Effect of processing induced particle alignment on the fracture toughness and fracture behavior of multiphase dental ceramics

ObjectiveTo investigate the processing induced particle alignment on fracture behavior of four multiphase dental ceramics (one porcelain, two glass–ceramics and a glass-infiltrated–alumina composite).MethodsDisks (Ø12 mm × 1.1 mm-thick) and bars (3 mm × 4 mm × 20 mm) of each material were processed according to manufacturer instructions, machined and polished. Fracture toughness (K_Ic) was determined by the indentation strength method using 3-point bending and biaxial flexure fixtures for the fracture of bars and disks, respectively. Microstructural and fractographic analyses were performed with scanning electron microscopy, energy dispersive spectroscopy and X-ray diffraction.ResultsThe isotropic microstructure of the porcelain and the leucite-based glass–ceramic resulted in similar fracture toughness values regardless of the specimen geometry. On the other hand, materials containing second-phase particles with high aspect ratio (lithium disilicate glass–ceramic and glass-infiltrated–alumina composite) showed lower fracture toughness for disk specimens compared to bars. For the lithium disilicate glass–ceramic disks, it was demonstrated that the occurrence of particle alignment during the heat-pressing procedure resulted in an unfavorable pattern that created weak microstructural paths during the biaxial test. For the glass-infiltrated–alumina composite, the microstructural analysis showed that the large alumina platelets tended to align their large surfaces perpendicularly to the direction of particle deposition during slip casting of green preforms.SignificanceThe fracture toughness of dental ceramics with anisotropic microstructure should be determined by means of biaxial testing, since it results in lower values.     

Influence of thermo-mechanical cycling on porcelain bonding to cobalt–chromium and titanium dental alloys fabricated by casting,milling, and selective laser melting

Purpose

The aim has been to determine the effect of thermo-mechanical cycling on shear-bond-strength (SBS) of dental porcelain to Co–Cr and Ti-based alloys fabricated by casting, computer-numerical-controlled milling, and selective-laser-melting (SLM).

Effect of different investments and mold temperatures on titanium mechanical properties

PurposeThe aim of the present study was to evaluate commercially pure titanium (CP Ti) casting quality when a specific to titanium and a conventional phosphate bonded investments were used under different mold temperatures. For this, the evaluated parameters were surface roughness, bending strength, Vickers microhardness, casting quality by radiographies and microstructure of CP Ti.MethodsWax patterns (28 mm × 3 mm × 1 mm) were invested using two phosphate bonded investments: Rematitan Plus (REM), specific to titanium, and Castorit Super C (CAS), a conventional investment, fired and cooled until reaching two mold temperatures: 430 °C (430) and room temperature (RT). Specimens were cast from CP Ti by plasma. After casting, specimens were radiographically examined and submitted to Vickers microhardness, roughness and bending strength evaluation. Microstructure was analyzed in the center and at the surface of specimen.ResultsQualitative analysis of radiographs showed that specimens which were cast using CAS-RT presented more casting porosities while the specimens which were cast with REM-430 did not present any casting porosity. No significant difference was noted among the groups in the surface roughness and Vickers microhardness data, but the bending strength of the specimens cast using CAS was greater than REM groups. The microstructure of the specimens of the different groups was similar, presenting a feather-like aspect.ConclusionCasting porosities found in the specimens cast using conventional investments (CAS) and lower mold temperatures would limit their use, even mechanical properties were similar than in specimens cast using specific to titanium investment (REM) at temperatures recommended by the manufacturer.     

The effect of a ceramic coating on the cpTi–porcelain bond strength

ObjectivesTo investigate the bond strength between cpTi and low fusing porcelains after different treatments.Methods72 patterns were covered with a ceramic coating and invested with phosphate-bonded material (group A), another 72 were invested with magnesia material (group B) and all cast with cpTi. 31 solid castings were selected from each group. The castings of group B were ground and sandblasted, while the castings of group A were only sandblasted. Aluminum content of the metal surface was determined by EDS and castings were submitted to a 3-point bending test to determine the modulus of elasticity (E). The porcelains Duceratin Plus, Noritake Ti22 and Triceram were applied respectively and specimens were submitted to a 3-point bending test. The fracture mode and the remaining porcelain were determined by optical microscopy and SEM/EDS. Bond strength and fracture mode were calculated by two-way ANOVA.ResultsThe E of groups A and B was 98.3 GPa and 98.6 GPa respectively. The bond strength was 26 ± 3 MPa (Duceratin Plus), 28 ± 3 MPa (Noritake Ti22), 27 ± 2 MPa (Triceram) for group A and 24 ± 1 MPa, 29 ± 2 MPa, 27 ± 1 MPa for group B respectively. No significant differences were found for the same porcelain between the two groups (p < 0.05). A significant difference was found between Duceratin Plus and Noritake Ti22, for group B (p < 0.05). The mode of failure was mainly adhesive for all specimens. A significant reduction in aluminum was recorded in all subgroups.SignificanceThe special coating of patterns makes the Ti casting procedure inexpensive, without reducing the metal–ceramic bond strength.     

