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Mansoor MA, Sayed ME, Abdul HN, Zaidan MS, Hakami TM, Dighriri MA, Alqahtani SM, Alfaifi MA, Altoman MS, Jokhadar HF, AlResayes SS, AlWadei MH, Jundus AI, Komosany AM, Al-Najjar HZ. Comparative Accuracy of Intraoral and Extraoral Digital Workflows for Short Span Implant Supported Fixed Partial Denture Fabrication: An In Vitro Study. Med Sci Monit 2024; 30:e943706. [PMID: 38500254 PMCID: PMC10960501 DOI: 10.12659/msm.943706] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2024] [Accepted: 02/02/2024] [Indexed: 03/20/2024] Open
Abstract
BACKGROUND The advent of digital impressions using computer-aided design and manufacturing technology (CAD/CAM) has simplified and improved the fabrication of implant prostheses in dentistry. The conventional impression has several drawbacks, including tray selection, material type, impression technique, impression disinfection, and cast model storage. The inaccuracies caused by distortion and contraction of impression material can be minimized with digital impressions. This study aimed to compare digital dental impressions of 10 working casts made using the Pindex laser removable die system to fabricate parallel drill channels vs 10 working casts made using the Di-Lok plastic tray removable die system. MATERIAL AND METHODS An implant master die with 2 dental implant analogs was fabricated. Ten working casts using the Pindex laser removable die system with parallel drill channels and 10 working casts using the Di-Lok plastic tray removable die system were fabricated. The working casts were scanned using an extra-oral laboratory scanner and the implant master model was scanned with an intra-oral scanner. RESULTS The properties of the casts made using the 2 systems were evaluated and analyzed with ANOVA and post hoc Tukey test. The mean horizontal linear distances between A1B1 (P<0.021), A2B2 (P<0.018), C1D1 (P<0.026), C2D2 (P<0.03), B1C1 (P<0.01), and mean vertical distances between B1A2 (P<0.015), C1D2 (P<0.001), B1B2 (P<0.028), and C1C2 (P<0.001) were significantly different between the Pindex system and Di-Lok tray system as compared to intra-oral scans. CONCLUSIONS Complete digital workflow with intra-oral scans were more than the partial digital workflow with extra-oral scans for the Pindex system and Di-Lok tray systems.
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Affiliation(s)
- Manawar Ahmad Mansoor
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Mohammed E. Sayed
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Hina Naim Abdul
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | | | | | | | - Saeed M. Alqahtani
- Department of Prosthetic Dental Sciences, College of Dentistry, King Khalid University, Abha, Saudi Arabia
| | - Mohammed A. Alfaifi
- Department of Prosthetic Dental Sciences, College of Dentistry, King Khalid University, Abha, Saudi Arabia
| | - Majed S. Altoman
- Department of Prosthetic Dental Sciences, College of Dentistry, King Khalid University, Abha, Saudi Arabia
| | - Hossam F. Jokhadar
- Department of Oral and Maxillofacial Prosthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Saad Saleh AlResayes
- Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Mohammed H. AlWadei
- Department of Restorative Dental Science, College of Dentistry, King Khalid University, Abha, Saudi Arabia
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Sayed ME, Porwal A, Hamdi BA, Hurubi SY, Hakami AK, Hakami AJ, Dighriri AM, Jad YA, Alqahtani SM, Alsubaiy EF, Alfaifi MA, Altoman MS, Jokhadar HF, AlResayes SS. Impact of Auxiliary Features on Retention of Short Dental Crowns: An In-Vitro Analysis of Box and Groove Preparations. Med Sci Monit 2024; 30:e943401. [PMID: 38444156 PMCID: PMC10926708 DOI: 10.12659/msm.943401] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2023] [Accepted: 01/03/2024] [Indexed: 03/07/2024] Open
Abstract
BACKGROUND Several auxiliary features have been proposed to achieve sustainable retention for short-prepared dental crowns; however, achieving retention is challenging. This study aimed to assess the impact of increased total occlusal convergence and auxiliary preparation factors like box and groove on the retention form of short tooth preparations. MATERIAL AND METHODS Eighty resin machine-milled dies with a height of 3 mm and a deep chamfer margin of 1 mm were prepared to mimic the short-prepared molar. Initially, 2 teeth were prepared following the guidelines, and the total occlusal convergence was kept at 10° and 20°, respectively. Auxiliary features such as the proximal box and buccal groove were prepared on separate 20° dies. Eighty dies were prepared with 10 samples each for 10°, 20°, 20° with proximal box and 20° with buccal groove for zirconia (n=40) and metal crowns (n=40). Cementation was done with glass ionomer luting cement, and a pull-off test was conducted. Data were analyzed using one-way analysis of variance and post hoc fisher least significant difference test (P<0.05). RESULTS The highest mean was observed in the proximal box group with the metal crown (14.59), and the lowest in the group with 20° zirconia crowns (9.12). Within groups, the highest retentive values were found for the 20° taper with proximal box preparation; the lowest was for the 20° taper group. CONCLUSIONS Within the study limitations, it could be concluded that incorporating a proximal box or buccal groove in short tooth preparations with an increased total occlusal convergence improved retentive values.
