Influence of heat treatment on the microstructure and the physical and mechanical properties of dental highly translucent zirconia

Effect of artificial aging on fracture toughness and hardness of 3D-printed and milled 3Y-TZP zirconia

PURPOSE

This study aimed to evaluate the impact of artificial aging on the fracture toughness and hardness of three-dimensional (3D)-printed and computer-aided design and computer-aided manufacturing (CAD-CAM) milled 3 mol% yttria-stabilized tetragonal zirconia polycrystals (3Y-TZP).

MATERIALS AND METHODS

Forty bar-shaped specimens (45 × 4 × 3 mm) were prepared using two manufacturing technologies: 3D printing (LithaCon 3Y 210, Lithoz GmbH, Vienna, Austria; n = 20) and milling (Initial Zirconia ST, GC, Japan; n = 20) of 3Y-TZP. The chevron-notch beam method was used to assess the fracture toughness according to ISO 24370. Specimens from each 3Y-TZP group were divided into two subgroups (n = 10) based on the artificial aging process (autoclaving): nonaged and aged. Nonaged specimens were stored at room temperature, while aged specimens underwent autoclave aging at 134°C under 2 bar-pressure for 5 h. Subsequently, the specimens were immersed in absolute 99% ethanol using an ultrasonic cleaner for 5 min. Each specimen was preloaded by subjecting it to a 4-point loading test, with a force of up to 200 N applied for three cycles. Further 4-point loading was conducted at a rate of 0.5 mm/min under controlled temperature and humidity conditions until fracture occurred. The maximum force (Fmax) was recorded and the chevron notch was examined at 30 × magnification under an optical microscope for measurements before the fracture toughness (KIc) was calculated. Microhardness testing was also performed to measure the Vickers hardness number (VHN). A scanning electron microscope (SEM) coupled with an energy dispersive X-ray unit (EDX) was used to examine surface topography and chemical composition. X-ray diffraction (XRD) was conducted to identify crystalline structure. Data were statistically analyzed using two-way ANOVA and Student's t-test with a significance level of 0.05.

RESULTS

The nonaged 3D-printed 3Y-TZP group exhibited a significantly higher fracture toughness value (6.07 MPa m1/2) than the milled 3Y-TZP groups (p < 0.001). After autoclave aging, the 3D-printed 3Y-TZP group maintained significantly higher fracture toughness (p < 0.001) compared to the milled 3Y-TZP group. However, no significant differences in hardness values (p = 0.096) were observed between the aged and nonaged groups within each manufacturing process (3D-printed and milled) independently.

CONCLUSION

The findings revealed that the new 3D-printed 3Y-TZP produced by the lithography-based ceramic manufacturing (LCM) technology exhibited superior fracture toughness after autoclave aging compared to the milled 3Y-TZP. While no significant differences in hardness were observed between the aged groups, the 3D-printed material demonstrated greater resistance to fracture, indicating enhanced mechanical stability.

An Approach to Improve Specimen Processing for the Flexural Strength Testing of Zirconia

Measuring the flexural strength of restorative materials such as zirconia is crucial for providing proper indications for clinical applications and predicting performance. Great variations in specimen preparation for flexural strength measurements exist among laboratories. The aim was to evaluate how the processing method, surface treatment, and test method of the specimens affect the flexural strength of zirconia. Zirconia specimens (VITA YZ HT) (n = 270) were processed using CAD/CAM or were conventionally milled with three different surface treatments (machined, ground, polished) and were measured with three-point bending (non-chamfered/chamfered) or biaxial flexural strength test. Weibull statistics were conducted. The mean flexural strength values ranged from 612 MPa (conventional, machined, three-point bending non-chamfered) to 1143 MPa (CAD/CAM, polished, biaxial flexural strength). The highest reliability is achieved when specimens are prepared using thoroughly controllable processing with CAD/CAM and subsequently polished. Higher strength values are achieved with the biaxial flexural strength test method because the stress concentration in relation to the effective volume is smaller. Polishing reduces surface microcracks and therefore increases the strength values.

