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Zhai Z, Qian C, Jiao T, Xu C, Sun J. Zirconia specimens printed by vat photopolymerization: Mechanical properties, fatigue properties, and fractography analysis. J Prosthodont 2024. [PMID: 39213171 DOI: 10.1111/jopr.13942] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2023] [Accepted: 08/19/2024] [Indexed: 09/04/2024] Open
Abstract
PURPOSE The mechanical and fatigue properties of zirconia specimens printed by vat photopolymerization (VPP) were evaluated and compared with those of zirconia specimens milled by computer numerical control (CNC). MATERIALS AND METHODS Bar-shaped specimens were printed by stereolithography (SL) and digital light processing (DLP). CNC-milled specimens were used as control samples. The fracture toughness, hardness, and flexural strength properties of the zirconia specimens were evaluated via single edge V-notch beam tests, Vickers hardness tests, and 3-point bending tests. Dynamic fatigue tests were carried out in distilled water using a step-stress test. After static bending and dynamic step-stress testing, fractography analysis was performed. Statistical analysis was carried out to compare the fracture toughness, hardness, flexural strength, and fatigue cycle results of each group (α = 0.05). RESULTS The fracture toughness values did not significantly differ among the groups (p > 0.05). The flexural strength was 894.10 MPa for SL, 831.46 MPa for DLP, and 1140.39 MPa for CNC. The flexural strength of CNC was greater than that of SL and DLP (p < 0.01). The mean fatigue cycles were 23498.07 for SL, 19858.60 for DLP, and 31566.80 for CNC. The mean fatigue failure strength was 643.13 MPa for SL, 530.63 MPa for DLP, and 903.75 MPa for CNC. The fatigue failure strength of CNC was greater than that of SL and DLP (p < 0.05). Fractography analysis revealed material defects at the fracture origin for each group. A partially fused structure of the incompletely debonded resin could be observed in SL, and a porous region of incompletely sintered zirconia grains could be observed in CNC. CONCLUSIONS The fracture toughness and hardness of zirconia printed by VPP are comparable to those of zirconia milled by CNC. However, zirconia milled by CNC has superior static flexural strength and dynamic fatigue resistance. Further studies are needed to explore the clinical applications of VPP-printed zirconia.
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Affiliation(s)
- Zidi Zhai
- Department of Prosthodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, College of Stomatology, Shanghai Jiao Tong University, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology, Shanghai Research Institute of Stomatology, Shanghai, P.R. China
| | - Chao Qian
- Department of Prosthodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, College of Stomatology, Shanghai Jiao Tong University, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology, Shanghai Research Institute of Stomatology, Shanghai, P.R. China
| | - Ting Jiao
- Department of Prosthodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, College of Stomatology, Shanghai Jiao Tong University, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology, Shanghai Research Institute of Stomatology, Shanghai, P.R. China
| | - Chun Xu
- Department of Prosthodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, College of Stomatology, Shanghai Jiao Tong University, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology, Shanghai Research Institute of Stomatology, Shanghai, P.R. China
| | - Jian Sun
- Department of Prosthodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, College of Stomatology, Shanghai Jiao Tong University, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology, Shanghai Research Institute of Stomatology, Shanghai, P.R. China
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Duplák J, Mikuláško S, Dupláková D, Yeromina M, Kaščák R. Analysis of a Regression Model for Creating Surface Microgeometry after Machining Zirconia YML Used for Dental Application. Biomimetics (Basel) 2024; 9:473. [PMID: 39194452 DOI: 10.3390/biomimetics9080473] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2024] [Revised: 08/01/2024] [Accepted: 08/02/2024] [Indexed: 08/29/2024] Open
Abstract
This article focuses on research in the machining of zirconia crowns for dental implants. Its goal is to find the most suitable cutting parameters that significantly affect the final surface roughness of the crowns for dental implants. This study conducts investigations and experiments to specify the cutting parameters that achieve the optimal surface roughness of zirconia crowns for dental implants. The experiments were designed to precisely determine the cutting parameters that influence the surface roughness of zirconia crowns. The results of this study provide important insights for improving the manufacturing process of zirconia crowns with the specified most suitable cutting parameters. This research contributes to the enhancement of zirconia crown manufacturing techniques and the improvement in the quality and effectiveness of dental implants.
