Effect of ozonated water on the surface roughness of dental stone casts.

Infection control of dental stone cast is an important issue. Ozone is effective for disinfection against microorganisms and inactivation of viruses. However, there is little information regarding the use of ozone. We prepared 4 types of gypsum specimens and 3 types of disinfectants (4-5 ppm Ozonated water [OZW], 2% glutaraldehyde [GL], and 1% sodium hypochlorite [SH]). Gypsum specimens were immersed in each disinfectant for 5 and 10 min, and surface roughness was then examined using laser scanning microscopy. Surface microstructure was investigated using scanning electron microscopy. Immersion of gypsum specimens in SH, GL, and OZW increased the surface roughness to a maximum of 1.04, 0.37, and 0.30 µm, respectively, based on the difference between the average values of surface roughness before and after the disinfection procedure. The effects of OZW and GL were comparable. OZW is useful as a candidate for relatively safe disinfection of material for dental stone casts.

Effect of production method on surface roughness, marginal and internal fit, and retention of cobalt-chromium single crowns.

STATEMENT OF PROBLEM: New production methods have been developed for metal-ceramic restorations. Different production methods may show different surface roughness and fit, which may affect retention and long-term success. PURPOSE: The purpose of this in vitro study was to examine 3 different production methods with regard to surface roughness, marginal and internal fit, and retention of cobalt-chromium alloy single-crown copings. MATERIAL AND METHODS: A master abutment of a premolar mandibular tooth preparation with 4-mm height and a 0.6-mm deep 120-degree chamfer finish line with a 12-degree angle of convergence was replicated in die stone and scanned. Thirty-six cobalt-chromium alloy copings were produced using 3 different production techniques. Twelve copings were produced by laser-sintering, 12 by milling, and 12 by milled wax/lost wax. The surface microstructure of 2 copings in each group was analyzed using interferometry. The remaining 10 copings in each group were used to evaluate marginal and internal fit by using an impression material replica method, and retention was evaluated by using a uniaxial tensile force pull-off test. The copings from each test group were cemented with zinc phosphate cement onto resin abutments. Statistical analyses of differences in marginal and internal fit were performed using 1-way ANOVA and the Mann-Whitney U test. Differences in surface topography were analyzed with the Kruskal-Wallis and Mann-Whitney U tests for nonparametric data. Differences in retentive values were analyzed using the Mann-Whitney U test for nonparametric data (all α=.05). RESULTS: Differences in surface microstructure were seen. The laser-sintered copings showed increased surface roughness compared with milled and milled wax/lost wax copings. Differences in marginal and internal fit were noted. Laser-sintered showed significantly smaller spaces between coping and abutment than milled wax/lost wax copings (P=.003). At the margins, laser-sintered copings showed significantly smaller spaces than either the milled wax/lost wax group (P=.002) or the milled group (P=.002). At the chamfer, laser-sintered copings showed significantly smaller spaces than milled wax/lost wax copings (P=.005). At the center of the axial walls, laser-sintered copings showed significantly smaller spaces than those in the milled wax/lost wax (P=.004) and milled copings (P=.005). No significant differences were noted between milled and milled wax/lost wax copings (P>.05). No significant differences were detected regarding retentive forces in the pull-off tests (P>.05). CONCLUSIONS: Laser-sintered Co-Cr crown copings showed increased surface roughness and better internal and marginal fit than copings produced by milling or milled wax/lost wax technique. However, the crown pull-off tests did not reveal any significant differences.

Effect of casting atmosphere on the marginal deficiency and misfit of Ni-Cr alloys with and without beryllium.