The crushing truth about glass ionomer restoratives: exposing the standard of the standard

ObjectivesThe compressive fracture strength (CFS) test is the only strength test for glass ionomers (GIs) in ISO 9917-1: 2003. The CFS test was the subject of much controversy in 1990 and has been challenged over its appropriateness and reproducibility and the study aimed to revisit the suitability of the CFS test for GIs.MethodsGroups of 20 (four batches of n = 5) cylinders (6.0 ± 0.1 mm height, 4.0 ± 0.1 mm diameter) of three encapsulated GIs were prepared for CFS testing using two mechanical mixing regimes and two operators. The CFS data for each GI restorative were pooled, three-, two- and one-way analyses of variance (ANOVAs) were conducted (p = 0.05) for operator, mixing regime and batch to assess reliability. The data was also analysed according to ISO 9917-1: 2003.ResultsThe three-way ANOVAs showed a significant interaction of operator × mixing regime × batch (p < 0.017) for two of the three encapsulated GIs. However, no significant effects of operator × mixing regime (p > 0.042), operator × batch (p > 0.332), mixing regime × batch (p > 0.056), operator (p > 0.094), mixing regime (p > 0.118) or batch (p > 0.054) were evident. When examined in batches of five (or ten where appropriate) as specified in ISO 9917-1: 2003, inter- and intra-operator variability were evident.ConclusionsThe use of batch-censoring in accordance with ISO 9917-1: 2003 is unsafe when the data scatter reflects a homogenous flaw distribution as it misidentifies operative variability. Despite demonstrating that the CFS test can be performed reliably, the validity of the CFS test for GIs remains under scrutiny.     

Evaluation of interface characterization and adhesion of glass ceramics to commercially pure titanium and gold alloy after thermal- and mechanical-loading

ObjectivesThis study evaluated the effect of thermal- and mechanical-cycling on the shear bond strength of three low-fusing glassy matrix dental ceramics to commercial pure titanium (cpTi) when compared to conventional feldspathic ceramic fused to gold alloy.MethodsMetallic frameworks (diameter: 5 mm, thickness: 4 mm) (N = 96, n = 12 per group) were cast in cpTi and gold alloy, airborne particle abraded with 150 μm aluminum oxide. Low-fusing glassy matrix ceramics and a conventional feldspathic ceramic were fired onto the alloys (thickness: 4 mm). Four experimental groups were formed; Gr1 (control group): Vita Omega 900–Au–Pd alloy; Gr2: Triceram–cpTi; Gr3: Super Porcelain Ti-22–cpTi and G4: Vita Titankeramik–cpTi. While half of the specimens from each ceramic–metal combination were randomly tested without aging (water storage at 37 °C for 24 h only), the other half were first thermocycled (6000 cycles, between 5 and 55 °C, dwell time: 13 s) and then mechanically loaded (20,000 cycles under 50 N load, immersion in distilled water at 37 °C). The ceramic–alloy interfaces were loaded under shear in a universal test machine (crosshead speed: 0.5 mm/min) until failure occurred. Failure types were noted and the interfaces of the representative fractured specimens from each group were examined with stereomicroscope and scanning electron microscope (SEM). In an additional study (N = 16, n = 2 per group), energy dispersive X-ray spectroscopy (EDS) analysis was performed from ceramic–alloy interfaces. Data were analyzed using ANOVA and Tukey's test.ResultsBoth ceramic–metal combinations (p < 0.001) and aging conditions (p < 0.001) significantly affected the mean bond strength values. Thermal- and mechanical-cycling decreased the bond strength (MPa) results significantly for Gr3 (33.4 ± 4.2) and Gr4 (32.1 ± 4.8) when compared to the non-aged groups (42.9 ± 8.9, 42.4 ± 5.2, respectively). Gr1 was not affected significantly from aging conditions (61.3 ± 8.4 for control, 60.7 ± 13.7 after aging) (p > 0.05). Stereomicroscope images showed exclusively adhesive failure types at the opaque ceramic–cpTi interfacial zone with no presence of ceramic on the substrate surface but with a visible dark titanium oxide layer in Groups 2–4 except Gr1 where remnants of bonder ceramic was visible. EDS analysis from the interfacial zone for cpTi–ceramic groups showed predominantly 34.5–85.1% O₂ followed by 1.1–36.7% Al and 0–36.3% Si except for Super Porcelain Ti-22 where a small quantity of Ba (1.4–8.3%), S (0.7%) and Sn (35.3%) was found. In the Au–Pd alloy–ceramic interface, 56.4–69.9% O₂ followed by 15.6–26.2% Si, 3.9–10.9% K, 2.8–6% Na, 4.4–9.6% Al and 0–0.04% Mg was observed.SignificanceAfter thermal-cycling for 6000 times and mechanical-cycling for 20,000 times, Triceram–cpTi combination presented the least decrease among other ceramic–alloy combinations when compared to the mean bond strength results with Au–Pd alloy–Vita Omega 900 combination.     

