Marginal adaptation and fracture resistance of milled and 3D-printed CAD/CAM hybrid dental crown materials with various occlusal thicknesses.

PURPOSE: To evaluate the marginal adaptation and fracture resistance of three computer-aided design/computer-assisted manufacturing hybrid dental materials with different occlusal thicknesses. METHODS: Ninety single-molar crowns were digitally fabricated using a milled hybrid nanoceramic (Cerasmart, CE), polymer-infiltrated ceramic network (PICN, Vita Enamic, VE), and 3D-printed materials (Varseosmile, VS) with occlusal thicknesses of 0.8, 1, and 1.5 mm (10 specimens/group). Anatomical 3D-printed resin dies (Rigid 10K) were used as supporting materials. A CEREC MCX milling unit and a DLP-based 3D printer, Freeform Pro 2, were utilized to produce the crown samples. Before cementation, the marginal adaptation, absolute marginal discrepancy (AMD), and marginal gap (MG) were assessed using micro-CT scanning. After cementation with self-adhesive resin cement, fracture resistance was evaluated using a universal testing machine. The number of fractured crowns and the maximum fracture values (N) were recorded. Data were statistically analyzed using both one- and two-way ANOVA, followed by Tukey's honestly significant difference (HSD) test. RESULTS: For all occlusal thicknesses, the VS crowns demonstrated the lowest AMD and MG distances, significantly different from those of the other two milling groups (P < 0.05), whereas CE and VE did not differ significantly (P > 0.05). All VS crowns were fractured using the lowest loading forces (1480.3±226.1 to 1747.2±108.7 N). No CE and 1 and 1.5 mm VE crowns fractured under a 2000 N maximum load. CONCLUSIONS: All hybrid-material crowns demonstrated favorable marginal adaptation within a clinically acceptable range, with 3D printing yielding superior results to milling. All materials could withstand normal occlusal force even with a 0.8 mm occlusal thickness.

Evaluation of the chemical, physical, and biological properties of a newly developed bioceramic cement derived from cockle shells: an in vitro study.

BACKGROUND: Tricalcium silicate is the main component of commercial bioceramic cements that are widely used in endodontic treatment. Calcium carbonate, which is manufactured from limestone, is one of the substrates of tricalcium silicate. To avoid the environmental impact of mining, calcium carbonate can be obtained from biological sources, such as shelled mollusks, one of which is cockle shell. The aim of this study was to evaluate and compare the chemical, physical, and biological properties of a newly developed bioceramic cement derived from cockle shell (BioCement) with those of a commercial tricalcium silicate cement (Biodentine). METHODS: BioCement was prepared from cockle shells and rice husk ash and its chemical composition was determined by X-ray diffraction and X-ray fluorescence spectroscopy. The physical properties were evaluated following the International Organization for Standardization (ISO) 9917-1;2007 and 6876;2012. The pH was tested after 3 h to 8 weeks. The biological properties were assessed using extraction medium from BioCement and Biodentine on human dental pulp cells (hDPCs) in vitro. The 2,3-bis(2-methoxy-4-nitro-5-sulfophenyl)-5[(phenylamino)carbonyl]-2 H-tetrazolium hydroxide assay was used to evaluate cell cytotoxicity following ISO 10993-5;2009. Cell migration was examined using a wound healing assay. Alizarin red staining was performed to detect osteogenic differentiation. The data were tested for a normal distribution. Once confirmed, the physical properties and pH data were analyzed using the independent t-test, and the biological property data were analyzed using one way ANOVA and Tukey's multiple comparisons test at a 5% significance level. RESULTS: The main components of BioCement and Biodentine were calcium and silicon. BioCement's and Biodentine's setting time and compressive strength were not different. The radiopacity of BioCement and Biodentine was 5.00 and 3.92 mmAl, respectively (p < 0.05). BioCement's solubility was significantly higher than Biodentine. Both materials exhibited alkalinity (pH ranged from 9 to 12) and demonstrated > 90% cell viability with cell proliferation. The highest mineralization was found in the BioCement group at 7 days (p < 0.05). CONCLUSIONS: BioCement exhibited acceptable chemical and physical properties and was biocompatible to human dental pulp cells. BioCement promotes pulp cell migration and osteogenic differentiation.

Multilayered bacterial cellulose/reduced graphene oxide composite films for self-standing and binder-free electrode application.

Multilayered bacterial cellulose (MBC)/reduced graphene oxide (rGO) composite films were fabricated using dyeing method. First, MBC films were constructed by the static culturing of kombucha SCOBY bacterial cellulose in a rectangular plastic mold for 15 days. The MBC formed on the air-liquid interface was collected and employed as the matrix for the preparation of MBC/rGO composite films using dyeing method. As found, the color strength increased with an increase in dyeing cycle due to MBC and GO (rGO precursor) affinity. However, the surface hydrophilicity was found in the opposite direction due to the restacking of hydrophobic rGO nanosheets onto MBC surface after reduction step. SEM images confirmed that MBC/rGO composite films obtained by the dyeing method exhibited the intact multilayer structure. The electrochemical behavior of free-standing and binder-free MBC/rGO electrodes was evaluated. It was found that MBC-1 exhibited the highest specific capacitance value of 192.23 F/g at the current density of 1 A/g (calculated from GCD plots) due to good diffusion of electrolyte arising from surface wettability with current density performance of 66 %. An increase in dyeing cycle (MBC-2, MBC-3, and MBC-4) led to a gradual decrease in the corresponding specific capacitance value due to a gradual increase in the electrolyte resistance derived from an increasing surface hydrophobicity of the composite films. Finally, in all cases, long-term cycle stability of more than 90 % up to 10000 cycles was achievable.

Development of silicon nitride ceramic for CAD/CAM restoration.

White Silicon nitride (Si3N4) ceramic has unique characteristics. Because of its high fracture toughness, strength, and biocompatibility, it can therefore be used to fabricate dental restorations. The purpose of this study was to produce partially-sintered block of Si3N4 for fabrication of CAD/CAM dental restorations. The related properties of this novel Si3N4 were evaluated including sintered shrinkage, flexural strength and fracture toughness. Partially sintered Si3N4 ceramic blocks were prepared by heating at 1,400°C for 2 h under N2 gas. After full sintering at 1,650oC for 2 h, the linear shrinkage value was recorded at 19.88±0.56%. The flexural strength and fracture toughness were measured, the results were 891.21±37.25 MPa and 6.33±0.30 MPa•m1/2, respectively. These results showed that flexural strength and fracture toughness of Si3N4 were more than 800 MPa and 5 MPa•m1/2, the white Si3N4 developed in this study can be used to fabricate multi-unit dental restorations According to ISO 6872.