Pub Date : 2024-07-31DOI: 10.1016/j.dental.2024.07.001
Muhanad M. Hatamleh , Adilson Yoshio Furuse
Objectives
To evaluate the effect of different ratios of Bis-EMA/Bis-GMA resin mixtures on the inherent viscosity and curing-related properties: including degree of cure (DC%), shrinkage strain, Knoop micro-hardness (KH) and flexural strength of resin-impregnated fiber-bundles.
Methods
Bis-EMA/Bis-GMA monomers were mixed (by weight) in the following ratios: M1 = 30 %/70 %, M2 = 50 %/50 %, M3 = 70 %/30 %, and M4 = 100 %/0 %. Standard measurements were made of refractive index, viscosity, degree of conversion, shrinkage strain and Knoop hardness (KHN). For 60 % glass fiber-bundles impregnated with 40 % resin, three-point bending test for flexural strength and shrinkage strain were measured. Data were analyzed by One-way ANOVA and Bonferroni post-hoc tests (α = 0.05).
Results
For resin mixtures, increasing Bis-EMA proportion decreased refractive index (p < 0.05), and viscosity (p < 0.05), and increased monomer conversion (DC%), shrinkage strain and KHN (p < 0.05). DC% increased after 1 h for all resin mixtures. The shrinkage strain and flexural strength of resin-impregnated fiber-bundles reduced with increased Bis-EMA.
Significance
Monomeric mixtures with highest amounts of Bis-EMA showed enhancement in several clinically-relevant properties and polymerization of respective resin-impregnated glass fibers. This makes them potential candidates for impregnating glass fibers in fiber-reinforced restorations.
{"title":"Bis-EMA/Bis-GMA ratio effects on resin-properties and impregnated fiber-bundles","authors":"Muhanad M. Hatamleh , Adilson Yoshio Furuse","doi":"10.1016/j.dental.2024.07.001","DOIUrl":"10.1016/j.dental.2024.07.001","url":null,"abstract":"<div><h3>Objectives</h3><p>To evaluate the effect of different ratios of Bis-EMA/Bis-GMA resin mixtures on the inherent viscosity and curing-related properties: including degree of cure (DC%), shrinkage strain, Knoop micro-hardness (KH) and flexural strength of resin-impregnated fiber-bundles.</p></div><div><h3>Methods</h3><p>Bis-EMA/Bis-GMA monomers were mixed (by weight) in the following ratios: M1 = 30 %/70 %, M2 = 50 %/50 %, M3 = 70 %/30 %, and M4 = 100 %/0 %. Standard measurements were made of refractive index, viscosity, degree of conversion, shrinkage strain and Knoop hardness (KHN). For 60 % glass fiber-bundles impregnated with 40 % resin, three-point bending test for flexural strength and shrinkage strain were measured. Data were analyzed by One-way ANOVA and Bonferroni <em>post-hoc</em> tests (α = 0.05).</p></div><div><h3>Results</h3><p>For resin mixtures, increasing Bis-EMA proportion decreased refractive index (p < 0.05), and viscosity (p < 0.05), and increased monomer conversion (DC%), shrinkage strain and KHN (p < 0.05). DC% increased after 1 h for all resin mixtures. The shrinkage strain and flexural strength of resin-impregnated fiber-bundles reduced with increased Bis-EMA.</p></div><div><h3>Significance</h3><p>Monomeric mixtures with highest amounts of Bis-EMA showed enhancement in several clinically-relevant properties and polymerization of respective resin-impregnated glass fibers. This makes them potential candidates for impregnating glass fibers in fiber-reinforced restorations.</p></div>","PeriodicalId":298,"journal":{"name":"Dental Materials","volume":"40 10","pages":"Pages 1652-1657"},"PeriodicalIF":4.6,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141858525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-31DOI: 10.1016/j.dental.2024.07.006
Michael Lagowski , Zach Gouveia , Meilin Yang , Yoav Finer , J.Paul Santerre
Objective
The biodegradation of methacrylate (MA)-based dental restoratives has been suggested to contribute to a loss of adhesion and subsequent detachment, or secondary caries, both major causes of restoration failure. Previous studies have demonstrated that intermolecular interactions between resin monomers may affect the hydrolytic-susceptibility of composites. Altering the intermolecular interactions by shielding or masking the hydrolytically-susceptible ester groups found in MA monomers could be an effective strategy to mitigate the biodegradation of resin composites. The objective of this work was to assess whether shielding/masking MAs using fluorinated groups could improve the biostability of experimental composites.
Methods
Eight fluorinated monomers (FM) were synthesized, characterized (1H NMR), and formulated into experimental resin composites (FC, 65 wt%, microfill). FCs were assessed for interactions with water (water contact angle, water sorption, gel fraction), mechanical properties (both compressive and flexural strength and modulus), cytocompatibility, resistance to biodegradation using simulated human salivary esterase (SHSE) and compared to a control composite (CC) without FM.
Results
Integration of FMs was found to generally decrease both the physical and mechanical properties under all incubation conditions when compared to the CC. Additionally, all FCs had a negative influence on composite biodegradation following immersion in SHSE when compared to the CC.
Significance
Shielding/masking MA-esters inherently inserts molecular spaces between the polymer chains within the resin network, and shielding is likely not possible while also maintaining the necessary cohesive forces that regulate the physical and mechanical properties of resin composites. Novel dental resin development should seek to remove/replace vulnerable ester-containing MAs rather that adopting a shielding/masking approach.