Microtensile bond strength of resin-based composites to Ti–6Al–4V

ObjectiveThe purpose of this study was to determine the microtensile bond strength of various resin composite/adhesive systems to alumina particle abraded Ti–6Al–4V substrate after aging for 24 h, 10 days, and 30 days in distilled water at 37 °C.MethodsFour laboratory resin composite veneering systems (Gradia, GR; Solidex, SOL; Ceramage, CER; and Sinfony, SF) were bonded to 25 mm diameter machined disks of Ti–6Al–4V with their respective adhesive and methodology, according to the manufacturer's instructions. Microtensile bars of approximate dimensions 1 mm × 1 mm × 6 mm were prepared for each resin composite/adhesive system. After cutting, groups (n = 12) from each adhesive system were separated and either stored in water at 37 °C for 24 h (baseline) or aged for 10 or 30 days prior to loading to failure under tension at a cross head speed of 1.0 mm/min. Failure modes were determined by means of scanning electron microscopy (SEM). Statistical analysis was performed through one-way ANOVA and Tukey's test at 95% level of significance.ResultsSignificant variation in microtensile bond strength was observed for the different systems and aging times. SOL and GR showed the highest mean bond strength values followed by SF and CER at baseline. Aging specimens in water had an adverse effect on bond strength for SOL and CER but not for the SF and GR groups.SignificanceIn vitro bond strength of laboratory resin composites to Ti–6Al–4V suggests that strong bonds can be achieved and are stable for certain systems, making them useful as an alternative for esthetic fixed prosthetic restorations.     

Effect of composition, viscosity and thickness of the opaquer on the adhesion of resin composite to titanium

ObjectivesThe objectives of this study were to determine the bond strength of powder-liquid and paste opaquers with different chemical compositions and viscosity to a metal substructure when they were applied in two thicknesses and to evaluate the failure modes after the bond strength test.MethodsTitanium plates (51 mm × 25 mm × 1 mm) (n_plates = 25, N = 80, n = 10 per group) were conditioned with chairside silica coating (CoJet-Sand, 30 μm silica coated Al₂O₃) from a distance of approximately 10 mm at a pressure of 2.8 bar for 15 s/cm² and silanized. Four types of opaquers, namely one powder-liquid (Sinfony, 3 M ESPE), and three paste opaquers [(Cimara, Voco), (Monopaque, Ivoclar Vivadent), (Cavex Experimental, Cavex)] were applied either in 0.25 or 0.50 mm thicknesses using standard polyethylene molds and photo-polymerized. Resin composite (Quadrant Posterior Dense, Cavex) was applied incrementally and photo-polymerized. The specimens were thermocycled (5–55 °C, 6000 cycles) prior to shear bond strength test (1 mm/min). Failure types were analyzed using an optical microscope and scores were given according to the modified Adhesive Remnant Index (ARI) (Score 0 = no opaquer on the surface, Score 1 = <1/2 covered with opaquer, Score 2 = >1/2 covered with opaquer, Score 3 = completely covered with opaquer).ResultsWhile thickness did not significantly affect the bond strength results (p = 0.523), type of opaquers had a significant influence on the results (p < 0.01) (Univariate ANOVA, Tukey's test). Interaction terms between thickness and opaquer type were significant (p < 0.01). Debonded specimens during thermocycling were considered as 0 MPa. At both 0.25 and 0.5 mm thicknesses, powder-liquid based opaquer (Sinfony) showed significantly higher results (8.4 ± 5.6 and 8.4 ± 4.9 MPa, respectively) than those of other opaquers (1.4 ± 1 to 4.3 ± 3.8 MPa) (p < 0.05). Only when Cimara was applied in 0.25 mm (6.9 ± 4.2 MPa), there were no significant differences with Sinfony (p > 0.05). The lowest results in both thicknesses were obtained from Monopaque (4 ± 3.8 to 1.6 ± 1 MPa, respectively) and Cavex (1.4 ± 1 to 4.2 ± 2.9 MPa, respectively) paste opaquers. In all opaquers, the incidence of Score 0 (30) was more frequent followed by Score 1 (27) and Score 2 (20).SignificanceThe use of powder-liquid opaquer in order to mask the metal in repair actions provided higher bond strength than those of the paste opaquers in both thin and thick applications. In all opaquers, the incidence of adhesive failure between the opaquer and the metal was more common implying inadequate adhesion.     

