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Mudhaffer S, Althagafi R, Haider J, Satterthwaite J, Silikas N. Effects of printing orientation and artificial ageing on martens hardness and indentation modulus of 3D printed restorative resin materials. Dent Mater 2024; 40:1003-1014. [PMID: 38735775 DOI: 10.1016/j.dental.2024.05.005] [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: 03/22/2024] [Revised: 04/29/2024] [Accepted: 05/03/2024] [Indexed: 05/14/2024]
Abstract
BACKGROUND Three-dimensional (3D) printing is increasingly used to fabricate dental restorations due to its enhanced precision, consistency and time and cost-saving advantages. The properties of 3D-printed resin materials can be influenced by the chosen printing orientation which can impact the mechanical characteristics of the final products. PURPOSE The objective of this study was to evaluate the influence of printing orientation and artificial ageing on the Martens hardness (HM) and indentation modulus (EIT) of 3D-printed definitive and temporary dental restorative resins. METHODS Disk specimens (20 mm diameter × 2 mm height) were additively manufactured in three printing orientations (0°, 45°, 90°) using five 3D-printable resins: VarseoSmile Crownplus (VCP), Crowntec (CT), Nextdent C&B MFH (ND), Dima C&B temp (DT), and GC temp print (GC). The specimens were printed using a DLP 3D-printer (ASIGA MAX UV), while LavaTM Ultimate (LU) and Telio CAD (TC) served as milled control materials. Martens hardness (HM) and indentation modulus (EIT) were tested both before and after storage in distilled water and artificial saliva for 1, 30, and 90 days at 37 °C. RESULTS 90° printed specimens exhibited higher HM than the other orientations at certain time points, but no significant differences were observed in HM and EIT between orientations for all 3D-printed materials after 90 days of ageing in both aging media. LU milled control material exhibited the highest HM and EIT among the tested materials, while TC, the other milled control, showed similar values to the 3D printed resins. CT and VCP (definitive resins) and ND displayed higher Martens parameters compared to DT and GC (temporary resins). The hardness of the 3D-printed materials was significantly impacted by artificial ageing compared to the controls, with ND having the least hardness reduction percentage amongst all 3D-printed materials. The hardness reduction percentage in distilled water and artificial saliva was similar for all materials except for TC, where higher reduction was noted in artificial saliva. SIGNIFICANCE The used 3D printed resins cannot yet be considered viable alternatives to milled materials intended for definitive restorations but are preferable for use as temporary restorations.
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Affiliation(s)
- Shaymaa Mudhaffer
- Division of Dentistry, School of Medical Sciences, University of Manchester, Manchester, UK; Substitutive Dental Sciences, Faculty of Dentistry, Taibah University, Madinah, Saudi Arabia.
| | - Rana Althagafi
- Substitutive Dental Sciences, Faculty of Dentistry, Taibah University, Madinah, Saudi Arabia
| | - Julfikar Haider
- Division of Dentistry, School of Medical Sciences, University of Manchester, Manchester, UK; Department of Engineering, Manchester Metropolitan University, Manchester, UK
| | - Julian Satterthwaite
- Division of Dentistry, School of Medical Sciences, University of Manchester, Manchester, UK
| | - Nick Silikas
- Division of Dentistry, School of Medical Sciences, University of Manchester, Manchester, UK.
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Babaier R, Haider J, Silikas N, Watts DC. Effect of CAD/CAM aesthetic material thickness and translucency on the polymerisation of light- and dual-cured resin cements. Dent Mater 2022; 38:2073-2083. [DOI: 10.1016/j.dental.2022.11.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2022] [Revised: 11/11/2022] [Accepted: 11/11/2022] [Indexed: 11/27/2022]
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Babaier R, Watts DC, Silikas N. Effects of three food-simulating liquids on the roughness and hardness of CAD/CAM polymer composites. Dent Mater 2022; 38:874-885. [DOI: 10.1016/j.dental.2022.04.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2022] [Revised: 04/01/2022] [Accepted: 04/01/2022] [Indexed: 01/30/2023]
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Rohr N, Märtin S, Zitzmann NU, Fischer J. A comprehensive in vitro study on the performance of two different strategies to simplify adhesive bonding. J ESTHET RESTOR DENT 2022; 34:833-842. [PMID: 35305288 PMCID: PMC9543337 DOI: 10.1111/jerd.12903] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2021] [Revised: 01/29/2022] [Accepted: 03/05/2022] [Indexed: 11/29/2022]
Abstract
Objective The purpose of this study is to compare the bonding performance and mechanical properties of two different resin composite cements using simplified adhesive bonding strategies. Materials and methods Shear bond strength of two resin composite cements (an adhesive cement: Panavia V5 [PV5] and a self‐adhesive cement: RelyX Universal [RUV]) to human enamel, dentin, and a variety of restorative materials (microfilled composite, composite, polymer‐infiltrated ceramic, feldspar ceramic, lithium disilicate and zirconia) was measured. Thermocycle aging was performed with selected material combinations. Results For both cements, the highest shear bond strength to dentin was achieved when using a primer (PV5: 18.0 ± 4.2 MPa, RUV: 18.2 ± 3.3 MPa). Additional etching of dentin reduced bond strength for RUV (12.5 ± 4.9 MPa). On enamel, PV5 achieved the highest bond strength when the primer was used (18.0 ± 3.1 MPa), while for RUV etching of enamel and priming provided best results (21.2 ± 6.6 MPa). Shear bond strength of RUV to restorative materials was superior to PV5. Bonding to resin‐based materials was predominantly observed for RUV. Conclusions While use of RUV with the selective‐etch technique is slightly more labor intensive than PV5, RUV (with its universal primer) displayed a high‐bonding potential to all tested restorative materials, especially to resin. Clinical significance For a strong adhesion to the tooth substrate, PV5 (with its tooth primer) is to be preferred because etching with phosphoric acid is not required. However, when using a wide range of varying restorative materials, RUV with its universal primer seems to be an adequate option.
