-Mo alloy, while the second group received RPDs constructed from Ti6Al4V alloy. Saliva samples were collected from each participant over the same study period. The conditioning media and saliva samples were analyzed using a spectrophotometer. One-way ANOVA and Tukey tests were used for statistical analysis (p < 0.05).

RESULTS

The concentrations of metal ions released from the studied alloys were significantly higher in the in vitro than in the in vivo study group during the follow-up periods. A statistically significant increase in ion concentrations of the different elements for both alloys was found with time (p < 0.05).

CONCLUSION

The amounts of released metallic ions from Co-Cr-Mo and Ti6Al4V alloys were higher in the buffered saline solutions than in the studied saliva samples and control groups; however, these amounts were still within the physiological limit of trace elements in the human body.

The osseointegration behavior of titanium-zirconium implants in ovariectomized rabbits

OBJECTIVE

The aim of this study is to compare the osseointegration behavior of titanium (Ti) and titanium-zirconium (TiZr) implants in ovariectomized (OVX) rabbits.

MATERIALS AND METHODS

Twelve ovariectomized New Zealand rabbits submitted to a hypocalcic diet and 12 sham-aged rabbits were used. After the bone mass loss induction period, TiZr or Ti implants both benefiting from a SLActive surface treatment were randomly inserted in the tibia and femur of each animal. The total of 24 rabbits were divided in four groups (n = 6): SHAM + Ti, OVX + Ti, SHAM + TiZr,OVX + TiZr. The animals were respectively sacrificed 3 and 6 weeks after dental implant placement. Six implants in each group at each time point were subjected to removal torque testing, and the remaining implants were prepared for histomorphometric analysis.

RESULTS

At the end of the healing period, all implants were osseointegrated. The removal torque value of the SHAM-TiZr group was significantly higher than those of the SHAM-Ti group (P < 0.001). The removal torque of the OVX-Ti group was significantly lower than those of the OVX-TiZr group. All groups demonstrated an increase in the peak torque value after 6 weeks: 46.0 and 50.8 Ncm for the OVX and the SHAM animals, respectively, in the case where Ti implants were used. When TiZr implants were inserted, the values reached 60.7 and 76.2 Ncm with a similar group configuration. The BIC and the BA/TA analysis showed an increase between week 3 and 6 in the case of nonovariectomized animals. From week 3 to 6, the BIC went from 37.1 ± 14.3 to 47.7 ± 8.7 for the SHAM + Ti group and from 37.6 ± 10.9 to 50.4 ± 11 for the SHAM + TiZr group. The BIC values were not significantly different between groups.

CONCLUSION

The parameters intended to be representative of the bone morphology (BIC & BATA) did not help to discriminate between Ti and TiZr which appeared to behave similarly in this experimental model. However, the removal torque values for the TiZr group were statistically higher than those of the Ti group in both the SHAM and the ovariectomized animals. That likely reflected an increased quality of bone around the TiZr implants.

Electrochemical behaviour and surface characterisation of Zr exposed to an SBF solution containing glycine, in view of dental implant applications

Zr and Ti alloys are extensively used in the biomedical field owing to their optimal mechanical properties and excellent corrosion resistance. Fully ceramic implants based on zirconia are appealing with respect to the traditional Ti-based metallic ones for several reasons, such as: (i) improved aesthetic impact, (ii) better biocompatibility and (iii) better osteointegration. Nevertheless, fully ceramic implants exhibit serious mechanical and clinical drawbacks, chiefly brittleness and impossibility of post-implant position adjustments. In this paper we propose the novel approach of using a metal-based system, consisting of metallic Zr, for the bulk of the implant and an electrochemically grown zirconia coating, ensuring contact of the ceramic with the biological environment and isolation from the underlying metal. This solution combines the outstanding mechanical properties of the metal in the bulk with the optimal biochemical properties exclusively where they are needed: at the surface. The present paper-focussed on the electrochemical behaviour of the proposed system at the implant-wound and implant-growing bone interface-reports a time-dependent electrochemical corrosion study of zirconia-coated zirconium, performed in the following ways: (i) exposure and measurements in SBF (simulating the inorganic part of human plasma, relevant to wound chemistry), (ii) exposure and measurements in SBF with added glycine (the simplest, ubiquitous amino acid found in proteins), (iii) exposure in SBF with added glycine and measurements in SBF. Electrochemical impedance spectra were measured and interpreted with the equivalent-circuit approach, yielding estimates of the time-variation of the oxide film thickness and resistance were estimated. FT-IR, Surface Raman and VIS reflectance spectroscopies were used to characterise the surface before and after the exposure to SBF solutions. Spectroelectrochemical measurements revealed an higher corrosion resistance of the oxide films formed on Zr in the presence of glycine in the SBF matrix and a smoother electrode surface.

