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1.
Vitor Guarçoni de Paula Gerson Bonfante Fabio C. Lorenzoni Paulo G. Coelho Leonardo Rigoldi Bonjardim Vinicius P. Fardin Estevam A. Bonfante 《Dental materials》2019,35(3):511-522
Objective
To evaluate the probability of survival of monolithic and porcelain veneered lithium disilicate crowns comprised by a conventional or modified core when loaded on marginal ridges.Methods
Lithium disilicate molar crowns (n = 30) were fabricated to be tested at mesial and distal marginal ridges and were divided as follows: (1) bilayered crowns with even-thickness 0.5 mm framework (Bi-EV); (2) bilayered crowns with modified core design (Bi-M-lingual collar connected to proximal struts), and: (3) monolithic crowns (MON). After adhesively cemented onto composite-resin prepared replicas, mesial and distal marginal ridges of each crown (n = 20) were individually cyclic loaded in water (30–300 N) with a ceramic indenter at 2 Hz until fracture. The 2-parameter Weibull was used to calculate the probability of survival (reliability) (90% 2-sided confidence bounds) at 1, 2, and 3 million cycles and mean life.Results
The reliability at 1 and 2 million cycles was significantly higher for MON (47% and 19%) compared to Bi-EV (20% and 4%) and Bi-M (17% and 2%). No statistical difference was found between bilayered groups. Only the MON group presented crown survival (7%) at 3 million cycles. The mean life was highest for MON (1.73E + 06), lowest for Bi-M (573,384) and intermediate for Bi-E (619,774). Fractographic analysis showed that the fracture originated at the occlusal surface. The highest reliability was found for MON crowns. The modified framework design did not improve the fatigue life of crowns.Significance
Monolithic lithium disilicate crowns presented higher probability of survival and mean life than bilayered crowns with modified framework design when loaded at marginal ridges. 相似文献2.
Shinobu Yamauchi Shoko Miura Shin Kasahara Jirun Sun Hiroshi Egusa 《Journal of prosthodontic research》2019,63(2):184-192
Purpose
To investigate the influence of firing condition and thickness of a yttria-stabilized tetragonal zirconia polycrystal (Y-TZP) frame on the fracture toughness of veneering ceramics.Methods
Layering and pressable ceramics without frames or on 0.8- and 1.2-mm-thick Y-TZP frames were fired with 5 schedules (normal and 4 customized conditions). The fracture toughness of the ceramics was measured at 0.5–2.5 mm from the frame by the indentation fracture method. Crystal structures at the measurement points were evaluated by X-ray diffraction (XRD) and scanning electron microscopy (SEM).Results
Under customized firing conditions, the fracture toughness of the layering ceramic significantly decreased, particularly near the frame. Use of a 1.2-mm-thick frame significantly decreased the fracture toughness of both layering and pressable ceramics compared to ceramics without the frame. The decreased fracture toughness only occurred close (0.5 and 1.0 mm) to the frame. XRD analysis showed identical diffraction patterns between points near and far from the frame, suggesting that the decreased fracture toughness was not due to crystal defects or impurities. SEM revealed many microcracks and large crystals in layering ceramic near the 1.2-mm-thick frame, possibly resulting from the thermal properties of the zirconia frame, such as large heat capacity and low thermal conductivity.Conclusions
Modification of the firing conditions from the manufacturer’s instructions and inclusion of a thick Y-TZP frame decreased the fracture toughness of veneering ceramics at the interface, suggesting that a thick frame would pose a potent fracture risk in veneering ceramics used for zirconia-based all-ceramic restorations. 相似文献3.
