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Su G, Zhang Y, Jin C, Zhang Q, Lu J, Liu Z, Wang Q, Zhang X, Ma J. 3D printed zirconia used as dental materials: a critical review. J Biol Eng 2023; 17:78. [PMID: 38129905 PMCID: PMC10740276 DOI: 10.1186/s13036-023-00396-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2023] [Accepted: 11/27/2023] [Indexed: 12/23/2023] Open
Abstract
In view of its high mechanical performance, outstanding aesthetic qualities, and biological stability, zirconia has been widely used in the fields of dentistry. Due to its potential to produce suitable advanced configurations and structures for a number of medical applications, especially personalized created devices, ceramic additive manufacturing (AM) has been attracting a great deal of attention in recent years. AM zirconia hews out infinite possibilities that are otherwise barely possible with traditional processes thanks to its freedom and efficiency. In the review, AM zirconia's physical and adhesive characteristics, accuracy, biocompatibility, as well as their clinical applications have been reviewed. Here, we highlight the accuracy and biocompatibility of 3D printed zirconia. Also, current obstacles and a forecast of AM zirconia for its development and improvement have been covered. In summary, this review offers a description of the basic characteristics of AM zirconia materials intended for oral medicine. Furthermore, it provides a generally novel and fundamental basis for the utilization of 3D printed zirconia in dentistry.
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Affiliation(s)
- Guanyu Su
- Liaoning Provincial Key Laboratory of Oral Diseases, School and Hospital of Stomatology, China Medical University, No. 117 Nanjing North Street, Shenyang, 110001, China
| | - Yushi Zhang
- Liaoning Provincial Key Laboratory of Oral Diseases, School and Hospital of Stomatology, China Medical University, No. 117 Nanjing North Street, Shenyang, 110001, China
| | - Chunyu Jin
- Liaoning Provincial Key Laboratory of Oral Diseases, School and Hospital of Stomatology, China Medical University, No. 117 Nanjing North Street, Shenyang, 110001, China
| | - Qiyue Zhang
- Liaoning Provincial Key Laboratory of Oral Diseases, School and Hospital of Stomatology, China Medical University, No. 117 Nanjing North Street, Shenyang, 110001, China
| | - Jiarui Lu
- Liaoning Provincial Key Laboratory of Oral Diseases, School and Hospital of Stomatology, China Medical University, No. 117 Nanjing North Street, Shenyang, 110001, China
| | - Zengqian Liu
- Shi-Changxu Innovation Center for Advanced Materials, Institute of Metal Research, Chinese Academy of Sciences, Shenyang, 110016, China
- School of Materials Science and Engineering, University of Science and Technology of China, Hefei, 230026, China
| | - Qiang Wang
- Liaoning Provincial Key Laboratory of Oral Diseases, School and Hospital of Stomatology, China Medical University, No. 117 Nanjing North Street, Shenyang, 110001, China
| | - Xue Zhang
- Department of Orthodontics, School and Hospital of Stomatology, China Medical University, No. 117 Nanjing North Street, Shenyang, 110001, China.
| | - Jia Ma
- Department of Orthodontics, School and Hospital of Stomatology, China Medical University, No. 117 Nanjing North Street, Shenyang, 110001, China.
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Sivrikaya EC, Guler MS, Bekci ML. A comparative study between zirconia and titanium abutments on the stress distribution in parafunctional loading: A 3D finite element analysis. Technol Health Care 2020; 28:603-613. [PMID: 32568140 DOI: 10.3233/thc-202305] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Zirconia has become a popular biomaterial in dental implant systems because of its biocompatible and aesthetic properties. However, this material is more fragile than titanium so its use is limited. OBJECTIVES The aim of this study was to compare the stresses on morse taper implant systems under parafunctional loading in different abutment materials using three-dimensional finite element analysis (3D FEA). METHODS Four different variations were modelled. The models were created according to abutment materials (zirconia or titanium) and loading (1000 MPa vertical or oblique on abutments). The placement of the implants (diameter, 5.0 × 15 mm) were mandibular right first molar. RESULTS In zirconia abutment models, von Mises stress (VMS) values of implants and abutments were decreased. Maximum and minimum principal stresses and VMS values increased in oblique loading. VMS values were highest in the connection level of the conical abutments in all models. CONCLUSIONS Using conical zirconia abutments decreases von Mises stress values in abutments and implants. However, these values may exceed the pathological limits in bruxism patients. Therefore, microfractures may be related to the level of the abutment.