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Affiliation(s)
- Ján Duplák
- Department of Automobile and Manufacturing Technologies, Faculty of Manufacturing Technologies, Technical University of Košice, Bayerova 1, 08001 Prešov, Slovakia
| | - Samuel Mikuláško
- Department of Automobile and Manufacturing Technologies, Faculty of Manufacturing Technologies, Technical University of Košice, Bayerova 1, 08001 Prešov, Slovakia
| | - Darina Dupláková
- Department of Automobile and Manufacturing Technologies, Faculty of Manufacturing Technologies, Technical University of Košice, Bayerova 1, 08001 Prešov, Slovakia
| | - Maryna Yeromina
- Department of Automobile and Manufacturing Technologies, Faculty of Manufacturing Technologies, Technical University of Košice, Bayerova 1, 08001 Prešov, Slovakia
| | - Rastislav Kaščák
- Department of Automobile and Manufacturing Technologies, Faculty of Manufacturing Technologies, Technical University of Košice, Bayerova 1, 08001 Prešov, Slovakia
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Alghauli MA, Alqutaibi AY, Wille S, Kern M. The physical-mechanical properties of 3D-printed versus conventional milled zirconia for dental clinical applications: A systematic review with meta-analysis. J Mech Behav Biomed Mater 2024; 156:106601. [PMID: 38810545 DOI: 10.1016/j.jmbbm.2024.106601] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2024] [Revised: 05/12/2024] [Accepted: 05/23/2024] [Indexed: 05/31/2024]
Abstract
AIM OF STUDY This systematic review aimed to compare the physical-mechanical properties of 3D-printed (additively manufactured (AM)) zirconia compared to conventionally milled (subtractive manufactured: SM) zirconia specimens. MATERIALS AND METHODS A thorough search of Internet databases was conducted up to September 2023. The search retrieved studies that evaluated AM zirconia specimens and restorations regarding the physical-mechanical properties and mechanical behavior of zirconia. The main topic focused on 3Y-TZP. However, records of 4YSZ and 5YSZ were also included to gather more comprehensive evidence on additively manufactured zirconia ceramic. The quality of studies was assessed using the ROB2 tool, Newcastle Ottawa scale, and the Modified Consort Statement. Of 1736 records, 57 were assessed for eligibility, and 38 records were included in this review, only two clinical trials meet the inclusion criteria and 36 records were laboratory studies. There were no signs of mechanical complications and wear to antagonists with short-term clinical observation. SM thin specimens ≤1.5 mm showed statistically significant higher flexural strength than AM zirconia (p ≤ 0.01), while thicker specimens showed comparable outcomes (p > 0.5). The fracture resistance of dental restorations was dependent on the aging protocol, restoration type, and thickness. The bond strength of veneering ceramic to zirconia core was comparable. CONCLUSIONS The results pooled from two short-term clinical trials showed no signs of mechanical or biological complications of additively manufactured 3Y-TZP zirconia crowns. The flexural strength might depend on the specimens' thickness, but it showed promising results to be used in clinical applications, taking into account the printing technique and orientation, material composition (yttria content), solid loading, and sintering parameters. 3D-printed restorations fracture resistance improved when adhered to human teeth. The veneering ceramic bond was comparable to milled zirconia specimens. Long-term RCTs are recommended to confirm the mechanical behavior of 3D-printed restorations.
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Affiliation(s)
- Mohammed Ahmed Alghauli
- Department of Prosthodontic, Propaedeutic and Dental Materials, Faculty of Dentistry, Kiel University, Kiel, Germany; Department of Prosthodontics, Faculty of Dentistry, Ibb University, Ibb, Yemen.
| | - Ahmed Yaseen Alqutaibi
- Department of Prosthodontics, Faculty of Dentistry, Ibb University, Ibb, Yemen; Department of Substitutive Dental Science, College of Dentistry, Taibah University, Al-Madinah, Saudi Arabia
| | - Sebastian Wille
- Department of Prosthodontic, Propaedeutic and Dental Materials, Faculty of Dentistry, Kiel University, Kiel, Germany
| | - Matthias Kern
- Department of Prosthodontic, Propaedeutic and Dental Materials, Faculty of Dentistry, Kiel University, Kiel, Germany
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Alghauli M, Alqutaibi AY, Wille S, Kern M. 3D-printed versus conventionally milled zirconia for dental clinical applications: Trueness, precision, accuracy, biological and esthetic aspects. J Dent 2024; 144:104925. [PMID: 38471580 DOI: 10.1016/j.jdent.2024.104925] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2023] [Revised: 02/11/2024] [Accepted: 03/04/2024] [Indexed: 03/14/2024] Open
Abstract
OBJECTIVES This systematic review aimed to compare the clinical outcome, internal gap, trueness, precision, and biocompatibility of 3D-printed (AM) compared to milled (SM) zirconia restorations. DATA SOURCE A thorough search of Internet databases was conducted up to September 2023. The search retrieved studies compared AM zirconia to SM zirconia restorations regarding clinical outcome, fit, trueness, precision, and biocompatibility. STUDY SELECTION Of 1736 records, only 59 were screened for eligibility, and 22 records were included in this review. The quality of studies was assessed using the revised Cochrane risk-of-bias tool (ROB2), and the Modified Consort Statement. One clinical study exhibited a low risk of bias. All laboratory studies revealed some bias concerns. Short-term observation showed 100 % survival with no signs of periodontal complications. 3D-printed zirconia crowns showed statistically significant lower ΔE and a better match to adjacent teeth (p ≤ 0.5). The fit, trueness, and precision vary with the printing technique and the tooth surface. CONCLUSIONS 3D-printed zirconia crowns provide better aesthetic color and contour match to adjacent natural teeth than milled crowns. Both 3D printing and milling result in crowns within the clinically acceptable internal and marginal fit. Except for nanoparticle jetting, the marginal gap of SM crowns was smaller than AM crowns, however, both were clinically acceptable. Laminate veneers might be more accurately produced by 3D printing. 3D-printed axial surface trueness was better than milled axial surfaces. Long-term RCTs are recommended to confirm the clinical applicability of 3D-printed restorations. CLINICAL SIGNIFICANCE Internal fit and gap, precision, and trueness are fundamental requirements for successful dental restorations. Both techniques produce restorations with clinically acceptable marginal and internal fit. Axial surfaces and narrow or constricted areas favored 3D-printed than conventionally milled zirconia.