目的:有人认为,甲基丙烯酸酯(MA)基牙科修复体的生物降解会导致粘附力丧失、随后脱落或继发龋齿,而这两种情况都是修复体失效的主要原因。以往的研究表明,树脂单体之间的分子间相互作用可能会影响复合材料的水解敏感性。通过屏蔽或掩盖 MA 单体中易水解的酯基来改变分子间相互作用可能是减轻树脂复合材料生物降解的有效策略。这项工作的目的是评估使用含氟基团屏蔽/掩蔽 MA 是否能改善实验复合材料的生物稳定性:方法:合成了八种含氟单体(FM),对其进行了表征(1H NMR),并将其配制成实验性树脂复合材料(FC,65 wt%,微填充)。评估了 FM 与水的相互作用(水接触角、水吸附、凝胶分数)、机械性能(抗压、抗弯强度和模量)、细胞相容性、使用模拟人唾液酯酶(SHSE)的抗生物降解性,并与不含 FM 的对照复合材料(CC)进行了比较:结果:与 CC 相比,在所有培养条件下,加入调频材料会普遍降低物理和机械性能。此外,与 CC 相比,在 SHSE 中浸泡后,所有 FC 对复合材料的生物降解都有负面影响:意义:MA-酯的屏蔽/掩蔽本质上是在树脂网络中的聚合物链之间插入分子空隙,屏蔽可能无法同时保持调节树脂复合材料物理和机械性能的必要内聚力。新型牙科树脂的开发应设法去除/替代易受影响的含酯 MA,而不是采用屏蔽/掩蔽方法。
{"title":"Synthesis and challenges of fluorinated divinyl urethane monomers as a strategy for masking hydrolytic sensitive methacrylate groups in resin composites","authors":"Michael Lagowski , Zach Gouveia , Meilin Yang , Yoav Finer , J.Paul Santerre","doi":"10.1016/j.dental.2024.07.006","DOIUrl":"10.1016/j.dental.2024.07.006","url":null,"abstract":"<div><h3>Objective</h3><p>The biodegradation of methacrylate (MA)-based dental restoratives has been suggested to contribute to a loss of adhesion and subsequent detachment, or secondary caries, both major causes of restoration failure. Previous studies have demonstrated that intermolecular interactions between resin monomers may affect the hydrolytic-susceptibility of composites. Altering the intermolecular interactions by shielding or masking the hydrolytically-susceptible ester groups found in MA monomers could be an effective strategy to mitigate the biodegradation of resin composites. The objective of this work was to assess whether shielding/masking MAs using fluorinated groups could improve the biostability of experimental composites.</p></div><div><h3>Methods</h3><p>Eight fluorinated monomers (FM) were synthesized, characterized (<sup>1</sup>H NMR), and formulated into experimental resin composites (FC, 65 wt%, microfill). FCs were assessed for interactions with water (water contact angle, water sorption, gel fraction), mechanical properties (both compressive and flexural strength and modulus), cytocompatibility, resistance to biodegradation using simulated human salivary esterase (SHSE) and compared to a control composite (CC) without FM.</p></div><div><h3>Results</h3><p>Integration of FMs was found to generally decrease both the physical and mechanical properties under all incubation conditions when compared to the CC. Additionally, all FCs had a negative influence on composite biodegradation following immersion in SHSE when compared to the CC.</p></div><div><h3>Significance</h3><p>Shielding/masking MA-esters inherently inserts molecular spaces between the polymer chains within the resin network, and shielding is likely not possible while also maintaining the necessary cohesive forces that regulate the physical and mechanical properties of resin composites. Novel dental resin development should seek to remove/replace vulnerable ester-containing MAs rather that adopting a shielding/masking approach.</p></div>","PeriodicalId":298,"journal":{"name":"Dental Materials","volume":"40 10","pages":"Pages 1624-1634"},"PeriodicalIF":4.6,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0109564124002112/pdfft?md5=7e950bf045384d069b52612329097167&pid=1-s2.0-S0109564124002112-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141858527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-30DOI: 10.1016/j.dental.2024.07.008
Gunpreet Oberoi , Erik Kornfellner , Daniel Alexander Aigner , Ewald Unger , Martin Schwentenwein , Daniel Bomze , Christoph Staudigl , Dieter Pahr , Francesco Moscato
Objective
To design a patient-specific subperiosteal implant for a severely atrophic maxillary ridge using yttria-stabilized additively manufactured zirconia (3YSZ) and evaluate its material properties by applying topology optimization (TO) to replace bulk material with a lattice structure.
Materials
A contrast-based segmented skull model from anonymized computed tomography data of a patient was used for the initial anatomical design of the implant for the atrophic maxillary ridge. The implant underwent finite element analysis (FEA) and TO under different occlusal load-bearing conditions. The resulting implant designs, in bulk material and lattice, were evaluated via in-silico tensile tests and 3D printed.
Results
The workflow produced two patient-specific subperiosteal designs: a) an anatomically precise bulk implant, b) a TO lattice implant. In-silico tensile tests revealed that the Young’s modulus of yttria-stabilized zirconia is 205 GPa for the bulk material and 83.3 GPa for the lattice. Maximum principal stresses in the implant were 61.14 MPa in bulk material and 278.63 MPa in lattice, both tolerable, indicating the redesigned implant can withstand occlusal forces of 125–250 N per abutment. Furthermore, TO achieved a 13.10 % mass reduction and 208.71 % increased surface area, suggesting improved osteointegration potential.
Significance
The study demonstrates the planning and optimization of ceramic implant topology. A further iteration of the implant was successfully implanted in a patient-named use case, employing the same fabrication process and parameters.
