Evaluation of the micro-mechanical and bioactive properties of bioactive glass-dental porcelain composite.

The aim of this study was to evaluate microhardness and elastic modulus of a novel sol-gel derived dental ceramic - 58S bioactive glass composite (BP67: Bioactive Glass:33.3%, Dental Ceramic:66.7%) BP671 material by micro-indentation and to investigate its microstructure and bioactivity. The research hypotheses were that the values of microhardness (1) and elastic modulus (2) of the novel bioceramic composite and the commercial dental ceramic will be of the same order. The experimental sol-gel derived ceramics showed similar microstructural characteristics to a commercial feldspathic porcelain, and presence of additional calcium phosphate phases, which contributed its bioactivity. The formation of an apatite-like layer on the materials' surface observed by Fourier Transform Infrared (FTIR)2 spectroscopy, X-ray Diffraction (XRD)3 and Scanning Electron Microscopy-Energy Dispersive Spectroscopy (SEM-EDS)4 techniques after 12 days of maintenance in Conventional Simulated Body Fluid (cSBF)5 solution. The BP67 exhibited values of microhardness and modulus of elasticity which were not statistically significant different compared to dental ceramic, indicating the adequate mechanical integrity of the material. The results of this study suggest that the novel bioactive composite could be potentially applied in prosthetic dentistry, while its thermal and optical properties should be investigated in future studies.

Inducing bioactivity of dental ceramic/bioactive glass composites by Nd:YAG laser.

OBJECTIVES: Aims of this study were to investigate the optimal conditions of laser irradiation of a novel Bioactive Glass/Dental Ceramic-BP67 composite for acceleration of hydroxyapatite-HA formation and to assess cellular responses on the precipitated HA region. METHODS: BP67 (Bioactive Glass: 33.3%, Dental Ceramic: 66.7%) was fabricated by the sol-gel method. A laser assisted biomimetic-LAB process was applied to BP67 sintered specimens immersed in 1.5-times concentrated simulated body fluid-1.5×-SBF. The effect of various energy densities of pulsed nanosecond Nd-YAG (1064nm) laser and irradiation exposure times (30min, 1 and 3h) were evaluated for HA precipitation. The HA film was characterized by FTIR, XRD, SEM and micro Raman techniques. ICP-AES was used for revealing changes in chemical composition of the 1.5×-SBF during irradiation. Cell viability and morphological characteristics of periodontal ligament fibroblasts-PDLFs, human gingival fibroblasts-HGFs and SAOS-2 osteoblasts on the HA surface were evaluated by MTT assays and SEM. RESULTS: At optimal energy fluence of 1.52J/cm2 and irradiation time for 3h followed by immersion in 1.5×-SBF at 60°C, a dense HA layer was formed on laser-irradiated BP67 within 7 days. The resulting HA film was tightly bonded to the underlying substrate and had mineral composition similar to cementum. MTT assay showed a consistent reduction of cell proliferation on the HA layer in comparison to conventional control ceramic and BP67 for all 3 cell lines studied. SIGNIFICANCE: These findings suggest LAB is an effective method for acceleration of HA formation on materials with low bioactivity, while cellular responses need further investigation.

Effect of in vitro aging on the flexural strength and probability to fracture of Y-TZP zirconia ceramics for all-ceramic restorations.

OBJECTIVES: Dental zirconia restorations should present long-term clinical survival and be in service within the oral environment for many years. However, low temperature degradation could affect their mechanical properties and survival. The aim of this study was to investigate the effect of in vitro aging on the flexural strength of yttrium-stabilized (Y-TZP) zirconia ceramics for ceramic restorations. METHODS: One hundred twenty bar-shaped specimens were prepared from two ceramics (ZENO Zr (WI) and IPS e.max(®) ZirCAD (IV)), and loaded until fracture according to ISO 6872. The specimens from each ceramic (nx=60) were divided in three groups (control, aged for 5h, aged for 10h). One-way ANOVA was used to assess statistically significant differences among flexural strength values (P<0.05). The variability of the flexural strength values was analyzed using the two-parameter Weibull distribution function, which was applied for the estimation of Weibull modulus (m) and characteristic strength (σ0). The crystalline phase polymorphs of the materials (tetragonal, t, and monoclinic, m, zirconia) were investigated by X-ray diffraction (XRD) analysis, Raman spectroscopy and Fourier transform infrared (FTIR) spectroscopy. RESULTS: A slight increase of the flexural strength after 5h, and a decrease after 10h of aging, was recorded for both ceramics, however statistically significant was for the WI group (P<0.05). Both ceramics presented a t→m phase transformation, with the m-phase increasing from 4 to 5% at 5h to around 15% after 10h. SIGNIFICANCE: The significant reduction of the flexural strength after 10h of in vitro aging, suggests high fracture probability for one of the zirconia ceramics tested.

