Application of one-piece endodontic crowns fabricated with CAD-CAM system to molars.

Computer-aided design-computer-aided manufacturing (CAD-CAM) systems have been widely used as a fabrication method for restorations because of their high efficiency and accuracy, which significantly reduces fabrication time. However, molars with insufficient clearance or short clinical crown lengths require retention holes or grooves on the preparation, making it difficult to replicate the shapes with the CAM milling system. In these cases, restorations using the lost-wax method are selected. This article focuses on one-piece endodontic crowns (endocrowns) fabricated with a CAD-CAM system (CAD-CAM endocrowns), in which their posts and crowns are integrated. Articles from July 2012 to August 2023 were searched in PubMed with the keyword "endocrown". This review discusses the application of CAD-CAM endocrowns to molars from the viewpoint of model experiment (fracture resistance, adaptation) and clinical research. This technique, which allows margins and internal gaps to be set within the clinically acceptable range, is reported to be an effective way of restoring molars with high survival rates in clinical research.

Current status of dental journals published by Japanese organization.

The publication status of dental journals in Japan was examined, with a focus on metrics such as Journal Impact Factor (JIF), Eigenfactor, Article Influence Score, and percentage of open access. A total of 18 journals published by Japanese dental organizations were identified in the Journal Citation Reports (JCR), with JIF values ranging from 0.4 to 6.6. The highest JIF was observed in The Japanese Dental Science Review. Additionally, 16 journals were not listed on the JCR. The authors explored the implications of these findings on the visibility and impact of Japanese dental research, and discussed the potential benefits of embracing open-access publications for greater global dissemination. This study highlighted the opportunities for journals to enhance their international recognition by meeting the criteria for JIF inclusion and embracing open-access publications. By adopting effective publication strategies, the dental community in Japan will be able to contribute to the advancement of dentistry globally, ensuring broader accessibility and recognition of its research contributions.

Surveillance study on the application of titanium and its alloys to removable dental prostheses.

This review describes individual studies of removable dental prostheses, evaluated their performance and clinical applicability for the proposal to expand health insurance coverage of titanium and its alloys to removable dental prostheses. Titanium and its alloys have become clinically applicable as prosthetic materials by improving dental casting systems. They have high biosafety and good mechanical properties, are excellent substitutes for the silver-palladium-gold alloys for casting, and are highly useful for removable dental prostheses. Therefore, the introduction of health insurance coverage for removable dental prostheses made of titanium and its alloys is worthy of consideration.

Effects of methacryloyloxydecyl dihydrogen phosphate on bonding of tri-n-butylborane-initiated resin to human enamel.

This study investigated the effect of 10-methacryloyloxydecyl dihydrogen phosphate (MDP) in methyl methacrylate (MMA) monomer on the adhesion of tri-n-butylborane (TBB)-initiated resins (MDP/MMA-TBB resins) to human enamel. Enamel surface conditions were either polished only or phosphatized surfaces. The 1.0, 1.7, and 2.0 mol% MDP/MMA-TBB resins, 4-methacryloxyethyl trimellitate anhydride (4-META)/MMA-TBB resin and MMA-TBB resin were prepared as luting materials. The shear bond strength was determined before and after thermocycles, and the results were compared using non-parametric statistical analyses (each, n=15). The MDP/MMA-TBB resins showed significantly better bond durability to enamel than other resins with or without etching. The 1.7 and 2.0 mol% MDP/MMA-TBB resins were suggested to be the optimum MDP concentrations from pre- and post-thermocycling results for the non-etched specimens. The TBB initiator resin including MDP was shown to be effective in bonding to human enamel, and this effect was enhanced in combination with phosphate treatment.

Effect of luting system with acidic primers on the durability of bonds with Ti-15Mo-5Zr-3Al titanium alloy and its component metals.

This study evaluated the effect of luting system with acidic primers on the durability of bonds with Ti-15Mo-5Zr-3Al titanium alloy (Ti-15Mo-5Zr-3Al) and its component metals. Adherend metals were Ti-15Mo-5Zr-3Al, Ti, Mo, Zr, and Al. Four primers were evaluated as adhesion promoters: Alloy Primer (ALP), Estenia Opaque Primer (EOP), M. L. Primer (MLP), and Super Bond liquid (SBL). An acrylic resin was used as the luting material. Pre- and post-thermocycling shear bond strength was determined to evaluate the bonding durability, and the results were compared using non-parametric statistical analyses (n=11/group). The post-thermocycling bond strength in MPa (median) associated with ALP, EOP, MLP, and SBL were 18.8, 19.8, 4.1, and 0.8, respectively, for Ti-15Mo-5Zr-3Al. The results showed that two primers containing 10-methacryloyloxydecyl dihydrogen phosphate (MDP) were effective for the durability of bonding of Ti-15Mo-5Zr-3Al to the resin. MDP enhanced the bonding durability of the resin bonded to either Ti, Zr, or Al.

