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Cengiz-Yanardag E, Karakaya I, Ozverel CS. The effect of hydrogen peroxide and subsequent resveratrol application to CAD-CAM blocks on the cell viability of fibroblasts. Odontology 2024:10.1007/s10266-024-00990-6. [PMID: 39207585 DOI: 10.1007/s10266-024-00990-6] [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: 02/05/2024] [Accepted: 08/15/2024] [Indexed: 09/04/2024]
Abstract
The aim is to assess viability of fibroblasts exposed to 2 CAD-CAM blocks and a nanohybrid resin after application of hydrogen peroxide (HP) and resveratrol with 2 extraction media at 24 h, 48 h, and 72 h. Eighteen specimens were obtained from Lava Ultimate (LU), Vita Enamic (VE), and Grandio (GR). Specimens of each material were divided into 3 groups (material only, bleached, resveratrol applied) for 2 extraction media as artificial saliva (AS) and phosphate buffer saline (PBS) (n = 3). For bleached group, 40% HP was applied to specimens for 20 min twice. For resveratrol group, 0.5 µM resveratrol was applied after bleaching for 10 min. Mouse fibroblast cells were exposed to extracts of each group. The viability of cells was determined with MTT assay at 24 h, 48 h, and 72 h. Cell viability data (%) were analyzed statistically using one-way ANOVA, and post hoc Tukey test. Bleached materials showed the lowest cell viability (PBS; p < 0.01/ AS; p < 0.001). There is no statistically significant difference between resveratrol applied and bleached groups (PBS; p = 0.14/ AS; p = 0.072). Regardless of period of time and procedure, GR showed lower viable cell numbers than LU and VE (p < 0.001). Viable cell numbers were higher at 24 h than at 72 h (p < 0.001). There was no statistically difference between AS and PBS (p > 0.05). For all materials, the application of resveratrol did not affect the cell viability which decreased after bleaching over time. The decrease in nanohybrid resin was more critical than hybrid CAD-CAM blocks. The type of extraction media had no effect on cell viability results.
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Affiliation(s)
- Esra Cengiz-Yanardag
- Department of Restorative Dentistry, Faculty of Dentistry, Mersin University, Mersin, Turkey.
| | - Izgen Karakaya
- Department of Restorative Dentistry, Faculty of Dentistry, European University of Lefke, Nicosia, Cyprus
| | - Cenk Serhan Ozverel
- Department of Basic Medical Sciences, Faculty of Dentistry, Near East University, Nicosia, Cyprus
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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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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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da Rosa LS, Pilecco RO, Soares PM, Rippe MP, Pereira GKR, Valandro LF, Kleverlaan CJ, Feilzer AJ, Tribst JPM. Repair protocols for indirect monolithic restorations: a literature review. PeerJ 2024; 12:e16942. [PMID: 38406292 PMCID: PMC10893862 DOI: 10.7717/peerj.16942] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2023] [Accepted: 01/23/2024] [Indexed: 02/27/2024] Open
Abstract
Despite the advancements in indirect monolithic restorations, technical complications may occur during function. To overcome this issues, intraoral repair using resin composite is a practical and low-cost procedure, being able to increase the restoration's longevity. This review aimed to evaluate the need for repair and suggest a standardized repair protocol to the main indirect restorative materials. For this, studies were surveyed from PubMed with no language or date restriction, to investigate the scientific evidence of indirect monolithic restoration repair with direct resin composite. A classification to guide clinical decisions was made based on the FDI World Dental Federation criteria about defective indirect restorations considering esthetic and functional standards, along with the patient's view, to decide when polishing, repairing or replacing a defective restoration. Based on 38 surveyed studies, different resin composite intraoral repair protocols, that included mechanical and chemical aspects, were defined depending on the substrate considering resin-based, glass-ceramic or zirconia restorations. The presented criteria and protocols were developed to guide the clinician's decision-making process regarding defective indirect monolithic restorations, prolonging longevity and increasing clinical success.
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Affiliation(s)
| | | | | | | | | | | | - Cornelis Johannes Kleverlaan
- Academic Centre for Dentistry Amsterdam (ACTA), Universiteit van Amsterdam en Vrije Universiteit, Amsterdam, the Netherlands
| | - Albert J. Feilzer
- Academic Centre for Dentistry Amsterdam (ACTA), Universiteit van Amsterdam en Vrije Universiteit, Amsterdam, the Netherlands
| | - João Paulo Mendes Tribst
- Academic Centre for Dentistry Amsterdam (ACTA), Universiteit van Amsterdam en Vrije Universiteit, Amsterdam, the Netherlands
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Mangano FG, Cianci D, Pranno N, Lerner H, Zarone F, Admakin O. Trueness, precision, time-efficiency and cost analysis of chairside additive and subtractive versus lab-based workflows for manufacturing single crowns: An in vitro study. J Dent 2024; 141:104792. [PMID: 38013004 DOI: 10.1016/j.jdent.2023.104792] [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: 11/08/2023] [Revised: 11/21/2023] [Accepted: 11/23/2023] [Indexed: 11/29/2023] Open
Abstract
PURPOSE To evaluate the trueness, precision, time efficiency, and cost of three different workflows for manufacturing single crowns (SCs). METHODS A plaster model with a prepared tooth (#15) was scanned with an industrial scanner, and an SC was designed in computer-assisted-design (CAD) software. Ten SCs were printed with a hybrid composite (additive chairside) and a stereolithographic (SLA) printer (Dfab®), 10 SCs were milled in lithium disilicate (subtractive chairside) using a chairside milling unit (inLab MC XL®), and 10 SCs were milled in zirconia (lab-based) using a five-axis laboratory machine (DWX-52D®). All SCs were scanned with the same scanner after polymerization/sinterization. Each scan was superimposed to the marginal area of the original CAD file to evaluate trueness: absolute average (ABS AVG), root mean square (RMS), and (90˚-10˚)/2 percentile were calculated for each group. Marginal adaptation and quality of the occlusal and interproximal contact points were also investigated by two prosthodontists on 3D printed and plaster models. Finally, the three workflows' time efficiency and costs were evaluated. RESULTS Additive chairside and subtractive lab-based SCs had significantly better marginal trueness than subtractive chairside SCs in all three parameters (ABS AVG, p < 0.01; RMS, p < 0.01; [90˚-10˚]/2, p < 0.01). However, the two prosthodontists found no significant differences between the three manufacturing procedures in the quality of the marginal closure (p = 0.186), interproximal (p = 0.319), and occlusal contacts (p = 0.218). Both time efficiency and cost show a trend favoring the chairside additive workflow. CONCLUSIONS Chairside additive technology seems to represent a valid alternative for manufacturing definitive SCs, given the high marginal trueness, precision, workflow efficiency and low costs. STATEMENT OF CLINICAL RELEVANCE Additive chairside manufacturing of definitive hybrid composite SCs is now possible and shows high accuracy, time efficiency, and competitive cost.
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Affiliation(s)
- Francesco Guido Mangano
- Department of Pediatric, Preventive Dentistry and Orthodontics, Sechenov First State Medical University, Moscow, Russia.
| | | | - Nicola Pranno
- Department of Oral and Maxillofacial Sciences, Sapienza University, Rome, Italy
| | - Henriette Lerner
- Department of Oral, Maxillofacial and Plastic Surgery, Goethe University, Frankfurt, Germany
| | - Fernando Zarone
- Department of Neurosciences, Reproductive and Odontostomatological Sciences, University Federico II, Naples, Italy
| | - Oleg Admakin
- Department of Pediatric, Preventive Dentistry and Orthodontics, Sechenov First State Medical University, Moscow, Russia
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Sarhan MM, Khamis MM, Abdelhamid AM, Ezzelarab S. Evaluation of the virtual cement gap parameter of different CAD software programs in designing a single crown restoration: An in vitro study. J Prosthet Dent 2023; 129:777.e1-777.e7. [PMID: 37029006 DOI: 10.1016/j.prosdent.2023.03.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2023] [Revised: 03/10/2023] [Accepted: 03/13/2023] [Indexed: 04/09/2023]
Abstract
STATEMENT OF PROBLEM The accuracy of different virtual cement gap parameters in designing a single crown in a computer-aided design (CAD) software program is still unclear. PURPOSE The purpose of this in vitro study was to evaluate and compare the virtual cement gap settings of 3 different CAD software programs used to design a single crown restoration. MATERIAL AND METHODS Three different CAD software programs (exocad, Dental System, and B4D) were evaluated for designing single crowns with similar virtual cement gap settings. Three experimental groups were created based on the CAD software program used (n=10). Three-dimensional analysis software program was used to assess the virtual cement gap in the CAD restoration. The Shapiro-Wilk test of normality was used. Comparisons were carried out by using 1-way ANOVA and the Scheffé post hoc test (α=.05). RESULTS The Dental System software program had the lowest statistical mean error values at both tooth margin (4.6 μm) and axial wall (1.5 μm), followed by B4D then exocad. At the occlusal surface, the lowest statistical mean error value of 5 μm was achieved by the Dental System followed by exocad then B4D. CONCLUSIONS Accuracy of the virtual cement gap parameter in single crown design varies based on the CAD software used. The highest accuracy was attained by the Dental System software program at all tooth surfaces, followed by B4D at the tooth margin and axial wall and by exocad at the occlusal surface.
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Affiliation(s)
- Moamen Mohsen Sarhan
- Assistant Lecturer of Prosthodontics, Faculty of Dentistry, Damanhour University, Damanhour, Egypt; and PhD student, Department of Prosthodontics, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.
| | - Mohamed Moataz Khamis
- Professor and Chairman, Department of Prosthodontics, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
| | | | - Salah Ezzelarab
- Professor of Prosthodontics, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
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Color Stability of Polymer-Based Composite CAD/CAM Blocks: A Systematic Review. Polymers (Basel) 2023; 15:polym15020464. [PMID: 36679343 PMCID: PMC9865673 DOI: 10.3390/polym15020464] [Citation(s) in RCA: 27] [Impact Index Per Article: 27.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2022] [Revised: 01/07/2023] [Accepted: 01/13/2023] [Indexed: 01/19/2023] Open
Abstract
BACKGROUND This systematic review aims to evaluate the color stability of resin composite CAD/CAM blocks (CCB) when submitted to staining solutions. METHODS A systematic search was performed on different databases (Embase, Medline, Scopus, Web of Science). Search terms were: 'polymer infiltrated', 'polymer-based', 'resin nanoceramic', 'resin ceramic', 'hybrid composite', 'hybrid ceramic', 'composite ceramic', 'resin infiltrated', 'CAD-CAM', 'CAD/CAM', 'color stability', 'staining', 'staining susceptibility', 'color change', 'color difference'. INCLUSION CRITERIA in vitro articles published in the English language until 18 September 2022 without initial time restriction evaluating the color stability of CCB when submitted to staining solutions. EXCLUSION CRITERIA studies investigating color change induced by smoke or whitening treatments; studies not including a clinical evaluation of the results using the thresholds for color perceptibility and acceptability. Risk of bias assessment using the QUIN tool. FINDINGS Out of the 378 initially retrieved articles, 19 were included in this review. They investigated 17 different CCBs and different artificial staining by liquid protocols, including coffee, red wine, tea, and cola. CCBs exceeded clinical acceptability thresholds for color shift in 18 out of 19 studies, with a significantly higher color stability than conventional hybrid resin-based composites (RBCs), and a significantly lower color stability than ceramic materials. The identified differences in CCBs in color stability can be attributed to the material's composition, but also to the heterogeneity of staining procedures. Interpretation and clinical implication: Clinicians should be aware that, although to a lower degree when compared to RBCs used in direct or indirect procedures, CCBs undergo color changes to a higher degree in comparison to ceramic materials.
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Vichi A, Zhao Z, Paolone G, Scotti N, Mutahar M, Goracci C, Louca C. Factory Crystallized Silicates for Monolithic Metal-Free Restorations: A Flexural Strength and Translucency Comparison Test. MATERIALS (BASEL, SWITZERLAND) 2022; 15:7834. [PMID: 36363425 PMCID: PMC9657079 DOI: 10.3390/ma15217834] [Citation(s) in RCA: 17] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/09/2022] [Revised: 10/14/2022] [Accepted: 10/26/2022] [Indexed: 06/16/2023]
Abstract
Flexural strength (FS) and translucency (Contrast Ratio-CR) of three different factory crystallized silica-based glass ceramics, Celtra Duo (CD), N!ce (NI) and Li-Si Block, a lithium disilicate, IPS e.max CAD (LD), and a leucite-reinforced feldspathic ceramic, Empress CAD (EM), in two different translucencies (HT and LT) for use in chairside dental restorations have been compared. CAD blocks of the materials were cut into beams and tiles and processed following manufacturers’ instructions. The beams were tested (3-PBT) to determine flexural strength, Weibull characteristic strength, and Weibull modulus; and tiles were tested to determine CR. All data were statistically analyzed. In addition, SEM analysis of the materials was performed. Differences in flexural strength (FS) and translucency (CR) between the materials were found to be statistically significant. FS decreased as follows (MPa): LDHT 350.88 ± 19.77 (a) = LDLT 343.57 ± 18.48 (a) > LSLT 202.15 ± 17.41 (b) = LSHT 196.93 ± 8.87 > NIHT 186.69 ± 13.06 (c) = CDLT 184.73 ± 13.63 (c) = CDHT 174.15 ± 21.76 (c) = NILT 172.12 ± 11.98 (c) > EMHT 131.16 ± 13.33 (e) = EMLT 127.65 ± 11.09. CR decreased as follows (mean ± sd): CDLT 74.1 ± 1.1 (a); LSLT 74.0 ± 1.1 (ab); NILT 73.3 ± 0.8 (ab); EMLT 73.0 ± 1.5 (ab); NIHT 72.4 ± 1.0 (bc); LDLT 71.3 ± 1.1 (bc); LTHT 65.2 ± 0.9 (de); LSHT 63.8 ± 1.1 (def); EMHT 636 ± 1.2 (ef); CDHT 62.2 ± 0.8 (f). Our findings show that factory-crystallized lithium silicate glass ceramics fulfill ISO standards for Classes 1 and 2. Therefore, they can be considered viable alternatives to produce single-unit restorations with a chairside procedure not requiring thermal treatment.