STATEMENT OF PROBLEM: The marginal adaptation of prosthetic crowns is still a significant clinical problem. PURPOSE: The purpose of this in vitro study was to evaluate the marginal deficiency and misfit of Ni-Cr alloys with and without beryllium under different casting conditions. MATERIAL AND METHODS: Four casting conditions were selected: flame-torch, induction/argon, induction/vacuum, and induction/air; and 2 alloys were used, Ni-Cr-Be and Ni-Cr. For each group, 10 metal specimens were prepared. Silicone indirect impressions and analysis of the degree of rounding were used to evaluate the marginal deficiencies of metal copings, and a standardized device for the setting pressure associated with optical microscopy was used to analyze the marginal misfit. Results were evaluated with 2-way ANOVA (α=.05), followed by the Tukey honest significant difference post hoc test, and the Pearson correlation test (α=.05). RESULTS: Alloy (P<.001) and casting technique (P<.001) were shown to affect marginal deficiencies. The Ni-Cr cast using the torch technique showed the highest marginal deficiency, and the Ni-Cr-Be cast in a controlled argon atmosphere showed the lowest (P<.001). Alloy (P=.472) and casting techniques (P=.206) did not affect the marginal misfit, but significant differences were found in the interaction (P=.001); the lowest misfit was achieved using the Ni-Cr-Be, and the highest misfit occurred with the molten Ni-Cr, using the cast torch technique. No correlation was found between deficiency and marginal misfit (r=.04, P=.69). CONCLUSIONS: The interactions demonstrated that the alloy containing beryllium that was cast in an argon atmosphere led to reduced marginal deficiency. Improved marginal adaptation can be achieved for the same alloy by using the torch technique.

Evaluation of effect of recasting of nickel-chromium alloy on its castability using different investment materials: An in vitro study.

CONTEXT: Castability has been found to be affected by many aspects of the entire casting system. Very few references in dental literature are available regarding recasting of the base metal alloys. AIMS: To evaluate and compare the castability of fresh and reused nickel-chromium alloy and to evaluate the effect of two brands of investment materials on castability of nickel-chromium alloy. SUBJECTS AND METHODS: For the experimental purpose of evaluation of the effect of recasting of nickel-chromium alloy on its castability, different percentages of new and casted alloy (Nickel-chromium alloy-(Wirolloy NB, Type 4 (Ni-67%; Cr-25%; Mo-5%; Si-1.5%; Mn, Nb, B, C each <1%) and two commercial brands of investment materials namely, Deguvest Impact (Degudent; Dentsply Germany) and Bellavest SH (Degudent; Dentsply Germany) was used to obtain 30 samples. Castability value was obtained using Whitlock's formula. Student t-test and one way ANOVA using SPSS 20.0 software was done. RESULTS: The results of this study confirm earlier works that demonstrate that there is no significant difference in castability values of new and recast alloys. In addition, it also demonstrated, there was no difference in castability using Deguvest Impact and Bellavest SH investment materials. CONCLUSIONS: Within the limitations of the study, it was concluded that there was no significant difference found in castability of different percentage combinations of new and once casted alloy using two investment materials. The addition of new alloy during recasting to maintain the castability of nickel-chromium alloy may therefore not be required.

Characterization of the interface between cast-to Co-Cr implant cylinders and cast Co-Cr alloys.

STATEMENT OF PROBLEM: The affordable Co-Cr cast alloy should provide an ideal interface with prefabricated cast-to cylinders from the same alloy family. The alloy microstructures should be maintained up to the interface, and porosities and reaction regions should be absent, and sufficient bond strength between alloys should be provided. PURPOSE: The purpose of this in vitro study was to evaluate the metallurgical interfacial compatibility between Co-Cr dental casting alloys and a prefabricated Co-Cr dental implant cast-to-cylinder. MATERIAL AND METHODS: A Co-Cr alloy was cast to Co-Cr implant cylinders. Specimens were cross-sectioned longitudinally and divided into as-cast and heat-treated groups. The microstructures of specimens were evaluated by optical and scanning electron microscopy. The elemental composition of as-received prefabricated implant cylinders and diffusion characteristics of cast interfacial regions were determined by energy dispersive x-ray spectroscopy. Vickers hardness values were defined across the interface on cast specimens and for the as-received implant cylinders. ANOVA and Tukey honest significant differences tests were used for the statistical evaluation of hardness values. RESULTS: No significant reaction regions or porosity were present in the interface. Microstructural aspect and interdiffusion indicated a metal-metal bond between the Co-Cr implant cylinder and cast alloy. Mean hardness values demonstrated a significant rise across the interface (373.5 ±12.8; 363.8 ±12.6, respectively) from the wrought cylinder (338.6 ±10.5; 329 ±9.7, respectively) to the cast alloy (399.8 ±7.4; 392.3 ±10.3, respectively) for the as-cast and heat-treated conditions, respectively. CONCLUSIONS: Co-Cr casting alloy cast on to prefabricated Co-Cr implant cylinders provided interfaces which appear to fulfill the requirements of the established criteria.