Effect of multi-purpose primer on bonding of acrylic resin to cast titanium and gold alloy after airborne-particle abrasion.

PURPOSE: To clarify the effect of a multi-purpose primer combining several functional monomers on two prosthodontic materials (cast titanium and a gold alloy) after airborne-particle abrasion. METHODS: Disk-shaped adherends were prepared from cast titanium (CP Titanium JIS2) and a gold alloy (Casting Gold M.C. Type IV). A silane-containing two-liquid primer (M&C primer (MC)) and two silane-free single-liquid primers (Alloy Primer (AP) and V-Primer (VP)) were used as surface-treatment agents. The shear bond strengths were determined before and after thermocycling to evaluate the adhesive durability, and the results were compared using a non-parametric statistical analysis. The effect of airborne-particle abrasion with alumina on the titanium surface was analyzed by X-ray photoelectron spectroscopy (XPS). RESULTS: There was no significant difference in bond strength between the MC and AP before and after thermocycling, whereas VP showed significantly lower values. XPS revealed that the titanium acquired hydrophilic properties after the airborne-particle abrasion. CONCLUSIONS: The novelty of this study is that it shows that the presence/absence of the silane had no effect on the bonding of cast titanium with an acrylic resin. The study also showed that the multi-purpose primer can be used without any problems with both cast titanium and gold alloy, in combination with airborne-particle abrasion with alumina.

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.

Bonding performance of a thiohydantoin-methacrylate monomer on noble metal alloys.

This study assessed the effect of a primer containing 10-methacryloyloxydecyl-(2-thiohydantoin-4-yl)propionate (MDTHP) on the bonding of noble metal alloys to an acrylic resin. Three noble metal alloys were selected as adherends, and V-Primer containing 6-(4-vinylbenzyl-n-propyl)amino-1,3,5-triazine-2,4-dithione was used as a comparative control. The disk specimens of each noble metal alloy were wet-ground and divided into three conditions: specimens primed with MDTHP primer or V-Primer, and specimens without priming. An acrylic resin was bonded to each specimen, and the specimens were performed the shear bond test. The MDTHP primer showed higher shear bond strength than the V-Primer for all specimens. X-ray photoelectron spectroscopic analysis showed that MDTHP was adsorbed on the Au-Pt-Pd alloy surface even after acetone cleaning. MDTHP binds not only with Cu but also with Au and Ag, promoting the bond strength of noble metal alloys. The effectiveness of MDTHP on dental noble metal alloys was suggested.

Gloss and surface roughness of pre-polymerized composite materials designed for posterior CAD/CAM crown restorations corroded with acidulated phosphate fluoride application.

This study assessed the gloss and surface roughness of computer-aided design/computer-aided manufacturing (CAD/CAM) resin composites corroded with acidulated phosphate fluoride (APF) application. One ceramic block, ten CAD/CAM resin composites for premolars, and four CAD/CAM resin composites for molars were assessed. The surface topography of the materials before and after APF application was observed using an electron microscope. The results were analyzed by Wilcoxon signed-rank test and Dunnett's many to one test (p<0.05). Gloss after APF application was significantly lower for all CAD/CAM resin composites except Artesano. Ra after APF application was significantly higher for all CAD/CAM resin composites except Artesano, Dentcraft HR Block, and Estelite P Block, and Sa was significantly higher for all CAD/CAM resin composites. Irregular surface topography was observed after APF application and the surface features differed among the materials. Therefore, APF application may be detrimental to the surface properties of CAD/CAM resin composites.

Influence of polymerization methods and priming agents on the bond strength between resin luting agents and gold alloy.

PURPOSE: To evaluate the influence of polymerization methods and a metal priming agent on the bond strength between gold alloy for metal ceramic restorations and dual-cure-type resin luting agents, and on the strength and hardness of the luting agents. METHODS: A total of 154 disks cast by a gold alloy were treated with or without a metal priming agent. One of the three luting agents was applied on the disk. The luting agent was either chemically or dual-polymerized. The shear bond strength was measured both before and after thermocycling. In addition, scanning electron microscope (SEM) observation, flexural strength test, and Knoop hardness test were performed. RESULTS: Significant differences among the luting agents were observed in terms of bond strength and flexural strength. Significant differences between chemically and dual-polymerized luting agents were observed regarding shear bond strength, flexural strength, and Knoop hardness before thermocycling. The application of the priming agent was effective only for a luting agent. CONCLUSION: Both bond strength and flexural strength differed among three luting agents. The effect of the priming agent on bond strength differed among the luting agents. Both the bond and flexural strength of a chemically polymerized luting agent differed before or after thermocycling.