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Affiliation(s)
- Mohammed Alghauli
- Prosthodontics Department, College of Dentistry, Ibb University, Yemen; Department of Prosthodontic, Propaedeutic and Dental Materials, Faculty of Dentistry, Kiel University, Kiel, Germany.
| | - Ahmed Yaseen Alqutaibi
- Prosthodontics Department, College of Dentistry, Ibb University, Yemen; Prosthodontics Department, College of Dentistry, Taibah University, Al-Madinah, Saudi Arabia
| | - Sebastian Wille
- Department of Prosthodontic, Propaedeutic and Dental Materials, Faculty of Dentistry, Kiel University, Kiel, Germany
| | - Matthias Kern
- Department of Prosthodontic, Propaedeutic and Dental Materials, Faculty of Dentistry, Kiel University, Kiel, Germany
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Zhang C, Meng J, Zhang L, Fan S, Yi Y, Zhang J, Wu G. Influence of 3D printed surface micro-structures on molding performance and dental bonding properties of zirconia. J Dent 2024; 144:104937. [PMID: 38479706 DOI: 10.1016/j.jdent.2024.104937] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2023] [Revised: 02/27/2024] [Accepted: 03/10/2024] [Indexed: 03/18/2024] Open
Abstract
OBJECTIVES To investigate the influence of the 3D printed micro-structured surfaces on the bond strength of zirconia to resin cement. METHODS Zirconia specimens were divided into five groups based on manufacturing technique and surface preparation: (1) milled zirconia (M group); (2) milled zirconia airborne abraded (MA group); (3) printed zirconia (M group); (4) printed zirconia airborne abraded (PA group); and (5) printed zirconia with micro-structured surface (PM group). The surface morphology, cross-sectional morphology, and elemental composition were observed using a scanning electron microscope (SEM). Surface roughness was measured using a laser scanning confocal microscope (SLCM). Shear bond strength (SBS) was measured using a universal testing machine after bonding resin cement (n = 10). The failure modes of the bonded fracture interfaces were observed and counted using a stereomicroscope and a SEM. In addition, boundary dimensional accuracy (n = 10) and micro-structural dimensional accuracy (n = 20) of printed zirconia specimens with micro-structured surfaces were measured using digital calipers and Fiji software. The crystalline phase changes before and after surface treatment were investigated using X-ray diffractometry. Data was analysed using one-way ANOVA and Tukey HSD post-hoc tests (α = 0.05). RESULT The surface micro-structures of the PM group had regular morphology and no obvious defects. The surface roughness results showed that the PM group had higher Sa (42.21±1.38 um) and Ra (21.25±1.80 um) values than the other four groups (p < 0.001). The SBS test showed that the bond strength of the PM group reached 11.23 ± 0.66 MPa, which was 55.97% (p < 0.001) higher than that of the P group (7.20 ± 1.14 MPa). The boundary dimensional accuracy of the PM group was proficient (diameter: 99.63 ± 0.31%, thickness: 98.05 ± 1.12%), and the actual fabrication dimensions of the hexagonal micro-structures reached 77.45%-80.01% of the original design. The micro-structured surface did not affect the crystalline phase of zirconia. CONCLUSIONS The current study illustrates that 3D-printed microstructured surfaces effectively improve the bond strength of zirconia to resin cements. CLINICAL SIGNIFICANCE With the advantage of 3D printing, this study provides a new idea for improving the bonding properties of zirconia.
