Temperature Changes in Oral All-Ceramic Materials with Different Optical Properties under Er:YAG Laser Irradiation.

Objectives: This in vitro study is aimed at assessing the oral all-ceramic materials energy transmission and temperature changes after Er:YAG laser irradiation of monolithic zirconia all-ceramic materials with varying optical properties. Materials and Methods: Two monolithic zirconia materials, Zenostar T and X-CERA TT (monolithic Zirconia), were studied. Specimens were divided into four groups, with a thickness of 1.0, 1.5, 2.0, and 2.5 mm, respectively. The chemical elemental composition of the two materials was determined using X-ray spectroscopy and Fourier transform infrared spectroscopy. The light transmittance of specimens with different thicknesses was measured using a spectrophotometer at three wavelength ranges: 200-380, 380-780, and 780-2500 nm. Irradiation with Er:YAG laser was performed, and the resultant temperature changes were measured using a thermocouple thermometer. Results: Compositional analysis indicated that Si content in X-CERA TT was higher than that in Zenostar T. The light transmittance of both materials decreased as specimen thickness increased. Er:YAG laser irradiation led to temperature increase at both Zenostar T (26.4°C-81.7°C) and X-CERA TT (23.9°C-53.5°C) specimens. Both optical transmittance and temperature changes after Er:YAG laser irradiation were consistent with exponential distribution against different thickness levels. Conclusion: Er:YAG laser penetration energy and resultant temperature changes were mainly determined by the thickness and composition of the examined monolithic zirconia materials.

Evaluation of Er,Cr:YSGG laser irradiation for debonding of zirconia hybrid abutment crowns from titanium bases.

To evaluate the efficacy of Er,Cr:YSGG laser irradiation on the removal of zirconia hybrid abutment crowns (HAC) from ti-bases and investigate the effects of laser output power and zirconia generation on debonding time and fracture resistance of crowns. A hundred monolithic zirconia HACs were fabricated by using 4Y-TZP and 5Y-TZP materials and subsequently cemented onto the ti-bases with a resin luting agent. Each zirconia group was further divided into 5 subgroups according to the debonding procedure as control (no debonding), 4.5 W-, 5 W-, and 6 W-laser irradiation, heat processed (n = 10). Er,Cr:YSGG laser (Waterlase MD; Biolase Technology Inc., Irvine, CA) was used on a noncontact hard tissue mode at a 20-Hz repetition rate and 140-µs pulse duration with 50% water and 50% air. Debonding durations were recorded for each specimen, and modes of failure were investigated. Crowns were re-cemented on their corresponding ti-bases, and HACs were subjected to fracture strength test. Debonding duration and fracture strength data were statistically analyzed. Fractured zirconia crown surfaces of ti-bases were examined under the scanning electron microscope. 5Y-TZP crowns were debonded from ti-bases in significantly lower durations in comparison with 4Y-TZP crowns for all output powers [4.5 W (P = 0.001), 5 W (P = 0.002), and 6 W (P = 0.0014)]. For both 4Y-TZP and 5Y-TZP materials, debonding duration was significantly decreased with the increase in laser output power (P ≤ 0.001 for 4Y- and 5Y-TZP). In comparison with 4Y-TZP heat-processed group to the 4Y-TZP laser-irradiated groups, no significant differences were detected in terms of fracture strength (P > 0.05), while heat-processed crowns exhibited significantly lower fracture strength values than those of control group (P = 0.006). All debonding procedures significantly reduced fracture strength values of 5Y-TZP crowns in comparison with the control group (P ≤ 0.001). The common failure type was the adhesive failure between the zirconia crown and resin cement for all groups. SEM evaluation showed no visible damage caused by laser irradiation or heat application. The use of Er,Cr:YSGG laser irradiation is an efficient way to retrieve zirconia crowns from ti-bases. The higher the output power of the laser, the shorter the bonding procedure. The debonding duration and fracture strength of the crown were affected by the zirconia generation. Debonded 5Y-TZP zirconia crowns should not be reused due to the decrease in mechanical strength values.

Aqueous Protein-Polymer Bioconjugation via Photoinduced RAFT Polymerization Using High Loading Heterogeneous Catalyst.