Effects of Copper Surface Oxidation and Reduction on Shear-Bond Strength Using Functional Monomers.

This study was conducted to clarify the influence of the copper surface oxidation and reduction on the shear-bond strength with functional monomers. Unheated copper specimens (UH; n = 88) were wet-ground. Three-quarters of the UH were then heated (HT). Two-thirds of the HT was then immersed in a hydrochloric acid solution (AC). Half of the AC was then reheated (RH). Each group was further divided into two groups (n = 11), which were primed by either 6-methacryloyloxyhexyl 2-thiouracil-5-carboxylate (MTU-6) or 10-methacryloyloxydecyl dihydrogen phosphate (MDP). The shear-bond strength tests were used for bonding with an acrylic resin. The surface roughness values and chemical states of the four groups were analyzed using a confocal scanning laser microscope and X-ray photoelectron spectroscopy (XPS). The shear-bond strengths of HT and RH were the lowest in the MTU-6-primed groups. The result of AC was significantly lower than others in the MDP-primed groups. The XPS results showed that the surfaces of UH and AC consisted of Cu2O and Cu. The surface changed to CuO upon heating. The presence or absence of copper-oxide films showed the opposite trends in the effectiveness of MTU-6 and MDP to improve bond strength. The results could elucidate the effects of functional monomers on copper-oxide films.

Adhesive bonding of noble metals with a thiohydantoin primer.

OBJECTIVE: The purpose of this study was to assess the effects of an experimental primer containing acetone solution and a sulfur-containing functional monomer, 10-methacryloyloxydecyl-(2-thiohydantoin-4-yl)propionate (MDTHP), on the bonds between noble metals and acrylic resin. METHODS: The experimental primer used as the control for comparison consisted of 6-(4-vinylbenzyl-n-propyl)amino-1,3,5-triazine-2,4-dithione (VBATDT) in acetone. These primers were prepared as equimolar functional monomers (0.1 mol%). A self-polymerizing acrylic resin initiated with tri-n-butylborane (TBB) was used as the luting agent. Four elemental metal disks (silver, copper, palladium, and gold) were used as adherend specimens. All the disks were wet-ground with silicon carbide paper (#1500). Bonding reactions were performed on 12 combinations of the four metals, and the disks were either primed with MDTHP or VBATDT or were unprimed (control). Shear bond strengths were determined pre- and post-thermocycling (5-55 °C, dwell time 60 s, 20,000 cycles). The results were statistically analyzed via a non-parametric test (α = 0.05). RESULTS: The post-thermocycling shear bond strengths of the MDTHP primer were as follows (median, n = 11): 13.2 MPa on silver, 25.9 MPa on copper, 4.1 MPa on palladium, and 11.3 MPa on gold. The MDTHP primer showed higher post-thermocycling shear bond strength on all the four metals. Additionally, on silver and copper, the MDTHP bond strengths were higher than on the other metals. SIGNIFICANCE: Within the limitation of current of experimental setting, the MDTHP compound may be applicable as a functional monomer for bonding noble metal alloys.

Influence of Oxidation of Copper on Shear Bond Strength to an Acrylic Resin Using an Organic Sulfur Compound.

The aim of this study was to clarify the influence of the copper surfaces changed from Cu or Cu2O to CuO on the bonding strength of resin with organic sulfur compounds. The disk-shaped specimens (n = 44) of copper were wet-ground. Half of the specimens were heated at 400 °C for 4 min in an electric furnace (HT: heated). Half of the specimens were not heated (UH: unheated). The specimens were further divided into two groups. Each group was primed by 6-methacryloyloxyhexyl 2-thiouracil-5-carboxylate (MTU-6) or unprimed (n = 11). A statistical analysis of the results of shear bond strength testing was performed, and the failure mode of the bonded areas was classified with an optical microscope. Two types of specimen surface (UH or HT) were analyzed chemically using X-ray photoelectron spectroscopy (XPS). When primed with MTU-6, unheated Cu (28.3 MPa) showed greater bond strength than heated (19.1 MPa). When unprimed, heated Cu (4.1 MPa) showed greater bond strength than unheated (2.3 MPa). The results of the debonded surfaces observation showed that only the UH-MTU-6 group demonstrated a combination of adhesive and cohesive failures in all specimens. The XPS results showed that the surface of copper changed from Cu or Cu2O to CuO when HT. These results confirmed that it is necessary to take care of the copper oxide contained in noble metal alloys when using organic sulfur compounds for adhesion.