Improving the standard of the standard for glass ionomers: An alternative to the compressive fracture strength test for consideration?

ObjectivesThree strength tests (compressive, three point flexure and biaxial) were performed on three glass ionomer (GI) restoratives to assess the most appropriate methodology in terms of validity and reliability. The influence of mixing induced variability on the data sets generated were eliminated by using encapsulated GIs.MethodsSpecimen groups of 40 (eight batches of n = 5) cylinders (6.0 ± 0.1 mm height, 4.0 ± 0.1 mm diameter) for compressive fracture testing, bars (25.0 ± 0.1 mm length, 2.0 ± 0.1 mm height, 2.0 ± 0.1 mm width) for three point flexure testing and discs (13.0 ± 0.1 mm diameter, 1.0 ± 0.1 mm thickness) for biaxial flexure testing were randomly prepared by an operator. The strength data sets for each GI restorative were pooled and one-way analyses of variance (ANOVAs) were conducted to compare between GI restoratives (p = 0.05). The coefficient of variation (CoV) values for each test were pooled and a one-way ANOVA was conducted to test for differences between the reliability of the three tests.ResultsFor the GI restoratives, the one-way ANOVA showed significant differences when tested in compression (p = 0.001) but not when tested in three point (p = 0.271) or biaxial (p = 0.134) flexure. The pooled CoV values showed no significant difference between the three strength tests (p = 0.632).ConclusionsThe compressive fracture strength test specified for GIs in the International Organisation for Standardisation (ISO 9917-1: 2003) should be replaced and should no longer be advocated for the predictive performance modelling of GI restoratives.     

Effect of denture cleansers on physical properties of heat-polymerized acrylic resin

PurposeThis study aimed to measure the color change, surface roughness and flexural strength of heat-polymerized acrylic resin after its immersion in denture cleansers, simulating a 180-day use.MethodsThirty disk-shaped (15 mm × 4 mm) and 30 rectangular samples (65 mm × 10 mm × 3.3 mm) were prepared from heat-polymerized acrylic resin and immersed in Corega Tabs, Bony Plus, and distilled water. Color measurements (ΔE) were determined by a portable colorimeter. A surface analyzer was used to measure the roughness before and after immersion (ΔRa). The flexural strength (S) was measured using a 3-point bending test. The ΔE values were submitted to statistical analysis by the Kruskal–Wallis test, followed by Dunn's Multiple Comparisons test. The ΔRa and S values were submitted to statistical analysis by ANOVA, followed by a Student–Newman–Keuls test (α = .05).ResultsThe color changes were significantly higher for the Corega Tabs than for the control group. The mean ΔE values quantified by the National Bureau of Standards (NBS) were classified as Trace (0.0–0.5). The Bony Plus group had significantly higher surface roughness than the other groups. Corega Tabs and Bony Plus groups presented lower flexural strength than the control group.ConclusionsAlthough the color changes after the immersion in denture cleansers were clinically insignificant, the Corega Tabs group showed higher color differences. The Bony Plus group showed significantly increased surface roughness. Both effervescent tablets Corega Tabs and Bony Plus significantly diminished the flexural strength of the acrylic resin.     

