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Rohr N, Märtin S, Zitzmann NU, Fischer J. A comprehensive in vitro study on the performance of two different strategies to simplify adhesive bonding. J ESTHET RESTOR DENT 2022; 34:833-842. [PMID: 35305288 PMCID: PMC9543337 DOI: 10.1111/jerd.12903] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2021] [Revised: 01/29/2022] [Accepted: 03/05/2022] [Indexed: 11/29/2022]
Abstract
Objective The purpose of this study is to compare the bonding performance and mechanical properties of two different resin composite cements using simplified adhesive bonding strategies. Materials and methods Shear bond strength of two resin composite cements (an adhesive cement: Panavia V5 [PV5] and a self‐adhesive cement: RelyX Universal [RUV]) to human enamel, dentin, and a variety of restorative materials (microfilled composite, composite, polymer‐infiltrated ceramic, feldspar ceramic, lithium disilicate and zirconia) was measured. Thermocycle aging was performed with selected material combinations. Results For both cements, the highest shear bond strength to dentin was achieved when using a primer (PV5: 18.0 ± 4.2 MPa, RUV: 18.2 ± 3.3 MPa). Additional etching of dentin reduced bond strength for RUV (12.5 ± 4.9 MPa). On enamel, PV5 achieved the highest bond strength when the primer was used (18.0 ± 3.1 MPa), while for RUV etching of enamel and priming provided best results (21.2 ± 6.6 MPa). Shear bond strength of RUV to restorative materials was superior to PV5. Bonding to resin‐based materials was predominantly observed for RUV. Conclusions While use of RUV with the selective‐etch technique is slightly more labor intensive than PV5, RUV (with its universal primer) displayed a high‐bonding potential to all tested restorative materials, especially to resin. Clinical significance For a strong adhesion to the tooth substrate, PV5 (with its tooth primer) is to be preferred because etching with phosphoric acid is not required. However, when using a wide range of varying restorative materials, RUV with its universal primer seems to be an adequate option.
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Affiliation(s)
- Nadja Rohr
- Biomaterials and Technology, Department of Reconstructive Dentistry, University Center for Dental Medicine Basel UZB, University of Basel, Basel, Switzerland
| | - Sabrina Märtin
- Biomaterials and Technology, Department of Reconstructive Dentistry, University Center for Dental Medicine Basel UZB, University of Basel, Basel, Switzerland
| | - Nicola U Zitzmann
- Biomaterials and Technology, Department of Reconstructive Dentistry, University Center for Dental Medicine Basel UZB, University of Basel, Basel, Switzerland
| | - Jens Fischer
- Biomaterials and Technology, Department of Reconstructive Dentistry, University Center for Dental Medicine Basel UZB, University of Basel, Basel, Switzerland
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Wang F, Tankus EB, Santarella F, Rohr N, Sharma N, Märtin S, Michalscheck M, Maintz M, Cao S, Thieringer FM. Fabrication and Characterization of PCL/HA Filament as a 3D Printing Material Using Thermal Extrusion Technology for Bone Tissue Engineering. Polymers (Basel) 2022; 14:polym14040669. [PMID: 35215595 PMCID: PMC8879030 DOI: 10.3390/polym14040669] [Citation(s) in RCA: 17] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2021] [Revised: 01/28/2022] [Accepted: 02/06/2022] [Indexed: 12/19/2022] Open
Abstract
The most common three-dimensional (3D) printing method is material extrusion, where a pre-made filament is deposited layer-by-layer. In recent years, low-cost polycaprolactone (PCL) material has increasingly been used in 3D printing, exhibiting a sufficiently high quality for consideration in cranio-maxillofacial reconstructions. To increase osteoconductivity, prefabricated filaments for bone repair based on PCL can be supplemented with hydroxyapatite (HA). However, few reports on PCL/HA composite filaments for material extrusion applications have been documented. In this study, solvent-free fabrication for PCL/HA composite filaments (HA 0%, 5%, 10%, 15%, 20%, and 25% weight/weight PCL) was addressed, and parameters for scaffold fabrication in a desktop 3D printer were confirmed. Filaments and scaffold fabrication temperatures rose with increased HA content. The pore size and porosity of the six groups’ scaffolds were similar to each other, and all had highly interconnected structures. Six groups’ scaffolds were evaluated by measuring the compressive strength, elastic modulus, water contact angle, and morphology. A higher amount of HA increased surface roughness and hydrophilicity compared to PCL scaffolds. The increase in HA content improved the compressive strength and elastic modulus. The obtained data provide the basis for the biological evaluation and future clinical applications of PCL/HA material.
