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Muhetaer A, Tang C, Anniwaer A, Yang H, Huang C. Advances in ceramics for tooth repair: From bench to chairside. J Dent 2024; 146:105053. [PMID: 38729288 DOI: 10.1016/j.jdent.2024.105053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2024] [Revised: 05/02/2024] [Accepted: 05/06/2024] [Indexed: 05/12/2024] Open
Abstract
OBJECTIVES To give a comprehensive review of advancement in dental ceramics, fabrication methods, and the challenges associated with clinical application. DATA, SOURCES AND STUDY SELECTION Researches on chemical composition, biomechanical behaviors, optical properties, bonding strategies and fabrication methods were included. The search of articles was independently conducted by two authors in the PubMed, Scopus, Medline and Web of Science. CONCLUSIONS Dental ceramics have shown significant advancements in terms of esthetics and function. However, improving fracture toughness without compromising optical properties remains a challenge. Repairing fractured zirconia or glass-matrix ceramic prostheses with the same material is difficult due to the sintering process. Developing innovative bonding techniques that provide strong and long-lasting bonding strength between ceramics and tooth structures poses a recurring obstacle. CLINICAL SIGNIFICANCE Despite the emergence of dental ceramics and fabrication techniques, certain limitations such as susceptibility to brittleness and fracture still exist. Therefore, the current review provided valuable information around the advanced dental ceramics in tooth repair. The laboratory test data and the clinical outcome are also presented in details, aiming to guide clinicians in making informed decisions regarding ceramic restorations.
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Affiliation(s)
- Aihemaiti Muhetaer
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan, PR China; Department of Prosthodontics, School & Hospital of Stomatology, Wuhan University, Wuhan, PR China
| | - Chuliang Tang
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan, PR China; Department of Prosthodontics, School & Hospital of Stomatology, Wuhan University, Wuhan, PR China
| | - Annikaer Anniwaer
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan, PR China
| | - Hongye Yang
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan, PR China; Department of Prosthodontics, School & Hospital of Stomatology, Wuhan University, Wuhan, PR China.
| | - Cui Huang
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan, PR China; Department of Prosthodontics, School & Hospital of Stomatology, Wuhan University, Wuhan, PR China.
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Huang B, Chen M, Wang J, Zhang X. Advances in zirconia-based dental materials: Properties, classification, applications, and future prospects. J Dent 2024; 147:105111. [PMID: 38866229 DOI: 10.1016/j.jdent.2024.105111] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2024] [Revised: 06/04/2024] [Accepted: 06/06/2024] [Indexed: 06/14/2024] Open
Abstract
OBJECTIVES Zirconia (ZrO2) ceramics are widely used in dental restorations due to their superior mechanical properties, durability, and ever-improving translucency. This review aims to explore the properties, classification, applications, and recent advancements of zirconia-based dental materials, highlighting their potential to revolutionize dental restoration techniques. STUDY SELECTION, DATA AND SOURCES The most recent literature available in scientific databases (PubMed and Web of Science) reporting advances of zirconia-based materials within the dental field is thoroughly examined and summarized, covering the major keywords "dental zirconia, classification, aesthetic, LTD, applications, manufacturing, surface treatments". CONCLUSIONS An exhaustive overview of the properties, classifications, and applications of dental zirconia was presented, alongside an exploration of future prospects and potential advances. This review highlighted the importance of addressing challenges such as low-temperature degradation resistance and optimizing the balance between mechanical strength and translucency. Also, innovative approaches to improve the performances of zirconia as dental material was discussed. CLINICAL SIGNIFICANCE This review provides a better understanding of zirconia-based dental biomaterials for dentists, helping them to make better choice when choosing a specific material to fabricate the restorations or to place the implant. Moreover, new generations of zirconia are still expected to make progress on key issues such as the long-term applications in dental materials while maintaining both damage resistance and aesthetic appeal, defining the directions for future research.
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Affiliation(s)
- Bo Huang
- State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Department of Prosthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, Sichuan, China
| | - Mengbing Chen
- State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Department of Prosthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, Sichuan, China
| | - Jian Wang
- State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Department of Prosthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, Sichuan, China.
| | - Xin Zhang
- State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Department of Prosthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, Sichuan, China.
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Uasuwan P, Juntavee N, Juntavee A. Flexural strength of novel glass infiltrated monochrome and multilayer high yttrium oxide containing zirconia upon various sintered cooling rates. J Prosthodont 2024. [PMID: 38831534 DOI: 10.1111/jopr.13872] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2024] [Accepted: 05/13/2024] [Indexed: 06/05/2024] Open
Abstract
PURPOSE The sintering technique and cooling strategy influence the strength of zirconia. This study examined the impact of altering the cooling rate of glass-infiltrated monolayer and multilayer 5 mol% yttria-partially stabilized zirconia (5Y-PSZ) on their strength. MATERIALS AND METHODS One-hundred eighty (180) specimens (width × length × thickness = 10 × 20 × 2 mm) were prepared using monolayer (Mo: Cercon-xt) and multilayer (Mu: Cercon-xt ML) 5Y-PSZ. Randomly distributed specimens (n = 15/group) were sintered with traditional (T) versus glass infiltrated (G) technique and cooled down with different cooling rates: slow (S: 5°C/min), normal (N: 35°C/min), and fast (F: 70°C/min). Four-point bending test was used to measure flexural strength (σ). Microstructures were investigated by scanning electron microscope (SEM), energy dispersive spectroscopy (EDS), and X-ray diffraction (XRD). Three-way ANOVA and Tamhane comparisons were determined for a significant difference of σ (p < 0.05). Weibull analysis was determined for Weibull modulus (m). RESULTS The highest σ (MPa) was seen for GMuS (696.8 ± 69.8). Mo-PSZ and Mu-PSZ showed no significant difference in σ. G-sintering presented significantly higher σ (659.9 ± 79.3) than T-sintering (426.0 ± 63.7). S-cooling (560.9 ± 126.1) had the highest σ. The highest m-value was observed in GMuN (12.1 ± 3.8). A significant difference in σ was indicated due to cooling rates and sintering techniques (p < 0.05). CONCLUSIONS Glass infiltration significantly enhanced strength through elastic gradience. F-cooling reduced grain size, impaired grain boundary integration, and increased the tetragonal to monoclinic phase transition, significantly decreasing flexural strength in traditional sintering. Nevertheless, F-cooling was recommended for glass-infiltrated 5Y-PSZ to enhance strength while reducing processing time.
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Affiliation(s)
- Pithiwat Uasuwan
- Division of Biomaterials and Prosthodontics Research, Faculty of Dentistry, Khon Kaen University, Khon Kaen, Thailand
| | - Niwut Juntavee
- Department of Prosthodontics, Faculty of Dentistry, Khon Kaen University, Khon Kaen, Thailand
| | - Apa Juntavee
- Division of Pediatric Dentistry, Department of Preventive Dentistry, Faculty of Dentistry, Khon Kaen University, Khon Kaen, Thailand
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Karbasian N, Fathi A, Givehchian P, Nosouhian S, Jamshidian M, Almassi F, Fazeli A. Comparative assessment of flexural strength of monolithic zirconia with different thicknesses and two sintering techniques. Clin Exp Dent Res 2024; 10:e856. [PMID: 38818850 PMCID: PMC11140452 DOI: 10.1002/cre2.856] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2023] [Revised: 01/04/2024] [Accepted: 01/28/2024] [Indexed: 06/01/2024] Open
Abstract
OBJECTIVES This study aimed to compare the flexural strength of monolithic zirconia with different thicknesses and two sintering techniques. MATERIALS AND METHODS This in vitro, experimental study was conducted on 28 monolithic zirconia discs with 10 mm diameter and 0.5 (n = 14) and 1.2 mm (n = 14) thickness. Each group was divided into two subgroups (n = 7) for fast (60 min) and conventional (120 min) sintering at 1450°C. After sintering, the specimens were thermocycled and their flexural strength was measured by piston-on-3-balls technique in a universal testing machine (0.5 mm/min, 1.2 mm pin diameter). Data were analyzed by the Weibull test, one-way analysis of variance, and Tukey's test (α = .05). RESULTS The flexural strength of specimens with 1.2 mm thickness was significantly higher than that of specimens with 0.5 mm thickness (p < .05). The flexural strength of 1.2 mm/120-min group was slightly, but not significantly, higher than that of 1.2 mm/60-min group (p > .05). The flexural strength of 0.5 mm/120-min group was slightly, but not significantly, higher than that of 0.5 mm/60-min group (p > .05). CONCLUSION The increase in thickness of monolithic zirconia increases its flexural strength; however, increasing the sintering time appears to have no significant effect on the flexural strength of monolithic zirconia.
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Affiliation(s)
- Nilofar Karbasian
- Dental Students’ Research Committee, School of DentistryIsfahan University of Medical SciencesIsfahanIran
| | - Amirhossein Fathi
- Department of Prosthodontics, School of Dentistry, Dental Materials Research CenterIsfahan University of Medical SciencesIsfahanIran
| | - Pirooz Givehchian
- Department of Prosthodontics, School of Dentistry, Dental Implants Research CenterIsfahan University of Medical SciencesIsfahanIran
| | - Saeed Nosouhian
- Department of Prosthodontics, School of Dentistry, Dental Implants Research CenterIsfahan University of Medical SciencesIsfahanIran
| | - Mohammad Jamshidian
- Dental Prosthesis Student, Faculty of DentistryIsfahan University of Medical SciencesIsfahanIran
| | - Farhad Almassi
- Dental Prosthesis Student, Faculty of DentistryIsfahan University of Medical SciencesIsfahanIran
| | - Ali Fazeli
- Dental Prosthesis Student, Faculty of DentistryIsfahan University of Medical SciencesIsfahanIran
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Cesar PF, Miranda RBDP, Santos KF, Scherrer SS, Zhang Y. Recent advances in dental zirconia: 15 years of material and processing evolution. Dent Mater 2024; 40:824-836. [PMID: 38521694 PMCID: PMC11098698 DOI: 10.1016/j.dental.2024.02.026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2024] [Revised: 02/26/2024] [Accepted: 02/27/2024] [Indexed: 03/25/2024]
Abstract
OBJECTIVES The objective was to discuss the research on zirconia published in the past 15 years to help the dental materials community understand the key properties of the types of zirconia and their clinical applications. METHODS A literature search was performed in May/2023 using Web of Science Core Collection with the term "dental zirconia". The search returned 5102 articles, which were categorized into 31 groups according to the research topic. RESULTS The current approach to improving the translucency of zirconia is to decrease the alumina content while increasing the yttria content. The resulting materials (4Y-, 5Y-, and above 5 mol% PSZs) may contain more than 50% of cubic phase, with a decrease in mechanical properties. The market trend for zirconia is the production of CAD/CAM disks containing more fracture resistant 3Y-TZP at the bottom layers and more translucent 5Y-PSZ at the top. Although flaws located between layers in multilayered blocks might represent a problem, newer generations of zirconia layered blocks appear to have solved this problem with novel powder compaction technology. Significant advancements in zirconia processing technologies have been made, but there is still plenty of room for improvement, especially in the fields of high-speed sintering and additive manufacturing. SIGNIFICANCE The wide range of zirconia materials currently available in the market may cause confusion in materials selection. It is therefore imperative for dental clinicians and laboratory technicians to get the needed knowledge on zirconia material science, to follow manufacturers' instructions, and to optimize the design of the prosthetic restoration with a good understanding where to reinforce the structure with a tough and strong zirconia.
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Affiliation(s)
- Paulo Francisco Cesar
- Department of Biomaterials and Oral Biology, School of Dentistry, University of São Paulo, São Paulo, Brazil.
| | | | - Karina Felix Santos
- Department of Biomaterials and Oral Biology, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Susanne S Scherrer
- Division of Fixed Prosthodontics and Biomaterials, University Clinics of Dental Medicine, University of Geneva, Geneva, Switzerland
| | - Yu Zhang
- Department of Preventive and Restorative Sciences, School of Dental Medicine, University of Pennsylvania, Philadelphia, USA
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Deste Gökay G, Oyar P, Durkan R. Impact of various aging treatments on the microhardness and surface roughness of CAD-CAM monolithic restorative materials. J Prosthodont 2024. [PMID: 38638109 DOI: 10.1111/jopr.13846] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2023] [Accepted: 03/05/2024] [Indexed: 04/20/2024] Open
Abstract
PURPOSE Dental ceramics deteriorate as a result of thermal aging and exposure to acidic solutions, which change their microhardness and surface roughness. This study assessed the resistance of several computer-aided design and computer-aided manufacturing (CAD-CAM) restorative dental materials in terms of surface roughness and microhardness following exposure to acidic solutions and thermal aging. MATERIALS AND METHODS Five different monolithic CAD-CAM restorative materials, two leucite-reinforced glass ceramics (G-Ceram and CEREC Blocs), a zirconia-infiltrated lithium silicate (Celtra Duo), a resin nanoceramic (Grandio), and monolithic zirconia (inCoris TZI), were used to create 2-mm-thick rectangular specimens (n = 100). After being immersed in either acidic saliva (pH = 4.0) (ST) or gastric juice (pH = 1.2) (GT), each material was subjected to 10,000 cycles of thermal aging. The Vickers microhardness and average surface roughness of the specimens were assessed at baseline, following thermal aging and exposure to either gastric juice or acidic saliva. The surface properties were examined using an atomic force microscope. The Mann‒Whitney U test with Bonferroni correction and the Wilcoxon signed-rank test was used for statistical analysis (a = 0.05). RESULTS The surface roughness of two leucite-reinforced glass ceramics (G-ceram and CEREC) significantly decreased with ST (p = 0.027 and p = 0.044). Only the CEREC was affected when the aging protocols were compared, and the ST group had a significant reduction in roughness (p = 0.009). The microhardness values significantly decreased after both aging protocols in all groups except for the ST subgroup of G-Ceram. Only inCoris was affected when the aging protocols were compared, and the GT group exhibited a significant reduction in microhardness (p = 0.002). CONCLUSION The surface roughness of the tested materials was not affected by the GT. Only leucite ceramics exhibited a decrease in surface roughness in the ST stage. Both aging processes produced a significant decrease in the microhardness of the tested ceramics. Leucite-reinforced glass-ceramic materials may be advantageous for patients with gastroesophageal reflux disease and those with a diet high in acidic foods due to their lower values for changes in microhardness and surface roughness compared to those of other CAD-CAM materials.
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Affiliation(s)
- Gonca Deste Gökay
- Faculty of Dentistry, Department of Prosthodontics, Bursa Uludağ University, Bursa, Türkiye
| | - Perihan Oyar
- Dental Prosthetics Technology, School of Health Services, Hacettepe University, Ankara, Türkiye
| | - Rukiye Durkan
- Faculty of Dentistry, Department of Prosthodontics, Istanbul Okan University, Istanbul, Türkiye
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Yang F, Zhang L, Yang M, Chen J, Xing W. The effect of deviations in sintering temperature on the translucency and color of multi-layered zirconia. BMC Oral Health 2024; 24:471. [PMID: 38637799 PMCID: PMC11027308 DOI: 10.1186/s12903-024-04243-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2024] [Accepted: 04/09/2024] [Indexed: 04/20/2024] Open
Abstract
OBJECT This study aimed to investigate the changes in the translucency and color of four different multi-layered zirconia materials when the sintering temperature were inaccurate. MATERIALS AND METHODS Two hundred zirconia samples (11 × 11 × 1.0 mm) of four multi-layered zirconia, Upcera TT-GT (UG), Upcera TT-ML (UM), Cercon xt ML (CX), and Lava Esthetic (LE), were divided into five subgroups according to the sintering temperature: L1 (5% lower temperature), L2 (2.5% lower temperature), R (recommended sintering temperature), H2 (2.5% higher temperature), H1 (5% higher temperature). After sintering, color coordinates were measured. Then the translucency parameter (TP) values, and the color differences (between the inaccurate sintering temperature and the recommended temperature) of each zirconia specimen were calculated. Statistical analysis was performed by using three-way ANOVA tests, the one-way ANOVA, and Tukey's post hoc test. RESULTS Three-way ANOVA results showed that material type, sintering temperature, specimen section, and their interactions significantly influenced the TP values (except for the interactions of specimen section and sintering temperature) (P < .05). TP values of zirconia specimens were significantly different in the inaccurate sintering temperatures (P < .05), except for the cervical and body sections of UG group (P > .05). Compared with recommended sintering temperature, higher sintering temperature caused higher TP values for CX, but lower for LE. Three-way ANOVA results showed that material type, sintering temperature, and their interactions significantly influenced the ∆E00 values (P < .05). There were no significant differences in ∆E00 values of UM and CX groups at different inaccurate sintering temperatures, and were clinical imperception (except for UM-L1) (∆E00 < 1.25). ∆E00 values of all zirconia specimens showed clinically acceptable (∆E00 < 2.23). CONCLUSION The deviations in sintering temperature significantly influenced the translucency and color of tested multi-layered zirconia. The trends of translucency in the multi-layered zirconia depended on material type and the color changes of all zirconia materials were clinically acceptable at inaccurate sintering temperatures.