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Affiliation(s)
- Mohammed E. Sayed
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Amit Porwal
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Bassam Ali Hamdi
- Intern, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Salman Y. Hurubi
- Intern, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | | | | | | | - Yaser A. Jad
- Intern, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Saeed M. Alqahtani
- Department of Prosthetic Dentistry, College of Dentistry, King Khalid University, Abha, Saudi Arabia
| | - Ebrahim Fihaid Alsubaiy
- Department of Prosthetic Dentistry, College of Dentistry, King Khalid University, Abha, Saudi Arabia
| | - Mohammed A. Alfaifi
- Department of Prosthetic Dentistry, College of Dentistry, King Khalid University, Abha, Saudi Arabia
| | - Majed S. Altoman
- Department of Prosthetic Dentistry, College of Dentistry, King Khalid University, Abha, Saudi Arabia
| | - Hossam F. Jokhadar
- Department of Oral and Maxillofacial Prosthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Saad Saleh AlResayes
- Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
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Sayed ME, Jain S, Ageeli AA, Alnajdi AK, Zain AA, Alali M, Alhazmi AAA, Alsubaiy EF, Alshehri AH, Alshahrani AA, Alamri M, Al Wadei MH, Jokhadar HF, Mattoo K. Influence of Chairside Simulated Adjustment (Finishing and Polishing) Protocol and Chlorhexidine Mouthwash Immersion on Color Stability and Translucency of 2 and 3 Preshaded Multilayered Monolithic Zirconia. Med Sci Monit 2024; 30:e943404. [PMID: 38374614 PMCID: PMC10893764 DOI: 10.12659/msm.943404] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2023] [Accepted: 12/22/2023] [Indexed: 02/21/2024] Open
Abstract
BACKGROUND Preshaded monolithic zirconia (MLZ) is reported to have high translucency. This study aimed to assess the effect of chlorhexidine gluconate (ChG) mouthwash on color and translucency parameter (TP) of 2 different preshaded MLZ dental ceramics after clinical adjustment. MATERIAL AND METHODS Two MLZ disk-shaped specimens [NPM (Nacera Pearl Multi-Shade) (n=72) and CZM (Ceramill Zolid FX Multilayer)] (n=72) were simulated for clinical adjustment, finished, and polished using 2 adjustment kits [recommended kit, third-party kit: Diasynt Plus and SUN (n=12 each)] and later immersed in ChG mouthwash (Avohex) for 2 weeks. Difference in color (ΔE) and TP (Y) were calculated using the CIELab formula after measuring the coordinates (Lab) with a colorimeter. Individual changes in color and TP were assessed on the Clinical acceptance (perceptible) threshold (CAT/CPT) and Translucency perception threshold (TPT), respectively. Differences between the 2 ceramics were assessed using one-way ANOVA and post hoc tests, with all differences considered significant at P<0.05. RESULTS NPM and CZM differed in color at baseline despite having the same Vita shade combination. Between the 2 preshaded MLZ ceramics, NPM showed significant changes in color when adjusted with a third-party kit. Chlorhexidine produced changes in color and TP that were designated as clinically perceptible (ΔE=1.0 to 3.3) on the CAT/CPT and TPT scales, irrespective of the adjustment kit used. ChG produced the least or no changes in glazed MLZ specimens. CONCLUSIONS ChG mouthwash, whenever prescribed for preshaded MLZ restoration, should be adjusted prior to final glazing to avoid clinical adjustments that adversely affects color and translucency of the restoration.