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Affiliation(s)
- Fengze Wang
- MIRACLE Smart Implants Group, Department of Biomedical Engineering, University of Basel, 4123 Allschwil, Switzerland; (F.W.); (E.B.T.); (F.S.); (N.S.); (M.M.); (M.M.)
- Medical Additive Manufacturing Research Group (Swiss MAM), Department of Biomedical Engineering, University of Basel, 4123 Allschwil, Switzerland
| | - Esma Bahar Tankus
- MIRACLE Smart Implants Group, Department of Biomedical Engineering, University of Basel, 4123 Allschwil, Switzerland; (F.W.); (E.B.T.); (F.S.); (N.S.); (M.M.); (M.M.)
- Medical Additive Manufacturing Research Group (Swiss MAM), Department of Biomedical Engineering, University of Basel, 4123 Allschwil, Switzerland
| | - Francesco Santarella
- MIRACLE Smart Implants Group, Department of Biomedical Engineering, University of Basel, 4123 Allschwil, Switzerland; (F.W.); (E.B.T.); (F.S.); (N.S.); (M.M.); (M.M.)
- Medical Additive Manufacturing Research Group (Swiss MAM), Department of Biomedical Engineering, University of Basel, 4123 Allschwil, Switzerland
| | - Nadja Rohr
- Biomaterials and Technology, Department of Reconstructive Dentistry, University Center for Dental Medicine Basel UZB, University of Basel, 4058 Basel, Switzerland;
| | - Neha Sharma
- MIRACLE Smart Implants Group, Department of Biomedical Engineering, University of Basel, 4123 Allschwil, Switzerland; (F.W.); (E.B.T.); (F.S.); (N.S.); (M.M.); (M.M.)
- Medical Additive Manufacturing Research Group (Swiss MAM), Department of Biomedical Engineering, University of Basel, 4123 Allschwil, Switzerland
- Clinic of Oral and Cranio-Maxillofacial Surgery, University Hospital Basel, 4031 Basel, Switzerland
| | - Sabrina Märtin
- Biomaterials and Technology, Department of Research, University Center of Dental Medicine Basel UZB, University of Basel, 4058 Basel, Switzerland;
| | - Mirja Michalscheck
- MIRACLE Smart Implants Group, Department of Biomedical Engineering, University of Basel, 4123 Allschwil, Switzerland; (F.W.); (E.B.T.); (F.S.); (N.S.); (M.M.); (M.M.)
- Medical Additive Manufacturing Research Group (Swiss MAM), Department of Biomedical Engineering, University of Basel, 4123 Allschwil, Switzerland
- Clinic of Oral and Cranio-Maxillofacial Surgery, University Hospital Basel, 4031 Basel, Switzerland
| | - Michaela Maintz
- MIRACLE Smart Implants Group, Department of Biomedical Engineering, University of Basel, 4123 Allschwil, Switzerland; (F.W.); (E.B.T.); (F.S.); (N.S.); (M.M.); (M.M.)
- Medical Additive Manufacturing Research Group (Swiss MAM), Department of Biomedical Engineering, University of Basel, 4123 Allschwil, Switzerland
- Institute for Medical Engineering and Medical Informatics, University of Applied Sciences and Arts of Northwestern Switzerland, 4132 Muttenz, Switzerland
| | - Shuaishuai Cao
- MIRACLE Smart Implants Group, Department of Biomedical Engineering, University of Basel, 4123 Allschwil, Switzerland; (F.W.); (E.B.T.); (F.S.); (N.S.); (M.M.); (M.M.)