{"title":"Design and optimization of a novel patient-specific subperiosteal implant additively manufactured in yttria-stabilized zirconia","authors":"Gunpreet Oberoi , Erik Kornfellner , Daniel Alexander Aigner , Ewald Unger , Martin Schwentenwein , Daniel Bomze , Christoph Staudigl , Dieter Pahr , Francesco Moscato","doi":"10.1016/j.dental.2024.07.008","DOIUrl":"10.1016/j.dental.2024.07.008","url":null,"abstract":"<div><h3>Objective</h3><p>To design a patient-specific subperiosteal implant for a severely atrophic maxillary ridge using yttria-stabilized additively manufactured zirconia (3YSZ) and evaluate its material properties by applying topology optimization (TO) to replace bulk material with a lattice structure.</p></div><div><h3>Materials</h3><p>A contrast-based segmented skull model from anonymized computed tomography data of a patient was used for the initial anatomical design of the implant for the atrophic maxillary ridge. The implant underwent finite element analysis (FEA) and TO under different occlusal load-bearing conditions. The resulting implant designs, in bulk material and lattice, were evaluated via in-silico tensile tests and 3D printed.</p></div><div><h3>Results</h3><p>The workflow produced two patient-specific subperiosteal designs: a) an anatomically precise bulk implant, b) a TO lattice implant. In-silico tensile tests revealed that the Young’s modulus of yttria-stabilized zirconia is 205 GPa for the bulk material and 83.3 GPa for the lattice. Maximum principal stresses in the implant were 61.14 MPa in bulk material and 278.63 MPa in lattice, both tolerable, indicating the redesigned implant can withstand occlusal forces of 125–250 N per abutment. Furthermore, TO achieved a 13.10 % mass reduction and 208.71 % increased surface area, suggesting improved osteointegration potential.</p></div><div><h3>Significance</h3><p>The study demonstrates the planning and optimization of ceramic implant topology. A further iteration of the implant was successfully implanted in a patient-named use case, employing the same fabrication process and parameters.</p></div>","PeriodicalId":298,"journal":{"name":"Dental Materials","volume":"40 10","pages":"Pages 1568-1574"},"PeriodicalIF":4.6,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0109564124002136/pdfft?md5=9e3ec24f1bfea8198f564ca1ab6d7e4c&pid=1-s2.0-S0109564124002136-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141858526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-30DOI: 10.1016/j.dental.2024.07.022
Adrian Zahel , Ariadne Roehler , Pablo Kaucher-Fernandez , Sebastian Spintzyk , Frank Rupp , Eva Engel
Objectives
Conventionally and digitally manufactured removable complete dentures with different dentition forms were examined for manufacturing accuracy (trueness, precision), fracture forces under torsional loading and subsequent repairability.
Methods
A total of 90 mandibular prostheses were manufactured. Ten were made using the injection molding technique and finished with prefabricated teeth. 40 bases each, were manufactured subtractively and additively. Digitally the prosthesis’ dental arch was divided either into two quadrants or three sextants, or kept as full arch. Afterwards, ten additive and subtractive bases were finished with prefabricated teeth and ten of each with milled quadrants, sextants and full arches. After manufacturing, all specimens were rescanned for accuracy comparisons using the Root Mean Square (RMS). Lastly, all specimens were tested to failure under torsional loading.
Results
Conventionally manufactured dentures showed the greatest deviation in accuracy. The type of base manufacturing did not determine the fracture resistance of the prostheses. The dentition form had a significant influence. While prefabricated teeth (86.01 ± 19.76 N) and quadrants (77.89 ± 9.58 N) showed a low fracture resistance, sextants (139.12 ± 21.41 N) and full arches (141.05 ± 17.14 N) achieved the highest fracture forces. Subtractive bases with prefabricated teeth or quadrants were assessed to be repairable, digital dentures with full arch were assessed as not repairable.
Significance
The presented testing set-up is suitable to determine the fracture behavior of dentures rather than of standards. With the possibility of digital design and individual manufacturing, dentures’ mechanical stability can be significantly increased, especially with suitable dentition forms.
{"title":"Conventionally and digitally fabricated removable complete dentures: manufacturing accuracy, fracture resistance and repairability","authors":"Adrian Zahel , Ariadne Roehler , Pablo Kaucher-Fernandez , Sebastian Spintzyk , Frank Rupp , Eva Engel","doi":"10.1016/j.dental.2024.07.022","DOIUrl":"10.1016/j.dental.2024.07.022","url":null,"abstract":"<div><h3>Objectives</h3><p>Conventionally and digitally manufactured removable complete dentures with different dentition forms were examined for manufacturing accuracy (trueness, precision), fracture forces under torsional loading and subsequent repairability.</p></div><div><h3>Methods</h3><p>A total of 90 mandibular prostheses were manufactured. Ten were made using the injection molding technique and finished with prefabricated teeth. 40 bases each, were manufactured subtractively and additively. Digitally the prosthesis’ dental arch was divided either into two quadrants or three sextants, or kept as full arch. Afterwards, ten additive and subtractive bases were finished with prefabricated teeth and ten of each with milled quadrants, sextants and full arches. After manufacturing, all specimens were rescanned for accuracy comparisons using the Root Mean Square (RMS). Lastly, all specimens were tested to failure under torsional loading.</p></div><div><h3>Results</h3><p>Conventionally manufactured dentures showed the greatest deviation in accuracy. The type of base manufacturing did not determine the fracture resistance of the prostheses. The dentition form had a significant influence. While prefabricated teeth (86.01 ± 19.76 N) and quadrants (77.89 ± 9.58 N) showed a low fracture resistance, sextants (139.12 ± 21.41 N) and full arches (141.05 ± 17.14 N) achieved the highest fracture forces. Subtractive bases with prefabricated teeth or quadrants were assessed to be repairable, digital dentures with full arch were assessed as not repairable.</p></div><div><h3>Significance</h3><p>The presented testing set-up is suitable to determine the fracture behavior of dentures rather than of standards. With the possibility of digital design and individual manufacturing, dentures’ mechanical stability can be significantly increased, especially with suitable dentition forms.</p></div>","PeriodicalId":298,"journal":{"name":"Dental Materials","volume":"40 10","pages":"Pages 1635-1642"},"PeriodicalIF":4.6,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0109564124002288/pdfft?md5=5bc51b594c5f29ed6a1d7b975d141994&pid=1-s2.0-S0109564124002288-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141854379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-29DOI: 10.1016/j.dental.2024.07.026
Yomna M. Ibrahim , Pansai A. Mohamed , Kenda I. Hanno , Mohamed M. Abdul-Monem
Objective
Evaluation of biaxial flexural strength (BFS) of nanoglass (NG) and multiwalled carbon nanotubes (MWCNTs) reinforced 3D-printed denture base resins and their shear bond strength (SBS) to 3D-printed and acrylic denture teeth.
