ICP-MS measurements of elemental release from two palladium alloys into a corrosion testing medium for different solution volumes and agitation conditions.

STATEMENT OF PROBLEM: The in vivo release of Pd from palladium alloys into the oral environment and sensitivity reactions by patients has been of concern. However, little information is available about the variation in elemental release from different palladium alloys. PURPOSE: The purpose of this in vitro study was to compare the elemental release into a corrosion-testing medium from a high-palladium alloy (Freedom Plus, 78Pd-8Cu-5Ga-6In-2Au) and a Pd-Ag alloy (Super Star, 60Pd-28Ag-6In-5Sn) under different conditions. MATERIAL AND METHODS: Alloys were cast into Ø12×1-mm-thick disks, subjected to simulated porcelain-firing heat treatment, polished, and ultrasonically cleaned in ethanol. Three specimens of each alloy were immersed for 700 hours in a solution for in vitro corrosion testing (ISO Standard 10271) that was maintained at 37 °C. Two solution volumes (125 mL and 250 mL) were used, and the solutions were subjected to either no agitation or agitation. Elemental compositions of the solutions were analyzed by using inductively coupled plasma-mass spectroscopy (ICP-MS). Concentrations of released elements from each alloy for the 2 solution volumes and agitation conditions were compared by using the restricted maximum likelihood estimation method with a 4-way repeated-measures ANOVA, the Satterwhite degrees of freedom method, a lognormal response distribution, and the covariance structure of compound symmetry. RESULTS: For the 4 combinations of solution volume and agitation conditions, the mean amount of palladium released was 3 orders of magnitude less for the Pd-Ag alloy (0.009 to 0.017 µg/cm2 of alloy surface) compared with the Pd-Cu-Ga alloy (17.9 to 28.7 µg/cm2). Larger mean amounts of Sn, Ga, Ag, and In (0.29 to 0.39, 0.57 to 0.83, 0.71 to 1.08, and 0.91 to 1.25 µg/cm2, respectively) compared with Pd were released from the Pd-Ag alloy. Smaller amounts of Cu, Ga, and In (4.8 to 9.9, 5.9 to 12.8, and 4.2 to 9.5 µg/cm2, respectively) compared with Pd were released from the Pd-Cu-Ga alloy. The Ru released was much lower for the Pd-Ag alloy (0.002 µg/cm2) than the Pd-Cu-Ga alloy (0.032 to 0.053 µg/cm2). Statistically significant differences (P<.001) in elemental release were found for the factors of alloy and element and the alloy×element interaction. Significant differences were found for the solution volume (P=.022), solution volume×element interaction (P=.022), and alloy×solution volume×element interaction (P=.004). No significant effect was found for agitation condition. CONCLUSIONS: The relative amounts of released elements from each alloy were not proportional to the relative amounts in the composition. The amounts of Pd and Ga released from the Pd-Cu-Ga alloy were consistent with the breakdown of a Pd2Ga microstructural phase and perhaps some dissolution of the palladium solid solution matrix. Precipitates, rather than the palladium solid solution matrix, appeared to undergo greater dissolution in the Pd-Ag alloy. The Pd-Ag alloy should have lower risk of adverse biological reactions than the Pd-Cu-Ga alloy.

Electrochemical impedance spectroscopy study of corrosion characteristics of palladium-silver dental alloys.

Electrochemical impedance spectroscopy (EIS) has been used to obtain insight into corrosion processes for three Pd-Ag alloys, and compare their behavior with an Au-Pd alloy. Five specimens of each alloy received clinically-appropriate simulated porcelain-firing heat treatment. EIS testing was performed at ambient temperature, using 0.09% NaCl, 0.9% NaCl and Fusayama solutions. EIS data are presented as Bode plots. At the open-circuit potential (OCP), the data fit a modified Randles equivalent electrical circuit with a constant phase element (CPE), and the charge-transfer resistance (RCT ) and the two CPE parameters (CPE-T and CPE-P) were determined. The area-normalized capacitance of the double layer (Cdl ) was also calculated. The EIS data at two relevant elevated potentials in the passive range were also found to fit well a modified Randles equivalent circuit with different values for the charge transfer resistance and CPE parameters. At the OCP no significant effect on RCT was found for the alloys and electrolytes, and both alloy and electrolyte significantly affected CPE-P. In vitro corrosion was controlled by charge transfer and charge accumulation processes, and the behavior differed at the elevated potentials compared to the OCP. Significant effects were found for alloy, electrolyte, and alloy/electrolyte interaction on Cdl at the OCP. The EIS parameters at elevated potentials indicate that the Pd-Ag alloys should have satisfactory clinical corrosion resistance. The EIS analyses yielded information about in vitro corrosion of these alloys that cannot be obtained from potentiodynamic polarization testing.