- Medical Additive Manufacturing Research Group (Swiss MAM), Department of Biomedical Engineering, University of Basel, 4123 Allschwil, Switzerland
- Department of Stomatology, Shenzhen University General Hospital and Shenzhen University Clinical Medical Academy, Shenzhen University, Shenzhen 518071, China
- Correspondence: (S.C.); (F.M.T.)
| | - Florian M. Thieringer
- MIRACLE Smart Implants Group, Department of Biomedical Engineering, University of Basel, 4123 Allschwil, Switzerland; (F.W.); (E.B.T.); (F.S.); (N.S.); (M.M.); (M.M.)
- Medical Additive Manufacturing Research Group (Swiss MAM), Department of Biomedical Engineering, University of Basel, 4123 Allschwil, Switzerland
- Clinic of Oral and Cranio-Maxillofacial Surgery, University Hospital Basel, 4031 Basel, Switzerland
- Correspondence: (S.C.); (F.M.T.)
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Rohr N, Märtin S, Fischer J. Fracture load of zirconia implant supported CAD/CAM resin crowns and mechanical properties of restorative material and cement. J Prosthodont Res 2021; 65:502-508. [PMID: 33840705 DOI: 10.2186/jpr.jpr_d_20_00051] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
PURPOSE To test if resin CAD/CAM materials should be considered for zirconia implants and how their mechanical properties affect the fracture load. METHODS Fracture load of molar crowns of CAD/CAM materials (VITA CAD-Temp [CT], Cerasmart [CS], Lava Ultimate [LU], Pekkton Ivory [PK]) on zirconia implants (ceramic.implant, 4.0 mm) fixed either with no cement, temporary cement (Harvard Implant semi-permanent [HIS]), self-adhesive (VITA Adiva S-Cem [VAS]) or either one of two adhesive cements (Multilink Automix [MLA], VITA Adiva F-Cem [VAF]) was analyzed. The restorative materials were characterized by their flexural strength, fracture toughness, elemental composition and organic/inorganic ratio while compressive strength of the cements was measured. RESULTS For the fracture load significantly highest mean values were fo und overall for PK (2921 ±300 N) > LU (2017 ±499 N) > CS (1463 ±367 N) = CT (1451 ±327 N) (p > 0.05). When analyzing the effect of the cement on the fracture load the overall ranking was VAF (2245 ±650 N) ≥ MLA (2188 ±708 N) ≥ VAS (2017 ±563 N) > HIS (1757 ±668 N) = no cement (1595 ±757 N) (p <0.05), meaning fracture load increased with the compressive strength of the cements. Additionally, a linear trend was found between the fracture load and the fracture toughness of the restorative materials. CONCLUSIONS All restorative materials exhibited fracture load values similar or higher than lithium disilicate tested previously. Fracture load of CT, CS and LU can be significantly increased when an adhesive cement with a high compressive strength is used.