Stress Over Implants of One-Piece Cast Frameworks Made With Different Materials.

This study aims to compare stress transmitted to implants and passive fit of one-piece cast frameworks fabricated with 3 different materials: commercially pure titanium (G1-CP Ti), cobalt-chromium alloy (G2-Co-Cr), and nickel-chromium-titanium alloy (G3-Ni-Cr-Ti). In total, 12 frameworks simulating bars for fixed prosthesis in a model with 5 implants were fabricated. The passive fit of the framework interface was measured using an optical microscope and the stresses transmitted to implants were measured using quantitative photoelastic analysis. Data were statistically analyzed by analysis of variance (ANOVA) and least significant difference (LSD) tests (α = 0.05). Mean and standard deviation values of passive fit and stress over implants are presented, respectively: G1 [472.49 (109.88) µm and 11.38 (9.23) KPa], G2 [584.84 (120.20) µm and 15.83 (9.30) KPa], and G3 [462.70 (179.18) µm and 16.39 (9.51) KPa]. For stress over implants, there were significant differences between G1, G2, and G3 (P = 0.035), being the lowest values for the G1. There were no significant differences for passive fit between G1 and G3 (P = 0.844), but both were statistically different from G2 (P = 0.028 and P = 0.035, respectively), which showed the worse results. It may be concluded that the stress over implants was affected by the tested materials. The CP Ti presented the best values for the evaluated items.

Defects-tolerant Co-Cr-Mo dental alloys prepared by selective laser melting.

OBJECTIVES: CrCoMo alloy specimens were successfully fabricated using selective laser melting (SLM). The aim of this study was to carefully investigate microstructure of the SLM specimens in order to understand the influence of their structural features inter-grown on different length scales ranging from nano- to macro-levels on their mechanical properties. METHODS: Two different sets of processing parameters developed for building the inner part (core) and the surface (skin) of dental prostheses were tested. Microstructures were characterized by SEM, EBSD and XRD analysis. The elemental distribution was assessed by EDS line profile analysis under TEM. The mechanical properties of the specimens were measured. RESULTS: The microstructures of both specimens were characterized showing formation of grains comprised of columnar sub-grains with Mo-enrichment at the sub-grain boundaries. Clusters of columnar sub-grains grew coherently along one common crystallographic direction forming much larger single crystal grains which are intercrossing in different directions forming an overall dendrite-like microstructure. Three types of microstructural defects were occasionally observed; small voids (<10 µm), fine cracks at grain boundaries (<10 µm) and cracks at weld line boundaries (>10 µm). Despite the presence of these defects, the yield and the ultimate tensile strength (UTS) were 870 and 430MPa and 1300MPa and 1160MPa, respectively, for the skin and core specimens which are higher than casted dental alloy. SIGNIFICANCE: Although the formation of microstructural defects is hard to be avoided during the SLM process, the SLM CoCrMo alloys can achieve improved mechanical properties than their casted counterparts, implying they are "defect-tolerant".

An Investigation into the Accuracy of Two Currently Available Dental Impression Materials in the Construction of Cobalt-Chromium Frameworks for Removable Partial Dentures.

This study investigated the suitability of irreversible hydrocolloid as an impression material for cobalt-chromium framework construction. Scans of casts derived from (1) alginate and (2) addition-cured polyvinylsiloxane impressions were superposed on to a control. The differences within and between groups were compared at fixed landmarks. The investigation revealed a high degree of scan coincidence within and between groups. However, certain features, such as undercuts, resulted in a lower degree of scan coincidence. Irreversible hydrocolloid appears to be a viable alternative to addition-cured polyvinyl-siloxane as an impression material for cobalt-chromium framework construction.

Effect of oxidation heat treatment on the bond strength between a ceramic and cast and milled cobalt-chromium alloys.