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Affiliation(s)
- Cunliang Zhang
- Department of Prosthodontics, Nanjing Stomatological Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China
| | - Jiali Meng
- Digital Engineering Center of Stomatology, Nanjing Stomatological Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China
| | - Li Zhang
- Department of Prosthodontics, Nanjing Stomatological Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China
| | - Siyu Fan
- Department of Prosthodontics, Nanjing Stomatological Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China
| | - Yingjie Yi
- Digital Engineering Center of Stomatology, Nanjing Stomatological Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China
| | - Jiaqi Zhang
- Digital Engineering Center of Stomatology, Nanjing Stomatological Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China
| | - Guofeng Wu
- Department of Prosthodontics, Nanjing Stomatological Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China; Digital Engineering Center of Stomatology, Nanjing Stomatological Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
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Siqueira JRCDS, Rodriguez RMM, Campos TMB, Ramos NDC, Bottino MA, Tribst JPM. Characterization of Microstructure, Optical Properties, and Mechanical Behavior of a Temporary 3D Printing Resin: Impact of Post-Curing Time. MATERIALS (BASEL, SWITZERLAND) 2024; 17:1496. [PMID: 38612010 PMCID: PMC11012777 DOI: 10.3390/ma17071496] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/25/2024] [Revised: 03/17/2024] [Accepted: 03/22/2024] [Indexed: 04/14/2024]
Abstract
The present study aimed to characterize the microstructure of a temporary 3D printing polymer-based composite material (Resilab Temp), evaluating its optical properties and mechanical behavior according to different post-curing times. For the analysis of the surface microstructure and establishment of the best printing pattern, samples in bar format following ISO 4049 (25 × 10 × 3 mm) were designed in CAD software (Rhinoceros 6.0), printed on a W3D printer (Wilcos), and light-cured in Anycubic Photon for different lengths of time (no post-curing, 16 min, 32 min, and 60 min). For the structural characterization, analyses were carried out using Fourier transform infrared spectroscopy (FT-IR) and scanning electron microscopy (SEM). The mechanical behavior of this polymer-based composite material was determined based on flexural strength tests and Knoop microhardness. Color and translucency analysis were performed using a spectrophotometer (VITA Easy Shade Advanced 4.0), which was then evaluated in CIELab, using gray, black, and white backgrounds. All analyses were performed immediately after making the samples and repeated after thermal aging over two thousand cycles (5-55 °C). The results obtained were statistically analyzed with a significance level of 5%. FT-IR analysis showed about a 46% degree of conversion on the surface and 37% in the center of the resin sample. The flexural strength was higher for the groups polymerized for 32 min and 1 h, while the Knoop microhardness did not show a statistical difference between the groups. Color and translucency analysis also did not show statistical differences between groups. According to all of the analyses carried out in this study, for the evaluated material, a post-polymerization time of 1 h should be suggested to improve the mechanical performance of 3D-printed devices.
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Affiliation(s)
- Joyce Roma Correia dos Santos Siqueira
- Department of Dental Materials and Prosthodontics, São Paulo State University (Unesp), Institute of Science and Technology, São José dos Campos 12245-000, Brazil; (J.R.C.d.S.S.); (R.M.M.R.); (N.d.C.R.); (M.A.B.)
| | - Rita Maria Morejon Rodriguez
- Department of Dental Materials and Prosthodontics, São Paulo State University (Unesp), Institute of Science and Technology, São José dos Campos 12245-000, Brazil; (J.R.C.d.S.S.); (R.M.M.R.); (N.d.C.R.); (M.A.B.)
| | - Tiago Moreira Bastos Campos
- Department of Prosthodontics and Periodontology, Bauru School of Dentistry, University of São Paulo, Bauru 17012-901, Brazil;
| | - Nathalia de Carvalho Ramos
- Department of Dental Materials and Prosthodontics, São Paulo State University (Unesp), Institute of Science and Technology, São José dos Campos 12245-000, Brazil; (J.R.C.d.S.S.); (R.M.M.R.); (N.d.C.R.); (M.A.B.)
| | - Marco Antonio Bottino
- Department of Dental Materials and Prosthodontics, São Paulo State University (Unesp), Institute of Science and Technology, São José dos Campos 12245-000, Brazil; (J.R.C.d.S.S.); (R.M.M.R.); (N.d.C.R.); (M.A.B.)
