Fabrication of titanium removable dental prosthesis frameworks with a 2-step investment coating method.

STATEMENT OF PROBLEM: Although pure titanium is known to have good biocompatibility, a titanium alloy with better strength is needed for fabricating clinically acceptable, partial removable dental prosthesis (RDP) frameworks. PURPOSE: The mechanical properties of an experimental Ti-5Al-5Cu alloy cast with a 2-step investment technique were examined for RDP framework applications. MATERIAL AND METHODS: Patterns for tests for various properties and denture frameworks for a preliminary trial casting were invested with a 2-step coating method using 2 types of mold materials: a less reactive spinel compound (Al(2)O(3)·MgO) and a less expensive SiO(2)-based material. The yield and tensile strength (n=5), modulus of elasticity (n=5), elongation (n=5), and hardness (n=8) of the cast Ti-5Al-5Cu alloy were determined. The external appearance and internal porosities of the preliminary trial castings of denture frameworks (n=2) were examined with a conventional dental radiographic unit. Cast Ti-6Al-4V alloy and commercially pure titanium (CP Ti) were used as controls. The data for the mechanical properties were statistically analyzed with 1-way ANOVA (α=.05). RESULTS: The yield strength of the cast Ti-5Al-5Cu alloy was 851 MPa and the hardness was 356 HV. These properties were comparable to those of the cast Ti-6Al-4V and were higher than those of CP Ti (P<.05). One of the acrylic resin-retention areas of the Ti-5Al-5Cu frameworks was found to have been incompletely cast. CONCLUSIONS: The cast biocompatible experimental Ti-5Al-5Cu alloy exhibited high strength when cast with a 2-step coating method. With a dedicated study to determine the effect of sprue design on the quality of castings, biocompatible Ti-5Al-5Cu RDP frameworks for a clinical trial can be produced.

The effect of multiple firings on the marginal integrity of pressable ceramic single crowns.

STATEMENT OF PROBLEM: The marginal adaptation of metal ceramic crowns is affected by firing cycles for veneering porcelain application. The effect of multiple firings on the marginal integrity of pressable ceramic core crowns is unknown. PURPOSE: The purpose of this in vitro study was to evaluate the effect of repeated firing cycles on the marginal discrepancy of veneered (layered) pressable ceramic anterior crowns with 2 different finish line configurations. MATERIAL AND METHODS: Forty pressable ceramic single anterior complete crowns were fabricated from 2 systems (IPS Empress Esthetic and IPS e.max Press) with 2 finish line designs (shoulder, chamfer) on epoxy resin dies. Specimens were divided into 4 groups of 10, and measurements were made after pressing (control) and after 5 veneer firing stages: 1) wash, 2) first incisal, 3) second incisal, 4) characterization and glazing, and 5) corrective. The change in vertical marginal discrepancy was measured with a light microscope at 4 locations: facial (F), mesial (M), lingual (L), and distal (D) surfaces. One-way ANOVA (α-=.05) was used to evaluate the marginal change. A Student-Newman-Keuls test was also used for comparison among the groups. RESULTS: There were no significant changes in the vertical marginal integrity related to ceramic type and marginal location and their interactions. However, there was a significant marginal integrity change during the characterization and glazing firing stage. (P<.05) CONCLUSIONS: The marginal gap increased for both systems during veneer application and decreased during the characterization and glazing firing cycle. The total marginal fit change after 5 firings was 0.33 µm for IPS e.max Press, and 0.27 µm for IPS Empress Esthetic.

Bonding of resin luting materials to titanium and titanium alloy.

Recently in Japan, due to the increased prices of palladium and gold, cast titanium restorations have been included in the Japanese national health insurance system. The purpose of this review was to survey the available literature on titanium bonding systems, focusing on the adhesive monomer in the luting agent in order to expand the application of resin-bonded fixed prostheses made of titanium or titanium alloys. It was found that adhesive monomers are effective for bonding to titanium, and provide results equal to the procedures of silanization and tribochemical silica coating. A primer or a luting agent, including 10-methacryloyloxydecyl dihydrogen phosphate (MDP), methacryloyloxyalkyl thiophosphate derivative (MEPS), 6-methacryloxyhexyl phosphonoacetate (6-MHPA), and 4-methacryloyloxyethl trimellitate anhydride (4-META) promotes bonding characteristics between titanium and the resin material.

Biofilm accumulation on additive manufactured Ti-6Al-4V alloy surfaces.

PURPOSE: This study investigated whether additive manufactured (AM) surfaces inhibit accumulation of bacterial biofilm on the surfaces of Ti-6Al-4V alloy dental implants. Bacterial biofilms are thought to cause peri-implant disease, which develops in mucosa surrounding titanium (Ti) and Ti alloy dental implants and can lead to bone loss and implant failure. METHODS: Accumulation of a Streptococcus mutans (ATCC 25175) biofilm on Ti-6Al-4V alloy was compared in relation to fabrication method, ie, AM using electron beam melting (EBM) or laser beam melting (LBM). Conventional lost-wax casting was used as positive control, and Teflon was used as negative control. Biofilm accumulation on the alloys and negative control (each n = 10) was conducted at 37°C under anaerobic conditions. After 4 h, the number of metabolically active S. mutans bacteria adhering to the alloy was determined with a bioluminescence assay. RESULTS: The quantitative roughness values of the specimens, before exposure to bacteria, ranked EBM > LBM > cast > Teflon. CONCLUSION: The amount of biofilm accumulation on the investigated AM metals and cast metal controls did not significantly differ.