Light-driven polymerization, such as photoinduced electron/energy transfer-reversible addition-fragmentation chain transfer (PET-RAFT) polymerization, enables biological benign conditions and versatile functional polymer structure design, which is readily used in protein-polymer bioconjugates. However, conventional metalloporphyrinic homogeneous catalysts for PET-RAFT polymerization suffer from limited aqueous solubility and tedious purification. Here we demonstrate the design of PET-RAFT photocatalyst from the reticular assembled Zr-porphyrinic metal-organic frameworks (MOFs), along with a biomacromolecule-based chain transfer agent, as efficient bioconjugation tools in water. Our methodology offers manufacturing advantages on bioconjugates under mild conditions such that MTT (3-[4,5-dimethylthiazol-2-yl]-2,5 diphenyl tetrazolium bromide) and cytotoxicity assays have shown the preservation of the protein integrity, bioactivity, and high cell viability after PET-RAFT polymerization. We find that the fast kinetics are benefiting from the ultrahigh loading of metalloporphyrins in MOF-525-Zn. This heterogeneous catalyst also allows us to maintain living characteristics to incorporate myriads of monomers into block copolymers. Other advantages like easy postreaction purification, reusability, and high oxygen tolerance even in an open system are demonstrated. This study provides a tool of highly efficient heterogeneous photocatalysts for polymer-protein bioconjugation in aqueous media and paves the road for biological applications.

Nanosecond pulsed fiber laser irradiation for enhanced zirconia crown adhesion: Morphological, chemical, thermal and mechanical analysis.

The increasing demand for aesthetics, together with advancements in technology, have contributed to the rise in popularity of all-ceramic restorations. In the last two decades, the continuous progression in ceramic materials science for dental applications has permitted the fabrication of high-strength materials. Amongst these, zirconia-based ceramics have improved in terms of fracture resistance and long-term viability in comparison with other silica-based materials. Unfortunately, while bonding of resin cement-silica ceramics can be strengthened through creation of a porous surface by applying hydrofluoric acid (5%-9.5%) and a subsequent silane coupling agent, the glass-free polycrystalline microstructure of zirconia ceramics does not allow such a reaction. The aim of the present in vitro study was to observe the effect of 1070 nm fiber nanosecond pulse laser irradiation on zirconia samples through morphological analysis (profilometry, SEM), thermal recording with Fiber Bragg Gratings (FBGs), elemental composition analysis (EDX) and bond strength testing (mechanical tests) in order to evaluate the possible advantages of this kind of treatment on zirconia surfaces, as well as to show the potential side effects and changes in chemical composition. Despite laser irradiation with a 1070 nm wavelength fiber laser and correct process parameters demonstrating suitable outcomes in terms of improved surface roughness and minimal thermal damage, comparison between irradiated and unirradiated samples did not exhibit statistically significant differences in terms of bonding strength.

One Stone Two Birds: Zr-Fc Metal-Organic Framework Nanosheet for Synergistic Photothermal and Chemodynamic Cancer Therapy.

Metal-organic frameworks (MOFs) have been identified as promising materials for the delivery of therapeutics to cure cancer owing to their intrinsic porous structure. However, in a majority of cases, MOFs act as only a delivery cargo for anticancer drugs while little attention has been focused on the utilization of their intriguing physical and chemical properties for potential anticancer purposes. Herein for the first time, an ultrathin (16.4 nm thick) ferrocene-based MOF (Zr-Fc MOF) nanosheet has been synthesized for synergistic photothermal therapy (PTT) and Fenton reaction-based chemodynamic (CDT) therapy to cure cancer without additional drugs. The Zr-Fc MOF nanosheet acts not only as an excellent photothermal agent with a prominent photothermal conversion efficiency of 53% at 808 nm but also as an efficient Fenton catalyst to promote the conversion of H2O2 into hydroxyl radical (•OH). As a consequence, an excellent therapeutic performance has been achieved in vitro as well as in vivo through this combinational effect. This work aims to construct an "all-in-one" MOF nanoplatform for PTT and CDT treatments without incorporating any additional therapeutics, which may launch a new era in the investigation of MOF-based synergistic therapy platforms for cancer therapy.

The effect of ionizing radiation on properties of fluoride-releasing restorative materials.

