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1.
Stomatologiia (Mosk) ; 100(2): 97-102, 2021.
Artigo em Russo | MEDLINE | ID: mdl-33874669

RESUMO

The analysis of modern scientific data on traditional and adhesive fixation of zirconia restorations, adhesion of various cements to zirconium dioxide, methods of surface preparation of ceramic restorations is presented. Micromechanical methods of preparation for cementation of the surface of a zirconia dental prosthesis are discussed in Part 1.


Assuntos
Colagem Dentária , Cimentos de Resina , Cerâmica , Cimentos Dentários , Porcelana Dentária , Análise do Estresse Dentário , Humanos , Teste de Materiais , Propriedades de Superfície , Zircônio
2.
Oper Dent ; 46(1): 107-115, 2021 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-33882140

RESUMO

CLINICAL RELEVANCE: Use of zirconia primers with a low pH and a high acidic monomer concentration should be employed in combination with dual-cure resin cements that are less sensitive to an acidic environment. Primers with lower 10-MDP concentrations attain better outcomes.


Assuntos
Colagem Dentária , Cimentos de Resina , Teste de Materiais , Metacrilatos , Resistência ao Cisalhamento , Propriedades de Superfície , Zircônio
3.
Int J Prosthodont ; 34(2): 163-172, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33882563

RESUMO

PURPOSE: To systematically evaluate and compare the clinical performance of lithium disilicate (LDS)- and zirconium dioxide (ZrO2)-based ceramic monolithic crowns in the posterior dentition. MATERIALS AND METHODS: Treatment was administered by two experienced general dental practitioners in two public dental health care clinics. Forty-four patients received 60 crowns randomized to be either LDS or ZrO2 and cemented with resin cement. Evaluations were performed after 3 years using California Dental Association criteria. RESULTS: The mean follow-up time was 40 months (range: 31 to 50). No crown fractured during the observation time, and no chip-off fractures occurred. The success rate for ZrO2 was 80%, and the survival rate was 93.3%. For LDS, the success rate was 89.7%, and the survival rate was 100%. Survival after 3 years for all crowns together was 96.6%, and success was 84.7%. There was no significant difference between the two materials. CONCLUSION: Crowns made of monolithic translucent ZrO2 and LDS show equal and promising clinical results from a short-term perspective. There seems to be a difference between how patients and professionals rate crowns concerning esthetics (color and shape), with patients rating the restorations more favorably.


Assuntos
Planejamento de Prótese Dentária , Odontólogos , Desenho Assistido por Computador , Coroas , Porcelana Dentária , Falha de Restauração Dentária , Seguimentos , Humanos , Papel Profissional , Estudos Prospectivos , Zircônio
4.
Int J Oral Maxillofac Implants ; 36(2): 234-241, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33909712

RESUMO

PURPOSE: The aim of this study was to evaluate the precision of fit of bar frameworks fabricated using three different production processes and the effect of changes in the CAD/CAM process steps on the precision of the resulting bar frameworks. MATERIALS AND METHODS: Four implants were applied to a mandibular phantom model, and three different production techniques were used to fabricate 30 bar frameworks. In the first group, the bar frameworks were fabricated with the conventional production process (the lost-wax technique; n = 10). In the second group, a CAD/CAM production process was used with digital data collected individually from the master model for the production of each of the final bar specimens (n = 10). In the third group, a CAD/CAM production process was used with the master model being scanned once, and the single resulting data value was used for the production of all final bar specimens (n = 10). The marginal gap between bar frameworks and implants was digitally calculated (ATOS So High-End 3D Digitizer for Small Objects, GOM Inspect). Newman-Keuls multiple comparison tests, a Tukey multiple comparison test, and Pearson correlation tests were applied to the data with a level of significance of P < .05. RESULTS: The mean marginal gap value of group 1 was 95.25 ± 76.15 µm, which was statistically significantly lower than the other groups (P = .0001). For group 2, the mean marginal gap value was 152.00 ± 97.19 µm, whereas for group 3, the mean marginal gap value was 156.7 ± 78.70 µm. Among group 2 and group 3, no statistically significant difference was observed at the mean marginal gap value. CONCLUSION: The marginal gap values in the CAD/CAM bar framework groups were significantly higher than the conventional bar framework group. Among the CAD/CAM groups, the mean marginal gap values were not statistically significant.