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Affiliation(s)
- Fan Yang
- Graduate School of Dalian Medical University, Dalian, China
| | - Luyao Zhang
- Graduate School of Dalian Medical University, Dalian, China
| | - Minghui Yang
- Dental Technology Center, Dalian Stomatological Hospital, Dalian, China
| | - Jianfeng Chen
- Department of Stomatology, The First Affiliated Hospital of Dalian Medical University, Dalian, China
| | - Wenzhong Xing
- Department of Prosthodontics, Dalian Stomatological Hospital, Dalian, Liaoning, 116021, PR China.
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Kwon YS, Kim JH, Lee H, Scherrer SS, Lee HH. Strength-limiting damage and defects of dental CAD/CAM full-contour zirconia ceramics. Dent Mater 2024; 40:653-663. [PMID: 38378372 DOI: 10.1016/j.dental.2024.02.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2023] [Revised: 01/03/2024] [Accepted: 02/06/2024] [Indexed: 02/22/2024]
Abstract
OBJECTIVE This study aimed to compare the four-point flexural strength of CAM-milled and sintered (as-sintered, AS) specimens with those of high-polished (HP) specimens using chairside polishing systems to simulate clinical surface conditions. METHODS Seven full-contour zirconia CAM/CAM blanks with various yttria contents (3, 4, 5 mol%) including three high-translucent groups (5Y) were selected to prepare flexural specimens. The bend bar specimens (2.0 × 4.0 × 25.0 mm3) were fabricated by using STL file and dental CAM machine with the respective zirconia blanks (98 mm ϕ and 10-14 mm in height). Twelve bar specimens were machined from one zirconia puck and a total of 24 specimens were prepared from each group. The pre-sintered bar specimens were sintered by using a dental zirconia furnace at 1530-1550 °C for 2 h according to the instructions. All sintered specimens were divided into two groups: as-sintered (AS) group and high-polished (HP) groups (n = 12). HP groups were subjected to polishing one surface of specimens using a three-step polishing system and finally finished with diamond polishing. After cleaning and drying, the flexural strength of all specimens was determined by a fully articulating four-point flexure fixture consisting of a 1/4-point test configuration with an inner/outer span of 10/20 mm. Statistical differences between AS and HP groups were conducted with Weibull analysis. The fractured surfaces of zirconia specimens were observed using a field emission SEM and EDS to detect failure origins. RESULTS The mean AS flexural strength values were significantly lower than those of HP counterparts. However, Weibull moduli expressing the reliability of HP groups were generally decreased although not significantly in comparison to their AS. The fracture of the AS specimens mostly originated from extrinsic CAM-milling defects, while the HP specimens were fractured from intrinsic subsurface or volume defects including pores, large grain clusters, inclusions, and corner-located critical flaws. Two high-translucent (5Y) zirconia groups were not affected in their strength and reliability after polishing, whereas one 5Y zirconia significantly increased its strength but significantly lowered its reliability. SIGNIFICANCE The extrinsic and intrinsic strength-limiting defects should be considered in evaluating the flexural strength and reliability of dental CAD/CAM zirconia ceramics for full-contour restorations. For the materials tested in this study, more optimized processing of blanks and milling protocols of pre-sintered zirconia blanks should be developed including post-sintering surface finishing to reduce the flaw population regulating strength and reliability which will affect the survivability of dental zirconia prostheses.
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Affiliation(s)
- Young-Seok Kwon
- Department of Biomaterials Science, College of Dentistry, Dankook University, 119 Dandaero, Cheonan, Chungnam 31116, Republic of Korea
| | - Jae-Heon Kim
- Department of Biomaterials Science, College of Dentistry, Dankook University, 119 Dandaero, Cheonan, Chungnam 31116, Republic of Korea
| | - Hwalim Lee
- Department of Biomaterials Science, College of Dentistry, Dankook University, 119 Dandaero, Cheonan, Chungnam 31116, Republic of Korea
| | - Susanne S Scherrer
- Division of Fixed Prosthodontics and Biomaterials, University Clinics of Dental Medicine, University of Geneva, Geneva, Switzerland.
| | - Hae-Hyoung Lee
- Department of Biomaterials Science, College of Dentistry, Dankook University, 119 Dandaero, Cheonan, Chungnam 31116, Republic of Korea; Institute of Tissue Regeneration Engineering, Dankook University, 119 Dandaero, Cheonan, Chungnam 31116, Republic of Korea.
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Yang H, Sun L, Yu H, Nugraha AP, Vanegas Sáenz JR, Hong G. Current prospect of dental zirconia recycling: A scoping review. J Prosthodont Res 2024:JPR_D_23_00186. [PMID: 38522896 DOI: 10.2186/jpr.jpr_d_23_00186] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/26/2024]
Abstract
PURPOSE This scoping review aimed to identify and discuss the recyclability of dental zirconia residuals along with the factors influencing the properties of dental recycled zirconia. STUDY SELECTION In vitro studies written in both English and Chinese that evaluated the recyclability of dental zirconia residue were selected. A literature search was conducted in Medline, PubMed, Web of Science, and Cochrane Library databases with no restrictions on the publication year. RESULTS Sixteen studies were included in this review. Residual dental zirconia can be recycled. Cold isostatic pressing improved the density of recycled zirconia compared with uniaxial pressing. Recycled zirconia powder with fine particles enhanced the performance of recycled zirconia compared with coarse particles. A presintering temperature of 950 to 1100°C was suitable for preparing recycled zirconia presintered bodies. Recycled zirconia may require a higher sintering temperature (≥1500°C) compared with commercially available zirconia. Additionally, recycled zirconia powder can enhance the properties of polymethylmethacrylate as a reinforcing filler and can be combined with alumina powder to obtain an alumina/zirconia composite material. CONCLUSIONS Despite a limited body of literature, the recycling and reutilization of dental zirconia residuals are feasible and reliable, and can reduce economic and environmental losses. Nevertheless, several factors influence the recycling effect, including the particle size, molding techniques, and sintering parameters. In addition, recycled zirconia powder can act as a reinforcing filler, potentially enhancing the mechanical properties of other materials. To realize commercially viable recycled zirconia materials, further studies are essential to comprehensively explore and understand their recycling performance.
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Affiliation(s)
- Hui Yang
- Division for Globalization Initiative, Liaison Center for Innovative Dentistry, Tohoku University Graduate School of Dentistry, Sendai, Japan
| | - Lu Sun
- Division for Globalization Initiative, Liaison Center for Innovative Dentistry, Tohoku University Graduate School of Dentistry, Sendai, Japan
- School of Stomatology, Dalian Medical University, Dalian, China
| | - Hao Yu
- Department of Prosthodontics, School and Hospital of Stomatology, Fujian Medical University, Fuzhou, China
- Department of Applied Prosthodontics, Nagasaki University, Nagasaki, Japan
| | - Alexander Patera Nugraha
- Division for Globalization Initiative, Liaison Center for Innovative Dentistry, Tohoku University Graduate School of Dentistry, Sendai, Japan
- Department of Orthodontics, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Surabaya, Indonesia
| | - Juan Ramón Vanegas Sáenz
- Division for Globalization Initiative, Liaison Center for Innovative Dentistry, Tohoku University Graduate School of Dentistry, Sendai, Japan
| | - Guang Hong
- Division for Globalization Initiative, Liaison Center for Innovative Dentistry, Tohoku University Graduate School of Dentistry, Sendai, Japan
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Wang L, Wang K, Sheng Y, Hao Z, Tang W, Dou R. The effect of phase contents on the properties of yttria stabilized zirconia dental materials fabricated by stereolithography-based additive manufacturing. J Mech Behav Biomed Mater 2024; 150:106313. [PMID: 38109815 DOI: 10.1016/j.jmbbm.2023.106313] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2023] [Revised: 12/05/2023] [Accepted: 12/07/2023] [Indexed: 12/20/2023]
Abstract
The aim is to investigate the impact of phase contents on mechanical properties, translucency, and aging stability of additively manufactured yttria partially stabilized zirconia ceramics. For that purpose, we evaluated two PSZ materials. The first type was prepared utilizing commercially available 5 mol% yttria-stabilized zirconia(5Y-PSZ), while the second type, denoted as 3Y+8Y-PSZ ceramics, was fabricated by blending 3 mol% and 8 mol% yttria-stabilized zirconia powders. Compared to 5Y-PSZ (39.90 wt% tetragonal phases and c/a2 = 1.0141), 3Y+8Y-PSZ is characterized by a greater abundance of tetragonal phases (47.68 wt%), which display higher tetragonality (c/a2 = 1.0165) and lower yttrium oxide content (2.25mol%). As a result, the 3Y+8Y-PSZ demonstrates elevated strength (816.52 MPa) and toughness (4.32 MPa m1/2), accompanied by reduced translucency(CR:0.47) and it exhibits greater susceptibility to aging. The phase contents, yttrium oxide content, and lattice parameters in the tetragonal phase play a crucial role in determining the mechanical properties, translucency, and aging stability of PSZ ceramics.
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Affiliation(s)
- Li Wang
- Jiangsu Key Laboratory of Advanced Food Manufacturing Equipment and Technology, School of Mechanical Engineering, Jiangnan University, Wuxi, 214122, Jiangsu, China; Institute of Advanced Technology, Jiangnan University, Wuxi, 214122, Jiangsu, China.
| | - Kang Wang
- Jiangsu Key Laboratory of Advanced Food Manufacturing Equipment and Technology, School of Mechanical Engineering, Jiangnan University, Wuxi, 214122, Jiangsu, China; Institute of Advanced Technology, Jiangnan University, Wuxi, 214122, Jiangsu, China
| | - Yang Sheng
- Jiangsu Key Laboratory of Advanced Food Manufacturing Equipment and Technology, School of Mechanical Engineering, Jiangnan University, Wuxi, 214122, Jiangsu, China; Institute of Advanced Technology, Jiangnan University, Wuxi, 214122, Jiangsu, China
| | - Zongdong Hao
- Jiangsu Key Laboratory of Advanced Food Manufacturing Equipment and Technology, School of Mechanical Engineering, Jiangnan University, Wuxi, 214122, Jiangsu, China; Institute of Advanced Technology, Jiangnan University, Wuxi, 214122, Jiangsu, China
| | - Weizhe Tang
- Jiangsu Key Laboratory of Advanced Food Manufacturing Equipment and Technology, School of Mechanical Engineering, Jiangnan University, Wuxi, 214122, Jiangsu, China; Institute of Advanced Technology, Jiangnan University, Wuxi, 214122, Jiangsu, China
| | - Rui Dou
- Jiangsu Key Laboratory of Advanced Food Manufacturing Equipment and Technology, School of Mechanical Engineering, Jiangnan University, Wuxi, 214122, Jiangsu, China; Institute of Advanced Technology, Jiangnan University, Wuxi, 214122, Jiangsu, China.
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11
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Uasuwan P, Juntavee N, Juntavee A. Optical Characteristics of Monochrome and Multilayer Fully Stabilized Zirconia Upon Sintered Cooling Speed. Eur J Dent 2024; 18:196-207. [PMID: 37059447 PMCID: PMC10959634 DOI: 10.1055/s-0043-1764233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/16/2023] Open
Abstract
OBJECTIVES Firing protocols influence optical properties of dental ceramics. Effects of varying cooling rates of monochrome and multilayer 5 mol% yttria-stabilized tetragonal polycrystalline (5YTZP) on optical properties are subjected for investigation. MATERIALS AND METHODS Ninety specimens (width, length, thickness = 10 × 20 × 2 mm) were prepared from monochrome (Mo: Cercon xt) and multilayer (Mu: Cercon xt ML with cervical (C) and incisal (I) zoning) 5YTZP. Specimens were sintered and randomly treated with three cooling rates (n = 15/group): slow (S: 5°C/min), normal (N: 35°C/min), and fast (F: 70°C/min). Color appearance (∆EW), color appearance difference (∆E diff), translucency parameter (TP), contrast ratio (CR), and opalescence parameter (OP) were evaluated in CIEL*a*b* (Commission International de I'Eclairage) system. ∆E diff was achieved from the coordinate difference of specimen to VITA classic shade A2. Microstructures and compositions were evaluated by scanning electron microscope and energy dispersive spectroscopy. Monoclinic (m), tetragonal (t), and cubic (c) phases were investigated with X-ray diffraction. STATISTICAL ANALYSIS An analysis of variance and Bonferroni multiple comparisons were determined for significant differences (p < 0.05). RESULTS ΔEW of MoF was highest (66.04 ± 1.86), while MuN-I was lowest (62.60 ± 0.86). TP and OP of MoS were highest at 2.85 ± 0.11, and 2.25 ± 0.10, while MuF-I was lowest at 2.16 ± 0.10 and 1.60 ± 0.12. CR of MuF-I was highest (0.948 ± 0.005), while MoS was lowest (0.936 ± 0.005). ΔEdiff of MoF was highest (3.83), while MuN-I was lowest (0.93). Limited grain growth and m-phase composition were indicated upon fast cooling. There were significant differences for all color parameters due to varied materials, cooling rates, and their interactions (p < 0.05) except for interaction in ∆EW and OP. CONCLUSIONS Translucency of monochrome and multilayer 5YTZP were different, possibly due to colorant additives. Incisal layer of multilayer 5YTZP was perfectly matched with VITA shade. Increasing cooling speed resulted in smaller grain size, t-m transformation, and finally lower translucency and opalescence. Therefore, to achieve most favorable optical properties, slow cooling rate is recommended.
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Affiliation(s)
- Pithiwat Uasuwan
- Division of Biomaterials and Prosthodontics Research, Faculty of Dentistry, Khon Kaen University, Khon Kaen, Thailand
| | - Niwut Juntavee
- Department of Prosthodontics, Faculty of Dentistry, Khon Kaen University, Khon Kaen, Thailand
| | - Apa Juntavee
- Division of Pediatric Dentistry, Department of Preventive Dentistry, Faculty of Dentistry, Khon Kaen University, Khon Kaen, Thailand
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12
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Güven ME, Kara Ö. The metameric effect of monolithic zirconias with varying yttrium ratios. J Adv Prosthodont 2024; 16:48-56. [PMID: 38455678 PMCID: PMC10917625 DOI: 10.4047/jap.2024.16.1.48] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2023] [Revised: 01/25/2024] [Accepted: 02/06/2024] [Indexed: 03/09/2024] Open
Abstract
PURPOSE To evaluate the metameric disparities among monolithic zirconia materials with differing yttrium compositions across various lighting conditions. MATERIALS AND METHODS Thirty-six square-shaped zirconia samples measuring 10 × 10 × 0.5 mm were prepared from monolithic zirconia materials with three different yttrium contents. A 0.2 mm thick layer of polymerized dual-polymerizable self-adhesive resin cement was created using a silicone mold with the same dimensions as the prepared zirconia specimens. To evaluate metamerism, color measurements were conducted using a spectrophotometer device on a neutral gray background in a color measurement cabinet that offers four different illumination environments. All samples underwent aging by subjecting them to 10000 thermal cycles using a thermal cycle tester. Following thermal aging, color measurements were taken once more, and the data were recorded using the CIE L*, a*, b* color system. Two-way ANOVA and Post-hoc Bonferroni tests were employed to analyze the data. RESULTS It was observed that there was no statistical difference among the color measurements made in different illumination environments of the monolithic zirconia ceramics used to evaluate metamerism (P > .05). This observation remained consistent both before and after thermal aging. After thermal aging, the color of monolithic zirconia materials exhibited a tendency towards red and yellow hues, accompanied by a decrease in brightness levels. CONCLUSION It can be stated that different illumination conditions did not affect the metamerism of monolithic zirconia materials, but there was a color change in monolithic zirconia materials after a thermal aging period equivalent to one year.
