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1.
J Contemp Dent Pract ; 21(1): 51-55, 2020 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-32381801

RESUMO

AIMS AND OBJECTIVES: New techniques are being developed to invent zirconia with high translucency and better esthetics leading to the development of several brands of monolithic zirconia. The aim of this study is to compare the translucency of three brands of zirconia available for the fabrication of monolithic restorations. MATERIALS AND METHODS: An in vitro study was designed to compare the translucency of three brands of zirconia available for the fabrication of monolithic restorations: Zirlux Zirconia (Vivadent Ivoclar), Zenostar Zr Translucent Zirconia (Weiland), and BruxZir Zirconia (Glidewell). All specimens were prepared to 0.5 mm thickness. Thirty zirconia specimens from each material were finished and polished. After drying, specimens were fired according to the manufacturers' recommendations. A spectrophotometer (Color i5) was used for the translucency test. Each specimen was presented at the view port permitting the light to hit the center of the specimen. Results were saved into the software until all measurements were completed. The data were then transferred to an Excel sheet where translucency parameters were calculated. The one-way analysis of variance (ANOVA) test and the post hoc Bonferroni test were performed to analyze the results. RESULTS: The one-way ANOVA test revealed that there was a statistically significant difference between the groups. This study showed lower translucency of BruxZir in comparison to Zenostar and Zirlux when tested under standardized conditions. CONCLUSION: There is a statistically significant difference in the translucency between the different brands of zirconia available for monolithic restoration fabrication. CLINICAL SIGNIFICANCE: Different brands of zirconia have different degrees of translucency. Material selection should be customized in each case.


Assuntos
Cerâmica , Materiais Dentários , Estética Dentária , Teste de Materiais , Zircônio
2.
J Contemp Dent Pract ; 21(2): 114-118, 2020 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-32381812

RESUMO

AIM: Newer zirconia materials may have greater strength degradation under cyclic fatigue with increased yttria and cubic content. The purpose of this study was to evaluate the flexural strength (FS) degradation of newer zirconia materials compared to more traditional tetragonal zirconia materials. MATERIALS AND METHODS: The following materials were tested: two 3 mol% yttria-stabilized tetragonal zirconia polycrystal (3Y-TZP) materials (Lava Plus, 3M ESPE; Katana ML, Kuraray), one 4 mol% partially stabilized zirconia (4Y-PSZ) material (Katana STML, Kuraray), two 5 mol% partially stabilized zirconia (5Y-PSZ) materials (Katana STML, Kuraray; Lava Esthetic, 3M ESPE), and one lithium disilicate material (IPS e.max CAD LT, Ivoclar Vivadent). Thirty beams were milled for each ceramic material with final dimensions of 4.0 × 1.3 × 18.0 mm after sintering or crystallization. Each specimen was placed on a 3-point bend test device on a universal testing machine (Instron, Norwood, MA). Flexural strength was determined on 10 beam specimens per group with a central load applied until fracture. Flexural fatigue strength was then measured on the remaining 20 beam specimens per group using the staircase method for 6,000 cycles at 2 Hz. Data were analyzed with one-way ANOVAs/Tukey post hoc tests (α = 0.05). RESULTS: A significant difference was found between groups (p < 0.001) per property. The 3Y-TZP zirconia materials had the greatest flexural and flexural fatigue strength. The cubic containing zirconia materials performed more moderately. The lithium disilicate material had the lowest strength values. The percent degradation in flexural fatigue strength of the 3Y-TZP zirconia materials was less than the 5Y-PSZ, Katana UTML, and the 4Y-PSZ, Katana STML, cubic containing materials, but similar to the 5Y-PSZ cubic containing material, Lava Esthetic. CONCLUSION: The amount of strength degradation was material dependent, with the 4Y-PSZ or 5Y-PSZ cubic containing zirconia materials demonstrating greater or similar strength degradation compared to the primarily tetragonal 3Y-TZP zirconia materials. CLINICAL SIGNIFICANCE: The differences in FS degradation between cubic containing materials and traditional zirconia materials could significantly impact the long-term success of these newer materials. Clinicians should be aware that these cubic containing materials may perform differently long-term than the very strong traditional 3Y-TZP materials and to follow manufacturer instructions on required material thickness and indications for use to prevent premature failure of the restoration.