The purpose of this study was to evaluate the effect of ionizing radiation from high energy X-ray on fluoride release, surface roughness, flexural strength, and surface chemical composition of the materials. The study groups comprised five different restorative materials: Beautifil II, GCP Glass Fill, Amalgomer CR, Zirconomer, and Fuji IX GP. Twenty disk-shaped specimens (8x2 mm) for fluoride release and 20 bar-shaped specimens (25 x 2x 2 mm) for flexural strength were prepared from each material. Each material group was divided into two subgroups: irradiated (IR) and non-irradiated (Non-IR). The specimens from IR groups were irradiated with 1.8 Gy/day for 39 days (total IR = 70.2 Gy). The amount of fluoride released into deionized water was measured using a fluoride ion-selective electrode and ion analyzer after 24 hours and on days 2, 3, 7, 15, 21, 28, 35, and 39 (n = 10). The flexural strength was evaluated using the three-point bending test (n = 10). After the period of measurement of fluoride release, seven specimens (n = 7) from each group were randomly selected to evaluate surface roughness using AFM and one specimen was randomly selected for the SEM and EDS analyses. Data were analyzed with two-way ANOVA and Tukey tests (p = 0.05). The irradiation significantly increased fluoride release and surface roughness for Amalgomer CR and Zirconomer groups (p < 0.05). No significant change in flexural strength of the materials was observed after irradiation (p > 0.05). The ionizing radiation altered the amount of fluoride release and surface roughness of only Amalgomer CR and Zirconomer. The effect could be related to the chemical compositions of materials.

Effect of Er:YAG Laser Etching on the Shear Bond Strength and Microleakage of Self-Glazed Zirconia Ceramics.

Objective: To investigate the effect of Er:YAG laser irradiation on the shear bond strength (SBS) and microleakage of self-glazed zirconia (SZ) ceramics. Background: SZ is a novel type ceramic; laser irradiation has started to be used in the surface treatment of different ceramics, while SZ has been rarely studied to improve the bond quality. Methods: One hundred twenty blocks (5 mm × 5 mm × 5 mm) of SZ ceramics were produced and split into eight groups following different surface treatments (n = 15): Group A: no treatment; Group B: standard grid processing; and Group C-H: different Er:YAG laser power settings (100, 200, 300, 400, 500, and 600 mJ). Ten blocks of each group received the measurement of SBS and fracture mode analysis, three blocks underwent the evaluation of the microleakage depths, and the other two blocks were observed under the scanning electronic microscopy (SEM). Results: Group F obtained the highest SBS and the lowest microleakage depth without damaging the ceramic surface structure, which was statistically significant compared with the control group and gridding group (p < 0.05), whereas the difference was not statistically significant (p > 0.05) between group E and group F. The results of bonding performance were consistent with failure types and observation of surface characterizations in SEM images. Conclusions: According to the results here, Er:YAG irradiation had effect on surface treatment. In addition, 400 mJ Er:YAG could increase the SBS and decrease the microleakage depth on SZ ceramics without damaging the surface structure.

Enhanced visible light photocatalytic activity of g-C3N4 decorated ZrO2-x nanotubes heterostructure for degradation of tetracycline hydrochloride.

Photocatalytic degradation is considered as a promising strategy to address the environmental threat caused by antibiotics abuse. Visible light driven g-C3N4 decorated ZrO2-x nanotubes heterostructure photocatalysts for antibiotic degradation were successfully synthesized by anodic oxidation and following a thermal vapor deposition method. Compared with pure g-C3N4 or ZrO2-x nanotubes, the composite photocatalysts exhibited more extended visible light response and higher separation rate of photo-generated electron-holes pairs. The optimized heteroctructure with 7.1 wt.% g-C3N4 exhibited 90.6% degradation of tetracycline hydrochloride (TC-H) under 1 h visible light irradiation. The mainly active species of TC-H degradation were photo-generated h+ and O2-. The pathway of charge migration in the g-C3N4/ZrO2-x NTs system was also studied and a possible photocatalytic mechanism was proposed for TC-H degradation. Constructing the g-C3N4/ZrO2-x nanotubes heterostructure is anticipated to be an effective strategy for photocatalytic degradation of antibiotics.