Evolution, clinical applications, and prospects of nickel-titanium alloys for orthodontic purposes.

This review article presents an evolution of the nickel-titanium wires for orthodontics, following their introduction by the pioneering studies of Andreasen. The original nonsuperelastic wires were followed by the introduction of superelastic Japanese NiTi wire by Miura and colleagues and Chinese NiTi wire by Burstone and colleagues. Subsequently, new nickel-titanium wires with true shape memory in the oral environment were introduced. Manufacturers have marketed special heat-treated wires with variable force delivery at different positions along the archwire. Ion implantation and other surface modification techniques have been used by manufacturers to reduce in vivo nickel release from the nickel-titanium wires, provide a more esthetic appearance, decrease friction, and improve corrosion resistance. The use of several research techniques to provide supporting information about the structures and transformations, mechanical properties, and clinical failure for the different types of the nickel-titanium wires are summarized. The evolution of the ADA/ISO standard for evaluation of these wires is also described. The closing section focuses on the use of surface modification and special coatings for the nickel-titanium wires, a major recent and ongoing area of active research.

Fracture analysis of monolithic CAD-CAM crowns.

PURPOSE: The aim of this study was to compare the integrity of zirconia, lithium disilicate, and zirconia-reinforced lithium silicate CAD-CAM crowns after being subjected to cyclic loading and then subjected to static loading until fracture. MATERIAL AND METHODS: Zirconia (Zirkonzahn), lithium disilicate (LDS, Ivoclar Vivadent AG), and zirconia-reinforced lithium silicate glass ceramic (ZLS) (Vita Suprinity, Vita Zahnfabrik) monolithic crowns were milled (n = 6). The crowns were bonded using composite resin cements and subjected to cyclic loading under wet conditions. Three specimens from each group were loaded for 10 000 cycles, and the other three specimens were loaded for 50 000 cycles with 250 N. Specimens were subjected to loading until fracture. Load-to-fracture values were analyzed with 2-way (ANOVA) and Tukey-Kramer post hoc test (α = 0.05). Specimens from each group were examined using an SEM. RESULTS: Mean load-to-fracture values among materials were significantly different from each other (P < 0.05). No significant effect of the number of cycles was found on the load-to-fracture values of crowns (P > 0.05). CONCLUSION: Load-to-fracture values of zirconia were higher than those of LDS, which were higher than those of ZLS. The number of fatigue loading cycles did not affect the load-to-fracture of the tested crowns for a given material. CLINICAL SIGNIFICANCE: More research needs to be conducted before considering the routine use of ZLS for molars in patients with high risk of parafunctional habits.

Potentiodynamic polarization study of the corrosion behavior of palladium-silver dental alloys.