| | - João Paulo Mendes Tribst
- Department of Reconstructive Oral Care, Academic Centre for Dentistry Amsterdam (ACTA), Universiteit van Amsterdam and Vrije Universiteit Amsterdam, 1081 LA Amsterdam, The Netherlands
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Lu Y, Wang L, Dal Piva AMDO, Tribst JPM, Čokić SM, Zhang F, Werner A, Kleverlaan CJ, Feilzer AJ. Effect of printing layer orientation and polishing on the fatigue strength of 3D-printed dental zirconia. Dent Mater 2024; 40:190-197. [PMID: 37977991 DOI: 10.1016/j.dental.2023.11.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2023] [Revised: 10/23/2023] [Accepted: 11/04/2023] [Indexed: 11/19/2023]
Abstract
OBJECTIVE The aim of the study was to evaluate the influence of surface polishing and printing layer orientation on the fatigue behaviour of 3 mol% yttria-stabilized zirconia (3Y-TZP) by stereolithography (SLA) in comparison with subtractive manufacturing. MATERIALS AND METHODS 60 experimental zirconia bar-shaped specimens were 3D-printed (P) via SLA, and 30 specimens were milled (M) from commercial zirconia block (Lava™ Frame, 3 M ESPE AG). All specimens had the same dimensions (1 mm × 1 mm x 12 mm) after sintering. The 3D-printed specimens were randomly divided according to printing orientations: parallel or perpendicular to the tensile surface in the fatigue test. The specimens were subsequently submitted to two surface finishing protocols (n = 15/gr): unpolished or polished. Their phase compositions were analysed by X-ray diffraction. The fatigue behaviour was evaluated by a stepwise approach. RESULTS The milled and both 3D-printed groups showed similar phase compositions for the as-sintered condition. Considerable amounts of rhombohedral phase were detected after polishing. Milled unpolished samples presented significantly higher fatigue strength than 3D-printed unpolished samples. Polishing did not improve the fatigue strength for milled zirconia but was advantageous for the 3D-printed specimens. 3D-printed specimens with parallel printing-layer orientation were significantly stronger than specimens with perpendicular layers regardless of surface finishing. CONCLUSION The manufacturing techniques had a significant influence on the fatigue strength of 3Y-TZP, but not on the phase compositions of the surface. The polishing protocol showed different effects on 3Y-TZP fatigue strength and induced phase transition of the 3Y-TZP from Tetragonal to Rhombohedral. The best fatigue strength was achieved through milling using an unpolished surface and SLA-printed layers that were parallel to the tensile surface, followed by polishing.
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Affiliation(s)
- Yuqing Lu
- Department of Dental Materials Science, Academic Center for Dentistry Amsterdam (ACTA), Universiteit van Amsterdam and Vrije Universiteit, the Netherlands
| | - Li Wang
- Jiangsu Key Laboratory of Advanced Food Manufacturing Equipment and Technology, School of Mechanical Engineering, Jiangnan University, Wuxi 214122, Jiangsu, China; Institute of Advanced Technology, Jiangnan University, Wuxi 214122, Jiangsu, China
| | - Amanda Maria de Oliveira Dal Piva
- Department of Dental Materials Science, Academic Center for Dentistry Amsterdam (ACTA), Universiteit van Amsterdam and Vrije Universiteit, the Netherlands
| | - João Paulo Mendes Tribst
- Department of Reconstructive Oral Care, Academic Center for Dentistry Amsterdam (ACTA), Universiteit van Amsterdam and Vrije Universiteit, Amsterdam, the Netherlands.