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Affiliation(s)
- Alessandro Vichi
- Dental Academy, University of Portsmouth, William Beatty Building, Hampshire Terrace, Portsmouth PO1 2QG, UK
| | - Zejiao Zhao
- Dental Academy, University of Portsmouth, William Beatty Building, Hampshire Terrace, Portsmouth PO1 2QG, UK
| | - Gaetano Paolone
- Department of Dentistry, IRCCS San Raffaele Hospital and Dental School, Vita Salute University, 20132 Milan, Italy
| | - Nicola Scotti
- Department of Surgical Sciences, Dental School Lingotto, University of Turin, 10126 Turin, Italy
| | - Mahdi Mutahar
- Dental Academy, University of Portsmouth, William Beatty Building, Hampshire Terrace, Portsmouth PO1 2QG, UK
| | - Cecilia Goracci
- Department of Medical Biotechnologies, University of Siena, 53100 Siena, Italy
| | - Chris Louca
- Dental Academy, University of Portsmouth, William Beatty Building, Hampshire Terrace, Portsmouth PO1 2QG, UK
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Grangeiro MTV, Rodrigues CDS, Rossi NR, da Silva JMD, Ramos NDC, Tribst JPM, Anami LC, Bottino MA. Effect of Surface-Etching Treatment, Glaze, and the Antagonist on Roughness of a Hybrid Ceramic after Two-Body Wear. MATERIALS (BASEL, SWITZERLAND) 2022; 15:ma15196870. [PMID: 36234211 PMCID: PMC9573409 DOI: 10.3390/ma15196870] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/10/2022] [Revised: 07/26/2022] [Accepted: 08/01/2022] [Indexed: 06/12/2023]
Abstract
Stains and glaze are effective procedures for achieving an aesthetic smoothness on indirect restorations. Thus, the effect of surface-etching treatments previous to the stain layer and the glaze application on the occlusal and antagonist wear of a hybrid ceramic were evaluated against different antagonists. Disc-shaped samples were prepared from polymer-infiltrated ceramic network (PICN) blocks. The specimens were divided into eight groups, according to the surface-etching treatment and glaze application: P (polished specimens); PG (polishing plus glaze); E (hydrofluoric acid etching plus stain); EG (acid etching plus stain plus glaze); A (aluminum oxide sandblasting plus stain); AG (sandblasting plus stain plus glaze); S (self-etching primer plus stain); SG (self-etching primer plus stain plus glaze). Half of the samples were subjected to a wear simulation with a steatite antagonist, and the other half was tested using a PICN antagonist. The test parameters were: 15 N, 1.7 Hz, 6 mm of horizontal sliding, 5000 cycles. The discs and the antagonists' masses were measured before and after the wear tests. The average roughness and spacing defects were evaluated. The etching treatment affected the surface and antagonist mass loss when tested against steatite. AG showed the highest mass loss. This influence was not detected when using the PICN antagonist. The glaze application after staining ensures a smoother surface and avoids antagonist wear.
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10
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Wear behavior and abrasiveness of monolithic CAD/CAM ceramics after simulated mastication. Clin Oral Investig 2022; 26:6593-6605. [PMID: 35819543 PMCID: PMC9643261 DOI: 10.1007/s00784-022-04611-w] [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: 03/22/2022] [Accepted: 06/28/2022] [Indexed: 11/30/2022]
Abstract
Objectives To evaluate the wear resistance and abrasiveness of monolithic CAD/CAM ceramics. Materials and methods Rectangular-shaped specimens (12 mm × 6.5 mm × 1.5 mm) were sectioned from the following CAD/CAM blocks (n = 10); partially crystallized lithium disilicate (PLD), experimental fully crystallized lithium disilicate (FLD), zirconia-reinforced lithium silicate (ZLS), super-translucent monolithic zirconia (SMZ), and ultra-translucent monolithic zirconia (UMZ). Silicon carbide papers were used to mechanically flatten and polish the surfaces. PLD specimens were subjected to a combined crystallization/glazing firing cycle. Ceramic specimens were mounted to the wear device and tested for 200,000 cycles against human premolars at 20 N force and 2 mm sliding distance. Artificial saliva was used as a lubricant. The teeth were scanned using micro-CT before and after the wear test and the generated models were overlapped to determine the volumetric tooth loss. Before and after the test, specimens’ weights and surface roughness (Ra) values were measured, and the differences were calculated. Scanning electron microscopy (SEM) and energy-dispersive X-ray spectroscopy (EDX) were utilized for microstructural and chemical analysis. Statistical analysis was performed using one-way ANOVA or an equivalent test for non-parametric results. Significance level was set at P ≤ 0.05. Results The type of ceramic material affected the ceramic and antagonist wear rates (P < 0.001). PLD and ZLS had the highest ceramic and antagonist wear, whereas UMZ and SMZ demonstrated the lowest wear values. The FLD group showed comparable antagonist wear and significantly less ceramic wear than PLD and ZLS. Conclusions Monolithic zirconia demonstrated the best wear resistance and least abrasiveness to the antagonist. The experimental lithium disilicate was more wear-resistant than other glass–ceramic groups. Clinical relevance Monolithic zirconia is wear-resistant and gentle on the antagonist. In contrast, glass–ceramics are more abrasive to enamel. Supplementary Information The online version contains supplementary material available at 10.1007/s00784-022-04611-w.
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Dhanotra KG, Bhatia R. Digitainers-Digital Space Maintainers: A Review. Int J Clin Pediatr Dent 2022; 14:S69-S75. [PMID: 35082471 PMCID: PMC8754270 DOI: 10.5005/jp-journals-10005-2040] [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] [Indexed: 12/02/2022] Open
Abstract
To summarize the limitations of commonly used space maintainers (SMs) and provide an insight into the field's technological advances to overcome them, this review was conducted. With the rapid advancement of digital technologies, there is always something new to learn while also redefining the current fads. Digital workflow is not a new concept in dentistry, but it has only just begun to be used in pediatric dentistry. The curiosity to explore has led to the development of digital devices as SMs. They appear potential for usage in children because of their impressive advantages of precision, comfort, and a time-saving approach. This workflow helps lessen fear and improve children's cooperation and enthusiasm for dental appointments by cutting down on chairside time and shortening procedures. How to cite this article: Dhanotra KGS, Bhatia R. Digitainers—Digital Space Maintainers: A Review. Int J Clin Pediatr Dent 2021;14(S-1):S69–S75.
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Affiliation(s)
- Kiran Gs Dhanotra
- Department of Pediatric and Preventive Dentistry, DY Patil University School of Dentistry, Navi Mumbai, Maharashtra, India
| | - Rupinder Bhatia
- Department of Pediatric and Preventive Dentistry, DY Patil University School of Dentistry, Navi Mumbai, Maharashtra, India
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Abad-Coronel C, Carrera E, Mena Córdova N, Fajardo JI, Aliaga P. Comparative Analysis of Fracture Resistance between CAD/CAM Materials for Interim Fixed Prosthesis. MATERIALS (BASEL, SWITZERLAND) 2021; 14:7791. [PMID: 34947384 PMCID: PMC8706852 DOI: 10.3390/ma14247791] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/24/2021] [Revised: 12/11/2021] [Accepted: 12/12/2021] [Indexed: 01/17/2023]
Abstract
The aim of this study was to evaluate and compare the resistance to fracture of interim restorations obtained through additive techniques (3D impressions) and subtractive techniques (milling) using a computer-aided design and manufacture (CAD/CAM) system of a three-unit fixed dental prosthesis (FDP) to ascertain its clinical importance. (1) Materials and methods: In total, 40 samples were manufactured and divided into two groups (n = 20) using: (1) light-curing micro hybrid resin for temporary crowns and bridges (PriZma 3D Bio Prov, MarketechLabs, São Paulo, Brazil) for the rapid prototyping group (RP) and (2) a polymethylmethacrylate (PMMA) CAD/CAM disc (Vipiblock Trilux, VIPI, São Paulo, Brazil) for the computer-assisted milling (CC). The resistance to fracture was determined with a universal testing machine. (2) Results: The strength and the standard deviation for the computer-assisted milling group were higher (1663.57 ± 130.25 N) than the rapid prototyping (RP) group, which had lower values of (1437.74 ± 73.41 N). (3) Conclusions: The provisional restorations from the computer-assisted milling group showed a greater resistance to fracture than the provisional restorations obtained from the rapid prototyping group.
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Affiliation(s)
- Cristian Abad-Coronel
- Prosthodontics Department, Faculty of Dentistry, Universidad San Francisco de Quito, Quito 170901, Ecuador; (E.C.); (N.M.C.)
- Department of Digital Dentistry and CAD/CAM Materials, Faculty of Dentistry, Universidad de Cuenca, Cuenca 010107, Ecuador
| | - Elena Carrera
- Prosthodontics Department, Faculty of Dentistry, Universidad San Francisco de Quito, Quito 170901, Ecuador; (E.C.); (N.M.C.)
| | - Nancy Mena Córdova
- Prosthodontics Department, Faculty of Dentistry, Universidad San Francisco de Quito, Quito 170901, Ecuador; (E.C.); (N.M.C.)
| | - Jorge I. Fajardo
- Mechanical Engineering Faculty, Universidad Politécnica Salesiana, Cuenca 170517, Ecuador;
| | - Paulina Aliaga
- Faculty of Dentistry, Universidad San Francisco de Quito, Quito 170901, Ecuador;
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Influence of Low-pH Beverages on the Two-Body Wear of CAD/CAM Monolithic Materials. Polymers (Basel) 2021; 13:polym13172915. [PMID: 34502955 PMCID: PMC8433770 DOI: 10.3390/polym13172915] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2021] [Revised: 08/21/2021] [Accepted: 08/23/2021] [Indexed: 01/21/2023] Open
Abstract
The aim of this in vitro study is to evaluate the effect of different acidic media on volumetric wear and surface roughness of CAD/CAM monolithic materials. Forty-eight rectangular specimens were prepared using different CAD/CAM monolithic materials: nanohybrid composite (Grandio Blocks, Voco), resin-based composite (Cerasmart, GC), lithium disilicate (E-Max, Ivoclar), and high-translucency zirconia (Katana STML, Kuraray Noritake). After storage in distilled water at 37 °C for two days, the specimens were tested using a chewing machine with a stainless-steel ball as an antagonist (49N loads, 250,000 cycles). Testing was performed using distilled water, Coca-Cola, and Red Bull as abrasive media. Wear and surface roughness analyses of the CAD/CAM materials were performed using a 3D profilometer and analyzed with two-way analysis of variance and post hoc pairwise comparison procedures. Worn surfaces were examined using scanning electron microscopy. Resin-based materials suffered higher volumetric wear than ceramics (p = 0.00001). Water induced significantly less volumetric wear than the other tested solutions (p = 0.0014), independent of the material tested. High-translucency zirconia showed less surface roughness than all the other materials tested. The selection of monolithic CAD/CAM materials to restore worn dentition due to erosive processes could impact restorative therapy stability over time. Resin-based materials seem to be more influenced by the acidic environment when subjected to a two-body wear test.
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Payaminia L, Moslemian N, Younespour S, Koulivand S, Alikhasi M. Evaluating the effect of repeated use of milling burs on surface roughness and adaptation of digitally fabricated ceramic veneers. Heliyon 2021; 7:e06896. [PMID: 33997414 PMCID: PMC8105639 DOI: 10.1016/j.heliyon.2021.e06896] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2020] [Revised: 02/18/2021] [Accepted: 04/20/2021] [Indexed: 11/15/2022] Open
Abstract
Objectives This study aimed to evaluate how repeated use of milling diamond burs with different coarseness affects surface roughness, and marginal and internal adaptation of CAD/CAM veneers. Methods Forty leucite-reinforced glass-ceramic veneers were milled in 2 groups based on the milling mode (with fine or extra-fine bur sets). In each group, every 10 veneers were milled with a new bur set. All veneers were cemented to bovine teeth and then polished. Labial surface roughness was measured before cementation, and after polishing. Marginal and internal discrepancies were measured using a field emission scanning electron microscope. Three-way and two-way mixed repeated measures ANOVA were applied to assess changes in surface roughness values of veneers and discrepancy values, respectively. The Bonferroni correction was applied for multiple comparisons. Results Repeated use of a milling diamond bur set had a significant effect on surface roughness of the veneers (P < .001). Mean surface roughness of the fine milling mode was significantly higher in comparison to that of extra-fine mode before (P = .002) and after (P = .01) polishing. After polishing a significant decrease in surface roughness occurred in fine (P = .02), but not in extra-fine milling mode (P = .99). Repeated use of milling burs significantly affected marginal and internal adaptation between some repeated uses. Conclusions Marginal and internal adaptation were significantly affected by repeated use of milling diamond burs up to 10 times between some repeated uses. However, no specific pattern could be established. Clinical significance Repeated use of milling burs could affect surface roughness, surface microcracks, critical defects, and adaptation of CAD/CAM restorations. Therefore, it plays a major role in clinical success of the restorations.
