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Mohamed PA, Ibrahim YM, Hanno KIH, Abdul-Monem MM. Evaluation of microhardness, degree of conversion, and abrasion resistance of nanoglass and multiwalled carbon nanotubes reinforced three-dimensionally printed denture base resins. J Prosthodont 2024. [PMID: 39138863 DOI: 10.1111/jopr.13924] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2024] [Accepted: 07/28/2024] [Indexed: 08/15/2024] Open
Abstract
PURPOSE To assess the effect of nanoglass (NG) particles and multiwalled carbon nanotubes' (MWCNTs) addition on Vickers hardness (VH), degree of conversion (DC), and abrasion resistance of 3D-printed denture base resin. MATERIALS AND METHODS 3D-printed denture base resin was reinforced using silanized NG and MWCNTs to obtain four groups: Control, 0.25 wt% NG reinforced resin, 0.25 wt% MWCNTs reinforced resin, and a combination group of 0.25 wt% of both fillers. All specimens (N = 176) were tested before and after thermal aging (600 cycles) for VH (n = 22), DC, and abrasion resistance (n = 22). Abrasion resistance specimens were subjected to 60,000 brushing strokes, and then assessed for surface roughness (Ra) and weight loss. Specimens were then scanned with a benchtop scanner before and after abrasion to produce a color map of topographical changes from superimposed images. Data were analyzed using ANOVA tests followed by Tukey post hoc test. Kruskal-Wallis test was used to compare percent change among groups, followed by Dunn post hoc test (α = 0.05). RESULTS The interaction between nanofiller content and thermal cycling displayed a significant effect on VH and DC. The 0.25% NG expressed the highest VH before aging but revealed the highest percent decrease after aging. Nanofiller content, thermal aging, and brushing displayed a significant interaction impact on the Ra values. CONCLUSIONS The addition of nanofillers resulted in an overall improvement in resin microhardness and abrasion resistance. The 0.25% MWCNTs group revealed the lowest Ra with the least percent change in VH and DC, while the combination one displayed the least change in weight.
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Affiliation(s)
- Pansai Ashraf Mohamed
- Department of Dental Biomaterials, Faculty of Dentistry, University of Alexandria, Alexandria, Egypt
| | - Yomna Mohamed Ibrahim
- Department of Dental Biomaterials, Faculty of Dentistry, University of Alexandria, Alexandria, Egypt
| | | | - Mohamed Mahmoud Abdul-Monem
- Department of Dental Biomaterials, Faculty of Dentistry, University of Alexandria, Alexandria, Egypt
- Division of Dental Biomaterials, Department of Prosthodontics, Faculty of Dentistry, Alamein International University, Alamein, Egypt
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Işisağ Ö, Pektaş N. Comparison of the fracture strengths of single-unit metal-ceramic and monolithic zirconium restorations in the molar region: a systematic review and meta-analysis. Odontology 2024; 112:751-760. [PMID: 38103151 DOI: 10.1007/s10266-023-00878-x] [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: 05/12/2023] [Accepted: 11/17/2023] [Indexed: 12/17/2023]
Abstract
Despite the success of monolithic zirconia restorations (MZ), metal-ceramic restorations (MC) are still considered the gold standard for fixed prosthetics in the posterior region. This systematic review and meta-analysis aimed to compare the fracture strengths of single-unit MC and MZ in the molar region. This review was based on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA, 2020) statement. All articles were searched from the PubMed and Web of Science databases until November 18, 2022. All in vitro studies evaluating the fracture strengths of MC and MZ were also included. Statistical analysis was performed with the Comprehensive Meta-Analysis program, with a significance level of 0.05. Out of 753 studies, five were selected. The fracture strengths of MZ and MC did not show any statistically significant difference for both tooth (95% CI - 1.589: 2.118, p = 0.779, z = 0.280) and implant (95% CI - 2.215: 2.191, p = 0.992 z = - 0.010) supported restorations. However, different abutment materials (p < 0.001) and aging treatments (p < 0.001) in tooth-supported restorations displayed a significant statistical difference. Additionally, a significant difference was also observed in subgroup analysis considering different cements (p = 0.001) and load speeds (p = 0.001) in implant-supported restorations. Fracture strengths of MZ and MC did not show a significant statistical difference in implant or tooth-supported single-unit posterior restorations. MZ may be a suitable alternative to MC in single-unit posterior restorations. The results should be interpreted with caution, as the included studies were in vitro.
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Affiliation(s)
- Özer Işisağ
- Department of Prosthodontics, Faculty of Dentistry, Afyonkarahisar Health Sciences University, Inonu Boulevard No: 4, Afyonkarahisar, Turkey.
| | - Nur Pektaş
- Department of Prosthodontics, Faculty of Dentistry, Afyonkarahisar Health Sciences University, Inonu Boulevard No: 4, Afyonkarahisar, Turkey
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Patel M, Barrera L, Chu L, Whang K. Development of an antimicrobial, 3D printable denture base material with K18 quaternary ammonium silane-functionalized methyl methacrylate and filler. J Prosthet Dent 2024; 131:1251.e1-1251.e8. [PMID: 38523046 DOI: 10.1016/j.prosdent.2024.03.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2023] [Revised: 03/04/2024] [Accepted: 03/08/2024] [Indexed: 03/26/2024]
Abstract
STATEMENT OF PROBLEM Denture base materials are highly susceptible to microbial colonization, which can lead to denture stomatitis. In addition, patients who sleep with their dentures have an increased chance of contracting pneumonia. Commercially available antimicrobial denture base materials to prevent or combat microbial colonization are lacking. PURPOSE The purpose of this in vitro study was to determine the effects of K18 quaternary ammonium methacryloxy silane-functionalized filler (K18-Filler) and methyl methacrylate (K18-MMA) on the polymerization of 3D printed denture base material and its esthetic, mechanical, and antimicrobial properties. MATERIAL AND METHODS K18-Filler (0%, 10%, 20% w/w) and K18-MMA (0%, 5%, 12.5% w/w) were added to a 3D printable denture base resin (Denture Base Resin, Original Pink; Formlabs Inc) and 3D printed. Specimens were tested by using the Rockwell15T hardness, near infrared FTIR monomer-to-polymer degree of conversion (DoC), transparency parameter (TP), color shift, and 3-point bend and by counting colony forming units against Streptococcus aureus, Streptococcus sanguinis and Candida albicans tests. Data were analyzed using analysis of variance with the Tukey-Kramer HSD post hoc test. RESULTS Control resins had significantly higher Rockwell15T hardness than most of the K18 groups (P<.05) but had comparable DoC with all K18 groups except one, showing that all groups were well polymerized. Controls had significantly higher TP than most K18 groups, but most K18 groups had ΔE<3.3, so the color shift was not noticeable. However, the 12.5% K18-MMA with 10% and 20% K18-Filler groups, which were also the groups used to test for antimicrobial activity, had ΔE>8. All K18 groups had comparable or greater moduli than the controls, but the controls had significantly higher ultimate transverse strengths than most K18 groups (P<.05). All 12.5% K18-MMA with K18-Filler groups had significant antimicrobial activity against S. aureus, S. sanguinis, and C. albicans. CONCLUSIONS 12.5% K18-MMA and K18-Filler produced 3D printable denture materials with comparable polymerization properties and significant antimicrobial properties against S. mutans, S. sanguinis, and C. albicans. High K18-MMA and K18-Filler concentrations caused significant color shifts and reductions in ultimate strengths.