Assuntos
Adaptação Marginal Dentária , Zircônio , Desenho Assistido por Computador , Coroas , Planejamento de Prótese Dentária , Mandíbula
5.
Int J Oral Maxillofac Implants ; 36(2): 313-321, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33909721

RESUMO

PURPOSE: To evaluate survival, complication rates, and bending moments of one- and two-piece zirconia implants restored with different abutment materials and lithium disilicate crowns after aging, compared to titanium implants restored with titanium base-supported lithium disilicate crowns. MATERIALS AND METHODS: Sixty anterior crowns were either screwretained on two-piece titanium implants (C) and two-piece zirconia implants (T1, T2, T3) or cemented on one-piece zirconia implants (T4), resulting in 5 groups with 12 specimens each. For the screw-retained crowns, different abutment materials and implant connections were tested: titanium base with internal conical connection and horizontal joint component (C and T2), zirconia with internal hexagonal connection and horizontal joint component (T1), and polyetherketoneketone with internal hexagonal connection and horizontal joint component (T3). After artificial aging with thermocycling (5°C to 50°C) and chewing simulation (1,200,000 cycles, 49 N, 1.67 Hz), the surviving specimens were loaded until fracture, and the bending moments were calculated. Survival rates and respective differences during aging were analyzed with the Kaplan-Meier log-rank test, while complication rates were compared with chi-square tests. Bending moment data were evaluated using the Kruskal-Wallis test (α = .05). RESULTS: Survival rates after artificial aging ranged from 75% (T1) to 100% (C and T4) without significant differences between the groups (P > .05). Only 41.5% of the surviving specimens were free of complications, while the remaining presented screw-loosening, loss of retention of crowns, or cracks on the crown or implant level. The complication rates varied significantly among the groups (P < .05). The mean bending moments were 173.7 × 20.1 (C), 114.5 × 20.1 (T1), 171.1 × 46.1 (T2), 258.1 × 147.4 (T3), and 194.7 × 30.9 Ncm (T4), and group T1 exhibited significantly lower median bending moment values than the other groups (P < .001). CONCLUSION: The zirconia one- and two-piece implants presented high survival rates after aging, yet the number of technical complications was high. New prosthetic solutions, such as titanium bases or polyetherketoneketone abutments, may offer a comparable treatment option to restore two-piece zirconia implants.


Assuntos
Implantes Dentários , Titânio , Benzofenonas , Coroas , Dente Suporte , Projeto do Implante Dentário-Pivô , Falha de Restauração Dentária , Análise do Estresse Dentário , Teste de Materiais , Polímeros , Zircônio
6.
Int J Oral Maxillofac Implants ; 36(2): 332-340, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33909724

RESUMO

PURPOSE: This study aimed to assess the fracture resistance of zirconia (Zr), reinforced polyetheretherketone (PEEK), and polyetherketoneketone (PEKK) implant abutments restored with glass-ceramic crowns after thermomechanical aging. MATERIALS AND METHODS: Zr, reinforced PEEK, and PEKK titanium base abutments were divided into three groups (n = 10). CAD/CAM maxillary central incisor crowns were fabricated using monolithic lithium disilicate and luted to the abutments using resin cement. The specimens were thermomechanically aged (1.2 × 106 cycles, 49 N, 5°C to 55°C). After testing fracture strength and determining fracture patterns, statistical analyses were made using the one-way analysis of variance (ANOVA) and Tukey post hoc tests (α = .05). RESULTS: Fracture resistance of the PEKK abutments (541.90 ± 68.49 N) was significantly lower than the Zr (780.65 ± 105.77 N) and reinforced PEEK (741.09 ± 99.84 N) abutments (P = .000). A significant discrepancy was not detected between the reinforced PEEK and Zr abutments. Failures usually formed due to crown or abutment fracture, plastic deformation of the titanium base or screw fracture in the Zr group, crown fracture or separation of the abutment-crown complex from the titanium base in the reinforced PEEK group, and abutment fracture without crown deformation in the PEKK group. CONCLUSION: After thermomechanical aging, the reinforced PEEK abutments exhibited similar fracture resistance to the Zr abutments. All abutment types withstood the physiologic occlusal forces typical for the oral anterior region. Before considering them as alternative esthetic implant abutment materials, further in vitro and clinical studies are needed to determine their long-term performance.


Assuntos
Dente Suporte , Implantes Dentários , Benzofenonas , Desenho Assistido por Computador , Coroas , Projeto do Implante Dentário-Pivô , Falha de Restauração Dentária , Análise do Estresse Dentário , Estética Dentária , Cetonas , Teste de Materiais , Polietilenoglicóis , Polímeros , Titânio , Zircônio
7.
Beijing Da Xue Xue Bao Yi Xue Ban ; 53(2): 402-405, 2021 Mar 01.
Artigo em Chinês | MEDLINE | ID: mdl-33879918