Posterior amalgam restorations--usage, regulation, and longevity.

The use of dental amalgam has declined, but in most of the world, amalgam is the most widely used and widely taught direct restorative material for load-bearing posterior restorations. There are few national regulations on the use of amalgam; however, there are several nations where few amalgam restorations are placed. Long-term studies have shown that under optimum conditions, posterior restorations of amalgam and resin composite last longer than reported previously and that amalgam restorations outlast composite restorations. In general practice settings, posterior amalgam and composite restorations both have lower longevities.

Fatigue testing of electron beam-melted Ti-6Al-4V ELI alloy for dental implants.

Customized one-component dental implants have been fabricated using Electron Beam Melting(®) (EBM(®)), which is a rapid prototyping and manufacturing technique. The goal of our study was to determine the effect of electron beam orientation on the fatigue resistance of EBM Ti-6Al-4V ELI alloy. EBM technique was used to fabricate Ti-6Al-4V ELI alloy blocks, which were cut into rectangular beam specimens with dimensions of 25 × 4 × 3 mm, such that electron beam orientation was either parallel (group A) or perpendicular (group B) to the long axis of the specimens. The specimens were subjected to cyclic fatigue (R = 0.1) in four-point flexure under ambient conditions using various stress amplitudes below the yield stress. The fatigue lifetime data were fit to an inverse power law-Weibull model to predict the peak stress corresponding to failure probabilities of 5 and 63% at 2M cycles (σ(max, 5%) and σ(max, 63%)). Groups A and B did not have significantly different Weibull modulus, m (p > 0.05). The specimens with parallel orientation showed significantly higher σ(max, 63%) (p ≤ 0.05), but there was no significant difference in the σ(max, 5%) (p > 0.05). Thus, it can be concluded that the fatigue resistance of the material was greatest when the electron beam orientation was perpendicular to the direction of crack propagation.

Evaluation of Titanium Alloys Fabricated Using Rapid Prototyping Technologies-Electron Beam Melting and Laser Beam Melting.

This study characterized properties of Ti-6Al-4V ELI (extra low interstitial, ASTM grade 23) specimens fabricated by a laser beam melting (LBM) and an electron beam melting (EBM) system for dental applications. Titanium alloy specimens were made into required size and shape for each standard test using fabrication methods. The LBM specimens were made by an LBM machine utilizing 20 µm of Ti-6Al-4V ELI powder. Ti-6Al-4V ELI specimens were also fabricated by an EBM using 40 µm of Ti-6Al-4V ELI powder (average diameter, 40 µm: Arcam ABÒ) in a vacuum. As a control, cast Ti-6Al-4V ELI specimens (Cast) were made using a centrifugal casting machine in an MgO-based mold. Also, a wrought form of Ti-6Al-4V ELI (Wrought) was used as a control. The mechanical properties, corrosion properties and grindability (wear properties) were evaluated and data was analyzed using ANOVA and a non-parametric method (α = 0.05). The strength of the LBM and wrought specimens were similar, whereas the EBM specimens were slightly lower than those two specimens. The hardness of both the LBM and EBM specimens was similar and slightly higher than that of the cast and wrought alloys. For the higher grindability speed at 1,250 m/min, the volume loss of Ti64 LBM and EBM showed no significant differences among all the fabrication methods. LBM and EBM exhibited favorable results in fabricating dental appliances with excellent properties as found for specimens made by other fabricating methods.

Elemental ion release from four different fixed prosthodontic materials.

OBJECTIVE: Elemental release is important because it plays a significant role in material biocompatibility. The aim of this study was to investigate the release of metal ions from four fixed prosthodontic materials. METHODS: Specimens were prepared using the conventional lost wax technique for gold and nickel-chromium (Ni-Cr) alloys, and by cutting blocks and bar for CAD-CAM ceramic and stainless-steel (St-St) alloy, respectively. All specimens were polished (600grit SiC paper), and ultrasonically cleaned with ethanol for 5min. After they were immersed in 0.9% sodium chloride (NaCl) and 1% lactic acid, and were kept at 37 degrees C for 7 days, the elemental release (mug/cm(2)) from each material was analyzed by using inductively coupled plasma mass spectroscopy. The rate (n=5) was statistically analyzed by ANOVA/Tukey test (p<0.05). Two immersion blank solutions were used as a negative control group. RESULTS: Higher elemental release (mean+/-S.D.) of all elements from all materials was evident into the lactic acid solution except for Ag. In the gold alloy, there was significant difference (p<0.05) between Zn and other released elements in the NaCl solution, and it also revealed significant difference between Pd or Ag and Cu which detection value was more than Zn (but no statistical difference) into lactic acid solution. The Ni was significantly more released from Ni-Cr alloy than the other elements into both NaCl and lactic acid solutions. The same was observed for Fe released from St-St alloy. There was more significant release of K than Al from CAD-CAM ceramic in only NaCl solution. SIGNIFICANCE: Transient exposure of tested materials to an acidic environment is likely to significantly increase the elemental release from them. The significant higher release of Ni from Ni-Cr alloy, and Zn, Cu from gold alloy was evident.