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Affiliation(s)
- Mansi Patel
- Undergraduate student and Researcher, Department of Comprehensive Dentistry, University of Texas Health Science Center at San Antonio, San Antonio, Texas
| | - Leslie Barrera
- Research Associate, Department of Comprehensive Dentistry, University of Texas Health Science Center at San Antonio, San Antonio, Texas
| | - Lianrui Chu
- Adjunct Faculty Member, Department of Comprehensive Dentistry, University of Texas Health Science Center at San Antonio, San Antonio, Texas
| | - Kyumin Whang
- Professor, Department of Comprehensive Dentistry, University of Texas Health Science Center at San Antonio, San Antonio, Texas.
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Dimitrova M, Vlahova A, Kazakova R. Assessment of CAD/CAM Fabrication Technologies for Post and Core Restorations-A Narrative Review. MEDICINA (KAUNAS, LITHUANIA) 2024; 60:748. [PMID: 38792931 PMCID: PMC11123209 DOI: 10.3390/medicina60050748] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/05/2024] [Revised: 04/27/2024] [Accepted: 04/28/2024] [Indexed: 05/26/2024]
Abstract
The primary objective of this study is to conduct a comprehensive review of the existing literature that discusses research on post and core restorations, covering aspects such as their composition, manufacturing methods, and clinical effectiveness. The methodology employed in this review encompasses the implementation of a well-defined search strategy, the establishment of criteria for inclusion and exclusion, and the selection of relevant studies to summarize their findings. To gather relevant literature published between 1993 and 2023, the research team conducted separate searches on PubMed, Web of Science, and Embase databases. In total, 168 titles were initially retrieved from these electronic databases. By applying the predefined exclusion criteria, the researchers identified 73 articles that specifically address the conventional and computer-aided design/computer-aided manufacturing (CAD/CAM) technologies employed in post and core restorations. These treatments are commonly employed to restore teeth that have received endodontic therapy and subsequently experienced loss of dental structure. The development of computerized technology for the creation of customized posts and cores has emerged as a straightforward and efficient alternative to traditional methods. The review synthesizes papers discussing the techniques and materials involved in CAD/CAM-based construction of post and cores. It explores strategies for restoring endodontically treated teeth, highlighting both direct and indirect approaches. Commonly mentioned materials include zirconia, composite resin, and hybrid ceramics. Despite the limited literature on CAD/CAM post and core procedures, the review emphasizes the necessity of further research to assess long-term outcomes and efficacy. Additionally, it suggests including implications for future research and clinical recommendations to enhance the depth and practical relevance of the review.
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Affiliation(s)
- Mariya Dimitrova
- Department of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria; (A.V.); (R.K.)
| | - Angelina Vlahova
- Department of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria; (A.V.); (R.K.)
- CAD/CAM Center of Dental Medicine, Research Institute, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria
| | - Rada Kazakova
- Department of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria; (A.V.); (R.K.)
- CAD/CAM Center of Dental Medicine, Research Institute, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria
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Elbakyan L, Zaporotskova I. Composite Nanomaterials Based on Polymethylmethacrylate Doped with Carbon Nanotubes and Nanoparticles: A Review. Polymers (Basel) 2024; 16:1242. [PMID: 38732712 PMCID: PMC11085673 DOI: 10.3390/polym16091242] [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: 03/30/2024] [Revised: 04/22/2024] [Accepted: 04/25/2024] [Indexed: 05/13/2024] Open
Abstract
Composite polymer materials have high strength and lightness, which makes them attractive for use in a variety of structures and products. The present article contains an overview of modern works devoted to the production of composite materials based on poly(methyl methacrylate) (PMMA) with improved characteristics. The possibility of obtaining such materials can be a key area for creating more efficient and durable products in various industries. Various methods were considered to improve the characteristics of PMMA by doping the polymer matrix with carbon nanotubes (CNTs), graphite, nanohydroxyapatite particles, micro-zirconia nanoparticles, titanium dioxide, etc. The possibilities of using the obtained composite materials in various industries such as aviation, automotive, construction, medical and others are discussed. This article also presents the results of our own research on the mechanisms of interaction of PMMA with single-layer CNTs, leading to the creation of a composite polymer system "PMMA+CNT", achieved using the modern quantum chemical method DFT. This article presents a review of the recent research on the effect of CNTs on the mechanical and electrically conductive properties of nanocomposite materials. The outcomes of this study can be important for the development of science and technology in various fields, from fundamental chemistry to applied scientific research.
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Affiliation(s)
- Lusine Elbakyan
- Institute of Priority Technologies, Volgograd State University, 100 Prospect Universitetsky, Volgograd 400062, Russia;
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Chuchulska B, Dimitrova M, Vlahova A, Hristov I, Tomova Z, Kazakova R. Comparative Analysis of the Mechanical Properties and Biocompatibility between CAD/CAM and Conventional Polymers Applied in Prosthetic Dentistry. Polymers (Basel) 2024; 16:877. [PMID: 38611135 PMCID: PMC11013798 DOI: 10.3390/polym16070877] [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: 02/26/2024] [Revised: 03/14/2024] [Accepted: 03/19/2024] [Indexed: 04/14/2024] Open
Abstract
Modern media often portray CAD/CAM technology as widely utilized in the fabrication of dental prosthetics. This study presents a comparative analysis of the mechanical properties and biocompatibility of CAD/CAM (Computer-Aided Design/Computer-Aided Manufacturing) polymers and conventional polymers commonly utilized in prosthetic dentistry. With the increasing adoption of CAD/CAM technology in dental laboratories and practices, understanding the differences in material properties is crucial for informed decision-making in prosthodontic treatment planning. Through a narrative review of the literature and empirical data, this study evaluates the mechanical strength, durability, esthetics, and biocompatibility of CAD/CAM polymers in comparison to traditional polymers. Furthermore, it examines the implications of these findings on the clinical outcomes and long-term success of prosthetic restorations. The results provide valuable insights into the advantages and limitations of CAD/CAM polymers, informing clinicians and researchers about their suitability for various dental prosthetic applications. This study underscores the considerable advantages of CAD/CAM polymers over conventional ones in terms of mechanical properties, biocompatibility, and esthetics for prosthetic dentistry. CAD/CAM technology offers improved mechanical strength and durability, potentially enhancing the long-term performance of dental prosthetics, while the biocompatibility of these polymers makes them suitable for a broad patient demographic, reducing the risk of adverse reactions. The practical implications of these findings for dental technicians and dentists are significant, as understanding these material differences enables tailored treatment planning to meet individual patient needs and preferences. Integration of CAD/CAM technology into dental practices can lead to more predictable outcomes and heightened patient satisfaction with prosthetic restorations.
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Affiliation(s)
- Bozhana Chuchulska
- Department of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria; (A.V.); (I.H.); (Z.T.); (R.K.)
| | - Mariya Dimitrova
- Department of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria; (A.V.); (I.H.); (Z.T.); (R.K.)
| | - Angelina Vlahova
- Department of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria; (A.V.); (I.H.); (Z.T.); (R.K.)