There is a dearth of dental scientific literature on the effect of different oxidation heat treatments (OHTs) (as surface pretreatments) on the bonding performance of cast and milled cobalt-chromium (CoCr) alloys. The objective of this study was to evaluate the effect of different OHTs on the bond strength between a ceramic and cast and milled CoCr alloys. Cobalt-chromium metallic specimens were prepared using either a cast or a milled method. Specimens were subjected to four different OHT methods: without OHT; OHT under normal atmospheric pressure; OHT under vacuum; and OHT under vacuum followed by sandblasting. The metal-ceramic bond strength was evaluated using a three-point bending test according to ISO9693. Scanning electron microscopy and energy-dispersive spectroscopy were used to study the specimens' microstructure and elemental composition. The bond strength was not affected by the CoCr manufacturing method. Oxidation heat treatment performed under normal atmospheric pressure resulted in the highest bond strength. The concentration of oxygen on the alloy surfaces varied with the different pretreatment methods in the following order: OHT under normal atmospheric pressure > OHT under vacuum > without OHT ≈ OHT under vacuum followed by sandblasting.

Clinical efficacy of polyvinyl siloxane impression materials using the one-step two-viscosity impression technique.

STATEMENT OF PROBLEM: Impression making is a challenging clinical procedure for both patients and dentists. PURPOSE: The purpose of this clinical study was to compare a recently introduced fast-setting polyvinyl siloxane (PVS) impression material with heavy body/light body (HB/LB) combination (Imprint 4; 3M ESPE) (experimental group) with a conventional PVS impression material with HB/LB combination (Imprint 3; 3M ESPE) (control group), using the 1-step 2-viscosity impression technique. MATERIAL AND METHODS: Two definitive impressions (1 of each material combination) were made of 20 crown preparations from 20 participants. The quality of impressions was rated by 3 evaluators (clinical evaluator, clinical operator, and dental technician) and by the patients for the level of comfort and taste of the impression materials. The order in which the 2 impressions were made with each material combination was randomized for each crown preparation. A paired t test for paired means and McNemar test for paired proportions were used for statistical comparisons (α=.05). RESULTS: Participants rated the comfort of the impression making with the experimental group significantly higher than that with the control group (P=.001). No significant differences were found in participants' rating for the taste of the impression materials (P=.46). The viscosity for tray material was rated as significantly better for the control group by the clinical operator (P=.004). The readability of the impression and visibility around the finish line were rated as significantly better for the experimental group than for the control group (P<.001). Except for the ease of removal of the stone (RS), the ratings for the 2 groups by the dental technician were similar. The ease of RS was rated as significantly better for the experimental group (P<.001). Eleven dies from the control and 9 from the experimental group were selected for fabrication of the definitive crowns (P=.65). CONCLUSION: Within the limitations of this clinical study, no significant differences were found in the overall clinical performance of the experimental and the control groups. Impressions made with both materials were clinically acceptable. Participants rated the comfort provided by the experimental group significantly better than that of the control group.

Reliability of the impression replica technique.

The aim of this study was to evaluate the reliability of the impression replica technique with a four-unit zirconia fixed dental prosthesis (FDP). Marginal and internal fit were measured by repeatedly placing the FDP on an epoxy cast using light-body silicone material corresponding to cement. All measured marginal and internal fit points showed varying values. The greatest variations were seen at the most distal margin (33 µm) and at the distal abutment of the FDP (77 µm). The results showed that the technique gives moderate variations and is a useful method to evaluate marginal and internal fit.

Clinical marginal and internal fit of metal ceramic crowns fabricated with a selective laser melting technology.