STATEMENT OF PROBLEM: Although palladium-silver alloys have been marketed for over 3 decades for metal-ceramic restorations, understanding of the corrosion behavior of current alloys is incomplete; this understanding is critical for evaluating biocompatibility and clinical performance. PURPOSE: The purpose of this in vitro study was to characterize the corrosion behavior of 3 representative Pd-Ag alloys in simulated body fluid and oral environments and to compare them with a high-noble Au-Pd alloy. The study obtained values of important electrochemical corrosion parameters, with clinical relevance, for the rational selection of casting alloys. MATERIAL AND METHODS: The room temperature in vitro corrosion characteristics of the 3 Pd-Ag alloys and the high-noble Au-Pd alloy were evaluated in 0.9% NaCl, 0.09% NaCl, and Fusayama solutions. After simulated porcelain firing heat treatment, 5 specimens of each alloy were immersed in the electrolytes for 24 hours. For each specimen, the open-circuit potential (OCP) was first recorded, and linear polarization was then performed from -20 mV to +20 mV (versus OCP) at a rate of 0.125 mV/s. Cyclic polarization was subsequently performed on 3 specimens of each alloy from -300 mV to +1000 mV and back to -300 mV (versus OCP) at a scanning rate of 1 mV/s. The differences in OCP and corrosion resistance parameters (zero-current potential and polarization resistance) among alloys and electrolyte combinations were compared with the 2-factor ANOVA (maximum-likelihood method) with post hoc Tukey adjustments (α=.05). RESULTS: The 24-hour OCPs and polarization resistance values of the 3 Pd-Ag alloys and the Au-Pd alloy were not significantly different (P=.233 and P=.211, respectively) for the same electrolyte, but significant differences were found for corrosion test results in different electrolytes (P<.001 and P=.032, respectively). No significant interaction was found between the factors of alloy and electrolyte (P=.249 and P=.713, respectively). The 3 Pd-Ag silver alloys appeared to be resistant to chloride ion corrosion, and passivation and de-alloying were identified for these alloys. CONCLUSIONS: The Pd-Ag alloys test results showed excellent in vitro corrosion resistance and were equivalent to those of the high-noble Au-Pd alloy in simulated body fluid and oral environments. Passivation, de-alloying, and formation of a AgCl layer were identified as possible corrosion mechanisms for Pd-Ag alloys.

Distortion of CAD-CAM-fabricated implant-fixed titanium and zirconia complete dental prosthesis frameworks.

STATEMENT OF PROBLEM: Computer-aided design and computer-aided manufacturing (CAD-CAM)-fabricated titanium and zirconia implant-supported fixed dental prostheses have become increasingly popular for restoring patients with complete edentulism. However, the distortion level of these frameworks is not well known. PURPOSE: The purpose of this in vitro study was to compare the 3-dimensional (3D) distortion of CAD-CAM zirconia and titanium implant-fixed screw-retained complete dental prostheses. MATERIAL AND METHODS: A master edentulous model with 4 implants at the positions of the maxillary first molars and canines was used. Multiunit abutments (Nobel Biocare) secured to the model were digitally scanned using scan bodies and a laboratory scanner (S600 ARTI; Zirkonzahn). Titanium (n=5) and zirconia (n=5) frameworks were milled using a CAD-CAM system (Zirkonzahn M1; Zirkonzahn). All frameworks were scanned using an industrial computed tomography (CT) scanner (Nikon/X-Tek XT H 225kV MCT Micro-Focus). The direct CT scans were reconstructed to generate standard tessellation language (STL) files. To calculate the 3D distortion of the frameworks, STL files of the CT scans were aligned to the CAD model using a sum of the least squares best-fit algorithm. Surface comparison points were placed on the CAD model on the midfacial aspect of all teeth. The 3D distortion of each direct scan to the CAD model was calculated. In addition, color maps of the scan-to-CAD comparison were constructed using a ±0.500 mm color scale range. RESULTS: Both materials exhibited distortion; however, no significant difference was found in the amount of distortion from the CAD model between the materials (P=.747). Absolute values of deviations from the CAD model were evident in the x and y plane and less so in the z direction. CONCLUSIONS: Zirconia and titanium frameworks showed similar 3D distortion compared with the CAD model for the tested CAD-CAM and implant systems. The distortion was more pronounced in the horizontal and sagittal plane than in the vertical plane.

A load-to-fracture and strain analysis of monolithic zirconia cantilevered frameworks.