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Affiliation(s)
- Mohammed E. Sayed
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Saurabh Jain
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Abrar A. Ageeli
- Dental Director Center and Specialty Dental Center, Ministry of Health, Dental Public Health, Jazan, Saudi Arabia
| | | | - Asma Ahmed Zain
- Intern Clinic, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Maimonah Alali
- Intern Clinic, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | | | - Ebrahim Fihaid Alsubaiy
- Department of Prosthodontics, College of Dentistry, King Khalid University, Abha, Saudi Arabia
| | - Abdullah Hasan Alshehri
- Department of Prosthodontics, College of Dentistry, King Khalid University, Abha, Saudi Arabia
| | - Ahid Amer Alshahrani
- Department of Dental Technology, Applied Medical Science, King Khalid University, Abha, Saudi Arabia
| | - Mohammad Alamri
- Department of Restorative Dental Science, Faculty of Dentistry, King Khalid University, Abha, Saudi Arabia
| | - Mohammed H. Al Wadei
- Department of Restorative Dental Science, Faculty of Dentistry, King Khalid University, Abha, Saudi Arabia
| | - Hossam F. Jokhadar
- Department of Oral and Maxillofacial Prosthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Khurshid Mattoo
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
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Jain S, Sayed ME, Ibraheem WI, Ageeli AA, Gandhi S, Jokhadar HF, AlResayes SS, Alqarni H, Alshehri AH, Huthan HM, Alami A, Al Wadei MHD, Aljabri Y. Accuracy Comparison between Robot-Assisted Dental Implant Placement and Static/Dynamic Computer-Assisted Implant Surgery: A Systematic Review and Meta-Analysis of In Vitro Studies. Medicina (Kaunas) 2023; 60:11. [PMID: 38276045 PMCID: PMC10817552 DOI: 10.3390/medicina60010011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/03/2023] [Revised: 12/12/2023] [Accepted: 12/15/2023] [Indexed: 01/27/2024]
Abstract
Background and Objectives: The present systematic review and meta-analysis undertake a comparison of studies that examine the accuracy of robot-assisted dental implant placement in relation to static computer-assisted implant surgery (SCAIS), dynamic computer-assisted implant surgery (DCAIS), and freehand procedures. This study aims to provide a comprehensive understanding of the precision of robot-assisted dental implant placement and its comparative efficacy in relation to other placement techniques. Methods: The guidelines recommended by Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) were used to organize and compose this review. Four electronic databases (PubMed, Web of Science, Scopus, and Cochrane) were systematically searched for pertinent articles. Articles were selected following the inclusion and exclusion criteria. Qualitative and quantitative analyses of the selected articles were performed. Results: The initial electronic search resulted in 1087 hits. Based on the inclusion and exclusion criteria, five articles were selected for qualitative analysis, out of which three were considered for quantitative analysis. Three parameters were considered for accuracy evaluation (angular, coronal, and apical deviation). The mean angular deviation was -1.22 degrees (95% CI, -1.06--1.39), the mean coronal deviation was -0.15 mm (95% CI, -0.24--0.07), and the mean apical deviation was -0.19 mm (95% CI, -0.27--0.10). Conclusions: The robotic implant system was found to have significantly lower angular deviations and insignificantly lower coronal and apical deviations compared to DCAIS. Within the limitations of this review, it can be concluded that robot-assisted implant placement in resin models permits higher accuracy compared to DCAIS and SCAIS systems. However, due to the limited number of comparative studies with high heterogeneity, the findings of this review should be interpreted with caution. Further research is necessary to confirm the clinical application of robotics in implant surgery.
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Affiliation(s)
- Saurabh Jain
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia
| | - Mohammed E. Sayed
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia
| | - Wael I. Ibraheem
- Department of Preventive Dental Sciences, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia;
| | - Abrar A. Ageeli
- College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia; (A.A.A.); (H.M.H.); (A.A.); (Y.A.)
- Dental Public Health, The University of Sheffield, Sheffield S10 2TN, UK
| | - Sumir Gandhi
- NYU College of Dentistry, New York, NY 10010, USA;
| | - Hossam F. Jokhadar
- Department of Oral and Maxillofacial Prosthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah 21589, Saudi Arabia;
| | - Saad Saleh AlResayes
- Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia;
| | - Hatem Alqarni
- Department of Prosthetic Dental Sciences, College of Dentistry, King Saud Bin Abdulaziz University for Health Sciences, Riyadh 14611, Saudi Arabia;
- King Abdullah International Medical Research Center, Riyadh 14611, Saudi Arabia
| | - Abdullah Hasan Alshehri
- Department of Prosthodontics, Faculty of Dentistry, King Khalid University, Abha 62527, Saudi Arabia;
| | - Halah Mohammed Huthan
- College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia; (A.A.A.); (H.M.H.); (A.A.); (Y.A.)
| | - Atheer Alami
- College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia; (A.A.A.); (H.M.H.); (A.A.); (Y.A.)
| | | | - Yahya Aljabri
- College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia; (A.A.A.); (H.M.H.); (A.A.); (Y.A.)