Tomohide Kondo Futoshi Komine Junichi Honda Hiroki Takata Yuta Moriya 《Journal of prosthodontic research》2019,63(2):140-144
Purpose
To determine the effect of veneering material and framework design on fracture loads of implant-supported zirconia molar fixed dental prostheses (FDPs).Methods
Sixty-six zirconia FDPs were manufactured onto two implants and classified as uniform thickness (UT) or anatomic design (AD). These framework design groups were then further divided into three subgroups (n = 11): feldspathic porcelain-veneered zirconia FDPs (PVZ), indirect composite-veneered zirconia FDPs (IVZ), and metal–ceramic FDPs (MC). The FDPs were luted on the implant abutments and underwent fracture load testing. Significant differences were assessed by the Kruskal–Wallis test and Mann–Whitney U-test (α = 0.05).Results
For UT group, median fracture load was significantly higher for the IVZ (1.87 kN) and MC (1.90 kN) specimens than for the PVZ specimens (1.38 kN) (p < 0.05). In the AD group, the IVZ specimens had the highest median fracture load (4.10 kN) of the three groups tested. The AD group exhibited higher median fracture loads than the UT group in all subgroups.Conclusions
Indirect composite appears to be a useful alternative to feldspathic porcelain as the layering material for implant-supported zirconia FDPs. The AD group had higher fracture loads than UT group. In addition, implant-supported indirect composite-veneered zirconia-based FDPs appear to be clinically feasible. 相似文献4.
Akihiro Ishida Takeshi Wada Koichiro Ogami Takayuki Ueda Kaoru Sakurai 《Journal of prosthodontic research》2019,63(2):162-166
Purpose
This study aimed to clarify the influence of chewing on human β-defensin 2 (hBD-2) and secretory immunoglobulin A (SIgA) expression levels.Methods
We included 15 healthy males with no missing teeth (mean age, 25.5 ± 2.5 years). Subjects were instructed to chew a piece of gum for 30 min. Saliva and skin-extraction samples were collected before and after chewing for 15 and 30 min. hBD-2 and SIgA concentrations in the samples were determined using enzyme-linked immunosorbent assay (ELISA). hBD-2 and SIgA expression levels before and after chewing were analyzed using the Mann–Whitney U test, following the Friedman test. The significance level was 0.05.Results
The hBD-2 level in skin-extraction samples was significantly different before (99.4 ± 17.3 pg/mL) and after chewing for 30 min (142 ± 23.0 pg/mL). The SIgA level in skin-extraction samples was also significantly different before (2.39 ± 0.25 μg/mL) and after chewing for 30 min (3.61 ± 0.33 μg/mL). No significant difference was noted in either hBD-2 or SIgA secretion rate in saliva between before and after chewing.Conclusions
Chewing gum for 30 min increased hBD-2 and SIgA expression levels in skin. Moreover, chewing gum could influence the secretion pattern of these two biomolecules on skin, but not in saliva. 相似文献5.
Jin Feng Lei Cheng Xuedong Zhou Hockin H.K. Xu Michael D. Weir Qian Li Matthias Hannig Stefan Rupf 《Dental materials》2019,35(3):434-443
Objectives
The aims of this study were to investigate the effects of water aging for up to 6 months on the mechanical and anti-biofilm properties of a novel antibacterial glass ionomer cement (GIC) containing dimethylaminododecyl methacrylate (DMADDM).Methods
GIC specimens (n = 180) which contained DMADDM (0 wt.%, 1.1 wt.% or 2.2 wt.%) were prepared. The mechanical properties surface roughness, microhardness and the surface charge density of ammonium groups were measured before and after water aging for 3 and 6 months at 37 °C. Further six months aged specimens (n = 216) were worn by 6 volunteers in their oral cavities for 24 h and 72 h. Biofilm formation was analyzed and rated by fluorescence microscopy (FM) and by scanning electron microscopy (SEM). Biofilm viability was analyzed by FM.Results
Water aging did not show any adverse effects on the surface roughness and hardness of the material. The surface charge density of the GIC samples containing DMADDM decreased due to the aging procedure, however, was still higher than that of the GIC without DMADDM. In situ biofilm formation was significantly reduced after 24 h on DMADDM containing GIC (p < 0.05). FM results showed a higher ratio of red/green fluorescence on GIC-DMADDM samples.Significance
Incorporating DMADDM into GIC affected the material properties in a tolerable manner even after 6 months of storage in water. The new GIC is a promising material to affect the biofilm formation on the surface of restorations. 相似文献6.