STATEMENT OF PROBLEM: The dimensions of implant-supported fixed cantilevered prostheses are important to prevent mechanical and biological complications. Information on the optimum thickness and cantilever length for improving the strength of zirconia cantilevered frameworks is limited in the literature. PURPOSE: The purpose of this in vitro study was to investigate the effect of cantilever length and occlusocervical thickness on the load-to-fracture and strain distribution of zirconia frameworks. MATERIAL AND METHODS: Twenty-seven rectangular prism-shaped specimens (6 mm thick buccolingually) were fabricated using a computer-aided design and computer-aided manufacturing (CAD-CAM) milling technique. The specimens were prepared in 9 groups (n=3) according to their vertical dimensions (6×6 mm, 8×6 mm, and 10×6 mm) and cantilever loading distance (7 mm, 10 mm, and 17 mm). All specimens were heat treated in a porcelain furnace and thermocycled for 20000 cycles before the tests. Each framework was secured using a clamp attached to the first 20 mm of the framework. A 3-dimensional image correlation technique was used for a full-field measurement of strain during testing. A load-to-fracture test was used until the specimens fractured. Maximum force and principal strain data were analyzed by 2-way analysis of variance using the maximum likelihood estimation method (α=.05). RESULTS: No statistically significant effects (P>.05) were found for occlusocervical thickness and cantilever length or between them on the strain distribution. The results showed that the effect of occlusocervical thickness and cantilever length was significant on the load to fracture (P<.001). No statistically significant interaction was observed between the 2 factors (P>.05). CONCLUSIONS: Increased occlusocervical thickness and decreased cantilever length allowed the cantilever to withstand higher loads. The occlusocervical thicknesses and cantilever lengths of zirconia frameworks tested withstood the maximum reported occlusal force. The properties of components in the implant-abutment framework assembly should be considered in the interpretation of these results.

Wear characteristics and inhibition of enamel demineralization by resin-based coating materials.

In this study, wear and inhibition of enamel demineralization by resin-based coating materials were investigated. Seven commercially available coating materials, with and without fillers, were used. A mechanical wear test was performed, and the specimens were then examined with a scanning electron microscope. Hardness and elastic modulus measurements for each material were obtained by nanoindentation testing. Thin layers of each material were applied on human enamel surfaces, which were subjected to alternating immersion in demineralizing and remineralizing solutions. The inhibition ability of enamel demineralization adjacent to the coating was estimated with depth-dependent mechanical properties using the nanoindentation test. The non-filled coating material showed significantly lower hardness, lower elastic modulus, and higher weight loss. There were no significant differences in weight loss among the six filled coating materials. After the alternating immersion protocol, the enamel specimens having application of coating materials with ion-releasing ability were harder than those in the other groups in some locations 1-11 µm from the enamel surface and within 300 µm from the edge of the coating materials. In conclusion, clinical use of the resin-based coating materials with ion-releasing ability may prevent demineralization of exposed enamel adjacent to the coating during treatment.

Differences between buccal and lingual bone quality and quantity of peri-implant regions.

The objective of the current study was to examine whether peri-implant bone tissue properties are different between the buccal and lingual regions treated by growth factors. Four dental implant groups were used: titanium (Ti) implants, alumina-blasted zirconia implants (ATZ-N), alumina-blasted zirconia implants with demineralized bone matrix (DBM) (ATZ-D), and alumina-blasted zirconia implants with rhBMP-2 (ATZ-B). These implants were placed in mandibles of six male dogs. Nanoindentation elastic modulus (E) and plastic hardness (H) were measured for the buccal and lingual bone tissues adjacent and away from the implants at 3 and 6 weeks post-implantation. A total of 2281 indentations were conducted for 48 placed implants. The peri-implant buccal region had less bone quantity resulting from lower height and narrower width of bone tissue than the lingual region. Buccal bone tissues had significant greater mean values of E and H than lingual bone tissues at each distance and healing period (p<0.007). Nearly all implant treatment groups displayed lower mean values of the E at the lingual bone tissues than at the buccal bone tissues (p<0.046) although the difference was not significant for the Ti implant group (p=0.758). The DBM and rhBMP-2 treatments stimulated more peri-implant bone remodeling at the lingual region, producing more immature new bone tissues with lower E than at the buccal region. This finding suggests that the growth factor treatments to the zirconia implant system may help balance the quantity and quality differences between the peri-implant bone tissues.

Comparison of the metal-to-ceramic bond strengths of four noble alloys with press-on-metal and conventional porcelain layering techniques.