| | - Stevan M Čokić
- KU Leuven (University of Leuven), Department of Oral Health Sciences, BIOMAT & University Hospitals Leuven (UZ Leuven), Dentistry, Leuven, Belgium
| | - Fei Zhang
- KU Leuven (University of Leuven), Department of Oral Health Sciences, BIOMAT & University Hospitals Leuven (UZ Leuven), Dentistry, Leuven, Belgium; KU Leuven, Department of Materials Engineering, Kasteelpark Arenberg 44, B-3001 Leuven, Belgium
| | - Arie Werner
- Department of Dental Materials Science, Academic Center for Dentistry Amsterdam (ACTA), Universiteit van Amsterdam and Vrije Universiteit, the Netherlands
| | - Cornelis J Kleverlaan
- Department of Dental Materials Science, Academic Center for Dentistry Amsterdam (ACTA), Universiteit van Amsterdam and Vrije Universiteit, the Netherlands
| | - Albert J Feilzer
- Department of Dental Materials Science, Academic Center for Dentistry Amsterdam (ACTA), Universiteit van Amsterdam and Vrije Universiteit, the Netherlands; Department of Reconstructive Oral Care, Academic Center for Dentistry Amsterdam (ACTA), Universiteit van Amsterdam and Vrije Universiteit, Amsterdam, the Netherlands
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Frąckiewicz W, Królikowski M, Kwiatkowski K, Sobolewska E, Szymlet P, Tomasik M. Comparison of Dental Zirconium Oxide Ceramics Produced Using Additive and Removal Technology for Prosthodontics and Restorative Dentistry-Strength and Surface Tests: An In Vitro Study. MATERIALS (BASEL, SWITZERLAND) 2023; 17:168. [PMID: 38204022 PMCID: PMC10779906 DOI: 10.3390/ma17010168] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/28/2023] [Revised: 12/14/2023] [Accepted: 12/26/2023] [Indexed: 01/12/2024]
Abstract
BACKGROUND The aim of this in vitro study was to determine the mechanical and functional properties of zirconium oxide ceramics made using 3D printing technology and ceramics produced using conventional dental milling machines. METHODS Forty zirconia samples were prepared for this study: the control group consisted of 20 samples made using milling technology, and the test group consisted of 20 samples made using 3D printing technology. Their surface parameters were measured, and then their mechanical parameters were checked and compared. Density, hardness, flexural strength and compressive strength were tested by performing appropriate in vitro tests. After the strength tests, a comparative analysis of the geometric structure of the surfaces of both materials was performed again. Student's t-test was used to evaluate the results (p < 0.01). RESULTS Both ceramics show comparable values of mechanical parameters, and the differences are not statistically significant. The geometric structure of the sample surfaces looks very similar. Only minor changes in the structure near the crack were observed in the AM group. CONCLUSION Ceramics made using additive technology have similar mechanical and surface parameters to milled zirconium oxide, which is one of the arguments for the introduction of this material into clinical practice. This in vitro study has shown that this ceramic can compete with zirconium made using CAD/CAM (Computer-Aided Design and Computer-Aided Manufacturing) methods.
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Affiliation(s)
- Wojciech Frąckiewicz
- Department of Dental Prosthetics, Faculty of Medicine and Dentistry, Pomeranian Medical University in Szczecin, 70-111 Szczecin, Poland
| | - Marcin Królikowski
- Department of Manufacturing Engineering, Faculty of Mechanical Engineering and Mechatronics, West Pomeranian University of Technology in Szczecin, 70-310 Szczecin, Poland
| | - Konrad Kwiatkowski
- Department of Mechanics and Fundamentals of Machine Design, Faculty of Mechanical Engineering and Mechatronics, West Pomeranian University of Technology in Szczecin, 70-310 Szczecin, Poland
| | - Ewa Sobolewska
- Department of Dental Prosthetics, Faculty of Medicine and Dentistry, Pomeranian Medical University in Szczecin, 70-111 Szczecin, Poland
| | - Paweł Szymlet
- Department of Dental Prosthetics, Faculty of Medicine and Dentistry, Pomeranian Medical University in Szczecin, 70-111 Szczecin, Poland
| | - Małgorzata Tomasik
- Department of Interdisciplinary Dentistry, Faculty of Medicine and Dentistry, Pomeranian Medical University in Szczecin, 70-111 Szczecin, Poland
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Lu TY, Lin WC, Yang TH, Sahrir CD, Shen YK, Feng SW. The Influence of Dental Virtualization, Restoration Types, and Placement Angles on the Trueness and Contact Space in 3D-Printed Crowns: A Comprehensive Exploration. Dent J (Basel) 2023; 12:2. [PMID: 38275677 PMCID: PMC10814425 DOI: 10.3390/dj12010002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2023] [Revised: 12/05/2023] [Accepted: 12/18/2023] [Indexed: 01/27/2024] Open
Abstract
The current digital dentistry workflow has streamlined dental restoration production, but the effectiveness of digital virtual design and 3D printing for restorations still needs evaluation. This study explores the impact of model-free digital design and 3D-printing placement angles on restorations, including single crowns and long bridges produced with and without casts. The restorations are 3D printed using resin at placement angles of 0°, 60°, and 90°. Each group of samples was replicated ten times, resulting in a total of 120 restorations. The Root Mean Square Error (RMSE) value was used to evaluate the surface integrity of the restoration. In addition, the contact space, edge gap, and occlusal space of restorations produced by different processes were recorded. The results indicate that there was no significant difference in the RMSE value of the crown group (p > 0.05). Changing the bridge restoration angle from 0° to 90° resulted in RMSE values increasing by 2.02 times (without casts) and 2.39 times (with casts). Furthermore, the marginal gaps in the crown group were all less than 60 μm, indicating good adaptation. In contrast, the bridge group showed a significant increase in marginal gaps at higher placement angles (p > 0.05). Based on the findings, virtual fabrication without casts does not compromise the accuracy of dental restorations. When the position of the long bridge exceeds 60 degrees, the error will increase. Therefore, designs without casts and parallel placement result in higher accuracy for dental restorations.