Assuntos
Materiais Dentários , Resistência à Flexão , Estética Dentária , Teste de Materiais , Zircônio
3.
J Contemp Dent Pract ; 21(2): 183-189, 2020 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-32381825

RESUMO

AIM: To evaluate and validate minimal thickness required for computer-aided designed (CAD) and computer-aided manufactured (CAM) monolithic zirconia crowns to withstand occlusal load. The study compares two systems. MATERIALS AND METHODS: Forty-eight rapid prototype die models with varying occlusal reductions were fabricated. Group I samples had an axial wall height of 7.0 mm with occlusal reduction of 0.5 mm, group II had axial wall height 6.5 mm with occlusal reduction 1.0 mm, group III had axial wall height 6.0 mm with occlusal reduction of 1.5 mm. Control group IV had axial wall height 5.5 mm with occlusal reduction of 2.0 mm. Laboratories A (Czar) and B (3M) were provided with 24 samples each, 6 samples in each group for fabricating CAD/CAM monolithic zirconia crowns of 0.5, 1.0, 1.5, and 2 mm occlusal thickness, respectively, and cemented using resin-modified glass ionomer cement over the die models. Samples were loaded on a universal testing machine for fracture testing. Surface topography analysis of fractured specimens was done under the scanning electron microscope (SEM). The results were subjected to one-way analysis of variance (ANOVA) and honestly significant difference (HSD) Tukey test to analyze statistical significance at 0.05 levels. RESULTS: Samples of laboratory A performed superior to laboratory B. The t test showed fracture resistance of group AI (0.5 mm) > group BII (1.0 mm) and also group AIII (1.5 mm) > control of Lab B (2 mm). CONCLUSION: Monolithic zirconia crowns showed a favorable mechanical property to withstand occlusal load with minimal tooth preparation. The occlusal thickness of Czar with 0.5 mm is found to resist fracture under physiological masticatory load. Scanning electron microscope revealed increased voids in the microstructure of 3M, which lead to decreased fracture resistance. CLINICAL SIGNIFICANCE: Preservation of tooth structure can be considered using monolithic crowns with minimal thickness of 1 mm.


Assuntos
Porcelana Dentária , Planejamento de Prótese Dentária , Coroas , Análise do Estresse Dentário , Teste de Materiais , Zircônio
4.
Artigo em Inglês | MEDLINE | ID: mdl-32233200

RESUMO

The purpose of the present study was to (1) investigate the micro-shear bond strength and failure mode of a novel methacryloxydecyl-dihydrogen-phosphate (MDP) calcium-fluoride-releasing self-adhesive resin cement (TheraCem, BISCO) to a tooth structure (enamel and dentin) and to yttrium-stabilized zirconia after thermocycling, and to (2) compare the results with a universal non-MDP-containing self-adhesive resin cement (RelyX Unicem, 3M ESPE) as a control. Enamel and dentin specimens (20 discs each) were obtained by using a diamond saw (IsoMet 4000, Buehler) with copious water coolant. Twenty zirconia plates were obtained from IPS e.max ZirCAD blocks (Ivoclar Vivadent) and sintered in an inFire HTC speed high-temperature furnace (Dentsply Sirona). Resin-cement micro-cylinders were created on the bonded surface and filled with the tested cements (n = 10 for each surface/cement combination): Group A (control) used non-MDP-containing RelyX, whilegroup B (tested cement) used MDP-containing TheraCem MDP. Cements were left to self-cure for 5 minutes. All specimens were thermocycled for 5,000 cycles (THE-1100, SD Mechatronik). Micro-shear bond strength was measured using a universal testing machine, and debonded surfaces were examined for failure mode analysis with all morphologic and ultrastructure changes using a scanning electron microscope (Quanta 250 Field Emission Gun, FEI) attached with an energy dispersive x-ray (EDX) unit. The results were statistically analyzed. TheraCem had a slightly higher micro-shear bond strength (MPa) value than RelyX. Within enamel, TheraCem (6.46 ± 1.37 MPa) had a significantly higher mean µ-SBS value than RelyX (3.04 ± 0.99 MPa) (P = .002). Similarly, TheraCem in dentin (10.67 ± 1.27 MPa) had a significantly higher mean value than RelyX (6.46 ± 1.74 MPa) (P = .014). As for zirconia, TheraCem (39.76 ± 1.18 MPa) had a significantly higher mean µ-SBS value than RelyX (27.04 ± 1.92 MPa) (P < .001). Using MDP-containing calcium-fluoride-releasing self-adhesive resin cement (TheraCem) may improve bond strength to all tested substrates (enamel, dentin, and zirconia) and can be considered a promising cement for many clinicians. Further clinical studies are required to provide long-term clinical success data.