- CAD/CAM Center of Dental Medicine, Research Institute, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria
| | - Ilian Hristov
- Department of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria; (A.V.); (I.H.); (Z.T.); (R.K.)
| | - Zlatina Tomova
- Department of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria; (A.V.); (I.H.); (Z.T.); (R.K.)
| | - Rada Kazakova
- Department of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria; (A.V.); (I.H.); (Z.T.); (R.K.)
- CAD/CAM Center of Dental Medicine, Research Institute, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria
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Gad MM, Abualsaud R. Effect of repair and surface treatments on the strength of digitally fabricated resin-based dental prostheses: A systematic review of in vitro studies. J Dent 2024; 141:104806. [PMID: 38154701 DOI: 10.1016/j.jdent.2023.104806] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2023] [Revised: 11/01/2023] [Accepted: 12/12/2023] [Indexed: 12/30/2023] Open
Abstract
OBJECTIVE This review investigated the current literature pertaining to the repairability of computer-aided design-computer-aided manufacturing (CAD-CAM) milled and three-dimensional (3D) printed resin-based dental prostheses (RBDPs) as well as the appropriate surface treatment for each repair material that will produce adequate repair bond strength. DATA/SOURCES PubMed, Web of Science, and Scopus databases were searched for published articles involving repair of CAD-CAM RBDPs between January 2010 and June 2023. Data were collected and analyzed to reveal the surface treatment effects, suggested repair materials, and strength of repaired RBDPs. STUDY SELECTION Out of 164 retrieved titles, 11 studies were included, of which five investigated the repair of 3D-printed RBDPs, three investigated the repair of CAD-CAM milled resins, and three investigated both materials. Additionally, of the included studies, seven investigated denture base resins, three studied provisional restoration resins, and one evaluated 3D-printed intraoral splints. Various surface treatments were suggested, with air-abrasive methods being the most commonly used. Different materials for resin repair were proposed and used, including auto-polymerized, reline, and composite resins. For 3D-printed resins, repair with Bis-acrylic/Bis-GMA composites improved repair strength. CONCLUSION Surface treatments positively affected the repair strength of conventional and milled RBDPs. However, challenges remain relevant to the repair of 3D-printed resins owing to composition mismatches and fabrication techniques. Therefore, further investigation is required to develop new 3D-printed resins. CLINICAL SIGNIFICANCE CAD-CAM milled resins have satisfactory repair strength, which increases with surface treatment. The repair of 3D-printed resins has proven challenging even with surface treatments. However, composite resins are the materials of choice.
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Affiliation(s)
- Mohammed M Gad
- Lecturer, Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia.
| | - Reem Abualsaud
- Associate Professor, Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia
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Le Bars P, Kouadio AA, Amouriq Y, Bodic F, Blery P, Bandiaky ON. Different Polymers for the Base of Removable Dentures? Part II: A Narrative Review of the Dynamics of Microbial Plaque Formation on Dentures. Polymers (Basel) 2023; 16:40. [PMID: 38201705 PMCID: PMC10780608 DOI: 10.3390/polym16010040] [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: 06/30/2023] [Revised: 12/04/2023] [Accepted: 12/08/2023] [Indexed: 01/12/2024] Open
Abstract
This review focuses on the current disparities and gaps in research on the characteristics of the oral ecosystem of denture wearers, making a unique contribution to the literature on this topic. We aimed to synthesize the literature on the state of current knowledge concerning the biological behavior of the different polymers used in prosthetics. Whichever polymer is used in the composition of the prosthetic base (poly methyl methacrylate acrylic (PMMA), polyamide (PA), or polyether ether ketone (PEEK)), the simple presence of a removable prosthesis in the oral cavity can disturb the balance of the oral microbiota. This phenomenon is aggravated by poor oral hygiene, resulting in an increased microbial load coupled with the reduced salivation that is associated with older patients. In 15-70% of patients, this imbalance leads to the appearance of inflammation under the prosthesis (denture stomatitis, DS). DS is dependent on the equilibrium-as well as on the reciprocal, fragile, and constantly dynamic conditions-between the host and the microbiome in the oral cavity. Several local and general parameters contribute to this balance. Locally, the formation of microbial plaque on dentures (DMP) depends on the phenomena of adhesion, aggregation, and accumulation of microorganisms. To limit DMP, apart from oral and lifestyle hygiene, the prosthesis must be polished and regularly immersed in a disinfectant bath. It can also be covered with an insulating coating. In the long term, relining and maintenance of the prosthesis must also be established to control microbial proliferation. On the other hand, several general conditions specific to the host (aging; heredity; allergies; diseases such as diabetes mellitus or cardiovascular, respiratory, or digestive diseases; and immunodeficiencies) can make the management of DS difficult. Thus, the second part of this review addresses the complexity of the management of DMP depending on the polymer used. The methodology followed in this review comprised the formulation of a search strategy, definition of the inclusion and exclusion criteria, and selection of studies for analysis. The PubMed database was searched independently for pertinent studies. A total of 213 titles were retrieved from the electronic databases, and after applying the exclusion criteria, we selected 84 articles on the possible microbial interactions between the prosthesis and the oral environment, with a particular emphasis on Candida albicans.
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Affiliation(s)
- Pierre Le Bars
- Department of Prosthetic Dentistry, Faculty of Dentistry, Nantes University, 1 Place Alexis Ricordeau, F-44042 Nantes, France; (A.A.K.); (Y.A.); (F.B.); (P.B.)
- Nantes University, Oniris, University of Angers, CHU Nantes (Clinical Investigation Unit Odontology), INSERM, Regenerative Medicine and Skeleton, RMeS, UMR 1229, F-44000 Nantes, France;
| | - Alain Ayepa Kouadio
- Department of Prosthetic Dentistry, Faculty of Dentistry, Nantes University, 1 Place Alexis Ricordeau, F-44042 Nantes, France; (A.A.K.); (Y.A.); (F.B.); (P.B.)
- Department of Prosthetic Dentistry, Faculty of Dentistry, CHU, Abidjan P.O. Box 612, Côte d’Ivoire
| | - Yves Amouriq
- Department of Prosthetic Dentistry, Faculty of Dentistry, Nantes University, 1 Place Alexis Ricordeau, F-44042 Nantes, France; (A.A.K.); (Y.A.); (F.B.); (P.B.)
- Nantes University, Oniris, University of Angers, CHU Nantes (Clinical Investigation Unit Odontology), INSERM, Regenerative Medicine and Skeleton, RMeS, UMR 1229, F-44000 Nantes, France;
| | - François Bodic
- Department of Prosthetic Dentistry, Faculty of Dentistry, Nantes University, 1 Place Alexis Ricordeau, F-44042 Nantes, France; (A.A.K.); (Y.A.); (F.B.); (P.B.)
- Nantes University, Oniris, University of Angers, CHU Nantes (Clinical Investigation Unit Odontology), INSERM, Regenerative Medicine and Skeleton, RMeS, UMR 1229, F-44000 Nantes, France;
| | - Pauline Blery
- Department of Prosthetic Dentistry, Faculty of Dentistry, Nantes University, 1 Place Alexis Ricordeau, F-44042 Nantes, France; (A.A.K.); (Y.A.); (F.B.); (P.B.)
