Dental zirconia microwave-sintering followed by rapid cooling protocol.

OBJECTIVES: This study aimed to evaluate the effect of microwave sintering temperature and cooling rate (MS) on 3Y-TZP ceramics and its influence on the ceramic microstructure and mechanical properties. Specifically, to optimize the sintering process, reducing the total sintering time compared to conventional sintering. MATERIALS AND METHODS: Eighty-four pre-sintered Y-TZP discs (Vipi block Zirconn, VIPI) (ISO 6872) were divided into seven groups (n = 12) according to the sintering conditions: conventional sintering (CS) at 1530 °C for 120 min and microwave sintering at 1400 °C (MS1400) and 1450 °C (MS1450) for 15 min followed by different cooling conditions: rapid cooling (RC), cooling at 400 °C (C400) and 25 °C (C25). The specimens were submitted to apparent density measurements, X-ray diffraction analysis (XRD), scanning electron microscopy, and biaxial flexural strength test. Data was statistically analyzed through two-way ANOVA, Tukey, Sidak, Dunnett and Weibull (α = 0.05). RESULTS: All MS1400 groups presented lower density values than the CS and MS1450 groups. Two-way ANOVA revealed that the MS temperature and cooling rate affected the biaxial flexural strength of the Y-TZP (p < 0.01). Group MS1400RC presented lower biaxial flexural strength values (681.9 MPa) than MS1450RC (824.7 MPa). The cooling rate did not statistically decrease the biaxial strength among the groups submitted to microwave sintering at 1450 °C. XRD analysis showed that the sintering and cooling temperature did not induce tetragonal to monoclinic phase transformation. CONCLUSIONS: Microwave sintering at 1450 °C for 15 min followed by rapid cooling can be a viable fast alternative protocol for Y-TZP sintering, compared with the conventional sintering, reducing the total sintering time by 75% and reducing the energy used for the sintering process without affecting the Y-TZP biaxial flexural strength and relative density compared to the conventional sintering. Moreover, the microwave technique promoted smaller grains and did not induce monoclinic phase formation.

Cleaning and Surface Treatment Protocols for Repair of Aged Y-TZP with Composite Resin.

The purpose of this study was to evaluate the cleaning and surface treatment techniques in the repair of aged and contaminated yttrium oxide-stabilized tetragonal polycrystalline zirconia (Y-TZP). From a total of 80 specimens of Y-TZP, 60 were subjected to aging simulation in a buccal environment with degradation in an autoclave for 24 hours (127°C/1.5 bar) and contaminated with Streptococcus mutans. The surfaces were cleaned with a triple syringe (air/water jet; n = 20) or isopropyl alcohol (n = 20), or by prophylaxis (n = 20) with pumice and water. The remaining 20 specimens comprised the control group. All specimens were then treated with silicatization (n = 10 per group) or adhesive (n = 10 per group) and repaired with composite resin. Analyses of shear strength, failure mode, and roughness were performed by electron microscopy. Data were analyzed by two-way analysis of variance (ANOVA) and t test (α = .05). Statistical significance was set at P < .05. Two-way ANOVA was significant for aging and surface treatments (P = .049), but was not significant for surface cleaning (P = .05). ANOVA results were statistically significant for surface treatments (P < .0001), with higher resistance for the silicatization groups. The failure mode was mostly adhesive for all specimens. The roughness was not significant for aging and control groups (P > .05). Triple-syringe and prophylaxis cleansing followed by silicatization was the most efficient treatment for the repair of aged and contaminated Y-TZP. There is reduced repair efficiency with the aging of Y-TZP.

Strength of a Zirconia-Reinforced Lithium Silicate Ceramic: Acid-Etching Time and Resin Cement Application Effects.