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Affiliation(s)
- Leila Payaminia
- Dental Research Center, Dental Implant Research Center, Dentistry Research Institute, Department of Prosthodontics, Tehran University of Medical Sciences, Tehran, Iran
| | - Naeime Moslemian
- Department of Prosthodontics, School of Dentistry, Hamedan University of Medical Sciences, Hamedan, Iran
| | - Shima Younespour
- Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Soudabeh Koulivand
- Department of Prosthodontics, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Marzieh Alikhasi
- Dental Research Center, Dental Implant Research Center, Dentistry Research Institute, Department of Prosthodontics, Tehran University of Medical Sciences, Tehran, Iran
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15
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Soares-Rusu I, Villavicencio-Espinoza CA, de Oliveira NA, Wang L, Honório HM, Rubo JH, Francisconi P, Borges A. Clinical Evaluation of Lithium Disilicate Veneers Manufactured by CAD/CAM Compared with Heat-pressed Methods: Randomized Controlled Clinical Trial. Oper Dent 2021; 46:143-150. [PMID: 33882132 DOI: 10.2341/19-233-c] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/16/2020] [Indexed: 11/23/2022]
Abstract
CLINICAL RELEVANCE Lithium disilicate veneers for esthetic restorations show great accuracy and similarity, regardless of the type of fabrication technique. SUMMARY
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16
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Comparison of the acquisition accuracy and digitizing noise of 9 intraoral and extraoral scanners: An objective method. J Prosthet Dent 2021; 128:1032-1040. [PMID: 33781577 DOI: 10.1016/j.prosdent.2021.02.005] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2020] [Revised: 02/03/2021] [Accepted: 02/04/2021] [Indexed: 11/22/2022]
Abstract
STATEMENT OF PROBLEM The quality of the digital cast obtained from an intraoral scanner is an important comparison parameter for computer-aided design and computer-aided manufacturing (CAD-CAM) restorations. However, data on cast quality are typically provided by manufacturers, and objective evaluation of these devices is lacking. PURPOSE The purpose of this in vitro study was to build an evaluation protocol of 8 intraoral scanners by using an objective method for a small-scale model equivalent in size to a 4-tooth wide cast. In addition, a laboratory scanner was included to compare the performance of intraoral and extraoral devices. MATERIAL AND METHODS An 8-mm-thick zirconia gauge block was scanned 10 times with a laboratory scanner (Iscan D104) and 8 intraoral scanners (Omnicam, Primescan, Itero element 5D, CS 3600, TRIOS 3, Emerald, Planscan, and Medit i500). The obtained digital casts were extracted as standard tessellation language (STL) files and analyzed to evaluate the digitizing noise, dimensional trueness, and dimensional precision of each scanner. After validation of the normal distribution of the digitizing noise, dimensional trueness, and precision test results for each scanner with the Shapiro-Wilk test (α=.05), differences were determined with a 1-way ANOVA test. RESULTS Statistical differences were found between scanners (P<.05). The digitizing noise ranged from 3.2 ±0.6 μm with the Primescan to 15.5 ±2.5 μm with the Planscan. The dimensional trueness ranged from 19.1 ±11.5 μm for the CS3600 to 243.8 ±33.6 μm for the Planscan. The dimensional precision ranged from 7.7 ±2.4 μm for the Primescan to 53.7 ±3.4 μm for the Emerald. The group Iscan D104, Primescan, Itero 5D, CS3600, and TRIOS 3 showed minimally significant differences. CONCLUSIONS Significant differences were found among the intraoral scanners for small-scale scans. The objective methodology of using a gauge block provided coherent and repeatable results.
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Pop-Ciutrila IS, Ghinea R, Colosi HA, Ruiz-López J, Perez MM, Paravina RD, Dudea D. Color compatibility between dental structures and three different types of ceramic systems. BMC Oral Health 2021; 21:75. [PMID: 33596918 PMCID: PMC7890892 DOI: 10.1186/s12903-021-01404-7] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2020] [Accepted: 01/21/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND To assess color compatibility between dental structures (human enamel and dentine) and three different types of ceramic systems. METHODS Samples (1 and 2 mm-thick) of extracted tooth (containing dentine and enamel areas) and three ceramic systems with different shades and opacities (HT-High Translucent, T-Translucent) were prepared for this study: Vita Suprinity-VS (HT, T; A1, A2, A3, A3.5, B2, C2, D2) (Vita Zahnfabrik); Vita Enamic-VE (HT, T; 1M1, 1M2, 2M2, 3M2) (Vita Zahnfabrik) and Noritake Super Porcelain EX-3-NKT (A1, A2, A3, A3.5, B2, C2, D2) (Kuraray Noritake Dental). Reflectance measurements of all samples were performed over black backgrounds using a non-contact spectroradiometer (SpectraScan PR-670, Photo Research) under a CIE 45°/0° geometry. CIE L*a*b* color parameters were measured and CIELAB/CIEDE2000 color differences (ΔE00/ΔE*ab) and corresponding Coverage Error (CE) of ceramic system for dentine or enamel samples were calculated. Color data was analyzed using one-way ANOVA and post-hoc multiple comparisons tests. CE values were interpreted by comparisons with available 50:50% acceptability color threshold (AT) for dentistry. RESULTS Statistically significant differences in lightness were found among all ceramic systems and human dentine (p < 0.001), while no significant differences were registered between enamel and VSHT, T and VEHT. 1 mm dentine showed no statistical differences with VST and VSHT for a* coordinate, while 2 mm dentine showed no significant differences (p > 0.05) with VEHT. Thin samples (1 mm) of dentine and enamel showed significant statistical differences (p < 0.05) for b* coordinate with less translucent materials (NKT, VET and VST). For dentine samples, none of the ceramic materials provided a CE lower than AT. VSHT provided the best CE for 1 mm-thick (CE00 = 1.7, CEab = 1.9) and for 2 mm-thick (CE00 = 2.3; CEab = 2.5) enamel samples. CONCLUSIONS Color coordinates of evaluated esthetic ceramic systems were statistically different from those of human dentine in almost all cases. The evaluated ZrO2 lithium silicate glass-ceramic (VS), with its two levels of translucency, provided lower CE values with human enamel samples while conventional feldspathic ceramic (NKT) and hybrid ceramic systems (VE) demonstrated a better color compatibility with dentin samples.
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Affiliation(s)
- Ioana-Sofia Pop-Ciutrila
- Department of Conservative Dentistry and Endodontics, Faculty of Dental Medicine, Iuliu Hatieganu University of Medicine and Pharmacy, 33 Motilor Street, 400001, Cluj-Napoca, Romania
| | - Razvan Ghinea
- Department of Optics, Faculty of Science, University of Granada, Campus de Fuentenueva, s/n, 18071, Granada, Spain. .,Houston Center for Biomaterials and Biomimetics (HCBB), University of Texas School of Dentistry at Houston, 7500 Cambridge St., Ste. 5350, Houston, TX, USA. .,Department of Physics, Faculty of Sciences, University of Craiova, 13 AI Cuza Street, 200585, Craiova, Romania.
| | - Horatiu A Colosi
- Department of Medical Informatics and Biostatistics, Faculty of General Medicine, Iuliu Hatieganu University of Medicine and Pharmacy, 6 Louis Pasteur Street, 400349, Cluj-Napoca, Romania
| | - Javier Ruiz-López
- Department of Optics, Faculty of Science, University of Granada, Campus de Fuentenueva, s/n, 18071, Granada, Spain
| | - Maria M Perez
- Department of Optics, Faculty of Science, University of Granada, Campus de Fuentenueva, s/n, 18071, Granada, Spain.,Houston Center for Biomaterials and Biomimetics (HCBB), University of Texas School of Dentistry at Houston, 7500 Cambridge St., Ste. 5350, Houston, TX, USA
| | - Rade D Paravina
- Department of Restorative Dentistry and Prosthodontics, Houston Center for Biomaterials and Biomimetics (HCBB), University of Texas School of Dentistry at Houston, 7500 Cambridge St., Ste. 5350, Houston, TX, USA
| | - Diana Dudea
- Department of Prosthodontics and Dental Materials, Iuliu Hatieganu University of Medicine and Pharmacy, 32 Clinicilor Street, 400006, Cluj-Napoca, Romania
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Akbar JH, Omar R, Al-Tarakmah Y. Marginal Integrity of CAD/CAM Ceramic Crowns Using Two Different Finish Line Designs. Med Princ Pract 2021; 30:443-447. [PMID: 33902029 PMCID: PMC8562050 DOI: 10.1159/000516833] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/19/2020] [Accepted: 04/25/2021] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVE Research on evaluation of crowns made by the latest contemporary dental computer-aided design/computer-aided manufacturing (CAD/CAM) systems for their marginal adaptation is scarce. The purpose of this in vitro study was to evaluate the marginal integrity of crowns fabricated by the latest Chairside Economical Restorations of Esthetic Ceramic (CEREC) system using 2 different finish line preparation designs: chamfer and shoulder. MATERIALS AND METHODS Typodont teeth were divided equally into 2 groups, A and B. The teeth were prepared for full coverage crowns with a shoulder (group A) and chamfer (group B) finish line design. An experienced prosthodontist prepared all crown preparations. Evaluation of 6 sites per sample was completed by 2 calibrated, experienced prosthodontists using the modified US Public Health Services (USPHS) criteria. The descriptive statistics and Z-test were used to evaluate the results. RESULTS A total of 180 teeth were included in the study (90 teeth in each group). Only 2 crowns in group A and 1 crown in group B were clinically unacceptable. There was no statistical significance (p = 0.282) between the 2 groups regarding finish line design. CONCLUSIONS The CEREC system provides clinically acceptable crowns and can safely be utilized in dental treatment. Therefore, CAD/CAM restorations could be considered as a safe treatment modality by dental professionals.
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19
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Oz FD, Bolay S, Canatan S. A clinical evaluation of resin nanoceramic CEREC Omnicam restorations associated with several factors. J ESTHET RESTOR DENT 2020; 33:583-589. [PMID: 33283974 DOI: 10.1111/jerd.12691] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2019] [Revised: 05/22/2020] [Accepted: 11/08/2020] [Indexed: 11/30/2022]
Abstract
PURPOSE The aim of this study was to assess the clinical performance of computer-aided design and computer-aided manufacturing resin nanoceramic posterior restorations fabricated by CEREC Omnicam system. MATERIALS AND METHODS Fifty-seven Lava Ultimate posterior restorations were placed in 44 patients by one operator. Restorations were cemented using a resin cement system (Duo-Link). The clinical performance of the restorations was evaluated with USPHS guidelines in a mean time of 45-month. Data were statistically analyzed using Kaplan-Meier and Log Rank (Mantel-Cox) tests (SPSS 22.0, α = 0.05). RESULTS Thirty-eight restorations in 26 patients were evaluated at recall examinations by two evaluators other than the clinician who had placed the restorations who were blinded to groups. The survival rates of Lava Ultimate were 86.8%. A total of 5 (13.2%) failures were found. After a mean time of 45-month survival rate of vital and non-vital teeth were 90 and 83.3% respectively. The failures were not significantly influenced by gender, tooth arch, restoration size, the treated region and vitality. CONCLUSION Chair-side posterior resin nanoceramic restorations were clinically successful restorations with a survival rate of 86.8% after a mean time of 45-month. CLINICAL SIGNIFICANCE Chair-side CAD/CAM resin nanoceramic restorations can be a successful choice for vital and non-vital teeth with acceptable survival rates.
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Affiliation(s)
- Fatma Dilsad Oz
- Department of Restorative Dentistry, Faculty of Dentistry, Hacettepe University, Altindag, Ankara, Turkey
| | - Sukran Bolay
- Department of Restorative Dentistry, Faculty of Dentistry, Hacettepe University, Altindag, Ankara, Turkey
| | - Simge Canatan
- Department of Restorative Dentistry, Faculty of Dentistry, Hacettepe University, Altindag, Ankara, Turkey
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20
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Piao X, Park JM, Kim DH, Shim JS. Application of additive and subtractive manufacturing technology for a digitally fabricated removable partial denture after a partial maxillectomy: A clinical report. J Prosthet Dent 2020; 127:184-188. [PMID: 33223198 DOI: 10.1016/j.prosdent.2020.06.030] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2020] [Revised: 06/06/2020] [Accepted: 06/08/2020] [Indexed: 10/23/2022]
Abstract
This clinical report describes the treatment of a patient with a large defect area in the maxillary central incisor, left lateral incisor, canine, and first premolar area after a partial maxillectomy. Computer-aided design and computer-aided manufacturing (CAD-CAM) techniques including rapid prototyping and milling were applied together to fabricate a removable partial denture.
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Affiliation(s)
- Xingyu Piao
- Graduate student, Department of Prosthodontics, College of Dentistry, Yonsei University, Seoul, Republic of Korea
| | - Ji-Man Park
- Associate Professor, Department of Prosthodontics, College of Dentistry, Yonsei University, Seoul, Republic of Korea.
| | | | - June-Sung Shim
- Professor, Department of Prosthodontics, College of Dentistry, Yonsei University, Seoul, Republic of Korea
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21
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Lee C, Kashima K, Ichikawa A, Yamaguchi S, Imazato S. Influence of hydrolysis degradation of silane coupling agents on mechanical performance of CAD/CAM resin composites: In silico multi-scale analysis. Dent Mater J 2020; 39:803-807. [PMID: 32404566 DOI: 10.4012/dmj.2019-223] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
The aim of this study was to build an in silico computer-aided design and computer-aided manufacturing (CAD/CAM) resin-composite-block (RCB) model with different silane coupling ratios and to evaluate the physical and mechanical properties of the models, including the elastic modulus, Poisson's ratio, compressive strength, and maximum principal strain. Nanoscale CAD/CAM RCB models were designed by using CAD software that consisted of twelve spherical silica nanofiller particles and a resin matrix. Seven nanoscale models with different silane coupling ratios were prepared with the same filler volume contents. Homogenization analysis was conducted by using voxel-base finite-element analysis software to predict the elastic moduli and Poisson's ratio of the macro CAD/CAM RCB. Localization analysis was used to analyze the maximum principal strain distribution in the hydrolysis layer. In silico multi-scale analysis demonstrated that the compressive strength of the CAD/CAM RCB was reduced with a decrease in the silane coupling ratios of the fillers.