Flexural strength and the probability of failure of cold isostatic pressed zirconia core ceramics.

STATEMENT OF PROBLEM: The flexural strength of zirconia core ceramics must predictably withstand the high stresses developed during oral function. The in-depth interpretation of strength parameters and the probability of failure during clinical performance could assist the clinician in selecting the optimum materials while planning treatment. PURPOSE: The purpose of this study was to evaluate the flexural strength based on survival probability and Weibull statistical analysis of 2 zirconia cores for ceramic restorations. MATERIAL AND METHODS: Twenty bar-shaped specimens were milled from 2 core ceramics, IPS e.max ZirCAD and Wieland ZENO Zr, and were loaded until fracture according to ISO 6872 (3-point bending test). An independent samples t test was used to assess significant differences of fracture strength (α=.05). Weibull statistical analysis of the flexural strength data provided 2 parameter estimates: Weibull modulus (m) and characteristic strength (σ(0)). The fractured surfaces of the specimens were evaluated by scanning electron microscopy (SEM) and energy dispersive spectroscopy (EDS). The investigation of the crystallographic state of the materials was performed with x-ray diffraction analysis (XRD) and Fourier transform infrared (FTIR) spectroscopy. RESULTS: Higher mean flexural strength (P<.001) and σ(0) were recorded for WZ ceramics. However IZ ceramics presented a higher m value and a microstructure with fewer voids and pores. The fractured surfaces presented similar fractographic properties (mirror regions followed by hackle lines zones). Both groups primarily sustained the tetragonal phase of zirconia and a negligible amount of the monoclinic phase. CONCLUSIONS: Although both zirconia ceramics presented similar fractographic and crystallographic properties, the higher flexural strength of WZ ceramics was associated with a lower m and more voids in their microstructure. These findings suggest a greater scattering of strength values and a flaw distribution that are expected to increase failure probability.

Microstructural characterization and comparative evaluation of physical, mechanical and biological properties of three ceramics for metal-ceramic restorations.

OBJECTIVES: A wide variety of dental ceramics compositions have been introduced in dental clinical practice in order to combine desired aesthetics with superior mechanical performance. The aim of the present study was to investigate the microstructural changes in three dental ceramics after their sintering according to manufacturers' instructions and to comparatively evaluate some of their physical, mechanical and biological properties. METHODS: The analysis of the phases present in each material before and after sintering was performed with scanning electron microscopy (SEM), Fourier transform infrared spectroscopy (FTIR) and X-ray diffraction analysis (XRD). The thermal properties of ceramic specimens were evaluated with differential thermal and thermogravimetric analysis (TG-DTA). The mechanical properties evaluated were fracture toughness, Young's modulus and microhardness with the Vickers indentation method. MTT assay was used for cell proliferation assessment. One-way analysis of variance (ANOVA) with Bonferroni multiple comparisons tests was used to determine statistically significant differences (significance level of p<0.05). RESULTS: Results showed a remarkable variation among the three ceramic compositions of leucite content in the starting unheated ceramic powders ranging between 14 and 32 wt.% and in the respective sintered powders ranging between 15 and 41 wt.% The low fusing glass-ceramic and the high fusing leucite-based ceramic presented significantly higher fracture toughness (p<0.001) and microhardness and lower modulus of elasticity (p<0.05) compared to the low fusing feldspathic ceramic. The three ceramics were almost equivalent concerning their in vitro biological behavior. SIGNIFICANCE: Variations in crystal structure, distribution and composition are related to differences concerning mechanical properties of dental ceramics.