This study aimed to evaluate the effect of hydrofluoric (HF)-acid-etching time and the impact of a resin-cement layer on the biaxial flexural strength and structural reliability of a zirconia-reinforced lithium silicate (ZLS) glass ceramic. Disc-shaped specimens (n = 15) were divided according to: etching time (conditioning with 10% HF acid for 20, 40, and 60 seconds), and application of a resin-cement layer. Biaxial flexural, contact angle, and roughness analyses were performed. When the resin-cement layer was not present, flexural strength data increased with increasing etching times: 20 seconds = 250.8 MPa; 40 seconds = 278.4 MPa; 60 seconds = 342.9 MPa. Application of resin cement increased the strength values (20 seconds of acid etching on specimens with a resin-cement layer = 341.8 MPa). Different etching times did not affect the roughness of ZLS, and the contact-angle analysis presented lower values for 60 seconds of acid etching. The flexural strength of ZLS was only sensitive to surface changes when less exposure time was conducted. Longer etching times (40 and 60 seconds) should be considered for conditioning ZLS ceramic along with adhesive cementation.

Caracterização mecânica e microestrutural da y-tzp sinterizada por micro-ondas e degradada em meio bucal / Mechanical and microstructural characterization of Y-TZP sintered by microwave and degraded in the buccal medium

Neste estudo avaliou-se por caracterização mecânica e microestrutural, a degradação em meio bucal e in vitro da cerâmica Y-TZP sinterizada por energia de micro-ondas em comparação ao método convencional. Foram confeccionados noventa e seis discos por CAD-CAM (ISO 6872), sinterizados de modo convencional (C) 1530°C/120 minutos e por energia de micro-ondas (M) 1450°C/15 minutos. E submetidos à degradação hidrotérmica em reator pressurizado (E) (1,5h/150°C/3 bar) e à degradação in situ (B) (240 horas em meio bucal), formando-se 8 grupos (n = 12): M, C, ME, CE, MB, CB, MEB e CEB. Foram realizadas análises de contração volumétrica, difração de raios-X (DRX), rugosidade superficial (Ra e Rz), ângulo de contato, microscopia eletrônica de varredura (MEV), quantificação do biofilme por UFC/mL e análise de resistência mecânica por flexão biaxial. Os resultados obtidos foram analisados estatisticamente por t-Student, Anova dois e três fatores, e teste de Tukey (5%). Por DRX observou-se transformação de fase tetragonal para monoclínica (t-m) nos grupos envelhecidos, exceto para o grupo MB. Não foram observadas diferenças significantes na contração volumétrica (p=0,274), na rugosidade Ra (p=0,137) e Rz (p=0,187), assim como nos valores de ângulo de contato entre os métodos de sinterização (p=0,669). Por MEV observou-se a presença de formação de biofilme inicial e na contagem de Unidades Formadoras de Colônias (UFC/mL) foi maior quando os espécimes foram previamente envelhecidos in vitro (p=0,001). No ensaio de resistência à flexão biaxial foi observado o efeito interação (p=0,005) para as três variáveis, sinterização, envelhecimento in vitro e envelhecimento in situ, com aumento da resistência para os grupos sinterizados pelo método convencional após os envelhecimentos, devido ao aumento de tensão de transformação superficial. E houve equivalência estatística entre todos os grupos micro-ondas comparados aos grupos controle. Concluiu-se que o método de envelhecimento in situ por 240 horas foi capaz de transformar a fase t-m da superfície da cerâmica, sendo que a sinterização por energia de micro-ondas influenciou positivamente a resistência à degradação hidrotérmica à baixa temperatura (LTD), além da redução no tempo de sinterização em mais de 80%(AU)

In this study ir was evaluated the effect of in situ low temperature degradation of yttrium oxide stabilized tetragonal zirconia polycrystal (Y-TZP) ceramics sintered by microwave energy in comparison to the conventional method. Ninety-six discs milled by CAD/CAM (ISO 6872) were divided in: conventionally sintered (C) at 1530 ° C / 120 minutes and microwave energy (M) 1450°C / 15 minutes. Specimens were submitted to hydrothermal degradation in a pressurized reactor (E) (1.5h / 150°C / 3 bar) and in situ degradation (B) (240 hours in the buccal medium), forming eight groups (n=12): M, C, ME, CE, MB, CB, MEB and CEB. Specimens were evaluated through analysis of volumetric contraction, X-ray diffraction (XRD), surface roughness (Ra and Rz), contact angle, scanning electron microscopy (SEM), biofilm quantification by CFU / mL and biaxial flexural strength. Results were statistically analyzed through t-Student, two, three-way Anova and Tukey tests (5%). By XRD, tetragonal to monoclinic phase transformation (t-m) was observed in the aged groups, except for the MB group. No significant differences were observed in the volumetric contraction (p = 0.274), Ra roughness (p = 0.137) and Rz (p = 0.187), as well as contact angle values between sintering methods (p = 0.669). SEM images showed that the initial biofilm formation was observed after 8 hours in situ, an increase of CFU / mL occurred when the specimens were previously aged in vitro (p = 0.001). Regarding biaxial flexural strength, the interaction effect (p = 0.005) for the three variables, sintering method, hydrothermal aging and in situ aging was observed, with increased resistance for the sintered groups by the conventional method after aging, and statistical equivalence for the microwave groups, aged or not, compared to the control groups. The in situ aging method for 240 hours was induced the t-m phase transformation the surface of the ceramic, and sintering by microwave energy had a positive effect on the resistance to low temperature hydrothermal degradation (LTD), besides reduction in sintering time by more than 80%(AU)