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Affiliation(s)
| | - Özlem Kara
- Prosthodontics, Bezmialem Vakif University, Istanbul, Türkiye
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13
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Koenig V, Douillard T, Chevalier J, Amiard F, Lamy de la Chapelle M, Le Goff S, Vanheusden A, Dardenne N, Wulfman C, Mainjot A. Intraoral low-temperature degradation of monolithic zirconia dental prostheses: 5-year results of a prospective clinical study with ex vivo monitoring. Dent Mater 2024; 40:198-209. [PMID: 37951752 DOI: 10.1016/j.dental.2023.11.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2023] [Revised: 11/04/2023] [Accepted: 11/04/2023] [Indexed: 11/14/2023]
Abstract
OBJECTIVES To investigate the 5-year intraoral evolution and kinetics of low-temperature degradation (LTD) of second-generation monolithic prostheses made of 3% molar yttrium-doped tetragonal zirconia polycrystal (3Y-TZP) and the influence of masticatory mechanical stresses and glaze layer on this evolution. METHODS A total of 101 posterior tooth elements were included in this prospective clinical study, which comprised ex vivo LTD monitoring (at baseline, 6 months, 1 year, 2 years, 3 years, and 5 years) using Raman spectroscopy (n = 2640 monoclinic phase measurement points per evaluation time) and scanning electron microscopy (SEM). Four types of areas (1-2 mm2 surface, six on molars, and four on premolars) were analysed on each element surface: occlusal, axial, glazed, or unglazed. Raman mapping, high-resolution SEM, and focused ion beam-SEM were performed on selected samples. RESULTS The dental prostheses developed a tetragonal-to-monoclinic transformation at the extreme surface of the material after six months in a buccal environment, and this process increased significantly over time. Over the five years of monitoring, the transformation developed nonuniformly with the presence of localised clusters of monoclinic grains. Tribological stresses generate grain pull-out from these clusters, which may raise questions regarding the release of 3Y-TZP nanoparticles into the body. The prosthesis fracture rate was 4.5% after 5 years. SIGNIFICANCE LTD developed in vivo on the surfaces of 3Y-TZP dental prostheses and progressed slowly but significantly over time, up to 5 years investigation. However, the effects of aging on the failure rate recorded and of zirconia nanoparticles released into the body require further investigation.
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Affiliation(s)
- V Koenig
- Dental Biomaterials Research Unit (d-BRU), University of Liège (ULiège), 45 Quai G. Kurth, Liège 4020, Belgium; Department of Fixed Prosthodontics, Institute of Dentistry, University of Liège Hospital (CHU), 45 Quai G. Kurth, Liège 4020, Belgium
| | - T Douillard
- Université de Lyon, INSA Lyon, CNRS, MATEIS, UMR 5510, F-69621 Villeurbanne, France
| | - J Chevalier
- Université de Lyon, INSA Lyon, CNRS, MATEIS, UMR 5510, F-69621 Villeurbanne, France
| | - F Amiard
- Institut des Molécules et Matériaux du Mans (IMMM - UMR6283), Université du Mans, avenue Olivier Messiaen, 72085 Cedex 9 Le Mans, France
| | - M Lamy de la Chapelle
- Institut des Molécules et Matériaux du Mans (IMMM - UMR6283), Université du Mans, avenue Olivier Messiaen, 72085 Cedex 9 Le Mans, France
| | - S Le Goff
- Unité de Recherches en Biomatériaux Innovants et Interfaces (URB2i) - EA4462, Faculté de Chirurgie Dentaire, Université Paris Descartes, Sorbonne Paris-Cité, Montrouge 92120, France
| | - A Vanheusden
- Dental Biomaterials Research Unit (d-BRU), University of Liège (ULiège), 45 Quai G. Kurth, Liège 4020, Belgium; Department of Fixed Prosthodontics, Institute of Dentistry, University of Liège Hospital (CHU), 45 Quai G. Kurth, Liège 4020, Belgium
| | - N Dardenne
- Department of Public Health, University of Liège, 4000 Liège, Belgium
| | - C Wulfman
- Dental Biomaterials Research Unit (d-BRU), University of Liège (ULiège), 45 Quai G. Kurth, Liège 4020, Belgium; Unité de Recherches en Biomatériaux Innovants et Interfaces (URB2i) - EA4462, Faculté de Chirurgie Dentaire, Université Paris Descartes, Sorbonne Paris-Cité, Montrouge 92120, France
| | - A Mainjot
- Dental Biomaterials Research Unit (d-BRU), University of Liège (ULiège), 45 Quai G. Kurth, Liège 4020, Belgium; Department of Fixed Prosthodontics, Institute of Dentistry, University of Liège Hospital (CHU), 45 Quai G. Kurth, Liège 4020, Belgium.
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14
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Sudharson NA, Gandhi N, Talwar H, Kurian N, Joseph M. A comparative analysis of mechanical and optical behavioral patterns of translucent zirconia ceramics. J Indian Prosthodont Soc 2024; 24:88-94. [PMID: 38263563 PMCID: PMC10896311 DOI: 10.4103/jips.jips_341_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2023] [Revised: 11/28/2023] [Accepted: 12/23/2023] [Indexed: 01/25/2024] Open
Abstract
AIM This research aimed to assess and compare the translucency and mechanical properties of partially stabilized zirconia in contrast to lithium disilicate, particularly within the context of translucent zirconia. SETTINGS AND DESIGN The experimental design entails examining fifty samples, with ten drawn from each of the five distinct categories of ceramic materials, as part of this in vitro study. Translucency is measured using the Konica Minolta CM-3600D spectrophotometer, assessing Delta E through Lab values against white and black backgrounds. Flexural strength is analyzed via a 3-point bend test on a universal testing machine, with a controlled crosshead speed set at 1 mm/min. MATERIALS AND METHODS The study included the five categories of ceramic materials, each consisting of ten samples: High-strength zirconia (Katana HT), translucent zirconia (e.max Zircad MT and Cercon ht ML), and lithium disilicate (Press MT and LT). The Konica Minolta CM-3600D spectrophotometer is utilized to measure the translucency parameter. This involves determining the color difference (Delta E) by comparing the L*a*b values against both white and black backgrounds. The flexural strength (FS) of zirconia and lithium disilicate materials was analyzed through a 3-point bend test, aiming to compare their respective strengths. The testing procedure was carried out on a universal testing machine with a controlled crosshead speed set at 1 mm/min. The FS was calculated using the formula σ = FL/πR3 for circular disks, where σ represents the FS, F is the fracture load, L is the span length in millimeters, and R is the radius of the disk. STATISTICAL ANALYSIS USED The Student's t-test was employed for statistical analysis. RESULTS The mean translucency parameter for e.max Press MT (6.33 ± 1.05) was significantly greater than all the specimens investigated. The Cercon ht ML exhibited a slightly higher translucency (2.18 ± 0.52) compared to e.max Zircad MT (1.49 ± 0.69), with a statistically significant difference (P = 0.022). Conversely, the FS of e.max Zircad MT (26.97 ± 2.06) was significantly greater (P < 0.001) than that of Cercon ht ML (23.25 ± 2.36). Notably, the Katana HT material demonstrated the highest load strength (32.92 ± 3.10), a statistically significant difference compared to its counterparts (P < 0.001). CONCLUSIONS Among the materials tested, lithium disilicate ceramics exhibited the highest translucency, with its MT variant demonstrating the lowest strength. Katana HT displayed significantly greater biaxial FS compared to translucent zirconia, surpassing even lithium disilicate. Translucent zirconia proved to be notably more translucent than high-strength zirconia. Within the category of translucent zirconia, e.max Zircad MT exhibited substantially higher FS than Cercon.
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Affiliation(s)
| | - Nitasha Gandhi
- Department of Prosthodontics, Christian Dental College, Ludhiana, Punjab, India
| | - Harit Talwar
- Department of Prosthodontics, Christian Dental College, Ludhiana, Punjab, India
| | - Nirmal Kurian
- Department of Prosthodontics, Christian Dental College, Ludhiana, Punjab, India
| | - Meril Joseph
- Department of Prosthodontics, Christian Dental College, Ludhiana, Punjab, India
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15
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Aragonez GC, Dalla-Nora F, Soares PM, Pereira GKR, Valandro LF, Dos Santos SS, Rippe MP. Load-bearing capacity under fatigue of bonded-yttria tetragonal zirconia polycrystals and -yttria-stabilized zirconia: Effects of the viscosity of a dual-cured resin cement. J Mech Behav Biomed Mater 2023; 148:106233. [PMID: 37976685 DOI: 10.1016/j.jmbbm.2023.106233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2023] [Revised: 11/04/2023] [Accepted: 11/07/2023] [Indexed: 11/19/2023]
Abstract
This study aimed to evaluate the effect of low and high viscosities of dual-cured resin cement on the mechanical fatigue behavior of yttria tetragonal zirconia polycrystals (3Y-TZP) and yttria-stabilized zirconia (4YSZ) adhesively luted to a dentin analogue (glass fiber-reinforced epoxy resin). Ceramic discs were randomly divided into four groups (n = 20) based on the following study factors: dual-cured resin cement viscosities (low and high) and zirconia microstructure (3Y-TZP and 4YSZ). The discs were treated by air abrasion with aluminum oxide particles (50 μm), followed by the application of primer, and then luted with high or low viscosity resin cement to the dentin analogue. Subsequently, the luted sets underwent a step-stress fatigue test, which involved an initial load of 200 N, step increments of 100 N, 10,000 cycles per step, and a frequency of 20 Hz. Data on fatigue failure load (FFL) and the number of cycles for failure (CFF) were collected and analyzed using survival tests, including Kaplan-Meier and Mantel-Cox analyses, as well as Weibull analysis. Additionally, topography analysis, fractographic features, bonding interface analysis, and Raman spectroscopy were performed. The results revealed that 3Y-TZP exhibited superior fatigue behavior compared to 4YSZ, regardless of the viscosity of the resin cement used for luting. Among all groups, 3Y-Low exhibited the best fatigue performance, while 4YSZ luted with low or high viscosity resin cements yielded the lowest fatigue behavior (FFL). There were no significant differences in Weibull modulus among the groups. After air abrasion, both ceramics showed similar topography. Raman analysis indicated that the surface of 3Y-TZP ceramics prior to sintering had a monoclinic phase, which transitioned predominantly to tetragonal phase peaks after sintering. A similar transition was observed in 4YSZ ceramics. In summary, 3Y-TZP exhibited superior mechanical fatigue behavior compared to 4YSZ. The influence of resin cement viscosity on fatigue behavior was more pronounced in 3Y-TZP, with low-viscosity resin cement enhancing its performance. However, the mechanical fatigue behavior of 4YSZ was less affected by the viscosity of the dual-cured resin cement, showing similar results with both low and high viscosities. In conclusion, 3Y-TZP demonstrated superior mechanical fatigue behavior compared to 4YSZ. The impact of resin cement viscosity on fatigue behavior was more pronounced in 3Y-TZP, with low-viscosity resin cement enhancing its performance. Conversely, the mechanical fatigue behavior of 4YSZ was less sensitive to the viscosity of the dual-cured resin cement, resulting in similar outcomes with both low and high viscosities.
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Affiliation(s)
- Gabriela Carrão Aragonez
- MSciD and PhD Post-Graduate Program in Oral Science, Faculty of Odontology, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Fernanda Dalla-Nora
- MSciD and PhD Post-Graduate Program in Oral Science, Faculty of Odontology, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Pablo Machado Soares
- MSciD and PhD Post-Graduate Program in Oral Science, Faculty of Odontology, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Gabriel Kalil Rocha Pereira
- MSciD and PhD Post-Graduate Program in Oral Science, Faculty of Odontology, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Luiz Felipe Valandro
- MSciD and PhD Post-Graduate Program in Oral Science, Faculty of Odontology, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Sailer Santos Dos Santos
- Laboratory of Inorganic Materials, Department of Chemistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Marília Pivetta Rippe
- MSciD and PhD Post-Graduate Program in Oral Science, Faculty of Odontology, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
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16
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Rigos AE, Sarafidou K, Kontonasaki E. Zirconia bond strength durability following artificial aging: A systematic review and meta-analysis of in vitro studies. JAPANESE DENTAL SCIENCE REVIEW 2023; 59:138-159. [PMID: 37274447 PMCID: PMC10238491 DOI: 10.1016/j.jdsr.2023.04.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2022] [Revised: 03/27/2023] [Accepted: 04/19/2023] [Indexed: 06/06/2023] Open
Abstract
The present study systematically reviewed the literature regarding the bond strength durability of zirconia ceramics to resin-based luting cements after application of different bonding protocols and aging conditions. Electronic searches in PubMed, Scopus, and Web of Science databases were performed for relevant literature published between January 1st 2015 and November 15th 2022. Ninety-three (93) English language in-vitro studies were included. The percentage of the mean bond strength change was recorded prior to and after artificial aging, and the weighted mean values and 95% confidence intervals were calculated. Bonding protocols were classified based on the combination of MDP/non-MDP containing cement/primer and surface pretreatment, as well as the level of artificial aging performed. Alumina sandblasting (SA) was identified as the most frequently used surface pre-treatment while an insufficient number of studies was identified for each category of alternative surface treatments. The combination of MDP cement with tribochemical silica coating (TSC) or SA yielded more durable results after aging, while the application of SA and TSC improved bond durability when a non-MDP cement and a non-MDP primer were used. TSC may lead to increased bond durability compared to SA, whereas MDP cements may act similarly when combined with SA or TSC.
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Affiliation(s)
- Athanasios E. Rigos
- Resident, Graduate Prosthodontics, Texas A&M School of Dentistry, Dallas, TX, USA
| | - Katia Sarafidou
- Postdoctoral Researcher, Department of Prosthodontics, School of Dentistry, Faculty of Health Sciences, Aristotle University of Thessaloniki, Greece
| | - Eleana Kontonasaki
- Associate Professor, Department of Prosthodontics, School of Dentistry, Faculty of Health Sciences, Aristotle University of Thessaloniki, Greece
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17
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Freitas JS, Souza LFB, Dellazzana FZ, Silva TMRD, Ribeiro L, Pereira GKR, May LG. Advanced lithium disilicate: A comparative evaluation of translucency and fatigue failure load to other ceramics for monolithic restorations. J Mech Behav Biomed Mater 2023; 148:106192. [PMID: 37865017 DOI: 10.1016/j.jmbbm.2023.106192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2023] [Revised: 10/12/2023] [Accepted: 10/13/2023] [Indexed: 10/23/2023]
Abstract
The aim of this in vitro study was to evaluate the surface roughness, translucency, fatigue failure load (FFL), and number of cycles for fatigue failure (CFF) of a recently released lithia-based material called advanced lithium disilicate and three other ceramics indicated for monolithic restorations. First, ALD (advanced lithium disilicate, CEREC Tessera, Dentsply Sirona), LD (lithium disilicate, IPS e. max CAD, Ivoclar), LS (lithium silicate-disilicate, Suprinity, Vita Zahnfabrik), and 4Y-PSZ (Yttria-stabilized zirconia, IPS e.max ZirCAD MT, Ivoclar) discs (n = 15, Ø = 10 mm and thickness = 1.0 mm) were fabricated from CAD/CAM blocks/discs, A2 shade. The discs were sintered/crystallized and subsequently analyzed by a rugosimeter (Mitutoyo SJ-410) to determine Ra and Rz surface roughness parameters. Next, they were evaluated to determine the translucency parameter (TP) using a bench-top spectrophotometer (SP60, EX-Rite). The discs were subsequently cemented to glass fiber epoxy resin discs, and the specimens were tested under cyclic loading (Step-test), immersed in distilled water at a frequency of 20 Hz, with an initial cyclic load of 200 N for 5,000 cycles and increments of 50 N every 10,000 cycles until failure. Fatigue failure load (FFL) and number of cycles for fatigue failure (CFF) were recorded for subsequent Kaplan Meier analysis, with post-hoc Mantel-Cox and Weibull analysis (α = 0.05). Complementary fractographic, topographic and energy dispersive spectroscopy analyses (EDS) were performed. 4Y-PSZ showed higher survival (p < 0.05), with higher FFL and CFF (1077 N; 180,333 cycles), followed by LD (980 N; 161,000 cycles), LS (937 N; 152,333 cycles) and ALD (910 N; 147,000 cycles). No differences were observed between the tested groups regarding Weibull modulus. ALD presented TP (28.14) equal to DL (28.27) and higher than LS (25.51). All lithia-based materials had higher translucency than 4Y-PSZ (TP = 8.62) (p < 0.05). ALD appears to have a similar elemental composition to LD and LSD for oxygen and silicon. ALD and LSD have a similar zirconium content. Fractures originated on the cemented surface of the ceramic discs. Lithia-based ceramics showed lower surface roughness, with ALD (Ra = 0.04 μm; Rz = 0.66 μm) showing the lowest values (p < 0.05). Despite showing lower FFL when compared to LD and 4Y-PSZ, ALD has compatible translucency and mechanical fatigue performance with its indication for fabricating monolithic, anterior and posterior adhesively cemented single-unit restorations. However, further studies are needed to substantiate its clinical performance.