STATEMENT OF PROBLEM: Selective laser melting (SLM) technology has been introduced to fabricate dental restorations. However, the fit of these restorations still needs further study. PURPOSE: The purpose of this in vivo investigation was to compare the marginal and internal fit of SLM metal ceramic crowns with 2 lost-wax cast metal ceramic crowns and to evaluate the influence of tooth type on the marginal and internal fit of these crowns. MATERIAL AND METHODS: A total of 330 metal ceramic crowns were evaluated. The metal copings were fabricated with SLM Co-Cr, cast Au-Pt, and cast Co-Cr alloy (n=110). The marginal and internal gaps of crowns were recorded by using a replica technique. The anterior and premolar replicas were sectioned 2 times, and molar replicas were sectioned 4 times. The marginal and internal gap width of each cross section was examined by stereomicroscope at ×30 magnification. Two-way analysis of variance was performed to identify the statistical difference among the groups. RESULTS: The marginal fit of the SLM Co-Cr group (75.6 ±32.6 µm) was not different from the cast Au-Pt group (76.8 ±32.1 µm) (P>.05) but was better than the cast Co-Cr group (91.0 ±36.3 µm) (P<.01). No significant difference was found among the SLM Co-Cr group (127.3 ±45.8 µm), cast Au-Pt group (129.9 ±61.1 µm). and cast Co-Cr group (142.5 ±63.7 µm) (P>.05). The mean occlusal gap width of the SLM Co-Cr group (309.8 ±106.6 µm) was significantly higher than that of the cast Au-Pt group (254.6 ±109.6 µm) and the cast Co-Cr group (249.6 ±110.4 µm) (P<.005). No significant difference was found in the marginal fit among the anterior group (84.4 ±35.1 µm), the premolar group (80.6 ±26.3 µm), and the molar group (82.7 ±38.0 µm) (P>.05). Also, no significant difference was found in the axial fit among the anterior group (138.3 ±52.5 µm), the premolar group (132.9 ±50.4 µm), and the molar group (134.4 ±52.5 µm) (P>.05). The anterior group (267.6 ±110.2 µm) did not differ from the premolar group (270.2 ±112.8 µm) and the molar group (268.6 ±110.5 µm) in occlusal fit (P>.05). CONCLUSIONS: The marginal fit of SLM Co-Cr metal ceramic crowns was similar to that of the cast Au-Pt metal ceramic crowns and was better than that of the cast Co-Cr metal ceramic crowns. The SLM Co-Cr metal ceramic crowns were not significantly different from the 2 cast metal ceramic crowns in axial fit but were less accurate in occlusal fit. Tooth type did not influence the marginal and internal fit of the metal ceramic crowns.

Shear bond strength of porcelain to a new millable alloy and a conventional castable alloy.

STATEMENT OF PROBLEM: A recently introduced presintered cobalt-chromium (Co-Cr) alloy for metal ceramic restorations can be efficiently processed with computer-aided design/computer-aided manufacturing (CAD/CAM) techniques. However, little or no reliable study data are available regarding the bonding ability of porcelain to milled Co-Cr alloys. PURPOSE: The purpose of this study was to evaluate the shear bond strength of veneering porcelain to the presintered Co-Cr alloy and to a conventional castable alloy. MATERIAL AND METHODS: Ninety-six cylindrical cores (6.8 mm in diameter, 9 mm in height) were made of millable alloy (Ceramill Sintron) and castable alloy (4-all) by means of CAD/CAM or casting, 48 cores for each alloy. Four types of veneering porcelain were fired or pressed to the cores; these specimens had dimensions of 4×4×3 mm. After firing, the specimens were put in resin molds, fixed in a universal testing machine, and subjected to a shear force test. Loading was applied to each specimen through the attached crosshead at a constant drive speed of 0.5 mm/min until fracture occurred. Shear bond strengths (MPa) were calculated by dividing the maximum failure force over the cross-sectional area of each specimen. Failure patterns of the specimens were also investigated and characterized as adhesive, cohesive, or mixed. One-way ANOVA and the Duncan post hoc test were used to analyze statistically significant differences between groups (α=.05). RESULTS: The means of the shear bond strengths of (millable) Ceramill Sintron were similar to or higher than those of (castable) 4-all cores. The shear bond strength was significantly lower for Press-To-Metal veneer than for the other fired veneers in the test (P<.001). The pattern of failure in most specimens was mixed, except for Press-To-Metal veneer, where cohesive failure occurred. CONCLUSIONS: The bonding ability of the traditional castable alloy was similar to that of the presintered millable Co-Cr alloy.

Strain gauges's analysis on implant-retained prosthesis' cast accuracy.

INTRODUCTION: A proper cast is essential for a successful rehabilitation with implant prostheses, in order to produce better structures and induce less strain on the implants. AIMS: The aim of this study was to evaluate the precision of four different mold filling techniques and verify an accurate methodology to evaluate these techniques. MATERIALS AND METHODS: A total of 40 casts were obtained from a metallic matrix simulating three unit implant-retained prostheses. The molds were filled using four different techniques in four groups (n = 10): Group 1 - Single-portion filling technique; Group 2 - Two-step filling technique; Group 3 - Latex cylinder technique; Group 4 - Joining the implant analogs previously to the mold filling. A titanium framework was obtained and used as a reference to evaluate the marginal misfit and tension forces in each cast. Vertical misfit was measured with an optical microscope with an increase of 120 times following the single-screw test protocol. Strain was quantified using strain gauges. Data were analyzed using one-way ANOVA (Tukey's test) (α =0.05). The correlation between strain and vertical misfit was evaluated by Pearson test. RESULTS: The misfit values did not present statistical difference (P = 0.979), while the strain results showed statistical difference between Groups 3 and 4 (P = 0.027). CONCLUSIONS: The splinting technique was considered to be as efficient as the conventional technique. The strain gauge methodology was accurate for strain measurements and cast distortion evaluation. There was no correlation between strain and marginal misfit.