Assuntos
Colagem Dentária , Cimentos de Resina , Cálcio , Fluoreto de Cálcio , Cimentos Dentários , Análise do Estresse Dentário , Fluoretos , Teste de Materiais , Resistência ao Cisalhamento , Propriedades de Superfície , Zircônio
5.
Oral Health Prev Dent ; 18(2): 153-159, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32238987

RESUMO

PURPOSE: The air-particle-abrasion on zirconia in the gingival area of connectors and pontics in fixed partial dentures appears to increase fracture resistance. This study evaluated 'in situ' biofilm formation on the zirconia surface after different air-particle-abrasion protocols. MATERIALS AND METHODS: Ninety sintered blocks (5 × 5 × 2 mm) of yttrium partially stabilised zirconia (Y-TZP) were obtained and randomised among nine groups according to the factors 'type of particle' (Alumina 50 and 110 µm; Cojet and Rocatec) and 'pressure' (2.5 and 3.5 bar) used for sandblasting for 10 s. The surface roughness (Ra/Rz) was measured before and after sandblasting. For the in-situ analyses, custom-made removable intraoral devices n = 10 with one sample of each group attached to the buccal area were used by volunteers for 8 h at night. The specimens were analysed under confocal microscopy to quantify both biovolume and thickness of the initial biofilm formed. One-way analysis of variance (ANOVA) and Dunnett's tests were performed (5%). RESULTS: The roughness values ranged from 0.05 to 0.39 µm for Ra and from 0.35 to 2.11 µm for Rz, p = 0.00. Mean biofilm thickness ranged from 0.06 and 0.54 µm (p = 0.005), while the biovolume values were between 0.02 and 0.61 µm3/µm2 (p = 0.002). Values statistically significant for biofilm thickness and biovolume were found in groups sandblasted with Rocatec using 3.5 bar. CONCLUSION: In order to increase the fracture resistance of zirconia fixed partial dentures (FPDs), the air particle abrasion of zirconia with SiO2 (110 µm/3.5 bar), in the gingival area of connectors and pontics, should be avoided.


Assuntos
Colagem Dentária , Dióxido de Silício , Biofilmes , Materiais Dentários , Humanos , Teste de Materiais , Microscopia Eletrônica de Varredura , Propriedades de Superfície , Zircônio
6.
Int J Prosthodont ; 33(3): 307-314, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32320184

RESUMO

PURPOSE: To analyze the impact of different veneering techniques on the fracture load of telescopic secondary crowns made of a high-performance polymer (Ultaire aryl ketone polymer [UAKP]). MATERIALS AND METHODS: Zirconia primary crown models (taper of 0 degrees) were prepared (N = 48), polished, scanned, and divided into four veneering groups (n = 12 each): premanufactured, digital, full anatomical, and vestibular. For all groups except vestibular, a standardized telescopic secondary crown (thickness: 0.6 mm, circular margin: 1 mm) was constructed, adapted to the corresponding primary crown, milled from UAKP, and veneered. The veneered master crown was developed based on the premanufactured group. After surface polishing, all specimens were artificially aged in a chewing simulator (1.2 million cycles, 50 N, 1.1 Hz, between 5°C and 55°C). Fracture load was tested in a universal testing machine with a piston (Ø = 6 mm, 1 mm/minute). Fracture patterns were analyzed. For statistical analysis, Kolmogorov-Smirnov test and descriptive statistics followed by one-way ANOVA with post hoc Scheffé test were conducted (P < .05). RESULTS: Significant differences in fracture load were found between different veneering techniques (P < .001), with the highest values for the vestibular and digital groups, followed by the premanufactured group. Full anatomical veneering showed the significantly lowest fracture load (1,885 ± 397 N). For all specimens, cohesive brittle fractures with similar fracture patterns occurred, irrespective of the veneering technique. CONCLUSION: The veneering technique of telescopic secondary crowns made of high-performance polymer affects overall stability. All veneering techniques provided sufficient fracture load values for telescopic secondary crowns made of UAKP. Digital veneers seem the most recommendable.


Assuntos
Porcelana Dentária , Facetas Dentárias , Coroas , Planejamento de Prótese Dentária , Falha de Restauração Dentária , Análise do Estresse Dentário , Teste de Materiais , Polímeros , Zircônio
7.
J Adhes Dent ; 22(2): 149-159, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32322836

RESUMO

PURPOSE: To evaluate the influence of new air-abrasion powders with different silica concentrations (silica-coated aluminum oxide) and aging on the bond strength between composite cement and Y-TZP ceramic. MATERIALS AND METHODS: Ceramic slices (7 x 6.3 x 2 mm3) were randomly allocated into 8 groups (n = 20) considering different surface treatments (SiC: silica-coated aluminum oxide particles; AlOx: aluminum oxide particles; 7% Si and 20% Si: experimental powders consisting of 7% and 20% silica-coated of AlOx respectively) and aging (baseline: 24 h at 37°C in water; aged: 90 days at 37°C in water + 12,000 thermal cycles). A blinded researcher performed the air-abrasion procedure for 10 s (identical parameters for all groups). Composite resin cylinders (Ø = 3 mm) were cemented onto the silanized ceramic surfaces, light cured, and subjected to shear bond-strength testing (wire loop Ø = 0.5 mm). The topography of the powders and air-abraded surfaces was analyzed using SEM and atomic force microscopy (AFM). The elemental composition of the powders and air-abraded surfaces was analyzed with energy dispersive spectroscopy (EDS), and surface wetting of the air-abraded surfaces was also determined by contact-angle measurements. RESULTS: Under baseline conditions, all groups presented similar bond strengths, but only SiC and 7% Si yielded unaltered bond strength after aging. SiC and 7% Si presented lower contact angles. All groups presented similar surface topographies. The silica content was also similar among groups, except for AlOx. CONCLUSION: 7% Si and SiC presented similar bond strength and better bonding performance after aging than AlOx and 20% Si. A higher silica concentration was not able to promote stable adhesion of composite cement after aging.