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5
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Sayed ME, Lunkad H, Mattoo K, Jokhadar HF, AlResayes SS, Alqahtani NM, Alshehri AH, Alamri M, Altowairqi S, Muaddi M, Huthan HM, Baeshen SA, Motlaq K, Masmali AM. Evaluation of the Effects of Digital Manufacturing, Preparation Taper, Cement Type, and Aging on the Color Stability of Anterior Provisional Crowns Using Colorimetry. Med Sci Monit Basic Res 2023; 29:e941919. [PMID: 37987528 PMCID: PMC10668520 DOI: 10.12659/msmbr.941919] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2023] [Accepted: 10/23/2023] [Indexed: 11/22/2023] Open
Abstract
BACKGROUND Replicating the 3-dimensional (3D) color of natural teeth in artificial substitutes is challenging. Fixed dental prosthodontics require aesthetic, color-stable provisional restorations. Recent milling and 3D printing digital manufacturing techniques offer improved outcomes. This study assesses color stability in various digital manufacturing methods, tapers, and aging effects on anterior provisional resin restorations. MATERIAL AND METHODS Two all-ceramic tooth preparations on typodont teeth with 10° and 20° tapers were converted into experimental dies. Forty temporary crowns were manufactured using 3D printing and computer-aided design/computer-aided manufacturing (milling). Within these 2 groups, 10 crowns were cemented using a regular and clear provisional cement. All samples were thermocycled to simulate clinical use of 6 months. Color difference formula (CIEDE2000) indicated changes between before and after cementation (ΔE00) and between after cementation and after thermocycling (ΔE00[II]). The color change was considered significant in terms of clinically perceptible (ΔE00 ≤0.62) and acceptable (ΔE00 ≤2.62) changes. One-way ANOVA (P value of less than 0.05) calculated overall differences, which were established using a Fisher post hoc test. RESULTS Crowns cemented with clear cement showed fewer color changes irrespective of the manufacturing technique or taper. Notably, only the 10° 3D-printed crown with clear cement had an imperceptible color change at the pre-/post-cementation phase. Meanwhile, the 10° and 20° milled crowns with regular cement exhibited unacceptable color changes after thermocycling. CONCLUSIONS For long‑term temporization in the aesthetic zone, properly optimized 3D-printed provisional restorations cemented with clear cement had better color stability.
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Affiliation(s)
- Mohammed E. Sayed
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Honey Lunkad
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Khurshid Mattoo
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Hossam F. Jokhadar
- Department of Oral and Maxillofacial Prosthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Saad Saleh AlResayes
- Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Nasser M. Alqahtani
- Department of Prosthetic Dental Sciences, College of Dentistry, King Khalid University, Abha, Saudi Arabia
| | - Abdullah Hasan Alshehri
- Department of Prosthetic Dental Sciences, College of Dentistry, King Khalid University, Abha, Saudi Arabia
| | - Mohammad Alamri
- Department of Restorative Dentistry, College of Dentistry, King Khalid University, Abha, Saudi Arabia
| | | | | | | | | | - Khalid Motlaq
- Restorative Department, Faculty of Dentistry, King Khalid University, King Faisal Medical City, Abha, Saudi Arabia
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6
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Al-Makramani BM, Sayed ME, Al-Sanabani FA, Mattoo KA, Alqahtani NM, Alqahtani SM, Jokhadar HF, AlResayes SS, Alamri M, AlWadei MH, Motlaq K, Alshehri FH, Alshahrani AA, Eshaq R. Comparative Evaluation of Dimensional and Occlusal Accuracy of Non-Working Antagonist Casts: A Study on Different Impression Materials and 3D Printing. Med Sci Monit 2023; 29:e941654. [PMID: 37924203 PMCID: PMC10631232 DOI: 10.12659/msm.941654] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2023] [Accepted: 09/08/2023] [Indexed: 11/06/2023] Open
Abstract
BACKGROUND The aim of this study was to assess and compare the vertical/horizontal dimensions and occlusal accuracy of non-working/opposing casts obtained from three different impression materials and 3D print cast. MATERIAL AND METHODS Dentulous Master models simulating a case of a fixed dental prosthesis were mounted on an articulator (control group). Opposing mandibular casts obtained from three different impression materialsand 3-dimensional print constituted test groups , ,and , respectively. Three points, anterior vertical (AV), posterior vertical (PV), and anteroposterior (AP) were compared for dimensional accuracy among casts. Occlusal accuracy was analyzed on Medit Link software at 3 teeth (#13, #17, and #27). After calculating means for each group, the differences were calculated at probability value of P≤0.05 using the single-sample t test, ANOVA, and Tukey test. RESULTS The dimensions were significantly different from those of the mounted master models except in Gp AL(E) and Gp AL(F) at AV dimension and Gp AL(E) at AP dimension (P>0.05). A statistically significant difference of the error of means among the 4 tested groupswere detected only at 2 dimensions (AV and PV) between the Gp AL(E) and Gp 3D-C and between Gp AL(F) and Gp 3D-C groups. Other groups showed no significant differences. CONCLUSIONS The opposing casts obtained from the extended-pour alginate and alginate alternative impression materials showed higher occlusal accuracy compared to conventional alginate and 3D printed casts.