Objective
To determine the thermal expansion of a porcelain (VM9) and tetragonal zirconia (Y-TZP) as well as the deflection upon re-heating and cooling of a bilayer fabricated from these two materials after slow and rapid cooling during initial fabrication.Methods
The coefficient of thermal expansion (CTE) of bulk porcelain and Y-TZP as well as bilayer beam deflection was measured with a novel non-contact optical dilatometer. The influence of cooling rate during initial fabrication of the porcelain–zirconia bilayer and the bulk porcelain during subsequent heating and cooling is investigated. Specimens were heated to 900 °C in the dilatometer, well in excess of the glass transition temperature (Tg) and softening temperature (Ts) of the porcelain.Results
The thermal expansion of the porcelain above Tg exhibits a threefold increase in CTE over that observed below Tg. Observations of the bilayer deflection reflect the difference in the CTE of the component materials and enable Tg and Ts temperatures for the porcelain to be estimated. Initial cooling rate of the porcelain and porcelain-YTZP bilayer was found to have a profound influence on the subsequent response to slow reheating and cooling as well as the resultant residual deflection.Significance
The estimation of the residual stress and potential for chipping of porcelain–zirconia dental restorative systems should not be based solely on thermal expansion data measured below Tg. 相似文献7.
Rafael Menezes-Silva Bruna Medeiros Bertol de Oliveira Paulo Henrique Martins Fernandes Lívia Yukari Shimohara Fabiano Vargas Pereira Ana Flávia Sanches Borges Marília Afonso Rabelo Buzalaf Renata Corrêa Pascotto Sharanbir K. Sidhu Maria Fidela de Lima Navarro 《Dental materials》2019,35(4):564-573
Objective
Glass-ionomer cements (GICs) modified with cellulose nanocrystals (CNs) were characterized and evaluated for compressive strength (CS), diametral tensile strength (DTS) and fluoride release (F?).Methods
Commercially available GICs (Maxxion, Vidrion R, Vitro Molar, Ketac Molar Easy Mix and Fuji Gold Label 9) were reinforced with CNs (0.2% by weight). The microstructure of CNs and of CN-modified GICs were evaluated by transmission electron microscopy (TEM) and by scanning electron microscopy (SEM) while chemical characterization was by Fourier transform infrared spectroscopy (FTIR). Ten specimens each of the unmodified (control) and CN-modified materials (test materials) were prepared for CS and DTS testing. For the fluoride release evaluation, separate specimens (n = 10) of each test and control material were made. The results obtained were submitted to the t-test (p < 0.05).Results
The CN reinforcement significantly improved the mechanical properties and significantly increased the F? release of all GICs (p < 0.05). The GICs with CNs showed a fibrillar aggregate of nanoparticles interspersed in the matrix. The compounds with CNs showed a higher amount of C compared to the controls due to the organic nature of the CNs. It was not possible to identify by FTIR any chemical bond difference in the compounds formed when nanofibers were inserted in the GICs.Significance
Modification of GICs with CNs appears to produce promising restorative materials. 相似文献8.