The effect of ionizing radiation on properties of fluoride-releasing restorative materials

Abstract The purpose of this study was to evaluate the effect of ionizing radiation from high energy X-ray on fluoride release, surface roughness, flexural strength, and surface chemical composition of the materials. The study groups comprised five different restorative materials: Beautifil II, GCP Glass Fill, Amalgomer CR, Zirconomer, and Fuji IX GP. Twenty disk-shaped specimens (8x2 mm) for fluoride release and 20 bar-shaped specimens (25 x 2x 2 mm) for flexural strength were prepared from each material. Each material group was divided into two subgroups: irradiated (IR) and non-irradiated (Non-IR). The specimens from IR groups were irradiated with 1.8 Gy/day for 39 days (total IR = 70.2 Gy). The amount of fluoride released into deionized water was measured using a fluoride ion-selective electrode and ion analyzer after 24 hours and on days 2, 3, 7, 15, 21, 28, 35, and 39 (n = 10). The flexural strength was evaluated using the three-point bending test (n = 10). After the period of measurement of fluoride release, seven specimens (n = 7) from each group were randomly selected to evaluate surface roughness using AFM and one specimen was randomly selected for the SEM and EDS analyses. Data were analyzed with two-way ANOVA and Tukey tests (p = 0.05). The irradiation significantly increased fluoride release and surface roughness for Amalgomer CR and Zirconomer groups (p < 0.05). No significant change in flexural strength of the materials was observed after irradiation (p > 0.05). The ionizing radiation altered the amount of fluoride release and surface roughness of only Amalgomer CR and Zirconomer. The effect could be related to the chemical compositions of materials.

A Turn-On Luminescence Method for Phosphate Determination Based on Fast Green-Functionalized ZrO2:Yb,Er@ZrO2 Core@Shell Upconversion Nanoparticles.

The development of practical and sensitive tools for detecting phosphate deficiency could facilitate engineering approaches to enhance crop yield and quality in phosphate-stressed environments, reducing the misuse of nonrenewable fertilizers and their consequent ecological impact. Herein, a 975 nm-activated method based on ZrO2:Yb,Er@ZrO2 core@shell upconversion nanoparticles is presented for rapid visualization and determination of the phosphate ions in aqueous solutions and extracts. At optimized thickness, the nondoped ZrO2 shell not only enhances the emission of the ZrO2:Yb,Er but also provides an active surface for the intense interaction with the phosphate group, allowing a "label-free" determination that avoids the use of additional phosphate-recognizing elements like ligands or antibodies. According to the experimental evidence, the optical output of the ZrO2:Yb,Er@ZrO2 nanoparticles specifically matches with the absorption spectrum of the fast green alimentary dye (FG) electrostatically attached to the nanoparticle surface, activating the Förster resonance energy transfer (FRET) and thereby the upconversion luminescence quenching. Upon addition of the phosphate ions and the covalent interaction with the ZrO2:Yb,Er@ZrO2-FG nanocomplex, the FG is gradually removed, displaying a fast and reproducible "turn-on" luminescence which allows measurements in a few minutes. This rapid response is due to the stronger coordination between the ZrO2 shell and the phosphate compared to the FG molecules (-31.97 and -5.99 eV, respectively). The detection method was then effectively modulated in a 20-1000 nM linear response range without interfering effects of commonly coexisting ions, achieving a detection limit up to 15 times lower than that obtained with the conventionally used colorimetric methods.

Nd:YAG Laser Treatment of Bioglass-coated Zirconia Surface and Its Effect on Bond Strength and Phase Transformation.

PURPOSE: To evaluate the morphological properties, phase transformation, and microshear bond strength of composite cement to bioglass-coated zirconia surfaces treated with Nd:YAG laser. MATERIALS AND METHODS: Seventy-five zirconia disks were divided into five groups (n = 15). Group C received no surface treatment (control). Group S was subjected to sandblasting with 50-µm aluminum oxide particles. Group B samples were coated with bioglass 45S5. Groups BL9 and BL5 received bioglass coating and laser irradiation with 9 J/cm2 and 5 J/cm2 energy density. Morphological assessment was done using atomic force microscopy (AFM) and scanning electron microscopy (SEM). Zirconia phase transformation was assessed by XRD. Microhear bond strength testing was performed using a modified microtensile tester. The data were analyzed using the Welch test and the Games-Howell test (p < 0.05). RESULTS: The sandblasted and bioglass-coated groups showed the highest bond strengths compared to other groups (p < 0.05). Group S showed the highest surface roughness and the highest frequency of cohesive failure. In all samples, the tetragonal phase decreased after surface treatment. Groups BL9 and BL5 showed some levels of tetragonal to cubic phase transformation. CONCLUSION: Bioglass coating of zirconia surfaces (using the slurry method) can increase its microshear bond strength comparable to that of sandblasting. Surface roughness of sandblasted zirconia was the highest among all methods. Irradiation of Nd:YAG laser on bioglass-coated zirconia surfaces is not effective and decreases its bond strength compared to sandblasting and bioglass coating. Increasing the Nd:YAG laser energy density cannot increase the surface roughness of bioglass-coated zirconia surfaces. Bioglass coating results in transformation of the tetragonal to the cubic phase.