Assuntos
Óxido de Alumínio , Colagem Dentária , Abrasão Dental por Ar , Cerâmica , Cimentos de Resina , Dióxido de Silício , Propriedades de Superfície , Ítrio , Zircônio
8.
Int J Comput Dent ; 23(1): 27-37, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32207459

RESUMO

OBJECTIVE: The objective of this narrative review was to summarize the current status and future perspectives of additive manufacturing (AM) technologies with a particular emphasis on manufacturing zirconia-based materials. AM technologies include vat photopolymerization, material jetting, material extrusion, selective laser sintering (SLS), and selective laser melting (SLM) technologies based on either powder bed fusion (PBF) technologies or direct energy deposition, or sheet lamination based on binder jetting technologies. MATERIALS AND METHODS: A comprehensive literature review was performed, specifically evaluating AM technologies assigned for processing zirconia. An electronic database search was performed using keywords and MeSH terms. The search was confined to full-text articles written in English and published in peer-reviewed journals between 1999 and 2018. RESULTS: A total of 62 articles were included in this review, of which 56 described the AM processes and 6 reported on AM applications in the field of dentistry. A broad diversity of literature exists regarding AM technologies for ceramic materials, which complicates the establishment of a classification system for the current AM technologies for zirconia. The variations in the composition of zirconia slurries or mixtures across different technologies often made it difficult to identify the proper nature of such information. Mechanical properties of printed zirconia materials utilizing different technologies were investigated through a wide range of tests. Overall, the review indicates that manufacturing zirconia using AM technologies could be achieved without issues, but mechanical properties appear to be poor compared with conventional manufacturing procedures. CONCLUSIONS: The results of this review indicate the necessity for further potential improvement in AM technologies for manufacturing zirconia reconstructions along with advances in material composition before zirconia could be considered as a material for standard care.


Assuntos
Cerâmica , Zircônio , Odontologia , Humanos , Impressão Tridimensional
9.
Chem Pharm Bull (Tokyo) ; 68(3): 292-297, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32115537

RESUMO

In this study, the adsorption capability of phosphate ion using a novel tri-metals complex hydroxide was evaluated for preventing the eutrophication in water environment. A nickel-aluminum-zirconium complex hydroxide (NAZ) was synthesized using each inorganic sulfate mixing ratio of 0.9 : 1.0 : 0.1 and was calcined at different temperatures. The characteristics of the NAZ were analyzed by scanning electron microscopy images, X-ray diffraction analysis, elemental distribution, and binding energy. Moreover, the amount adsorbed of phosphate ion onto uncalcined and calcined NAZ was measured. That of phosphate ions onto the uncalcined was the largest of all. These results suggested that the adsorption of phosphate ions tends to depend on the physicochemical properties (e.g., amount of hydroxyl groups, pore volumes, and pH) of the adsorbents. Moreover, the adsorption mechanism of phosphate ions was evaluated on the basis of binding energy and elemental analysis. After adsorption, the binding energy of phosphorus P (2s and 2p) peaked and the sulfur peak intensity S(2s) reduced. This result indicated that the adsorption mechanism of phosphate would be exchanged with sulfate ions.


Assuntos
Alumínio/química , Complexos de Coordenação/química , Hidróxidos/química , Níquel/química , Fosfatos/química , Zircônio/química , Adsorção , Complexos de Coordenação/síntese química , Tamanho da Partícula , Propriedades de Superfície
10.
J Environ Manage ; 261: 110235, 2020 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-32148305