Deyar Jallal Hadi Mahmood Michael Braian Christel Larsson Ann Wennerberg 《Dental materials》2019,35(3):486-494
Objectives
To measure and compare the size of the cement gap of wax and polymer copings and final glass-ceramic crowns, produced from conventional and digital workflows, one additive and one subtractive.Methods
Thirty wax copings were made by conventional manual layering technique and modeling wax on stone models with spacer varnish simulating a cement spacer. The wax copings were embedded and press-cast in lithium disilicate glass ceramic. Thirty wax copings were produced by milling from a wax blank, i.e. subtractive manufacturing, and thirty polymer burn-out copings were produced by stereolithography, i.e. additive manufacturing. These copings were embedded and press-cast in lithium disilicate glass ceramic in the same manner as the conventional group. The fit of the wax/polymer copings and subsequent crowns was checked using an impression replica method. Mean values for cement gap for marginal, axial, and occlusal areas were calculated and differences were analyzed using Student’s t-test.Results
There were significant differences in mean values for accuracy/production tolerance among different manufacturing techniques for both production stages: wax and polymer copings and final pressed glass-ceramic crowns. In general, crowns produced from a digital additive workflow showed smaller mean cement gaps than crowns produced from a conventional workflow or a digital subtractive workflow. Additive polymer copings showed significantly smaller cement gaps than milled wax copings (p ≤ .001) and conventional wax copings (p ≤ .001) in the axial area. In the occlusal area, both additive polymer copings and conventional wax copings showed significantly smaller cement gaps than milled wax copings (p = .002 and p ≤ .001 respectively). Crowns produced from conventional manual build-up wax copings showed significantly larger mean cement gaps than crowns produced from milled wax and additively manufactured polymer copings in the marginal and axial areas (p ≤ .001). Among the crowns with smaller cement gaps, crowns produced from additively manufactured polymer copings showed significantly smaller mean cement gaps than crowns produced from milled wax in the marginal and axial areas (p ≤ .001). In the occlusal areas, the differences in mean cement gaps were only statistically significant between crowns produced from conventional manual build-up wax copings and crowns produced from milled wax where the latter ones showed smaller mean cement gaps (p = .025).Significance
The present study suggests that an additive manufacturing technique produces smaller mean cement gaps in glass-ceramic crowns than a conventional or subtractive manufacturing technique. 相似文献9.
Kazuhiro Nagata Satol Hori Ryo Mizuhashi Tomoko Yokoe Yojiro Atsumi Wataru Nagai Motoatu Goto 《Journal of prosthodontic research》2019,63(2):202-209
Purpose
Manual therapy has been used for the treatment of patients with temporomandibular disorders (TMD) with mouth-opening limitations. However, the curative effect of manipulation differs among researchers, and its necessity remains controversial. The purpose of this study was to confirm the efficacy of manipulation using a randomized controlled trial (RCT).Methods
A total of 61 TMD patients who had mouth-opening limitation (upper and lower middle incisor distance ≤35 mm) were selected. They were divided into two treatment groups: conventional treatment (n = 30) and conventional treatment plus manipulation (n = 31). The conventional treatment included two types of self-exercise: cognitive behavioral therapy for bruxism and education. Mouth-opening limitation, orofacial pain, and temporomandibular joint (TMJ) sounds were recorded from baseline to 18 weeks after baseline. These parameters were statistically compared between the two treatment groups by using analysis of variance (ANOVA) and Scheffe’s test to assess mouth opening distance and pain; TMJ sounds were compared using Mann–Whitney U test.Results
No statistical difference was observed between the two treatment groups except for mouth-opening limitation after treatment at the first visit. Subgroup analyses, stratified according to the pathological type of TMD, indicated a similar trend.Conclusions
The efficacy of manipulation seems to be limited, in contrast to our expectations, and improved execution of therapeutic exercises has a similar effect to that of manipulation during long-term observation. The advantage of manipulation was observed only during the first treatment session. The RCT was registered in the University Hospital Medical Information Network in Japan (UMIN-CTR: 000010437). 相似文献10.
Christina Boutsiouki Roland Frankenberger Susanne Lücker Norbert Krämer 《Dental materials》2019,35(3):422-433
Objective
To investigate secondary caries inhibition after dentine pre-treatment with 2% CHX, experimental addition of CHX in primer and adhesive of a 3-step adhesive system, and industrial addition od CHX in a 2-step adhesive system.Materials and method
Sixty Class-V cavities were restored according to the adhesive protocol (n = 12): 1) control group, Scotchbond Multi-Purpose, 3M (CTRL), 2) 2% CHX dentine pre-treatment (DENT), 3) 0.1% CHX in primer (PRIM), 4) 0.1% CHX in bonding agent (BOND), 5) Peak Universal Bond including 0.2% CHX (PEAK). Specimens were thermocycled (10,000 cycles) and inserted into a Streptococcus mutans biofilm artificial mouth (caries model). The 10-day biological loading protocol consisted of consecutive phases of demineralisation (1 h) and remineralisation (5 h). Evaluation under a fluorescence microscope (demineralisation) and an SEM (marginal gap) followed, at restoration margins, and at 0.3 mm and 0.5 mm distance from the margins, in enamel and in dentine. Total demineralization was calculated as the sum of demineralisation and substance loss due to demineralisation.Results
PRIM (p = 0.007, mod. LSD), BOND (p = 0.012, mod. LSD) and PEAK (p = 0.008, mod. LSD) exhibited significantly higher total demineralisation values in enamel margins than CTRL. No significant differences were noted for total demineralisation in dentine. Regarding marginal gaps, DENT exhibited significantly lower enamel gap values compared to all other groups (p = 0.001).Conclusions
2% CHX as dentine pre-treatment, 0.1% or 0.2% CHX added in adhesives did not provide any antibacterial effect regarding secondary caries in dentine. On the other hand, 2% CHX dentine pre-treatment managed to limit marginal gap formation in enamel compared to the other adhesive protocols in the study. 相似文献11.