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Affiliation(s)
- Nadja Rohr
- Biomaterials and Technology, Department of Reconstructive Dentistry, University Center for Dental Medicine Basel UZB, University of Basel, Basel, Switzerland
| | - Sabrina Märtin
- Biomaterials and Technology, Department of Reconstructive Dentistry, University Center for Dental Medicine Basel UZB, University of Basel, Basel, Switzerland
| | - Nicola U Zitzmann
- Biomaterials and Technology, Department of Reconstructive Dentistry, University Center for Dental Medicine Basel UZB, University of Basel, Basel, Switzerland
| | - Jens Fischer
- Biomaterials and Technology, Department of Reconstructive Dentistry, University Center for Dental Medicine Basel UZB, University of Basel, Basel, Switzerland
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Mushashe AM, Farias IC, Gonzaga CC, Cunha LFD, Ferracane JL, Correr GM. Surface Deterioration of Indirect Restorative Materials. Braz Dent J 2020; 31:264-271. [PMID: 32667515 DOI: 10.1590/0103-6440202002982] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2019] [Accepted: 01/14/2020] [Indexed: 11/21/2022] Open
Abstract
The objective of this work was to evaluate the effects of in vitro and in situ biodegradation on the surface characteristics of two resin cements and a hybrid ceramic system. One hundred and eighty specimens (4X1.5mm) of each material (Maxcem Elite, NX3 Nexus and Vita Enamic) were made and randomly distributed in twelve groups (n=15) according to the material and biodegradation method. The specimens were then submitted to the following challenges: storage in distilled water 37 ºC for 24 h or 7 days, storage for 7 days, at 37 ºC, in stimulated saliva or in situ. The in situ stage corresponded to the preparation of 15 intraoral palatal devices, used for 7 days. Each device presented 3 niches, where a sample of each materials was accommodated. Specimens from both saliva and in situ groups suffered a cariogenic challenge, corresponding to the application of a solution of 20% of sucrose, 10 times throughout each day. After each biodegradation method, the surface roughness (Ra), Vickers hardness (VHN) and scanning electron microscopy (SEM) analyzes were performed. The data collected were evaluated by Levene test, two-way ANOVA and Tukey`s test (α=5%). The in situ challenge promoted the greater biodegradation, regardless of the material. Regarding the materials, the Vita Enamic VHN was negatively affected by all biodegradation methods and the Nexus NX3 presented better performance than the self-adhesive cement tested. Therefore, within the conditions of this work, it was concluded that in situ biodegradation can affect negatively the surface characteristics of indirect restorative materials.