RESUMO

OBJECTIVE: To evaluate the effects of different edge compensation angles on the fracture strength of multilayer zirconia all-ceramic crowns and traditional uniform zirconia all-ceramic crowns. METHODS: The resin tooth preparation specimen of the mandibular first molar with a knife-edge was fabricated. A 3D digital model of the specimen was obtained by scanning it with a 3D dental model scanner. The 3D digital model was imported into computer aided design (CAD) software, and three 3D digital models of the full crown with the same surface shape are designed with the edge compensation angles of 30°, 45° and 60°, respectively. Then, the designed 3D digital model is imported into computer aided manufacturing (CAM) software. Three kinds of multilayer and homogeneous zirconia all-porcelain crowns with different edge compensation angles were fabricated, 10 each for a total of 60. The fracture load of each crown was measured under the electronic universal testing machine. RESULTS: Fracture load of multilayer and uniform zirconia all-ceramic crowns, (4 322.86±610.07) N and (5 914.12±596.80) N in the 30° group, (5 264.82±883.76) N and (5 220.83±563.38) N in the 45° group and (4 900.42±345.41) N and (5 050.22±560.24) N in the 60° group, respectively. The fracture load of multi-layer zirconia all-ceramic crowns in the 30° group was significantly lower than that of homogeneous zirconia all-ceramic crowns(P < 0.05); there was no statistical significance in 45° group and 60° group(P>0.05). In the multi-layer zirconia all-ceramic crowns: the fracture load of the 30° group was significantly lower than that of the 45° group (P < 0.05); there was no significant difference between the 30° group and the 60° group, the 45° group and the 60° group (P>0.05).In uniform zirconia full crown group: the 30° group was higher than the 45° group, the 30° group was higher than the 60° group (P < 0.05), and there was no significant difference between the 45° group and the 60° group (P>0.05). CONCLUSION: The fracture loads of three kinds of uniform and multilayer zirconia all ceramic crowns with different edge compensation angles can meet the clinical requirements. A smaller edge compensation angle is recommended when using traditional zirconia all-ceramic crowns, while 45° is recommended when using multi-layer zirconia all-ceramic crowns.


Assuntos
Cerâmica , Resistência à Flexão , Desenho Assistido por Computador , Coroas , Porcelana Dentária , Planejamento de Prótese Dentária , Falha de Restauração Dentária , Análise do Estresse Dentário , Teste de Materiais , Zircônio
8.
Zhonghua Kou Qiang Yi Xue Za Zhi ; 56(4): 342-348, 2021 Apr 09.
Artigo em Chinês | MEDLINE | ID: mdl-33832035

RESUMO

Objective: To explore the effect of subpressure on the bonding strength of resin to polycrystalline particulates modified zirconia ceramic. Methods: One hundred and twenty pre-sintered zirconia discs were prepared and divided into the control group, the sandblasting group and the 30, 50, 70 s acid etching group (24 per group) by the random number table method. There was no additional treatment in the control group and sandblasting group before sinering. The 30, 50, and 70 s acid etching groups were immersed in HF for 30, 50, 70 s, respectively, and then they were placed into CaCl2 solution for 90 s and dipped in NaOH solution at 80 ℃ for 2 h. After sintering, the sandblasting group was subjected to sandblasting. The surface tomography and roughness were tested. According to whether subpressure was applied or not after the adhesives were applied, each group was randomly divided into two subgroups with a random number table: a subpressure subgroup and a normal pressure subgroup (12 per subgroup). Resin columns were bonded to these specimens. Shear bonding strength (SBS) test was conducted and the bonding interface, fracture surface and failure mode were analyzed. Results: The surface of control group was smooth, and its roughness was (0.24±0.11) µm. The rough surface was formed after sandblasting in the sandblasting group, and its roughness was (0.95±0.12) µm. The surface roughness of 30, 50, 70 s acid etching groups [(0.60±0.15), (1.04±0.11), (1.57±0.16) µm] increased as the HF immersion time prolonged, and the difference in surface roughness of zirconia specimens among each group was statistically significant (P<0.05). The SBS values between zirconia and resin of all the subpressure subgroups, namely: the control group, the sandblasting group, and the 30, 50, 70 s acid etching group [(13.56±1.19), (20.98±2.11), (17.37±2.44), (24.19±2.97), (21.36±2.16) MPa] were significantly stronger than those in the normal pressure subgroups, namely: the control group, sandblasting group, 30, 50, 70 s acid etching group [(10.74±0.93), (18.47±2.14), (14.81±1.54), (20.74±2.56), (17.75±2.54) MPa] (P<0.05). No obvious gaps and bubbles were observed in the bonding interfaces in subpressure subgroups. The proportion of mixed failure was significantly increased after applying subpressure (P<0.05). Conclusions: The subpressure can effectively enhance the bonding strength between the resin and polycrystalline particulates modified zirconia ceramic and improve the bonding effect.