Marla Cuppini Kelly Cristine Zatta Letícia Boldrin Mestieri Fabiana Soares Grecca Vicente Castelo Branco Leitune Sílvia Stanisçuaski Guterres Fabrício Mezzomo Collares 《Dental materials》2019,35(3):457-467
Objective
The aim of this study was to synthesize and characterize an experimental endodontic paste.Methods
An experimental endodontic paste (EX) was characterized by its particle size, zeta potential, drug content and morphology. The powder of EX is composed of amoxicillin microspheres, calcium tungstate and α-tricalcium phosphate, mixed with an indomethacin nanocapsules suspension. Ultracal® (Ultradent), an iodoform-based paste (GP) and the EX were evaluated by its physical properties (flow, film thickness and radiopacity). The cytocompatibility was performed by MTT and SRB-colorimetric assays; the cell-migration was tested with scratch assay and cell-ability to remineralization with ALP and Alizarin Red S, with fibroblastic cell line. The antibacterial activity was assessed by the formation of inhibition zones and against planktonic bacteria.Results
The EX and UL flow achieved ISO6876 standard, and GP was lower than 17 mm. All pastes achieved the film thickness required. Radiopacity was equivalent to 1.81 ± 0.25 mmAl for EX, which did not differ from GP group 1.39 ± 0.33 mmAl (p > 0.05). The UL presented 3.04 ± 0.33 mmAl. The values for SRB showed better citocompatibility in comparison with MTT for all materials. The ALP activity and formation of mineralized nodules demonstrated the remineralization potential for UL and EX. Cell migration showed continuous wound closure until complete cell healing, however, the EX accelerated the process (p < 0.05). The EX showed the greatest inhibition zone (p < 0.05) and was the only group with antibacterial activity against planktonic bacteria.Significance
The synthesized endodontic paste demonstrated reliable physical and biological properties and could be a promising material for periapical tissue repair. 相似文献12.
Thwe Zin Ei Yasushi Shimada Ahmed Abdou Alireza Sadr Masahiro Yoshiyama Yasunori Sumi Junji Tagami 《Dental materials》2019,35(4):e74-e82
Objective
The purpose of this study was to detect and investigate the association of enamel microcracks with demineralization at proximal contact areas of premolars, using 3D swept-source optical coherence tomography (SS-OCT).Methods
Extracted maxillary and mandibular premolars (n = 50 each), without any visible tooth cracks, were examined for demineralization of interproximal contact areas, using the International Caries Detection and Assessment System (ICDAS). SS-OCT was used to evaluate demineralization and detect microcracks. Demineralization progression was divided into 4 types by depth: 0 for sound enamel and Type I, II, and III for enamel demineralization penetrating into the outer third, the middle third, and the inner third of the enamel thickness, respectively. Enamel microcracks were classified according to the predominant crack pattern: Type O, no cracks; Type A, subsurface microdefects; Type B, enamel microcrack running along the direction of the enamel prism; Type C, enamel microcrack running transverse to the enamel prism direction; and Type D, a combination of patterns A, B, and C. SS-OCT findings were confirmed by confocal laser scanning microscopy observation.Results
Microcracks confined within the superficial enamel in proximal contact areas were seen as bright lines on SS-OCT. There were significant positive correlations among ICDAS codes, demineralization levels, and microcrack distribution (p ≤ 0.001). The mesial side of maxillary premolars showed significantly more demineralization (n = 36) and microcracks (n = 27) than that of the mandibular premolars (n = 20 and n = 14, respectively; p < 0.001).Significance
The presence of microcracks within the superficial enamel in proximal contact areas could be determined using SS-OCT, and correlated with the level of demineralization. 3D SS-OCT is a valuable diagnostic tool for comprehensive assessment of microstructural changes related to enamel demineralization and crack development. 相似文献13.