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Affiliation(s)
- Chunwoo Lee
- Department of Biomaterials Science, Osaka University Graduate School of Dentistry
| | - Kana Kashima
- Department of Biomaterials Science, Osaka University Graduate School of Dentistry
| | - Akiko Ichikawa
- Department of Biomaterials Science, Osaka University Graduate School of Dentistry
| | - Satoshi Yamaguchi
- Department of Biomaterials Science, Osaka University Graduate School of Dentistry
| | - Satoshi Imazato
- Department of Biomaterials Science, Osaka University Graduate School of Dentistry
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Gold D, Hahnel SF, Schierz O, Rauch A. Practicability of a chairside approach for characterizing CAD/CAM resin-based composites. J Oral Sci 2020; 62:430-434. [PMID: 32863318 DOI: 10.2334/josnusd.19-0507] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
Perception of tooth shades is subjective and not rated exactly the same by different individuals. In terms of dental esthetics, chairside individualization of dental restorations might help to improve patient satisfaction. This investigation aimed to validate the practicability of a chairside approach for staining resin-based composite restorations. Thirteen inexperienced and 13 experienced participants were recruited to first individualize two CAD/CAM resin-based composite crowns in randomized order with light-curing characterization material using two reference crowns as templates. They then evaluated the characterization procedure. The processing times were recorded, and the clinical quality of the individualized crowns was evaluated by two blinded master dental technicians. Of the 52 crowns examined, 90.4% were assessed as suitable for insertion; there was no difference in quality attributable to the different degrees of experience of the operators. The average time required for characterization of the second crown was significantly shorter than for the first crown (30.9/43.0 min), indicating that the procedure can be implemented using a chairside approach. Among the operators, 80.8% said they would use the individualization technique and staining material again. Chairside staining of CAD/CAM resin-based composite restorations with light-curing characterization materials is practicable and can be recommended for both experienced and inexperienced users.
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Affiliation(s)
- Dominic Gold
- Department of Prosthodontics and Materials Science, University of Leipzig
| | - Sebastian F Hahnel
- Department of Prosthodontics and Materials Science, University of Leipzig
| | - Oliver Schierz
- Department of Prosthodontics and Materials Science, University of Leipzig
| | - Angelika Rauch
- Department of Prosthodontics and Materials Science, University of Leipzig
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Park JM, Jeon J, Koak JY, Kim SK, Heo SJ. Dimensional accuracy and surface characteristics of 3D-printed dental casts. J Prosthet Dent 2020; 126:427-437. [PMID: 32958301 DOI: 10.1016/j.prosdent.2020.07.008] [Citation(s) in RCA: 35] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2019] [Revised: 06/30/2020] [Accepted: 07/01/2020] [Indexed: 10/23/2022]
Abstract
STATEMENT OF PROBLEM Although studies have reported the accuracy of 3D-printed dental casts, studies addressing cast distortion throughout the complete-arch range are lacking. PURPOSE The purpose of this in vitro study was to evaluate the dimensional accuracy of different areas in complete-arch casts made with various 3D printing methods. MATERIAL AND METHODS A computer-aided design (CAD) reference cast was modified from a mandibular cast by adding 6 cylinders in the canine, second premolar, and second molar locations and 3 spheres to define a coordinate system. A total of 50 casts were printed with 5 group materials, which included fused deposition modeling (FDM), digital light processing (DLP1 and DLP2), photopolymer jetting (Polyjet), and stereolithography (SLA). After scanning the 3D printed casts, the overall consistency was examined by superimposing them on the CAD reference cast and measuring the deviations. For dimensional accuracy, cylinder top coordinates were extracted from each printed cast, and X-, Y-, and Z-deviations and the 3D deviation were calculated by subtracting the coordinates of the CAD reference cast from the cast values. Statistical analyses were conducted by the Kruskal-Wallis test and the Mann-Whitney post hoc test (α=.05). Surface characteristics were examined with photographs and scanning electron micrographs. RESULTS FDM showed more systemic deviations than DLP, Polyjet, and SLA from superimposing analysis (P<.01). In the X-axis, FDM and DLP showed contraction, while Polyjet and SLA showed expansion (P<.01). In the Y-axis, FDM showed forward deviations on the right side and DLP showed contraction (P<.01). Three-dimensional deviation at each cylinder location was lowest in the left canine region, and deviations increased with distance from this site in all groups. The qualitative features of casts varied among 3D printers in terms of shape, surface smoothness, and edge sharpness. CONCLUSIONS FDM and DLP casts tended to contract, whereas casts in the Polyjet and SLA groups expanded buccolingually and anterioposteriorly. Vertically, deviations were smaller than those in the other directions.
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Affiliation(s)
- Ji-Man Park
- Associate Professor, Department of Prosthodontics, College of Dentistry, Yonsei University, Seoul, Republic of Korea
| | - Jin Jeon
- Graduate student, Department of Prosthodontics and Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Republic of Korea
| | - Jai-Young Koak
- Professor, Department of Prosthodontics and Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Republic of Korea
| | - Seong-Kyun Kim
- Professor, Department of Prosthodontics and Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Republic of Korea
| | - Seong-Joo Heo
- Professor, Department of Prosthodontics and Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Republic of Korea.
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Vág J, Nagy Z, Bocklet C, Kiss T, Nagy Á, Simon B, Mikolicz Á, Renne W. Marginal and internal fit of full ceramic crowns milled using CADCAM systems on cadaver full arch scans. BMC Oral Health 2020; 20:189. [PMID: 32631333 PMCID: PMC7339429 DOI: 10.1186/s12903-020-01181-9] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2020] [Accepted: 06/29/2020] [Indexed: 11/25/2022] Open
Abstract
Background Chairside systems are becoming more popular for fabricating full-ceramic single restorations, but there is very little knowledge about the effect of the entire workflow process on restoration fit. Therefore, this study aimed to compare the absolute marginal discrepancy (AMD) and the full internal fit (FULL) of all-ceramic crowns made by two chairside systems, Planmeca FIT and CEREC, with detailed and standard mill settings. Methods One upper molar was prepared for an all-ceramic crown in human cadaver maxilla. Full-arch scans were made by Emerald or Omnicam four times each. Twenty-four e.max crowns were designed and milled by the Planmill 30s or 40s or CEREC MCXL mills with either detailed or standard settings. The cadaver tooth was extracted, and each crown was fixed on it and scanned by a high-resolution microCT scanner. The AMD and FULL were measured digitally in mesio-distal and bucco-lingual 2D slices. The actual and predicted times of the milling were also registered. Results No differences were observed between detailed or standard settings in either system. The AMD was significantly higher with CEREC (132 ± 12 μm) than with either Planmill 30s (71 ± 6.9 μm) or 40s (78 ± 7.7 μm). In standard mode, the FULL was significantly higher with CEREC (224 ± 9.6 μm) than with either Planmill 30s (169 ± 8.1 μm) or 40s (178 ± 8.5 μm). There was no difference between actual and predicted time with the two Planmeca models, but with CEREC, the actual time was significantly higher than the predicted time. The 30s had significantly higher actual and predicted times compared to all other models. Across all models, the average milling time was 7.2 min less in standard mode than in detailed mode. Conclusions All fit parameters were in an acceptable range. No differences in fit between Planmeca models suggest no effect of spindle number on accuracy. The detailed setting has no improvement in the marginal or internal fit of the restoration, yet it increases milling time.
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Affiliation(s)
- János Vág
- Department of Conservative Dentistry, Semmelweis University, Szentkirályi utca 47, Budapest, H-1088, Hungary.
| | - Zsolt Nagy
- Department of Conservative Dentistry, Semmelweis University, Szentkirályi utca 47, Budapest, H-1088, Hungary
| | - Christopher Bocklet
- College of Dental Medicine, Medical University of South Carolina, Charleston, SC, USA
| | - Tamás Kiss
- János Szentágothai Research Centre & Department of Pharmacology and Pharmacotherapy, Medical School, University of Pecs, Ifjúság útja 20, Pécs, H-7624, Hungary
| | - Ákos Nagy
- Department of Dentistry, Oral and Maxillofacial Surgery, University of Pecs, Pecs, Hungary
| | - Botond Simon
- Department of Conservative Dentistry, Semmelweis University, Szentkirályi utca 47, Budapest, H-1088, Hungary
| | - Ákos Mikolicz
- Department of Conservative Dentistry, Semmelweis University, Szentkirályi utca 47, Budapest, H-1088, Hungary
| | - Walter Renne
- Department of Oral Rehabilitation, College of Dental Medicine, Medical University of South Carolina, Charleston, SC, USA
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Cokic SM, Vleugels J, Van Meerbeek B, Camargo B, Willems E, Li M, Zhang F. Mechanical properties, aging stability and translucency of speed-sintered zirconia for chairside restorations. Dent Mater 2020; 36:959-972. [PMID: 32493658 DOI: 10.1016/j.dental.2020.04.026] [Citation(s) in RCA: 53] [Impact Index Per Article: 13.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2020] [Revised: 04/10/2020] [Accepted: 04/30/2020] [Indexed: 12/01/2022]
Abstract
OBJECTIVE To evaluate the performance of zirconia ceramics sintered in a speed sintering induction furnace by comprehensive understanding of their optical and mechanical properties, microstructure, phase composition and aging stability, in comparison to ceramics sintered in a conventional furnace. METHODS Speed sintered (SS) Katana STMLSS (Kuraray Noritake) (total thermal cycle/sintering time/dwell temperature: 30min/16min/1560°C) and CEREC Zirconia (CEREC ZrSS) (Dentsply Sirona) (15min/2min/1578°C) were compared to conventionally sintered (CS) Katana STMLCS (6.8h/2h/1550°C) and inCoris TZICS (4h/2h/1510°C). The translucency parameter (TP) and contrast ratio (CR) were measured with a spectrophotometer. The chemical composition of the materials was determined by XRF and phase composition was characterized using XRD. Hydrothermal aging behavior was evaluated by measuring the tetragonal-to-monoclinic ZrO2 phase transformation after accelerated hydrothermal aging in steam at 134°C. The indentation fracture toughness, Vickers hardness and biaxial strength of the sintered ceramics were assessed. RESULTS Speed and conventionally sintered zirconia revealed similar density, microstructure, average strength and hydrothermal aging stability. Both Katana STMLSS/CS 5Y-PSZ ceramics were characterized with a higher content of cubic phase (≈53wt%), which resulted in a higher amount of Y2O3 in the remaining tetragonal ZrO2 phases compared to the 3Y-TZP CEREC ZrSS and inCoris TZICS (8 and 20wt%, respectively). The sintering program did not affect the hydrothermal aging behavior of Katana STMLSS and CEREC ZrSS. TP of Katana STMLSS (TP≈32) was not affected by speed sintering, while the translucency of CEREC ZrSS (TP=14) was significantly reduced. Hardness, fracture toughness and Weibull characteristic strength of Katana STMLSS and CEREC ZrSS also reached the optimal level, but speed sintering substantially lowered their mechanical reliability. SIGNIFICANCE Speed sintering of 3Y-TZP and 5Y-PSZ in a speed sintering induction oven appeared suitable for clinical applications. However, further studies should focus on improving of translucency and mechanical reliability of the speed-sintered zirconia ceramics.
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Affiliation(s)
- Stevan M Cokic
- KU Leuven (University of Leuven), Department of Oral Health Sciences, BIOMAT & UZ Leuven (University Hospitals Leuven), Dentistry, Leuven, Belgium
| | - Jef Vleugels
- KU Leuven (University of Leuven), Department of Materials Engineering (MTM), Kasteelpark Arenberg 44, B-3001 Leuven, Belgium
| | - Bart Van Meerbeek
- KU Leuven (University of Leuven), Department of Oral Health Sciences, BIOMAT & UZ Leuven (University Hospitals Leuven), Dentistry, Leuven, Belgium.
| | - Bernardo Camargo
- KU Leuven (University of Leuven), Department of Oral Health Sciences, BIOMAT & UZ Leuven (University Hospitals Leuven), Dentistry, Leuven, Belgium
| | - Evita Willems
- KU Leuven (University of Leuven), Department of Materials Engineering (MTM), Kasteelpark Arenberg 44, B-3001 Leuven, Belgium
| | - Maoyin Li
- KU Leuven (University of Leuven), Department of Materials Engineering (MTM), Kasteelpark Arenberg 44, B-3001 Leuven, Belgium
| | - Fei Zhang
- KU Leuven (University of Leuven), Department of Oral Health Sciences, BIOMAT & UZ Leuven (University Hospitals Leuven), Dentistry, Leuven, Belgium; KU Leuven (University of Leuven), Department of Materials Engineering (MTM), Kasteelpark Arenberg 44, B-3001 Leuven, Belgium
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Ceramic Materials and Technologies Applied to Digital Works in Implant-Supported Restorative Dentistry. MATERIALS 2020; 13:ma13081964. [PMID: 32331379 PMCID: PMC7216107 DOI: 10.3390/ma13081964] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/27/2020] [Revised: 04/14/2020] [Accepted: 04/20/2020] [Indexed: 12/17/2022]
Abstract
Computer-aided design and manufacturing technology has been closely associated with implant-supported restoration. The digital system employed for prosthodontic restorations comprises data acquisition, processing, and manufacturing using subtractive or additive methods. As digital implantology has developed, optical scanning, computer-based digital algorithms, fabricating techniques, and numerical control skills have all rapidly improved in terms of their accuracy, which has resulted in the development of new ceramic materials with advanced esthetics and durability for clinical application. This study reviews the application of digital technology in implant-supported dental restoration and explores two globally utilized ceramic restorative materials: Yttria-stabilized tetragonal zirconia polycrystalline and lithium disilicate glass ceramics.
