Autotransplantation of a Tooth Cryopreserved Over 11 Years Using a Programmed Freezer With a Magnetic Field: A Case Report.

This case report shows an autotransplantation of the lower right cryopreserved third molar into the extraction socket of the lower right first molar. Due to deep caries of the lower right first molar, the mesial root of this tooth was extracted. The patient asked to keep the distal root of the lower right first molar even if the root can survive only for a short period. So, a fixed partial denture supported by the lower right second premolar and the distal root of the lower right first molar was set. However, it was supposed that the distal root of the lower right first molar as an abutment tooth had a poor prognosis. Therefore, we also extracted the lower right third molar and cryopreserved to prepare autotransplantation if the lower right first molar has to be removed in the future. At first, the extracted third molar was frozen using a programmed freezer with a magnetic field named "Cells Alive System" (CAS) freezer, which was developed for tissue cryopreservation, and then, cryopreserved in the -150°C deep freezer. Eleven years later from the cryopreservation of the third molar, the lower right first molar showed root fracture. So, we extracted the lower right first molar and autotransplanted the cryopreserved third molar. Three years later, the autotransplanted tooth continued to be stable with healthy periodontium. The present case revealed that autotransplantation of a long-term cryopreserved tooth in a CAS freezer is a variable method to replace missing teeth.

Entire Dental Arch Mesial Movement after Extraction of Maxillary Right Central Incisor due to Root Fracture Treated with Temporary Anchorage Devices.

This case report describes a 19-year-old woman with skeletal Class I crowding and an unsalvageable maxillary right central incisor. She visited our clinic with the chief complaint of mobility of the maxillary right central incisor due to a traffic accident. After extraction of the maxillary right central incisor, the space was closed orthodontically. All the maxillary right teeth were moved mesially with an elastic chain attached to a palatal lever arm which was connected to palatal temporary anchorage devices (TADs). After orthodontic treatment had been completed, the maxillary right lateral incisor and peg-shaped left lateral incisor were restored with a porcelain laminate veneer. The maxillary right canine was morphologically reshaped and built up with composite resin. Consequently, esthetically ideal occlusion and functional lateral guidance with uncontacted molars were obtained. These results show that mesial movement of the entire dental arch with TADs is a useful orthodontic treatment option in patients in whom the maxillary central incisor has been extracted.

Effect of laser engraving on shear bond strength of polyetheretherketone to indirect composite and denture-base resins.

Background/purpose: Polyetheretherketone (PEEK) is a highly sought-after thermoplastic due to its exceptional mechanical properties and biocompatibility. However, bonding PEEK to indirect composite resin (ICR) or denture-based resin (DBR) can be challenging. Laser engraving technology has shown potential to improve bonding for other materials; thus, this study aims to evaluate its effectiveness for PEEK. Materials and methods: The experiment involved preparing ingot-shaped PEEK samples, which were then categorized into four groups based on the treatment method employed: without treatment, air abrasion, sulfuric acid etching, and laser engraving (LS). Subsequently, the samples were bonded to ICR or DBR, and their shear bond strength (SBS) was tested with or without thermocycling using a universal testing machine. Furthermore, the failure mode was observed, with statistical analyses conducted to compare the results. Results: The grid-like microslit structure of LS group displayed the highest SBS for bonding PEEK to ICR or DBR (P < 0.05). During the bonding of PEEK to ICR, resin residue and penetration into the microslits were frequently observed in the LS group, indicating cohesive failure. However, when PEEK was bonded to DBR, mixture failure was frequently observed without thermocycling. After thermocycling, only the LS group showed cohesive failure, while the majority of specimens exhibited mixture failure. Conclusion: Laser engraving significantly improves the SBS between PEEK and both ICR and DBR. Furthermore, it was observed that resin had penetrated the microslits, indicating that laser engraving has great potential as a surface treatment method.

The Physiological Function of Deglutition and Swallowing in Patients With Maxillary Protrusion After Mandibular Advancement.