Kyung Chul Oh Ji-Man Park June-Sung Shim Jee-Hwan Kim Jong-Eun Kim Jang-Hyun Kim 《Dental materials》2019,35(3):468-476
Objectives
The aim of the present study was to investigate the adaptation and guide hole tolerance of metal sleeve-free computer-assisted implant surgical guides fabricated with 3D printers.Methods
An implant surgical guide for full-guided implant placement was designed with a total of eight different guide holes. Ten implant surgical guides (n = 10) were fabricated from the same design with each of five in-office 3D printers (D1, FOR, ONE, PER, and ZEN) using compatible printing materials. Ten surgical guides fabricated by the manufacturer of the implant company were used as the control group (CON). The adaptation of the surgical guides was evaluated by the replica technique. The tolerance of the guide holes was evaluated by measuring the degree of diversion with guide drills.Results
CON and D1 showed superior internal adaptation with a gap distance of less than 1 mm. The mean degree of diversion of the guide holes ranged from 3.45° for ZEN to 6.55° for PER. The tolerances of CON (4.70°) and D1 (4.50°) did not differ at the level of statistical significance at α = 0.05.Significance
The characteristics of implant surgical guides were evaluated per se. None of the 3D printers fabricated superior implant surgical guides to those produced by the manufacturer with regard to the internal fit and guide tolerance. However, the potential for the routine clinical use of in-office 3D printers was demonstrated. Further studies are required to determine how the guide hole tolerance and the angular deviation between the preplanned and actual implant positions are related. 相似文献14.
Shruti Vidhawan Agarwalla Kassapa Ellepola Mariana Caldeira Ferraz da Costa Guilhermino José Macêdo Fechine Julien Luc Paul Morin A.H. Castro Neto Chaminda Jayampath Seneviratne Vinicius Rosa 《Dental materials》2019,35(3):403-413
Objective
To evaluate the surface and wettability characteristics and the microbial biofilm interaction of graphene coating on titanium.Methods
Graphene was deposited on titanium (Control) via a liquid-free technique. The transfer was performed once (TiGS), repeated two (TiGD) and five times (TiGV) and characterized by AFM (n = 10), Raman spectroscopy (n = 10), contact angle and SFE (n = 5). Biofilm formation (n = 3) to Streptococcus mutans, Enterococcus faecalis, Pseudomonas aeruginosa and Candida albicans was evaluated after 24 h by CV assay, CFU, XTT and confocal microscopy. Statistics were performed by one-way Anova, Tukey’s tests and Pearson’s correlation analysis at a pre-set significance level of 5 %.Results
Raman mappings revealed coverage yield of 82 % for TiGS and ≥99 % for TiGD and TiGV. Both TiGD and TiGV presented FWHM > 44 cm?1 and ID/IG ratio < 0.12, indicating multiple graphene layers and occlusion of defects. The contact angle was significantly higher for TiGD and TiGV (110° and 117°) comparing to the Control (70°). The SFE was lower for TiGD (13.8 mN/m) and TiGV (12.1 mN/m) comparing to Control (38.3 mN/m). TiGD was selected for biofilm assays and exhibited significant reduction in biofilm formation for all microorganisms compared to Control. There were statistical correlations between the high contact angle and low SFE of TiGD and decreased biofilm formation.Significance
TiGD presented high quality and coverage and decreased biofilm formation for all species. The increased hydrophobicity of graphene films was correlated with the decreased biofilm formation for various species. 相似文献15.