Radiopacity of computer-aided design/computer-aided manufacturing composite resin blocks.

This study aimed to clarify the degree of difference in radiopacity between sixteen CAD/CAM composite resin blocks, one ceramic block, and teeth of the same thickness on radiographs. The radiographic density of CAD/CAM composite resin blocks was measured and the results were compared with the corresponding values for enamel and dentin. Additionally, the study analyzed the constituent elements of each type of CAD/CAM composite resin block and conducted an examination to identify those elements exerting an influence on radiopacity. Compared to the enamel, there were five blocks with significantly higher radiopacity, two blocks with the same level in radiopacity, and ten blocks with notably lower radiopacity. Compared to the dentin, there were ten blocks with significantly higher radiopacity, one block with the same level in radiopacity, and six blocks with notably lower radiopacity. All of the CAD/CAM composite resin blocks for molars contained barium and strontium. This result suggests that the addition of heavy metals, for example, barium, strontium, and zirconium, would be effective in providing CAD/CAM composite resin blocks with radiopacity.

Bonding of Fused Quartz with an Aromatic Silane Compound and Acidic Functional Monomers with a Tri-n-butylborane Initiated Resin.

Purpose: This study evaluated the effect of an aromatic silane compound and acidic functional monomer on the bond strength of fused quartz. Materials and Methods: A total of 264 disk specimens were fabricated from fused quartz for shear bond testing. Two silane compounds were used: 3-(trimethoxysilyl)propyl methacrylate (3-TMSPMA) and 3-(4-methacryloyloxyphenyl) propyltrimethoxysilane (3-MPPTS). As acidic functional monomers, 4-methacryloyloxyethyl trimellitate (4-MET) and 10-methacryloyloxydecyl dihydrogen phosphate (10-MDP) were used. The disks were primed with one of each silane compound with or without the acidic functional monomer of the same molarity. The specimens were bonded with a tri-n-butylborane (TBB) initiated luting material. The shear bond strength was determined before and after 10,000 thermocycles. Bond strength was statistically evaluated with Kruskal-Wallis, Mann-Whitney U-, and Steel- Dwass tests. To test dye penetration, the specimens were immersed in 0.5 wt% fuchsin solution for 24 h after priming with each condition, bonding, and 10,000 thermocycles. The dye penetration area was determined by observing the backside of the bonded specimen with an optical microscope. The relationship between the shear bond strength and dye penetration ratio was analyzed with Spearman's rank correlation test. Results: The highest post-thermocycling bond strengths in the 1 mol% and 2 mol% groups were 3-TMSPMA + 10- MDP and 3-MPPTS + 10-MDP. Spearman's rank correlation coefficient between shear bond strength and dye penetration area was γ = -0.7519, indicating a strong negative correlation. Conclusion: The surface treatments of 3-TMSPMA and 3-MPPTS combined with 10-MDP yielded higher bond strength after 10,000 thermocycles than those combined with 4-MET, despite the similarity in molarity. The shear bond strength was negatively correlated with the dye penetration area.

Effect of multi-purpose primers on the bond durability between tri-n-butylborane initiated resin and gold alloy.

PURPOSE: This study investigated the influence of an interaction between sulfur-containing monomers and other monomers in multipurpose primers on the bond durability of a tri-n-butylborane (TBB)-initiated acrylic resin to a gold alloy. METHODS: The disk-shaped adherend materials were prepared from a gold alloy (Casting Gold M.C. Type IV). Two multipurpose-primers (Universal Primer, Monobond Plus), four metal primers containing an organic sulfur compound (M.L. Primer, Alloy Primer, Metaltite, and V-Primer), and three acidic primers (Estenia Opaque Primer, Acryl Bond, and Super-Bond Liquid) were used. The shear bond strengths were determined pre- and post-thermocycling to evaluate the bond durability. A statistical analysis of the results was performed using a non-parametric procedure, and the cohesive failure ratios of the debonded surfaces were compared. RESULTS: Among the pre-thermocycling groups, M.L. Primer, Metaltite, Monobond Plus, Universal Primer, and Alloy Primer showed the greatest bond strengths. Among the post-thermocycling groups, M.L. Primer, Metaltite, Monobond Plus, and Universal Primer showed the greatest bond strengths, whereas Acryl Bond, Super-Bond Liquid, Estenia Opaque Primer, and the unprimed control showed the lowest. Similarly, the primers that did not contain either a sulfur compound showed an obvious reduction in the cohesive failure ratio. CONCLUSIONS: Multi-purpose primers containing a sulfur-containing monomer increased the bond strength of a TBB-initiated acrylic resin to a gold alloy. The proportion of the area of cohesive failure to the bonded area showed an interrelationship with the shear bond strength testing results.