Effect of the application of surface treatments before and after sintering on the flexural strength, phase transformation and surface topography of zirconia.

OBJECTIVES: To evaluate the effects of airborne-particle abrasion (APA) and Er,Cr:YSGG laser irradiation on 4-point-flexural strength, phase transformation and morphologic changes of zirconia ceramics treated at pre-sintered or post-sintered stage. METHODS: Three hundred and forty-two bar shaped zirconia specimens were milled with different sizes according to the flexural strength test (n = 10), X-ray diffraction (XRD) (n = 4) and field emission scanning electron microscope (FE-SEM) (n = 4) analyses. For each test protocol, specimens were divided into 4 main groups whether the surface treatments applied before or after sintering and whether the specimens received heat treatment or not as pre-sintered, post-sintered no-heat and post-sintered heat-treated groups, and a group was served as control. Main groups were further divided into 6 equal subgroups according to surface treatment method applied (2 W-, 3 W-, 4 W-, 5 W-, 6 W-laser irradiations and APA). Surface treatments were applied to pre-sintered groups before sintering and to post-sintered groups after sintering. Post-sintered heat-treated groups were subjected to veneer ceramic firing simulation after surface treatments. Flexural strength and flexural modulus values were statistically analysed and monoclinic phase content was calculated. Weibull analysis was used to evaluate strength reliability and fractographic analysis was conducted. RESULTS: Highest flexural strength values were detected at post-sintered no-heat APA and 4W-laser groups (P < 0.05). Pre-sintered groups showed statistically lower flexural strength values. Heat treatment decreased the strength of the specimens. Monoclinic phase content was only detected at post-sintered no-heat groups and the highest amount was detected at APA group. Rougher surfaces and deeper irregularities were detected at FE-SEM images pre-sintered groups. CONCLUSIONS: Application of surface treatments at pre-sintered stage may be detrimental for zirconia ceramics in terms of flexural strength. CLINICAL SIGNIFICANCE: Treating the surface of zirconia ceramic before sintering process is not recommended due to significant decrease in flexural strength values. 2 W-4 W Er,Cr:YSGG laser irradiations can be regarded as alternative surface treatment methods when zirconia restoration would be subjected to veneer ceramic firing procedures.

Surface Characterization and Cell Adhesion of Different Zirconia Treatments: An in vitro Study.

AIM: The aim of this study was to characterize the surface of zirconia subjected to different treatments and evaluate its effect on cell adhesion and proliferation. MATERIALS AND METHODS: A total of 80 zirconia disks were divided into four groups (n = 20) according to the surface treatments used: group I: as-sintered (AS), no surface treatment applied; group II: abrasion treatment applied using Rocatec (ROC; 3M ESPE) system with silica-coated alumina powder of grit size 110 µm; group III: erbium, chromium:yttrium, scandium, gallium, garnet (Er, Cr:YSGG) laser (LAS; BIOLASE) was used at a frequency of 20 Hz and output power of 3 W; and group IV: specimens were subjected to the selective infiltration etching (SIE) technique. Surface characterization was evaluated for the different groups (roughness, hardness, and morphology), and cell behavior (adhesion and proliferation) was tested (a = 0.05). RESULTS: The ROC group reported a significant increase in surface roughness (2.201 ± 0.352) and Vickers hardness (1758 ± 16.6) compared with the other surface treatments. The SIE surface-treated group reported a significantly higher number of cells (64.5 ± 2.6 and 53.5 ± 2.2 respectively) compared with the other surface-treated groups. CONCLUSION: The SIE is a promising surface treatment for zirconia that significantly enhances cell adhesion and osseointegration. CLINICAL SIGNIFICANCE: The SIE treatment of zirconia implants may help in a faster and better osseointegration.