The objective of this study was to determine the tongue-palatal contact changes in patients with skeletal maxillary protrusion after sagittal split ramus osteotomy (SSRO) during swallowing. In this study, 15 patients with maxillary protrusion and 10 normal subjects participated. Before and 3 months after surgery, tongue-palatal contact patterns during swallowing of patients with maxillary protrusion as well as controls were evaluated by electropalatography. The electrode contact number in the alveolar, palatal, and velar parts was examined. The swallowing duration of each phase was also evaluated. In the lateral area of the velar part, incomplete electrode contact was shown at 0.3 seconds in patients with maxillary protrusion. The electrode contact number in the velar part at 0.3 seconds before tongue-palatal complete contact was significantly less in the preoperative patients compared with the controls ( P < 0.05). A small increase in the electrode contact number of the velar part was shown in the postoperative patients at 0.3 and 0.2 seconds before tongue-palatal complete contact ( P < 0.05). The pharyngeal phase duration was significantly larger in the patients with maxillary protrusion before SSRO compared with the controls ( P < 0.05). After SSRO, the pharyngeal phase duration was significantly shortened. It was shown that the tongue-palatal contact pattern during swallowing in patients with maxillary protrusion improved after orthognathic surgery, and the pharyngeal phase duration was also shortened. It is suggested that the changes in the mesiodistal mandibular position by orthognathic surgery can improve tongue posture and movement during swallowing.

Education and licensure of dental technicians.

The Japanese Health, Labour, and Welfare Ministry in 2020 identified the following issues for training and recruitment of dental technicians: early involvement of students in dental practice and dental laboratory work, a curriculum in line with the times, and an extension of the years of training. This paper investigates the education and qualifications of dental technicians in other countries to discuss these issues. The survey method was to use the database PubMed to search the literature since 2001 using the keywords "dental technician," "education," and license" to collect literature related to the pre-graduate education of dental technicians. Information on educational institutions was also included in the survey. The results showed that the countries that introduced joint education between dental technicians and dentists into their educational programs, and the examinations and years of training required for each certification varied from country to country. The curriculum for dental technicians in Japan changed from a time-based to a credit-based system on April 1, 2018. The credit system is characterized by the possibility of each training institution actively engaging in flexible curriculum organization. Dental technician education programs in other countries can provide a valuable reference for each training institute to demonstrate its uniqueness.

Influence of dental abrasives on surface roughness, gloss, and color of titanium.

PURPOSE: The influence of three dental abrasives on the surface roughness, glossiness, and color of titanium (Ti) after mechanical polishing was investigated. METHODS: The specimens were divided into groups, referred to as SM, SR, and TP, to distinguish the different polishing processes. SM: rubber polishing using a rubber point containing SiC abrasive particles at 20,000 rpm, followed by gloss polishing; SR: rubber polishing using a rubber point containing Al2O3 abrasive particles at 20,000 rpm, followed by gloss polishing; TP: rubber polishing using a rubber point containing TiO2 abrasive particles at 6,000 rpm, followed by gloss polishing. Gloss polishing was carried out at 10,000 rpm using a leather buffing wheel. Measurements to evaluate the surface conditions of Ti were performed after each polishing process. RESULTS: There were no significant differences in the Ra and glossiness values between the SM and TP groups; these specimens were not as smooth and glossy as the SR group. The SM group showed relatively high values of lightness and chroma after gloss polishing. CONCLUSION: Rubber polishing with abrasives containing SiC or TiO2 particles before gloss polishing did not achieve appropriate surface conditions on Ti.

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.

Functional regulation of osteoblastic MC3T3E-1 cells by hyperbaric oxygen treatment.