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Affiliation(s)
- Júlia Saccol Freitas
- MScD and PhD Post-Graduate Program in Oral Science, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Luiza Freitas Brum Souza
- MScD and PhD Post-Graduate Program in Oral Science, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Fernando Zurlo Dellazzana
- Faculty of Denstistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | | | - Luiza Ribeiro
- Faculty of Denstistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Gabriel Kalil Rocha Pereira
- MScD and PhD Post-Graduate Program in Oral Science, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Liliana Gressler May
- MScD and PhD Post-Graduate Program in Oral Science, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
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18
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Yousry MA, Hammad IA, El Halawani MT, Aboushelib MN. Effect of sintering time on microstructure and optical properties of yttria-partially stabilized monolithic zirconia. Dent Mater 2023; 39:1169-1179. [PMID: 37845165 DOI: 10.1016/j.dental.2023.10.012] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2023] [Revised: 09/12/2023] [Accepted: 10/05/2023] [Indexed: 10/18/2023]
Abstract
OBJECTIVES To evaluate the impact of speed sintering on the microstructure and optical properties of 3 and 5 mol% yttria-partially stabilized monolithic zirconias. METHODS 120 plate-shaped zirconia specimens (10x10x 0.4 mm) were prepared from three commercial 5 mol% yttria-partially stabilized zirconia blocks (5Y-PSZs); Katana UTML (Kuraray Noritake), Cercon xtML (Dentsply Sirona), and Zolid FX white (Amann Girrbach), and two commercial 3 mol% yttria-partially stabilized zirconia blocks (3Y-PSZs); Lava Plus (3 M ESPE) and InCoris (Sirona, GmbH). Specimens were either conventional sintered (CS) using a 7-hour program or speed sintered (SS) using a quick 90-minute program. The microstructure was inspected with a scanning electron microscope (SEM), and phase fractions were detected using x-ray diffraction analysis (XRD). Translucency (TP00), and contrast ratio (CR) were obtained using a spectrophotometer (VITA Easyshade V). Color difference (ΔE00) between both sintering processes was calculated with the CIEDE2000 formula. ΔE00 up to 1.8 was set as the acceptability threshold. Data were analyzed using two-way ANOVA, Krusakll-Wallis, and Mann-Whitney U tests. (n = 12, α = .05). RESULTS Grain size was significantly decreased after SS for all tested materials (P < .0001). The average grain sizes of 5Y-PSZs were significantly larger than those of 3Y-PSZs. The atomic structure, microstructure, and transparency of CS and SS were all affected by the amount of yttria, the size of the crystals, and tetragonality. SS significantly reduced TP00 (F = 7135.95, P < 0.0001) and increased CR (F = 453.21, P < 0.0001). The CS Katana presented the highest TP00 and lowest CR value. ΔE00 between the CS and SS groups were clinically acceptable except for Lava, which had values above the set threshold (1.89). SIGNIFICANCE SS altered the grain size and internal structure of the tested materials, which was reflected in translucency.
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Affiliation(s)
- Mahinour A Yousry
- Division of Fixed Prosthodontics, Department of Conservative Dentistry, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.
| | - Ihab A Hammad
- Division of Fixed Prosthodontics, Department of Conservative Dentistry, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
| | - Mohamed T El Halawani
- Division of Fixed Prosthodontics, Department of Conservative Dentistry, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
| | - Moustafa N Aboushelib
- Department of Dental Materials Science, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
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Hafezeqoran A, Sabanik P, Koodaryan R, Ghalili KM. Effect of sintering speed, aging processes, and different surface treatments on the optical and surface properties of monolithic zirconia restorations. J Prosthet Dent 2023; 130:917-926. [PMID: 35109985 DOI: 10.1016/j.prosdent.2021.12.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2021] [Revised: 12/01/2021] [Accepted: 12/01/2021] [Indexed: 11/24/2022]
Abstract
STATEMENT OF PROBLEM Advances in dentistry have led to more esthetic and biocompatible restorative materials such as translucent zirconia and to faster and more accurate manufacturing methods. How changes in the surface and optical properties of translucent zirconia affect the esthetics and durability of these restorations under different conditions and manufacturing processes is unclear. PURPOSE The purpose of this in vitro study was to evaluate the effect of the sintering speed, aging process, and different surface treatments on the translucency and surface structure of monolithic zirconia restorations. MATERIAL AND METHODS Prepared typodont teeth were scanned, and 40 three-unit fixed partial dentures (FPDs) and 40 disk specimens were designed and prepared from monolithic zirconia blanks. The specimens were divided into traditional or speed sintering groups (20 FPDs and 20 disks each); half of each group (10 FPDs and 10 disks) was polished with a handpiece at 10 000 rpm, and the other half was glazed. Half of the specimens were thermocycled with 3500 cycles in 5 °C and 55 °C water baths, and the remaining half were not thermocycled. Translucency was measured with a spectrophotometer. Surface free energy was calculated in mNm with a contact angle device; surface roughness was measured in nm with an atomic force microscope. Translucency data were analyzed by the Kruskal-Wallis and Mann-Whitney tests, while surface free energy and surface roughness data were analyzed by 3-way ANOVA (α=.05). RESULTS The highest transmittance was in the speed sintered, polished, nonthermocycled group, and the lowest transmittance was in the speed sintered, polished, thermocycled group (P=.029). The transmittance of the traditionally sintered, polished, nonthermocycled group was significantly higher than that in all the speed sintered, glazed groups; the traditionally sintered, glazed groups; and the traditionally sintered, polished, thermocycled group (P=.029). The transmittance of the traditionally sintered, polished, thermocycled group was significantly higher than that of all traditionally sintered, glazed groups (P=.029). The mean surface free energy in the traditionally sintered groups was higher than that in the speed sintered groups (P=.002); also, it was higher in the glazed groups than in the polished groups (P<.001). The aging process decreased surface free energy (P=.023). The mean surface roughness in the speed sintered groups was significantly lower than that in the traditionally sintered groups (P=.004). No significant difference in surface roughness was found between the polished and glazed groups and between the 2 variables of the aging process (P>.05). CONCLUSIONS Speed sintering and polishing may decrease the surface free energy and increase the translucency of the monolithic zirconia restoration. Also, speed sintering creates a smoother surface. Aging had a more significant effect on decreasing the surface free energy of the specimens and could make the least translucent restorations.
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Affiliation(s)
- Ali Hafezeqoran
- Associate Professor, Prosthodontics, Department of Prosthodontics, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, East Azerbaijan Province, Iran
| | - Pouya Sabanik
- Private practice, Tabriz, East Azerbaijan Province, Iran.
| | - Roodabeh Koodaryan
- Associate Professor, Prosthodontics, Department of Prosthodontics, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, East Azerbaijan Province, Iran
| | - Kambiz M Ghalili
- Clinical Professor, Prosthodontics, Department of Prosthodontics, College of Dentistry, New York University, New York City, NY; Private practice, New York City, NY
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Freitas JS, Souza LFB, Pereira GKR, May LG. Surface properties and flexural fatigue strength of an advanced lithium disilicate. J Mech Behav Biomed Mater 2023; 147:106154. [PMID: 37804677 DOI: 10.1016/j.jmbbm.2023.106154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2023] [Revised: 09/23/2023] [Accepted: 09/27/2023] [Indexed: 10/09/2023]
Abstract
The aim of this study was to evaluate the surface properties and fatigue mechanical behavior of an advanced lithium disilicate ceramic in comparison to lithium disilicate and zirconia. First, discs (n = 15, diameter = 13.5 mm and thickness = 1.2 mm) were made from the following materials: 4Y-PSZ - 4% mol yttria-stabilized zirconia (IPS e.max ZirCAD A2); LD - lithium disilicate (IPS e.max CAD); ALD - advanced lithium disilicate (CEREC Tessera). The specimens were crystalized/sintered and subsequently analyzed by a rugosimeter (Mitutoyo SJ-410) to determine surface roughness (parameters Ra and Rz). Specimens were subjected to biaxial flexural fatigue testing using the step-test method (20 Hz; 10,000 cycles per step; initial stress of 200 MPa; and step size of 25 MPa) until specimen fracture. Statistical analyses included Shapiro-Wilk, Kruskal-Wallis, and post-hoc tests for roughness data, while survival analysis (Kaplan-Meier and Mantel-Cox) and reliability analysis (Weibull modulus) were applied to flexural fatigue strength data. Hardness (Vickers) results were submitted to analysis of variance (1-way ANOVA) and Tukey's test. Zirconia (4Y-PSZ) showed higher FFS, CFF (467 MPa and 115216 cycles) and survival compared to the other materials. ALD had the lowest FFS, CFF (215 MPa and 11,908 cycles) and survival. ALD showed lower Weibull modulus (m = 6.63 for FFS; m = 1.27 for CFF) than LD for FFS (m = 17.33), and lower than LD (m = 4.64) and 4Y-PSZ (m = 6.69) for CFF. ALD showed the lowest Ra (0.07 μm) and Rz (1.05 μm) values, while 4Y-PSZ (Ra = 0.22 μm; Rz = 1.91 μm) and LD (Ra = 0.21 μm; Rz = 2.17 μm) showed higher and similar values. Zirconia (4-YPSZ) was the hardest material, while lithia-based ceramics (LD and ALD) presented the lowest and similar hardness values. Fractures originated in surface defects in the tensile stress concentration region. ALD has lower flexural fatigue strength compared to the other tested materials, along with higher variability (lower structural reliability).
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Affiliation(s)
- Júlia Saccol Freitas
- MSc and PhD Post-Graduate Program in Oral Science, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Luiza Freitas Brum Souza
- MSc and PhD Post-Graduate Program in Oral Science, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Gabriel Kalil Rocha Pereira
- MSc and PhD Post-Graduate Program in Oral Science, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Liliana Gressler May
- MSc and PhD Post-Graduate Program in Oral Science, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
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Juri AZ, Song XF, Nakanishi Y, Dudley J, Jamieson L, Yin L. Surface fractures in pre-crystallized and crystallized zirconia-containing lithium silicate glass-ceramics generated in ultrasonic vibration-assisted machining. J Mech Behav Biomed Mater 2023; 147:106132. [PMID: 37776763 DOI: 10.1016/j.jmbbm.2023.106132] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2023] [Revised: 09/13/2023] [Accepted: 09/18/2023] [Indexed: 10/02/2023]
Abstract
Machining-induced surface fractures in ceramic restorations is a long-standing problem in dentistry, affecting the restorations' functionality and reliability. This study approached a novel ultrasonic vibration-assisted machining technique to zirconia-containing lithium silicate glass-ceramics (ZLS) and characterized its induced surface fracture topographies and morphologies to understand the microstructure-property-processing relations. The materials were processed using a digitally controlled ultrasonic milling machine at a harmonic vibration frequency with different amplitudes. Machining-induced surface fracture topographies were measured with a 3D white light optical profilometer using the arithmetic mean, peak and valley, and maximum heights, as well as the kurtosis and skewness height distributions, and the texture aspect ratios. Fracture morphologies were analysed using scanning electron microscopy (SEM). The surface fracture topographies were significantly dependent on the material microstructure, the mechanical properties, and the ultrasonic machining vibration amplitudes. Larger scale fractures with higher arithmetic mean, peak and valley heights, and kurtosis and skewness height distributions were induced in higher brittleness indexed pre-crystallized ZLS than lower indexed crystallized ZLS by conventional machining. Conchoidal fractures occurred in pre-crystallized ZLS while microcracks were found in crystallized state although brittle fractures mixed with localized ductile flow deformations dominated all machined ZLS surfaces. Ultrasonic machining at an ideal vibration amplitude resulted in more ductile removal, reducing fractured-induced peaks and valleys for both materials than conventional processing. This research demonstrates the microstructure-property-processing interdependence for ZLS materials and the novel machining technique to be superior to current processing, reducing fractures in the materials and potentially advancing dental CAD/CAM techniques.
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Affiliation(s)
- Afifah Z Juri
- School of Electrical and Mechanical Engineering, The University of Adelaide, Adelaide, SA 5005, Australia; Department of Mechanical and Manufacturing Engineering, Faculty of Engineering and Built Environment, Universiti Kebangsaan Malaysia, 43600, Bangi, Selangor, Malaysia
| | - Xiao-Fei Song
- Key Laboratory of Advanced Ceramics and Machining Technology of Ministry of Education, School of Mechanical Engineering, Tianjin University, Tianjin, 300354, China
| | - Yoshitaka Nakanishi
- Faculty of Advanced Science and Technology, Kumamoto University, Kumamoto, 860-8555, Japan
| | - James Dudley
- Adelaide Dental School, The University of Adelaide, Adelaide, SA, 5005, Australia
| | - Lisa Jamieson
- Adelaide Dental School, The University of Adelaide, Adelaide, SA, 5005, Australia
| | - Ling Yin
- School of Electrical and Mechanical Engineering, The University of Adelaide, Adelaide, SA 5005, Australia.
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Nikanjam S, Tayebi S. The influence of foundation restoration type and ceramic thickness on the final color of zirconia-reinforced lithium silicate ceramic. Dent Res J (Isfahan) 2023; 20:97. [PMID: 38020248 PMCID: PMC10630545] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2023] [Revised: 07/27/2023] [Accepted: 08/29/2023] [Indexed: 12/01/2023] Open
Abstract
Background Similarity in the appearance of a monolithic restoration with the adjacent teeth is necessary. This study aims to influence the foundation material type and ceramic thickness on the final color of zirconia-reinforced lithium silicate (ZLS) ceramic. Materials and Methods In this experimental study, the A2 translucent blocks of ZLS were sectioned into rectangular specimens with thicknesses 1, 1.5, and 2 mm (n = 15). Substructure materials include resin composite (B1, D2, A2, A3, and C3), nickel chrome alloy, amalgam, and white and black substrate. Substructure material of resin composite with A2 color was proposed as the control group. The value of the color difference (ΔE00) is calculated by the CIEDE2000 formula. Data analysis was accomplished by two-factor repeated measures ANOVA and one-sample t-test (α =0.05). Results The mean value of maximum ΔE00 with a black substrate (12.13 ± 0.17) at 1 mm ceramic thickness and the mean value of minimum ΔE00 with B1 resin composite foundation material (0.02 ± 0.17) at 2 mm ceramic thickness are visible. The significant effect of the foundation restoration type, thickness, and interaction between them is visible on ΔE00 (P < 0.001). Conclusion Different thickness is required to meet ideal esthetic outcomes with different substrates. Under the conditions of this investigation, zirconia-reinforced lithium silicate over black, white, nickel-chromium, and amalgam did not meet acceptable outcomes.