Shear bond, wettability and AFM evaluations on CO2 laser-irradiated CAD/CAM ceramic surfaces.

The purpose of this study is to determine the CO2 laser irradiation in comparison with sandblasting (Sb), hydrofluoric acid (Hf) and silane coupling agent (Si) on shear bond strength (SBS), roughness (Rg) and wettability (Wt) of resin cement to CAD/CAM ceramics. Sixty (CAD/CAM) ceramic discs were prepared and distributed into six different groups: group A, control lithium disilicate (Li); group B, control zirconia (Zr); group C, Li: CO2/HF/Si; group D, Li: HF/Si; group E, Zr: CO2/Sb/Si; group F, Zr: Sb/Si. Result showed significant difference between irradiated and non-irradiated in terms of shear bond strength for zirconia ceramics (p value = 0.014). Moreover, partial surface wettability for irradiated and non-irradiated ceramics. Irradiated surface demonstrated more rough surface in lithium disilicate than zirconia ceramics. CO2 irradiation could increase shear bond strength, surface roughness and wettability for both CAD/CAM ceramics.

The Effect of Ytterbium-Doped Fiber Laser with Different Parameters on Physical Properties of Zirconia Surface.

OBJECTIVE: Laser irradiation is an alternative surface treatment method for roughening zirconia surfaces. The aim of this study was to evaluate the effects of ytterbium-doped fiber laser (YbPL) on zirconia. BACKGROUND: Zirconia surfaces are resistant to many surface treatment methods, but surface roughness is crucial for adhesion of veneering materials and cements to zirconia. METHODS: The zirconia discs were prepared and divided into four groups according to the power of the laser irradiation (5, 12, 17, and 20 W). These groups were divided into five subgroups according to the frequency (25, 40, 60, 80, and 100 kHz). Surface roughness values were measured with a noncontact profilometer, and the mean Ra values were calculated. Wettability was measured with a goniometer. The surface morphology was observed with a scanning electron microscope (SEM). The changes in the surface crystalline structure were analyzed with X-ray diffractometry. RESULTS: Ra values of all groups were higher than the control group. The highest surface roughness value was at 20 W and 100 kHz. Best wettability characteristic was observed at 5 W and 60 kHz. The correlations between Ra and wettability were low but significant. SEM examination of 5 W with different frequencies showed no microcracks, however, melted areas were observed. Remaining groups had microcracks and melted layers. A significantly lower T/M-phase transformation was observed in some groups. CONCLUSIONS: YbPL irradiation was effective at roughening the zirconia surface. Although laser treatment affected zirconia surfaces and provided surface roughness, the power and frequency should be adjusted to achieve optimum results.

Colorimetric sensing of bithiols using photocatalytic UiO-66(NH2) as H2O2-free peroxidase mimics.

A facile colorimetric sensing method for biothiols was developed, based on photocatalytic property of metal-organic frameworks (MOFs), UiO-66(NH2) nanoparticles (NPs), as peroxidase mimics under light irradiation. By the irradiation of a light emitting diode (LED) source, the colorless chromogenic substrate, 3,3',5,5'-tetramethylbenzydine (TMB), was oxidized into blue oxTMB with the aid of the catalytic UiO-66(NH2) NPs. With the existence of biothiols, the oxidization was prohibited, with the blue color paled and absorbance intensity decreased with the concentration of biothiols in a linear manner. Real samples of cysteine, glutathione, and homocysteine were analyzed under the optimized conditions, with high sensitivity (the limit of detection was calculated as 306nM, 310nM, and 330nm respectively) and selectivity. The recovery ranged from 93% to 107% with good precisions (RSD%≤5%). This photocatalytic property of UiO-66(NH2) as peroxidase mimics was studied based on steady-state kinetics, and the mechanism of oxidization process was also briefly discussed. This developed MOFs-based colorimetric sensing method demonstrated advantages over others for biothiols sensing, including high photo-catalytic activity compared to other nanomaterials, oxidation without H2O2, ease of regulation with the LED source, and low cost without expensive instrument and technically demanding.