OBJECTIVES: The purpose of the present study was to examine the influence of hyperbaric oxygen (HBO) on the function of osteoblastic MC3T3-E1 cells. DESIGN: Murine MC3T3-E1 cells were exposed to HBO treatment (at 2.5 absolute atmospheric pressure with 100% oxygen, 90 min per day) for 28 days. Alkaline phosphatase (ALP) staining, activity, and calcium (Ca) content were measured. Gene expression of vascular endothelial growth factor (VEGF), basic fibroblast growth factor (bFGF), hypoxia-inducible factor-1α (HIF-1α), type 1 collagen (COL1), and osteocalcin (OCN) was assessed using real-time quantitative polymerase chain reaction after a single HBO exposure for 1.5, 6, and 12 h. Furthermore, adenosine triphosphate (ATP) levels were measured using a luminescent cell viability assay. RESULTS: ALP activity and Ca content were higher in the HBO group compared to those in the control group. Gene expression of bFGF, COL1, and OCN was upregulated in the HBO group; however, that of VEGF and HIF-1α significantly decreased in the HBO group in comparison with that in the control group. ATP levels were significantly higher in the HBO group compared to those in the control group. CONCLUSIONS: These findings suggest that HBO accelerates bone formation by increasing the ATP levels of osteoblasts, and bFGF can act as a substitute for VEGF in vascularization by HBO application.

Effects of dimensions of laser-milled grid-like microslits on shear bond strength between porcelain or indirect composite resin and zirconia.

PURPOSE: Zirconia cores and frameworks are widely used in restorative dentistry. Although these structures are veneered with porcelain for esthetic reasons, the use of indirect composite resins (ICRs) is expected to increase in the future. The purpose of this study was to investigate the effects of microslits of different dimensions formed by Nd:YVO4 laser machining on the bond strength between two types of zirconia (3 mol% yttria-partially stabilized zirconia (Y-TZP) and ceria-partially stabilized zirconia/alumina nanocomposite (Ce-TZP/A)) and porcelain or an ICR. METHODS: The zirconia disks were assigned as follows: 1) blasted with alumina particles (AB) and 2-4) surface machined with gridded microslits with a width, pitch, and depth of 50, 75, or 100 µm (MS50, MS75, and MS100, respectively). After the bonding of the veneering materials to the disks, half of the specimens veneered with the ICR were subjected to thermocycling (4-60°C, 20000 cycles). All the specimens were subsequently shear tested (n = 10/group). RESULTS: There was no significant difference between the groups of the disks bonded to porcelain. On the other hand, for the disks bonded to the ICR, the bond strengths of the MS groups after thermocycling were statistically higher than that of the AB group. However, there was no significant difference in the bond strengths of the disks with different microslits. CONCLUSION: Within the study limitations, it can be concluded that, for porcelain, the design of the mechanical retentive structure must be modified. However, for the investigated ICR, a simple gridded pattern can improve the bond strength with zirconia.

Generalized periodontitis treated with periodontal, orthodontic, and prosthodontic therapy: A case report.

BACKGROUND: Generalized periodontitis is a severe periodontal disease characterized by rapid periodontal destruction in healthy persons. This case report describes the treatment of a severe crowding, large overjet, and occlusal collapse due to the loss of anterior guidance with generalized periodontitis. CASE SUMMARY: A 35-year-old female patient with a chief complaint of crowding and maxillary protrusion was diagnosed with generalized periodontitis by clinical and radiographic examinations. To improve crowding and overjet, orthodontic treatment was performed after basic periodontal therapy. Severely damaged upper right lateral incisor and left canine were extracted, and lower right first premolar and left second premolar were also removed to treat severe crowding. After orthodontic treatment, periodontal flap surgery for upper left molars and guided tissue regeneration for the lower left second molar was performed. Then, a dental implant was inserted in the upper left canine legion. The esthetics of the maxillary anterior tooth was improved by prosthetic restorations. The treatment result showed a well-improved occlusion with proper anterior guidance and healthy periodontal tissue after a retention period of 10 years. CONCLUSION: Periodontal, orthodontic, and prosthodontic treatments are extremely useful to improve function and stable periodontal tissue for generalized periodontitis.