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Affiliation(s)
| | | | | | | | - Jack Libório Ferracane
- Department of Restorative Dentistry, School of Dentistry, Oregon Health, Science University, Portland, OR, USA
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Prechtel A, Reymus M, Edelhoff D, Hickel R, Stawarczyk B. Comparison of various 3D printed and milled PAEK materials: Effect of printing direction and artificial aging on Martens parameters. Dent Mater 2019; 36:197-209. [PMID: 31785832 DOI: 10.1016/j.dental.2019.11.017] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2019] [Revised: 10/06/2019] [Accepted: 11/15/2019] [Indexed: 11/16/2022]
Abstract
OBJECTIVES The aim of this study was to investigate the effect of artificial aging on the Martens parameters of different 3D printed and milled polyaryletherketon (PAEK) materials. METHODS In total 120 specimens of 4 different polyetheretherketon (PEEK) materials (Essentium PEEK, KetaSpire PEEK MS-NT1, VICTREX PEEK 450G and VESTAKEEP i4 G) were additively manufactured via fused layer manufacturing (FLM) in either horizontal or vertical directions (n=15 per group). 75 specimens were milled out of prefabricated PAEK blanks from the materials breCAM.BioHPP, Dentokeep, JUVORA Dental Disc 2 and Ultaire AKP (=15 per group). Martens hardness (HM), indentation hardness (HIT) and indentation modulus (EIT) were determined initially and longitudinally after thermocycling (5-55°C, 10,000x) and autoclaving (134°C, 2bar). In each case, the surface topography of the specimens was examined for modifications using a light microscope. Data were analysed with Kolmogorov-Smirnov test, univariate ANOVA followed by post-hoc Scheffé test with partial eta squared (ηp2), Kruskal-Wallis-, Mann-Whitney-U-, Friedman- and Wilcoxon-Test. A value of p<0.05 was considered as significant. RESULTS Milled specimens showed higher Martens parameters than printed ones (p<0.001). Artificial aging had a negative effect on the measured parameters (p<0.001). Horizontally printed specimens presented higher Martens parameters than vertically printed ones, regardless of material and aging process (p<0.001). Essentium PEEK and breCAM.BioHPP showed the highest and VICTREX PEEK 450G as well as Ultaire AKP the lowest values of all investigated PAEK materials initially, after thermocycling and after autoclaving (p<0.001). Microscopic examinations showed that artificial aging did not cause any major modifications of the materials. SIGNIFICANCE Additively manufactured PEEK materials showed lower Martens parameters than milled ones, whereas horizontally printed specimens presented higher values than vertically printed ones. Artificial aging had a negative effect on the Martens parameters, but not on the surface topography.
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Affiliation(s)
- Alexander Prechtel
- Department of Prosthetic Dentistry, LMU Munich, Goethestrasse 70, Munich, 80336, Germany.
| | - Marcel Reymus
- Department of Conservative Dentistry and Periodontology, LMU Munich, Goethestrasse 70, Munich, 80336, Germany
| | - Daniel Edelhoff
- Department of Prosthetic Dentistry, LMU Munich, Goethestrasse 70, Munich, 80336, Germany
| | - Reinhard Hickel
- Department of Conservative Dentistry and Periodontology, LMU Munich, Goethestrasse 70, Munich, 80336, Germany
| | - Bogna Stawarczyk
- Department of Prosthetic Dentistry, LMU Munich, Goethestrasse 70, Munich, 80336, Germany
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Straface A, Rupp L, Gintaute A, Fischer J, Zitzmann NU, Rohr N. HF etching of CAD/CAM materials: influence of HF concentration and etching time on shear bond strength. Head Face Med 2019; 15:21. [PMID: 31395069 PMCID: PMC6686502 DOI: 10.1186/s13005-019-0206-8] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2019] [Accepted: 07/29/2019] [Indexed: 11/29/2022] Open
Abstract
Background The required pretreatment of CAD/CAM ceramic materials before resin composite cement application varies among studies. The aim of the present study was to evaluate the effect of hydrofluoric acid concentration and etching time on the shear bond strength (SBS) of two adhesive and two self-adhesive resin composite cements to different CAD/CAM ceramic materials. Methods SBS of two adhesive (Panavia V5, Kuraray, [PV5]; Vita Adiva F-Cem, Vita Zahnfabrik, [VAF]) and two self-adhesive (RelyX Unicem 2 Automix, 3 M Espe, [RUN]; Vita Adiva S-Cem, Vita, [VAS]) cements to four different CAD/CAM materials (Vitablocs Mark II, Vita, [VM]; Vita Enamic, Vita, [VE]; e.max CAD, Ivoclar Vivadent, [EC]; Vita Suprinity PC, Vita, [VS]) was measured. The effect of the surface pretreatment by using two different hydrofluoric acid products (HF5% Vita Ceramics Etch, Vita and HF9% buffered, Ultradent Porcelain Etch, Ultradent Products) were assessed at etching times of 0 s, 5 s, 15 s, 30s and 60s for each cement and restorative material combination (n = 10 per group, total n = 1440). Results Significant effects were found for the etching time and cement for all materials with highest shear bond strength for etching times of 60s = 30s = 15 s ≥ 5 s > 0 s and for RUN>PV5 = VAF > VAS (p < 0.05). Etching with HF5% for 5 s to 15 s resulted in higher SBS values, while no differences were observed between HF5% and HF9% buffered when the substrates were etched for 30s to 60s (p < 0.05). Conclusions Within the limitations of this study the recommended surface pretreatment of silicate ceramics is HF etching with concentrations of 5% or 9% for 15 s to 60s to achieve highest shear bond strength while the glassy matrix is sufficiently dissolved. The tested resin composite cements can be applied with all tested materials and suggested for clinical application.
