Microstructure analysis of dental castings used in fixed dental prostheses--a simple method for quality control.

The aim of this study was to evaluate the microstructural quality of noble alloy castings from commercial dental laboratories using the wiping-etching method as a simple method for quality control. In total, 240 castings from two noble alloys (AuAgCuPt and AuPtZn) were taken from a day's production of five different dental laboratories. The casting quality was evaluated by determining the grain size and by assessing the number and size of shrinkage cavities after acidic etching of the alloy surfaces. The AuAgCuPt alloy castings showed an acceptable quality in the microstructural analysis. The results of AuPtZn castings, however, were not satisfactory because 50.8% of the samples showed a remarkably poorer quality compared to the specifications made by the manufacturer. The proportion of the employed reclaimed alloy had no influence on the casting quality when AuAgCuPt alloy was used, but was influential when casting restorations with AuPtZn alloy. When determining the quantity and size of shrinkage cavities, none of the evaluated castings was of such a poor quality that a replacement of the castings had to be considered. The differences in grain size and quantity of shrinkage cavities were reflecting the individual laboratory process rather than the admixture of new/reclaimed alloy. The presented analysis can be used as a simple method for quality control of dental castings.

Ceramics as biomaterials for dental restoration.

Sintered ceramics and glass-ceramics are widely used as biomaterials for dental restoration, especially as dental inlays, onlays, veneers, crowns or bridges. Biomaterials were developed either to veneer metal frameworks or to produce metal-free dental restorations. Different types of glass-ceramics and ceramics are available and necessary today to fulfill customers' needs (patients, dentists and dental technicians) regarding the properties of the biomaterials and the processing of the products. All of these different types of biomaterials already cover the entire range of indications of dental restorations. Today, patients are increasingly interested in metal-free restoration. Glass-ceramics are particularly suitable for fabricating inlays, crowns and small bridges, as these materials achieve very strong, esthetic results. High-strength ceramics are preferred in situations where the material is exposed to high masticatory forces.

Corrosion resistance measurements of dental alloys, are they correlated?

OBJECTIVES: The aim was to assess in vitro the resistance to corrosion of eight commercial dental alloys by two quantitative methods, electrochemical and immersion tests, then to statistically test the hypothesis of possible correlation between the polarization resistance (R(p)) and the elemental release. METHODS: Two quantitative methods; electrochemical and immersion test, were used. From the first, after recording the OCP during 24h immersion in acidified artificial saliva (pH 2.3), R(p) was obtained using the linear polarization in anodic path and applying the Mansfeld's method. From the static immersion test, using the same test solution, the elemental release from was analysed and determined using the ICP-AES. Thereafter, the two measurements were used to plot the regression line and to determine the correlation coefficient. The significance of the correlation was tested using F-test at a confidence interval of 0.99. RESULTS: : The resistance to corrosion results obtained from the two methods were ranked and compared; an inverse relation between them was evident. Then, the obtained coefficient of correlation (R(2)) was 0.886. With the F-test at 0.99 confidence interval, the hypothesis was accepted as the calculated F was about 44 against critical F=13.7. CONCLUSION: The correlation between the two measurements, R(p) and mass loss, was proved statistically significant. This result may provide a new approach to predict the corrosion behaviour of dental alloys by firstly using the easier methods.

Light transmittance by a multi-coloured zirconia material.

Full-contour zirconia restorations are gaining in popularity. Highly translucent zirconia materials and multi-coloured zirconia blocks might help to overcome the aesthetic drawbacks of traditional zirconia. This study evaluated the transmittance of visible light (400-700 nm) through the four different layers (Enamel Layer EL, Transition Layer 1 TL1, Transition Layer 2 TL2, Body Layer BL) of a multi-coloured zirconia block (KATANA™ Zirconia Multi-Layered Disc (ML)) using a spectrophotometer. Forty specimens (thickness of 1±0.05 mm) from each layer were examined and statistically evaluated at a confidence-level of 5%. Light transmittance was expressed as a percentage of the through-passing light. The following mean values (SD) were found: EL 32.8% (1.5), TL1 31.2% (1.3), TL2 25.4% (1.3) and BL 21.7% (1.1). Significant differences were found between all groups (ANOVA, Student-Newman-Keuls). This multi-coloured zirconia block showed four layers with different light transmittance capabilities. It might therefore be useful for enhancing the aesthetic appearance of full-contour zirconia restorations made from this material.

Corrosion susceptibility of lingual wire extensions in removable appliances. An in vitro study.