- Nantes University, Oniris, University of Angers, CHU Nantes (Clinical Investigation Unit Odontology), INSERM, Regenerative Medicine and Skeleton, RMeS, UMR 1229, F-44000 Nantes, France;
| | - Octave Nadile Bandiaky
- Nantes University, Oniris, University of Angers, CHU Nantes (Clinical Investigation Unit Odontology), INSERM, Regenerative Medicine and Skeleton, RMeS, UMR 1229, F-44000 Nantes, France;
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Dimitrova M, Vlahova A, Kalachev Y, Zlatev S, Kazakova R, Capodiferro S. Recent Advances in 3D Printing of Polymers for Application in Prosthodontics. Polymers (Basel) 2023; 15:4525. [PMID: 38231950 PMCID: PMC10708542 DOI: 10.3390/polym15234525] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2023] [Revised: 11/15/2023] [Accepted: 11/22/2023] [Indexed: 01/19/2024] Open
Abstract
Contemporary mass media frequently depict 3D printing as a technology with widespread utilization in the creation of dental prosthetics. This paper endeavors to provide an evidence-based assessment of the current scope of 3D printing's integration within dental laboratories and practices. Its primary objective is to offer a systematic evaluation of the existing applications of 3D-printing technology within the realm of dental prosthetic restorations. Furthermore, this article delves into potential prospects, while also critically examining the sustained relevance of conventional dental laboratory services and manufacturing procedures. The central focus of this article is to expound upon the extent to which 3D printing is presently harnessed for crafting dental prosthetic appliances. By presenting verifiable data and factual insights, this article aspires to elucidate the actual implementation of 3D printing in prosthetic dentistry and its seamless integration into dental practices. The aim of this narrative review is twofold: firstly, to provide an informed and unbiased evaluation of the role that 3D printing currently plays within dental laboratories and practices; and secondly, to instigate contemplation on the transformative potential of this technology, both in terms of its contemporary impact and its future implications, while maintaining a balanced consideration of traditional dental approaches.
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Affiliation(s)
- Mariya Dimitrova
- Department of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria; (A.V.); (Y.K.); (S.Z.); (R.K.)
| | - Angelina Vlahova
- Department of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria; (A.V.); (Y.K.); (S.Z.); (R.K.)
- CAD/CAM Center of Dental Medicine, Research Institute, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria
| | - Yavor Kalachev
- Department of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria; (A.V.); (Y.K.); (S.Z.); (R.K.)
| | - Stefan Zlatev
- Department of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria; (A.V.); (Y.K.); (S.Z.); (R.K.)
- CAD/CAM Center of Dental Medicine, Research Institute, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria
| | - Rada Kazakova
- Department of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria; (A.V.); (Y.K.); (S.Z.); (R.K.)
- CAD/CAM Center of Dental Medicine, Research Institute, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria
| | - Saverio Capodiferro
- Department of Interdisciplinary Medicine, Aldo Moro, University of Bari, 70100 Bari, Italy;
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Grachev DI, Zolotnitsky IV, Stepanov DY, Kozulin AA, Mustafaev MS, Deshev AV, Arutyunov DS, Tlupov IV, Panin SV, Arutyunov SD. Ranking Technologies of Additive Manufacturing of Removable Complete Dentures by the Results of Their Mechanical Testing. Dent J (Basel) 2023; 11:265. [PMID: 37999029 PMCID: PMC10670402 DOI: 10.3390/dj11110265] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2023] [Revised: 10/20/2023] [Accepted: 11/09/2023] [Indexed: 11/25/2023] Open
Abstract
In this study, a methodology was developed for ranking manufacturing technologies of removable complete dentures (RCDs) according to the results of their full-scale mechanical tests. The actuality of the study is motivated by establishing the advantages and drawbacks of 3D-printed RCDs in contrast with ones manufactured via an analog protocol. The RCDs were fabricated via four technological routes that included various combinations of subtractive technologies (hot polymerization/HP and CAD/CAM milling) and additive manufacturing (digital light processing/DLP) ones and the installation of commercially available cosmetic denture teeth (DT). In the mechanical tests, different blocks of teeth (incisors, canines, premolars and molars) were loaded. To solve the ranking problem, it was proposed to interpret the results of the mechanical tests in terms of the reliability, durability and compliance/stiffness criteria. For this purpose, the combined AHP-VIKOR method was applied. In addition, a computer simulation of the mechanical loading conditions and the response of the RCDs was performed based on the finite element method (FEM). As the key conclusion, it was stated that additive manufacturing (AM) methods are competitive and cost-effective techniques for the fabrication of RCDs.
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Affiliation(s)
- Dmitry I. Grachev
- Digital Dentistry Department, A.I. Yevdokimov Moscow State University of Medicine and Dentistry, 127473 Moscow, Russia; (D.I.G.)
| | - Igor V. Zolotnitsky
- Orthopedic Dentistry Department, A.I. Yevdokimov Moscow State University of Medicine and Dentistry, 127473 Moscow, Russia;
| | - Dmitry Yu. Stepanov
- Laboratory of Mechanics of Polymer Composite Materials, Institute of Strength Physics and Materials Science of Siberian Branch of Russian Academy of Sciences, 634055 Tomsk, Russia;
| | - Alexander A. Kozulin
- Department of Solid Mechanics, Physical-Technical Faculty of National Research Tomsk State University, 634050 Tomsk, Russia;
| | - Magomet Sh. Mustafaev
- Institution of Dentistry and Maxillo-Facial Surgery, Kabardino-Balkarian State University Named after H.M. Berbekov, 360004 Nalchik, Russia; (M.S.M.); (A.V.D.); (I.V.T.)
| | - Aslan V. Deshev
- Institution of Dentistry and Maxillo-Facial Surgery, Kabardino-Balkarian State University Named after H.M. Berbekov, 360004 Nalchik, Russia; (M.S.M.); (A.V.D.); (I.V.T.)
| | - Dmitriy S. Arutyunov
- Propaedeutics and Prosthodontics Technology Department, A.I. Yevdokimov Moscow State University of Medicine and Dentistry, 127473 Moscow, Russia;
| | - Islam V. Tlupov
- Institution of Dentistry and Maxillo-Facial Surgery, Kabardino-Balkarian State University Named after H.M. Berbekov, 360004 Nalchik, Russia; (M.S.M.); (A.V.D.); (I.V.T.)
| | - Sergey V. Panin
- Laboratory of Mechanics of Polymer Composite Materials, Institute of Strength Physics and Materials Science of Siberian Branch of Russian Academy of Sciences, 634055 Tomsk, Russia;
| | - Sergey D. Arutyunov
- Digital Dentistry Department, A.I. Yevdokimov Moscow State University of Medicine and Dentistry, 127473 Moscow, Russia; (D.I.G.)