Potential of dental adhesives to induce mucosal irritation evaluated by the HET-CAM method

OBJECTIVE

This study was undertaken to determine the potential of dental adhesive products to induce mucosal irritation based on their ability to damage the blood vessels of the chorioallantoic membrane (CAM) in fertilized hen's egg.

MATERIAL AND METHODS

Twenty-seven dental adhesive products (total 36 solutions) covering the four adhesive concepts,etch and rinse with two or three steps procedure and self-etch with one or two steps procedure, were evaluated using the hen's egg test-CAM method (HET-CAM). The blood vessels on the CAM of a fertilized hen's egg were used as the test system, and severity of the irritation was based on an assessment of the reaction of the blood and the blood vessels to the test chemical during 5 min of exposure. Three specific end-points - coagulation of blood, lyses of blood and rupture of blood vessel - were evaluated and their time-points for appearance noted.

RESULTS

Coagulation of the blood was the most frequent injury, and was observed within less than a minute's exposure in 25 of the 36 tested solutions. Seventeen of the solutions were rated as moderate irritants and 16 as strong irritants. The type and severity of reaction could not be linked to the type of solvent (water, ethanol, acetone) nor to the presence of 2-hydroxylethyl methacrylate (2-HEMA) in the products. Conclusions. Most dental adhesives damage the blood vessels of the CAM, indicating irritant effects on mucous membranes.

A clinical evaluation of cobalt-chromium metal-ceramic fixed partial dentures and crowns: A three- to seven-year retrospective study

STATEMENT OF PROBLEM

In severely compromised dentition, loading of long-span and cantilever metal-ceramic fixed partial dentures (FPDs) could result in framework deformation and porcelain fractures. The use of cobalt-chromium (Co-Cr) alloys may be advantageous, but there is little information on the longevity of, and complications with, prostheses made with these alloys.

PURPOSE

The aim of this retrospective study was to report the survival and complication rates of Co-Cr metal-ceramic FPDs and crowns followed over a 3- to 7-year period.

MATERIAL AND METHODS

The study included 42 patients with a total of 51 FPDs and 12 single crowns assigned to 1 of 3 groups. The 3 groups comprised patients with abutment teeth with a questionable prognosis (n=10), advanced chronic periodontitis (n=19), or abutment teeth with a positive prognosis (n=13). The FPDs had a mean of 9.7 units (range of 3-14). Of the FPDs, 32 were provided with a cantilever on 1 side (n=24) or both sides (n=8). The mean observation time was 51 months (range of 28-82). All patients were examined by 2 independent prosthodontists using the California Dental Association (CDA) assessment system for evaluation. One-way ANOVA with Fisher's LSD post hoc test and the Mann-Whitney U test were used for statistical analyses (alpha=.05).

RESULTS

Seventeen (34%) of the FPDs had biological and/or technical complications. Six (12%) FPDs were completely or partially removed during the observation period, 1 framework fractured, and 9 (17.6%) FPDs had ceramic fractures. Fifteen of the 21 fractured FPD units were related to FPDs that were placed in 3 patients with bruxing habits. The CDA rating for marginal integrity was "excellent" for more than 98% of the abutments. No patients reported adverse reactions to the material.

CONCLUSIONS

Metal-ceramic FPDs made of cobalt-chromium alloy performed acceptably in the questionable prognosis and advanced chronic periodontitis groups.

Corrosion resistance measurements of dental alloys, are they correlated?

OBJECTIVES

The aim was to assess in vitro the resistance to corrosion of eight commercial dental alloys by two quantitative methods, electrochemical and immersion tests, then to statistically test the hypothesis of possible correlation between the polarization resistance (R(p)) and the elemental release.

METHODS

Two quantitative methods; electrochemical and immersion test, were used. From the first, after recording the OCP during 24h immersion in acidified artificial saliva (pH 2.3), R(p) was obtained using the linear polarization in anodic path and applying the Mansfeld's method. From the static immersion test, using the same test solution, the elemental release from was analysed and determined using the ICP-AES. Thereafter, the two measurements were used to plot the regression line and to determine the correlation coefficient. The significance of the correlation was tested using F-test at a confidence interval of 0.99.

RESULTS

: The resistance to corrosion results obtained from the two methods were ranked and compared; an inverse relation between them was evident. Then, the obtained coefficient of correlation (R(2)) was 0.886. With the F-test at 0.99 confidence interval, the hypothesis was accepted as the calculated F was about 44 against critical F=13.7.

CONCLUSION

The correlation between the two measurements, R(p) and mass loss, was proved statistically significant. This result may provide a new approach to predict the corrosion behaviour of dental alloys by firstly using the easier methods.