Methods
Silanized NG and MWCNTs were added to 3D-printed denture base resin to obtain four groups: Control, 0.25 wt% NG, 0.25 wt% MWCNTs, and a combination group with 0.25 wt% of both fillers. All specimens were tested before and after 600 cycles of thermal aging. BFS (n = 88) was tested using disk-shaped specimens (12 ×2 mm) centralized on an O ring in a universal testing machine. Weibull analysis was conducted to assess predictability of failure. SBS (n = 176) was tested for acrylic and 3D-printed denture teeth attached to bar-shaped specimens in a universal testing machine followed by failure mode analysis using stereomicroscope. Two and three-way ANOVA tests followed by Tukey post hoc test were conducted for BFS and SBS. Kruskal-Wallis test compared percent change among groups with subsequent Dunn post hoc test with Bonferroni correction (α = 0.05).
Results
BFS was affected significantly by filler content (P < 0.001) and thermal cycling (P < 0.001), with thermal cycling displaying the uppermost effect (Ƞp2 =0.551). A significant interaction between filler content, thermal cycling, and teeth type was displayed by SBS results (P < 0.001, F=10.340, Ƞp2 =0.162). The highest BFS values belonged to 0.25 % MWCNTs while the highest SBS to printed teeth was displayed by the combination.
Significance
The combination group displayed higher BFS and SBS to printed teeth compared to control which allows 3D-printed materials to have a long-term clinical success.
目的:评估纳米玻璃(NG)和多壁碳纳米管(MWCNTs)增强3D打印义齿基底树脂的双轴抗弯强度(BFS)及其与3D打印义齿和丙烯酸义齿的剪切粘结强度(SBS):将硅烷化 NG 和 MWCNTs 添加到 3D 打印义齿基底树脂中,得到四组:对照组、0.25 wt% NG 组、0.25 wt% MWCNTs 组和含 0.25 wt% 两种填料的组合组。所有试样都在 600 次热老化前后进行了测试。在万能试验机中,使用集中在 O 形环上的圆盘状试样(12 × 2 毫米)对 BFS(n = 88)进行了测试。进行了 Weibull 分析,以评估失效的可预测性。用万能试验机对连接在棒状试样上的丙烯酸义齿和 3D 打印义齿进行 SBS(n = 176)测试,然后用体视显微镜进行失效模式分析。对 BFS 和 SBS 进行了两方和三方方差分析,然后进行 Tukey 后检验。Kruskal-Wallis 检验比较了各组之间的百分比变化,随后进行了 Dunn 后检验,并进行了 Bonferroni 校正(α = 0.05):结果:BFS 受填料含量的影响很大(P 2 =0.551)。SBS 结果显示,填料含量、热循环和牙型之间存在明显的交互作用(P 2 =0.162)。0.25 % MWCNTs 的 BFS 值最高,而组合组的印齿 SBS 值最高:意义:与对照组相比,组合组打印牙齿的 BFS 和 SBS 值更高,这使得三维打印材料能够获得长期的临床成功。
{"title":"Biaxial flexural strength of nanoglass and multiwalled carbon nanotubes reinforced 3D-printed denture base resins and their shear bond strength to 3D-printed and acrylic denture teeth","authors":"Yomna M. Ibrahim , Pansai A. Mohamed , Kenda I. Hanno , Mohamed M. Abdul-Monem","doi":"10.1016/j.dental.2024.07.026","DOIUrl":"10.1016/j.dental.2024.07.026","url":null,"abstract":"<div><h3>Objective</h3><p>Evaluation of biaxial flexural strength (BFS) of nanoglass (NG) and multiwalled carbon nanotubes (MWCNTs) reinforced 3D-printed denture base resins and their shear bond strength (SBS) to 3D-printed and acrylic denture teeth.</p></div><div><h3>Methods</h3><p>Silanized NG and MWCNTs were added to 3D-printed denture base resin to obtain four groups: Control, 0.25 wt% NG, 0.25 wt% MWCNTs, and a combination group with 0.25 wt% of both fillers. All specimens were tested before and after 600 cycles of thermal aging. BFS (n = 88) was tested using disk-shaped specimens (12 ×2 mm) centralized on an O ring in a universal testing machine. Weibull analysis was conducted to assess predictability of failure. SBS (n = 176) was tested for acrylic and 3D-printed denture teeth attached to bar-shaped specimens in a universal testing machine followed by failure mode analysis using stereomicroscope. Two and three-way ANOVA tests followed by Tukey post hoc test were conducted for BFS and SBS. Kruskal-Wallis test compared percent change among groups with subsequent Dunn post hoc test with Bonferroni correction (α = 0.05).</p></div><div><h3>Results</h3><p>BFS was affected significantly by filler content (<em>P</em> < 0.001) and thermal cycling (<em>P</em> < 0.001), with thermal cycling displaying the uppermost effect (Ƞp<sup>2</sup> =0.551). A significant interaction between filler content, thermal cycling, and teeth type was displayed by SBS results (<em>P</em> < 0.001, F=10.340, Ƞp<sup>2</sup> =0.162). The highest BFS values belonged to 0.25 % MWCNTs while the highest SBS to printed teeth was displayed by the combination.</p></div><div><h3>Significance</h3><p>The combination group displayed higher BFS and SBS to printed teeth compared to control which allows 3D-printed materials to have a long-term clinical success.</p></div>","PeriodicalId":298,"journal":{"name":"Dental Materials","volume":"40 10","pages":"Pages 1557-1567"},"PeriodicalIF":4.6,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141854377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-29DOI: 10.1016/j.dental.2024.07.029
Donát Szebeni , Roland Told , Sándor Kunsági-Máté , József Szalma , Péter Maróti , Katalin Böddi , Edina Lempel
Objective
The purpose was to compare the effects of rapid (3 s) and conventional (20 s) polymerization protocols (PP) of mono- and multichip LED curing units (LCU) on shrinkage stress (SS) and monomer elution (ME) in bulk-fill resin-based composites (RBC) with and without addition-fragmentation chain-transfer (AFCT) monomer.