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Lee WJ, Jo YH, Yilmaz B, Yoon HI. Effect of build angle, resin layer thickness and viscosity on the surface properties and microbial adhesion of denture bases manufactured using digital light processing. J Dent 2023; 137:104608. [PMID: 37433380 DOI: 10.1016/j.jdent.2023.104608] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2023] [Revised: 06/20/2023] [Accepted: 07/08/2023] [Indexed: 07/13/2023] Open
Abstract
OBJECTIVES To investigate differences in the surface properties and microbial adhesion of denture base resins for digital light processing (DLP) with varying resin layer thicknesses (LT), build angles (BA), and resin viscosities. METHODS Two denture base resins for DLP with different viscosities (high and low) were used to prepare disk specimens applying two manufacturing parameters: 1) LT (50 or 100 μm) and 2) BA (0-, 45-, and 90-degree). Surface roughness and contact angle values were measured on the test surfaces (n=10 per group). Streptococcus oralis and Candida albicans absorbance was measured to assess microorganism attachment (n=6 per group). A three-way analysis of variance (ANOVA) was conducted, considering the main effects and their interactions (viscosity, LT, and BA). Post-hoc multiple pairwise comparisons were performed. All data were analyzed at a level of significance (P) of 0.05. RESULTS LT and BA significantly affected the surface roughness and contact angle of the specimens, depending on resin viscosity (P<.001). Absorbance measurement showed no significant interaction between the three factors (P>.05). However, significant interactions were observed between viscosity and BA (P<.05) and between LT and BA (P<.05). CONCLUSIONS Regardless of the viscosity and LT, discs with a 0-degree BA showed the least roughness. High-viscosity specimens fabricated with a 0-degree BA had the lowest contact angle. Regardless of the LT and viscosity, discs with a 0-degree BA showed the lowest S. oralis attachment. Attachment of C. albicans was the least on the disk with 50 μm LT, irrespective of the viscosity. CLINICAL SIGNIFICANCE Clinicians should consider the effects of LT and BA on surface roughness, contact angle, and microbial adhesion of DLP-generated dentures, which can differ depending on resin viscosity. A 50 μm LT and 0-degree BA can be used with a high-viscosity resin to fabricate denture bases with less microbial adhesion.
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Affiliation(s)
- Won-Jun Lee
- Department of Prosthodontics, School of Dentistry and Dental Research Institute, Seoul National University, Seoul, Republic of Korea
| | - Ye-Hyeon Jo
- Dental Research Institute, Seoul National University School of Dentistry, Seoul, Republic of Korea
| | - Burak Yilmaz
- Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland; Department of Restorative, Preventive and Pediatric Dentistry, School of Dental Medicine, University of Bern, Bern, Switzerland; Division of Restorative and Prosthetic Dentistry, The Ohio State University, Columbus, Ohio, USA
| | - Hyung-In Yoon
- Department of Prosthodontics, School of Dentistry and Dental Research Institute, Seoul National University, Seoul, Republic of Korea; Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland.
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12
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Petousis M, Ntintakis I, David C, Sagris D, Nasikas NK, Korlos A, Moutsopoulou A, Vidakis N. A Coherent Assessment of the Compressive Strain Rate Response of PC, PETG, PMMA, and TPU Thermoplastics in MEX Additive Manufacturing. Polymers (Basel) 2023; 15:3926. [PMID: 37835975 PMCID: PMC10574899 DOI: 10.3390/polym15193926] [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: 09/04/2023] [Revised: 09/20/2023] [Accepted: 09/26/2023] [Indexed: 10/15/2023] Open
Abstract
In this study, we successfully address a significant research and engineering gap by quantitatively assessing the impact of varying compressive loading rates on the mechanical behavior of four popular thermoplastic polymers in material-extrusion-based (MEX) 3D printing. Raw powders of polycarbonate (PC), polyethylene terephthalate glycol (PETG), polymethyl methacrylate (PMMA), and thermoplastic polyurethane (TPU) were processed through melt extrusion, and the filaments were used to 3D-print the test samples. For completeness, thermogravimetric analysis and a compressive test following the ASTM-D695 standard were conducted. Ultimately, the compressive strength and yield stress, the compressive modulus of elasticity and toughness, and the maximum compressive sensitivity index were thoroughly documented. Specimens were tested in strain rates from 1.3 mm/min to 200 mm/min. The compressive strength (40% for the PMMA) and stiffness (29% for the TPU) increased with the increase in the strain rate in all polymers tested. PC had the highest strain rate sensitivity. Significant variations in deformation and fracture modes were observed and thoroughly documented throughout this study. Our findings can be useful in industrial engineering as valued design optimization input parameters in various applications involving the above-mentioned polymeric materials.
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Affiliation(s)
- Markos Petousis
- Department of Mechanical Engineering, Hellenic Mediterranean University, 71410 Heraklion, Greece; (M.P.); (I.N.); (A.M.)
| | - Ioannis Ntintakis
- Department of Mechanical Engineering, Hellenic Mediterranean University, 71410 Heraklion, Greece; (M.P.); (I.N.); (A.M.)
| | - Constantine David
- Department of Mechanical Engineering, International Hellenic University, Serres Campus, 62124 Serres, Greece; (C.D.); (D.S.)
| | - Dimitrios Sagris
- Department of Mechanical Engineering, International Hellenic University, Serres Campus, 62124 Serres, Greece; (C.D.); (D.S.)
| | - Nektarios K. Nasikas
- Division of Mathematics and Engineering Sciences, Department of Military Sciences, Hellenic Army Academy, 16673 Vari, Greece;
| | - Apostolos Korlos
- Department of Industrial Engineering and Management, International Hellenic University, 14th km Thessaloniki—N. Moudania, Thermi, 57001 Thessaloniki, Greece;
| | - Amalia Moutsopoulou
- Department of Mechanical Engineering, Hellenic Mediterranean University, 71410 Heraklion, Greece; (M.P.); (I.N.); (A.M.)
| | - Nectarios Vidakis
- Department of Mechanical Engineering, Hellenic Mediterranean University, 71410 Heraklion, Greece; (M.P.); (I.N.); (A.M.)
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Falahchai M, Ghavami-Lahiji M, Rasaie V, Amin M, Neshandar Asli H. Comparison of mechanical properties, surface roughness, and color stability of 3D-printed and conventional heat-polymerizing denture base materials. J Prosthet Dent 2023; 130:266.e1-266.e8. [PMID: 37422420 DOI: 10.1016/j.prosdent.2023.06.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2022] [Revised: 06/08/2023] [Accepted: 06/09/2023] [Indexed: 07/10/2023]
Abstract
STATEMENT OF PROBLEM Studies on the mechanical, optical, and surface properties of 3-dimensionally (3D) printed denture base materials are scarce, and those available have reported conflicting results. PURPOSE The purpose of this in vitro study was to compare the mechanical properties, surface roughness, and color stability of 3D-printed and conventional heat-polymerizing denture base materials. MATERIAL AND METHODS A total of 34 rectangular specimens (64×10×3.3 mm) were fabricated from each of the conventional (SR Triplex Hot; Ivoclar AG) and 3D-printed (Denta base; Asiga) denture base materials. All specimens underwent coffee thermocycling for 5000 cycles, and half in each group (n=17) were evaluated in terms of color parameters, color change (ΔE00), and surface roughness (Ra) before and after coffee thermocycling. The specimens then underwent a 3-point bend test. The remaining specimens in each group (n=17) underwent impact strength and Vickers hardness testing. Data were analyzed by the paired samples, independent samples, and Wilcoxon signed rank tests (α=.05). RESULTS The color change caused by coffee thermocycling in the 3D-printed group was higher than that in the conventional group (P<.001). Surface roughness significantly increased in both groups after coffee thermocycling (P<.001). The conventional group had higher surface roughness before coffee thermocycling, while the 3D-printed group had higher surface roughness after coffee thermocycling (P<.001). The flexural strength, flexural modulus, and surface hardness in the conventional group were significantly higher than those in the 3D-printed group (P<.001). However, the impact strength of the conventional group was lower than that of the 3D-printed group (P<.001). CONCLUSIONS The 3D-printed denture base material showed higher impact strength and surface roughness than the conventional heat-polymerizing acrylic resin. However, flexural strength and modulus, surface hardness, and color stability were lower in the 3D-printed group.