Assuntos
Colagem Dentária , Cimentos de Resina , Cerâmica , Cimentos Dentários , Porcelana Dentária , Teste de Materiais , Microscopia Eletrônica de Varredura , Resistência ao Cisalhamento , Propriedades de Superfície , Zircônio
9.
Dent Mater ; 37(5): 905-913, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-33691991

RESUMO

OBJECTIVES: To evaluate the effect of laser fused and air abraded fluorapatite particles on flexural strength σf and fracture toughness (KIC) of Yttria tetragonal zirconia polycrystal (Y-TZP). METHODS: 160 polished Y-TZP bars received one of the following surface treatments: airborne particle abrasion (APA) with fluorapatite glass-ceramics (FGC), APA with tribochemical silica-coated alumina (CoJet), laser fused FGC using Nd:YAG Laser (FGC + Laser), while as-sintered polished specimens served as control. Initial flexural strength σfI was measured to half of the specimens, while the rest underwent cyclic fatigue (1,000,000 cycle of 15N load and 3 s contact time) followed by measuring residual flexural strength σfR. Fractographic analysis was performed and KIC was calculated. The effect of surface treatment and fatigue on flexural strength was statistically analysed using 2-way ANOVA (α = 0.05). Weibull probability was measured to assess the reliability of flexural strength. RESULTS: The highest σf before or after the fatigue was reported for the control group while the lowest was for FGC + Laser group. Cyclic fatigue significantly decreased the flexural strength of all groups except for FGC + Laser group. There was no significant difference between the KIC between the control and FGC groups, however, a significant reduction of KIC was found in the CoJet group, while FGC + Laser reported the significant lowest value compared to all groups (P = 0.00). SIGNIFICANCE: Fluorapatite glass-ceramic powder offers a promising alternative for particle abrasion of zirconia-based frameworks.


Assuntos
Materiais Dentários , Zircônio , Cerâmica , Análise do Estresse Dentário , Teste de Materiais , Reprodutibilidade dos Testes , Propriedades de Superfície , Ítrio
10.
Dent Mater ; 37(5): 875-881, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-33715863

RESUMO

OBJECTIVE: Continuous efforts have been made to hasten the zirconia densification process without compromising properties. This study evaluated the long-term structural durability of microwave speed-sintered zirconia (MWZ) relative to a conventionally sintered zirconia (CZ). METHODS: As-machined dental 3Y-TZP discs (Ø12 × 1.2 mm) were speed sintered at 1450 °C for 15 min using an industrial microwave oven, while conventional sintering was conducted in a standard dental furnace at 1530 °C for 2 h. Both were followed by natural cooling. The total sintering time was 105 min for MWZ and 600 min for CZ. Groups were compared regarding density, grain size, phase composition, and fracture resistance. Structural durability was investigated employing two fatigue protocols, step-stress and dynamic fatigue. RESULTS: Compared to CZ, MWZ exhibited a slightly lower density (MWZ = 5.98 g/cm3, CZ = 6.03 g/cm3), but significantly smaller grain sizes (MWZ = 0.53 ± 0.09 µm, CZ = 0.89 ± 0.10 µm), lower cubic-zirconia contents (MWZ = 15.3%, CZ = 22.7%), and poorer translucency properties (TP) (MWZ = 13 ± 1, CZ = 29 ± 0.8). However, the two materials showed similar flexural strength (MWZ = 978 ± 112 MPa, CZ = 1044 ± 161 MPa). Additionally, step-stress testing failed to capture the fatigue effect in 3Y-TZP, whereas dynamic fatigue revealed structural degradation due to moisture-assisted slow-crack-growth (SCG). Finally, MWZ possessed a slightly higher Weibull modulus (MWZ = 7.9, CZ = 6.7) but similar resistance to SCG (MWZ = 27.5, CZ = 24.1) relative to CZ. SIGNIFICANCE: Dental 3Y-TZP with similar structural durability can be fabricated six-times faster by microwave than conventional sintering.


Assuntos
Materiais Dentários , Ítrio , Teste de Materiais , Micro-Ondas , Propriedades de Superfície , Tecnologia , Zircônio
11.
Huan Jing Ke Xue ; 42(4): 1847-1860, 2021 Apr 08.
Artigo em Chinês | MEDLINE | ID: mdl-33742820