Bonding and Thermal Cycling Performances of Two (Poly)Aryl-Ether-Ketone (PAEKs) Materials to an Acrylic Denture Base Resin.

Poly(aryl-ether-ketone) materials (PAEKs) are gaining interest in everyday dental practices because of their natural properties. This study aims to analyze the bonding performance of PAEKs to a denture acrylic. Testing materials were pretreated by grinding, sandblasting, and priming prior to polymerization with the denture acrylic. The surface morphologies were observed using a scanning electron microscope and the surface roughness was measured using atomic force microscopy. The shear bond strength (SBS) values were determined after 0 and 2500 thermal cycles. The obtained data were analyzed using a paired samples t-test and Tukey's honestly significant difference (HSD) test (α = 0.05). The surface characteristics of testing materials after different surface pretreatments showed obvious differences. PAEKs showed lower surface roughness values (0.02-0.03 MPa) than Co-Cr (0.16 MPa) and zirconia (0.22 MPa) after priming and sandblasting treatments (p < 0.05). The SBS values of PAEKs (7.60-8.38 MPa) met the clinical requirements suggested by ISO 10477 (5 MPa). Moreover, PAEKs showed significantly lower SBS reductions (p < 0.05) after thermal cycling fatigue testing compared to Co-Cr and zirconia. Bonding performance is essential for denture materials, and our results demonstrated that PAEKs possess good resistance to thermal cycling fatigue, which is an advantage in clinical applications. The results imply that PAEKs are potential alternative materials for the removable of prosthetic frameworks.

An Investigation of Tongue-Palatal Contact Changes in Patients With Skeletal Mandibular Lateral Deviation After Sagittal Split Ramus Osteotomy.

ABSTRACT: This study aimed to investigate the changes in tongue-palatal contact patterns in patients with mandibular lateral deviation by electropalatography (EPG) before and after sagittal split ramus osteotomy (SSRO). Ten mandibular asymmetry patients who underwent SSRO participated in the study. Tongue-palatal contact patterns for the production of /t/ and /s/ sounds were observed using EPG before surgery and 3 months after surgery, and the changes in EPG pattern were examined. The number of electrode contacts in the 2 vertical columns of the EPG plate was calculated both in the mandibular deviation side and the nondeviation side. The EPG patterns for /t/ and /s/ showed asymmetry before surgery but became normal after surgery. Before surgery, the number of electrode contacts in the 2 vertical columns in the mandibular deviation side was significantly lower than that in the nondeviation side and the normal participants during /t/ and /s/ articulation. However, the number of electrode contacts in the deviation side significantly increased after surgery. This study demonstrated that the tongue-palatal contact patterns for /t/ and /s/ articulation shifted to the direction of mandibular deviation and improved after SSRO.

Color accuracy of different types of monolithic multilayer precolored zirconia ceramics.

STATEMENT OF PROBLEM: The use of monolithic multilayer precolored zirconia facilitates the production of esthetic restorations in a convenient and straightforward manner. However, the accuracy of the final color is not clear. PURPOSE: The purpose of this in vitro study was to determine the color accuracy of different types of monolithic multilayer precolored zirconia ceramics of varying thicknesses. MATERIAL AND METHODS: Eighty cubical A2-shade monolithic multilayer precolored zirconia ceramic specimens (15×15 mm) of 2 different thicknesses (1.0 mm and 1.5 mm) and 4 zirconia brands (UPCERA EXPLORE [UPEX], KATANA Zirconia STML [STML], Enamel ZR Multi-5 [EZM5], and Aidite 3D Pro Zir [A3DM]) were fabricated and divided into 8 groups (n=10). The Commission Internationale de l'Eclairage (CIELab) values were measured against 3 different backing substrates (gray, transparent, and A2) by using a spectrophotometer. The color difference (ΔE) between the backing substrates of each group and the Vita A2 Shade Guide, translucency parameter (TP), and chroma (C) values were calculated to evaluate the accuracy of the final color. Statistical analysis was performed by using ANOVA and the post hoc Tukey HSD tests (α=.05). RESULTS: The ΔE values for UPEX and STML exceeded the clinically acceptable thresholds for gray and transparent backing substrates (ΔE>3.7) and were higher than those for the A2 backing substrate. A3DM showed less ΔE from the shade guide for all the backing substrates (P<.05), and the corresponding ΔE values were within the clinically acceptable threshold (ΔE<3.7). The TP value was inversely proportional, and the C value was proportional to thickness. For the zirconia ceramics with identical thicknesses, UPEX and STML exhibited the highest TP values, and A3DM showed the lowest C value (P<.05). CONCLUSIONS: At a specific thickness, color accuracy was mainly affected by the type of monolithic multilayer precolored zirconia ceramic, and the high transparency of ceramics will cause color differences.