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Affiliation(s)
- Tsung-Yueh Lu
- School of Dentistry, College of Oral Medicine, Taipei Medical University, Taipei 110, Taiwan
| | - Wei-Chun Lin
- School of Dental Technology, College of Oral Medicine, Taipei Medical University, Taipei 110, Taiwan
- Department of Dentistry, Wan-Fang Hospital, Taipei Medical University, Taipei 116, Taiwan
- Center for Tooth Bank and Dental Stem Cell Technology, Taipei Medical University, Taipei 110, Taiwan
| | - Tzu-Hsuan Yang
- School of Dental Technology, College of Oral Medicine, Taipei Medical University, Taipei 110, Taiwan
| | - Citra Dewi Sahrir
- School of Dentistry, College of Oral Medicine, Taipei Medical University, Taipei 110, Taiwan
| | - Yung-Kang Shen
- School of Dental Technology, College of Oral Medicine, Taipei Medical University, Taipei 110, Taiwan
| | - Sheng-Wei Feng
- School of Dentistry, College of Oral Medicine, Taipei Medical University, Taipei 110, Taiwan
- Division of Prosthodontics, Department of Dentistry, Taipei Medical University Hospital, Taipei 110, Taiwan
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10
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Lu Y, de Oliveira Dal Piva AM, Tribst JPM, Feilzer AJ, Kleverlaan CJ. Does glaze firing affect the strength of advanced lithium disilicate after simulated defects? Clin Oral Investig 2023; 27:6429-6438. [PMID: 37726488 PMCID: PMC10630247 DOI: 10.1007/s00784-023-05246-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2023] [Accepted: 09/05/2023] [Indexed: 09/21/2023]
Abstract
OBJECTIVE To study the influence of glazing on strength repair of lithium disilicate glass-ceramics after defect incorporation in different production processing phases. MATERIALS AND METHODS Bar-shaped specimens (1 × 1 × 12 mm, n = 280; 20/group) made from different lithium disilicate ceramics (IPS e.max CAD, Ivoclar, "LD" or advanced lithium disilicate CEREC Tessera, Dentsply Sirona, "ALD") were exposed to 7 different protocols: crystallized without (c) and with glaze layer (cg), with a defect incorporated before crystallization without (ic) and with glaze layer (icg), with a defect after crystallization without (ci) or with glaze layer (cig), and defect incorporated after the glaze layer (cgi). The flexural strength was determined using the three-point bending test. Analysis of indented areas and fractured specimens was performed by scanning electron microscopy. Flexural strength data were evaluated by two-way ANOVA followed by Tukey tests (α = 5%). RESULTS Two-way ANOVA revealed a significant influence of ceramic (p < 0.001; F = 55.45), protocol (p < 0.001; F = 56.94), and the interaction protocol*ceramic (p < 0.001; F = 13.86). Regardless of ceramics, defect incorporation as final step resulted in the worst strength, while defects introduced before crystallization did not reduce strength. Glaze firing after defect incorporation led to strength repair for ALD, whereas such an effect was not evident for LD. CONCLUSIONS The advanced lithium disilicate must receive a glaze layer to achieve its highest strength. Defects incorporated in the pre-crystallized stage can be healed during crystallization. Defects should not be incorporated after glazing. CLINICAL RELEVANCE Clinical adjustments should be performed on pre-crystallized or crystalized restorations that receive a glazer layer afterwards.
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Affiliation(s)
- Yuqing Lu
- Department of Dental Materials Science, Academic Centre for Dentistry Amsterdam (ACTA), Universiteit Van Amsterdam and Vrije Universiteit, Gustav Mahlerlaan 3004, 1081 LA, Amsterdam, Noord-Holland, The Netherlands
| | - Amanda Maria de Oliveira Dal Piva
- Department of Dental Materials Science, Academic Centre for Dentistry Amsterdam (ACTA), Universiteit Van Amsterdam and Vrije Universiteit, Gustav Mahlerlaan 3004, 1081 LA, Amsterdam, Noord-Holland, The Netherlands.