RESUMO

In this work, the influence of an integrated method based on calcium nitrate, denitrifying bacteria, and zirconium-modified zeolite (CN+DB+ZZ) on the transport and transformation of nitrogen (N) and phosphorus (P) in sediments was investigated, and the risk of nitrate release from the calcium nitrate-injected sediment was evaluated. The effects of the single calcium nitrate injection (CN), calcium nitrate, and denitrifying bacteria combined treatment (CN+DB) and the combined treatment using calcium nitrate injection and zirconium-modified zeolite capping (CN+ZZ) on the mobilization of N and P in sediment were compared, and the nitrate releasing risk of these methods was also evaluated. The results indicated that although CN treatment could effectively control the P release from the sediment, this method could not effectively control the release of ammonium-nitrogen from sediment and has a high risk of releasing nitrate-nitrogen. The CN+DB combined method not only could effectively control the liberation of sedimentary P but also reduce the risk of nitrate-nitrogen release from the calcium nitrate-injected sediment compared with the single CN method. However, the CN+DB combined method could not effectively control the release of ammonium-nitrogen from the sediment. The CN+ZZ combined treatment not only could effectively prevent the release of sedimentary P but could also greatly reduce the release of ammonium-nitrogen from the sediment. However, the CN+ZZ combined method could result in a substantial release of nitrate-nitrogen from the calcium nitrate-injected sediment. The CN+DB+ZZ combined technology could effectively control the release of P from sediment as well as greatly reduce the risk of ammonium-nitrogen release from the sediment. Furthermore, the CN+DB+ZZ combined method resulted in a significant reduction of nitrate-nitrogen released from the calcium nitrate-injected sediment compared with the CN and CN+ZZ treatment methods. The prevention of the dissolution of the P-bound iron oxide/hydroxide in the sediment, the reduction of redox-sensitive P in sediment, and the improvement of the phosphate and ammonium adsorption abilities of sediment by the CN+DB+ZZ combined method is critical to control the release of phosphorus and ammonium-nitrogen from sediment using this method. Results of this study reveal that the CN+DB+ZZ combined technology could be a promising method for the control of phosphorus and ammonium-nitrogen release from sediments.


Assuntos
Poluentes Químicos da Água , Zeolitas , Bactérias , Compostos de Cálcio , Sedimentos Geológicos , Nitratos , Nitrogênio/análise , Fósforo , Poluentes Químicos da Água/análise , Zircônio
12.
Int J Nanomedicine ; 16: 1509-1523, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33658781

RESUMO

Purpose: The study was intended to create a uniform zirconia layer even on the surface of complex structures via atomic layer deposition (ALD). The impact of crystalline zirconia deposited by ALD on bacterial adhesion and osteoblast viability was assessed via surface treatment of dental implants. Methods: Amorphous zirconia was deposited using an atomic layer deposition reactor (Atomic Classic, CN1, Hwaseong, Korea) on titanium discs. Heating the samples at 400°C resulted in crystallization. Samples were divided into three groups: the control group, the group carrying amorphous ALD-zirconia (Z group), and the heat-treated group following zirconia ALD deposition (ZH group).The surface of each sample was analyzed, followed by the assessment of adhesion of Streptococcus mutans and Porphyromonas gingivalis, and viability and differentiation of MC3T3-E1 cells. Results: The adhesion of S. mutans and P. gingivalis was significantly reduced in the Z and ZH groups compared with the control group (P < 0.05). The viability of MC3T3-E1 cells was significantly increased in the ZH group compared with the control group (P < 0.001), while no significant differences were observed in the Z group (P > 0.05). Differentiation of MC3T3-E1 cells showed a marginally significant increase in the ZH group compared with the control group (P < 0.1), while no significant differences were found in the Z group (P > 0.1). Conclusion: Compared with the pure titanium group, the groups that were coated with zirconia via ALD showed a decreased adhesion of S. mutans during the early stages of biofilm formation and P. gingivalis adhesion inducing peri-implantitis, and an increase in MC3T3-E1 cell viability and differentiation. The findings indicate the possibility of treating the implant surface to reduce peri-implantitis and improve osseointegration.


Assuntos
Aderência Bacteriana , Osteoblastos/citologia , Titânio/farmacologia , Zircônio/química , Animais , Aderência Bacteriana/efeitos dos fármacos , Diferenciação Celular/efeitos dos fármacos , Linhagem Celular , Sobrevivência Celular/efeitos dos fármacos , Humanos , Camundongos , Microscopia de Força Atômica , Osteoblastos/efeitos dos fármacos , Osteoblastos/metabolismo , Osteoblastos/ultraestrutura , Espectroscopia Fotoeletrônica , Espectrometria por Raios X , Propriedades de Superfície , Difração de Raios X
13.
Pediatr Dent ; 43(1): 50-56, 2021 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-33662251