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Affiliation(s)
- Bandar M.A. Al-Makramani
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan,
Saudi Arabia
| | - Mohammed E. Sayed
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan,
Saudi Arabia
| | - Fuad A. Al-Sanabani
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan,
Saudi Arabia
| | - Khurshid Ahmed Mattoo
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan,
Saudi Arabia
| | - Nasser M. Alqahtani
- Department of Prosthetic Dental Sciences, College of Dentistry, King Khalid University, Abha,
Saudi Arabia
| | - Saeed M. Alqahtani
- Department of Prosthetic Dental Sciences, College of Dentistry, King Khalid University, Abha,
Saudi Arabia
| | - Hossam F. Jokhadar
- Department of Oral and Maxillofacial Prosthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah,
Saudi Arabia
| | - Saad Saleh AlResayes
- Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh,
Saudi Arabia
| | - Mohammad Alamri
- Department of Restorative Dental Science, College of Dentistry, King Khalid University, Abha,
Saudi Arabia
| | - Mohammed H. AlWadei
- Department of Restorative Dental Science, College of Dentistry, King Khalid University, Abha,
Saudi Arabia
| | - Khalid Motlaq
- Department of Restorative Dental Science, College of Dentistry, King Khalid University, Abha,
Saudi Arabia
- Department of Restorative Dental Science, King Faisal Medical City, Abha,
Saudi Arabia
| | - Faisal Hasan Alshehri
- Department of Restorative Dental Science, College of Dentistry, King Khalid University, Abha,
Saudi Arabia
| | - Ahid Amer Alshahrani
- Department of Dental Technology, Applied Medical Sciences, King Khalid University, Abha,
Saudi Arabia
| | - Rami Eshaq
- Intern, College of Dentistry, Jazan University, Jazan,
Saudi Arabia
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7
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Dewan H, Sayed ME, Jundus A, Gharawi M, Baeshen S, Alali M, Almarzouki M, Jokhadar HF, AlResayes SS, Al Wadei MHD, Thubab A, Abu Illah MJ, Moafa A. Shear Strength of Repaired 3D-Printed and Milled Provisional Materials Using Different Resin Materials with and without Chemical and Mechanical Surface Treatment. Polymers (Basel) 2023; 15:4284. [PMID: 37959963 PMCID: PMC10648486 DOI: 10.3390/polym15214284] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2023] [Revised: 10/28/2023] [Accepted: 10/29/2023] [Indexed: 11/15/2023] Open
Abstract
The aim of this study was to assess the shear bond strength of 3D-printed and milled provisional restorations using various resin materials and surface finishes. There were 160 preliminary samples in all, and they were split into two groups: the milled group and the 3D-printed group. Based on the resin used for repair (composite or polymethylmethacrylate (PMMA)) and the type of surface treatment utilized (chemical or mechanical), each group was further divided into subgroups. The specimens were subjected to thermocycling from 5 °C to 55 °C for up to 5000 thermal cycles with a dwell time of 30 s. The mechanical qualities of the repaired material underwent testing for shear bond strength (SBS). To identify the significant differences between the groups and subgroups, a statistical analysis was carried out. Three-way ANOVA was used to analyze the effects of each independent component (the material and the bonding condition), as well as the interaction between the independent factors on shear bond strength. Tukey multiple post-hoc tests were used to compare the mean results for each material under various bonding circumstances. The shear bond strengths of the various groups and subgroups differed significantly (p < 0.05). When compared to the milled group, the 3D-printed group had a much greater mean shear bond strength. When compared to PMMA repair, the composite resin material showed a noticeably greater shear bond strength. In terms of surface treatments, the samples with mechanical and chemical surface treatments had stronger shear bonds than those that had not received any. The results of this study demonstrate the effect of the fabrication method, resin type, and surface treatment on the shear bond strength of restored provisional restorations. Particularly when made using composite material and given surface treatments, 3D-printed provisional restorations showed exceptional mechanical qualities. These results can help dentists choose the best fabrication methods, resin materials, and surface treatments through which to increase the durability and bond strength of temporary prosthesis.