Effects of hyperbaric oxygen treatment on calvarial bone regeneration in young and adult mice.

OBJECTIVE: The present study aimed to investigate the effects of hyperbaric oxygen (HBO) treatment on calvarial bone regeneration in young and adult mice. METHODS: Calvarial defects of 6.0 mm diameter were created in sixteen 3-week (young) and sixteen 32-week old (adult) mice. The mice were divided into two groups of eight animals each (HBO-treated and control). The 90-min HBO treatment at 2.5 absolute atmospheric pressure and 100 % oxygen was performed for five days a week for 12 weeks. After 2-weeks from the operation, micro-computerized tomography and video microscopy were used to evaluate the regenerated bone volume and microcirculation every two weeks. The protein concentrations of vascular endothelial growth factor (VEGF) and basic fibroblast growth factor (bFGF) in exudates of the calvarial tissue field were measured at 1, 2, 3, and 4 weeks after surgery. After 12 weeks, histochemical examination of regenerated calvarial bone was conducted. RESULTS: Regenerated bone was formed earlier in young mice than in adult mice treated with HBO. HBO stimulates angiogenesis in the periosteum around regenerated bone area in both young and adult mice at 2 weeks. VEGF concentrations in the calvarial tissue field were lower in the HBO group than in the control 1 week after operation, although bFGF were higher till the 2nd week in the HBO group than in the control. CONCLUSIONS: HBO accelerates bone regeneration earlier in young mice than in adult mice. In the HBO-treated group, bFGF expression was promoted at an early stage, although the expression of VEGF was inhibited.

Effect of continuous compressive force on the expression of RANKL, OPG, and VEGF in osteocytes.

The present study aimed to investigate the effect of a compressive force (CF) on the expression of receptor activator of nuclear factor kappa-B ligand (RANKL), osteoprotegerin (OPG), and vascular endothelial growth factor (VEGF) in murine osteocytes (MLO-Y4) as well as animal study. After application of a CF for 1, 3, 6, and 12 h, gene and protein expression of RANKL, OPG, and VEGF in MLO-Y4 cells were determined by real-time PCR and enzyme-linked immunosorbent assay (ELISA). Furthermore, the effect of a stretch-activated (S-A) channel was examined by gadolinium (Gd3+) administration. In an animal experiment, the expression of these factors in osteocytes of alveolar bone was examined after experimental tooth movement in rats. After CF application, significant increases in RANKL, VEGF and RANKL/OPG ratio were shown. The upregulated gene and protein levels of these factors were reduced by Gd3+ administration. After tooth movement, upregulated RANKL and VEGF were imunohistochemically shown in osteocytes of alveolar bone. These findings suggest that CF application on osteocytes elevates expression of osteoclast-inducing factor and angiogenesis factor in vivo and vitro.

Laser-Milled Microslits Improve the Bonding Strength of Acrylic Resin to Zirconia Ceramics.