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Affiliation(s)
- Mehran Falahchai
- Associate Professor, Department of Prosthodontics, Dental Sciences Research Center, School of Dentistry, Guilan University of Medical Sciences, Rasht, Iran
| | - Mehrsima Ghavami-Lahiji
- Associate Professor, Department of Prosthodontics, Dental Sciences Research Center, School of Dentistry, Guilan University of Medical Sciences, Rasht, Iran; Assistant Professor, Dental Sciences Research Center, Department of Restorative Dentistry, School of Dentistry, Guilan University of Medical Sciences, Rasht, Iran
| | - Vanya Rasaie
- Researcher, Department of Prosthodontics, Dental Research Center, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Mohammad Amin
- Associate Professor, Department of Prosthodontics, Dental Sciences Research Center, School of Dentistry, Guilan University of Medical Sciences, Rasht, Iran; Assistant Professor, Dental Sciences Research Center, Department of Restorative Dentistry, School of Dentistry, Guilan University of Medical Sciences, Rasht, Iran; Graduate student, Dental Sciences Research Center, School of Dentistry, Guilan University of Medical Sciences, Rasht, Iran
| | - Hamid Neshandar Asli
- Associate Professor, Department of Prosthodontics, Dental Sciences Research Center, School of Dentistry, Guilan University of Medical Sciences, Rasht, Iran; Assistant Professor, Dental Sciences Research Center, Department of Restorative Dentistry, School of Dentistry, Guilan University of Medical Sciences, Rasht, Iran; Professor, Department of Prosthodontics, Dental Sciences Research Center, School of Dentistry, Guilan University of Medical Sciences, Rasht, Iran.
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14
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Lee WJ, Jo YH, Yilmaz B, Yoon HI. Effect of layer thickness, build angle, and viscosity on the mechanical properties and manufacturing trueness of denture base resin for digital light processing. J Dent 2023; 135:104598. [PMID: 37356562 DOI: 10.1016/j.jdent.2023.104598] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2023] [Revised: 06/10/2023] [Accepted: 06/20/2023] [Indexed: 06/27/2023] Open
Abstract
OBJECTIVES To investigate effects of layer thickness, build angle, and viscosity on the mechanical properties and trueness of denture base resins used for digital light processing (DLP). METHODS Two denture base resins for DLP in different viscosity (high and low) were tested by using two manufacturing parameters:1) layer thickness (LT) (50- or 100-μm) and 2) build angle (BA) (0-, 45-, and 90-degree). disk- and bar-shaped specimens were used to evaluate hardness and flexural strength, respectively. Denture base specimens were used to examine trueness, and the deviation was calculated as the root mean square. Three-way analysis of variance (ANOVA) was conducted to determine the interaction among the three factors (viscosity, LT, and BA). Statistical significance was set at P < .05. RESULTS Effects of LT and BA on hardness differed according to viscosity, with significant interactions among three factors (P=.027). Regardless of LT or BA, the low-viscosity group had higher hardness than the high-viscosity group (P<.001). In terms of flexural strength, no significant interaction was detected between the factors (P=.212), however, the effects of LT and BA were significant (P=.003 and P<.001, respectively). Regarding trueness, a significant interaction was observed between viscosity and BA (P=.001). Low-viscosity group had higher trueness than high-viscosity group when the 45- and 90-degree BA were applied (P<.001). CONCLUSIONS LT and BA significantly affected the mechanical properties and trueness of the 3DP denture base, depending on the viscosity. For hardness and trueness, using low-viscosity resin and manufacturing with 50-μm LT and 45-degree BA are recommended. CLINICAL SIGNIFICANCE Resin viscosity affects the influence of LT and BA on the hardness, flexural strength, and trueness of DLP-generated denture bases. A 50-μm LT and 45-degree BA can be used with a low-viscosity resin to fabricate denture bases with higher hardness and trueness.
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Affiliation(s)
- Won-Jun Lee
- Department of Prosthodontics, School of Dentistry and Dental Research Institute, Seoul National University, Seoul, Republic of Korea
| | - Ye-Hyeon Jo
- Dental Research Institute, Seoul National University School of Dentistry, Seoul, Republic of Korea
| | - Burak Yilmaz
- Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland; Department of Restorative, Preventive and Pediatric Dentistry, School of Dental Medicine, University of Bern, Bern, Switzerland; Division of Restorative and Prosthetic Dentistry, The Ohio State University, Columbus, Ohio, USA
| | - Hyung-In Yoon
- Department of Prosthodontics, School of Dentistry and Dental Research Institute, Seoul National University, Seoul, Republic of Korea; Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland.
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15
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Vidakis N, Petousis M, Mountakis N, Moutsopoulou A, Karapidakis E. Energy Consumption vs. Tensile Strength of Poly[methyl methacrylate] in Material Extrusion 3D Printing: The Impact of Six Control Settings. Polymers (Basel) 2023; 15:polym15040845. [PMID: 36850131 PMCID: PMC9966017 DOI: 10.3390/polym15040845] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2023] [Revised: 02/05/2023] [Accepted: 02/06/2023] [Indexed: 02/11/2023] Open
Abstract
The energy efficiency of material extrusion additive manufacturing has a significant impact on the economics and environmental footprint of the process. Control parameters that ensure 3D-printed functional products of premium quality and mechanical strength are an established market-driven requirement. To accomplish multiple objectives is challenging, especially for multi-purpose industrial polymers, such as the Poly[methyl methacrylate]. The current paper explores the contribution of six generic control factors (infill density, raster deposition angle, nozzle temperature, print speed, layer thickness, and bed temperature) to the energy performance of Poly[methyl methacrylate] over its mechanical performance. A five-level L25 Taguchi orthogonal array was composed, with five replicas, involving 135 experiments. The 3D printing time and the electrical consumption were documented with the stopwatch approach. The tensile strength, modulus, and toughness were experimentally obtained. The raster deposition angle and the printing speed were the first and second most influential control parameters on tensile strength. Layer thickness and printing speed were the corresponding ones for the energy consumption. Quadratic regression model equations for each response metric over the six control parameters were compiled and validated. Thus, the best compromise between energy efficiency and mechanical strength is achievable, and a tool creates significant value for engineering applications.