Effects of blood and saliva contamination on shear bond strength of metal orthodontic brackets and evaluating certain methods for reversing the effect of contamination

The background and purposeContaminations may reduce shear bond strength (SBS) of orthodontic brackets. For reversing such effects, certain surface treatments are suggested. This study was conducted to evaluate (1) effects of saliva and blood contamination on SBS of metal brackets, (2) the efficacy of three surface treatments, while (3) using two adhesives (37% phosphoric acid etchant (Ivoclar/Vivadent) + RMGIC (Fuji Ortho LC), and self-etchant primer (iBonD GI) + composite resin (No-Mix, Dentaurum)).MethodsThe sample was categorized into 12 experimental subgroups (2 contaminations × 3 treatments × 2 adhesives, n = 12 × 10) and 2 control subgroups (n = 2 × 10). Experimental specimens underwent different treatments according to their group. They were incubated (37 °C, 96 h) and thermocycled (3000 cycles, 5–55 °C, dwell time = 30 s). SBS was tested at 1 mm/min crosshead speed.ResultsSEP–composite produced significantly lower SBS rates (P < 0.05) according to Mann–Whitney. ANOVA indicated a significant difference between blood contamination and both control and saliva contamination. According to Wilcoxon signed rank test, comparing with SBS = 7, drying failed to achieve appropriate SBS rates (except drying saliva when using RMGIC). On RMGIC, re-etching and rinsing–drying methods might provide sufficient SBS levels. All treatments (except rinsing–drying saliva contamination) did not produce appropriate SBS levels when using SEP–composite.ConclusionsBlood contamination reduced the SBS much greater than saliva. Using etchant–RMGIC is strongly recommended. Drying may only suffice when RMGIC is used over saliva contamination. The efficacy of re-etching depends on the etchant type. Rinsing–drying may produce appropriate SBS levels.     

Effect of mold temperatures on interface between primary and secondary castings of cast-on method for precision metal frameworks

PurposeThe purpose of the present study was to obtain fundamental data for application of the cast-on method by evaluating the effect of mold temperatures on the interface between primary and secondary castings in detail.MethodsSilver–palladium–gold alloy (Ag–Pd–Au), type-4 gold alloy (Type4), and chromium–cobalt alloy (Cr–Co) were used in the present study. A polished flat, square metal plate, 10.0 mm × 10.0 mm × 1.0 mm, was used as the primary casting. A wax pattern, 2.0 mm in diameter and 2.0 mm thick, was prepared for the secondary casting and invested together with the primary casting. The mold was heated at 600, 700 and 800 °C for Ag–Pd–Au and Type4, and 700, 800 and 900 °C for Cr–Co. After casting, the mold was embedded and sectioned. The cross-section was observed using a scanning electron microscope (SEM) and analyzed using energy dispersive X-ray spectroscopy (EDS). The gaps between the primary and secondary castings were analyzed for each alloy by analysis of variance and Tukey's honestly significant difference test. The significance level was set at 0.05. The heated primary casting without the secondary casting was examined using a thin film X-ray diffractometer (XRD).ResultsGaps were observed between the primary and secondary castings in all examined conditions. The primary casting surface was covered with oxide layers such as CuO and Cr₂O₃, and became rough with an increase of the mold temperature.ConclusionsThe results suggested that the cast-on method was influenced by the mold temperature.     

The influence of SiO2 and SiO2–TiO2 intermediate coatings on bond strength of titanium and Ti6Al4V alloy to dental porcelain

ObjectivesThe purpose of this study was to evaluate the bond strength of commercially pure CPTi and Ti6Al4V alloy with SiO₂ and SiO₂–TiO₂ intermediate coatings to Triceram low-fusing dental porcelain.MethodsThe multilayered systems were characterized from the standpoint of microstructure analysis (SEM), the mode of failure, the nature of bonding and the influence of intermediate coatings on the improvement of bond strength. The SiO₂ and SiO₂–TiO₂ intermediate coatings were applied on the substrate materials by the sol–gel dipping technique. The metal–ceramic bond strength was investigated according to ISO 9693 standards using the three-point flexure bond test.ResultsStatistically significant higher bond strength of the metal–porcelain for Ti6A14V alloy (28.24 MPa), Ti6Al4V/SiO₂ (32.17 MPa) and Ti6Al4V/SiO₂–TiO₂ (36.09 MPa) was noted in comparison to CPTi (23.04 MPa), CPTi/SiO₂ (27.98 MPa) and CPTi/SiO₂–TiO₂ (28.84 MPa), respectively. The nature of metal-intermediate coating–porcelain bonding was both mechanical and chemical. The failure in all systems was cohesive and adhesive, mainly adhesive.SignificanceThe application of SiO₂ and SiO₂–TiO₂ intermediate coatings, produced by the sol–gel method, to both CPTi and Ti6Al4V alloy significantly improves the bond strength of metal–porcelain systems in comparison to the metal substrate only after sandblasting, and may have clinical use.     