STATEMENT OF PROBLEM: New noble alloys for metal ceramic restorations introduced by manufacturers are generally lower-cost alternatives to traditional higher-gold alloys. Information about the metal-to-ceramic bond strength for these alloys, which is needed for rational clinical selection, is often lacking. PURPOSE: The purpose of this study was to evaluate the bond strength of 4 recently introduced noble alloys by using 2 techniques for porcelain application. MATERIAL AND METHODS: Aquarius Hard (high-gold: 86.1 gold, 8.5 platinum, 2.6 palladium, 1.4 indium; values in wt. %), Evolution Lite (reduced-gold: 40.3 gold, 39.3 palladium, 9.3 indium, 9.2 silver, 1.8 gallium), Callisto 75 Pd (palladium-silver containing gold: 75.2 palladium, 7.1 silver, 2.5 gold, 9.3 tin, 1.0 indium), and Aries, (conventional palladium-silver: 63.7 palladium, 26.0 silver, 7.0 tin, 1.8 gallium, 1.5 indium) were selected for bonding to leucite-containing veneering porcelains. Ten metal ceramic specimens that met dimensional requirements for International Organization for Standardization (ISO) Standard 9693 were prepared for each alloy by using conventional porcelain layering and press-on-metal methods. The 3-point bending test in ISO Standard 9693 was used to determine bond strength. Values were compared with 2-way ANOVA (maximum likelihood analysis, SAS Mixed Procedure) and the Tukey test (α=.05). RESULTS: Means (standard deviations) for bond strength with conventional porcelain layering were as follows: Aquarius Hard (50.7 ±5.5 MPa), Evolution Lite (40.2 ±3.3 MPa), Callisto 75 Pd (37.2 ±3.9 MPa), and Aries (34.0 ±4.9 MPa). For the press-on-metal technique, bond strength results were as follows: Aquarius Hard (33.7 ±11.5 MPa), Evolution Lite (34.9 ±4.5 MPa), Callisto 75 Pd (37.2 ±11.9 MPa), and Aries (30.7 ±10.8 MPa). From statistical analyses, the following 3 significant differences were found for metal-to-ceramic bond strength: the bond strength for Aquarius Hard was significantly higher for conventional porcelain layers compared with the press-on-metal technique; the bond strength for Aquarius Hard with conventional porcelain layers was significantly higher than the bond strengths for the other 3 alloys with conventional porcelain layers; and the bond strength for Aquarius Hard with conventional porcelain layers was significantly higher than the bond strength for Callisto 75 Pd with conventional porcelain layers and the other 3 alloys with the press-on-metal technique. CONCLUSIONS: For both conventional layering and press-on-metal techniques, all 4 noble alloys had a mean metal-to-ceramic bond strength that substantially exceeded the 25 MPa minimum in the ISO Standard 9693. The results for Aries support the manufacturer's recommendation not to use the press-on-metal technique for alloys that contain more than 10% silver.

Effects of third-order torque on frictional force of self-ligating brackets.

OBJECTIVE: To investigate the effects of third-order torque on frictional properties of self-ligating brackets (SLBs). MATERIALS AND METHODS: Three SLBs (two passive and one active) and three archwires (0.016 × 0.022-inch nickel-titanium, and 0.017 × 0.025-inch and 0.019 × 0.025-inch stainless steel) were used. Static friction was measured by drawing archwires though bracket slots with four torque levels (0°, 10°, 20°, 30°), using a mechanical testing machine (n  =  10). A conventional stainless-steel bracket was used for comparison. RESULTS were subjected to Kruskal-Wallis and Mann-Whitney U-tests. Contact between the bracket and wire was studied using a scanning electron microscope. RESULTS: In most bracket-wire combinations, increasing the torque produced a significant increase in static friction. Most SLB-wire combinations at all torques produced less friction than that from the conventional bracket. Active-type SLB-wire combinations showed higher friction than that from passive-type SLB-wire combinations in most conditions. When increasing the torque, more contact between the wall of a bracket slot and the edge of a wire was observed for all bracket types. CONCLUSIONS: Increasing torque when using SLBs causes an increase in friction, since contact between the bracket slot wall and the wire edge becomes greater; the design of brackets influences static friction.

Nanotube nucleation phenomena on Ti-25Ta-xZr alloys for implants using ATO technique.