Evaluation of the marginal fit of metal copings fabricated on three different marginal designs using conventional and accelerated casting techniques: an in vitro study.

INTRODUCTION: Abundant resources and techniques have been used for complete coverage crown fabrication. Conventional investing and casting procedures for phosphate-bonded investments require a 2- to 4-h procedure before completion. Accelerated casting techniques have been used, but may not result in castings with matching marginal accuracy. AIMS AND OBJECTIVES: The study measured the marginal gap and determined the clinical acceptability of single cast copings invested in a phosphate-bonded investment with the use of conventional and accelerated methods. MATERIALS AND METHODS: One hundred and twenty cast coping samples were fabricated using conventional and accelerated methods, with three finish lines: Chamfer, shoulder and shoulder with bevel. Sixty copings were prepared with each technique. Each coping was examined with a stereomicroscope at four predetermined sites and measurements of marginal gaps were documented for each. STATISTICAL ANALYSIS: A master chart was prepared for all the data and was analyzed using Statistical Package for the Social Sciences version. Evidence of marginal gap was then evaluated by t-test. Analysis of variance and Post-hoc analysis were used to compare two groups as well as to make comparisons between three subgroups . RESULTS: Measurements recorded showed no statistically significant difference between conventional and accelerated groups. CONCLUSION: Among the three marginal designs studied, shoulder with bevel showed the best marginal fit with conventional as well as accelerated casting techniques. Accelerated casting technique could be a vital alternative to the time-consuming conventional casting technique. The marginal fit between the two casting techniques showed no statistical difference.

Vertical marginal gap evaluation of conventional cast and computer numeric controlled-milled titanium full-arch implant-supported frameworks.

PURPOSE: To use a novel approach to measure the amount of vertical marginal gap in computer numeric controlled (CNC)-milled titanium frameworks and conventional cast frameworks. MATERIALS AND METHODS: Ten cast frameworks were fabricated on the mandibular master casts of 10 patients. Then, 10 CNC-milled titanium frameworks were fabricated by laser scanning the cast frameworks. The vertical marginal gap was measured and analyzed using the Contura-G2 coordinate measuring machine and special computer software. RESULTS: The CNC-milled titanium frameworks showed an overall reduced mean vertical gap compared with the cast frameworks in all five analogs. This difference was highly statistically significant in the distal analogs. The largest mean gap in the cast framework was recorded in the most distal analogs, and the least amount was in the middle analog. CONCLUSIONS: Neither of the two types of frameworks provided a completely gap-free superstructure. The CNCmilled titanium frameworks showed a significantly smaller vertical marginal gap than the cast frameworks.

The influence of postpouring time on the roughness, compressive strength, and diametric tensile strength of dental stone.

STATEMENT OF PROBLEM: The optimum time after pouring a dental impression before removing the dental cast is unknown with regard to the strength and roughness of the stone. Setting times and the commercial products used are important variables. PURPOSE: The purpose of this study was to evaluate the effect of postpouring time on the surface roughness, compressive strength, and diametric tensile strength of Type IV dental stone. MATERIAL AND METHODS: A total of 270 specimens were prepared from 3 commercial brands of dental stone (Durone, Fuji Rock, and Tuff Rock). Surface roughness, compressive strength, and diametric tensile strength were assessed at 1 hour, 24 hours, and 7 days after pouring. Specimens 6 mm in diameter and 3 mm in height were produced for roughness and diametric tensile strength tests. Specimens 3 mm in diameter and 6 mm in height were used to measure compressive strength. The results were analyzed with the general linear model and Tukey honestly significant difference test (α=.05). RESULTS: The surface roughness measured for the different types of dental stone tested varied from 0.3 µm (Durone, 1 hour) to 0.64 µm (Tuff Rock, 7 days). The diametric tensile strength ranged from 3.94 MPa (Tuff Rock, 1 hour) to 9.20 MPa (Durone, 7 days). The compressive strength varied from 26.67 MPa (Durone, 1 hour) to 65.14 MPa (Fuji Rock, 7 days). CONCLUSIONS: Surface roughness (P=.005), diametric tensile strength (P=.001), and compressive strength (P=.001) increased significantly with time after pouring. The commercial brand used affected roughness (P=.001), diametric tensile strength (P=.004), and compressive strength (P=.001). Tuff Rock exhibited the highest surface roughness. The highest diametric tensile strength values were recorded for Durone and Fuji Rock. Fuji Rock exhibited the highest compressive strength.