Evaluation of bond strength between zirconia milled ceramic material and veneered dental porcelain

This study aimed at examining the bond strength between zirconia and ceramic veneer, following the ISO 9693 guidelines. A total of fifty specimens of zirconia/ceramic-veneer system were produced using two commercial zirconias (VITA YZ-HTWhite and Zolid HT+ White, referred to as Group A and Group B, respectively) and a ceramic-veneering material (Zirkonia 750). The microstructure (via x-ray diffraction analysis, XRD and Secondary Electron mode, SEM) and the mechanical properties (via 3-point bending tests) of the two groups were assessed. Then, experiments were conducted according to the ISO 9693 and conventional protocols applied for producing zirconia/ceramic-veneer restorations. Bond strength values, measured by 3-point bending tests, were 34.42 ± 7.60 MPa for Group A and 31.92 ± 6.95 MPa for Group B. SEM observations of the cohesively fractured surfaces (on the porcelain side) and the examination for normality using the Shapiro-Wilk test suggested the use of Weibull statistical analysis. Median strength (σ50%) for Group A and Group B was 34.76 and 32.22 MPa, while the characteristic strength (σ63.2%) was 35.78 and 33.14 MPa, respectively. The Weibull modulus disparity between groups (12.69 and 13.07) was not significant. Bond strength exceeded the ISO 9693 minimum of 20 MPa, suggesting satisfactory strength for clinical use.

Microstructure, physical and mechanical properties of dental polychromic multilayer zirconia of uniform composition

The present study aimed to compare the microstructure, physical, and mechanical properties of three commercially available dental polychromatic multilayer zirconia materials of uniform composition: Dima Mill Zirconia ML, VITA YZ/ST Multicolor, and VITA YZ/XT Multicolor (with 3, 4, and 5 mol% Y2 O3 , respectively); thus, the influence of Y2 O3 content on the above properties of the produced materials was experimentally studied. Homogeneous zirconia ceramics with a dense micro- and nanostructure, without pores or defects, were produced after milling the blocks and sintering, which resulted in yttrium-stabilized tetragonal and cubic zirconia. Statistical analysis of the results of measurable magnitudes was performed by the one-way ANOVA test. The increase of Y2 O3 content (from 3 to 5 mol%) favored larger grain and crystallite sizes and a decrease of the values of the mechanical properties; yet, the differences were statistically insignificant. Clinically, these differences are expected to have no impact on their function in the oral cavity, both in terms of their fracture propensity and the damage that can be caused to the opposing teeth. Accordingly, the experimental results qualify the polychromic multilayer zirconia ceramics of uniform composition fabricated by milling technology for use in dental restorations.

Translucent Zirconia in Fixed Prosthodontics-An Integrative Overview

Over the past two decades, dental ceramics have experienced rapid advances in science and technology, becoming the fastest-growing field of dental materials. This review emphasizes the significant impact of translucent zirconia in fixed prosthodontics, merging aesthetics with strength, and highlights its versatility from single crowns to complex bridgework facilitated by digital manufacturing advancements. The unique light-conducting properties of translucent zirconia offer a natural dental appearance, though with considerations regarding strength trade-offs compared to its traditional, opaque counterpart. The analysis extends to the mechanical attributes of the material, noting its commendable fracture resistance and durability, even under simulated physiological conditions. Various zirconia types (3Y-TZP, 4Y-TZP, 5Y-TZP) display a range of strengths influenced by factors like yttria content and manufacturing processes. The study also explores adhesive strategies, underlining the importance of surface treatments and modern adhesives in achieving long-lasting bonds. In the realm of implant-supported restorations, translucent zirconia stands out for its precision, reliability, and aesthetic adaptability, proving suitable for comprehensive dental restorations. Despite its established benefits, the review calls for ongoing research to further refine the material's properties and adhesive protocols and to solidify its applicability through long-term clinical evaluations, ensuring its sustainable future in dental restorative applications.

Microstructural features, physicο-mechanical properties, and wear behavior of dental translucent polychromic multilayer zirconia of hybrid composition prepared by milling technology

OBJECTIVE

The present study determined the mechanical properties and the wear behavior, as results of the micro(nano)structure, of the enamel, transition, and dentine layers, which comprise the polychromic multilayer zirconia materials of hybrid composition fabricated by milling technology.

MATERIALS AND METHODS

Prismatic blocks were fabricated from two commercial pre-sintered dental polychromic multilayer zirconia materials of hybrid composition, IPS e.max ZirCAD Prime (medium and high translucency, from the dentine to the incisal layer) and 3D Pro ML (translucency gradient, from the dentine to the incisal layer) by milling technique, and then, cut into 3 distinct parts to separate the enamel, transition, and dentine layers. The samples were sintered, thermally treated (similarly to the glazing procedure), and polished for characterization. Their microstructure, mechanical properties (determined by nanoindentation and microhardness), and wear behavior (evaluated by scratch test), were examined.

RESULTS

The produced materials had a homogeneous and dense nanostructure, where the grain size decreased from the enamel to dentine layer. The mechanical properties decreased from the dentine to enamel layer. However, the three layers manifested similar dynamic friction coefficient.

CONCLUSION

The differences in the above properties in the three layers negligibly influenced the wear behavior of the entire multilayer zirconia material.