RESUMO

Purpose: Since pediatric zirconia crowns (ZRCs) are prefabricated, they may be sterilized following try-in for re-use. Possible changes in color stability, gloss, and translucency were evaluated for four brands of prefabricated zirconia crowns following autoclave and cold sterilization. Methods: Sixteen maxillary right central incisor prefabricated ZRCs were obtained from NuSmile ®, Sprig, Cheng Crowns, and Kinder Krowns ® manufacturers and either autoclaved or cold sterilized. Gloss unit measurements were obtained with a small object Novo-Curve glossmeter. CIE-L*a*b* system values were measured with a CM-700d spectrophotometer under three different illuminants to calculate DE (quantitative representation of the perceived color). ΔE equals one was used for perceptibility threshold (PT) and ΔE equals 2.7 for acceptability threshold (AT). Results: All groups' baseline was ΔE less than one for all illuminants except Cheng Crowns to be autoclaved, indicating crowns are not identical in color from the manufacturer. For autoclaving, Cheng Crowns reached ΔE PT greater than one following the 10th sterilization cycle for all illuminants (D65 1.08±0.32 (standard deviation; P<0.001), A equals 1.07±0.32 (P<0.001), and F2 equals 1.25±0.38 (P<0.001). For cold sterilization, Sprig EZCrowns reached PT greater than one for all sterilization cycles, and Cheng Crowns reached ΔE PT greater than one for the sixth and 10th sterilization cycles. Gloss was not affected by either sterilization method. Spring EZcrowns had the highest mean translucency. Conclusions: Although each group may have a slight perceived difference, there was no clinically significant difference in color; all groups remained below the acceptability threshold of ΔE equals 2.7.


Assuntos
Planejamento de Prótese Dentária , Zircônio , Criança , Cor , Coroas , Humanos , Esterilização
14.
BMC Oral Health ; 21(1): 94, 2021 03 04.
Artigo em Inglês | MEDLINE | ID: mdl-33663477

RESUMO

BACKGROUND: The present study aimed to quantitate the wear of the highly transparent Yttria-stabilized tetragonal zirconia polycrystals (Y-TZP) ceramic monolithic zirconia crown on the enamel in vivo and discuss the prone position of the wear and the underlying mechanism. METHODS: A total of 43 patients with 43 posterior teeth were selected for full zirconia crown restoration and examined immediately, at 6 months, and at 1 year after restoration. During the follow-up visit, the fine impression of the patients' monolithic zirconia crowns, the antagonist teeth, the corresponding contralateral natural teeth, the super plaster cast, and epoxy resin model was ontained. The model of epoxy resin was observed under a stereo microscope, and the microstructure parts were observed under a scanning electron microscope. RESULTS: After 1 year, the mean depth and volume of wearing of the monolithic zirconia crown were the smallest (all P < 0.01), while those of the antagonist teeth were significantly larger than those of the natural teeth (P < 0.0001), and no significant difference was found among the natural teeth (P = 0.3473, P = 0.6996). The amount of wear after one year was remarkably higher than that at 6 months (P < 0.0001). The microscopic observation revealed the tendency of wearing of the monolithic zirconia crown on the antagonist teeth at the protruding early contact points. Electron micrographs of tooth scars showed that the wearing mechanism of the monolithic zirconia crown on natural teeth was mainly abrasive and fatigue wear. CONCLUSIONS: Although the self-wearing is insignificant, the monolithic zirconia crown can cause wear of the antagonist teeth via occlusal or early contact significantly; the amount of wearing is higher than that of natural teeth and increases over time. The wearing mechanism is mainly abrasive and fatigue wear.


Assuntos
Desgaste de Restauração Dentária , Desgaste dos Dentes , Coroas , Humanos , Teste de Materiais , Zircônio
15.
J Clin Pediatr Dent ; 45(1): 8-11, 2021 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-33690833

RESUMO

The presence of carious lesions in children associated with developmental defects of enamel is frequently observed. Restoring these affected teeth can be a challenge for the clinician. Teeth with enamel defects may have poor or limited resin adhesion and some may require repeated restoration. Prefabricated zirconia permanent molar crowns were recently introduced as an option for restoring severely decayed and broken down young permanent molars. These new restorations offer an efficient, esthetic, and economic option to restore severely broken down carious permanent molars that may be associated with enamel defects in partially or fully erupted molars. A clinical case of a 13-year-old female patient is presented. She had a mandibular second permanent molar that demonstrated significant caries and loss of much of the clinical crown, which was treated with a vital pulpotomy and restored with a prefabricated zirconia crown.


Assuntos
Restauração Dentária Permanente , Zircônio , Adolescente , Criança , Coroas , Feminino , Humanos , Dente Molar
16.
Dent Mater ; 37(4): e245-e255, 2021 04.
Artigo em Inglês | MEDLINE | ID: mdl-33531149