Objectives
Alignment procedures have yet to be standardised and may influence the measurement outcome. This investigation assessed the accuracy of commonly used alignment techniques and their impact on measurement metrics.Methods
Datasets of 10 natural molar teeth were created with a structured-light model-scanner (Rexcan DS2, Europac 3D, Crewe). A 300 μm depth layer was then digitally removed from the occlusal surface creating a defect of known size. The datasets were duplicated, randomly repositioned and re-alignment attempted using a “best-fit” alignment, landmark-based alignment or reference alignment in Geomagic Control (3D Systems, Darmstadt, Germany). The re-alignment accuracy was mathematically assessed using the mean angular and translation differences between the original alignment and the re-aligned datasets. The effect of the re-alignment on conventional measurement metrics was calculated by analysing differences between the known defect size and defect size after re-alignment. Data were analysed in SPSS v24(ANOVA, post hoc Games Howell test, p < 0.05).Results
The mean translation error (SD) was 139 μm (42) using landmark alignment, 130 μm (26) for best-fit and 22 μm (9) for reference alignment (p < 0.001). The mean angular error (SD) between the datasets was 2.52 (1.18) degrees for landmark alignment, 0.56 (0.38) degrees for best-fit alignment and 0.26 (0.12) degrees for reference alignment (p < 0.001). Using a reference alignment statistically reduced the mean profilometric change, volume change and percentage of surface change errors (p < 0.001).Significance
Reference alignment produced significantly lower alignment errors and truer measurements. Best-fit and landmark-based alignment algorithms significantly underestimated the size of the defect. Challenges remain in identifying reference surfaces in a robust, clinically relevant method. 相似文献16.
Andressa B. Venturini Catina Prochnow Gabriel K.R. Pereira Rodrigo D. Segala Cornelis J. Kleverlaan Luiz Felipe Valandro 《Dental materials》2019,35(4):534-542
Objective
To evaluate the fatigue failure load, number of cycles until failure, and survival probability of adhesively cemented materials with different microstructures (glass-, hybrid- and resin-ceramic) used to manufacture CAD/CAM monolithic restorations.Methods
Disc-shaped specimens (n = 15; Ø = 10 mm; thickness = 1.0 mm) were produced from CAD/CAM blocks as follows: feldspathic (FEL); leucite (LEU); lithium disilicate (LD); zirconia-reinforced lithium silicate (ZRLS); polymer-infiltrated ceramic network (PICN); and resin nanoceramic (RNC). Adhesive cementation was performed onto epoxy discs (dentin analogue- Ø = 10 mm; thickness = 2.5 mm). The cemented assemblies were subjected to fatigue testing using a step–stress approach (400 N–2200 N; step-size of 200 N; 10,000 cycles per step; 1.4 Hz). Fatigue data were analyzed using Kaplan–Meier and Mantel–Cox (log-rank) tests (p < 0.05) and Weibull statistical analysis. Fractographic analysis was also performed.Results
All RNC specimens survived the fatigue test (100% probability of survival at 2200 N; 100,000 cycles) and presented occlusal deformation in response to loading, while all other tested materials failed in distinct loading steps with radial cracks starting from the bonding surface. LD (1146.7 N; 47,333) and ZRLS (1013.3 N; 40,666) materials obtained the highest fatigue failure loads and cycles until failure, meanwhile all PICN specimens failed during the first step (0% probability of survival at 400 N; 10,000). FEL had similar Weibull modulus to LD and ZRLS and higher than LEU for both load and number of cycles outcomes.Significance
The microstructure of adhesively cemented glass-, hybrid- and resin-ceramic CAD/CAM restorative materials influence their response during fatigue testing, which aids in suggesting the best clinical indications. 相似文献17.