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Comparison and evaluation of the morphology of crowns generated by biogeneric design technique with CEREC chairside system. PLoS One 2020; 15:e0227050. [PMID: 31945072 PMCID: PMC6964887 DOI: 10.1371/journal.pone.0227050] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2019] [Accepted: 12/11/2019] [Indexed: 12/28/2022] Open
Abstract
Objectives To better guide clinicians to choose the appropriate chairside system, we compared and evaluated the morphology of crowns generated by three different biogeneric design modes (biogeneric copy (BC), biogeneric individual (BI), and biogeneric reference (BR)) of the CEREC software. Methods Maxillary and mandibular casts were obtained from twelve volunteers and digital impressions were acquired. All ceramic crown preparations of all right maxillary central incisors were prepared and digital impressions were taken. Then, crowns were automatically designed under BC, BI and BR modes separately and their morphologies were evaluated by six doctors. The “optimal fitting alignment” and “3D analysis” functions of the Geomagic Qualify software were carried out between original teeth and auto-generated full crowns. The auto-generated crowns were modified by a technician according to clinical criteria and the adjustment time was recorded. The discrepancies between technician modified crowns and the auto-generated full crowns were evaluated with the same functions in the Geomagic Qualify software. Results The subjective evaluation results of BC group were significantly better than those of BI and BR group (p < 0.05). Compared with the original teeth and modified crowns, auto-generated crowns in BC group all had the smallest differences, followed by BR and BI group (p < 0.05). BC group needed the shortest adjustment time than BI and BR group (p < 0.05). Conclusions Using crowns generated by BC mode is more aesthetic and suitable in clinics use than those generated by BI and BR modes and can reduce clinic adjustment time.
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Effect of Thermocycling, Surface Treatments and Microstructure on the Optical Properties and Roughness of CAD-CAM and Heat-Pressed Glass Ceramics. MATERIALS 2020; 13:ma13020381. [PMID: 31947634 PMCID: PMC7014158 DOI: 10.3390/ma13020381] [Citation(s) in RCA: 34] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/14/2019] [Revised: 01/06/2020] [Accepted: 01/07/2020] [Indexed: 11/24/2022]
Abstract
Dental ceramic restorations are widely spread nowadays due to their aesthetics and biocompatibility. In time, the colour and structure of these ceramic materials can be altered by aging processes. How does artificial aging affect the optical and surface roughness of ceramics? This study aims to assess the effect of thermocycling, surface treatments and microstructure upon translucency, opalescence and surface roughness on CAD-CAM and heat-pressed glass-ceramic. Forty-eight samples (1.5 mm thickness) were fabricated from six types of A2 MT ceramic: heat-pressed and milled glass-ceramic (feldspathic, lithium disilicate and zirconia reinforced lithium silicate). The samples were obtained respecting the manufacturer’s instructions. The resulted surfaces (n = 96) were half glazed and half polished. The samples were subjected to thermocycling (10,000 cycles) and roughness values (Ra and Rz), colour coordinates (L*, a*, b*) and microstructural analyses were assessed before and after thermocycling. Translucency (TP) and opalescence (OP) were calculated. Values were statistically analysed using ANOVA test (one way). TP and OP values were significantly different between heat-pressed and milled ceramics before and also after thermocycling (p < 0.001). Surface treatments (glazing and polishing) had a significant effect on TP and OP and surface roughness (p < 0.05). The heat-pressed and milled zirconia reinforced lithium silicate glass-ceramic experienced a loss in TP and OP. Ra and Rz increased for the glazed samples, TP and OP decreased for all the samples after thermocycling. Microstructural analyse revealed that glazed surfaces were more affected by the thermocycling and especially for the zirconia reinforced lithium silicate ceramic. Optical properties and surface roughness of the chosen ceramic materials were affected by thermocycling, surface treatments and microstructural differences. The least affected of the ceramics was the lithium disilicate ceramic heat-pressed polished and glazed.
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Chen XP, Xiang ZX, Song XF, Yin L. Machinability: Zirconia-reinforced lithium silicate glass ceramic versus lithium disilicate glass ceramic. J Mech Behav Biomed Mater 2019; 101:103435. [PMID: 31586883 DOI: 10.1016/j.jmbbm.2019.103435] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2019] [Revised: 08/27/2019] [Accepted: 09/14/2019] [Indexed: 10/26/2022]
Abstract
Diamond grinding used in dental adjustment of high-strength zirconia-reinforced lithium silicate glass ceramic (ZLS) and lithium disilicate glass ceramic (LDGC) is challenging in restorative dentistry. This study aimed to compare the machinability of ZLS and LDGC in diamond grinding in terms of machining forces and energy, debris, surface and edge chipping damage. Grinding experiments in simulation of dental adjustment were conducted using a computer-assisted high-speed dental handpiece and coarse diamond burs. A piezoelectric force dynamometer and a high-speed data acquisition system were used for on-processing monitoring for assessment of grinding forces and energy. Grinding debris and grinding-induced surface and edge chipping damage were examined using scanning electron microscopy. The results show that grinding of ZLS required higher tangential and normal forces and energy than LDGC (p < 0.05). ZLS was ranked the most difficult to machine among dental glass ceramics based on a machinability index associated with the material mechanical properties. The higher machinability indices of ZLS and LDGC pose a challenge for clinicians to conduct high-efficient material removal for dental adjustment and repair. Both ZLS and LDGC debris were micro fractured particles but the former were smaller than the latter due to the finer microstructure of ZLS. Ground ZLS surfaces contained more irregular microchipping and microfracture in comparison with LDGC surfaces with intergranular fracture or grain dislodgement. Grinding-induced edge chipping damage remained a serious issue for both ZLS and LDGC, which depths ranged approximately 20-100 μm and significantly increased with the material removal rate (p < 0.01). As the zirconia-reinforcement in ZLS only slightly reduced edge chipping damage (p > 0.05), continued efforts are required to explore new reinforcement technologies for optimized LDGC.
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Affiliation(s)
- Xing-Peng Chen
- Key Laboratory of Advanced Ceramics and Machining Technology of Ministry of Education, School of Mechanical Engineering, Tianjin University, Tianjin, 300354, China
| | - Zhong-Xia Xiang
- Key Laboratory of Advanced Ceramics and Machining Technology of Ministry of Education, School of Mechanical Engineering, Tianjin University, Tianjin, 300354, China
| | - Xiao-Fei Song
- Key Laboratory of Advanced Ceramics and Machining Technology of Ministry of Education, School of Mechanical Engineering, Tianjin University, Tianjin, 300354, China.
| | - Ling Yin
- School of Mechanical Engineering, The University of Adelaide, North Terrace, SA, 5005, Australia.
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Al Maaz A, Thompson GA, Drago C, An H, Berzins D. Effect of finish line design and metal alloy on the marginal and internal gaps of selective laser melting printed copings. J Prosthet Dent 2019; 122:143-151. [PMID: 30948295 DOI: 10.1016/j.prosdent.2019.02.009] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2018] [Revised: 02/07/2019] [Accepted: 02/07/2019] [Indexed: 10/27/2022]
Abstract
STATEMENT OF PROBLEM Selective laser melting (SLM) technology has been introduced for printing metal dental restorations from Co-Cr base alloys or Au-Pt high noble alloys. However, information regarding the fit of restorations fabricated by using this technique is limited. PURPOSE The purpose of this in vitro study was to determine the effect of 3 different finish line designs on the marginal and internal gaps of metal copings made from a base (Co-Cr), high noble (Au-Pd-Ag), and noble alloy (Co-Pd) by using the SLM technology. MATERIAL AND METHODS Three Ivorine right maxillary central incisors were prepared with a chamfer, deep chamfer, or shoulder finish line. The preparations were scanned by using a TRIOS scanner, and a total of 90 dies were printed using DPR 10 Resin (30×3 finish line designs). Ten SLM copings were fabricated for each margin design and metal alloy combination for a total of 90 copings (10×3 finish line designs×3 alloys). Copings were cemented onto dies using an autopolymerizing composite-resin luting material. All coping-die assemblies were sectioned buccolingually by using a low-speed diamond saw, and images were obtained by using an inverted bright field metallurgical microscope at ×100 magnification. Marginal and internal gaps were measured at 5 locations: buccal margin, midfacial, incisal, midlingual, and lingual margin. After gap measurements, representative specimens were embedded in autopolymerizing resin and prepared for metallographic examination. A 2-way multivariate analysis of variance (MANOVA) was conducted to determine the overall significance, followed by ANOVA for each dependent variable (α=.05). RESULTS The results indicated that alloy type and finish line had a significant influence on marginal gap of copings (P<.001). Relative to the internal gap, alloy type had a significant effect (P<.001), but the type of finish line had no statistically significant influence (P=.337). No statistically significant interactions occurred. Base alloys were printed with almost no observable porosity, whereas noble and high noble alloys exhibited hot tears and porosity. CONCLUSIONS Thefinish line type did not influence the internal gap between copings and dies, whereas the alloy type influenced the marginal gap between copings and dies. SLM-fabricated Co-Cr copings on teeth prepared with a deep chamfer finish line demonstrated the lowest marginal gap.
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Affiliation(s)
- Adel Al Maaz
- Resident, Graduate Prosthodontics, Marquette University School of Dentistry, Milwaukee, Wis
| | - Geoffrey A Thompson
- Associate Professor and Director, Graduate Prosthodontics, Marquette University School of Dentistry, Milwaukee, Wis.
| | - Carl Drago
- Assistant Professor, Graduate Prosthodontics, Marquette University School of Dentistry, Milwaukee, Wis
| | - Hongseok An
- Assistant Professor, Department of General Dental Sciences, Marquette University School of Dentistry, Milwaukee, Wis
| | - David Berzins
- Professor and Director, Graduate Dental Biomaterials, Department of General Dental Sciences, Marquette University School of Dentistry, Milwaukee, Wis
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Muric A, Gokcen Röhlig B, Ongul D, Evlioglu G. Comparing the precision of reproducibility of computer-aided occlusal design to conventional methods. J Prosthodont Res 2019; 63:110-114. [DOI: 10.1016/j.jpor.2018.10.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2018] [Revised: 09/24/2018] [Accepted: 10/08/2018] [Indexed: 10/27/2022]
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Choi BJ, Yoon S, Im YW, Lee JH, Jung HJ, Lee HH. Uniaxial/biaxial flexure strengths and elastic properties of resin-composite block materials for CAD/CAM. Dent Mater 2018; 35:389-401. [PMID: 30527587 DOI: 10.1016/j.dental.2018.11.032] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2018] [Revised: 11/18/2018] [Accepted: 11/28/2018] [Indexed: 12/22/2022]
Abstract
OBJECTIVE Comparing strengths under different loading conditions provides useful information on the mechanical behaviour of restorative materials under multiaxial masticatory loading in the oral cavity. The aims of this study was to investigate the flexural strengths and the reliability of resin-composite blocks for CAD/CAM by uniaxial and biaxial flexure tests and to compare the elastic properties measured by different methods including digital image correlation (DIC). METHODS Four resin-composite blocks for CAD/CAM, namely, VE (Vita Enamic), LU (Lava Ultimate), MD (Mazic Duro), and CS (Cerasmart), were investigated. Beam specimens (4.0×1.4×18.0mm3) and disks (12-14mmϕ×1.5mm) were prepared to determine the uniaxial (three-point bending) and biaxial (ball-on-ring, BOR) flexural strengths and flexural moduli. A compression test (8×4×18mm3) with DIC analysis was utilized to measure the elastic modulus and Poisson's ratio. Data were analysed by a 2-parameter Weibull function and ANOVA with Scheffe's test. RESULTS The mean uniaxial and biaxial strengths and Weibull moduli of the specimen groups were as follows: uniaxial VE (140.1±7.0, 24.1), LU (159.1±6.3, 31.5), MD (144.9±13.3, 13.6), and CS (165.4±16.9, 11.2) and biaxial VE (153.6±10.4, 19.0), LU (231.0±29.3, 9.7), MD (148.9±23.8, 7.4), and CS (249.7±22.4, 13.8). Although the ranking of both sets of strength data remained unchanged, the strength reliability was significantly affected by the loading; the Weibull moduli of the specimens decreased when they were subjected to biaxial tests (except for that of CS). The elastic modulus values of the materials varied significantly under the different test loadings, although they were in the same order regardless of the test method: VE>>LU≈MD>CS. The DIC technique yielded elastic moduli that were in good agreement with those measured by the uniaxial flexure test. SIGNIFICANCE The flexural strength, reliability, and elastic modulus of resin-composite block materials differed with the uniaxial and biaxial flexural loading and the test method. The different behaviours under both loadings should be considered in the evaluation of the mechanical performance of those materials.
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Affiliation(s)
- Beom-Jin Choi
- Department of Biomaterials Science, College of Dentistry, Dankook University, Cheonan 31116, South Korea
| | - Sungsik Yoon
- Department of Civil and Environmental Engineering, Korea Advanced Institute of Science and Technology, Daejeon 34141, South Korea
| | - Yong-Woon Im
- Department of Biomaterials Science, College of Dentistry, Dankook University, Cheonan 31116, South Korea; Department of Dental Laboratory, Kyungdong University, Wonju 26495, South Korea
| | - Jung-Hwan Lee
- Department of Biomaterials Science, College of Dentistry, Dankook University, Cheonan 31116, South Korea; Institute of Tissue Regeneration Engineering, Dankook University, Cheonan 31116, South Korea
| | - Hyung-Jo Jung
- Department of Civil and Environmental Engineering, Korea Advanced Institute of Science and Technology, Daejeon 34141, South Korea
| | - Hae-Hyoung Lee
- Department of Biomaterials Science, College of Dentistry, Dankook University, Cheonan 31116, South Korea; Institute of Tissue Regeneration Engineering, Dankook University, Cheonan 31116, South Korea.