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Affiliation(s)
- Nectarios Vidakis
- Department of Mechanical Engineering, Hellenic Mediterranean University, 71410 Heraklion, Greece
| | - Markos Petousis
- Department of Mechanical Engineering, Hellenic Mediterranean University, 71410 Heraklion, Greece
- Correspondence: ; Tel.: +30-281-037-9227
| | - Nikolaos Mountakis
- Department of Mechanical Engineering, Hellenic Mediterranean University, 71410 Heraklion, Greece
| | - Amalia Moutsopoulou
- Department of Mechanical Engineering, Hellenic Mediterranean University, 71410 Heraklion, Greece
| | - Emmanuel Karapidakis
- Electrical and Computer Engineering Department, Hellenic Mediterranean University, 71410 Heraklion, Greece
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16
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Mishra S, Chaturvedi S, Ali M, Pandey KK, Alqahtani NM, Alfarsi MA, Addas MK, Vaddamanu SK, Al Ahmari NM, Alqahtani SM, Yaqoob A, Alqahtani WMS. Dimensional Stability of Light-Activated Urethane Dimethacrylate Denture Base Resins. Polymers (Basel) 2023; 15:polym15030744. [PMID: 36772044 PMCID: PMC9921156 DOI: 10.3390/polym15030744] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2022] [Revised: 01/26/2023] [Accepted: 01/28/2023] [Indexed: 02/04/2023] Open
Abstract
An accurate and dimensionally stable trial denture base is required for a successful denture. The aim of this in vitro study was to assess the dimensional stability of a light-activated urethane dimethacrylate (UDMA) visible light cure (VLC) denture base with three fabrication techniques and different curing cycles. Forty-five VLC denture base samples were divided evenly into three groups. Group A used a conventional fabrication technique with a curing cycle of 5 min. Group B used a modified fabrication technique with two 4-min curing cycles. Group C used a multi-step fabrication technique with three curing cycles (4 min, plus 4 min, plus 2 min). The samples were sectioned and observed under a stereomicroscope to measure the discrepancy between the sample and the master cast. The mean dimensional discrepancy (mm) at the molar region at mid-palate, after 24 h in Group A, B and C was 0.790 mm, 0.741 mm and 0.379 mm, respectively; at the right ridge crest, it was 0.567, 0.408 and 0.185, while at the left ridge crest it was 0.475, 0.331 and 0.125, respectively. Statistical analysis showed significantly different dimensional discrepancies among the groups at all three sites; right ridge crest (F = 93.54, p < 0.001), left ridge crest (F = 105.96, p < 0.001) and mid-palate (F = 125.53, p < 0.001). Within the limitations of this laboratory study, it can be concluded that the denture base using a multi-step fabrication technique with three curing cycles provides better adaptation than the conventional technique. The significance of the study is that clinicians should consider performing denture base fabrication using a multi-step technique to enhance adaptation and hence the stability of the dentures for patients.
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Affiliation(s)
- Swati Mishra
- Department of Prosthodontics, Career Postgraduate Institute of Dental Sciences, Lucknow 226008, India
| | - Saurabh Chaturvedi
- Department of Prosthetic Dentistry, College of Dentistry, King Khalid University, Abha 61421, Saudi Arabia
- Correspondence:
| | - Mariyam Ali
- Department of Prosthodontics, Career Postgraduate Institute of Dental Sciences, Lucknow 226008, India
| | - Kaushik Kumar Pandey
- Department of Prosthodontics, Career Postgraduate Institute of Dental Sciences, Lucknow 226008, India
| | - Nasser M. Alqahtani
- Department of Prosthetic Dentistry, College of Dentistry, King Khalid University, Abha 61421, Saudi Arabia
| | - Mohammed A. Alfarsi
- Department of Prosthetic Dentistry, College of Dentistry, King Khalid University, Abha 61421, Saudi Arabia
| | - Mohamed Khaled Addas
- Department of Prosthetic Dentistry, College of Dentistry, King Khalid University, Abha 61421, Saudi Arabia
| | - Sunil Kumar Vaddamanu
- Department of Dental Technology, College of Applied Medical Sciences, King Khalid University, Abha 61421, Saudi Arabia
| | - Nasser M. Al Ahmari
- Department of Prosthetic Dentistry, College of Dentistry, King Khalid University, Abha 61421, Saudi Arabia
| | - Saeed M. Alqahtani
- Department of Prosthetic Dentistry, College of Dentistry, King Khalid University, Abha 61421, Saudi Arabia
| | - Ashfaq Yaqoob
- Department of Prosthetic Dentistry, College of Dentistry, King Khalid University, Abha 61421, Saudi Arabia
| | - Waleed M. S. Alqahtani
- Department of Prosthetic Dentistry, College of Dentistry, King Khalid University, Abha 61421, Saudi Arabia
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Mirzaali MJ, Moosabeiki V, Rajaai SM, Zhou J, Zadpoor AA. Additive Manufacturing of Biomaterials-Design Principles and Their Implementation. MATERIALS (BASEL, SWITZERLAND) 2022; 15:ma15155457. [PMID: 35955393 PMCID: PMC9369548 DOI: 10.3390/ma15155457] [Citation(s) in RCA: 16] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/30/2022] [Revised: 07/25/2022] [Accepted: 07/28/2022] [Indexed: 05/04/2023]
Abstract
Additive manufacturing (AM, also known as 3D printing) is an advanced manufacturing technique that has enabled progress in the design and fabrication of customised or patient-specific (meta-)biomaterials and biomedical devices (e.g., implants, prosthetics, and orthotics) with complex internal microstructures and tuneable properties. In the past few decades, several design guidelines have been proposed for creating porous lattice structures, particularly for biomedical applications. Meanwhile, the capabilities of AM to fabricate a wide range of biomaterials, including metals and their alloys, polymers, and ceramics, have been exploited, offering unprecedented benefits to medical professionals and patients alike. In this review article, we provide an overview of the design principles that have been developed and used for the AM of biomaterials as well as those dealing with three major categories of biomaterials, i.e., metals (and their alloys), polymers, and ceramics. The design strategies can be categorised as: library-based design, topology optimisation, bio-inspired design, and meta-biomaterials. Recent developments related to the biomedical applications and fabrication methods of AM aimed at enhancing the quality of final 3D-printed biomaterials and improving their physical, mechanical, and biological characteristics are also highlighted. Finally, examples of 3D-printed biomaterials with tuned properties and functionalities are presented.
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Dimitrova M, Chuchulska B, Zlatev S, Kazakova R. Colour Stability of 3D-Printed and Prefabricated Denture Teeth after Immersion in Different Colouring Agents—An In Vitro Study. Polymers (Basel) 2022; 14:polym14153125. [PMID: 35956640 PMCID: PMC9371044 DOI: 10.3390/polym14153125] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2022] [Revised: 07/17/2022] [Accepted: 07/27/2022] [Indexed: 12/10/2022] Open
Abstract
This study investigated the colour stability of three dimensional (3D)-printed and conventional denture teeth after immersion in different colourants. A total of 60 artificial maxillary central incisors were selected from three types of materials: 3D-printed dental resin (NextDent, 3D Systems, Soesterberg, The Netherlands), prefabricated acrylic teeth in Ivostar Shade (Ivoclar Vivadent, Schaan, Liechtenstein), and SpofaDent Plus in shade A2 (SpofaDental, Jičín, Czechia). These were immersed in four types of colourants at room temperature (23 °C ± 1 °C), including artificial saliva (pH = 6.8) as a control group, coffee, red wine, and Coca-Cola (n = 5). The temperature and the pH of the colouring agents were maintained throughout all immersion periods. After 7 days (T1), 14 days (T2), and 21 days (T3), the ∆E values were measured with a SpectroShade Micro (SpectroShade, Oxnard, CA, USA) spectrophotometer. Their means were then calculated and compared by two-way ANOVA. The independent factors, immersion time and different staining solutions, as well as the interaction between these factors, significantly influenced ΔE. The highest and the lowest mean ∆Es were recorded for prefabricated teeth in red wine, and 3D-printed teeth in artificial saliva, respectively. All the specimens demonstrated an increased colour change at T1 compared to T3, and the difference in mean ∆E was statistically significant.