Mitsuyoshi Yoshida Yuumi Endo Rumi Nishimura Shin Masuda Junko Amano Kazuhiro Tsuga 《Journal of prosthodontic research》2019,63(2):199-201
Purpose
The aim of this study was to clarify the effects of fitting palatal augmentation prosthesis (PAP) on the swallowing function for the patients in rehabilitation hospital.Methods
The subjects included 18 elderly hospitalized patients whose body mass index was <18.5 kg/m2. All subjects wore maxillary complete denture. During a videofluoroscopic examination in which the patients were asked to swallow, post-swallowing pyriform sinus residue was detected. The subjects’ maxillary dentures were then modified into PAPs by recording tongue movement in the palatal region. The resulting swallowing dynamics were evaluated qualitatively and quantitatively before and after fitting the PAP.Results
We found that fitting the PAP resulted in the resolution of aspiration in two patients and disappearance of pharyngeal residue in three. The pharyngeal delay and transit times were significantly shortened.Conclusions
These results demonstrated that PAPs could be beneficial treatment devices that may reduce post-swallowing pharyngeal residue formation due to decreased muscle strength. 相似文献18.
Akihisa Kodaira Hiroyasu Koizumi Hiroshi Nogawa Kentaro Okamura Mitsuo Nakamura Takayuki Yoneyama 《Journal of prosthodontic research》2019,63(2):145-149
Purpose
The aim of this study was to evaluate the shear bond strength and durability of MMA-TBB resin to human enamel applied a self-etching primer with phosphoric acid etching.Methods
A self-etching primer (Teeth primer, TP) containing 4-methacryloyloxyethyl trimellitate anhydride (4-META) and sodium sulfite and two etchants having different phosphoric acid concentrations (K-etchant gel, KE, 35–45%: Red gel, RG, 20–25%) were used as treatment agent, and MMA-TBB resin was used as luting agent. Enamel surfaces were treated with six methods which were as follow: KE, RG, TP, KE + TP, and RG + TP. After enamel specimens were bonded with MMA-TBB resin and stored in distilled water for 24 h, the shear bond strength test was done at 0 thermocycling or 20,000 thermocycling. These results were statistically verified with Steel-Dwass multiple comparisons and Man–Whitney U test.Results
The shear bond strength of TP group, KE + TP group, and RG + TP group were significantly higher than KE group and RG group in pre-thermocycling. KE + TP group and RG + TP group were significantly higher than other groups in post-thermocycling.Conclusions
Applying TP with phosphoric acid etching can increased shear bond durability despite difference of phosphoric acid concentrations (35–45% or 20–25%). 相似文献19.
Junji Iwata Masaki Asakura Tatsuhide Hayashi Shozo Tsuruta Miki Hori Yoshinori Nagase Akimichi Mieki Seiji Ban Tatsushi Kawai 《Journal of prosthodontic research》2019,63(2):221-226
Purpose
Immersion tests in purified water were conducted to evaluate the leaching behaviors of filler elements contained in computer-aided design/computer-aided manufacturing (CAD/CAM) composite resin.Methods
Four commercial CAD/CAM resin composite blanks were tested: Shofu block HC 2 layer, Cerasmart, Katana Avencia block, and KZR-CAD HR Block 2. The specimens in the size of 10.0 × 12.0 × 2.0 mm were immersed in a 50-mL conical tube containing 40 mL of purified water, and then placed in a constant-temperature oven set at a temperature of 37, 60, 70, or 80° C and stored statically for 30 days. After storage, the concentrations of leached elements in the immersion solution were measured with an inductively coupled plasma atomic emission spectrometer. To characterize the surface of the specimen after the immersion test, secondary electron images were obtained.Results
The immersion test resulted in the leaching of Si, the main component, from all materials tested. Some materials were found to have leached high amount of Ba or Sr in addition to Si, and remarkable surface degradation was observed. The amount of leached elements increased with increased immersion temperatures.Conclusions
Filler elements in CAD/CAM composite resins used in this study leached into purified water. The leached elements and its quantities greatly differed among materials and depend on the types of the oxides composing the filler. The amounts of leached elements varied in a temperature-dependent manner. 相似文献20.
Yuka Yasui Junko Tanaka Masaki Kakudo Masahiro Tanaka 《Journal of prosthodontic research》2019,63(2):210-215