Methods
Cylindrical (5x4mm) specimens were prepared from two RBCs containing different AFCT monomers (Filtek OneBulk-FOB; Tetric PowerFill-TPF) and one without (Tetric EvoCeram Bulk-TEC). After soaking for 3, 10, and 14 days (75 % ethanol), ME was quantified using standard monomers by High-Performance Liquid Chromatography. SS was measured from the start of polymerization to 5 min using a Materials Testing Machine. The radiant exitance of LCUs was measured using a spectrophotometer. ANOVA and Tukey's post-hoc test, multivariate analysis and partial eta-squared statistics were used to analyze the data (p < 0.05).
Results
AFCT-modification significantly decreased ME (p < 0.001). ME was reduced by half by day 10 and by one tenth by the end of the 14-day compared to the 3-day sampling. ME itself was dependent, whereas the percentage of monomers released was independent of the PP used (p > 0.05). FOB showed the lowest SS (p < 0.001), while there was no significant difference between TPF and TEC (p = 0.124). Both ME and SS were significantly influenced by material type and PP.
Significance
The incorporation of the AFCT monomer reduced ME, but this was inversely related to a decrease in exposure time. SS values reduced by rapid PP in parallel with increasing ME values. The utilization of the AFCT molecule in conjunction with an appropriate resin-, initiator-system is of significant consequence for the kinetics of polymerization and the incorporation of monomers into the network.
研究目的目的是比较单片和多片 LED 固化单元(LCU)的快速(3 秒)和常规(20 秒)聚合方案(PP)对含和不含加成-断裂链转移(AFCT)单体的块状填充树脂基复合材料(RBC)的收缩应力(SS)和单体洗脱(ME)的影响:用两种含不同 AFCT 单体的 RBC(Filtek OneBulk-FOB;Tetric PowerFill-TPF)和一种不含 AFCT 单体的 RBC(Tetric EvoCeram Bulk-TEC)制备圆柱形(5x4 毫米)试样。浸泡 3 天、10 天和 14 天(75% 乙醇)后,使用标准单体通过高效液相色谱法对 ME 进行量化。使用材料试验机测量了从聚合开始到 5 分钟的 SS 值。使用分光光度计测量 LCU 的辐射出射率。采用方差分析、Tukey 后检验、多元分析和部分等方统计来分析数据(p 结果:AFCT 改性明显降低了 ME(p 0.05)。FOB 显示出最低的 SS(p 显著性:AFCT 单体的加入降低了 ME 值,但这与暴露时间的缩短成反比。随着 ME 值的增加,SS 值也随 PP 值的快速增加而降低。将 AFCT 分子与适当的树脂、引发剂系统结合使用,对聚合动力学和单体融入网络具有重要意义。
{"title":"Monomer elution and shrinkage stress analysis of addition-fragmentation chain-transfer-modified resin composites in relation to the curing protocol","authors":"Donát Szebeni , Roland Told , Sándor Kunsági-Máté , József Szalma , Péter Maróti , Katalin Böddi , Edina Lempel","doi":"10.1016/j.dental.2024.07.029","DOIUrl":"10.1016/j.dental.2024.07.029","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose was to compare the effects of rapid (3 s) and conventional (20 s) polymerization protocols (PP) of mono- and multichip LED curing units (LCU) on shrinkage stress (SS) and monomer elution (ME) in bulk-fill resin-based composites (RBC) with and without addition-fragmentation chain-transfer (AFCT) monomer.</p></div><div><h3>Methods</h3><p>Cylindrical (5x4mm) specimens were prepared from two RBCs containing different AFCT monomers (Filtek OneBulk-FOB; Tetric PowerFill-TPF) and one without (Tetric EvoCeram Bulk-TEC). After soaking for 3, 10, and 14 days (75 % ethanol), ME was quantified using standard monomers by High-Performance Liquid Chromatography. SS was measured from the start of polymerization to 5 min using a Materials Testing Machine. The radiant exitance of LCUs was measured using a spectrophotometer. ANOVA and Tukey's post-hoc test, multivariate analysis and partial eta-squared statistics were used to analyze the data (p < 0.05).</p></div><div><h3>Results</h3><p>AFCT-modification significantly decreased ME (p < 0.001). ME was reduced by half by day 10 and by one tenth by the end of the 14-day compared to the 3-day sampling. ME itself was dependent, whereas the percentage of monomers released was independent of the PP used (p > 0.05). FOB showed the lowest SS (p < 0.001), while there was no significant difference between TPF and TEC (p = 0.124). Both ME and SS were significantly influenced by material type and PP.</p></div><div><h3>Significance</h3><p>The incorporation of the AFCT monomer reduced ME, but this was inversely related to a decrease in exposure time. SS values reduced by rapid PP in parallel with increasing ME values. The utilization of the AFCT molecule in conjunction with an appropriate resin-, initiator-system is of significant consequence for the kinetics of polymerization and the incorporation of monomers into the network.</p></div>","PeriodicalId":298,"journal":{"name":"Dental Materials","volume":"40 10","pages":"Pages 1611-1623"},"PeriodicalIF":4.6,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0109564124002318/pdfft?md5=870100ad6e2008ffd2c6f0ebe43c0d75&pid=1-s2.0-S0109564124002318-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141854381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-29DOI: 10.1016/j.dental.2024.07.027
Imam Akbar Sutejo , Sinuo Zhang , Chang Woo Gal , Yeong-Jin Choi , Honghyun Park , Sungmin Kim , Hyung-bong Lim , Hui-suk Yun
Objective
The aim of this study was to design and assess composite resin composition for patient-specific esthetic color-graded temporary veneer.
Methods
Various compositions of composite structures (assorted by Ba2SiO4 filler, TiO2 pigment, and photoinitiator) were prepared via additive manufacturing with 3 s UV exposure (405 nm, 10 W/cm2) per 50 µm thick layer followed by 20 min post-curing treatment after fabrication. The effect of each component on the generated color shades was observed and compared to the commonly used VITA shade guide. The coloration was explored by staining aging treatment under dry, wet, artificial saliva environments, coffee, and cola. The mechanical properties were also evaluated. Color measurement and comparison were done using a colorimeter (lightness (L*), green-red color (a*), and blue-yellow color (b*)), and the changes were calculated by CIEDE2000 (ΔE00), translucency parameter (TP) and whiteness index (WID). The composition color analysis results were then applied to produce a color-graded temporary veneer for mimicking a natural look.