Fabrication of titanium alloy frameworks for complete dentures by selective laser melting.

STATEMENT OF PROBLEM: Casting difficulties have led to the limited use of titanium in dental prostheses. The selective laser melting system was recently developed to fabricate biomedical components from titanium alloys. However, the fabrication of a titanium alloy framework for a maxillary complete denture by selective laser melting has not yet been investigated. PURPOSE: The purpose of the study was to fabricate thin titanium alloy frameworks for a maxillary complete denture with a selective laser melting system and to evaluate their hardness and microstructure. MATERIAL AND METHODS: A cast of an edentulous maxilla was scanned with a dental 3-dimensional cone-beam computed tomography system, and standard triangulation language data were produced with the DICOM Viewer (Digital Imaging and Communications in Medicine). Two types of metal frameworks for complete dentures were designed with 3-dimensional computer-aided design software. Two titanium alloy frameworks, SLM-1 and SLM-2, were fabricated from these designs with the selective laser melting system. Plate-shaped specimens were cut from the central flat region of SLM-1, SLM-2, and as-cast Ti-6Al-4V (As-cast). Vickers hardness testing, optical microscopy, and x-ray diffraction measurements were performed. RESULTS: Thin titanium alloy frameworks for maxillary complete dentures could be fabricated by selective laser melting. The hardness values for SLM-1 and SLM-2 were higher than that for the as-cast specimen. Optical microscopy images of the SLM-1 and SLM-2 microstructure showed that the specimens did not exhibit pores, indicating that dense frameworks were successfully obtained with the selective laser melting process. In the x-ray diffraction patterns, only peaks associated with the α phase were observed for SLM-1 and SLM-2. In addition, the lattice parameters for SLM-1 and SLM-2 were slightly larger than those for the as-cast specimen. CONCLUSIONS: The mechanical properties and microstructure of the denture frameworks prepared by selective laser melting indicate that these dentures are appropriate for clinical use.

Vertical microgap and passivity of fit of three-unit implant-supported frameworks fabricated using different techniques.

PURPOSE: This study compared the vertical microgaps of milled zirconia and cobalt-chromium (Co-Cr) implant-supported fixed dental prosthesis frameworks to those seen in one-piece frameworks cast with different techniques. MATERIALS AND METHODS: Two threaded implants were used to simulate the rehabilitation of a maxillary partially edentulous space from the second premolar to the second molar. Three-unit screw-retained prosthetic frameworks were fabricated and divided into the following groups (n = 10 in each group): 1 = cast in Co-Cr using burnout cylinders; 2 = cast in Co-Cr using cast-on Co-Cr cylinders; 3 = one-piece cast in Co-Cr using a passive fitting technique; 4 = milled Co-Cr framework; 5 = milled zirconia framework. The microgap was measured under an optical microscope at ×25. Readings were made with one screw tightened and with both screws tightened. Data were submitted to statistical analysis to enable comparison between groups (α = .05). RESULTS: All frameworks presented microgaps less than 70 µm under all reading conditions, except for group 1 with the readings made on the side opposite the tightened side (124.22 µm). With one screw tightened, the microgap on the tightened side was significantly smaller in groups 2, 3, and 4. On the opposite side, groups 3, 4, and 5 presented significantly smaller microgaps compared to the other groups. When both screws were tightened, the microgap was significantly smaller in groups 2, 3, and 4. CONCLUSION: One-piece cast frameworks associated with a passive fitting technique and milled Co-Cr frameworks presented smaller microgaps than the other fabrication methods and materials that were tested.