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Affiliation(s)
- Efe Can Sivrikaya
- Department of Oral Maxillofacial Surgery, Faculty of Dentistry, Karadeniz Technical University, Trabzon, Turkey
| | - Mehmet Sami Guler
- Department of Machinery and Metal Technologies, Vocational School of Technical Sciences, Ordu University, Ordu, Turkey
| | - Muhammed Latif Bekci
- Department of Mechanical Engineering, Faculty of Engineering, Karadeniz Technical University, Trabzon, Turkey
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Lopez CAV, Vasco MAA, Ruales E, Bedoya KA, Benfatti CM, Bezzon OL, Deliberador TM. Three-Dimensional Finite Element Analysis of Stress Distribution in Zirconia and Titanium Dental Implants. J ORAL IMPLANTOL 2018; 44:409-415. [DOI: 10.1563/aaid-joi-d-16-00109] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Zirconia has been presented as an alternative biomaterial to titanium, commercially presented as a single-body implant and/or as an abutment, demonstrating clinically biocompatible favorable results in white and rose esthetics. However, the number of long-term in vivo studies and mechanical tests evaluating the response of stress distribution compared with titanium implants is still limited. The aim of the study was to compare the principal peak stresses in the peri-implant bone around titanium and zirconia implants using the finite element method. Four groups of 3-dimensional models were constructed for the tests: G1, external hexagon titanium implant with a zirconia abutment; G2, zirconia implant with a zirconia abutment; G3, single-body titanium implant; and G4, single-body zirconia implant. Axial and oblique loads of 100 N at 45° were simulated in the prosthetic crown. The bone results showed that the peak stresses decreased by 12% in zirconia implants with 2 parts for axial load and 30% for the oblique load. In single-body implants, the peak stresses decreased 12% in the axial load and 34% in the oblique load when a zirconia implant was used compared with a titanium implant. Although the stress values in megapascals are similar, it can be concluded that the zirconia implants decrease the stress peaks at the peri-implant bone area around the implant platform when compared with titanium implants.
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Affiliation(s)
- Camilo Andres Villabona Lopez
- Department of Dentistry, Santo Tomás University, Bucaramanga, Santander, Colombia
- Faculty of Dentistry, SLMANDIC, Curitiba, PR, Brazil
| | - Marco Antônio Amorin Vasco
- Department of Oral Rehabilitation, University of São Paulo, Ribeirao Preto, Sao Paulo, Brazil
- Department of Bioengineering, University of Zaragoza, Zaragoza, Spain
| | - Edwin Ruales
- Center for Education and Research on Dental Implants (CEPID), Department of Implantology, Federal University of Santa Cataria, Florianópolis, Brazil
| | - Karin Apaza Bedoya
- Center for Education and Research on Dental Implants (CEPID), Department of Implantology, Federal University of Santa Cataria, Florianópolis, Brazil
| | - Cesar Magalhaes Benfatti
- Center for Education and Research on Dental Implants (CEPID), Department of Implantology, Federal University of Santa Cataria, Florianópolis, Brazil
| | - Osvaldo Luis Bezzon
- Department of Oral Rehabilitation, University of São Paulo, Ribeirao Preto, Sao Paulo, Brazil
- Department of Bioengineering, University of Zaragoza, Zaragoza, Spain
| | - Tatiana Miranda Deliberador
- Faculty of Dentistry, SLMANDIC, Curitiba, PR, Brazil
- Department of Dentistry, Positivo University, Curitiba, Paraná, Brazil
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Karacan I, Chou J, Ben-nissan B, Macha IJ, Juritza A, Wang AH, Müller WH, Grossin D, Taraschi V, Oktar FN, Swain M. Adhesion and Scratch Testing of Antibiotic Loaded Poly-Lactic Acid Biocomposite Thin Films on Metallic Implants. ACTA ACUST UNITED AC 2018; 782:195-200. [DOI: 10.4028/www.scientific.net/kem.782.195] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Surface modifications have been progressively applied in order to improve the mechanical, biological and chemical properties of metallic dental and orthopedic implants. Therefore, the novel and multifunctional biocomposites coating matrices, which also consist of local and targeted drug delivery systems, are the most recent applications in the medical field. In this study, gentamicin antibiotic containing HAp bioceramics were utilized in a biodegradable poly-lactic acid thin film matrix which was applied to Ti6Al4V metallic implant surfaces. nanoindentation and scratch test methods were applied. It was observed that, bonding between coating and the substrate is strong enough to be used in implant applications. Additionally, it was observed that the hardness and young modulus values of uncoated Ti6Al4V disc which were 4.3 and 125.2 GPa, respectively. However, under the same testing conditions, it was also observed that the H values (0.6-0.8GPa) and the E (50-60 GPa) values of PLA-HAp biocomposite coated samples are slightly higher than the H values (0.4-0.6 GPa) and the E values (40-50GPa) of only PLA coated sample.