RESUMO

Pseudomonas aeruginosa bacteria have been used in this study for zirconia nanoparticles synthesis through green technology for adsorption driven bioremediation of tetracycline from wastewater. The characterization of synthesized nano zirconia has been performed by employing dynamic light scattering, field emission-transmission electron microscopy, energy dispersive X-ray, X-ray diffraction, fourier transform infrared spectroscopy, and point of zero charge analysis. The zirconia nanoparticles have shown average particle size ~15 nm, monoclinic and tetragonal crystal structure with 6.41 nm of crystallite size, the presence of elemental zirconium and oxygen, and the occurrence of functional groups like O-Zr-OH, Zr-O-Zr and Zr-O bonds. The zirconia nanoparticles mediated adsorption of tetracycline has been found to be effective at solution pH 6.0 and in a very less contact time 15 min. Strong electrostatic interaction between zwitterionic form of tetracycline and protonated surface of zirconia nanoparticles is the governing adsorption mechanism in this study. The kinetic study has been performed on the basis of the tetracycline adsorption process revealing that the adsorption phenomenon follows pseudo-second order kinetic, further suggesting chemisorption of tetracycline over zirconia nanoparticles. The Langmuir isotherm model has been found to be the best fitted model among the all isotherm models indicating the involvement of monolayer uptake of tetracycline on the surface of zirconia nanoparticles. Moreover, the maximum tetracycline adsorption capacity of zirconia nanoparticles calculated by the Langmuir isotherm model is close to 526.32 mg/g. This finding is quite reasonable to accept that zirconia nanoparticle may be used as an alternative adsorbent to mitigate the tetracycline contamination in wastewater.


Assuntos
Nanopartículas , Poluentes Químicos da Água , Adsorção , Concentração de Íons de Hidrogênio , Cinética , Espectroscopia de Infravermelho com Transformada de Fourier , Tetraciclina , Difração de Raios X , Zircônio
11.
J Am Dent Assoc ; 151(4): 230-238.e7, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-32222175

RESUMO

BACKGROUND: The authors aimed to compare the survival and complication rates of zirconia-ceramic (ZC) versus metal-ceramic (MC) restorative material in multiunit tooth-supported posterior fixed dental prostheses (FDP). TYPES OF STUDIES REVIEWED: The authors conducted a systematic search of randomized controlled trials (RCTs), with no time or language restrictions, up to May 2019 using the MEDLINE (PubMed), Scopus, Web of Science, and Cochrane Central Register of Controlled Trials databases, followed by a manual search. RESULTS: The authors included 7 RCTs in the review and 5 RCTs in the meta-analysis. All studies had a low risk of bias. The authors included 330 participants (177 ZC and 173 MC tooth-supported FDP) in the meta-analysis, which revealed a medium-term survival rate of 95.4% (95% confidence interval [CI], 90.5% to 99.1%) for ZC FDP compared with 96.9% (95% CI, 94.3% to 99.4%) for MC FDP, with no significant differences (P = .364). The biological or technical complications did not show statistically significant differences, except in the global ceramic veneering chipping analysis (P = .023; risk difference [RD], 22.3%; 95% CI, 3.0% to 41.6%) and their subanalysis: minor chipping or chipping that can be solved with polishing (P = .044; RD, 19.5%; 95% CI, 0.5% to 38.4%), and major chipping or chipping that needs repair in the laboratory (P = .023; RD, 6.0%; 95% CI, 0.8% to 11.3%). CONCLUSIONS AND PRACTICAL IMPLICATIONS: Posterior multiunit ZC restorations are considered a predictable treatment in the medium term, although they are slightly more susceptible to chipping of the veneering ceramic than MC restorations.


Assuntos
Planejamento de Prótese Dentária , Falha de Restauração Dentária , Prótese Parcial Fixa , Cerâmica , Porcelana Dentária , Ligas Metalo-Cerâmicas , Ensaios Clínicos Controlados Aleatórios como Assunto , Zircônio
12.
J Appl Oral Sci ; 28: e20190371, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32049135

RESUMO

OBJECTIVE: This study aims to evaluate the influence of different air-abrasion pressures and subsequent heat treatment on the flexural strength, surface roughness, and crystallographic phases of highly translucent partially stabilized zirconia (Y-PSZ), and on the tensile bond strength of resin cement to Y-PSZ. METHODOLOGY: Fully sintered zirconia specimens were ground with SiC paper (control) and/or air-abraded with 50 µm particles of alumina at 0.1, 0.15, 0.2, or 0.3 MPa or left as-sintered. After air-abrasion at 0.2 MPa (0.2AB), additional specimens were then heated to 1500°C, and held for one hour at this temperature (0.2AB+HT1h). Flexural strength and surface roughness were evaluated. Crystalline phase identification was also carried out using X-ray diffraction. Bonded zirconia specimens with self-adhesive resin cement were stored in distilled water at 37°C for 24 h, either with or without aging (thermal cycling 4-60°C/20000). Results were analyzed statistically by ANOVA and Tukey-Kramer tests. RESULTS: The flexural strength decreased with the increase in air-abrasion pressure, while in contrast, the surface roughness increased. The lowest flexural strength and the highest roughness value were found for the 0.2AB and 0.3AB groups, respectively. All groups contained cubic-, tetragonal ( t )-, and rhombohedral ( r )-ZrO2 phases with the exception of the as-sintered group. Upon increasing the air-abrasion pressure, the relative amount of the r -ZrO2 phase increased, with a significant amount of r -ZrO2 phase being detected for the 0.2AB and 0.3AB groups. The 0.2AB+HT1h group exhibited a similar flexural strength and t -ZrO2 phase content as the as-sintered group. However, the 0.2AB group showed a significantly higher tensile bond strength (p<0.05) than the 0.2AB+HT1h group before and after aging. CONCLUSION: Micromechanical retention by alumina air-abrasion at 0.2 MPa, in combination with chemical bonding of a resin to highly translucent Y-PSZ using a MDP-containing resin cement may enable durable bonding.