CLINICAL SIGNIFICANCE

The properties of dental restorations produced from polychromic multilayer zirconia of hybrid composition by milling technology (i.e., strong, non-fragile, and esthetic materials), anticipate good performance in oral cavity.

Phase transformation and mechanical properties of new bioactive glass-ceramics derived from CaO-P2O5-Na2O-B2O3-SiO2 glass system

This work investigates the role of sintering temperature on bioactive glass-ceramics derived from the new composition CaO-P2O5-Na2O-B2O3-SiO2 glass system. The sintering behaviour of the samples' physical, structural, and mechanical properties is highlighted in this study. The experimental results indicated that the sintering process improved the crystallization and hardness of the final product. Results from XRD and FTIR showed the existence of carbonate apatite, pseudo-wollastonite, and wollastonite phases. From the results, the bioglass-ceramics sintered at 700 °C obtained the highest densification and optimum mechanical results. It had the value of 5.34 ± 0.21 GPa regarding microhardness and 2.99 ± 0.24 MPa m1/2 concerning fracture toughness, which falls in the range of the human enamel. Also, the sintered samples maintained their bioactivity and biodegradability after being tested in the PBS medium. The bioactivity does not affect but slows down the apatite formation rate. Overall results promoted the novel bioglass-ceramics as a candidate material for dental application.

Qualitative SEM analysis of fracture surfaces for dental ceramics and polymers broken by flexural strength testing and crown compression

PURPOSE

To perform qualitative analysis using scanning electron microscopy (SEM) of fracture surfaces for ceramic and polymeric dental materials broken via standardized flexural and crunch-the-crown (CTC) tests.

MATERIALS AND METHODS

Zirconia, glass-ceramic, and polymeric (Trilor; TRI, Juvora; JUV, Pekkton; PEK) materials were loaded using crowns for CTC tests, discs (zirconia and glass-ceramics) for piston-on-3 ball tests, bars (polymer) for 3-point bend tests, and bars (zirconia, glass-ceramics) for 4-point bend tests. SEM was used to characterize the fracture surfaces and identify fracture surface features (e.g., origin, mist, hackle, and the direction of crack propagation [DCP]). Electron dispersive spectroscopy was used to identify the local chemistry.

RESULTS

Fracture surface features were found to be less visually apparent for glass-ceramics than zirconia. For zirconia bars, fractures originated roughly midway between the corner and center for processing defects related to sintering. Fractures originated at the bottom corners of glass-ceramic bars (void or surface flaw) and PEK bars (surface flaw). TRI bar failures exposed glassy fibers. Fracture features were generally less discernable for discs compared to bars for zirconia and glass-ceramics. Ceramic crowns fractured into 2 to 3 pieces, with fractures originating at the occlusal surface and clear evidence for the DCP. Failures of TRI and JUV specimens (bars and crowns) were less catastrophic than for the ceramics, with exposed fibers (TRI) and surface cracks (JUV). PEK crown and bar fractures presented dimple (ductile) features formed due to microvoid coalescence followed by brittle crack propagation.

CONCLUSIONS

The critical flaws responsible for failure initiation were a function of material composition and test configuration. Fractographic analysis can reveal problems associated with the manufacturing of materials, their handling, grinding and finishing/polishing procedures, the structural design and choice of material, and the quality of the final laboratory-delivered restoration.

Potential Impact of Prosthetic Biomaterials on the Periodontium: A Comprehensive Review

The success of a prosthetic treatment is closely related to the periodontal health of the individual. The aim of this article was to review and present the importance of prosthetic restorative materials on the condition of the periodontium, the changes that occur in the composition of the subgingival microbiota and the levels of inflammatory markers in gingival crevicular fluid. Articles on the influence of different prosthetic restorative materials on subgingival microbiota and proinflammatory cytokines were searched for using the keywords "prosthetic biomaterials", "fixed prosthesis", "periodontal health", "subgingival microbiota", "periodontal biomarkers" and "gingival crevicular fluid" in PubMed/Medline, Science Direct, Scopus and Google Scholar. The type of material used for prosthesis fabrication together with poor marginal and internal fit can result in changes in the composition of the subgingival microbiota, as well as increased accumulation and retention of dentobacterial plaque, thus favoring the development of periodontal disease and prosthetic treatment failure. Biological markers have helped to understand the inflammatory response of different prosthetic materials on periodontal tissues with the main purpose of improving their clinical application in patients who need them. Metal-free ceramic prostheses induce a lower inflammatory response regardless of the fabrication method; however, the use of CAD/CAM systems is recommended for their fabrication. In addition, it is presumed that metal-ceramic prostheses cause changes in the composition of the subgingival microbiota producing a more dysbiotic biofilm with a higher prevalence of periodontopathogenic bacteria, which may further favor periodontal deterioration.