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Affiliation(s)
- Harisha Dewan
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia
| | - Mohammed E. Sayed
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia
| | - Asayil Jundus
- College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia; (A.J.); (M.G.); (S.B.); (M.A.); (A.T.); (M.J.A.I.); (A.M.)
| | - Mafaz Gharawi
- College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia; (A.J.); (M.G.); (S.B.); (M.A.); (A.T.); (M.J.A.I.); (A.M.)
| | - Safeyah Baeshen
- College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia; (A.J.); (M.G.); (S.B.); (M.A.); (A.T.); (M.J.A.I.); (A.M.)
| | - Maimonah Alali
- College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia; (A.J.); (M.G.); (S.B.); (M.A.); (A.T.); (M.J.A.I.); (A.M.)
| | - Mai Almarzouki
- Department of Restorative Dentistry, Faculty of Dentistry, King Abdulaziz University, Jeddah 21589, Saudi Arabia;
| | - Hossam F. Jokhadar
- Department of Oral and Maxillofacial Prosthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah 21589, Saudi Arabia;
| | - Saad Saleh AlResayes
- Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh 12372, Saudi Arabia;
| | - Mohammed H. D. Al Wadei
- Department of Restorative Dental Sciences, College of Dentistry, King Khalid University, Abha 61413, Saudi Arabia;
| | - Abdulaziz Thubab
- College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia; (A.J.); (M.G.); (S.B.); (M.A.); (A.T.); (M.J.A.I.); (A.M.)
| | - Mohammed Jabril Abu Illah
- College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia; (A.J.); (M.G.); (S.B.); (M.A.); (A.T.); (M.J.A.I.); (A.M.)
| | - Alkhansa Moafa
- College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia; (A.J.); (M.G.); (S.B.); (M.A.); (A.T.); (M.J.A.I.); (A.M.)
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Sayed ME, Jain S, Jokhadar HF, Alshahrani AA, AlResayes SS, Alqahtani SM, Alqarni H, Anab NA, Alsubeaie NH, Alsubaie SH, Khalid A, Franco R, Minervini G. Effect of smokeless tobacco on color stability and surface roughness of CAD/CAM milled, 3D printed, and conventional provisional crown and fixed dental prosthesis materials: An in vitro study. Technol Health Care 2023:THC230723. [PMID: 37694329 DOI: 10.3233/thc-230723] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/12/2023]
Abstract
BACKGROUND Provisional fixed dental prosthesis (FDP) plays an important role during fixed prosthodontic therapy till the definitive. Discoloration of materials used for provisional FDPs can cause patient dissatisfaction and may create doubt about the color stability of the definitive FDP. Surface roughness is the other major property to be taken into consideration for provisional FDP materials. Smokeless tobacco is reported to affect the color stability and surface roughness of different prosthetic materials. OBJECTIVE The aim of the current study was to evaluate the effect of two types of smokeless tobacco (black and white) on color stability and surface roughness of 3D printed, CAD/CAM milled, and conventional provisional FDP resin materials. METHODS A total of 144 disc-shaped specimens were fabricated using four techniques CAD/CAM subtractive technique (milling), CAD/CAM additive technique (3D Printing), and conventional technique using autopolymerized PMMA, and autopolymerized Bis-acrylic resins. Each group was subdivided into three subgroups of twelve specimens each, and were submerged into three solutions (artificial salivary substitute, black smokeless tobacco, white smokeless tobacco). The change in color and surface roughness was evaluated and the data collected were statistically analyzed. RESULTS It was observed that black smokeless tobacco caused the maximum color change and the effect was highest in autopolymerized PMMA resin specimens (ΔE = 9.343 ± 0.489), followed by 3D printed (ΔE = 7.187 ± 0.391), autopolymerized Bis-acryl (ΔE = 6.464 ± 0.453) and milled (ΔE = 4.978 ± 0.227). White smokeless tobacco was found to cause a maximum change in surface roughness and the effect was highest in autopolymerized Bis-acryl specimens (ΔRa = 0.321 ± 0.015 μm), followed by autopolymerized PMMA (ΔRa = 0.297± 0.015 μm), 3D printed (ΔRa = 0.191 ± 0.019 μm), and milled (ΔRa = 0.168 ± 0.014 μm). Statistically significant (p-value < 0.05) differences were observed among all techniques and solutions. CONCLUSIONS The change in color and surface roughness were maximum in the case of FDPs prepared using autopolymerizing resins, followed by 3D printed, and CAD/CAM milled reins.