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Five year clinical outcomes and survival of chairside CAD/CAM ceramic laminate veneers — a retrospective study. J Prosthodont Res 2018; 62:462-467. [DOI: 10.1016/j.jpor.2018.05.004] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2017] [Revised: 05/11/2018] [Accepted: 05/17/2018] [Indexed: 11/18/2022]
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34
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Toupenay S, Fournier BP, Manière MC, Ifi-Naulin C, Berdal A, de La Dure-Molla M. Amelogenesis imperfecta: therapeutic strategy from primary to permanent dentition across case reports. BMC Oral Health 2018; 18:108. [PMID: 29907114 PMCID: PMC6003150 DOI: 10.1186/s12903-018-0554-y] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2016] [Accepted: 05/22/2018] [Indexed: 11/10/2022] Open
Abstract
Background Hereditary enamel defect diseases are regrouped under the name “Amelogenesis Imperfecta” (AIH). Both dentitions are affected. Clinical expression is heterogeneous and varies between patients. Mutations responsible for this multigene disease may alter various genes and the inheritance can be either autosomal dominant or recessive, or X-linked. Until now, no therapeutic consensus has emerged for this rare disease. Case presentation The purpose of this article was to report treatments of AIH patients from childhood to early adulthood. Treatment of three patients of 3, 8 16 years old are described. Each therapeutic option was discussed according to patients’ age and type of enamel alteration. Paediatric crowns and resin based bonding must be preferred in primary teeth. In permanent teeth, non-invasive or minimally invasive dentistry should be the first choice in order to follow a therapeutic gradient from the less invasive options to prosthodontic treatments. Conclusion Functional and aesthetic issues require patients to be treated; this clinical care should be provided as early as possible to enable a harmonious growth of the maxillofacial complex and to prevent pain.
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Affiliation(s)
- Steve Toupenay
- Centre de référence des maladies rares orales et dentaires Orares, Hopital Rothschild, APHP, Paris, France
| | - Benjamin Philippe Fournier
- Centre de référence des maladies rares orales et dentaires Orares, Hopital Rothschild, APHP, Paris, France.,UFR d'Odontologie, Université Paris-Diderot, F-75006, Paris, France.,Université Paris-Descartes, F-75006, Paris, France.,Université Pierre et Marie Curie-Paris, F-75006, Paris, France.,Centre de Recherche des Cordeliers, INSERM UMRS 1138, Laboratory of Molecular Oral Pathophysiology, F-75006, Paris, France
| | - Marie-Cécile Manière
- Hôpitaux Universitaires de Strasbourg, Pôle de Médecine et Chirurgie Bucco-Dentaires, Centre de Référence des Maladies Rares Orales et Dentaires, CRMR O-Rares, Strasbourg, France.,Faculté de Chirurgie Dentaire, Université de Strasbourg, Strasbourg, France
| | - Chantal Ifi-Naulin
- Centre de référence des maladies rares orales et dentaires Orares, Hopital Rothschild, APHP, Paris, France
| | - Ariane Berdal
- Centre de référence des maladies rares orales et dentaires Orares, Hopital Rothschild, APHP, Paris, France.,UFR d'Odontologie, Université Paris-Diderot, F-75006, Paris, France.,Université Paris-Descartes, F-75006, Paris, France.,Université Pierre et Marie Curie-Paris, F-75006, Paris, France.,Centre de Recherche des Cordeliers, INSERM UMRS 1138, Laboratory of Molecular Oral Pathophysiology, F-75006, Paris, France
| | - Muriel de La Dure-Molla
- Centre de référence des maladies rares orales et dentaires Orares, Hopital Rothschild, APHP, Paris, France. .,Université Pierre et Marie Curie-Paris, F-75006, Paris, France. .,INSERM UMR_S1163 Bases moléculaires et physiopathologiques des ostéochondrodysplasies, Institut Imagine, Necker, Paris, France. .,Odontology Department, Rothschild Hospital, 5 rue Santerre, 75012, Paris, France.
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Polishing effects and wear performance of chairside CAD/CAM materials. Clin Oral Investig 2018; 23:725-737. [PMID: 29770877 DOI: 10.1007/s00784-018-2473-3] [Citation(s) in RCA: 72] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2017] [Accepted: 04/25/2018] [Indexed: 10/16/2022]
Abstract
OBJECTIVES To investigate the surface roughness of CAD/CAM materials immediately after milling and after different chairside and labside polishing procedures. A two-body wear test was performed to compare the different wear characteristics of the materials and the corresponding antagonists. MATERIALS AND METHODS Specimens (n = 12 per series) from different CAD/CAM materials (three composites: Lava Ultimate, Cerasmart, BRILLIANT Crios; one hybrid ceramic: VITA Enamic; three ceramics: Celtra Duo, VITA Suprinity, IPS Emax.CAD) were polished according to the manufacturer's instructions. The effect of different polishing procedures was investigated by comparing surface roughness (Ra, Rmax) after labside polishing and after chairside polishing. Wear behavior (mean, volume, and maximum wear) of specimens and antagonists as well as changes in surface roughness were determined in a pin-on-block wear test. Statistical analysis was performed with a one-way analysis of variance (ANOVA)/Bonferroni multiple-comparison post hoc test and a multifactorial ANOVA/Tukey's significant difference post hoc test (α = 0.05). SEM micrographs were used for the qualitative evaluation of surfaces and wear traces. RESULTS After chairside high-gloss polishing, ceramics and composites exhibited Ra values between 0.08 and 0.10 μm and between 0.11 and 0.13 μm, respectively. After labside high-gloss polishing, values varied between 0.02 and 0.09 μm for ceramics and between 0.06 and 0.16 μm for resin composites. No significant differences were found between labside and chairside pre- and high-gloss polishing. For the ceramics, lower mean wear depths (between - 132.2 ± 19.9 and - 137.0 ± 19.0 μm) were identified compared to the resin composites (which exhibited wear depths between - 159.1 ± 19.4 and - 176.3 ± 23.9 μm). For maximum wear depth and volume, a different ranking of the materials was found. Antagonistic wear varied between 12.0 ± 6.4% and 30.6 ± 9.9% and was higher for the ceramic materials and Lava Ultimate. For all materials, a smoothing between 0.20 and 2.70 μm (Ra) was identified after wear simulation. CONCLUSIONS Chairside polishing is as effective as labside polishing, although surfaces were directly adjusted (roughened) only before the chairside polishing. Wear was lowest for ceramics, followed by the resin-infiltrated material and the resin composites. CLINICAL RELEVANCE Polishing after milling or adjustment is essential to guaranteeing optimal clinical performance. Chairside polishing after adjustment leads to comparably smooth surfaces as labside polishing after milling and grinding. Ceramics are expected to exhibit lower wear than resin composites under clinical conditions.
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Juntavee N, Oeng SE. Shear bond strength of ceramic fused to CAD-CAM milled alloys. J Clin Exp Dent 2018; 10:e32-e40. [PMID: 29670713 PMCID: PMC5899811 DOI: 10.4317/jced.54487] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2017] [Accepted: 11/18/2017] [Indexed: 11/05/2022] Open
Abstract
Background This study evaluated the metal ceramic bond strength of cast Ni-Cr, cast Co-Cr, sintered Co-Cr and milled Co-Cr alloys to ceramic through two application procedures including the ceramic layering technique and ceramic pressed-on technique. Material and Methods Ceramic materials (Ø 8 mm, 1.5 mm thickness) were veneered by either the layering or pressed-on technique to cast Ni-Cr, cast Co-Cr, sintered Co-Cr and hard milled Co-Cr alloy disc (12 × 12 × 0.5 mm) (n=15). All specimens were treated with a thermal cycle process for 500 cycles at the temperature between 5 °C and 55 °C with immerse time of 30 seconds and 5 seconds for specimen transfer. The shear bond strength was determined on a universal testing machine at a crosshead speed of 0.5 mm/min. The de-bonding surfaces were examined under visual inspection and SEM. The metal ceramic interface of specimens for each group was examined in SEM and EDS. The means of bond strength were compared using two-way ANOVA followed by post-hoc Tukey HSD multiple comparison test to determine for statistically significant difference at 95% level of confidence. The Weibull analysis was used for determination survival probability of shear bond strength. Results The bond strength of ceramic to sintered Co-Cr alloys was higher than that to others metal alloys. The metal-ceramic mean bond strength was significantly higher for the ceramic pressed-on technique than that of the ceramic layering technique for all tested alloys (p<0.05). Weibull analysis of the shear bond strength indicated that the sintered Co-Cr alloys veneered with heat pressed ceramic provided the highest characteristic strength of metal ceramic bond. Conclusions The sintered Co-Cr alloys significantly contributed the appropriate bond strength for metal ceramic. Ceramic pressed-on was a reliable technique to enhance bond strength for fabrication the metal ceramic restoration. Key words:Bond strength, sintered alloy, milled alloy, Co-Cr alloys, metal ceramic.
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Affiliation(s)
- Niwut Juntavee
- Department of Prosthodontics, Faculty of Dentistry, Khon Kaen University, Khon Kaen, Thailand
| | - San-Eak Oeng
- Division of Biomaterials and Prosthodontics, Faculty of Dentistry, Khon Kaen University, Khon Kaen, Thailand
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Tran D, Nesbit M, Petridis H. Survey of UK dentists regarding the use of CAD/CAM technology. Br Dent J 2018; 221:639-644. [PMID: 27857080 DOI: 10.1038/sj.bdj.2016.862] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/21/2016] [Indexed: 11/09/2022]
Abstract
Statement of the problem Digital workflows (CAD/CAM) have been introduced in dentistry during recent years. No published information exists on dentists' use and reporting of this technology.Purpose The purpose of this survey was to identify the infiltration of CAD/CAM technology in UK dental practices and to investigate the relationship of various demographic factors to the answers regarding use or non-use of this technology.Materials and methods One thousand and thirty-one online surveys were sent to a sample of UK dentists composing of both users and non-users of CAD/CAM. It aimed to reveal information regarding type of usage, materials, perceived benefits, barriers to access, and disadvantages of CAD/CAM dentistry. Statistical analysis was undertaken to test the influence of various demographic variables such as country of work, dentist experience, level of training and type of work (NHS or private).Results The number of completed responses totalled 385. Most of the respondents did not use any part of a digital workflow, and the main barriers to CAD/CAM use were initial costs and a lack of perceived benefit over conventional methods. Dentists delivering mostly private work were most likely to have adopted CAD/CAM technology (P <0.001). Further training also correlated with a greater likelihood of CAD/CAM usage (P <0.001). Most users felt that the technology had led to a change in the use of dental materials, leading to increased use of, for example, zirconia and lithium disilicate. Most users were trained either by companies or self-trained, and a third felt that their training was insufficient. The majority of respondents (89%) felt that CAD/CAM had a big role to play in the future.Conclusion Most of the respondents did not use any part of a digital workflow. However, the majority of surveyed dentists were interested in incorporating CAD/CAM into their workflow, while most believed that it will have a big role in the future. There are still some concerns from dentists about the quality of chairside CAD/CAM restorations while the costs are still in the main hugely prohibitive (especially for NHS dentistry).
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Affiliation(s)
- D Tran
- Department of Restorative Dentistry
| | | | - H Petridis
- Department of Restorative Dentistry, Prosthodontics Unit, UCL Eastman Dental Institute, 256 Grey's Inn Road, London, WC1X 8LD
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Tekçe N, Tuncer S, Demirci M, Kara D, Baydemir C. Microtensile Bond Strength of CAD/CAM Resin Blocks to Dual-Cure Adhesive Cement: The Effect of Different Sandblasting Procedures. J Prosthodont 2018; 28:e485-e490. [PMID: 29430807 DOI: 10.1111/jopr.12737] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/28/2017] [Indexed: 11/27/2022] Open
Abstract
PURPOSE To investigate the effect of sandblasting powder particles on microtensile bond strength (μTBS) of dual-cure adhesive cement to CAD/CAM blocks. MATERIALS AND METHODS CAD/CAM blocks (Cerasmart, VITA, and LAVA) were cut in slabs and divided into groups: group 1, no sandblasting; group 2, sandblasted with 27-μm Al2 O3 ; group 3, sandblasted with 30-μm CoJet; group 4, sandblasted with 50-μm Al2 O3 . After sandblasting, all specimens were silanized and luted using dual-cure adhesive cement (G-CEM LinkForce). After 24 hours, bonded specimens were cut into 1 ± 0.2 mm2 sticks, and μTBS values were obtained (N = 30). Additionally, 132 CAD/CAM block sections were prepared for surface roughness testing and scanning electron microscopy (SEM) evaluations. Results were analyzed using Kruskal-Wallis One-way ANOVA and Dunn's Post Hoc Test (p < 0.05). RESULTS Group 1 exhibited significantly lower μTBS than the other groups (p < 0.05). The highest bond strength values were obtained from group 4 (p > 0.05). For LAVA, μTBS values of specimens that were sandblasted with 50-μm Al2 O3 powder were significantly higher than 30-μm-SiO2 and 27-μm Al2 O3 (p < 0.05). CONCLUSIONS The sand particles investigated (27-μm Al2 O3 , 30-μm SiO2 , or 50-μm Al2 O3 ) did not significantly affect μTBS results of CAD/CAM blocks for Cerasmart and VITA, although the results changed significantly for LAVA. The ideal bond protocol for CAD/CAM blocks is specific to the material used.