Evaluation of Temperature and Roughness Alteration of Diode Laser Irradiation of Zirconia and Titanium for Peri-Implantitis Treatment.

OBJECTIVE: This study investigated the effects of diode laser (gallium, aluminium, arsenide [GaAlAs]) irradiation with decontamination parameters on the temperature and roughness of yttrium-stabilized tetragonal zirconia polycrystal (Y-TZP), titanium (TI), and sandblasted large grit acid-etched titanium (SLA). MATERIALS AND METHODS: Three groups (n = 10) of standardized disks with 5 mm diameter and 2 mm thickness were produced with Y-TZP obtained from computer-aided design and computer-aided manufacturing (CAD-CAM), machined TI and SLA. The diode laser single application (808 nm, 20 sec, 1 W, 50 Hz, t on = 100 ms, t off = 100 ms, energy density = 28.29 J/cm(2)) was performed in contact mode, on each disk. The temperature was measured by a thermosensor attached to a digital thermometer fixed to the opposite irradiated surface. The temperature gradient (ΔT) was calculated (ΔT = final temperature - initial temperature) for each group. The parameters Ra (in µm) and Sa (in µm(2)) were measured by white light confocal laser microscopy to express the surface roughness. Data of ΔT was statistically analyzed by one way ANOVA at the 95% confidence level and compared by Tukey post-hoc test (α = 0.05). Roughness data was analyzed by t test. RESULTS: The diode laser irradiation presented the following results (ΔT value): Y-TZP = 10.3°C(B); TI = 38.6°C(A), and SLA = 26.7°C(A). The ΔT values ((°)C) of the titanium groups were higher than for the Y-TZP group. For both roughness parameters (Ra and Sa), data did not show statistical significant differences to "irradiation" factor (p > 0.05) to Y-TZP and SLA. The Ra results (in µm) were: Y-TZP (control) = 0.73 (0.55); Y-TZP (irradiated) = 0.45 (0.27); SLA (control) = 0.74 (0.23); and SLA (irradiated) = 0.99 (0.33). The Sa results (in µm(2)) were: Y-TZP (control) = 1.39 (1.05); Y-TZP (irradiated) = 0.73 (0.41); SLA (control) = 0.85 (0.08); and SLA (irradiated) = 1.27 (0.44). CONCLUSIONS: Diode laser irradiation for peri-implantitis treatment increased both zirconia and TI temperature without surface roughness alterations.

Influence of cyclic loading on the adhesive effectiveness of resin-zirconia interface after femtosecond laser irradiation and conventional surface treatments.

BACKGROUND AND OBJECTIVE: The aim of this study was to evaluate the influence of cyclic loading on the shear bond strength (SBS) of a self-adhesive resin cement to zirconia surfaces after femtosecond laser irradiation at different steps and several conventional surface treatments. MATERIALS AND METHODS: One hundred fifty square-shaped zirconia samples were divided into five groups according their surface treatment: NT Group-no surface treatment; APA25 Group-airborne abrasion with 25 µm alumina particles; TSC Group-tribochemical silica coating; FS20 Group-femtosecond laser irradiation (800 nm, 4 mJ, 40 fs/pulse, 1 kHz, step 20); and FS40 Group-femtosecond laser irradiation (same parameters except step 40). Self-adhesive resin cement cylinders were bonded at the centre of the zirconia surface. For each experimental group, half of the specimens were subject to cyclic loading under 90 N (50.000 cycles, 3 cycles/sec) and the rest of the specimens were stored in distilled water at 37°C. All subgroups were tested for SBS with a universal testing machine at a crosshead speed of 0.5 mm/min, until fracture. The results were analyzed statistically. RESULTS: When cyclic loading was applied, all surface treatments had lower SBS values, except APA25. The four surface treatments had the same SBS values when cyclic loading was employed. CONCLUSIONS: Use of femtosecond laser irradiation could be an alternative to conventional surface treatments to achieve suitable adhesion zirconia and resin cements. Femtosecond laser irradiation at step 40 is preferable because it is more efficient and faster.

The Effect of Sandblasting, Er:YAG Laser, and Heat Treatment on the Mechanical Properties of Different Zirconia Cores.