Effect of proanthocyanidin incorporation into dental adhesive resin on resin-dentine bond strength

ObjectivesThis study evaluated the effect of proanthocyanidin (PA) incorporation into experimental dental adhesives on resin–dentine bond strength.MethodsFour experimental hydrophilic adhesives containing different PA concentrations were prepared by combining 50 wt% resin comonomer mixtures with 50 wt% ethanol. Proanthocyanidin was added to the ethanol-solvated resin to yield three adhesives with PA concentrations of 1.0, 2.0 and 3.0 wt%, respectively. A PA-free adhesive served as the control. Flat dentine surfaces from 40 extracted third molars were etched with 32% phosphoric acid. The specimens were randomly assigned to one of the four adhesive groups. Two layers of one of the four experimental adhesives were applied to the etched dentine and light-cured for 20 s. Composite build-ups were performed using Filtek Z250 (3M ESPE). After storage in distilled water at 37 °C for 24 h, twenty-four bonded teeth were sectioned into 0.9 mm × 0.9 mm beams and stressed to failure under tension for bond strength testing. Bond strength data were evaluated by one-way ANOVA and Tukey's test (α = 0.05). Interfacial nanoleakage was examined in the remaining teeth using a field-emission scanning electron microscope and analysed using the Chi-square test (α = 0.05).ResultsNo significant difference in bond strength was found amongst PA-free, 1% and 2% PA adhesives. However, incorporation of 3% PA into the adhesive significantly lowered bond strength as demonstrated by a greater number of adhesive failures and more extensive nanoleakage along the bonded interface.ConclusionIncorporation of 2% proanthocyanidin into dental adhesives has no adverse effect on dentine bond strength.Clinical significanceThe addition of proanthocyanidin to an experimental adhesive has no adverse effect on the immediate resin–dentine bond strength when the concentration of proanthocyanidin in the adhesive is less than or equal to 2%.     

Effects of biglycan on physico-chemical properties of ligament-mineralized tissue attachment sites

Matrix proteoglycans define matrix structure, mineralization, and resulting biomechanics of tissues and their attachment sites.ObjectiveWe therefore investigated physical and (bio)chemical differences in enamel and periodontal tissues/attachment sites from mice that lack a specific nanoscale small leucine-rich proteoglycan (SLRPs) named biglycan (BGN).DesignExperimental groups consisted of N = 4, biglycan knockout (BGNKO) and N = 5 wildtype (WT) 8-week-old, male C3H mice. Morphology, histochemical and mechanical analyses were performed through micro X-ray computed tomography (Micro XCT?), immunohistochemistry, and microindentation. Unless mentioned otherwise, all differences between BGNKO and WT were demonstrated to be statistically significant through Student's t-tests with a 95% confidence interval (P ≤ 0.05).ResultsHistomorphometry performed by using Micro XCT? images indicated significantly higher BGNKO-enamel (0.46 ± 0.03 mm³) and BGNKO-root (1.81 ± 0.10 mm³) volumes compared to WT-enamel (0.37 ± 0.02 mm³) and WT-root (1.65 ± 0.07 mm³). BGNKO tooth size was relatively larger than WT mice, with no significant difference between skull sizes. Immunohistochemistry indicated BGN expression in the periodontal ligament (PDL), alveolar bone (AB), at the bone–PDL and cementum–PDL attachment sites in WT mice. Deeper AB resorption pits within interdental region of BGNKO specimens compared to WT resulting in significant differences in PDL-space of BGNKO (93 ± 13 μm) and WT (74 ± 11 μm) were observed. Microhardness of BGNKO-enamel (2.46 ± 0.60 GPa) and BGNKO-AB (0.52 ± 0.10 GPa) was significantly lower than WT-enamel (2.67 ± 0.60 GPa) and WT-AB (0.54 ± 0.10 GPa).ConclusionResults indicate that BGNKO-mice exhibit significant differences in tissue properties compared to WT-mice.     