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Affiliation(s)
- Mariya Dimitrova
- Department of Prosthetic Dental Medicine, Faculty of Dental Medicine, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria; (B.C.); (S.Z.); (R.K.)
- Correspondence:
| | - Bozhana Chuchulska
- Department of Prosthetic Dental Medicine, Faculty of Dental Medicine, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria; (B.C.); (S.Z.); (R.K.)
| | - Stefan Zlatev
- Department of Prosthetic Dental Medicine, Faculty of Dental Medicine, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria; (B.C.); (S.Z.); (R.K.)
- CAD/CAM Center of Dental Medicine, Research Institute, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria
| | - Rada Kazakova
- Department of Prosthetic Dental Medicine, Faculty of Dental Medicine, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria; (B.C.); (S.Z.); (R.K.)
- CAD/CAM Center of Dental Medicine, Research Institute, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria
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Optimization of Friction Stir Welding Parameters in Hybrid Additive Manufacturing: Weldability of 3D-Printed Poly(methyl methacrylate) Plates. JOURNAL OF MANUFACTURING AND MATERIALS PROCESSING 2022. [DOI: 10.3390/jmmp6040077] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
In this work, the expansion of friction stir welding (FSW) in parts made via material extrusion (MEX) 3D printing was investigated. Poly(methyl methacrylate) (PMMA) plates were joined in a full factorial experimental design. The effects of three FSW parameters (weld tool pin geometry, rotating speed, and travel speed) on the weld results were studied. The tensile strength was investigated using statistical modeling tools. A morphological characterization study was also conducted on the weld zone, with microscopy. The state of the material during the FSW process was monitored via real-time temperature measurements. The feasibility of the process was verified. The results show high industrial merit for the process. The highest tensile strength was reported for the sample welded with the frustum tool, at 1400 rpm and a 9 mm/min travel speed (the highest studied), with a welding efficiency > 1. This can be attributed to the reduced porosity of the weld area compared to the 3D printed structure, and indicates a high potential for joining 3D-printed PMMA sheets via the FSW process.
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Color Stability Determination of CAD/CAM Milled and 3D Printed Acrylic Resins for Denture Bases: A Narrative Review. JOURNAL OF COMPOSITES SCIENCE 2022. [DOI: 10.3390/jcs6070201] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
The aim of this paper is to review the available literature on the different methods for color stability determination of CAD/CAM milled and 3D printed resins for denture bases. The methodology included applying a search strategy, defining inclusion and exclusion criteria and selecting studies to summarize the results. Searches of PubMed, Scopus, and Embase databases were performed independently by three reviewers to gather the literature published between 1998 and 2022. A total of 186 titles were obtained from the electronic database, and the application of exclusion criteria resulted in the identification of 66 articles pertaining to the different methods for color stability determination of CAD/CAM acrylic resins for denture bases. Color change in dental materials is clinically very important for the dental operator, as it determines the clinical serviceability of the material. Discoloration of the denture bases can be evaluated with various instruments and methods. Dental resins may undergo color changes over time due to intrinsic and/or extrinsic factors. The extrinsic factors are considered the more frequent causes of color changes. According to a number of studies, CAD/CAM fabricated acrylics have achieved better color stability than the conventional PMMA (polymethyl methacrylate) resins.
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Fouda SM, Gad MM, Abualsaud R, Ellakany P, AlRumaih HS, Khan SQ, Akhtar S, Al-Qarni FD, Al-Harbi FA. Flexural Properties and Hardness of CAD-CAM Denture Base Materials. J Prosthodont 2022; 32:318-324. [PMID: 35567362 DOI: 10.1111/jopr.13535] [Citation(s) in RCA: 15] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2022] [Accepted: 05/02/2022] [Indexed: 11/28/2022] Open
Abstract
PURPOSE To compare flexural strength, elastic modulus, and surface hardness of CAD-CAM milled, 3D-printed, and heat-polymerized denture base resins. MATERIALS AND METHODS A total of 120 specimens were fabricated from heat-polymerized acrylic resin (HP), milled resin (Avadent and IvoCad), and 3D-printed resin (ASIGA, FormLabs, and NextDent). The specimens were divided into 6 groups according to the type of denture base material n = 20/material, (10/flexural properties and 10/hardness). Flexural strength and elastic modulus of the specimens were evaluated by 3-point bending test and surface hardness by Vickers hardness test. To test flexural properties, the specimens were fabricated according to ISO 20795-1:2013 standards (64×10×3.3 ±0.2 mm). The dimensions for hardness test were 15×10×2.5 ±0.2 mm. Scanning electron microscope was used to evaluate the surface morphology of the fractured specimens. The means and standard deviations were calculated, followed by one-way ANOVA and Tukey post-hoc test (α = 0.05). RESULTS Milled resins showed significantly higher values for flexural strength, elastic modulus, and surface hardness, followed by HP then 3D-printed resins (P<0.001). In between milled groups, flexural strength of AvaDent was significantly higher than IvoCad (P<0.001), while elastic modulus and hardness didn't show significant difference. In between 3D-printed resins, ASIGA showed the highest flexural strength and elastic modulus, insignificantly with FormLabs (P = 0.595) and significantly with NextDent (P = 0.008). ASIGA also showed significantly the highest hardness among the 3D-printed groups. No significant difference was found between FormLabs and NextDent flexural strength (P = 0.357), elastic modulus (P = 1.00) and surface hardness (P = 0.987). CONCLUSION CAD-CAM milled resins had greater flexural properties and hardness compared to heat-polymerized acrylic resin and 3D-printed resins. Although 3D-printed samples showed the lowest values of tested properties, the flexural strength and modulus were above the clinically acceptable values. This article is protected by copyright. All rights reserved.
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Affiliation(s)
- Shaimaa M Fouda
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Mohammed M Gad
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Reem Abualsaud
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Passent Ellakany
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Hamad S AlRumaih
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Soban Q Khan
- Department of Clinical Affairs, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Sultan Akhtar
- Department of Biomedical Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Faisal D Al-Qarni
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Fahad A Al-Harbi
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
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22
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Poly(methyl methacrylate) Nanocomposite Foams Reinforced with Carbon and Inorganic Nanoparticles—State-of-the-Art. JOURNAL OF COMPOSITES SCIENCE 2022. [DOI: 10.3390/jcs6050129] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
Polymeric nanocomposite foams have attracted increasing research attention for technical reasons. Poly(methyl methacrylate) is a remarkable and viable thermoplastic polymer. This review highlights some indispensable aspects of poly(methyl methacrylate) nanocomposite foams with nanocarbon nanofillers (carbon nanotube, graphene, etc.) and inorganic nanoparticles (nanoclay, polyhedral oligomeric silsesquioxane, silica, etc.). The design and physical properties of poly(methyl methacrylate) nanocomposite foams have been deliberated. It has been observed that processing strategies, nanofiller dispersion, and interfacial interactions in poly(methyl methacrylate)–nanofiller have been found essential to produce high-performance nanocellular foams. The emergent application areas of the poly(methyl methacrylate) nanocomposite foams are electromagnetic interference shielding, sensors, and supercapacitors.
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