The purpose of this study was to investigate nanotube nucleation phenomena on the Ti-25Ta-xZr alloys for implant materials, using an anodic titanium oxide (ATO) technique. Ti-25Ta-(0 wt.%-15 wt.%) Zr alloys were prepared using a vacuum arc-melting furnace. The Ti-25Ta-xZr alloys were then homogenized for 12 hr at 1000 degrees C, followed by water quenching. Formation of the nanotubular oxide surface structure was achieved initially on the Ti-25Ta-xZr alloys by anodization in a 1 M H3PO4 electrolyte containing 0.8 wt.% NaF at room temperature, using a potentiostat. After the first formation of the nanotubes was achieved, this initial nanotube layer was eliminated, and further anodization was carried out repeatedly. The microstructure, phase transformation, and morphology of nanotubular Ti-25Ta-xZr alloys and the process of nanotube growth using this ATO method were analyzed by X-ray diffraction, field-emission scanning electron microscopy, and energy dispersive X-ray spectroscopy. Microstructures of the Ti-25Ta-xZr alloys changed from α" phase to ß phase. Nanotubes formed with the ATO technique had pit-like top holes, with thinner walls and lower contact angle, compared to the initially formed nanotubes.

Hydroxyapatite precipitation on nanotube surfaces of Ti-35Ta-xNb alloys.

Hydroxyapatite precipitation on nanotube surfaces of Ti-35Ta-xNb alloys was investigated using electrochemical methods. The alloys were prepared by arc-melting, heat treated at 1050 degrees C for 12 h in an Ar atmosphere, and quenched in 0 degrees C water. Nanotubes were created on the Ti-35Ta-xNb alloys in a 1 M H3PO4 + 1.2 wt.% NaF electrolyte at room temperature. Hydroxyapatite precipitation was carried out in a 0.03 M Ca(NO3)2 x 4H2O + 0.018 M NH4H2PO4 solution at 80 ± 1 degrees C, using 10 deposition cycles. Information about morphology and composition was obtained by FE-SEM and EDS. The microstructure of the Ti-35Ta-xNb alloys was transformed from α phase to ßphase as the Nb content increased. The HA precipitates had a plate-like morphology on bulk Ti-35Ta-xNb alloys and a flower-like morphology on nanotubular Ti-35Ta-xNb alloys.

Optical characteristics of contemporary dental composite resin materials.

OBJECTIVES: Optical and physical properties of dental restorative composite materials are affected by composition. Basic optical absorption and scattering properties have been derived through the use of a corrected reflectance model, but practical and important optical properties are not easily derived from these basic spectral characteristics. The purposes of this study are to derive and compare colour and translucency characteristics of two cured contemporary nanohybrid composites being marketed as universal composites, and to evaluate colour difference between each composite material and published shade guide data. METHODS: Previously derived optical scattering and absorption coefficients for five diverse shades of these composite materials were used to calculate the CIE colour parameters of L*, a* and b* at infinite thickness under various illuminants and to derive ideal translucency parameters at various thicknesses using two colour difference formulae. RESULTS: Differences were found in the inherent colour parameters and in the translucency parameters between the brands for some of the shades studied. The colour differences of the inherent colours from published shade guide data were always higher than the perceptibility limit, and often higher than the acceptability limit. CONCLUSIONS: Inherent colours and ideal translucency parameters may be calculated from optical coefficients for a variety of illuminants. Different inherent colour parameters of composite materials marked for the same shade indicate the influence of compositional differences between these materials. CLINICAL SIGNIFICANCE: Since patients are seen under various illuminations, the ability to assess appearance matching characteristics under diverse illuminants will help assure an optimum match for the patient.

Frictional and mechanical properties of diamond-like carbon-coated orthodontic brackets.