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Affiliation(s)
- Mohammed E Sayed
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Saurabh Jain
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Hossam F Jokhadar
- Department of Oral and Maxillofacial Prosthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Ahid Amer Alshahrani
- Department of Oral and Maxillofacial Prosthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Saad Saleh AlResayes
- Department of Dental Technology, Applied Medical Science, King Khalid University, Abha, Saudi Arabia
| | - Saeed M Alqahtani
- Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Hatem Alqarni
- Department of Prosthetic Dentistry, College of Dentistry, King Khalid University, Abha, Saudi Arabia
| | - Najwa Ali Anab
- Restorative and Prosthetic Dental Science Department, College of Dentistry, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
- King Abdullah International Medical Research Center, Riyadh, Saudi Arabia
| | - Nouf H Alsubeaie
- Resident Services in OMFS, Mohmmad Bin Nasser Hospital (MOH), Jazan, Saudi Arabia
| | | | | | - Rocco Franco
- Substance Abuse and Toxicology Research Center, Jazan University, Jazan, Saudi Arabia
| | - Giuseppe Minervini
- Medicinal and Aromatic Plants and Traditional Medicine Research Institute, National Center for Research, Khartoum, Sudan
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Gupta S, Sayed ME, Gupta B, Patel A, Mattoo K, Alotaibi NT, Alnemi SI, Jokhadar HF, Mashhor BM, Othman MA, Mugri MH, Porwal A, Patil S. Comparison of Composite Resin (Duo-Shade) Shade Guide with Vita Ceramic Shades Before and After Chemical and Autoclave Sterilization. Med Sci Monit 2023; 29:e940949. [PMID: 37386761 DOI: 10.12659/msm.940949] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/01/2023] Open
Abstract
BACKGROUND This study aimed to compare a composite resin (Duo-Shade) shade guide with Vita ceramic shades before/after chemical and autoclave sterilization. MATERIAL AND METHODS Color values (L*a*b*) were recorded directly from shade tabs of prefabricated composite resin (Brilliant NG Universal Duo-Shade) and ceramic (Vita classic) shade guide with a calibrated spectrophotometer (Vita Easy Shade Advance 4.0). Seventy-two composite resin disk samples with 6 different shades (A1/B1, A2/B2, A3/D3, A3.5/B3, A4/C4, and C2/C3) (n=12 each) were divided into 2 groups (Gp) - Gp A (Autoclave) and Gp C (Chemical) (15 cycles) - to assess their influence on respective shades. Mean values calculated the color differences (ΔE) while differences in color values (L*a*b*) were graded on the National Bureau of Standards (NBS) 6-grade scale and assessed for Clinical Acceptance/Perceptible Threshold (CAT), (CPT). All differences were considered significant if the color difference ΔE was ≥3.3. RESULTS Only 2 out of 12 Shade tabs (C2C3, A4C4) of composite resin matched to Vita shade tab C2 and C4 (ΔE ≤3.3). Both groups showed notable color differences after respective sterilization protocols, with color differences in Gp A significantly higher than Gp C (DE ³3.3). Within groups, all shades in Gp A showed remarkably different color changes, with shade C2C3 and A1B1 being denoted as clinically unacceptable. CONCLUSIONS Manufacturer-provided shade guides do not match ceramic shades as claimed and chemical sterilization using 10% Deconex was associated with less color changes than with autoclave sterilization.