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Affiliation(s)
- Saeed Nikanjam
- Department of Prosthodontics, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Soudeh Tayebi
- Department of Pediatrics, School of Dentistry, Hamadan University of Medical Sciences, Hamadan, Iran
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Shang J, Zhou C, Jiang C, Huang X, Liu Z, Zhang H, Zhao J, Liang W, Zeng B. Recent developments in nanomaterials for upgrading treatment of orthopedics diseases. Front Bioeng Biotechnol 2023; 11:1221365. [PMID: 37621999 PMCID: PMC10446844 DOI: 10.3389/fbioe.2023.1221365] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2023] [Accepted: 07/11/2023] [Indexed: 08/26/2023] Open
Abstract
Nanotechnology has changed science in the last three decades. Recent applications of nanotechnology in the disciplines of medicine and biology have enhanced medical diagnostics, manufacturing, and drug delivery. The latest studies have demonstrated this modern technology's potential for developing novel methods of disease detection and treatment, particularly in orthopedics. According to recent developments in bone tissue engineering, implantable substances, diagnostics and treatment, and surface adhesives, nanomedicine has revolutionized orthopedics. Numerous nanomaterials with distinctive chemical, physical, and biological properties have been engineered to generate innovative medication delivery methods for the local, sustained, and targeted delivery of drugs with enhanced therapeutic efficacy and minimal or no toxicity, indicating a very promising strategy for effectively controlling illnesses. Extensive study has been carried out on the applications of nanotechnology, particularly in orthopedics. Nanotechnology can revolutionize orthopedics cure, diagnosis, and research. Drug delivery precision employing nanotechnology using gold and liposome nanoparticles has shown especially encouraging results. Moreover, the delivery of drugs and biologics for osteosarcoma is actively investigated. Different kind of biosensors and nanoparticles has been used in the diagnosis of bone disorders, for example, renal osteodystrophy, Paget's disease, and osteoporosis. The major hurdles to the commercialization of nanotechnology-based composite are eventually examined, thus helping in eliminating the limits in connection to some pre-existing biomaterials for orthopedics, important variables like implant life, quality, cure cost, and pain and relief from pain. The potential for nanotechnology in orthopedics is tremendous, and most of it looks to remain unexplored, but not without challenges. This review aims to highlight the up tp date developments in nanotechnology for boosting the treatment modalities for orthopedic ailments. Moreover, we also highlighted unmet requirements and present barriers to the practical adoption of biomimetic nanotechnology-based orthopedic treatments.
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Affiliation(s)
- Jinxiang Shang
- Department of Orthopedics, Affiliated Hospital of Shaoxing University, Shaoxing, China
| | - Chao Zhou
- Department of Orthopedics, Zhoushan Guanghua Hospital, Zhoushan, China
| | - Chanyi Jiang
- Department of Pharmacy, Zhoushan Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medical University, Zhoushan, China
| | - Xiaogang Huang
- Department of Orthopedics, Zhoushan Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medical University, Zhoushan, China
| | - Zunyong Liu
- Department of Orthopedics, Zhoushan Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medical University, Zhoushan, China
| | - Hengjian Zhang
- Department of Orthopedics, Zhoushan Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medical University, Zhoushan, China
| | - Jiayi Zhao
- Department of Orthopedics, Zhoushan Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medical University, Zhoushan, China
| | - Wenqing Liang
- Department of Orthopedics, Zhoushan Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medical University, Zhoushan, China
| | - Bin Zeng
- Department of Orthopedics, Zhoushan Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medical University, Zhoushan, China
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Cai H, Xu X, Lu X, Zhao M, Jia Q, Jiang HB, Kwon JS. Dental Materials Applied to 3D and 4D Printing Technologies: A Review. Polymers (Basel) 2023; 15:polym15102405. [PMID: 37242980 DOI: 10.3390/polym15102405] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2023] [Revised: 05/09/2023] [Accepted: 05/17/2023] [Indexed: 05/28/2023] Open
Abstract
As computer-aided design and computer-aided manufacturing (CAD/CAM) technologies have matured, three-dimensional (3D) printing materials suitable for dentistry have attracted considerable research interest, owing to their high efficiency and low cost for clinical treatment. Three-dimensional printing technology, also known as additive manufacturing, has developed rapidly over the last forty years, with gradual application in various fields from industry to dental sciences. Four-dimensional (4D) printing, defined as the fabrication of complex spontaneous structures that change over time in response to external stimuli in expected ways, includes the increasingly popular bioprinting. Existing 3D printing materials have varied characteristics and scopes of application; therefore, categorization is required. This review aims to classify, summarize, and discuss dental materials for 3D printing and 4D printing from a clinical perspective. Based on these, this review describes four major materials, i.e., polymers, metals, ceramics, and biomaterials. The manufacturing process of 3D printing and 4D printing materials, their characteristics, applicable printing technologies, and clinical application scope are described in detail. Furthermore, the development of composite materials for 3D printing is the main focus of future research, as combining multiple materials can improve the materials' properties. Updates in material sciences play important roles in dentistry; hence, the emergence of newer materials are expected to promote further innovations in dentistry.
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Affiliation(s)
- HongXin Cai
- Department and Research Institute of Dental Biomaterials and Bioengineering, Yonsei University College of Dentistry, Seoul 03722, Republic of Korea
| | - Xiaotong Xu
- The CONVERSATIONALIST Club, School of Stomatology, Shandong First Medical University, Jinan 250117, China
| | - Xinyue Lu
- The CONVERSATIONALIST Club, School of Stomatology, Shandong First Medical University, Jinan 250117, China
| | - Menghua Zhao
- The CONVERSATIONALIST Club, School of Stomatology, Shandong First Medical University, Jinan 250117, China
| | - Qi Jia
- The CONVERSATIONALIST Club, School of Stomatology, Shandong First Medical University, Jinan 250117, China
| | - Heng-Bo Jiang
- The CONVERSATIONALIST Club, School of Stomatology, Shandong First Medical University, Jinan 250117, China
| | - Jae-Sung Kwon
- Department and Research Institute of Dental Biomaterials and Bioengineering, Yonsei University College of Dentistry, Seoul 03722, Republic of Korea
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Juri AZ, Belli R, Lohbauer U, Ebendorff-Heidepriem H, Yin L. Edge chipping damage in lithium silicate glass-ceramics induced by conventional and ultrasonic vibration-assisted diamond machining. Dent Mater 2023:S0109-5641(23)00091-X. [PMID: 37076403 DOI: 10.1016/j.dental.2023.04.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2022] [Revised: 03/30/2023] [Accepted: 04/05/2023] [Indexed: 04/21/2023]
Abstract
OBJECTIVES Diamond machining of lithium silicate glass-ceramics (LS) induces extensive edge chipping damage, detrimentally affecting LS restoration functionality and long-term performance. This study approached novel ultrasonic vibration-assisted machining of pre-crystallized and crystallized LS materials to investigate induced edge chipping damage in comparison with conventional machining. METHODS The vibration-assisted diamond machining was conducted using a five-axis ultrasonic high-speed grinding/machining machine at different vibration amplitudes while conventional machining was performed using the same machine without vibration assistance. LS microstructural characterization and phase development were performed using scanning electron microscopy (SEM) and x-ray diffraction (XRD) techniques. Machining-induced edge chipping depths, areas and morphology were also characterized using the SEM and Java-based imaging software. RESULTS All machining-induced edge chipping damages resulted from brittle fractures. The damage scales, however, depended on the material microstructures; mechanical properties associated with the fracture toughness, critical strain energy release rates, brittleness indices, and machinability indices; and ultrasonic vibration amplitudes. Pre-crystallized LS with more glass matrix and lithium metasilicate crystals yielded respective 1.8 and 1.6 times greater damage depths and specific damage areas than crystallized LS with less glass matrix and tri-crystal phases in conventional machining. Ultrasonic machining at optimized amplitudes diminished such damages by over 50 % in pre-crystallized LS and up to 13 % in crystallized LS. SIGNIFICANCE This research highlights that ultrasonic vibration assistance at optimized conditions may advance current dental CAD/CAM machining techniques by significant suppression of edge chipping damage in pre-crystallized LS.
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Affiliation(s)
- Afifah Z Juri
- School of Electrical and Mechanical Engineering, The University of Adelaide, Adelaide 5005, SA, Australia.
| | - Renan Belli
- Research Laboratory for Dental Biomaterials, Dental Clinic 1 - Operative Dentistry and Periodontology, University of Erlangen-Nuremberg, Erlangen, Germany
| | - Ulrich Lohbauer
- Research Laboratory for Dental Biomaterials, Dental Clinic 1 - Operative Dentistry and Periodontology, University of Erlangen-Nuremberg, Erlangen, Germany
| | - Heike Ebendorff-Heidepriem
- Institute for Photonics and Advanced Sensing (IPAS) and School of Physics, Chemistry and Earth Sciences, The University of Adelaide, Adelaide, South Australia 5005, Australia
| | - Ling Yin
- School of Electrical and Mechanical Engineering, The University of Adelaide, Adelaide 5005, SA, Australia.
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The mechanical properties, tribological behaviors and color stability of a feldspar nanoceramics strengthening extrinsic stain for high-translucent zirconia. J Mech Behav Biomed Mater 2023; 140:105698. [PMID: 36753850 DOI: 10.1016/j.jmbbm.2023.105698] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2023] [Revised: 01/29/2023] [Accepted: 01/30/2023] [Indexed: 02/05/2023]
Abstract
The present work is aimed to explore the mechanical properties, tribological behaviors and color stability of nanoceramics and microceramics strengthened extrinsic stain coatings (NS and MS) upon high-translucent zirconia (TZ). The Na-rich feldspar ceramics component, microstructure and particle size of NS and MS were verified. The mechanical properties including elastic modulus and hardness of NS were enhanced compared to MS. Reciprocating wear tests under a ball-on-plate configuration manifested that the reduced coefficient of friction, wear depth and wear volume loss of NS was evaluated after 1 × 10 4 cycles and the wear scar morphology of NS characterized by microcracks while MS featured more delamination and wear debris. Post toothbrushing simulation revealed that the color stability of extrinsic stain coatings was elevated with the addition of feldspar nanoceramics. The feldspar nanoceramics strengthening extrinsic stain exhibited enhanced elastic modulus, hardness, wear resistance and color stability, especially for TZ.
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da Rosa LS, Pilecco RO, Sarkis-Onofre R, Kantorski KZ, Valandro LF, Rocha Pereira GK. Should finishing, polishing or glazing be performed after grinding YSZ ceramics? A systematic review and meta-analysis. J Mech Behav Biomed Mater 2023; 138:105654. [PMID: 36634437 DOI: 10.1016/j.jmbbm.2023.105654] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2022] [Revised: 12/26/2022] [Accepted: 01/01/2023] [Indexed: 01/04/2023]
Abstract
The present systematic review and meta-analysis aimed to assess the characteristics and consequences of post-processing methods after grinding procedures in YSZ ceramics on its surface roughness and flexural strength. The protocol of this review was made prospectively and is available online in the PROSPERO database (link). Literature searches on PubMed/MEDLINE, EMBASE, Lilacs, Web of Science and Scopus were conducted on December 2022 to select in vitro studies written in English, without publishing-date restrictions, that considered surface characteristics and mechanical properties of YSZ ceramics submitted to grinding and subsequent post-processing surface treatments as an attempt to revert the effect induced by grinding. Two authors independently selected the studies, extracted the data and assessed the risk of bias. Mean differences (Rev-Man 5.1, random effects model, α= 0.05) were obtained by comparing flexural strength and surface roughness values of ground surfaces with at least one post-processing surface treatment (global analysis). Subgroup analyses were performed considering the most prevalent categories of post-processing methods. A total of 33 (out of 4032) studies were eligible and included in the analysis. In the global analysis, ground surfaces showed higher flexural strength than when post-processing methodologies were employed (p< 0.0001). The subgroup analysis showed that only polishing was able to enhance the flexural strength after grinding (p= 0.001); however, when other protocols were used, the ground surface was always superior in terms of flexural strength (p< 0.0001). Post-processing techniques in both the global and sub-group analyses were able to reduce the surface roughness after grinding in YSZ ceramics (p< 0.00001). High heterogeneity was found in all the meta-analyses. Concerning the risk of bias analysis, the included studies had mixed scores for the considered factors. In conclusion, in terms of improving flexural strength and restoring surface roughness after grinding, polishing protocols can be considered the best indication as post-processing treatment after YSZ ceramics adjustments/grinding.
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Affiliation(s)
- Lucas Saldanha da Rosa
- MSciD and PhD Post-Graduate Program in Oral Sciences, Federal University of Santa Maria (UFSM), Santa Maria, RS, Brazil.
| | - Rafaela Oliveira Pilecco
- MSciD and PhD Post-Graduate Program in Oral Sciences, Federal University of Santa Maria (UFSM), Santa Maria, RS, Brazil.
| | - Rafael Sarkis-Onofre
- Graduate Program in Dentistry, Atitus Educação, Passo Fundo, Rio Grande do Sul, Brazil.
| | - Karla Zanini Kantorski
- MSciD and PhD Post-Graduate Program in Oral Sciences, Federal University of Santa Maria (UFSM), Santa Maria, RS, Brazil.
| | - Luiz Felipe Valandro
- MSciD and PhD Post-Graduate Program in Oral Sciences, Federal University of Santa Maria (UFSM), Santa Maria, RS, Brazil.
| | - Gabriel Kalil Rocha Pereira
- MSciD and PhD Post-Graduate Program in Oral Sciences, Federal University of Santa Maria (UFSM), Santa Maria, RS, Brazil.
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Aladağ SÜ, Ayaz EA. Repair bond strength of different CAD-CAM ceramics after various surface treatments combined with laser irradiation. Lasers Med Sci 2023; 38:51. [PMID: 36689017 DOI: 10.1007/s10103-023-03715-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2022] [Accepted: 01/16/2023] [Indexed: 01/24/2023]
Abstract
The aim of this study was to evaluate the effect of different surface treatments combined with laser irradiation on the shear bond strength of different CAD-CAM ceramics to composite resin. A total of hundred forty-seven ceramic specimens with thicknesses of 2.5 mm were prepared from three different CAD-CAM ceramics (an yttrium oxide partially stabilized tetragonal zirconia polycrystal (Y-TZP); a zirconia-reinforced lithium silicate glass ceramic (ZLS); and a lithium disilicate-strengthened lithium aluminosilicate glass ceramic (LD-LAS)) and subjected to seven groups of treatment (n = 7): (1) control (no treatment), (2) Er:YAG laser irradiation, (3) Nd:YAG laser irradiation, (4) etching with hydrofluoric acid (HFA), (5) Er:YAG + HFA, (6) Nd:YAG + HFA, and (7) sandblasting. After surface treatment procedures, a ceramic primer (Clearfil Ceramic Primer Plus, Kuraray, Japan) was applied to the ceramics. Bonding agent (Single Bond Universal Adhesive, 3 M ESPE, USA) was then applied, and the composite resin (Estelite Sigma Quick, Kuraray, Japan) was layered on the ceramic surfaces. The shear bond strength test was performed using a universal testing machine at a load of 0.5 mm/min. Data were analyzed by 2-way analysis of variance (ANOVA), and the Bonferroni correction was used for pairwise comparisons (α = 0.05). Compared to the bond strength of the control group, irradiation by Er:YAG and Nd:YAG lasers alone improved the bond strength of the composite resin to the Y-TZP (P < 0.001) but did not change the bond strength of composite resin to the ZLS and LD-LAS (P > 0.05). Compared to the bond strength of the control group, etching with HFA alone increased the bond strength of the composite resin to the ZLS and LD-LAS (P < 0.001) but did not affect the bond strength of the composite resin to the Y-TZP (P > 0.05). The highest bond strength of ZLS was obtained using HFA + Er:YAG, and the highest bond strength for LD-LAS was obtained using HFA + Nd:YAG. It was concluded that Er:YAG and Nd:YAG laser treatments presented the highest repair bond strength between the composite resin and Y-TZP ceramics. Er:YAG and Nd:YAG laser treatments in conjuction with HFA presented the highest repair bond strength between the composite resin and the glassy ceramics, ZLS, and LD + LAS.