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Affiliation(s)
- Neslihan Tekçe
- Department of Restorative Dentistry, Faculty of Dentistry, University of Kocaeli, Kocaeli, Turkey
| | - Safa Tuncer
- Department of Restorative Dentistry, Faculty of Dentistry, University of Istanbul, Istanbul, Turkey
| | - Mustafa Demirci
- Department of Restorative Dentistry, Faculty of Dentistry, University of Istanbul, Istanbul, Turkey
| | - Dilan Kara
- Department of Restorative Dentistry, Faculty of Dentistry, University of Kocaeli, Kocaeli, Turkey
| | - Canan Baydemir
- Department of Biostatistics and Medical Informatics, University of Kocaeli, Kocaeli, Turkey
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Lalande D, Hodd JA, Brousseau JS, Ramos V, Dunham D, Rueggeberg F. Marginal discrepancy dimensions of single unit metal crowns fabricated by using CAD-CAM-milled acrylate resin polymer blocks or a conventional waxing technique. J Prosthet Dent 2017; 119:948-953. [PMID: 29042116 DOI: 10.1016/j.prosdent.2017.07.019] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2015] [Revised: 07/28/2017] [Accepted: 07/31/2017] [Indexed: 11/29/2022]
Abstract
STATEMENT OF PROBLEM Because crowns with open margins are a well-known problem and can lead to complications, it is important to assess the accuracy of margins resulting from the use of a new technique. Currently, data regarding the marginal fit of computer-aided design and computer-aided manufacturing (CAD-CAM) technology to fabricate a complete gold crown (CGC) from a castable acrylate resin polymer block are lacking. PURPOSE The purpose of this in vitro study was to compare marginal discrepancy widths of CGCs fabricated by using either conventional hand waxing or acrylate resin polymer blocks generated by using CAD-CAM technology. MATERIAL AND METHODS A plastic model of a first mandibular molar was prepared by using a 1-mm, rounded chamfer margin on the entire circumference of the tooth. The master die was duplicated 30 times, and 15 wax patterns were fabricated by using a manual waxing technique, and 15 were fabricated by using CAD-CAM technology. All patterns were invested and cast, and resulting CGCs were cemented on their respective die by using resin-modified glass ionomer cement. The specimens were then embedded in acrylic resin and sectioned buccolingually. The buccal and lingual marginal discrepancies of each sectioned portion were measured by using microscopy at ×50 magnification. Data were subjected to repeated measures 2-way ANOVA, by using the Tukey post hoc pairwise comparison test (α=.05). RESULTS The factor of "technique" had no significant influence on marginal discrepancy measurement (P=.431), but a significant effect of "margin location" (P=.019) was noted. The confounding combination of factors was found to be significantly lower marginal discrepancy dimensions of the lingual margin discrepancy than on the buccal side by using CAD-CAM technology. CONCLUSIONS The marginal discrepancy of CAD-CAM acrylate resin crowns was not significantly different from those made with a conventional manual method; however, lingual margin discrepancies present from CAD-CAM-prepared crowns were significantly less than those measured on the respective buccal surface.
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Affiliation(s)
- David Lalande
- Major, Canadian Armed Forces Practice Leader in Prosthodontics, Québec City, Québec, Canada
| | - Jeffrey A Hodd
- Clinical Associate Professor, Division of Prosthodontics Restorative Sciences, University of Minnesota School of Dentistry, Minneapolis, Minn.
| | - John S Brousseau
- Assistant Director, Advanced Education Program in Prosthodontics, U.S. Army Dental Health Activity, Fort Gordon, Ga
| | - Van Ramos
- Associate Professor and Director, Graduate Prosthodontics, Department of Restorative Dentistry, University of Washington School of Dentistry, Seattle, Wash
| | - Daniel Dunham
- Colonel, Deputy Commander, U.S. Army Dental Laboratory, Fort Gordon, Ga
| | - Frederick Rueggeberg
- Professor and Section Director, Dental Materials, Department of Restorative Sciences, Dental College of Georgia at Augusta University, Augusta, Ga
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Lee JW, Park JM, Park EJ, Heo SJ, Koak JY, Kim SK. Accuracy of a digital removable partial denture fabricated by casting a rapid prototyped pattern: A clinical study. J Prosthet Dent 2017; 118:468-474. [DOI: 10.1016/j.prosdent.2016.12.007] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2016] [Revised: 12/09/2016] [Accepted: 12/09/2016] [Indexed: 10/19/2022]
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Yuan JCC, Barão VAR, Wee AG, Alfaro MF, Afshari FS, Sukotjo C. Effect of brushing and thermocycling on the shade and surface roughness of CAD-CAM ceramic restorations. J Prosthet Dent 2017; 119:1000-1006. [PMID: 28965682 DOI: 10.1016/j.prosdent.2017.06.001] [Citation(s) in RCA: 48] [Impact Index Per Article: 6.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2016] [Revised: 06/01/2017] [Accepted: 06/01/2017] [Indexed: 11/16/2022]
Abstract
STATEMENT OF PROBLEM The effects of toothbrushing (B) and thermocycling (TC) on the surface texture of different materials with various fabrication processes have been investigated. However, studies of computer-aided design and computer-aided manufacturing (CAD-CAM) ceramic restorations are limited. PURPOSE The purpose of this in vitro study was to evaluate the effect of B and TC on the color stability and surface roughness of extrinsically characterized and glazed CAD-CAM ceramic restorations. MATERIAL AND METHODS Lithium disilicate CAD ceramic (n=90) and zirconia ceramic (n=90) were studied. All specimens were crystallized/sintered, characterized, and glazed following the manufacturer's recommendation. The specimens were divided into 9 different groups: B, TC, and a combination of B plus TC (B+TC). Brushing was performed at 50 000, 100 000, and 150 000 cycles, simulating an oral environment of 5, 10, and 15 years. Thermocycling was performed at 6000, 12 000, and 18 000 cycles, simulating an oral environment of 5, 10, and 15 years. Brushing plus TC was performed with the combination of the 50 000 cycles of B, then 6000 cycles of TC, and 10 000 cycles of B, then 12 000 cycles of TC, and 15 000 cycles of B, then 18 000 cycles of TC. The color and surface roughness of each specimen were measured before and after all interventions with simulated cycles. Color differences (ΔE) and surface roughness (ΔRa) data were analyzed using 2-way ANOVA, followed by the least significant difference test (α=.05). The correlation between ΔE and ΔRa was statistically analyzed using the Pearson correlation analysis. RESULTS Within the lithium disilicate CAD groups, intervention did not result in any significant differences in color change (P>.05). Within the zirconia groups, a 15-year clinical simulation revealed significantly higher ΔE values than a simulated 5-year exposure (P=.017). Increased simulated cycles showed significantly higher Ra values for all groups. Within the zirconia groups, B revealed significantly smoother surfaces than TC (P<.001) and B+TC interventions (P<.001). For the zirconia, simulating B+TC for15 years revealed significantly higher Ra values than the groups of B+TC for 5 years (P<.001) and B+TC for 10 years (P=.003). No correlation (lithium disilicate CAD, r=.079; P=.462; zirconia, r=.001; P=.989) was found between the color change and surface roughness. CONCLUSIONS For both lithium disilicate CAD and zirconia, color changes were below the selected clinical perceptible threshold (ΔE=2.6) after all intervention and simulated cycles. All mean surface roughness measurements were below 0.2 μm. Generally, the surface of both lithium disilicate CAD and zirconia became rougher. No correlation was found between color difference and surface roughness for either material.
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Affiliation(s)
- Judy Chia-Chun Yuan
- Associate Professor and Predoctoral Implant Program Director, Department of Restorative Dentistry, University of Illinois at Chicago, College of Dentistry, Chicago, Ill.
| | - Valentim Adelino Ricardo Barão
- Assistant Professor, Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas, San Paolo, Brazil
| | - Alvin G Wee
- Section Head, Maxillofacial Prosthodontics, Veteran's Affairs Nebraska Western Iowa Health Care System, Omaha, Neb, and Special Associate Professor, Department of Prosthodontics, Creighton University School of Dentistry, Omaha, Neb
| | - Maria F Alfaro
- Former Assistant Director of Digital Oral Health Science and Technology, Department of Restorative Dentistry, University of Illinois at Chicago, College of Dentistry, Chicago, Ill; Prosthodontics resident, Department of Biological and Materials Sciences and Division of Prosthodontics, University of Michigan School of Dentistry, Ann Arbor, Mich
| | - Fatemeh S Afshari
- Clinical Associate Professor, Department of Restorative Dentistry, University of Illinois at Chicago, College of Dentistry, Chicago, Ill
| | - Cortino Sukotjo
- Associate Professor, Department of Restorative Dentistry, University of Illinois at Chicago, College of Dentistry, Chicago, Ill
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de Siqueira FSF, Cardenas AFM, Gruber YL, Kose C, Pupo YM, Gomes GM, Gomes OMM, Gomes JC. Using CAD/CAM–Modified Correlation Mode to Produce Laminate Veneers: A Six-Month Case Report. Oper Dent 2017; 42:E139-E147. [DOI: 10.2341/15-300-t] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
The expectation of an esthetically harmonious smile increases the level of difficulty when treating patients. Laminate veneers stand out as a treatment option for cosmetic rehabilitation in clinical practice, as they are a more conservative procedure and mimic dental structures. These laminate veneers are generally made with different techniques; the most common requires an impression of the prepared tooth, an impression antagonist, fabrication models, and extensive laboratory time. The computer-aided design/computer-aided manufacturing (CAD/CAM) system optimizes the fabrication of prosthetic structures, reducing chairside time and promoting good esthetic results. Thus, the purpose of this case report is to present the esthetic result of multiple CAD/CAM manufactured laminate veneers using a new self-etching glass ceramic primer with a lithium disilicate ceramic, using the modified correlation and biogeneric modes.
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Affiliation(s)
- FSF de Siqueira
- Fabiana Suelen Figuerêdo de Siqueira, DDS, MS, PhD student, State University of Ponta Grossa, Department of Restorative Dentistry, Ponta Grossa, Paraná, Brazil
| | - AFM Cardenas
- Andres Felipe Millan Cardenas, DDS, MS, PhD, professor, CEUMA University, Department of Restorative Dentistry, São Luiz, Maranhão, Brazil
| | - YL Gruber
- Yançanã Luizy Gruber, DDS, MS, PhD student, State University of Ponta Grossa, Department of Restorative Dentistry, Ponta Grossa, Paraná, Brazil
| | - C Kose
- Carlos Kose, DDS, MS, PhD, State University of Ponta Grossa, Department of Restorative Dentistry, Ponta Grossa, Paraná, Brazil
| | - YM Pupo
- Yasmine Mendes Pupo, DDS, MS, PhD, professor, Federal University of Paraná, Department of Restorative Dentistry, Curitiba, Paraná, Brazil
| | - GM Gomes
- Giovana Mongruel Gomes, DDS, MS, PhD, professor, State University of Ponta Grossa, Department of Restorative Dentistry, Ponta Grossa, Paraná, Brazil
| | - OMM Gomes
- Giovana Mongruel Gomes, DDS, MS, PhD, professor, State University of Ponta Grossa, Department of Restorative Dentistry, Ponta Grossa, Paraná, Brazil
| | - JC Gomes
- Giovana Mongruel Gomes, DDS, MS, PhD, professor, State University of Ponta Grossa, Department of Restorative Dentistry, Ponta Grossa, Paraná, Brazil
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Desoutter A, Yusuf Solieman O, Subsol G, Tassery H, Cuisinier F, Fages M. Method to evaluate the noise of 3D intra-oral scanner. PLoS One 2017; 12:e0182206. [PMID: 28792965 PMCID: PMC5549906 DOI: 10.1371/journal.pone.0182206] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2016] [Accepted: 07/13/2017] [Indexed: 11/18/2022] Open
Abstract
In dentistry, 3D intra-oral scanners are gaining increasing popularity essentially for the production of dental prostheses. However, there is no normalized procedure to evaluate their basic performance and enable comparisons among intra-oral scanners. The noise value highlights the trueness of a 3D intra-oral scanner and its capacity to plan prosthesis with efficient clinical precision. The aim of the present study is to develop a reproducible methodology for determining the noise of an intra-oral scanner. To this aim, and as a reference, an ultra-flat and ultra-smooth alumina wafer is used as a blank test. The roughness is calculated using an AFM (atomic force microscope) and interferometric microscope measurements to validate this ultra-flat characteristic. Then, two intra-oral scanners (Carestream CS3500 and Trios 3Shape) are used. The wafer is imaged by the two intra-oral scanners with three different angles and two different directions, 10 times for each parameter, given a total of 50 3D-meshes per intra-oral scanner. RMS (root mean square), representing the noise, is evaluated and compared for each angle/direction and each intra-oral scanner, for the whole mesh, and then in a central ROI (region of interest). In this study, we obtained RMS values ranging between 5.29 and 12.58 micrometers. No statistically significant differences were found between the mean RMS of the two intra-oral scanners, but significant differences in angulation and orientations were found between different 3D intra-oral scanners. This study shows that the evaluation of RMS can be an indicator of the value of the noise, which can be easily assessed by applying the present methodology.
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Affiliation(s)
- Alban Desoutter
- Laboratoire Bioingénierie et Nanosciences, Montpellier University, Montpellier, France
- * E-mail:
| | - Osama Yusuf Solieman
- Laboratoire Bioingénierie et Nanosciences, Montpellier University, Montpellier, France
| | - Gérard Subsol
- Project-Team ICAR, Laboratoire d'Informatique, de Robotique et de Microélectronique de Montpellier, Centre National de la Recherche Scientifique, Montpellier University, Montpellier, France
| | - Hervé Tassery
- Laboratoire Bioingénierie et Nanosciences, Montpellier University, Montpellier, France
| | - Frédéric Cuisinier
- Laboratoire Bioingénierie et Nanosciences, Montpellier University, Montpellier, France
| | - Michel Fages
- Laboratoire Bioingénierie et Nanosciences, Montpellier University, Montpellier, France
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Yamamoto M, Kataoka Y, Manabe A. Comparison of digital intraoral scanners by single-image capture system and full-color movie system. Biomed Mater Eng 2017; 28:305-314. [PMID: 28527193 DOI: 10.3233/bme-171676] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND The use of dental computer-aided design/computer-aided manufacturing (CAD/CAM) restoration is rapidly increasing. OBJECTIVE This study was performed to evaluate the marginal and internal cement thickness and the adhesive gap of internal cavities comprising CAD/CAM materials using two digital impression acquisition methods and micro-computed tomography. METHODS Images obtained by a single-image acquisition system (Bluecam Ver. 4.0) and a full-color video acquisition system (Omnicam Ver. 4.2) were divided into the BL and OM groups, respectively. Silicone impressions were prepared from an ISO-standard metal mold, and CEREC Stone BC and New Fuji Rock IMP were used to create working models (n=20) in the BL and OM groups (n=10 per group), respectively. Individual inlays were designed in a conventional manner using designated software, and all restorations were prepared using CEREC inLab MC XL. These were assembled with the corresponding working models used for measurement, and the level of fit was examined by three-dimensional analysis based on micro-computed tomography. RESULTS Significant differences in the marginal and internal cement thickness and adhesive gap spacing were found between the OM and BL groups. CONCLUSIONS The full-color movie capture system appears to be a more optimal restoration system than the single-image capture system.