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Affiliation(s)
- Nadja Rohr
- Biomaterials and Technology, Department of Reconstructive Dentistry, University Center for Dental Medicine, University of Basel, Basel
| | - Sabrina Märtin
- Biomaterials and Technology, Department of Reconstructive Dentistry, University Center for Dental Medicine, University of Basel, Basel
| | - Jens Fischer
- Biomaterials and Technology, Department of Reconstructive Dentistry, University Center for Dental Medicine, University of Basel, Basel
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Nueesch R, Conejo J, Mante F, Fischer J, Märtin S, Rohr N, Blatz MB. Loading capacity of CAD/CAM-fabricated anterior feldspathic ceramic crowns bonded to one-piece zirconia implants with different cements. Clin Oral Implants Res 2019; 30:178-186. [PMID: 30629769 DOI: 10.1111/clr.13404] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [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: 04/12/2018] [Revised: 11/22/2018] [Accepted: 12/23/2018] [Indexed: 11/29/2022]
Abstract
OBJECTIVE This study evaluated the loading capacity of CAD/CAM-fabricated anterior feldspathic ceramic crowns bonded to one-piece zirconia implants with different cements. MATERIAL AND METHODS Fifty one-piece zirconia implants were embedded in epoxy resin. The abutment aspect of one implant was optically scanned and a standardized upper canine was designed with CAD-software. Fifty feldspathic ceramic crowns were milled, polished, and mounted on the implants either without any cement, with a temporary cement or with three different composite resin cements after surface pretreatment as recommended by the manufacturers (n = 10). After storage in distilled water at 37°C for 24 hr, specimens were loaded until fracture on the palatal surface of the crown at an angle of 45° to the long axis of the implant and loads until fracture were detected and compared. Compressive strength of the investigated cement materials was determined. Statistical analyses were done with One-way ANOVA followed by post hoc Fisher LSD test (α = 0.05). RESULTS The cements revealed significantly different compressive strength values (temporary cement: 37.1 ± 7.0 MPa; composite resin cements: 185.8 ± 21.3, 277.9 ± 22.1, and 389.0 ± 13.6 MPa, respectively). Load-at-fracture values had an overall mean value of 237.1 ± 58.2 N with no significant difference among the composite resin cements (p > 0.05). Fracture load values with the temporary cement or without cement were significantly lower (p < 0.002). CONCLUSIONS CAD/CAM-fabricated anterior feldspathic ceramic crowns bonded to one-piece zirconia implants provide sufficient resistance to intraoral forces.
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Affiliation(s)
- Reto Nueesch
- Center of Dental Medicine, University of Zurich, Zurich, Switzerland
| | - Julian Conejo
- Department of Preventive and Restorative Sciences, University of Pennsylvania School of Dental Medicine, Philadelphia, Pennsylvania
| | - Francis Mante
- Department of Preventive and Restorative Sciences, University of Pennsylvania School of Dental Medicine, Philadelphia, Pennsylvania
| | - Jens Fischer
- Division of Dental Materials and Engineering, Department of Reconstructive Dentistry, University Center for Dental Medicine, Basel, Switzerland.,VITA Zahnfabrik, Bad Säckingen, Germany
| | | | - Nadja Rohr
- Division of Dental Materials and Engineering, Department of Reconstructive Dentistry, University Center for Dental Medicine, Basel, Switzerland
| | - Markus B Blatz
- Department of Preventive and Restorative Sciences, University of Pennsylvania School of Dental Medicine, Philadelphia, Pennsylvania
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Rohr N, Märtin S, Fischer J. Correlations between fracture load of zirconia implant supported single crowns and mechanical properties of restorative material and cement. Dent Mater J 2017; 37:222-228. [PMID: 29176305 DOI: 10.4012/dmj.2017-111] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [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: 11/23/2022]
Abstract
Zirconia implants that were restored with veneered zirconia displayed severe chipping rates of the restorations in clinical studies. Purpose of this study was to evaluate the fracture load of different zirconia implant supported monolithic crown materials (zirconia, alumina, lithium disilicate, feldspar ceramic and polymer-infiltrated ceramic) cemented with various cements (Harvard LuteCem SE, Harvard Implant Semi-permanent, Multilink Automix, VITA Adiva F-Cem). Flexural strength and fracture toughness of crown materials and compressive strength of the cements were measured. Fracture load values of crowns fabricated from lithium disilicate, feldspar ceramic and polymer-infiltrated ceramic were increased when cement with high compressive strength was used. Fracture loads for zirconia and alumina crowns were not influenced by the cement. Flexural strength and fracture toughness of the ceramics correlated linearly with the respective fracture load when using adhesive cement with high compressive strength. To achieve sufficient fracture load values, cementation with adhesive cement is essential for feldspar and polymer-infiltrated ceramic.
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Affiliation(s)
- Nadja Rohr
- Division of Dental Materials and Engineering, Department of Reconstructive Dentistry and Temporomandibular Disorders, University Center for Dental Medicine, University of Basel
| | | | - Jens Fischer
- Division of Dental Materials and Engineering, Department of Reconstructive Dentistry and Temporomandibular Disorders, University Center for Dental Medicine, University of Basel
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