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Affiliation(s)
- Seda Üstün Aladağ
- Department of Prosthodontics, Faculty of Dentistry, Bursa Uludağ University, Bursa, Turkey
| | - Elif Aydoğan Ayaz
- Department of Prosthodontics, Faculty of Dentistry, Karadeniz Technical University, Trabzon, Turkey.
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Bruhnke M, Awwad Y, Müller WD, Beuer F, Schmidt F. Mechanical Properties of New Generations of Monolithic, Multi-Layered Zirconia. MATERIALS (BASEL, SWITZERLAND) 2022; 16:276. [PMID: 36614613 PMCID: PMC9822212 DOI: 10.3390/ma16010276] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/01/2022] [Revised: 12/20/2022] [Accepted: 12/21/2022] [Indexed: 06/17/2023]
Abstract
New monolithic multi-layered zirconia restorations are gaining popularity due to their excellent aesthetic properties. However, current knowledge of these newest multi-layer ceramics in terms of mechanical properties is scarce. Three monolithic, multi-layered zirconia materials (Katana, Kuraray Noritake, Japan) were selected for comparison: High Translucent Multi-layered zirconia (HTML), Super Translucent Multi-layered zirconia (STML) and Ultra Translucent Multi-layered zirconia (UTML). Fifteen specimens per group were cut from pre-sintered blocs in each of the four layers (L1, L2, L3, L4) and in different thicknesses (0.4 mm, 0.8 mm and 1.2 mm). Critical fracture load (Fcf) was recorded in 3-point-bending. Flexural strength (σ) in MPa, Vickers hardness (HV) in N/mm2, fracture toughness (KIc) in MPa*m1/2, Weibull Modulus (m) and characteristic Weibull strength (σw) in MPa were assessed. Statistical analysis was performed using ANOVA analysis. FS and KIc were significantly higher (p < 0.05) for Katana™ HTML (652.85 ± 143.76−887.64 ± 118.95/4.25 ± 0.43−5.01 ± 0.81) in comparison to Katana™ STML (280.17 ± 83.41−435.95 ± 73.58/3.06 ± 0.27−3.84 ± 0.47) and UTML (258.25 ± 109.98−331.26 ± 56.86/2.35 ± 0.31−2.94 ± 0.33), with no significant differences between layers and layer thicknesses. The range of indications should be carefully considered when selecting the type of monolithic zirconia for fabrication of dental restorations, as materials widely differ in mechanical properties.
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Jiang J, Sun J, Huang Z, Bi Z, Yu G, Yang J, Wang Y. The state of the art and future trends of root canal files from the perspective of patent analysis: a study design. Biomed Eng Online 2022; 21:90. [PMID: 36566212 PMCID: PMC9789667 DOI: 10.1186/s12938-022-01060-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2022] [Accepted: 12/14/2022] [Indexed: 12/25/2022] Open
Abstract
The goal of this review is to present a detailed and comprehensive description of the published work from the past decade regarding methods of improved material, geometric design, and additional functions in root canal files. The main improved methods of files and the most common technologies were further addressed, underlining their advantages and main limitations. Online databases (the Derwent Innovations Index) were consulted on this topic. Published work from 2010 to 2022 was collected and analyzed the relevant papers were chosen for inclusion in this review. The patent map classified the latest phase of the root canal files based on the analysis of the number of patents. The performance of the root canal files, such as materials. Directly affects the quality of the root canal therapy. We provided a thorough review of advances in the field of root canal files. In particular, three categories of improved methods were examined and compared, including material-based methods, geometry-based methods, and those based on additional functions. To understand this state of the art of different improved methods of root canal files, we conducted a literature analysis and a series of comparisons between different methods. The features and limitations of each method of root canal files were further discussed. Finally, we identified promising research directions in advancing the methods for the improved performance of root canal files. There is no perfect technology for all material/geometric design/additional functions, capable alone of fulfilling all the specificity and necessities of every patient. Although it is very promising, the material of the files remains understudied, and further work is required to make material science a pervasive technology in root canal therapy, and contribute to endodontic and periapical diseases by assisting in the subsequent development of root canal files.
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Affiliation(s)
- Jingang Jiang
- grid.411994.00000 0000 8621 1394Key Laboratory of Advanced Manufacturing and Intelligent Technology, Ministry of Education, Harbin University of Science and Technology, Harbin, 150080 Heilongjiang People’s Republic of China ,grid.19373.3f0000 0001 0193 3564State Key Laboratory of Robotics and System, Harbin Institute of Technology, Harbin, 150001 Heilongjiang People’s Republic of China
| | - Jianpeng Sun
- grid.411994.00000 0000 8621 1394Key Laboratory of Advanced Manufacturing and Intelligent Technology, Ministry of Education, Harbin University of Science and Technology, Harbin, 150080 Heilongjiang People’s Republic of China
| | - Zhiyuan Huang
- grid.19373.3f0000 0001 0193 3564State Key Laboratory of Robotics and System, Harbin Institute of Technology, Harbin, 150001 Heilongjiang People’s Republic of China
| | - Zhuming Bi
- grid.503846.c0000 0000 8951 1659Department of Civil and Mechanical Engineering, Purdue University Fort Wayne, West Lafayette, 46805 USA
| | - Guang Yu
- grid.12527.330000 0001 0662 3178Department of Mechanical Engineering, Tsinghua University, Beijing, 100084 People’s Republic of China
| | - Jingwen Yang
- grid.11135.370000 0001 2256 9319National Engineering Laboratory for Digital and Material Technology of Stomatology, Peking University School of Stomatology, Beijing, 100081 People’s Republic of China ,grid.11135.370000 0001 2256 9319Peking University School of Stomatology, Beijing, 100081 People’s Republic of China
| | - Yong Wang
- grid.11135.370000 0001 2256 9319National Engineering Laboratory for Digital and Material Technology of Stomatology, Peking University School of Stomatology, Beijing, 100081 People’s Republic of China ,grid.11135.370000 0001 2256 9319Peking University School of Stomatology, Beijing, 100081 People’s Republic of China
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Madruga CFL, Dal Piva AMDO, Pereira GKR, Caneppele TMF, Valandro LF, Bottino MA. Sintering mode of a translucent Y-TZP: Effects on its biaxial flexure fatigue strength, surface morphology and translucency. J ESTHET RESTOR DENT 2022; 34:1197-1205. [PMID: 35560703 PMCID: PMC9790507 DOI: 10.1111/jerd.12923] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2022] [Revised: 04/08/2022] [Accepted: 04/25/2022] [Indexed: 12/30/2022]
Abstract
OBJECTIVE This investigation evaluated the effect of two sintering modes of a translucent zirconia (Y-TZP) on its surface roughness, topography, phase-transformation (t → m), translucency and biaxial flexure fatigue strength. MATERIALS AND METHODS To do so, 50 Y-TZP discs (Ø = 15 mm; thickness = 1.2 mm; IPS e.max ZirCAD LT) were prepared and divided into two groups: Standard mode (SM) and Fast mode (FM). Staircase fatigue testing was performed (piston-on-three balls set-up, ISO 6872:2015), as well as surface roughness, profilometry, scanning electron microscopy (SEM-FEG), energy dispersive X-ray spectroscopy (EDX), phase transformation (t → m) using X-ray diffraction analysis (XRD), translucency parameter analysis (TP and TP00 ) and fractography. RESULTS The results showed no statistical significant differences for roughness parameters (p > 0.05, SM: Ra = 0.13 ± 0.02, Rz = 1.21 ± 0.26 and RSm = 24.91 ± 2.19; FM: Ra = 0.14 ± 0.03, Rz = 1.32 ± 0.25 and RSm = 24.68 ± 2.16) or flexural fatigue strength (SM: 512 (464-560) MPa; FM: 542 (472-611) MPa) between the groups. In addition, similarity in surface morphological features (SEM and profilometry), composition and phases (EDX and XRD) was observed between the firing protocols. Fractography showed that the failure origin occurred on the tensile side. Sintering mode did not affect the TP (F = 0.001, p = 0.97) and TP00 (F = 0.12, p = 0.72). CONCLUSIONS Therefore, the fast-sintering mode is suggested as a viable alternative to the standard mode since it does not influence the evaluated surface morphology, microstructure, fatigue strength and translucency of a translucent monolithic zirconia. CLINICAL SIGNIFICANCE The fast sintering mode is a viable alternative for zirconia without compromising its topography, microstructure, mechanical performance or translucency.
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Affiliation(s)
- Camila Ferreira Leite Madruga
- Post‐Graduate Program in Applied Sciences to Oral Health (Restorative Dentistry)São Paulo State University (Unesp), Institute of Science and TechnologySão José dos CamposSão Paulo StateBrazil
| | - Amanda Maria de Oliveira Dal Piva
- Department of Dental Materials Science, Academic Centre for Dentistry Amsterdam (ACTA)Universiteit van Amsterdam and Vrije UniversiteitAmsterdamNoord‐HollandThe Netherlands
| | - Gabriel Kalil Rocha Pereira
- Post‐Graduate Program in Oral Science (Prosthodontics Units), Faculty of DentistryFederal University of Santa Maria (UFSM)Santa MariaRio Grande do Sul StateBrazil
| | - Taciana Marco Ferraz Caneppele
- Post‐Graduate Program in Applied Sciences to Oral Health (Restorative Dentistry)São Paulo State University (Unesp), Institute of Science and TechnologySão José dos CamposSão Paulo StateBrazil
| | - Luiz Felipe Valandro
- Post‐Graduate Program in Oral Science (Prosthodontics Units), Faculty of DentistryFederal University of Santa Maria (UFSM)Santa MariaRio Grande do Sul StateBrazil
| | - Marco Antonio Bottino
- Post‐Graduate Program in Applied Sciences to Oral Health (Restorative Dentistry)São Paulo State University (Unesp), Institute of Science and TechnologySão José dos CamposSão Paulo StateBrazil
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Burgo TL, Pereira GKR, Iglesias BA, Moreira KS, Valandro LF. AFM advanced modes for dental and biomedical applications. J Mech Behav Biomed Mater 2022; 136:105475. [PMID: 36195052 DOI: 10.1016/j.jmbbm.2022.105475] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2022] [Revised: 09/15/2022] [Accepted: 09/18/2022] [Indexed: 11/18/2022]
Abstract
Several analytical methods have been employed to elucidate bonding mechanisms between dental hard tissues, luting agents and restorative materials. Atomic Force Microscopy (AFM) imaging that has been extensively used in materials science, but its full capabilities are poorly explored by dental research community. In fact, commonly used to obtain topographic images of different surfaces, it turns out that AFM is an underestimated technique considering that there are dozens of basic and advanced modes that are scarcely used to explain properties of biomaterials. Thus, this paper addresses the use of phase-contrast imaging, force-distance curves, nanomechanical and Kelvin probe force techniques during AFM analysis to explore topological, nanomechanical and electrical properties of Y-TZP samples modified by different surface treatments, which has been widely used to promote adhesive enhancements to such substrate. The AFM methods are capable of access erstwhile inaccessible properties of Y-TZP which allowed us to describe its adhesive properties correctly. Thus, AFM technique emerges as a key tool to investigate the complex nature of biomaterials and highlighting its inherent interdisciplinarity that can be successfully used for bridging fragmented disciplines such as solid-state physics, microbiology and dental sciences.
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Affiliation(s)
- ThiagoA L Burgo
- Department of Chemistry and Environmental Sciences, Ibilce, São Paulo State University (Unesp), São Jose do Rio Preto, São Paulo State, Brazil.
| | - Gabriel Kalil Rocha Pereira
- MSciD and Ph.D. Post-Graduate Program in Oral Science, Faculty of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Bernardo Almeida Iglesias
- Department of Chemistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Kelly S Moreira
- Department of Chemistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Luiz Felipe Valandro
- MSciD and Ph.D. Post-Graduate Program in Oral Science, Faculty of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
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Finite Element Analysis of an Implant-Supported FDP with Different Connector Heights. Symmetry (Basel) 2022. [DOI: 10.3390/sym14112334] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
All-ceramic fixed dental prostheses (FDPs) tend to fracture in the connector areas, due to the concentration of tensile stresses. This study aimed to evaluate the role of connector height on the stress distribution of a posterior three-unit implant-supported all-ceramic FDP using finite element analysis (FEA). Two titanium dental implants, their abutments, screws, and a three-unit all-ceramic FDP were scanned using a micro-CT scanner. Three 3D models with altered distal connector heights (3, 4, and 5 mm) were generated and analyzed on ABAQUS FEA software. The maximum principal stress values in MPa observed for each model with different connector heights and their respective locations (MA = mesial abutment; DA = distal abutment; F = framework; V = veneer) were: 3 mm—219 (MA), 88 (DA), 11 (F), 16 (V); 4 mm—194 (MA), 82 (DA), 8 (F), 18 (V); 5 mm—194 (MA), 80 (DA), 8 (F), and 18 (V). All the assembled models demonstrated the peak stresses at the neck area on the mesial abutments. The connector height had a significant influence on the stress distribution of the prosthesis. The models with higher distal connectors (4 and 5 mm) had a lower and more uniform distribution of maximum principal stresses (except for the veneer layer) when compared with the model with the smallest distal connector.
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Souza LFB, da Rosa LS, Menna Barreto VS, Ribeiro VF, Fraga S, Kleverlaan CJ, Valandro LF, Pereira GKR. Pigmentation techniques of a 4YSZ: Effect on the fatigue mechanical behavior of a 4YSZ adhesively luted onto dentin analog. Dent Mater 2022; 38:2003-2013. [DOI: 10.1016/j.dental.2022.11.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2022] [Revised: 11/04/2022] [Accepted: 11/11/2022] [Indexed: 11/23/2022]
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Alves L, Rodrigues C, Vardhaman S, Saunders C, Schneider J, Lawn B, Zhang Y. Exploring Ductility in Dental Ceramics. J Dent Res 2022; 101:1467-1473. [PMID: 35689403 PMCID: PMC9608091 DOI: 10.1177/00220345221100409] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Two damage regimes-"brittle" and "ductile"-have been identified in the literature on ceramic grinding, machining, grit blasting, and wear. In the brittle regime, the damage mechanism is essentially crack formation, while in the ductile region, it is quasiplasticity. Onset of the brittle mode poses the greater threat to strength, so it becomes important to understand the mechanics of ductile-brittle thresholds in these materials. Controlled microcontact tests with a sharp indenter are employed to establish such thresholds for a suite of contemporary computer-aided design/computer-aided manufacturing dental ceramics. Plots of flexural strength S versus indentation load P show a steep decline beyond the threshold, consistent with well-established contact mechanics relations. Threshold dimensions occur on a scale of order 1 µm and contact load of order 1 N, values pertinent to practical grit finishing protocols. The ductile side of ceramic shaping is accessed by reducing grit sizes, applied loads, and depths of cut below critical levels. It is advocated that critical conditions for ductile shaping may be most readily quantified on analogous S(P) plots, but with appropriate machining variable (grit size, depths of cut, infeed rate) replacing load P. Working in the ductile region offers the promise of compelling time and cost economies in prosthesis fabrication and preparation.