Trace of organic sulfur compounds detected from debonded interface between transparent acrylic resin and gold alloy.

The purpose of the current study was to evaluate the bonding performance of two single-liquid primers, which contained 6-(4-vinylbenzyl-n-propyl) amino-1,3,5-triazine-2,4-dithione (VTD) or 6-methacryloyloxyhexyl 2-thiouracil 5-carboxylate (MTU-6), used for bonding between metals and an acrylic resin. A gold alloy and high-purity titanium were used as adherend materials, and a transparent acrylic resin initiated with tri-n-butylborane derivative was selected as the luting material. Both adherends were treated with one of the primers and bonded with the luting material, after which shear bond strength was determined. Fourier transform infrared spectroscopy was used to analyze debonded resin specimens. Shear bond strength to gold alloy was significantly greater than that to titanium for both the VTD and MTU-6 primers. A trace of thiol structure, probably derived from VTD and MTU-6, was detected on resin surfaces debonded from gold alloy. These results indicate that the two organic sulfur compounds, which are stable in an atmospheric environment, are tautomerized into a thiol structure, thus allowing adsorption onto noble metals. In addition, the adsorbed thiol compounds contribute to chemical bonding between the acrylic resin and noble metal alloy, as polymerizable adhesive functional monomers.

Surface roughness and gloss of current CAD/CAM resin composites before and after toothbrush abrasion.

The purpose of this study was to evaluate the gloss and surface roughness behaviors of newly developed CAD/CAM composite blocks with different filler contents and characteristics. The gloss and surface roughness were quantified before and after a toothbrush dentifrice abrasion test; the results were compared to the gloss and surface roughness of a ceramic CAD/CAM block. Knoop hardness was determined before abrasion test. The results were analyzed by ANOVA, Tukey HSD, and Dunnett t test (p<0.05). The rank order of Knoop hardness was as follows: Vita Mark II>Vita Enamic>Gradia block>Shofu Block HC, Lava Ultimate≥Katana Avencia block≥Cerasmart. After toothbrush abrasion, a significant difference in the gloss unit was detected between the Shofu Block HC material and the ceramic block. The Ra and Rz of the Cerasmart and Shofu Block HC materials were significantly larger than those of the ceramic block after toothbrush abrasion.

Effect of a self-etching primer and phosphoric acid etching on the bond strength of 4-META/MMA-TBB resin to human enamel.

The purpose of this study was to evaluate the shear bond strength and durability of 4-META/MMA-TBB resin to human enamel. A self-etching primer that contained 4-META (Teeth Primer, TP) and 35-45% or 60-65% concentrations of phosphoric acid (K-Etchant Gel, KE, and Super Bond C&B Red Activator, RA) were used as the surface treatment agents. A methyl methacrylate (MMA)-based self-polymerizing resin (Super-Bond C&B) was used as a luting agent. The shear bond strength was determined both pre and post thermocycling. The results were statistically analyzed with a non-parametric procedure. The post-thermocycling shear bond strength of the TP group was significantly higher than that of other groups, and that of the KE group was significantly higher compared with the RA group. These results demonstrated that 4-META was effective. Furthermore, when the degree of tooth demineralization was compared, surface treatment with less demineralization using TP was the most effective treatment.

Effect of sodium sulfite, carboxylic monomer, and phosphoric acid etching on bonding of tri-n-butylborane initiated resin to human enamel.

The purpose of the present study is evaluation of bonding durability of tri-n-butylborane (TBB) initiated resin without 4-methacryloyloxyethyl trimellitate anhydride (4-META) joined to human enamel. Ground human enamel was bonded with TBB resin under six surface conditions: 1) as ground, 2) primed with Teeth Primer, 3) sodium sulfite solution, 4) 4-META solution, 5) acetone-water, and 6) phosphoric acid etching. Pre- and post-thermocycling bond strengths and change in strength after thermocycling were compared. Etching enamel with 35-45% phosphoric acid enhanced bonding durability between enamel and TBB-initiated resin. Priming with Teeth Primer or 4-META solution improved bond strength between enamel and TBB-initiated resin. Sodium sulfite had little effect on enamel bonding in the present bonding systems.