RESUMO

OBJECTIVES: The aim of this study is to improve the biological and mechanical properties of zirconia-based PICN (polymer-infiltrated-ceramic-network) materials by fabrication an enamel-like structure on its surface. METHODS: Fluorapatite (FA) arrays were fabricated on zirconia discs by hydrothermal treatment. After polymer infiltration, an enamel-like structure was obtained on zirconia-based PICN materials. Effects of hydrothermal treatment conditions on the FA arrays were investigated by XRD, FTIR and SEM. Human gingival fibroblast cells (HGFs) and Escherichia coli (E. coli) were used to evaluate the cytocompatibility and antibacterial properties. Nanoindentation method was employed to determine elastic modulus and hardness. RESULTS: A facile and pervasive method was developed in this study to fabricate an enamel-like structure constituted of controlled FA arrays and interstitial resin on zirconia-based PICN materials. The obtained FA arrays can significantly promote the adhesion and proliferation of human gingival fibroblasts (HGFs), and further effectively inhibit the growth of Escherichia coli. Owing to the hierarchical structure, the enamel-like structure has achieved a hardness of 1.79 GPa and a lower Young's modulus of 37.4 GPa. SIGNIFICANCES: The enamel-like structure, with excellent biological and mechanical properties, is promising for various applications in dentistry.


Assuntos
Porcelana Dentária , Polímeros , Cerâmica , Esmalte Dentário , Escherichia coli , Humanos , Teste de Materiais , Propriedades de Superfície , Zircônio
17.
Dent Mater ; 37(4): 568-577, 2021 04.
Artigo em Inglês | MEDLINE | ID: mdl-33541727

RESUMO

OBJECTIVE: To evaluate the fatigue failure load, number of cycles until failure and survival probability of partially (PSZ) and fully-stabilized (FSZ) polycrystalline zirconia disc shaped specimens with different thicknesses adhesively cemented onto foundations with distinct elastic moduli. METHODS: Disc-shaped specimens (n = 15, Ø = 10 mm; thickness = 1.0 and 0.7 mm) of CAD/CAM PSZ and FSZ blocks were adhesively cemented onto discs with different foundations (Ø = 10 mm; thickness = 2.0 mm) made from epoxy resin, composite resin or Ni-Cr metallic alloy. The cemented assemblies were subjected to fatigue testing using a step-stress approach (600-2800 N; step-size of 100 N; 10,000 cycles per step; 20 Hz) and the data was submitted to specific statistical tests (α = 0.05). Fractography and finite element (FEA) analyzes were also performed. RESULTS: PSZ and FSZ presented higher fatigue failure load, number of cycles until failure and survival probabilities when cemented onto metallic alloy. All PSZ specimens survived the fatigue test when cemented onto Ni-Cr alloy (100% probability of survival at 2800 N; 230,000 cycles). Regardless of the foundation type, PSZ had better fatigue behavior than FSZ. For thickness, thinner PSZ restorations underperformed when bonded to softer foundations, while FSZ groups and groups bonded to metallic foundations had no statistical difference. SIGNIFICANCE: The foundation material strongly influences the fatigue performance of PSZ and FSZ restorations, which presented mechanical behavior improvements when bonded to a metallic foundation. PSZ restorations showed better fatigue behavior than FSZ, while the ceramic thickness only influenced PSZ restorations bonded to softer foundations.


Assuntos
Cerâmica , Zircônio , Desenho Assistido por Computador , Porcelana Dentária , Falha de Restauração Dentária , Análise do Estresse Dentário , Teste de Materiais , Propriedades de Superfície
18.
Dent Mater ; 37(4): 711-730, 2021 04.
Artigo em Inglês | MEDLINE | ID: mdl-33581910

RESUMO

OBJECTIVE: Optimizing monolithic zirconia (ZrO2) aesthetically without affecting the unique mechanical properties remains a major ongoing interest. The purpose of this review is to evaluate the improvement of recent monolithic ZrO2 generations to meet aesthetic optimization qualities. Additionally, for how the extent of the former modifications negatively affected their mechanical properties and the impact on their clinical indications. METHODS: The current literature examines in-vitro studies evaluating both monolithic ZrO2 translucency and mechanical properties. The electronic search was done within these databases: Web of Science, ScienceDirect, Scopus, and PubMed within the period between 2009/10/01 and 2019/10/31. Search results that met eligibility criteria were classified into four groups; one for translucency parameter, two for uniaxial flexural strength and one for biaxial strength. RESULTS: Articles that remained for comprehensive analysis were fifty-three. They reported a significant impact of composition, microstructure and surface treatment on translucency and flexural strength assessment. Aging was found to be of no concern for zirconia structures with high yttria content. Smooth surface polish was found to significantly enhance strength while coarse grinding and mechanical fatigue was found to do the reverse. SIGNIFICANCE: Based on analyzing the previous in-vitro studies the following was found: Although significant improvement has occurred with recent monolithic zirconia types with higher yttria content having higher cubic/tetragonal ratio, they are still inferior to glass-ceramics' unique translucency. With improving zirconia aesthetically, some of mechanical performance was sacrificed. Care must be taken when dealing with thin sections of aesthetic zirconia structures especially when used in high bearing stress areas.