Effect of filler particle size and morphology on force/work parameters for stickiness of unset resin-composites

ObjectivesTo investigate the effect of variation in filler particle size and morphology within an unset model series of resin-composites on two stickiness parameters: (1) maximum probe separation-force and (2) work-of-separation. This study was to complement previously reported measurements of composite stickiness in terms of a strain-parameter, ‘peak-height’.Materials and methodsEleven experimental light cured resin-composites were selected. All had the same matrix (Bis-GMA, UDMA and TEGDMA, with 0.33% camphoroquinone) and the same filler volume fraction—56.7%, however filler particles varied in size and shape and were either unimodal or multimodal in size-distribution. Each material was placed in a cylindrical mould (φ = 7 mm × 5 mm depth) held at 26 or 37 °C. The maximum force (F_max, N) and work of probe-separation (W_s, N mm) were measured. A flat-ended stainless-steel probe (φ = 6 mm) was mechanically lowered onto and into the surface of the unset sample, until a compressive force of 1 N was reached, which was held constant for 1 s. Then the probe was moved vertically upward at a constant speed; either 2 or 8 mm/s. The tensile force produced on the probe by the sticky composite was plotted against displacement and the maximum value was identified (F_max). W_s was obtained as the integrated area. Data was analyzed by multivariate ANOVA and multiple pair-wise comparisons using a Tukey post hoc test to establish homogenous subsets (at p = 0.05) for F_max and a Games–Howell was used for W_s.ResultsAs potential measures of stickiness, F_max and W_s showed more coherent trends with fillersize when measured at the lower of the two probe speeds, 2 mm/s. For unimodal resin-composite F_max ranged from 1.04 to 5.11 N and W_s from 0.48 to 11.12 N mm. For the multimodal resin-composite they ranged from 1.64 to 4.13 N and from 2.32 to 8.34 N mm respectively. Temperature increase tended to slightly reduce F_max, although this trend was not consistent. W_s generally increased with temperature.ConclusionFiller particle size and morphology influences F_max and W_s of uncured resin-composite which partly express the handling behaviors of resin-composites.     

Effect of acetyl resin retentive arms on the retentive force of circumferential clasps: an in vitro study

PurposeTo compare and to evaluate the stability of the retentive force of cobalt–chromium (Co–Cr) circumferential clasps (control) to those with an acetyl resin retentive arm.MethodsSixteen specimens with a couple of circumferential clasps were made using Co–Cr over a metal model providing 0.25 mm undercuts. Eight specimens were fabricated without the anterior retentive arm, which was made later using acetyl resin (Dental D). Insertion and removal simulation test was performed through 7250 cycles. The retentive force was recorded in Newtons (N) for periods corresponding to 0, 1, 2, 3, 4, and 5 years. The data were subjected to ANOVA and Tukey test to compare periods and to Student's t test to compare groups (α = 0.05).ResultsMean (SD) is presented for Co–Cr and resin groups, respectively: 8.09(3.05) and 2.79(1.57) in period 0; 10.48(4.25) and 3.32(1.92) in 1 year; 10.09(4.15) and 3.47(1.81) in 2 years; 9.87(4.30) and 3.46(1.87) in 3 years; 9.46(3.93) and 3.27(1.59) in 4 years; 9.63(3.79) and 3.41(1.59) in 5 years. There were significant differences for Co–Cr between periods of 0 and 1 (p < 0.001), 0 and 2 (p < 0.01) and 0 and 3 (p < 0.05). In the resin group, no significant differences were found between periods (p > 0.05). Comparisons between the groups showed statistical differences for all tested periods: 0 (p = 0.0012), 1 (p = 0.0013), 2 (p = 0.0019), 3 (p = 0.0031), 4 (p = 0.0027) and 5 years (p = 0.0014).ConclusionsAcetyl resin retentive arms, even if only in the anterior clasps, can significantly reduce the retentive force, but this force remained stable after 5 years of simulated use.     