Assuntos
Abrasão Dental por Ar/métodos , Óxido de Alumínio/química , Colagem Dentária/métodos , Cimentos de Resina/química , Zircônio/química , Análise de Variância , Resistência à Flexão , Temperatura Alta , Teste de Materiais , Microscopia Confocal/métodos , Valores de Referência , Reprodutibilidade dos Testes , Propriedades de Superfície , Resistência à Tração , Difração de Raios X/métodos
13.
Artigo em Inglês | MEDLINE | ID: mdl-32032414

RESUMO

The purpose of this study was to evaluate the effect of implant platform-switching design and abutment materials on the stress distribution around implants. Implants were fixed in epoxy-resin models restoring posterior missing first molars, representing two main groups according to the implant-abutment connection. Each group was subdivided according to the type of abutment material used (titanium or zirconia). Twenty monolithic fully anatomical zirconia crowns were fabricated. Stress analysis was measured around the implants using strain gauges during the static loading of each implant-supported crown. Data were collected, tabulated, and statistically analyzed. Standard implant-abutment connection groups recorded the highest (statistically significant; P < .05) mean strain values compared to platform-switching connection groups. Abutment materials in both groups recorded statistically nonsignificant (P > .05) mean strain values. The platform-switching concept showed better crestal-bone stress distribution around implant-supported restorations. Abutment materials expressed no statistically significant effect on the stress distribution around implant-supported restorations. Zirconia and titanium abutments could withstand the functional loads developed during physiologic chewing in the molar area.


Assuntos
Dente Suporte , Projeto do Implante Dentário-Pivô , Coroas , Prótese Dentária Fixada por Implante , Análise do Estresse Dentário , Teste de Materiais , Titânio , Zircônio
14.
Braz Oral Res ; 34: e005, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32022224

RESUMO

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.


Assuntos
Apatitas/efeitos da radiação , Bis-Fenol A-Glicidil Metacrilato/efeitos da radiação , Resinas Compostas/efeitos da radiação , Fluoretos/química , Cimentos de Ionômeros de Vidro/efeitos da radiação , Radiação Ionizante , Zircônio/efeitos da radiação , Análise de Variância , Apatitas/química , Bis-Fenol A-Glicidil Metacrilato/química , Resinas Compostas/química , Resistência à Flexão , Cimentos de Ionômeros de Vidro/química , Teste de Materiais , Microscopia Eletrônica de Varredura , Valores de Referência , Reprodutibilidade dos Testes , Espectrometria por Raios X , Estatísticas não Paramétricas , Propriedades de Superfície/efeitos da radiação , Fatores de Tempo , Zircônio/química
15.
Int J Prosthodont ; 33(2): 202-211, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32069345

RESUMO

PURPOSE: To evaluate the amount of residual cement (ECL) around the margins of zirconia crown copings after careful luting and cleaning procedures and to investigate these factors in relation to two tested luting materials. MATERIALS AND METHODS: An experimental model of a maxillary arch was selected for this in vitro study. The maxillary first molar was prepared to receive an all-ceramic, single, full-crown restoration with a finish line located 1 mm below the artificial gingiva. After scanning of the prepared tooth, 20 paired zirconia coping-abutment assemblies were CAD/CAM fabricated. A slot in the model allowed for insertion and removal of the assemblies for each new test. Specimens were divided into two groups according to the cementation procedure: half (n = 10) were luted using a resin-modified glass-ionomer (RMGI) (Ketac-Cem Plus) (GI group), and the other half with a dual-curing self-adhesive resin agent (RelyX Unicem 2) (UN group). The substructures were loaded with cement, and a customized preseating device was adopted for preliminary reduction of excess. The zirconia copings were finally seated on their respective abutments located on the simulation model. A blinded investigator attempted to remove all excess cement with clinically available instruments. The amount of excess cement left in situ after cleaning procedures was weighed in grams. Dislodging forces of luted coping-abutment assemblies were obtained by using pull-off tests in a universal testing machine (crosshead speed of 0.5 mm/minute) after 24 hours of water storage. Means and standard deviations were calculated for ECL and for retention force values, and Mann-Whitney and ANOVA tests were carried out to detect significant differences (α = .05) among groups. RESULTS: Cement remnants were found in all specimens despite the cleaning procedures, with a typical distribution in interproximal areas. Mean ECL values for the GI and UN groups were 0.0079 ± 0.0060 and 0.0107 ± 0.0081, respectively. No statistically significant differences were found between tested cements (P = .3284). Removal stress values (MPa) were significantly higher (P = .0313) for the UN group (12.4 ± 6.5) than for the GI group (6.57 ± 4.69). CONCLUSION: Similar amounts of undetected cement remnants were discovered around the esthetic margins of zirconia crown copings regardless of cement type. The luting procedure using the self-adhesive resin cement provided significantly higher early retention values than the RMGI material.