Assuntos
Materiais Dentários , Resistência à Flexão , Cerâmica , Estética , Teste de Materiais , Propriedades de Superfície , Zircônio
19.
J Prosthet Dent ; 125(4): 684.e1-684.e8, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33549342

RESUMO

STATEMENT OF PROBLEM: Zirconia restorations create significant artifacts on 3D cone beam computed tomography (CBCT) imaging. Static computer-assisted implant surgery (s-CAIS) relies on the accuracy of superimposition between an intraoral surface scan and CBCT imaging. However, how the artifacts from zirconia on the tomographic image might affect the predictability of s-CAIS is unclear. PURPOSE: The purpose of this in vitro study was to evaluate the effect of zirconia crown restorations on the superimposition process for s-CAIS. MATERIAL AND METHODS: Four stone casts generated 4 groups: a control group (CG) with no crowns and 3 experimental groups with 4 (TG4), 7 (TG7), and 13 (TG13) zirconia crowns. A total of 40 CBCT scans were made for the 4 groups (n=10). All CBCTs were imported into a computer planning software program, and the casts from all 4 groups were scanned by using a high-resolution laboratory scanner. The standard tessellation language (STL) files were imported, segmented, and the 3 files superimposed for all groups. The accuracy of the superimposition was assessed, in millimeters, in 3 planes corresponding to anterior-posterior, horizontal, and vertical, as well as the overall measurement, and the results were analyzed statistically (α=.05). RESULTS: The overall analysis demonstrated statistically significant differences between all groups (P<.001), except between CG and TG4. The anterior-posterior dimension demonstrated significant differences between CG and TG7 (P<.001), CG and TG13 (P<.001), TG4 and TG7 (P=.004), and TG4 and TG13 (P=.001). For the vertical dimension analysis, significant differences were found between CG and TG7 (P=.001), CG and TG13 (P<.001), and TG4 and TG13 (P<.001). For the horizontal variable, statistically significant differences were found between CG and TG7 (P=.049), CG and TG13 (P<.001), TG4 and TG13 (P<.001), and TG7 and TG13 (P=.003). CONCLUSIONS: The accuracy of the superimposition of the images was influenced by the number of zirconia crowns, with an increased number reducing the superimposition accuracy.


Assuntos
Artefatos , Tomografia Computadorizada de Feixe Cônico , Desenho Assistido por Computador , Coroas , Imageamento Tridimensional , Zircônio
20.
J Prosthet Dent ; 125(4): 703.e1-703.e7, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33551138

RESUMO

STATEMENT OF PROBLEM: High-performance thermoplastics have been adopted as an alternative restorative material to metal or ceramics. However, a straightforward surface modification process to provide a durable bond strength between the polymer and the veneering material is lacking. PURPOSE: The purpose of this in vitro study was to evaluate the shear bond strength (SBS) of different veneering resin materials to polyetherketoneketone (PEKK) after different surface treatments. MATERIAL AND METHODS: Rectangular (7×7×2 mm) PEKK specimens (N=120) were randomly allocated to the following 6 groups (n=20): untreated (Cnt); nonthermal plasma (NTP) treated; tribochemical silica airborne-particle abrasion with 30-µm silica-modified Al2O3 (Tbc); abraded with a coarse-grit diamond rotary instrument (Ab); tribochemical silica airborne-particle abrasion + plasma treated (Tbc_NTP); abraded + plasma treated (Ab_NTP). After a bonding agent (PEKK Bond) was applied to the specimens, each group was divided into 2 subgroups according to the applied veneering resin materials: polymethylmethacrylate (PMMA) and nanohybrid composite resin (NHC, n=10). The specimens were stored in water for 24 hours at 37 °C and subjected to the SBS test by using a universal testing machine, and failure modes were evaluated using a stereomicroscope. Two-way analysis of variance (ANOVA) was performed followed by the Tukey honestly significant difference (HSD) test to statistically analyze the data (α=.05). RESULTS: The 2-way ANOVA showed that surface treatment methods, veneering material, and their interactions were significantly different on the SBS values (P<.001). The highest SBS values were determined for the Tbc and Tbc_NTP treatment groups not only for PMMA (10.71 to 11.63 MPa) but also for NHC (19.80 to 20.60 MPa) veneering resin materials (P<.05). CONCLUSIONS: The bonding capacity of PEKK to the PMMA and NHC veneering resin materials can be significantly improved by using tribochemical silica airborne-particle abrasion alone or with nonthermal plasma surface treatment techniques. Furthermore, using NHC veneering resin material is recommended over PMMA.


Assuntos
Colagem Dentária , Cimentos de Resina , Óxido de Alumínio , Benzofenonas , Análise do Estresse Dentário , Teste de Materiais , Polímeros , Resistência ao Cisalhamento , Propriedades de Superfície , Zircônio
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