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Affiliation(s)
- L.M.M. Alves
- Department of Biomaterials and Biomimetics, New York University College of Dentistry, New York, NY, USA
- Department of Dental Materials and Prosthodontics, Institute of Science and Technology, São Paulo State University, São José dos Campos, SP, Brazil
| | - C.S. Rodrigues
- Department of Biomaterials and Biomimetics, New York University College of Dentistry, New York, NY, USA
- Department of Dental Materials and Prosthodontics, Institute of Science and Technology, São Paulo State University, São José dos Campos, SP, Brazil
| | - S. Vardhaman
- Department of Biomaterials and Biomimetics, New York University College of Dentistry, New York, NY, USA
- Department of Preventive and Restorative Sciences, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA, USA
| | - C. Saunders
- Department of Biomaterials and Biomimetics, New York University College of Dentistry, New York, NY, USA
| | - J.M. Schneider
- Department of Biomaterials and Biomimetics, New York University College of Dentistry, New York, NY, USA
| | - B.R. Lawn
- Material Measurement Laboratory, National Institute of Standards and Technology, Gaithersburg, MD, USA
| | - Y. Zhang
- Department of Biomaterials and Biomimetics, New York University College of Dentistry, New York, NY, USA
- Department of Preventive and Restorative Sciences, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA, USA
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36
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Shahbazi A, Vafaei F, Hooshyarfard A, Nosrati E, Nazari M, Farhadian M. Effect of Sintering Temperature on Flexural Strength of Two Types of Zirconia. Front Dent 2022; 19:31. [PMID: 36865949 PMCID: PMC9971647 DOI: 10.18502/fid.v19i31.10803] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2022] [Accepted: 08/15/2022] [Indexed: 03/04/2023] Open
Abstract
Objectives: Any change in the sintering process can directly affect the micro-structure and properties of zirconia. This study sought to assess the effect of sintering temperature on flexural strength of IPS e.max ZirCAD MO Ivoclar (EZI) and CopraSmile White Peaks Symphony (WPS) zirconia blocks. Materials and Methods: In this in vitro, experimental study, 30 EZI and 30 WPS zirconia blocks measuring 10 x 10 x 1 mm were milled and sintered at 1440, 1500 and 1530°C in three subgroups. The flexural strength of the specimens was measured by a testing machine with piston-on-3-ball method according to ISO2015. Data were analyzed using one-way ANOVA. Results: The mean flexural strength was 1.31±0.49, 1.09±0.24 and 1.29±0.48 MPa in 1440, 1500, and 1530°C subgroups of EZI, and 1.44±0.61, 1.18±0.35, and 1.33±0.54 MPa in 1440, 1500, and 1530°C subgroups of WPS zirconia, respectively. Two-way ANOVA revealed that the effects of zirconia type (P=0.484), temperature (P=0.258) and their interaction (P=0.957) on flexural strength were not significant. Conclusion: Increasing the sintering temperature from 1440°C to 1530°C did not increase the flexural strength of EZI or WPS zirconia.
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Affiliation(s)
- Armaghan Shahbazi
- Department of Prosthodontics, Faculty of Dentistry, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
| | - Fariborz Vafaei
- Dental Implants Research Center, Department of Prosthodontics, Faculty of Dentistry, Hamadan University of Medical Sciences, Hamadan, Iran,Corresponding author: Dental Implants Research Center, Department of Prosthodontics, Faculty of Dentistry, Hamadan University of Medical Sciences, Hamadan, Iran.
| | - Amirarsalan Hooshyarfard
- Dental Materials Research Center, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran,Department of Periodontics, Faculty of Dentistry, Shahed University, Tehran, Iran
| | | | | | - Maryam Farhadian
- Department of Biostatistics, School of Public Health and Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran
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Schulze R. CBCT artefact-burden of zirconia-based as compared to titanium implants for different beam energies: an analytical approach. Sci Rep 2022; 12:15276. [PMID: 36088475 PMCID: PMC9464216 DOI: 10.1038/s41598-022-19379-y] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2022] [Accepted: 08/29/2022] [Indexed: 11/09/2022] Open
Abstract
AbstractBeam hardening artefacts induced by highly-dense material (e.g. metal) is a common quality issue in maxillofacial Cone Beam Computed Tomography (CBCT-) images. This experimental and analytical study investigated attenuation patterns of two typical dental implant materials: zirconia-ceramic and pure titanium. By application of different x-ray beam energies (60, 70, 80, 90 [kVp]) energy-dependent attenuation of these materials is assessed and the resulting artefact induction in the resulting CBCT-images evaluated. A zirconia (Y-TZP-) implant ($$\varnothing$$
∅
: 4.1 mm) and a pure titanium rod ($$\varnothing$$
∅
: 4.0 mm) were exposed in a commercial CBCT (3D Accuitomo 170). The raw two-dimensional (2D) projection radiographs the CBCT utilizes for three-dimensional reconstruction applied for acquisition of attenuation profiles through the circular central slice of the implant-phantom images. Distances the x-rays traverse through the implant-phantoms at this location were computed. Using this information and the linear attenuation coefficient, transmission and attenuation was computed for each material and beam energy. These data were related to beam hardening artefacts that were assessed in the axial reconstructions of the implants’ CBCT images. Transmission of titanium for all peak kilovoltages (kVp) was higher and approximately 200% that of Y-TZP at 60 kVp versus 530% at 90 kVp. At 4 mm diameter transmission for Y-TZP was only approximately 5 % for all four beam-energies. In agreement with this finding, beam hardening artefacts for Y-TZP could not be reduced using higher energies, whereas for titanium they decreased with increasing energy. For the energy spectrum used in this study (60–90 kVp), beam hardening caused by titanium can be reduced using higher energies while this is not the case for zirconia-ceramic (Y-TZP).
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Alfouzan AF, Alnafaiy SM, Alsaleh LS, Bawazir NH, Al-Otaibi HN, Taweel SMA, Alshehri HA, Labban N. Effects of background color and thickness on the optical properties of CAD-CAM resin-matrix ceramics. J Prosthet Dent 2022; 128:497.e1-497.e9. [PMID: 35864022 DOI: 10.1016/j.prosdent.2022.06.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2022] [Revised: 06/14/2022] [Accepted: 06/14/2022] [Indexed: 11/24/2022]
Abstract
STATEMENT OF PROBLEM Information regarding the masking ability of computer-aided design and computer-aided manufacture (CAD-CAM) resin-matrix ceramic materials with different compositions is scarce. PURPOSE The purpose of this in vitro study was to evaluate the effects of background color and thickness on the optical properties (color and translucency) of CAD-CAM resin-matrix ceramics. MATERIAL AND METHODS Twelve rectangular specimens were fabricated at a different thickness (1, 1.5, and 2 mm) (n=12) from each of the resin-matrix ceramic materials: Shofu block (SB), Lava Ultimate (LU), CERASMART (CS), VITA ENAMIC (VE), Crystal Ultra (CU), and the VITABLOCS Mark II feldspathic ceramic (VB). The color of the specimens over amalgam, titanium, enamel, and dentin backgrounds was measured with a spectrophotometer, and the color differences (ΔE∗ab) were calculated by using the Commission Internationale de l'Eclairage (CIE) 76 formula. The difference in color of the specimen over the black and white backgrounds was used to calculate the translucency parameter (TP). ANOVA was used to statistically test whether material, background, and thicknesses influenced ΔE∗ab and TP values. Post hoc comparisons were performed to determine the significant difference among the groups (α=.05). RESULTS The interaction with 2 between factors demonstrated that the material was a factor that significantly influenced ΔE∗ab (P<.001). The highest mean ±standard deviation of ΔE∗ab was recorded in the combination of VB material and 2-mm thickness (1.84 ±0.37), and the lowest with CS material with 1.5-mm thickness (0.47 ±0.24). The type of material and specimen thickness significantly influenced TP (P<.001). The highest and lowest mean ±standard deviation of TP were recorded for the 1-mm-thick CS (14.20 ±0.90) and 2-mm-thick SB (4.91 ±0.42) specimens, respectively. CONCLUSIONS CERASMART resin-matrix ceramic and VITABLOCS Mark II feldspathic ceramic exhibited high and low masking abilities over the investigated background substrates, respectively. However, irrespective of the thickness, all study materials exhibited acceptable masking abilities.
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Affiliation(s)
- Afnan F Alfouzan
- Associate Professor, Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia.
| | - Sarah M Alnafaiy
- Postgraduate student, Department of Prosthetic Dental Sciences, King Saud University, College of Dentistry, Riyadh, Saudi Arabia
| | - Lama S Alsaleh
- Dental Intern, King Saud University, College of Dentistry, Riyadh, Saudi Arabia
| | - Noor H Bawazir
- Dental Intern, King Saud University, College of Dentistry, Riyadh, Saudi Arabia
| | - Hanan N Al-Otaibi
- Assistant Professor, Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Sara M Al Taweel
- Assistant Professor, Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Huda A Alshehri
- Assistant Professor, Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Nawaf Labban
- Professor, Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
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Soares PM, Cadore-Rodrigues AC, Packaeser MG, Bacchi A, Valandro LF, Pereira GKR, Rippe MP. Masking ability of implant abutment substrates by using different ceramic restorative systems. J Prosthet Dent 2022; 128:496.e1-496.e8. [PMID: 35985853 DOI: 10.1016/j.prosdent.2022.05.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2021] [Revised: 05/23/2022] [Accepted: 05/23/2022] [Indexed: 10/15/2022]
Abstract
STATEMENT OF PROBLEM Information regarding the masking ability of ceramic crowns over different implant abutment materials is scarce. PURPOSE The purpose of this in vitro study was to evaluate the masking ability of different monolithic or bilayer ceramic materials with different thicknesses over substrates indicated for implant restorations by using opaque and translucent evaluation pastes. MATERIAL AND METHODS Disk-shaped specimens, shade A1 (VITA Classic; Ø10×1.5 to 2.5 mm), of different ceramics (a bilayer system [yttria-stabilized zirconia infrastructure+porcelain veneer: Zir+Pc] and monolithic systems [lithium disilicate under low, medium, or high translucency: LtLD, MtLD, or HtLD, respectively, and a high-translucent yttria-stabilized zirconia: HtZir]) were made (n=4). The color difference (ΔE00) was assessed by using the CIEDE2000 formula and considering the different ceramic systems over 5 implant abutment materials (A1 shade Zir [Zir A1]; white Zir [White Zir]; A1 low-translucency lithium disilicate [LD]; polyetheretherketone [PEEK]; and titanium [Ti]) when using 2 different evaluation pastes (translucent or opaque). The control comparison was the restorative material positioned over the Zir A1 substrate with a translucent evaluation paste. Statistical analysis was made by using a 2-way ANOVA and Tukey post hoc tests (α=.05) for ΔE00 data considering the restorative material and luting agent factors as their association. Additionally, ΔE00 data were qualitatively analyzed considering the acceptability and perceptibility thresholds. The translucency parameter (TP00) of each restorative material was evaluated, and data were submitted to 1-way ANOVA and Tukey post hoc tests (α=.05). RESULTS The most predictable masking ability was seen with Zir+Pc regardless of the evaluation paste used. Nevertheless, under 1.5-mm thickness, Zir+Pc did not adequately mask Ti (ΔE00>1.77). Most monolithic ceramics did not mask discolored substrates (PEEK or Ti, ΔE00>1.77). The exception was HtZir, which presented acceptable masking ability over PEEK at 2.5-mm thickness with both evaluation pastes (ΔE00<1.77). Regardless of the restorative material thickness, Zir+Pc showed the lowest (P<.05) TP00 values (TP00=3.45 at 1.5-mm thickness; TP00=2.00 at 2.5-mm thickness), and HtLD presented the highest (P<.05, TP00=23.50 at 1.5-mm thickness; TP00=13.36 at 2.5-mm thickness). HtZir showed similar TP00 to MtLD at 1.5-mm thickness and similar TP00 to Zir+Pc when used at 2.5-mm thickness (P>.05). CONCLUSIONS Monolithic ceramics should be used with caution over discolored implant abutments. Bilayer systems (Zir+Pc) were the most predictable approach to adequately masking discolored substrates such as PEEK or Ti. An increased restoration thickness provided higher masking ability for all restorative materials tested.
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Affiliation(s)
- Pablo Machado Soares
- PhD student, Post-Graduate Program in Oral Sciences (Prosthodontics Units), Faculty of Odontology, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil
| | - Ana Carolina Cadore-Rodrigues
- PhD student, Post-Graduate Program in Oral Sciences (Prosthodontics Units), Faculty of Odontology, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil
| | - Maria Gabriela Packaeser
- Graduate student, Faculty of Odontology, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil
| | - Atais Bacchi
- Professor, MSciD Post-Graduate Program in Dentistry, Paulo Picanço School of Dentistry, Fortaleza, Brazil
| | - Luiz Felipe Valandro
- Professor, Post-Graduate Program in Oral Sciences (Prosthodontics Units), Faculty of Odontology, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil
| | - Gabriel Kalil Rocha Pereira
- Adjunct Professor, Post-Graduate Program in Oral Sciences (Prosthodontics Units), Faculty of Odontology, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Marília Pivetta Rippe
- Associate Professor, Post-Graduate Program in Oral Sciences (Prosthodontics Units), Faculty of Odontology, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil
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Soliman M, Alzahrani G, Alabdualataif F, Eldwakhly E, Alsamady S, Aldegheishem A, Abdelhafeez MM. Impact of Ceramic Material and Preparation Design on Marginal Fit of Endocrown Restorations. MATERIALS (BASEL, SWITZERLAND) 2022; 15:5592. [PMID: 36013732 PMCID: PMC9414256 DOI: 10.3390/ma15165592] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/29/2022] [Revised: 07/26/2022] [Accepted: 08/08/2022] [Indexed: 06/15/2023]
Abstract
Background: The aim of this study is to investigate the impact of ceramic material and preparation design on the marginal fit of endocrown restorations. Methods: Forty endocrown restorations were CAD/CAM-fabricated for forty extracted maxillary first premolar teeth. Samples were divided into two groups (n = 20) according to the ceramic materials used: Celtra Duo and Vita Enamic. Each group was divided into two subgroups (n = 10) according to the preparation design: with no intraradicular extension and with 3 mm intraradicular extension. The marginal gap was examined using a digital microscope. Results: Celtra Duo without intraradicular extension recorded the least mean marginal gap (7.74 ± 1.55 µm), while Group Celtra Duo with 3 mm intraradicular extension recorded the highest mean marginal gap (29.54 ± 6.32 µm). Group Vita Enamic recorded a lesser marginal gap (18.03 ± 12.11 µm) than group CD (Celtra Duo) (18.64 ± 12.05 µm). There is a statistically non-significant difference between the two groups of materials (p = 0.873). There is a statistically significant difference between the two tested preparation designs (p < 0.001). Conclusion: All groups recorded a marginal gap within clinically accepted values. Material selection may influence the fitting of restorations. Intraradicular extension for endocrown restorations adversely affects the marginal fit, however, the marginal gap is still within the clinically accepted range.