Cimentação adesiva dos retentores de fibra de vidro: o que precisamos saber? / Adhesive cementation of fiber posts: what we need to know?

Este artigo descreveu, através de uma revisão da literatura, conceitos atuais acerca da cimentação adesiva de pinos de fibra de vidro. Já que a união entre cimento resinoso, pino e dentina assume um papel importante na longevidade do tratamento protético restaurador. Na presente revisão, foram discutidos tópicos como a influência da espessura do cimento, as estratégias adesivas que podem ser utilizadas e fatores que podem influenciar na escolha do tipo de cimento resinoso a ser utilizado, os métodos indicados para a inserção desses cimentos no interior do conduto radicular e os conceitos referentes ao tratamento de superfície, tanto do pino de fibra como da superfície dentinária.

This paper has described through current literature concepts the adhesive cementation of fiberglass posts since the adhesive union between resin cement, post and dentin plays an important role in the longevity of the restorative and prosthetic treatment. The present review discussed topics such as: the influence of cement thickness, the adhesive strategies that can be used and factors that may influence the choice of the type of resin cement to be used, the methods indicated for the insertion of these cements inside the root canal, and concepts regarding the surface treatment of both post and dentin surfaces.

Princípios odontológicos na harmonização do sorriso: laminados cerâmicos / Dental principles in smile harmonization: dental veneers

Na abordagem clínica, perante a necessidade de harmonização do sorriso por meio de laminados cerâmicos, são possíveis várias técnicas de execução e planejamento. Sendo assim, este estudo apresentou um caso clínico de incisivos laterais superiores conoides, cujo tratamento seguiu princípios científicos de planejamento, seleção da técnica de preparo e de material para obter um tratamento estético e funcional previsível com laminados cerâmicos.

Several techniques are possible on the need to harmonize the smile by ceramic laminates. For this, this study presented a clinical case of peg-shaped lateral incisors following the scientific principles of planning, selection, preparation technique and material to generate a esthetic and functionally predictable treatment with these restoration types.

Clinical and morphofunctional aspects of pterygoid hamulus: literature review / Aspectos clínicos e morfofuncionais do hamulo pterigóideo: revisão de literatura

O entendimento sobre a hâmulo pterigóideo (PH) e suas relações anatômicas e funcionais com estruturas vizinhas é de extrema importância para conduzir um diagnóstico diferencial assertivo e para a prevenção de doenças na região. Esse estudo teve como objetivo revisar a literatura sobre as características anatômicas e funcionais do PH, uma estrutura óssea, por vezes negligenciada pelo dentista. Além disso, as principais patologias que ocorrem no PH são relatados. PH relaciona-se com muitos elementos anatômicos do crânio e da face e está envolvido em uma variada processos fisiológicos como a fala e deglutição. Alterações no PH podem se refletir em de alterações nasestruturas vizinhas promovendo sintomas semelhantes a outros distúrbios craniofaciais dificultando o diagnóstico correto. PH pode estar envolvido em patologias que devem ser incluídas no diagnóstico diferencial de quaisquer desordens craniofaciais...