MATERIAL AND METHODS: The corrosion resistance of ten different round orthodontic wires as plastic-encased extensions was evaluated in vitro. Following the production of defined test samples with free as well as with acrylic-embedded wire segments, ten samples of each product were subjected to gap provocation by deflecting the free-running wire ends with an electric drive, while 10 samples remained provocation-free. The tests were run under standardized conditions (7 days, 37 degrees C, pH 2.3, 0.1 mol NaCl/CH3CHOHCOOH), and the findings were analyzed by stereo light microscopy and scanning electron microscopy. RESULTS: The following alterations were observed on the wire surfaces: a) crevice corrosion with substantial linear surface erosion and opaque discolorations, b) localized pitting corrosion, and c) mild surface erosion with translucent discolorations. The reactions of the test samples were similar in both those that were subjected to addition mechanical loading in the electrolyte and those that were not. Cr-Ni steels were susceptible to corrosion, whereas Co-Cr alloys as well as low-nickel manganese steels had only slight visible alterations, if any, in the embedded wire sections. CONCLUSIONS: Clinically occurring discolorations in the acrylic can be attributed to corrosion processes on the embedded wire extensions. These processes can be simulated and observed in vitro. During the processing of acrylic materials now customary in the orthodontic laboratory, crevices are inevitably formed between the wire and the acrylic, furthering the corrosion process. Our results suggest that, being more resistant to crevice corrosion, Co-Cr alloys or low-nickel steels can be considered as alternatives.

[In vitro fracture resistance tests of 3-unit posterior bridges produced by the Procera process]. / In-vitro-Bruchlasttests von 3-gliedrigen Seitenzahnbrücken hergestellt im Procera-Verfahren.

The aim of this investigation was to evaluate the fracture resistance of three-unit fixed partial dentures manufactured with the Procera-System in vitro. Metal abutments representing the teeth 25 and 27 were prepared with a 90 degrees circumferential internally rounded shoulder. The abutments were duplicated with polyvinysiloxane, and master dies were fabricated. Using the Procera-System, 21 aluminiumoxid frameworks were manufactured. Twelve of these were veneered with porcelain in a standardized manner. All non-veneered and veneered frameworks were cemented on the original metal abutments and loaded to fracture. The mean fracture loads of the non-veneered and veneered frameworks were 477 N and 645 N, respectively. The Weibull modules of the test series were 4.7 for the non-veneered and 4.0 for the veneered frameworks. The in vitro results of this investigation seem to indicate that the use of fixed partial dentures manufactured with the Procera-System are clinically questionable. Furthermore, the low Weibull modules point to a limited fracture predictability. Assuming that chewing forces up to 600 N may occur in the molar region and loading of dental ceramics causes fatigue and weakening over time, the clinical application may not be recommended.

High-strength CAD/CAM-fabricated veneering material sintered to zirconia copings--a new fabrication mode for all-ceramic restorations.

OBJECTIVES: With this in vitro study the fracture strength of zirconia-based crown copings being veneered with a CAD/CAM generated high-strength ceramic cap by sintering is compared with anatomically identical zirconia-based crowns, which were either overpressed or veneered by the layering technique for completion. METHODS: A 1.2mm, 360 degrees chamfer preparation was performed on a second maxillary molar and was dublicated 15 times in a cobalt-chromium-alloy. A sample of 45 zirconia copings was produced and divided into three groups. In the first group (VT) zirconia copings received conventional veneering in layering technique, in the second group the veneering porcelain was pressed over the zirconia coping (PT), and for the third group (ST) a CAD/CAM-fabricated high-strength anatomically shaped veneering cap was sintered onto the zirconia coping. All crowns were cemented conventionally onto their dies and tested in the universal testing machine until clinical failure. The fracture load data were compared by a one-way analysis of variance and a multiple comparison posthoc test (alpha<0.05). RESULTS: Specimens from group VT showed a mean (S.D.) fracture load of 3700.39 (1238.72) N, group OT 3523.73 (1181.11) N and group ST 6262.67 (2257.42) N. The difference between groups VT/OT and ST were statistically significant (P<0.001). SIGNIFICANCE: The new CAD/CAM-fabricated bilayered restorations (ST) were superior to the present techniques (VT and OT) in terms of fracture load and offer the possibility to produce cost-effective crowns and fixed partial dentures with a potential lower risk of chippings.

Materials. Consensus report of Working Group 4.

The method used by the working group was an iterative process based upon a structured review of the relevant literature by a group of rapporteurs. The literature was searched using common databanks (e.g., Medline, Pubmed, Cochrane Library etc.), and also by performing manual searches in the non-indexed literature. The review papers were circulated to the members of the group before and during a conference that served as the basis for subsequent discussions. Each paper was subject to detailed collective analysis and subsequently modified on the basis of panel's discussion and referred to additional relevant literature where appropriate. The consensus statements were prepared after a detailed consideration of the papers submitted to the workshop by the working group. The papers were scrutinized, amended and approved by the group.