Result
Mechanically, all composition result in adequate bending strength with maximum achievable strength of 111.64 MPa. At the same time, the composite color was affected by each constituent differently. The L* value, which indicates the color lightness of the composite, was considerably tuned by the TiO2 pigment, whereas Ba2SiO4 filler only triggered minor changes. Photoinitiator concentration significantly affected the yellowness, indicated by the increased b* value. Similar tendency also observed toward the calculated TP and WID as well. Based on these evaluations, color-graded temporary veneer successfully generated, matching the VITA A3, A2, and B1 shades gradation. However, the stability of the composite color decreased at high amounts of Ba2SiO4 and photoinitiator.
Significance
The study presents a composition guide for fabricating temporary patient-specific color-graded veneer. It provides insights on the effect of the constituent material on dental esthetics.
{"title":"Composition control of additively manufactured color-graded temporary veneer","authors":"Imam Akbar Sutejo , Sinuo Zhang , Chang Woo Gal , Yeong-Jin Choi , Honghyun Park , Sungmin Kim , Hyung-bong Lim , Hui-suk Yun","doi":"10.1016/j.dental.2024.07.027","DOIUrl":"10.1016/j.dental.2024.07.027","url":null,"abstract":"<div><h3>Objective</h3><p>The aim of this study was to design and assess composite resin composition for patient-specific esthetic color-graded temporary veneer.</p></div><div><h3>Methods</h3><p>Various compositions of composite structures (assorted by Ba<sub>2</sub>SiO<sub>4</sub> filler, TiO<sub>2</sub> pigment, and photoinitiator) were prepared via additive manufacturing with 3 s UV exposure (405 nm, 10 W/cm<sup>2</sup>) per 50 µm thick layer followed by 20 min post-curing treatment after fabrication. The effect of each component on the generated color shades was observed and compared to the commonly used VITA shade guide. The coloration was explored by staining aging treatment under dry, wet, artificial saliva environments, coffee, and cola. The mechanical properties were also evaluated. Color measurement and comparison were done using a colorimeter (lightness (L*), green-red color (a*), and blue-yellow color (b*)), and the changes were calculated by CIEDE2000 (ΔE<sub>00</sub>), translucency parameter (TP) and whiteness index (WI<sub>D</sub>). The composition color analysis results were then applied to produce a color-graded temporary veneer for mimicking a natural look.</p></div><div><h3>Result</h3><p>Mechanically, all composition result in adequate bending strength with maximum achievable strength of 111.64 MPa. At the same time, the composite color was affected by each constituent differently. The L* value, which indicates the color lightness of the composite, was considerably tuned by the TiO<sub>2</sub> pigment, whereas Ba<sub>2</sub>SiO<sub>4</sub> filler only triggered minor changes. Photoinitiator concentration significantly affected the yellowness, indicated by the increased b* value. Similar tendency also observed toward the calculated TP and WI<sub>D</sub> as well. Based on these evaluations, color-graded temporary veneer successfully generated, matching the VITA A3, A2, and B1 shades gradation. However, the stability of the composite color decreased at high amounts of Ba<sub>2</sub>SiO<sub>4</sub> and photoinitiator.</p></div><div><h3>Significance</h3><p>The study presents a composition guide for fabricating temporary patient-specific color-graded veneer. It provides insights on the effect of the constituent material on dental esthetics.</p></div>","PeriodicalId":298,"journal":{"name":"Dental Materials","volume":"40 10","pages":"Pages 1643-1651"},"PeriodicalIF":4.6,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0109564124002264/pdfft?md5=c8d8d2cc9164e133fa01dc09f7e24ee0&pid=1-s2.0-S0109564124002264-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141854378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-29DOI: 10.1016/j.dental.2024.07.017
Pune Nina Paqué , Cindy Gantner , Kiren Jan Mätzener , Mutlu Özcan , Alexis Ioannidis
Objectives
The primary aim of this in vitro study was to compare the load-bearing capacity of lithium disilicate occlusal veneers, fabricated via different manufacturing processes. Secondary objectives included assessing internal accuracy and production time-efficiency.
Methods
Four fabrication methods for ultra-thin lithium disilicate occlusal veneers on extracted human molars with simulated erosive defects were compared (n = 20/group): CAM: milled lithium disilicate (IPS e.max CAD); HPR: heat-pressed lithium disilicate (IPS e.max Press) out of a milled PMMA template (Ddpmma CAST); 3DP: 3D-printed lithium disilicate (experimental lithium disilicate); PTE: heat-pressed lithium disilicate (IPS e.max Press) out of a 3D-printed template (SilaPrint cast). Internal accuracy was measured prior to thermo-mechanical aging, followed by static loading to measure the load-bearing capacity (Fmax). Fabrication time (time-efficiency) was also recorded. Statistical analysis was performed using the Kruskal-Wallis (KW) test.
Results
No statistically significant differences were found in median load-bearing capacities (Fmax) between the groups (KW p = 0.5902): CAM 1821 N, HPR 1896 N, 3DP 2003 N, PTE 1687 N. Significant differences were found in internal accuracy between the groups that employed printing processes (3DP, PTE) and all other groups in margins (p < 0.001), cusps (p < 0.0018), and fossae (p < 0.0346). The time-efficiency measurements indicated an increase in fabrication time, starting from CAM 67.2 ± 5.8 min, followed by HPR 200.8 ± 33.0 min, PTE 289.2 ± 38.7 min, and peaking with the highest duration observed for 3DP 701.6 ± 8.1 min.
Significance
The fabrication method of ultra-thin lithium disilicate occlusal veneers does not significantly impact their load-bearing capacity, but affects the clinical fit and adaptation of the veneers.