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Affiliation(s)
- Mai Soliman
- Department of Clinical Dental Sciences, College of Dentistry, Princess Nourah bint Abdulrahman University, P.O. Box 84428, Riyadh 11671, Saudi Arabia or
| | - Ghadeer Alzahrani
- General Dentistry, College of Dentistry, Princess Nourah bint Abdulrahman University, P.O. Box 84428, Riyadh 11671, Saudi Arabia
| | - Foton Alabdualataif
- General Dentistry, College of Dentistry, Princess Nourah bint Abdulrahman University, P.O. Box 84428, Riyadh 11671, Saudi Arabia
| | - Elzahraa Eldwakhly
- Department of Clinical Dental Sciences, College of Dentistry, Princess Nourah bint Abdulrahman University, P.O. Box 84428, Riyadh 11671, Saudi Arabia or
| | - Sahar Alsamady
- Department of Clinical Dental Sciences, College of Dentistry, Princess Nourah bint Abdulrahman University, P.O. Box 84428, Riyadh 11671, Saudi Arabia or
| | - Alhanoof Aldegheishem
- Department of Clinical Dental Sciences, College of Dentistry, Princess Nourah bint Abdulrahman University, P.O. Box 84428, Riyadh 11671, Saudi Arabia or
| | - Manal M. Abdelhafeez
- Department of Conservative Dental Sciences, College of Dentistry, Qassim University, P.O. Box 6688, Buraydah 51452, Saudi Arabia
- Faculty of Dentistry, October University for Modern Sciences and Arts, Giza 12451, Egypt
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Inserra B, Coppola B, Montanaro L, Tulliani JM, Palmero P. Preparation and characterization of Ce-ZrO2/Al2O3 composites by DLP-based stereolithography. Ann Ital Chir 2022. [DOI: 10.1016/j.jeurceramsoc.2022.08.037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Demirci F, Bahce E, Baran MC. Mechanical analysis of three-unit metal-free fixed dental prostheses produced in different materials with CAD/CAM technology. Clin Oral Investig 2022; 26:5969-5978. [DOI: 10.1007/s00784-022-04623-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2022] [Accepted: 07/11/2022] [Indexed: 11/03/2022]
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Souza LFB, Soares PM, Chiapinotto GF, Ribeiro VF, Daudt NDF, Valandro LF, Pereira GKR. Effect of pigmentation techniques on the fatigue mechanical behavior of a translucent zirconia for monolithic restorations. J Mech Behav Biomed Mater 2022; 134:105362. [PMID: 35872462 DOI: 10.1016/j.jmbbm.2022.105362] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2022] [Revised: 07/06/2022] [Accepted: 07/09/2022] [Indexed: 11/29/2022]
Abstract
This study aims to characterize the effect of pre- and/or post-sintering pigmentation techniques on the fatigue behavior of a 4YSZ ceramic (4 mol% yttrium stabilized zirconia). First, 4YSZ ceramic discs (IPS e.max ZirCAD, 15 mm diameter, and 1.2 mm thickness) were obtained and allocated according to the 'pigmentation technique' factor into 5 groups: Ctrl - unshaded ceramic disc (IPS e.max ZirCAD BL); Manuf - ceramic discs shaded by the manufacturer at block formation (IPS e.max ZirCAD MT A2); Brush - unshaded ceramic disc pigmented in the pre-sintered stage using a brush; Stain - unshaded ceramic disc pigmented in the post-sintering stage using a stain glaze (shade A2); Brush + Stain - combination of Brush and Stain techniques. The specimens were sintered and analyzed by a spectrophotometer (VITA Easyshade) for color differences (ΔE00 calculated according to CIEDE, 2000) to ensure that they present the same perceived color (ΔE00 ≤ 1.77, acceptability threshold). The specimens (n = 15) were submitted to biaxial flexural fatigue testing using a cyclic fatigue method (frequency of 20 Hz; 10,000 cycles per step; initial stress of 200 MPa; and step-size of 25 MPa) until specimen fracture. Fatigue strength (FS) and number of cycles until failure (CFF) were recorded with statistical purposes. Fractographic, complementary topography, elemental and roughness analyses were performed. The Ctrl shown the highest FS, CFF, and survival rates compared to the other conditions (p < 0.05), being only statistically similar to Brush. Stain showed the lowest FS, CFF and survival rates (p < 0.05). The Manuf and Brush + Stain shown intermediary performance. In regards of Weibull moduli, Brush shown the lowest values (lowest structural reliability), for both FS and CFF, being only statistically similar to Manuf. Topography analysis shown a uniform size of zirconia crystals in Ctrl, Manuf and Brush. In addition, a smooth glassy surface with some spots of impregnated pigment was observed in the groups where glaze was applied (Stain and Brush + Stain). This finding was corroborated by elemental analysis. Despite that, Stain and Brush + Stain presented the roughest surface (p < 0.05). In summary, the pigmentation techniques used to provide a Vita classical A2 color shade have a detrimental effect on the mechanical fatigue properties of a 4YSZ ceramic, except for the technique performed with the brush in the block pre-sintering stage. Despite this, the brush technique presents great variability in mechanical performance, resulting in lower structural reliability.
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Affiliation(s)
- Luiza Freitas Brum Souza
- MSciD and PhD Post-Graduate Program in Oral Science, Faculty of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Pablo Machado Soares
- MSciD and PhD Post-Graduate Program in Oral Science, Faculty of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Gratcheva Falcão Chiapinotto
- Graduate Program in Dentistry, Faculty of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Vinícius Fogliato Ribeiro
- Graduate Program in Dentistry, Faculty of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Natália de Freitas Daudt
- MSciD and PhD Post-Graduate Program in Mechanical Engineering, Faculty of Mechanical Engineering, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Luiz Felipe Valandro
- MSciD and PhD Post-Graduate Program in Oral Science, Faculty of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil; Graduate Program in Dentistry, Faculty of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Gabriel Kalil Rocha Pereira
- MSciD and PhD Post-Graduate Program in Oral Science, Faculty of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil; Graduate Program in Dentistry, Faculty of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
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Kanpalta B, Burduroğlu D, Kara Ö. Effect of artificial aging on the translucency of monolithic zirconia materials sintered at different temperatures. J Prosthet Dent 2022; 128:91.e1-91.e6. [PMID: 35662524 DOI: 10.1016/j.prosdent.2022.05.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2021] [Revised: 04/30/2022] [Accepted: 05/03/2022] [Indexed: 11/17/2022]
Abstract
STATEMENT OF PROBLEM Translucent zirconia materials were developed as an alternative to lithium disilicate materials. However, the effect of sintering temperature and artificial aging on the translucency of zirconia materials is unclear. PURPOSE The purpose of this in vitro study was to investigate the translucency of recently developed zirconia materials after different sintering temperatures and the effect of artificial aging. MATERIAL AND METHODS Disk-shaped specimens (Ø15×1 mm) of 3 different monolithic zirconias (Katana UTML, Prettau Anterior, VITA YZ XT) and a control lithium disilicate reinforced glass ceramic (IPS e.max CAD LT) were evaluated. The zirconia specimens were divided into 2 subgroups with different sintering temperatures (1450 °C, 1550 °C) (n=5, N=35). The specimens were artificially aged in a thermocycle tester and a mastication simulator. The translucency parameter (TP) was calculated by measuring with a spectrophotometer. Kruskal-Wallis and Wilcoxon signed-rank tests were used to analyze the data (α=.05). RESULTS While the overall TP of monolithic zirconia increased after artificial aging, the lithium disilicate specimens did not show a statistically significant difference (P=.35). The Prettau Anterior and VITA YZ XT specimens had a statistically significant higher TP than Katana UTML (P=.009). Sintering temperature did not have a statistically significant effect on the TP value of monolithic zirconia materials (P>.05). CONCLUSIONS Artificial aging increased the TP, and the sintering temperature did not affect the TP of monolithic zirconia. The use of fully stabilized zirconia may be an alternative to lithium disilicate in esthetic restorations in clinical practice.
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Affiliation(s)
- Burcu Kanpalta
- Assistant Professor, Department of Prosthodontics, School of Dentistry, Istanbul Medipol University, Istanbul, Turkey.
| | - Defne Burduroğlu
- Prosthodontics Specialist, Department of Prosthodontics, School of Dentistry, Bezmialem Vakıf University, Istanbul, Turkey
| | - Özlem Kara
- Associate Professor, Department of Prosthodontics, School of Dentistry, Bezmialem Vakıf University, Istanbul, Turkey
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Abstract
Ceramic materials have rapidly become the material of choice for indirect restorations. There are a variety of material types available for use such as feldspathic ceramics, glass ceramics and many types of zirconia. Advances in digital dentistry led to a rapid switch from porcelain fused to metal restorations to all-ceramic restorations. Variations in composition, microstructure and processing affect mechanical properties and use of these materials. Having a better understanding of their differences is important for proper clinical selection. Ceramic materials may be classified several ways including by composition, microstructure, processing technique and clinical application. This article reviews the various types of ceramics based on structure and properties that relate to clinical selection. After reading this article, the reader should be able to: explain the types of ceramics in use in dentistry; understand clinical selection based on properties; and discuss the differences in zirconia-based ceramics.
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Chen MQ. Recent Advances and Perspective of Nanotechnology-Based Implants for Orthopedic Applications. Front Bioeng Biotechnol 2022; 10:878257. [PMID: 35547165 PMCID: PMC9082310 DOI: 10.3389/fbioe.2022.878257] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2022] [Accepted: 04/01/2022] [Indexed: 11/13/2022] Open
Abstract
Bioimplant engineering strives to provide biological replacements for regenerating, retaining, or modifying injured tissues and/or organ function. Modern advanced material technology breakthroughs have aided in diversifying ingredients used in orthopaedic implant applications. As such, nanoparticles may mimic the surface features of real tissues, particularly in terms of wettability, topography, chemistry, and energy. Additionally, the new features of nanoparticles support their usage in enhancing the development of various tissues. The current study establishes the groundwork for nanotechnology-driven biomaterials by elucidating key design issues that affect the success or failure of an orthopaedic implant, its antibacterial/antimicrobial activity, response to cell attachment propagation, and differentiation. The possible use of nanoparticles (in the form of nanosized surface or a usable nanocoating applied to the implant’s surface) can solve a number of problems (i.e., bacterial adhesion and corrosion resilience) associated with conventional metallic or non-metallic implants, particularly when implant techniques are optimised. Orthopaedic biomaterials’ prospects (i.e., pores architectures, 3D implants, and smart biomaterials) are intriguing in achieving desired implant characteristics and structure exhibiting stimuli-responsive attitude. The primary barriers to commercialization of nanotechnology-based composites are ultimately discussed, therefore assisting in overcoming the constraints in relation to certain pre-existing orthopaedic biomaterials, critical factors such as quality, implant life, treatment cost, and pain alleviation.
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Affiliation(s)
- Ming-Qi Chen
- Traumatic Orthopedics Yantai Mountain Hospital, Yantai, China
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Kroczek K, Turek P, Mazur D, Szczygielski J, Filip D, Brodowski R, Balawender K, Przeszłowski Ł, Lewandowski B, Orkisz S, Mazur A, Budzik G, Cebulski J, Oleksy M. Characterisation of Selected Materials in Medical Applications. Polymers (Basel) 2022; 14:polym14081526. [PMID: 35458276 PMCID: PMC9027145 DOI: 10.3390/polym14081526] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2022] [Revised: 04/01/2022] [Accepted: 04/06/2022] [Indexed: 11/19/2022] Open
Abstract
Tissue engineering is an interdisciplinary field of science that has developed very intensively in recent years. The first part of this review describes materials with medical and dental applications from the following groups: metals, polymers, ceramics, and composites. Both positive and negative sides of their application are presented from the point of view of medical application and mechanical properties. A variety of techniques for the manufacture of biomedical components are presented in this review. The main focus of this work is on additive manufacturing and 3D printing, as these modern techniques have been evaluated to be the best methods for the manufacture of medical and dental devices. The second part presents devices for skull bone reconstruction. The materials from which they are made and the possibilities offered by 3D printing in this field are also described. The last part concerns dental transitional implants (scaffolds) for guided bone regeneration, focusing on polylactide–hydroxyapatite nanocomposite due to its unique properties. This section summarises the current knowledge of scaffolds, focusing on the material, mechanical and biological requirements, the effects of these devices on the human body, and their great potential for applications.
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Affiliation(s)
- Kacper Kroczek
- Doctoral School of Engineering and Technical Sciences, Rzeszow University of Technology, 35-959 Rzeszow, Poland;
| | - Paweł Turek
- Faculty of Mechanical Engineering and Aeronautics, Rzeszow University of Technology, 35-959 Rzeszow, Poland; (Ł.P.); (G.B.)
- Correspondence: (P.T.); (D.M.)
| | - Damian Mazur
- Faculty of Electrical and Computer Engineering, Rzeszow University of Technology, 35-959 Rzeszow, Poland
- Correspondence: (P.T.); (D.M.)
| | - Jacek Szczygielski
- Faculty of Medicine, University of Rzeszow, 35-959 Rzeszow, Poland; (J.S.); (K.B.); (B.L.); (S.O.); (A.M.)
- Department of Neurosurgery, Faculty of Medicine, Saarland University, 66123 Saarbrücken, Germany
| | - Damian Filip
- Institute of Medical Science, University of Rzeszow, 35-959 Rzeszow, Poland;
| | - Robert Brodowski
- Department of Maxillofacial Surgery, Fryderyk Chopin Clinical Voivodeship Hospital No.1 in Rzeszow, 35-055 Rzeszow, Poland;
| | - Krzysztof Balawender
- Faculty of Medicine, University of Rzeszow, 35-959 Rzeszow, Poland; (J.S.); (K.B.); (B.L.); (S.O.); (A.M.)
| | - Łukasz Przeszłowski
- Faculty of Mechanical Engineering and Aeronautics, Rzeszow University of Technology, 35-959 Rzeszow, Poland; (Ł.P.); (G.B.)
| | - Bogumił Lewandowski
- Faculty of Medicine, University of Rzeszow, 35-959 Rzeszow, Poland; (J.S.); (K.B.); (B.L.); (S.O.); (A.M.)
- Department of Maxillofacial Surgery, Fryderyk Chopin Clinical Voivodeship Hospital No.1 in Rzeszow, 35-055 Rzeszow, Poland;
| | - Stanisław Orkisz
- Faculty of Medicine, University of Rzeszow, 35-959 Rzeszow, Poland; (J.S.); (K.B.); (B.L.); (S.O.); (A.M.)
| | - Artur Mazur
- Faculty of Medicine, University of Rzeszow, 35-959 Rzeszow, Poland; (J.S.); (K.B.); (B.L.); (S.O.); (A.M.)
| | - Grzegorz Budzik
- Faculty of Mechanical Engineering and Aeronautics, Rzeszow University of Technology, 35-959 Rzeszow, Poland; (Ł.P.); (G.B.)
| | - Józef Cebulski
- Institute of Physics, University of Rzeszow, 35-959 Rzeszow, Poland;
| | - Mariusz Oleksy
- Faculty of Chemistry, Rzeszow University of Technology, 35-959 Rzeszow, Poland;
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Enhanced mechanical and sintering properties of MgO-TiO2 ceramic composite via digital light processing. Ann Ital Chir 2022. [DOI: 10.1016/j.jeurceramsoc.2021.12.016] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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Zaniboni JF, Silva AM, Alencar CDM, Porto TS, Jasinevicius RG, Fortulan CA, de Campos EA. Influence of different glaze firing protocols on the mechanical properties of CAD-CAM ceramic materials. J Prosthet Dent 2022; 127:925.e1-925.e8. [DOI: 10.1016/j.prosdent.2022.03.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2021] [Revised: 03/08/2022] [Accepted: 03/09/2022] [Indexed: 11/27/2022]
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Heidari N, Amawi R, Seweryniak P, Bakitian F, Vult von Steyern P. Fracture Resistance and Fracture Behaviour of Monolithic Multi-Layered Translucent Zirconia Fixed Dental Prostheses with Different Placing Strategies of Connector: An in vitro Study. Clin Cosmet Investig Dent 2022; 14:61-69. [PMID: 35345450 PMCID: PMC8957397 DOI: 10.2147/ccide.s344941] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2021] [Accepted: 02/03/2022] [Indexed: 11/23/2022] Open
Abstract
Purpose To evaluate the effect of different placing strategies performed in the connector area on fracture resistance and fracture behaviour of monolithic multi-layered translucent zirconia fixed dental prostheses (FDPs). Materials and Methods Thirty 3-unit monolithic FDPs were produced and divided into three groups (n = 10) based on the different strategies for placing the connector area of FDPs in multi-layered zirconia blank with varying contents of yttria ranging from 4 to 5 mol%. The groups were as follows: FDPs with connectors placed in dentin layer with 4 mol% yttria content, FDPs with connectors placed in gradient layer, and FDPs with connectors placed in translucent layer with 5 mol% yttria content. A final group (n = 10) of conventional monolithic zirconia with a monolayer of yttria content (4 mol%) has been used as a control group. The specimens were artificially aged using thermocycling and pre-loading procedures and subsequently loaded to fracture using a universal testing machine. Fracture loads and fracture behaviour were analyzed using one-way ANOVA and Fisher’s exact tests and statistically evaluated (p ≤ 0.05). Results There were no significant differences in fracture loads among the groups based on the placing strategies of the connector area of the FDPs in the multi-layered translucent zirconia blank (p > 0.05). There was no significant difference in fracture loads between monolithic multi-layered translucent zirconia and conventional monolithic translucent zirconia materials (p > 0.05). Fracture behaviour of FDPs with connector area placed in translucent layer differed significantly compared to FDPs with connector area placed in dentin layer and FDPs in control group (p = 0.004). Conclusion The placing strategies of the connector used in the computer aided design and manufacturing procedures do not considerably affect fracture resistance of monolithic FDPs made of multi-layered translucent zirconia. Monolithic FDPs made of multi-layered translucent zirconia show comparable strength to FDPs made of conventional translucent zirconia, but with different fracture behaviour.
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Affiliation(s)
- Nada Heidari
- Department of Materials Science and Technology, Malmö University, Malmö, Sweden
| | - Rasha Amawi
- Department of Materials Science and Technology, Malmö University, Malmö, Sweden
| | | | - Fahad Bakitian
- Department of Restorative Dentistry, Umm Al-Qura University, Makkah, Saudi Arabia
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