This study investigated the effects of a diamond-like carbon (DLC) coating on frictional and mechanical properties of orthodontic brackets. DLC films were deposited on stainless steel brackets using the plasma-based ion implantation/deposition (PBIID) method under two different atmospheric conditions. As-received metal brackets served as the control. Two sizes of stainless steel archwires, 0.018 inch diameter and 0.017 × 0.025 inch cross-section dimensions, were used for measuring static and kinetic friction by drawing the archwires through the bracket slots, using a mechanical testing machine (n = 10). The DLC-coated brackets were observed with a scanning electron microscope (SEM). Values of hardness and elastic modulus were obtained by nanoindentation testing (n = 10). Friction forces were compared by one-way analysis of variance and the Scheffé test. The hardness and elastic modulus of the brackets were compared using Kruskal-Wallis and Mann-Whitney U-tests. SEM photomicrographs showed DLC layers on the bracket surfaces with thickness of approximately 5-7 µm. DLC-coated brackets deposited under condition 2 showed significantly less static frictional force for the stainless steel wire with 0.017 × 0.025 inch cross-section dimensions than as-received brackets and DLC-coated brackets deposited under condition 1, although both DLC-coated brackets showed significantly less kinetic frictional force than as-received brackets. The hardness of the DLC layers was much higher than that of the as-received bracket surfaces. In conclusion, the surfaces of metal brackets can be successfully modified by the PBIID method to create a DLC layer, and the DLC-coating process significantly reduces frictional forces.

Effects of mechanical properties of thermoplastic materials on the initial force of thermoplastic appliances.

OBJECTIVE: To measure the forces delivered by thermoplastic appliances made from three materials and investigate effects of mechanical properties, material thickness, and amount of activation on orthodontic forces. MATERIALS AND METHODS: Three thermoplastic materials, Duran (Scheu Dental), Erkodur (Erkodent Erich Kopp GmbH), and Hardcast (Scheu Dental), with two different thicknesses were selected. Values of elastic modulus and hardness were obtained from nanoindentation measurements at 28°C. A custom-fabricated system with a force sensor was employed to obtain measurements of in vitro force delivered by the thermoplastic appliances for 0.5-mm and 1.0-mm activation for bodily tooth movement. Experimental results were subjected to several statistical analyses. RESULTS: Hardcast had significantly lower elastic modulus and hardness than Duran and Erkodur, whose properties were not significantly different. Appliances fabricated from thicker material (0.75 mm or 0.8 mm) always produced significantly greater force than those fabricated from thinner material (0.4 mm or 0.5 mm). Appliances with 1.0-mm activation produced significantly lower force than those with 0.5-mm activation, except for 0.4-mm thick Hardcast appliances. A strong correlation was found between mechanical properties of the thermoplastic materials and force produced by the appliances. CONCLUSIONS: Orthodontic forces delivered by thermoplastic appliances depend on the material, thickness, and amount of activation. Mechanical properties of the polymers obtained by nanoindentation testing are predictive of force delivery by these appliances.

Viscoelastic properties of elastomeric chains: an investigation of pigment and manufacturing effects.

INTRODUCTION: Orthodontic elastomeric chains are commercially available in various colors from many manufacturers. In this study, we investigated the viscoelastic properties of elastomeric chains using dynamic mechanical analysis to perform color and brand comparisons. METHODS: Ten colors of Sunburst chains (GAC International, Bohemia, NY) were selected for the color study. Three colors of Sunburst, Bobbin Alastik (3M Unitek, Monrovia, Calif), and Energy (Rocky Mountain Orthodontics, Denver, Colo) chains were selected for the brand study. Nine specimens of each type were measured and tested. Dynamic mechanical analysis was performed at room temperature at 8 frequencies ranging from 0.125 to 16.0 Hz. Three variables (storage stiffness, loss stiffness, and tan δ) were analyzed by using repeated-measures analysis of variance (ANOVA) and pairwise t tests, comparing all frequencies for each specimen type and all specimen types for each frequency (with Bonferroni corrections). Significance was set at α = 0.05. RESULTS: Significant differences were found among all specimen dimensions, all frequencies, and all 3 dynamic mechanical analysis variables in both the color and brand studies. Comparisons focused on tan δ, which does not depend on specimen dimensions as do storage stiffness and loss stiffness. CONCLUSIONS: Statistically significant differences in tan δ values among colors were relatively small, so the clinical significance is questionable and requires further investigation. Differences in tan δ values among brands were greater and more likely to be clinically significant. Further studies are needed to relate viscoelastic properties to force decay.

Biocompatibility of dental amalgams.