{"title":"Load-bearing capacity, internal accuracy and time-efficiency of heat-pressed, milled and 3D-printed lithium disilicate ultra-thin occlusal veneers","authors":"Pune Nina Paqué , Cindy Gantner , Kiren Jan Mätzener , Mutlu Özcan , Alexis Ioannidis","doi":"10.1016/j.dental.2024.07.017","DOIUrl":"10.1016/j.dental.2024.07.017","url":null,"abstract":"<div><h3>Objectives</h3><p>The primary aim of this in vitro study was to compare the load-bearing capacity of lithium disilicate occlusal veneers, fabricated via different manufacturing processes. Secondary objectives included assessing internal accuracy and production time-efficiency.</p></div><div><h3>Methods</h3><p>Four fabrication methods for ultra-thin lithium disilicate occlusal veneers on extracted human molars with simulated erosive defects were compared (n = 20/group): CAM: milled lithium disilicate (IPS e.max CAD); HPR: heat-pressed lithium disilicate (IPS e.max Press) out of a milled PMMA template (Ddpmma CAST); 3DP: 3D-printed lithium disilicate (experimental lithium disilicate); PTE: heat-pressed lithium disilicate (IPS e.max Press) out of a 3D-printed template (SilaPrint cast). Internal accuracy was measured prior to thermo-mechanical aging, followed by static loading to measure the load-bearing capacity (F<sub>max</sub>). Fabrication time (time-efficiency) was also recorded. Statistical analysis was performed using the Kruskal-Wallis (KW) test.</p></div><div><h3>Results</h3><p>No statistically significant differences were found in median load-bearing capacities (F<sub>max</sub>) between the groups (KW p = 0.5902): CAM 1821 N, HPR 1896 N, 3DP 2003 N, PTE 1687 N. Significant differences were found in internal accuracy between the groups that employed printing processes (3DP, PTE) and all other groups in margins (p < 0.001), cusps (p < 0.0018), and fossae (p < 0.0346). The time-efficiency measurements indicated an increase in fabrication time, starting from CAM 67.2 ± 5.8 min, followed by HPR 200.8 ± 33.0 min, PTE 289.2 ± 38.7 min, and peaking with the highest duration observed for 3DP 701.6 ± 8.1 min.</p></div><div><h3>Significance</h3><p>The fabrication method of ultra-thin lithium disilicate occlusal veneers does not significantly impact their load-bearing capacity, but affects the clinical fit and adaptation of the veneers.</p></div>","PeriodicalId":298,"journal":{"name":"Dental Materials","volume":"40 10","pages":"Pages 1602-1610"},"PeriodicalIF":4.6,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0109564124002070/pdfft?md5=d549af4f732ce30a8b602828f9e3f13a&pid=1-s2.0-S0109564124002070-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141854380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-26DOI: 10.1016/j.dental.2024.07.012
Raquel Osorio , Francisco J. Rodríguez-Lozano , Manuel Toledano , Manuel Toledano-Osorio , David García-Bernal , Laura Murcia , Sergio López-García
Objective
Drug-loaded non-resorbable polymeric nanoparticles (NPs) are proposed as an adjunctive treatment for pulp regenerative strategies. The present in vitro investigation aimed to evaluate the effectiveness of tideglusib-doped nanoparticles (TDg-NPs) in mitigating the adverse effects of bacterial lipopolysaccharide endotoxin (LPS) on the viability, morphology, migration, differentiation and mineralization potential of human dental pulp stem cells (hDPSCs).
Methods
Cell viability, proliferation, and differentiation were assessed using a MTT assay, cell migration evaluation, cell cytoskeleton staining analysis, Alizarin Red S staining and expression of the odontogenic related genes by a real-time quantitative polymerase chain reaction (RT-qPCR) were also performed. Cells were tested both with and without stimulation with LPS at various time points. One-way ANOVA and Tukey's test were employed for statistical analysis (p < 0.05).
Results
Adequate cell viability was encountered in all groups and at every tested time point (24, 48, 72 and 168 h), without differences among the groups (p > 0.05). The analysis of cell cytoskeleton showed nuclear alteration in cultures with undoped NPs after LPS stimulation. These cells exhibited an in blue diffuse and multifocal appearance. Some nuclei looked fragmented and condensed. hDPSCs after LPS stimulation but in the presence of TDg-NPs exhibited less nuclei changes. LPS induced down-regulation of Alkaline phosphatase, Osteonectin and Collagen1 gene markers, after 21d. LPS half-reduced the cells production of calcium deposits in all groups (p < 0.05), except in the group with TDg-NPs (decrease about 10 %).
Significance
LPS induced lower mineral deposition and cytoskeletal disorganization in hDPSCs. These effects were counteracted by TDg-NPs, enhancing osteogenic differentiation and mineralization.
{"title":"Mitigating lipopolysaccharide-induced impairment in human dental pulp stem cells with tideglusib-doped nanoparticles: Enhancing osteogenic differentiation and mineralization","authors":"Raquel Osorio , Francisco J. Rodríguez-Lozano , Manuel Toledano , Manuel Toledano-Osorio , David García-Bernal , Laura Murcia , Sergio López-García","doi":"10.1016/j.dental.2024.07.012","DOIUrl":"10.1016/j.dental.2024.07.012","url":null,"abstract":"<div><h3>Objective</h3><p>Drug-loaded non-resorbable polymeric nanoparticles (NPs) are proposed as an adjunctive treatment for pulp regenerative strategies. The present in vitro investigation aimed to evaluate the effectiveness of tideglusib-doped nanoparticles (TDg-NPs) in mitigating the adverse effects of bacterial lipopolysaccharide endotoxin (LPS) on the viability, morphology, migration, differentiation and mineralization potential of human dental pulp stem cells (hDPSCs).</p></div><div><h3>Methods</h3><p>Cell viability, proliferation, and differentiation were assessed using a MTT assay, cell migration evaluation, cell cytoskeleton staining analysis, Alizarin Red S staining and expression of the odontogenic related genes by a real-time quantitative polymerase chain reaction (RT-qPCR) were also performed. Cells were tested both with and without stimulation with LPS at various time points. One-way ANOVA and Tukey's test were employed for statistical analysis (<em>p</em> < 0.05).</p></div><div><h3>Results</h3><p>Adequate cell viability was encountered in all groups and at every tested time point (24, 48, 72 and 168 h), without differences among the groups (<em>p</em> > 0.05). The analysis of cell cytoskeleton showed nuclear alteration in cultures with undoped NPs after LPS stimulation. These cells exhibited an in blue diffuse and multifocal appearance. Some nuclei looked fragmented and condensed. hDPSCs after LPS stimulation but in the presence of TDg-NPs exhibited less nuclei changes. LPS induced down-regulation of Alkaline phosphatase, Osteonectin and Collagen1 gene markers, after 21d. LPS half-reduced the cells production of calcium deposits in all groups (<em>p</em> < 0.05), except in the group with TDg-NPs (decrease about 10 %).</p></div><div><h3>Significance</h3><p>LPS induced lower mineral deposition and cytoskeletal disorganization in hDPSCs. These effects were counteracted by TDg-NPs, enhancing osteogenic differentiation and mineralization.</p></div>","PeriodicalId":298,"journal":{"name":"Dental Materials","volume":"40 10","pages":"Pages 1591-1601"},"PeriodicalIF":4.6,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141786670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-26DOI: 10.1016/j.dental.2024.07.016
Sae-Eun Oh , Ji-Man Park , Jee-Hwan Kim , June-Sung Shim , Young-Bum Park
Objectives
We evaluated the mechanical properties of zirconia restorations produced via additive manufacturing (AM) and the crown accuracy of zirconia crowns.