The understanding on the pterygoid hamulus (PH) and its anatomical and functional relationship with neighboring structures is of utmost importance to conduct assertive, differential diagnosis and for the prevention of diseases in the region.This study aimed to review the literature on the anatomical and functional PH features, a bone structure sometimes neglected by the dentist. Also, the main pathologies occurring in HP are reported. PH relates with many anatomical elements of the cranium and face involved in a varied physiological processes such as speech and swallowing. The alteration of PH alterations and neighboring structures may cause symptoms similar to other craniofacial disorders hindering the correct diagnosis. PH may be involved in pathologies that should be included in the differential diagnosis from any craniofacial disorders...

Protocolo para sinterização de zircônia odontológica por energia de micro-ondas / Protocol for microwave-sintering of dental zirconia

Este trabalho teve como objetivo avaliar o impacto da temperatura de sinterização e resfriamento, no comportamento mecânico e microestrutural da cerâmica odontológica Y-TZP, sinterizada por energia de micro-ondas. Variaram-se a temperatura de sinterização e resfriamento a fim de se desenvolver um protocolo, que mantenha a microestrutura da zircônia compatível à obtida com sinterização convencional. Dessa forma, buscou-se otimizar o processo fazendo uso das principais vantagens da energia de micro-ondas: economia de energia, tempo de processo reduzido e absorção volumétrica de energia pelo material. Foram confeccionados N=84 discos por meio de CAD-CAM para obter padronização no tamanho dos discos de acordo com a ISO 6872, os discos foram divididos em 7 grupos n=12, o Grupo Controle foi sinterizado de modo convencional, e os Grupos Experimentais foram sinterizados por energia de micro-ondas, nos quais variaram-se a temperatura de sinterização (S) e a temperatura de resfriamento (R), formando os grupos: S1400RR, S1400R400, S1400R25, S1450RR, S1450R400 e S1450R25. Para caracterização microestrutural foram realizadas medidas de densidade, análises de difração de raios-X (DRX), microscopia eletrônica de varredura (MEV) e tamanho de grãos. A caracterização mecânica foi realizada por meio de ensaios de resistência à flexão biaxial. Os resultados de resistência à flexão obtidos foram analisados estatisticamente (ANOVA, Tukey, Sidak e Dunnett), sendo que os Grupos Controle (806,1±105,8 MPa) e S1450 (824,7±99,12 MPa) não se diferenciaram. Somente os Grupos sinterizados à 1400 °C (681,9±91,17 MPa) apresentaram médias inferiores. Este mesmo fato ocorreu quando se analisou a densidade. A análise de DRX mostrou que a fase tetragonal prevaleceu em todos os grupos. Pode-se então, sugerir um protocolo ideal para sinterização de Y-TZP por energia de micro-ondas: temperatura de 1450°C durante 15 min e resfriamento rápido, obtendo compatibilidade com o método convencional e ...

This study aimed to evaluate the impact of sintering and cooling temperatures in the mechanical and microstructural behavior of microwave-sintered Y-TZP ceramics. The sintering and cooling temperatures were varied at given range in order to develop a protocol, which could maintain the zirconia microstructure compatible to the one obtained by conventional sintering. Thus, in this study the sintering process was optimized with the use of the main microwave energy qualities: energy-saving, reduced processing time and volumetric energy absorption by the material. Eighty-four discs were prepared with CAD-CAM (n=84) for discs size standardization, following ISO 6872. The discs were distributed into 7 groups (n=12), Control Group = conventional sintering. Other Groups, with microwave-sintered discs, with variations in sintering (S) and cooling (R) temperatures, formed the following sub-groups: S1400RR, S1400R400, S1400R25, S1450RR, S1450R400 and S1450R25. For microstructural analysis, the following characterizations were performed: Density, XRD and SEM; mechanical analysis was performed via biaxial flexure resistance. The flexure resistance data were statistically analyzed (two-way ANOVA, Tukey, Sidak and Dunnett). The Control (806,1±105,8 MPa) and S1450 (824,7±99,12 MPa) Groups did not present differences; only discs from Groups sintered at 1400ºC (681,9±91,17 MPa) showed lower averages. The same occurred when density values were analyzed. From XRD analysis, it was observed that all groups had remained in the tetragonal phase for a larger period. In conclusion, it can be proposed a protocol for microwave sintering: temperature 1450 ° C for 15 min and fast cooling. The method of microwave sintering presents compatibility with the conventional method and allows process optimization