Assuntos
Cimentos Dentários , Retenção em Prótese Dentária , Adaptação Psicológica , Cimentação , Coroas , Análise do Estresse Dentário , Estética Dentária , Cimentos de Ionômeros de Vidro , Teste de Materiais , Cimentos de Resina , Propriedades de Superfície , Zircônio
16.
Int J Prosthodont ; 33(2): 217-223, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32069347

RESUMO

PURPOSE: To evaluate the surface roughness values of zirconium oxide samples that were gradually polished using a commercially available polishing system and polishing paste. MATERIALS AND METHODS: A total of 50 rectangular specimens of predetermined size (10 × 10 × 3 mm) were sintered from zirconium oxide. Samples were randomly assigned to one of five groups (n = 10 each): control, coarse (Co), fine (F), super fine (SF), or polishing paste (PP). In the control group, no polishing was done; in the Co group, a coarse polisher was used; and the specimens in the remaining three groups underwent additional processing with a fine rubber abrasive. For SF and PP samples, subsequent treatment with a super fine polisher was applied. Finally, for the PP group, a goat-hair brush with diamond polishing paste was used. An optical profilometer was used to evaluate roughness average (Ra) in micrometers (µm). ANOVA and Games-Howell post hoc tests were utilized to detect differences between groups. The significance level was set to α = .05. RESULTS: Surface roughness gradually decreased with further polishing throughout the groups: control Ra = 0.525 ± 0.099 µm; Co Ra = 0.252 ± 0.038 µm; F Ra = 0.196 ± 0.035 µm; SF Ra = 0.114 ± 0.031 µm; and PP Ra = 0.054 ± 0.020 µm. Statistically significant differences were detected among all groups (P < .05). CONCLUSION: A surface roughness of 0.054 µm can be achieved if a full zirconia polishing protocol is used. Zirconium oxide can be polished to various surface roughnesses using commercially available polishing products.


Assuntos
Polimento Dentário , Zircônio , Teste de Materiais , Microscopia Eletrônica de Varredura , Propriedades de Superfície
17.
Eur J Prosthodont Restor Dent ; 28(1): 36-42, 2020 Feb 27.
Artigo em Inglês | MEDLINE | ID: mdl-32040892

RESUMO

INTRODUCTION: In a prospective study, the clinical performance of chairside-fabricated partial-crowns made of zirconia-reinforced lithiumsilicate (ZLS)-ceramic was evaluated after 2 years. MATERIALS AND METHODS: 45 patients (28 female/17 male) underwent restoration with 61 chairside-fabricated ZLS partial-crowns on vital premolars and molars. In variation from the manufacturer's recommendations (minimum material thickness (MMT)=1.0 mm), partial-crowns with reduced material thicknesses were fabricated: group 1, MMT=0.5-0.74 mm (n=31); group 2, MMT=0.75-1.0 mm (n=30). The restorations were luted with either a self-adhesive cement (SAC) or the total-etch technique using a dual-curing composite cement (DC). The MMT and cementation technique (SAC vs. DC) were evaluated as possible covariates of the time-dependent survival (SVR) and success rate (SCR) using univariate log-rank-tests. RESULTS: Forty-four patients with 59 restorations participated in the 2-year follow-up examinations. In group 1 (n=31), there were 2 losses due to ceramic fracture (SVR: 94.0% (95% confidence interval (CI): 0.85-1)). In group 2, no losses were documented (SVR: 100%). In 2 restorations cemented with SAC, recementation was necessary (overall SCR: 93% (CI: 0.87-1)). CONCLUSION: To avoid early material-related fractures, observing the recommended minimum thickness of 1.0 mm is essential. However, further validation of these results in studies with longer observational periods is required.