Objective. The purpose of this review paper is to review the literature regarding the toxicology of mercury from dental amalgam and evaluate current statements on dental amalgam. Materials and Methods. Two key-words "dental amalgam" and "toxicity" were used to search publications on dental amalgam biocompatibility published in peer-reviewed journals written in English. Manual search was also conducted. The most recent declarations and statements were evaluated using information available on the internet. Case reports were excluded from the study. Results. The literature show that mercury released from dental amalgam restorations does not contribute to systemic disease or systemic toxicological effects. No significant effects on the immune system have been demonstrated with the amounts of mercury released from dental amalgam restorations. Only very rarely have there been reported allergic reactions to mercury from amalgam restorations. No evidence supports a relationship between mercury released from dental amalgam and neurological diseases. Almost all of the declarations accessed by the internet stated by official organizations concluded that current data are not sufficient to relate various complaints and mercury release from dental amalgam. Conclusions. Available scientific data do not justify the discontinuation of amalgam use from dental practice or replacement with alternative restorative dental materials.

Microstructure, elemental composition, hardness and crystal structure study of the interface between a noble implant component and cast noble alloys.

STATEMENT OF PROBLEM: Casting a high-gold alloy to a wrought prefabricated noble implant-component increases the cost of an implant. Selecting a less expensive noble alloy would decrease implant treatment costs. PURPOSE: The purpose of this study was to investigate the interfacial regions of a representative noble implant component and cast noble dental alloys and to evaluate the effects of porcelain firing cycles on the interface. MATERIAL AND METHODS: Six representative alloys (n=3) were cast to gold implant abutments (ComOcta). Scanning electron microscopy (SEM) was used to characterize microstructures. Compositions of interfacial regions and bulk alloys were obtained by energy-dispersive spectroscopy. Vickers hardness was also measured across the interface. By using Micro-X-ray diffraction, the phases were evaluated at 7 points perpendicular to the interface. The effects of porcelain firing cycles on microstructures, diffusion, hardness, and phases were also evaluated. For statistical evaluation of diffusion length and hardness, a 3-way repeated measures ANOVA was used. Pairwise comparisons of interest were conducted with Tukey pairwise comparisons or, when a significant interaction was found, Bonferroni-adjusted t-tests (overall α=.05). RESULTS: Microstructures of bulk alloys were predominantly maintained to a well-defined boundary for both as-cast and heat-treated conditions. An interaction band, 5-6 µm wide, was observed. The alloy grain size at the interface and the interaction band width increased after simulated porcelain firing. The extent of elemental diffusion from the interface was about 30 µm and not affected by simulated porcelain firing. Differences in Vickers hardness for the alloys were consistent with their compositions. Micro-XRD patterns indicated that substantial amounts of new phases had not formed at the interfacial regions. CONCLUSIONS: Less expensive noble alternatives to high-gold alloys provided comparable metallurgical compatibility with the noble implant component.

Comparisons of nanoindentation, 3-point bending, and tension tests for orthodontic wires.

INTRODUCTION: The purposes of this study were to obtain information about mechanical properties with the nanoindentation test for representative wire alloys and compare the results with conventional mechanical tests. METHODS: Archwires having 0.016 × 0.022-in cross sections were obtained of 1 stainless steel, 1 cobalt-chromium-nickel, 1 beta-titanium alloy, and 2 nickel-titanium products. Specimens of as-received wires were subjected to nanoindentation testing along the external surfaces and over polished cross sections to obtain values of hardness and elastic modulus. Other specimens of as-received wires were subjected to Vickers hardness, 3-point bending, and tension tests. All testing was performed at 25°C. RESULTS: Differences were found in hardness and elastic modulus obtained with the nanoindentation test at the external and cross-sectioned surfaces and with the conventional mechanical-property tests. Mechanical properties obtained with the nanoindentation test generally varied with indentation depth. CONCLUSIONS: The 3 testing methods did not yield identical values of hardness and elastic modulus, although the order among the 5 wire products was the same. Variations in results for the nanoindentation and conventional mechanical property tests can be attributed to the different material volumes sampled, different work-hardening levels, and an oxide layer on the wire surface.