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Affiliation(s)
- Antonio Straface
- Department of Reconstructive Dentistry, University Center for Dental Medicine, University of Basel, Mattenstrasse 40, CH-4058, Basel, Switzerland
| | - Lena Rupp
- Department of Reconstructive Dentistry, University Center for Dental Medicine, University of Basel, Mattenstrasse 40, CH-4058, Basel, Switzerland
| | - Aiste Gintaute
- Department of Reconstructive Dentistry, University Center for Dental Medicine, University of Basel, Mattenstrasse 40, CH-4058, Basel, Switzerland
| | - Jens Fischer
- Department of Reconstructive Dentistry, University Center for Dental Medicine, University of Basel, Mattenstrasse 40, CH-4058, Basel, Switzerland
| | - Nicola U Zitzmann
- Department of Reconstructive Dentistry, University Center for Dental Medicine, University of Basel, Mattenstrasse 40, CH-4058, Basel, Switzerland
| | - Nadja Rohr
- Department of Reconstructive Dentistry, University Center for Dental Medicine, University of Basel, Mattenstrasse 40, CH-4058, Basel, Switzerland.
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Biofilm formation on restorative materials and resin composite cements. Dent Mater 2018; 34:1702-1709. [DOI: 10.1016/j.dental.2018.08.300] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2018] [Revised: 06/16/2018] [Accepted: 08/31/2018] [Indexed: 10/28/2022]
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Hampe R, Lümkemann N, Sener B, Stawarczyk B. The effect of artificial aging on Martens hardness and indentation modulus of different dental CAD/CAM restorative materials. J Mech Behav Biomed Mater 2018; 86:191-198. [PMID: 29986293 DOI: 10.1016/j.jmbbm.2018.06.028] [Citation(s) in RCA: 41] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2018] [Revised: 06/17/2018] [Accepted: 06/19/2018] [Indexed: 11/28/2022]
Abstract
OBJECTIVES To determine the Martens hardness parameters for five different classes of CAD/CAM restorative materials after storage in water and thermo-cycling. MATERIALS AND METHODS Lithium disilicate ceramic IPS e.max CAD (EX), silicate ceramic IPS Empress CAD (EC), a polymer infiltrated interpenetrating network material (hybrid material) VITA Enamic (VE), two compact filled composites Lava Ultimate (LU), experimental material (EM), two low filled resin composites Katana Avencia (KA), Ambarino High-Class (AH) and ultra-low/unfilled acrylic polymers CAD-Temp (CT), Telio CAD (TC), breCAM.HIPC (BC) were tested. Specimens were stored in water at 37 °C for 30, 60, 90, 120 days and afterwards thermo-cycled (30,000×, 5 °C/55 °C). Martens hardness (HM) and indentation modulus (EIT) were longitudinally investigated after each storage time. For structural analysis, each material was analyzed by scanning electron microscopy (SEM) and energy dispersive X-ray spectroscopy (EDX). RESULTS The groups of unfilled polymers/ultra-low filled composite (CT, TC, BC) followed by low (KA, AH) and compact filled resin composites (LU, EM) showed the lowest HM and EIT values (p < 0.001). The highest values presented ceramics (EX, EC) followed by hybrid material (VE) (p < 0.001). High influence on the Martens hardness parameters was exerted by the aging duration (HM: ηP2 = 0.108, p < 0.001; EIT: ηP2 = 0.074, p < 0.001). Structural analyses of resin composites revealed big differences in shape, size and distribution of filler particles. CONCLUSIONS The tested CAD/CAM materials showed differences in Martens hardness and indentation modulus pursuant to the material class. Ceramics showed highest values, followed by the hybrid material. For resin composites the Martens hardness and indentation modulus increased with the filler content. Artificial aging affected CAD/CAM materials differently. Some materials tested are prone to aging, the Martens hardness and indentation modulus decreased after thermo-cycling.
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Affiliation(s)
- Rüdiger Hampe
- Department of Prosthetic Dentistry, LMU München, Goethestrasse 70, 80336 Munich, Germany.
| | - Nina Lümkemann
- Department of Prosthetic Dentistry, LMU München, Goethestrasse 70, 80336 Munich, Germany
| | - Beatrice Sener
- Clinic of Preventive Dentistry, Periodontology and Cariology, Center of Dental Medicine, University of Zurich, Plattenstr. 11, 8032 Zurich, Switzerland
| | - Bogna Stawarczyk
- Department of Prosthetic Dentistry, LMU München, Goethestrasse 70, 80336 Munich, Germany
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