OBJECTIVE: The purpose of this study was to evaluate the effect of surface and heat treatments on the mechanical properties and phase transformation of yttria-stabilized tetragonal zirconia (Y-TZP) materials. BACKGROUND DATA: Zirconia is exposed to several treatments during dental application process. Knowing the effect of applied treatments on zirconia is essential for clinical success. MATERIAL AND METHODS: Forty disk specimens of Zirkonzahn (Z) and DC-Zirkon (DC) materials were fabricated. The specimens were randomly divided into four groups according to surface [control, sandblasting, Erbium: Yttrium Aluminum Garnet (Er:YAG) laser irradiation] and heat (firing) treatments. The surface roughness (Ra, µm) was measured using a surface profilometer. The relative amount of the transformed monoclinic (m) phase was analyzed by X-ray diffractometry (XRD). Biaxial flexural strength was tested using piston-on-three-ball technique. The data were analyzed with the Kruskal-Wallis H test with Bonferroni correction, and the Mann-Whitney U test was used for pairwise comparisons. RESULTS: There were no significant differences in surface roughness among the treated groups (p > 0.05), whereas sandblasting showed higher surface roughness than other treatments for both materials. Scanning electron microscopic (SEM) analyses revealed changes in surface morphology after surface treatments, especially in laser groups with the formation of cracks, and in sandblasting groups with the formation of microretentive grooves. The greatest amount of the monoclinic phase was measured after sandblasting (8.13%) for Z and (19.8%) for DC. The monoclinic phase reverted to the tetragonal phase after heat treatment. Heat treatment groups showed significantly lower flexural strength than other treatments (p < 0.05). CONCLUSIONS: Heat and surface treatments influenced the mechanical properties of zirconia ceramic. The biaxial flexural strength and crystalline phase of materials decreased after heat treatments.

Effect of High Irradiance on Depth of Cure of a Conventional and a Bulk Fill Resin-based Composite.

OBJECTIVES: This study evaluated the effect of using three commercial light curing units (LCUs) delivering a range of irradiance values, but delivering similar radiant exposures on the depth of cure of two different resin-based composites (RBCs). METHODS: A conventional hybrid RBC (Z100 shade A2, 3M ESPE) or a bulk fill RBC (Tetric EvoCeram Bulk Fill shade IVA, Ivoclar Vivadent) was packed into a 10-mm deep semicircular metal mold with a 2-mm internal radius. The RBC was exposed to light from a plasma-arc-curing (PAC) light (Sapphire Plus, DenMat) for five seconds, a quartz-tungsten-halogen (QTH) light (Optilux 501, Kerr) for 40 seconds, or a light-emitting-diode (LED) light (S10, 3M ESPE) for 20 seconds and 40 seconds (control). The Knoop microhardness was then measured as soon as possible at the top surface and at three points every 0.5 mm down from the surface. For each RBC, a repeated measures analysis of variance (ANOVA) model was used to predict the Knoop hardness in a manner analogous to a standard regression model. This predicted value was used to determine at what depth the RBC reached 80% of the mean hardness achieved at the top surface with any light. RESULTS: The PAC light delivered an irradiance and radiant exposure of 7328 mW/cm(2) and 36.6 J/cm(2), respectively, to the RBCs; the QTH light delivered 936 mW/cm(2) and 37.4 J/cm(2) and in 20 seconds the LED light delivered 1825 mW/cm(2) and 36.5 J/cm(2). In 40 seconds, the control LED light delivered a radiant exposure of 73.0 J/cm(2). For Z100, using 80% of the maximum hardness at the top surface as the criteria for adequate curing, all light exposure conditions achieved the 2.0-mm depth of cure claimed by the manufacturer. The LED light used for 40 seconds achieved the greatest depth of cure (5.0 mm), and the PAC light used for five seconds, the least (2.5 mm). Tetric EvoCeram Bulk Fill achieved a 3.5-mm depth of cure when the broad-spectrum QTH light was used for 40 seconds delivering 37.4 J/cm(2). It required a 40-second exposure time with the narrow-spectrum LED, delivering approximately 73 J/cm(2) to reach a depth of cure of 4 mm. CONCLUSIONS: When delivering a similar radiant exposure of 37 J/cm(2), the QTH (40 seconds) and LED (20 seconds) units achieved a greater depth of cure than the PAC (five seconds) light. For both resins, the greatest depth of cure was achieved when the LED light was used for 40 seconds delivering 73 J/cm(2) (p<0.05).