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Pessanha-Andrade M, Sordi MB, Henriques B, Silva FS, Teughels W, Souza JCM. Custom-made root-analogue zirconia implants: A scoping review on mechanical and biological benefits. J Biomed Mater Res B Appl Biomater 2018; 106:2888-2900. [PMID: 30070423 DOI: 10.1002/jbm.b.34147] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2018] [Revised: 03/18/2018] [Accepted: 04/09/2018] [Indexed: 12/26/2022]
Abstract
The aim of this study was to conduct a literature review on the potential benefits of custom-made root-analogue zirconia implants. A PubMed and ScienceDirect bibliographical search was carried out from 1969 to 2017. The increased interest in zirconia-based dental structures linked to aesthetic and biological outcomes have been reported in literature. Recent technological advances have focused on novel strategies for modification of zirconia-based surfaces to accelerate osseointegration. However, only a few studies revealed mechanical and biological benefits of custom-made root-analogue zirconia implants and therefore further studies should investigate the influence of different design and surface modification on the performance of such implants. Custom-made root-analogue zirconia implants have become a viable alternative to overcome limitations concerning stress distribution, aesthetics, and peri-implantitis induced by biofilms. However, further in vitro and in vivo studies on surface-bone interactions and mechanical behavior of zirconia should be evaluated to reduce clinical issues regarding mechanical failures and late peri-implant bone loss. © 2018 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater, 106B: 2888-2900, 2018.
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Affiliation(s)
- Miguel Pessanha-Andrade
- Division of Oral Implantology, School of Dentistry, Universidade Fernando Pessoa (UFP), Porto, Portugal
| | - Mariane B Sordi
- Post-graduate Program in Dentistry (PPGO), Universidade Federal de Santa Catarina (UFSC), Florianópolis, Brazil
| | - Bruno Henriques
- Center for Microelectromechanical Systems (CMEMS-UMinho), University of Minho, Campus Azurém, Guimarães, Portugal
| | - Filipe S Silva
- Center for Microelectromechanical Systems (CMEMS-UMinho), University of Minho, Campus Azurém, Guimarães, Portugal
| | - Wim Teughels
- Department of Oral Health Sciences, University Hospitals Leuven, Katholieke Universiteit Leuven, Leuven, Belgium
| | - Júlio C M Souza
- Center for Microelectromechanical Systems (CMEMS-UMinho), University of Minho, Campus Azurém, Guimarães, Portugal
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Jin XZ, Homaei E, Matinlinna JP, Tsoi JKH. A new concept and finite-element study on dental bond strength tests. Dent Mater 2016; 32:e238-e250. [PMID: 27497744 DOI: 10.1016/j.dental.2016.07.005] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2016] [Revised: 05/09/2016] [Accepted: 07/16/2016] [Indexed: 02/04/2023]
Abstract
OBJECTIVE Numerous bond strength tests have been performed on dental adhesion experiments. Yet, the validity of these bond strength tests is controversial due to the name (e.g., "shear" or "tensile") may not reflect to the true and complete stress situation, i.e., assumed uniform shear or uniaxial tensile conditions. Thus, the aim of this study was to simulate and compare the stress distribution of and between shear bond strength (SBS), tensile bond strength (TBS), mold-enclosed shear bond strength (ME-SBS) and de novo lever-induced mold-enclosed shear bond strength (LIME-SBS) tests. METHODS 3-Dimensional finite element method (FEM) was used on the dental resin-bonded surfaces (i.e., titanium alloy, dentine and porcelain) interphased with adhesive layer (thickness 5μm) to simulate the mechanical tests. For ME-SBS, both polycarbonate and stainless steel molds were used. For LIME-SBS, stainless steel levers and molds with lengths of 3mm, 6mm, 12mm, 15mm and 18mm were used. The applied loads on these models were 50N, 100N and 200N. RESULTS De novo LIME-SBS test was the most optimal configuration to evaluate "shear" bond strength of adhesive in regards to providing significantly high and uniform shear stress as well as eliminating tensile stress at the interface. The conventional SBS test created very high tensile stress at the load area, whereas the TBS created optimal tensile stress but shear stress indeed co-exist. The ME-SBS test could also eliminate some of the tensile stress. Similar stress distributions pattern appeared on the Ti-adhesive models, the dentine-adhesive models and porcelain-adhesive models. SIGNIFICANCE None of the bond strength tests could give purely "shear" or "tensile" bond strength, but LIME-SBS seems to be the best model to evaluate the bond strength under true "shear" mode.
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Affiliation(s)
- Xiao-Zhuang Jin
- Dental Materials Science, Faculty of Dentistry, The University of Hong Kong, Hong Kong Special Administrative Region, P. R. China
| | - Ehsan Homaei
- Dental Materials Science, Faculty of Dentistry, The University of Hong Kong, Hong Kong Special Administrative Region, P. R. China; Department of Mechanical Engineering, Ferdowsi University of Mashhad, Mashhad, Iran
| | - Jukka Pekka Matinlinna
- Dental Materials Science, Faculty of Dentistry, The University of Hong Kong, Hong Kong Special Administrative Region, P. R. China
| | - James Kit Hon Tsoi
- Dental Materials Science, Faculty of Dentistry, The University of Hong Kong, Hong Kong Special Administrative Region, P. R. China.
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Tanoue M, Kanazawa M, Takeshita S, Minakuchi S. Effects of clip materials on stress distribution to maxillary implant overdentures with bar attachments. J Prosthet Dent 2016; 115:283-9. [DOI: 10.1016/j.prosdent.2015.07.017] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2015] [Revised: 07/17/2015] [Accepted: 07/22/2015] [Indexed: 10/22/2022]
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