Heightened aesthetic considerations in modern dentistry have generated increased interest in metal-free "zirconia-supported dentures." The lifespan of the denture is largely determined by the strength of adhesion between zirconia and the acrylic resin. Thus, the effect on shear bond strength (SBS) was investigated by using an acrylic resin on two types of zirconia ceramics with differently sized microslits. Micromechanical reticular retention was created on the zirconia surface as the novel treatment (microslits (MS)), and air-abrasion was used as the control (CON). All samples were primed prior to acrylic resin polymerization. After the resin was cured, the SBS was tested. The obtained data were analyzed by using multivariate analysis of variance(α = 0.05). After the SBS test, the interface failure modes were observed by scanning electron microscopy. The MS exhibited significantly higher bond strength after thermal cycles (p < 0.05) than the CON. Nevertheless, statistically comparisons resulted in no significant effect of the differently sized microslits on SBS (p > 0.05). Additionally, MS (before thermal cycles: 34.8 ± 3.6 to 35.7 ± 4.0 MPa; after thermal cycles: 26.9 ± 3.1 to 32.6 ± 3.3 MPa) demonstrated greater SBS and bonding durability than that of CON (before thermal cycles: 17.3 ± 4.7 to 17.9 ± 5.8 MPa; after thermal cycles: 1.0 ± 0.3 to 1.7 ± 1.1 MPa), confirming that the micromechanical retention with laser-milled microslits was effective at enhancing the bonding strength and durability of the acrylic resin and zirconia. Polycrystalline zirconia-based ceramics are a newly accessible material for improving removable prosthodontic treatment, as the bond strength with acrylic resin can be greatly enhanced by laser milling.

Finite-element analysis and optimization of the mechanical properties of polyetheretherketone (PEEK) clasps for removable partial dentures.

PURPOSE: Polyetheretherketone (PEEK), a high-strength, aesthetic, and non-allergic thermoplastic polymer, recently became a candidate for replacing metallic components in dental prosthesis. However, as PEEK is flexible, the need for retention presents a key challenge in terms of its clinical application. In this study, clasps prepared using PEEK were optimized and evaluated to provide the mechanical properties required by dentures. METHODS: Seventy-two three-dimensional rod-shape models, based on four thickness/width ratios, three base widths, and six taper ratios were created. These models were analyzed using finite-element methods to determine which modified clasp arm shape provided the most appropriate mechanical properties. Three shape-optimized PEEK specimens and one standard-shape Co-Cr alloy specimen were then fabricated. Constant-displacement fatigue testing was performed to calculate load values and deformations after ten years of clinical use. RESULTS: Shape optimization indicated a maximum stress concentration that was consistently located at the base of the specimen, a correlation between mean load values and thickness that was greater than that with the width, and a correlation between taper ratio and mean load values. Fatigue testing showed that although PEEK exhibited significantly lower average load values than the Co-Cr alloy, these were sufficient for clinical use. All specimens exhibited significant deformation during the first period of cycling; however, there was no significant difference in the deformation between the two materials after fatigue testing. CONCLUSIONS: PEEK exerts fewer stresses on abutments compared to standard-alloy clasps, provides adequate retention, and satisfy aesthetic demands, indicating that PEEK presents a promising alternative to conventional metal clasps.

Influence of various airborne-particle abrasion conditions on bonding between zirconia ceramics and an indirect composite resin material.