Methods
Zirconia disks, bars, and crowns were manufactured via subtractive (CNC group) and additive manufacturing (AM group) techniques. Disk-shaped specimens in each group were autoclaved at 134 °C and 216 kPa for 5, 10, and 24 h. The phases of the specimens were analyzed using an X-ray diffractometer. The flexural strengths were measured via biaxial flexural tests. The morphologies were examined using a scanning electron microscope. The correlation between the m-phase fraction and biaxial flexural strength by autoclave time in each group was analyzed via linear mixed model and Pearson’s correlation analysis. For each group, crown specimens were used to assess the marginal and internal gaps using the replica technique. Buccolingual and mesiodistal cross-sections were measured, and a repeated measures one-way ANOVA was performed.
Results
Linear mixed model analysis indicated that for both groups, with an increase in the autoclave time, the flexural strength decreased, whereas the m-phase fraction increased. Pearson’s correlation analysis revealed no correlation between the m-phase fraction and flexural strength for either group. A repeated measures one-way ANOVA was conducted on instrumented sections (buccal, lingual, mesial, and distal), revealing that the marginal and internal gaps of AM-produced zirconia crowns were less accurate than those of CNC-produced zirconia crowns.
Significance
These findings suggest that additively produced zirconia restorations have mechanical properties comparable to those of conventionally produced ceramics and may be suitable for clinical applications.
目的我们评估了通过增材制造(AM)技术生产的氧化锆修复体的机械性能以及氧化锆牙冠的精度:方法:采用减法(CNC 组)和增材制造(AM 组)技术制造氧化锆盘、棒和冠。使用 X 射线衍射仪分析试样的相。弯曲强度通过双轴弯曲试验进行测量。使用扫描电子显微镜检查了形态。通过线性混合模型和皮尔逊相关分析,分析了各组中 m 相组分和双轴抗弯强度与高压釜时间的相关性。使用复制技术对每组牙冠试样的边缘和内部间隙进行评估。测量颊舌侧和牙间侧横截面,并进行重复测量单因素方差分析:线性混合模型分析表明,随着高压灭菌时间的延长,两组牙体的抗折强度都有所下降,而 m 相分数则有所上升。皮尔逊相关分析表明,两组的 m 相分数与抗折强度之间没有相关性。对器械切片(颊侧、舌侧、中侧和远侧)进行了重复测量单因素方差分析,结果显示 AM 生产的氧化锆冠的边缘间隙和内部间隙的精确度低于 CNC 生产的氧化锆冠:这些研究结果表明,添加剂生产的氧化锆修复体的机械性能与传统生产的陶瓷相当,可能适合临床应用。
{"title":"Mechanical properties and crown accuracy of additively manufactured zirconia restorations","authors":"Sae-Eun Oh , Ji-Man Park , Jee-Hwan Kim , June-Sung Shim , Young-Bum Park","doi":"10.1016/j.dental.2024.07.016","DOIUrl":"10.1016/j.dental.2024.07.016","url":null,"abstract":"<div><h3>Objectives</h3><p>We evaluated the mechanical properties of zirconia restorations produced via additive manufacturing (AM) and the crown accuracy of zirconia crowns.</p></div><div><h3>Methods</h3><p>Zirconia disks, bars, and crowns were manufactured via subtractive (CNC group) and additive manufacturing (AM group) techniques. Disk-shaped specimens in each group were autoclaved at 134 °C and 216 kPa for 5, 10, and 24 h. The phases of the specimens were analyzed using an X-ray diffractometer. The flexural strengths were measured via biaxial flexural tests. The morphologies were examined using a scanning electron microscope. The correlation between the m-phase fraction and biaxial flexural strength by autoclave time in each group was analyzed via linear mixed model and Pearson’s correlation analysis. For each group, crown specimens were used to assess the marginal and internal gaps using the replica technique. Buccolingual and mesiodistal cross-sections were measured, and a repeated measures one-way ANOVA was performed.</p></div><div><h3>Results</h3><p>Linear mixed model analysis indicated that for both groups, with an increase in the autoclave time, the flexural strength decreased, whereas the m-phase fraction increased. Pearson’s correlation analysis revealed no correlation between the m-phase fraction and flexural strength for either group. A repeated measures one-way ANOVA was conducted on instrumented sections (buccal, lingual, mesial, and distal), revealing that the marginal and internal gaps of AM-produced zirconia crowns were less accurate than those of CNC-produced zirconia crowns.</p></div><div><h3>Significance</h3><p>These findings suggest that additively produced zirconia restorations have mechanical properties comparable to those of conventionally produced ceramics and may be suitable for clinical applications.</p></div>","PeriodicalId":298,"journal":{"name":"Dental Materials","volume":"40 10","pages":"Pages 1546-1556"},"PeriodicalIF":4.6,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141764599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}