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Affiliation(s)
- Meguru Yamamoto
- Division of Aesthetic Dentistry and Clinical Cariology, Department of Conservative Dentistry, Showa University School of Dentistry, Tokyo, Japan
| | - Yu Kataoka
- Division of Biomaterials and Engineering, Department of Conservative Dentistry, Showa University School of Dentistry, Tokyo, Japan
| | - Atsufumi Manabe
- Division of Aesthetic Dentistry and Clinical Cariology, Department of Conservative Dentistry, Showa University School of Dentistry, Tokyo, Japan
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Bürgin S, Rohr N, Fischer J. Assessing degradation of composite resin cements during artificial aging by Martens hardness. Head Face Med 2017; 13:9. [PMID: 28526054 PMCID: PMC5437403 DOI: 10.1186/s13005-017-0142-4] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2017] [Accepted: 05/11/2017] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Aim of the study was to verify the efficiency of Martens hardness measurements in detecting the degradation of composite resin cements during artificial aging. METHODS Four cements were used: Variolink II (VL2), RelyX Unicem 2 Automix (RUN), PermaFlo DC (PDC), and DuoCem (DCM). Specimens for Martens hardness measurements were light-cured and stored in water at 37 °C for 1 day to allow complete polymerization (baseline). Subsequently the specimens were artificially aged by water storage at 37 °C or thermal cycling (n = 6). Hardness was measured at baseline as well as after 1, 4, 9 and 16 days of aging. Specimens for indirect tensile strength measurements were produced in a similar manner. Indirect tensile strength was measured at baseline and after 16 days of aging (n = 10). The results were statistically analyzed using one-way ANOVA (α = 0.05). RESULTS After water storage for 16 days hardness was significantly reduced for VL2, RUN and DCM while hardness of PDC as well as indirect tensile strength of all cements were not significantly affected. Thermal cycling significantly reduced both, hardness and indirect tensile strength for all cements. No general correlation was found between Martens hardness and indirect tensile strength. However, when each material was analyzed separately, relative change of hardness and of indirect tensile strength revealed a strong linear correlation. CONCLUSIONS Martens hardness is a sensible test method to assess aging of resin composite cements during thermal cycling that is easy to perform.
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Affiliation(s)
- Stefan Bürgin
- Division of Dental Materials and Engineering, Department of Reconstructive Dentistry and Temporomandibular Disorders, University Center for Dental Medicine Basel, University of Basel, Hebelstrasse 3, 4056, Basel, Switzerland
| | - Nadja Rohr
- Division of Dental Materials and Engineering, Department of Reconstructive Dentistry and Temporomandibular Disorders, University Center for Dental Medicine Basel, University of Basel, Hebelstrasse 3, 4056, Basel, Switzerland.
| | - Jens Fischer
- Division of Dental Materials and Engineering, Department of Reconstructive Dentistry and Temporomandibular Disorders, University Center for Dental Medicine Basel, University of Basel, Hebelstrasse 3, 4056, Basel, Switzerland
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Influence of Teeth Preparation Finishing on the Adaptation of Lithium Disilicate Crowns. Int J Biomater 2017; 2017:2078526. [PMID: 28424734 PMCID: PMC5382306 DOI: 10.1155/2017/2078526] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2016] [Revised: 03/14/2017] [Accepted: 03/15/2017] [Indexed: 11/18/2022] Open
Abstract
The polishing step of teeth preparations for crowns is a step often performed, so that there is an increased time during the clinical procedure. The aim of this study is to evaluate the marginal and internal adaptation of all-ceramic CAD/CAM lithium disilicate crowns in polished preparations for crown and nonpolished preparations for crowns. For this purpose, 20 first molars were selected, which were divided into two groups (n = 10) G1, teeth that received surface roughening similar to preparation without polishing, and G2 (control), polished preparations. After the preparations were completed the teeth were scanned (Cerec Bluecam, Sirona, Bensheim, Germany), and the crowns were designed and machined using CAD/CAM technology (Sirona, Bensheim, Germany). The adaptation of the pieces was evaluated using polyvinyl siloxane replicas and stereomicroscope photographs with 70x magnifications. The normality test indicated a nonnormal result, so a Man-Whitney nonparametric test was performed. One out of the 24 measured regions showed a statistically significant difference (p = 0.0494). With this study it can be concluded that crowns fabricated by CAD/CAM technology performed on unpolished preparations are not influenced by the internal marginal adaptation and the ceramic part and are different from polished preparations.
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May JT. Conservative Anterior Partial Coverage CAD/CAM Restoration. Oper Dent 2017; 42:117-121. [DOI: 10.2341/16-117-s] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
Computer-aided design and manufacturing technology enables practitioners to create, in a single appointment, indirect restorations that are esthetic and functionally unique to the patient's situation. The popular effort to perform minimally invasive dentistry using digital techniques with chairside milling can lead dentists to novel individualized restorative treatment. This article demonstrates a conservative anterior partial coverage restoration, utilizing both digital technology and chairside ceramic characterization to achieve an optimal esthetic outcome while preserving healthy tooth structure.
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Affiliation(s)
- JT May
- Jaren T May, DDS, United States Navy, Marine Corps Recruit Depot Parris Island, Branch Dental Clinic, Beaufort, SC 29902, USA
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Marginal Accuracy and Internal Fit of 3-D Printing Laser-Sintered Co-Cr Alloy Copings. MATERIALS 2017; 10:ma10010093. [PMID: 28772451 PMCID: PMC5344574 DOI: 10.3390/ma10010093] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/08/2016] [Revised: 01/17/2017] [Accepted: 01/18/2017] [Indexed: 12/04/2022]
Abstract
Laser sintered technology has been introduced for clinical use and can be utilized more widely, accompanied by the digitalization of dentistry and the development of direct oral scanning devices. This study was performed with the aim of comparing the marginal accuracy and internal fit of Co-Cr alloy copings fabricated by casting, CAD/CAM (Computer-aided design/Computer-assisted manufacture) milled, and 3-D laser sintered techniques. A total of 36 Co-Cr alloy crown-copings were fabricated from an implant abutment. The marginal and internal fit were evaluated by measuring the weight of the silicone material, the vertical marginal discrepancy using a microscope, and the internal gap in the sectioned specimens. The data were statistically analyzed by One-way ANOVA (analysis of variance), a Scheffe’s test, and Pearson’s correlation at the significance level of p = 0.05, using statistics software. The silicone weight was significantly low in the casting group. The 3-D laser sintered group showed the highest vertical discrepancy, and marginal-, occlusal-, and average- internal gaps (p < 0.05). The CAD/CAM milled group revealed a significantly high axial internal gap. There are moderate correlations between the vertical marginal discrepancy and the internal gap variables (r = 0.654), except for the silicone weight. In this study, the 3-D laser sintered group achieved clinically acceptable marginal accuracy and internal fit.
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Sailer I, Benic GI, Fehmer V, Hämmerle CHF, Mühlemann S. Randomized controlled within-subject evaluation of digital and conventional workflows for the fabrication of lithium disilicate single crowns. Part II: CAD-CAM versus conventional laboratory procedures. J Prosthet Dent 2016; 118:43-48. [PMID: 28024819 DOI: 10.1016/j.prosdent.2016.09.031] [Citation(s) in RCA: 52] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2016] [Revised: 09/20/2016] [Accepted: 09/20/2016] [Indexed: 11/29/2022]
Abstract
STATEMENT OF PROBLEM Clinical studies are needed to evaluate the entire digital and conventional workflows in prosthetic dentistry. PURPOSE The purpose of the second part of this clinical study was to compare the laboratory production time for tooth-supported single crowns made with 4 different digital workflows and 1 conventional workflow and to compare these crowns clinically. MATERIAL AND METHODS For each of 10 participants, a monolithic crown was fabricated in lithium disilicate-reinforced glass ceramic (IPS e.max CAD). The computer-aided design and computer-aided manufacturing (CAD-CAM) systems were Lava C.O.S. CAD software and centralized CAM (group L), Cares CAD software and centralized CAM (group iT), Cerec Connect CAD software and lab side CAM (group CiL), and Cerec Connect CAD software with centralized CAM (group CiD). The conventional fabrication (group K) included a wax pattern of the crown and heat pressing according to the lost-wax technique (IPS e.max Press). The time for the fabrication of the casts and the crowns was recorded. Subsequently, the crowns were clinically evaluated and the corresponding treatment times were recorded. The Paired Wilcoxon test with the Bonferroni correction was applied to detect differences among treatment groups (α=.05). RESULTS The total mean (±standard deviation) active working time for the dental technician was 88 ±6 minutes in group L, 74 ±12 minutes in group iT, 74 ±5 minutes in group CiL, 92 ±8 minutes in group CiD, and 148 ±11 minutes in group K. The dental technician spent significantly more working time for the conventional workflow than for the digital workflows (P<.001). No statistically significant differences were found between group L and group CiD or between group iT and group CiL. No statistical differences in time for the clinical evaluation were found among groups, indicating similar outcomes (P>.05). CONCLUSIONS Irrespective of the CAD-CAM system, the overall laboratory working time for a digital workflow was significantly shorter than for the conventional workflow, since the dental technician needed less active working time.
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Affiliation(s)
- Irena Sailer
- Professor, Division of Fixed Prosthodontics and Biomaterials, University Clinics for Dental Medicine, University of Geneva, Geneva, Switzerland.
| | - Goran I Benic
- Senior Teaching and Research Assistant, Clinic of Fixed and Removable Prosthodontics and Dental Material Science, Center of Dental Medicine, University of Zurich, Zurich, Switzerland
| | - Vincent Fehmer
- Master Dental Technician, Division of Fixed Prosthodontics and Biomaterials, University Clinics for Dental Medicine, University of Geneva, Geneva, Switzerland
| | - Christoph H F Hämmerle
- Professor, Clinic of Fixed and Removable Prosthodontics and Dental Material Science, Center of Dental Medicine, University of Zurich, Zurich, Switzerland
| | - Sven Mühlemann
- Senior Teaching and Research Assistant, Clinic of Fixed and Removable Prosthodontics and Dental Material Science, Center of Dental Medicine, University of Zurich, Zurich, Switzerland
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Abdullah AO, Tsitrou EA, Pollington S. Comparative in vitro evaluation of CAD/CAM vs conventional provisional crowns. J Appl Oral Sci 2016; 24:258-63. [PMID: 27383707 PMCID: PMC5022219 DOI: 10.1590/1678-775720150451] [Citation(s) in RCA: 73] [Impact Index Per Article: 9.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2015] [Accepted: 04/03/2016] [Indexed: 11/22/2022] Open
Abstract
Objective This study compared the marginal gap, internal fit, fracture strength, and mode of fracture of CAD/CAM provisional crowns with that of direct provisional crowns. Material and Methods An upper right first premolar phantom tooth was prepared for full ceramic crown following tooth preparation guidelines. The materials tested were: VITA CAD-Temp®, Polyetheretherketone “PEEK”, Telio CAD-Temp, and Protemp™4 (control group). The crowns were divided into four groups (n=10), Group1: VITA CAD-Temp®, Group 2: PEEK, Group 3: Telio CAD-Temp, and Group 4: Protemp™4. Each crown was investigated for marginal and internal fit, fracture strength, and mode of fracture. Statistical analysis was performed using GraphPad Prism software version 6.0. Results The average marginal gap was: VITA CAD-Temp® 60.61 (±9.99) µm, PEEK 46.75 (±8.26) µm, Telio CAD-Temp 56.10 (±5.65) µm, and Protemp™4 193.07(±35.96) µm (P<0.001). The average internal fit was: VITA CAD-Temp® 124.94 (±22.96) µm, PEEK 113.14 (±23.55) µm, Telio CAD-Temp 110.95 (±11.64) µm, and Protemp™4 143.48(±26.74) µm. The average fracture strength was: VITA CAD-Temp® 361.01 (±21.61) N, PEEK 802.23 (±111.29) N, Telio CAD-Temp 719.24 (±95.17) N, and Protemp™4 416.40 (±69.14) N. One-way ANOVA test showed a statistically significant difference for marginal gap, internal gap, and fracture strength between all groups (p<0.001). However, the mode of fracture showed no differences between the groups (p>0.05). Conclusions CAD/CAM fabricated provisional crowns demonstrated superior fit and better strength than direct provisional crowns.
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Affiliation(s)
- Adil Othman Abdullah
- - Erbil Polytechnic University, Department of Dental Prevention, Erbil, Kurdistan Region, Iraq
| | - Effrosyni A Tsitrou
- - Aristotle University of Thessaloniki, Department of Operative Dentistry, School of Dentistry, Thessaloniki, Greece
| | - Sarah Pollington
- - University of Sheffield, School of Clinical Dentistry, Academic Unit of Restorative Dentistry, Sheffield, United Kingdom
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