STATEMENT OF PROBLEM: Indirect composite resins (ICRs) have been suggested as veneering materials for implant-supported zirconia-based fixed dental prostheses; however, obtaining a durable bond between the zirconia ceramic and the ICR is a challenge. PURPOSE: The purpose of this in vitro study was to evaluate the influence of airborne-particle abrasion conditions on the bond strength between 2 kinds of zirconia (yttria-stabilized tetragonal zirconia polycrystal [Y-TZP] and ceria-stabilized tetragonal zirconia/alumina nanocomposite [Ce-TZP/A]) and an ICR. MATERIAL AND METHODS: Zirconia disks were prepared by using computer-aided design and computer-aided manufacturing (CAD-CAM) systems. Specimens were airborne-particle abraded with different particle sizes (25, 50, 90, 125 µm) and jet pressures (0.1, 0.2, 0.3, 0.4 MPa). The control group (CO) was not subjected to airborne-particle abrasion. The surface roughness (Ra) of the specimens was measured. Subsequently, the specimens were treated with a primer and bonded with a light-activated composite resin, and the shear bond strength (SBS) was tested. The obtained data were analyzed by using multivariate analysis of variance, the Spearman rank-order correlation, and the Mann-Whitney U test (α=.05). After the SBS test, the interface failure modes were observed by scanning electron microscopy, and X-ray photoelectron spectroscopy (XPS) was used to analyze the chemical changes of the zirconia surface. RESULTS: The Ra values increased significantly (P<.05) after airborne-particle abrasion with a positive correlation with both particle size and jet pressure. The airborne-particle abraded specimens exhibited significantly higher bond strength after thermocycling (P<.05) than the CO. Nevertheless, the bond strength was not significantly different among different airborne-particle abrasion treatments (P>.05). Additionally, Y-TZP had higher mean bond strength values than Ce-TZP/A. The XPS results revealed that after airborne-particle abrasion, the alumina particles mechanically adhered to the zirconia surface. CONCLUSIONS: Within the limitations of this in vitro study, airborne-particle abrasion improved the bond strength between zirconia and ICR; however, particle size or jet pressure were not influencing factors.

Effect of microslit retention on the bond strength of zirconia to dental materials.

The aim of this study was to investigate the effect of microslits formed by Nd:YVO4 laser beam machining on the bond strength between two types of zirconia, yttria-partially stabilized zirconia (Y-TZP) and ceria-partially stabilized zirconia/alumina nanocomposite (Ce-TZP/A), and porcelain or two types of resin. Zirconia disks were divided into three groups: 1) non-treated (NT); 2) blasted with alumina particles (AB); 3) microslits fabricated on a zirconia surface by laser beam machining (MS). After veneering porcelain or resins on zirconia specimens, halves of the resin specimens were thermocycled up to 20,000 cycles. The shear bond strength between porcelain and both types of zirconia was not improved by the microslits. Before and after thermocycling, the bond strength between an indirect composite resin or acrylic resin and Y-TZP with microslits was the highest. It was concluded that the microslits on Y-TZP enabled micromechanical interlocking and improved the bond strength and durability of the resins.

Fatigue resistance of yttria-stabilized tetragonal zirconia polycrystal clasps for removable partial dentures.

With the rapid development of computer-aided design/computer-aided manufacturing (CAD/CAM) systems, the application of zirconia in removable partial dentures is expected to expand. Clasps composed of zirconia should improve esthetics without inducing the risk of metal allergy. The aim of this study was to examine the fatigue resistance of yttria-stabilized tetragonal zirconia polycrystal (Y-TZP) clasps for removable partial dentures. Yttria-stabilized tetragonal zirconia polycrystal and cobalt-chromium (Co-Cr) alloy were prepared using CAD/CAM systems. Specimens were either of the semicircular type or of the flat type, with cross-sectional areas of taper ratios of 0.50, 0.75, and 1.00. All specimens were tested using the cantilever test and the constant displacement fatigue test, and data were analyzed using ANOVA. During the cantilever test, the maximum displacement prior to fracture was greater than the required undercut, and the semicircular-type specimen exhibited a higher fracture load than the flat type. None of the specimens displayed permanent deformation and showed almost the same degree of deformation after fatigue testing. A lower taper ratio was associated with lower average load values and greater displacement. Within the limitations of this study, it was possible to conclude that Y-TZP provides the required undercut and adequate retentive force for removable partial denture clasps. Additionally, Y-TZP and Co-Cr alloy had almost the same degree of deformation even after the simulated lifespan of removable partial dentures.