Marginal fit and microleakage of cast and metal laser sintered copings—An in vitro study

PurposeThis study aimed to compare the marginal fit and microleakage of metal laser sintered Co–Cr alloy copings and conventional cast Ni–Cr alloy copings using a stereomicroscope.MethodsForty extracted maxillary premolars were randomly divided into two groups. One group was subjected to coping fabrication using conventional lost wax (LW) technique while the other group was subjected to coping fabrication using metal laser sintering (MLS) technology. The marginal fit of these copings were compared before and after ceramic addition using images obtained with a steromicroscope and an ImageJ analysis software. All the specimens were cemented using Type 1 glass ionomer cement and were subjected to thermocycling. The specimens were evaluated for microleakage using stereomicroscope and 2% methylene blue die used as a tracer. The data were subjected to statistical analysis using paired t-test, Mann–Whitney test and Chi-Square test.ResultsThe mean marginal fit of copings before and after ceramic addition in Group B (MLS) was better than the copings in Group A (LW) and was statistically significant (P < 0.05). The influence of ceramic firing had a significant (P < 0.05) increase in mean marginal gap in Group A (LW) but not in Group B (MLS). And the difference in mean microleakage between the groups was not statistically significant (P ≥ 0.05).ConclusionThe copings fabricated using MLS technique had a better marginal fit and an observable decrease in microleakage when compared to the copings fabricated using the conventional lost wax (LW) technique.     

Influence of the application of a pre-sintered surface augmentation on zirconia and lithium disilicate bonding using an adhesive composite resin cement

ObjectiveThe purpose of this laboratory study is to evaluate the application of a pre-sintered surface augmentation to zirconia (Zir) and lithium disilicate (LDS) ceramics on the delamination strength of adhesive resin cement. The applied surface augmentation was the ruling of lines to the pre-sintered surface of the ceramics.MethodsNinety milled Zir and sixty pressed LDS specimens (3 mm × 0.5 mm × 25 mm) were created and divided into five groups (n = 30). Group 1: Zir no surface treatment (control Zir-NT); Group 2: Zir airborne particle abraded (Zir-APA) with 30 μm CoJet; Group 3: Zir pre-sintered surface augmentation (Zir-SA); Group 4: LDS etched (control LDS-etched) and; Group 5: LDS with pre-sintered surface augmentation and etching (LDS-SA). A resin adhesive cement (3 mm × 1 mm × 8 mm) was then applied and cured to the ceramic specimens. The delamination strength values of the resin cement from the ceramic were recorded. The delamination strength data were analysed statistically using one-way ANOVA and Turkey post hoc analysis.ResultsThe mean delamination strength and standard deviation, when comparing only the Zir-SA to the resin cement were statistically different (p < 0.001); Zir-SA 63.42 ± 11.85, Zir-NT 26.82 ± 12.07, and Zir-APA 48.11 ± 17.85 MPa. Comparison between LDS groups were not significantly different (p = 0.193); LDS-etched 33.49 ± 16.07 and LDS-SA 28.83 ± 10.15 MPa. The delaminated Weibull modulus was highest for surface augmentation Zir specimens (m = 13.56) but decreasing to less than half for Zir-APA (m = 6.27) and Zir-NT (m = 5.68). The Weibull values for the LDS-SA and LDS-etched specimens was 5.63 and 3.38 respectively.SignificanceIncorporating the pre-sintered surface augmentation to zirconia improved the delamination strength and reliability of Zir to the resin cement but not for LDS.     

Impact of thermal misfit on shear strength of veneering ceramic/zirconia composites

ObjectivesThermal misfit is discussed as one reason for chipping of veneered zirconia restorations. The aim of the investigation was to assess the effect of thermal misfit on the shear strength of zirconia/veneering ceramic composites.MethodsShear strengths of 12 different veneering ceramic/zirconia composites were measured (n = 10). The veneering ceramics were fired onto polished Y-TZP. In order to create a strong thermal mismatch, one of the veneering ceramics was intended for use on alumina and one for the metal–ceramic technique. The glass transition temperatures of the veneering ceramics and the coefficients of thermal expansion of all ceramics were measured (n = 6). Statistical analysis was performed with one-way ANOVA and a post hoc Bonferroni test (p < 0.05).ResultsShear strength ranged from 21.9 ± 6.2 to 31.0 ± 7.1 MPa. The ceramic for the metal–ceramic technique showed spontaneous debonding. The differences in the coefficients of thermal expansion of core and veneer (Δα) were calculated. In addition the differences between glass transition temperatures of the veneering ceramics and room temperature (ΔT) as the effective temperature range for stress formation were calculated. Highest shear strength was observed when ΔαΔT ≈ 1000 × 10^?6.ConclusionsThermal expansion and glass transition temperature of the veneering ceramic have an impact on the shear strength of veneer/zirconia composites.