| | - João Paulo Mendes Tribst
- Department of Reconstructive Oral Care, Academic Centre for Dentistry Amsterdam (ACTA), Universiteit Van Amsterdam and Vrije Universiteit, Amsterdam, The Netherlands
| | - Albert J Feilzer
- Department of Dental Materials Science, Academic Centre for Dentistry Amsterdam (ACTA), Universiteit Van Amsterdam and Vrije Universiteit, Gustav Mahlerlaan 3004, 1081 LA, Amsterdam, Noord-Holland, The Netherlands
- Department of Reconstructive Oral Care, Academic Centre for Dentistry Amsterdam (ACTA), Universiteit Van Amsterdam and Vrije Universiteit, Amsterdam, The Netherlands
| | - Cornelis J Kleverlaan
- Department of Dental Materials Science, Academic Centre for Dentistry Amsterdam (ACTA), Universiteit Van Amsterdam and Vrije Universiteit, Gustav Mahlerlaan 3004, 1081 LA, Amsterdam, Noord-Holland, The Netherlands
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11
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Barreto LAL, Grangeiro MTV, Prado PHCO, Bottino MA, Dal Piva AMDO, Ramos NDC, Tribst JPM, Junior LN. Effect of Finishing Protocols on the Surface Roughness and Fatigue Strength of a High-Translucent Zirconia. Int J Dent 2023; 2023:8882878. [PMID: 37780934 PMCID: PMC10541300 DOI: 10.1155/2023/8882878] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2023] [Revised: 08/16/2023] [Accepted: 08/29/2023] [Indexed: 10/03/2023] Open
Abstract
Purpose In case of need for esthetical improvement of zirconia restorations, an individualization using extrinsic staining can be applied. This study aimed to evaluate the surface roughness and fatigue strength (survival) of high-translucency zirconia (3Y-TZP, YZ®HT, Vita Zanhfabrik) with extrinsic characterization and/or glaze. Methods Sixty (60) zirconia discs (12 × 1.2 mm) were obtained, sintered, and randomly distributed among three groups (n = 20) according to the surface finishing protocol: C (control), C + G (extrinsic characterization followed by a glaze layer), and G (glaze layer). The surface roughness (Ra) was analyzed with a contact profilometer. Subsequently, the specimens were subjected to a fatigue load profile starting at 120 N during 20,000 cycles at 4 Hz frequency, with a 5% increase at each step until failure. The failed specimens were evaluated under a stereomicroscope. Surface roughness analysis was evaluated by using one-way ANOVA and post hoc Tukey tests (95%); while fatigue survival probability was analyzed with Kaplan-Meier and Mantel-Cox (log- rank, 95%). Results One-way ANOVA revealed that surface roughness was affected by the finishing protocol, where C + G showed the highest mean value (0.46 ± 0.18 µm)A followed by G (0.30 ± 0.10 µm)B, and C (0.19 ± 0.02 µm)C. While for fatigue strength, the G protocol presented a higher mean value (243.00, and 222.36-263.63)A, followed by C + G (192.75 and 186.61-198.88)B and C (172.50 and 159.43-185.56)C. Conclusion Surface finishing protocols modify the surface roughness and fatigue strength of high-translucent zirconia. Regardless of the surface roughness, both glazing protocols improved the ceramic fatigue strength, favoring the restoration's long-term survival.
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Affiliation(s)
- Larissa Araújo Lopes Barreto
- Department of Dental Materials and Prosthodontics, Institute of Science and Technology, São Paulo State University (Unesp), Eng. Francisco José Longo Avenue, 777, São José dos Campos, SP, Brazil
| | - Manassés Tercio Vieira Grangeiro
- Department of Dental Materials and Prosthodontics, Institute of Science and Technology, São Paulo State University (Unesp), Eng. Francisco José Longo Avenue, 777, São José dos Campos, SP, Brazil
| | - Pedro Henrique Condé Oliveira Prado
- Department of Dental Materials and Prosthodontics, Institute of Science and Technology, São Paulo State University (Unesp), Eng. Francisco José Longo Avenue, 777, São José dos Campos, SP, Brazil
| | - Marco Antonio Bottino
- Department of Dental Materials and Prosthodontics, Institute of Science and Technology, São Paulo State University (Unesp), Eng. Francisco José Longo Avenue, 777, São José dos Campos, SP, Brazil
| | - Amanda Maria de Oliveira Dal Piva
- Department of Dental Materials Science, Academic Centre for Dentistry Amsterdam (ACTA), Universiteit van Amsterdam and Vrije Universiteit, Amsterdam, Netherlands
| | - Nathalia de Carvalho Ramos
- Department of Dental Materials and Prosthodontics, Institute of Science and Technology, São Paulo State University (Unesp), Eng. Francisco José Longo Avenue, 777, São José dos Campos, SP, Brazil
| | - João Paulo Mendes Tribst
- Department of Reconstructive Oral Care, Academic Centre for Dentistry Amsterdam (ACTA), Universiteit van Amsterdam and Vrije Universiteit, Amsterdam, Netherlands
| | - Lafayette Nogueira Junior
- Department of Dental Materials and Prosthodontics, Institute of Science and Technology, São Paulo State University (Unesp), Eng. Francisco José Longo Avenue, 777, São José dos Campos, SP, Brazil
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