Assuntos
Coroas , Lítio , Cerâmica , Desenho Assistido por Computador , Porcelana Dentária , Planejamento de Prótese Dentária , Falha de Restauração Dentária , Feminino , Humanos , Masculino , Teste de Materiais , Estudos Prospectivos , Silicatos , Zircônio
18.
Artigo em Inglês | MEDLINE | ID: mdl-32032402

RESUMO

This retrospective study evaluated hard and soft tissue response and reported mechanical and technical complications around computer-aided design/computer-assisted manufactured (CAD/CAM) abutments. A total of 123 patients restored with titanium, gold-hue titanium, and zirconia CAD/CAM abutments were included (N = 291). Each patient was followed up for at least 2 years. Clinical and radiographic parameters were assessed annually and complications were recorded. No implant or reconstruction failures were reported. One fracture of a zirconia abutment occurred. The prosthetic survival rate after 4 years of function for restorations and abutments was 100% and 99.66%, respectively. No significant differences in biologic and radiographic indices were found. The bleeding on probing index was positive at 42% of implant sites, and it had no significant correlation with the overall change in marginal bone level (0.02 mm) of bone gain. The short-term survival of CAD/CAM abutments was reliable, no matter of the material used for manufacturing.


Assuntos
Projeto do Implante Dentário-Pivô , Implantes Dentários , Desenho Assistido por Computador , Dente Suporte , Seguimentos , Humanos , Estudos Retrospectivos , Titânio , Zircônio
19.
Artigo em Inglês | MEDLINE | ID: mdl-32032409

RESUMO

To correct for angulation discrepancies in the maxilla, implant companies have designed angulated screw channel (ASC) abutments. The design of these abutments allows for the restorative screw channel to be placed up to 25 degrees off the center axis of the implant. Minimal independent research has been published to evaluate the fatigue resistance of this implant-abutment connection. This study evaluated the fracture strength of a newly designed zirconia crown with a 25-degree angulated screw channel (n = 5) vs a straight channel (n = 5). Each specimen was subjected to an off-axis compression load from an MTS cyclic loading machine with a custom-designed indenter simulating a natural dentition. All the 25-degree angulated screw channel specimens failed, with four of the five (80%) catastrophically failing. Four of the five straight-channel specimens failed, with two of the five (40%) catastrophically failing. Results revealed the potential abutment fracture from internal stresses at the screw-zirconia and metallic-zirconia interfaces. Further research is needed to test the use of all-ceramic crowns with the use of the angulated screw channel.


Assuntos
Projeto do Implante Dentário-Pivô , Implantes Dentários , Parafusos Ósseos , Cerâmica , Coroas , Dente Suporte , Falha de Restauração Dentária , Análise do Estresse Dentário , Resistência à Flexão , Teste de Materiais , Projetos Piloto , Titânio , Zircônio
20.
Oper Dent ; 45(3): 276-285, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32053460

RESUMO

OBJECTIVES: To evaluate the effect of endodontic access on the failure load resistance of both adhesively and conventionally luted, full-contour monolithic yttria-stabilized zirconium dioxide (Y-TZP) and adhesively luted lithium disilicate (LD) crowns cemented on prepared teeth. METHODS AND MATERIALS: Seventy-two human maxillary molars were prepared per respective guidelines for all-ceramic crowns with one group (n=24) restored with LD and the other (n=48) receiving Y-TZP crowns. Preparations were scanned using computer-aided design/computer-aided milling (CAD/CAM) technology, and milled crowns were sintered following manufacturer recommendations. All LD crowns and half (n=24) of the Y-TZP crowns were adhesively cemented, while the remaining Y-TZP specimens were luted using a conventional glass ionomer cement (GIC). One LD group, one Y-TZP adhesive group, and one GIC-luted group (all n=12) then received endodontic access preparations by a board-certified endodontist: the pulp chambers were restored with a dual-cure, two-step, self-etch adhesive and a dual-cure resin composite core material. The access preparations were restored using a nano-hybrid resin composite after appropriate ceramic margin surface preparation. After 24 hours, all specimens were loaded axially until failure; mean failure loads were analyzed using Mann-Whitney U test (α=0.05). RESULTS: Endodontic access did not significantly reduce the failure load of adhesively luted LD or Y-TZP crowns, but Y-TZP crowns with GIC cementation demonstrated significantly less failure load. CONCLUSIONS: These initial findings suggest that endodontic access preparation may not significantly affect failure load resistance of adhesively luted Y-TZP and LD crowns. Definitive recommendations cannot be proposed until fatigue testing and coronal seal evaluations have been accomplished.


Assuntos
Planejamento de Prótese Dentária , Falha de Restauração Dentária , Cerâmica , Desenho Assistido por Computador , Coroas , Porcelana Dentária , Análise do Estresse Dentário , Humanos , Teste de Materiais , Zircônio
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