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Affiliation(s)
- Shekhar Gupta
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Mohammed E Sayed
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Bharti Gupta
- Department of Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Aditya Patel
- Department of Conservative Dentistry, Sharad Pawar Dental College & Hospital, Sawangi, Maharashtra, India
| | - Khurshid Mattoo
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Noura Turki Alotaibi
- General Practitioner and Independent Researcher, Private Practice, Riyadh, Saudi Arabia
| | - Salha I Alnemi
- Primary Health Care Center, Ministry of Health, Jazan, Saudi Arabia
| | - Hossam F Jokhadar
- Department of Oral and Maxillofacial Prosthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
| | | | - Maha Abdu Othman
- General Practitioner and Independent Researcher, Private Practice, Jazan, Saudi Arabia
| | - Maryam H Mugri
- Department of Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Amit Porwal
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Shankargouda Patil
- College of Dental Medicine, Roseman University of Health Sciences, South Jordan, UT, USA
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Mugri MH, Jain S, Sayed ME, Halawi AHA, Hamzi SAI, Aljohani RAS, Madkhali ZMA, Khalid A, Jokhadar HF, Almarzouki M, Alhumaidan GA, Alshahrani AA, Alqahtani SM, Alqahtani NM, Lunkad H. Effects of Smokeless Tobacco on Color Stability and Surface Roughness of 3D-Printed, CAD/CAM-Milled, and Conventional Denture Base Materials: An In Vitro Study. Biomedicines 2023; 11:biomedicines11020491. [PMID: 36831026 PMCID: PMC9953001 DOI: 10.3390/biomedicines11020491] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2022] [Revised: 01/27/2023] [Accepted: 01/27/2023] [Indexed: 02/11/2023] Open
Abstract
Tobacco consumption in its different forms can affect the optical and surface properties of dental materials that are used in the oral cavity. Thus, the present study was conducted to evaluate the effects of two commercially available smokeless tobacco products on the color stability and surface roughness of denture base resins that were fabricated using three different techniques (CAD/CAM milling, 3D printing, and conventional heat polymerization). A total of 126 denture base resin specimens were fabricated using the three different manufacturing techniques (n = 42 each). Specimens from each group were further subdivided into three subgroups (n = 14 each) and immersed in three different immersion media (a khaini suspension, a tabbaq suspension, and artificial saliva). The differences in color and surface roughness were assessed according to data that were collected and statistically analyzed using SPSS version 24.0. The tabbaq smokeless tobacco was found to cause greatest changes in color and surface roughness; the effect was observed to be highest in the 3D-printed specimens followed by the conventional heat-polymerized and CAD/CAM milled specimens. The mean changes in color and surface roughness were the highest for the tabbaq smokeless tobacco followed by the khaini smokeless tobacco and the artificial saliva. Statistically significant (p-value < 0.05) differences were observed among all techniques and suspensions. We concluded that the mean changes in color and surface roughness were significantly higher for the 3D-printed dentures compared to the conventional heat-polymerized and CAD/CAM-milled dentures. Thus, the results of the present study strengthened the concept that tobacco in any form can lead to changes in the color and surface roughness of denture base materials.
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Affiliation(s)
- Maryam H. Mugri
- Department of Maxillofacial and Diagnostic Sciences, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia
| | - Saurabh Jain
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia
- Correspondence: (S.J.); (M.E.S.)
| | - Mohammed E. Sayed
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia
- Rutgers School of Dental Medicine, Rutgers University, Newark, NJ 07103, USA
- Correspondence: (S.J.); (M.E.S.)
| | | | | | | | | | - Asaad Khalid
- Substance Abuse and Toxicology Research Center, Jazan University, Jazan 45142, Saudi Arabia
- Medicinal and Aromatic Plants and Traditional Medicine Research Institute, National Center for Research, Khartoum 11111, Sudan
| | - Hossam F. Jokhadar
- Department of Oral and Maxillofacial Prosthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah 21589, Saudi Arabia
| | - Mai Almarzouki
- Department of Operative Dentistry, King Abdulaziz University, Jeddah 21589, Saudi Arabia
| | | | - Ahid Amer Alshahrani
- Department of Dental Technology, Applied Medical Science, King Khalid University, Abha 62529, Saudi Arabia
| | - Saeed M. Alqahtani
- Department of Prosthetic Dentistry, College of Dentistry, King Khalid University, Abha 62529, Saudi Arabia
| | - Nasser M. Alqahtani
- Department of Prosthodontics, College of Dentistry, King Khalid University, Abha 62529, Saudi Arabia
| | - Honey Lunkad
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia
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