scholarly journals Anterosuperior rehabilitation with metal-free fixed prosthesis based on zirconia

2017 ◽  
Vol 11 (02) ◽  
pp. 253-257 ◽  
Author(s):  
Sthelen Nayara Cenci ◽  
Igor Alessandro Gontarsky ◽  
Marcella Goetz Moro ◽  
Lidia Olga Bach Pinheiro ◽  
Adriana Postiglione Bührer Samra
Keyword(s):  
Computer Aided Design ◽  
Internal Surface ◽  
Psychosocial Problems ◽  
Adhesive System ◽  
Resin Cement ◽  
Ceramic Technology ◽  
Tissue Loss ◽  
Dihydrogen Phosphate ◽  
Universal Adhesive ◽  
Computer Aided

ABSTRACTThe loss of upper front dental elements causes functional and psychosocial problems to the affected individuals. In this case report, the treatment planning considered hard and soft tissue loss for a complex fixed partial denture (FPD) rehabilitation. The six-element, all-ceramic FPD was manufactured using a computer-aided design/computer-aided manufacturing system with zirconia framework, veneered with leucite-reinforced ceramic. Ceramic artificial gum was also produced to guarantee tooth-facial proportions as well as lip support, promoting both esthetics and phonetics. The material's mechanical properties allowed for the coupling of the esthetic and mechanical requirements, proving an alternative to the well-established metal-ceramic technology, optimizing biomimetic. One of the endodontic-treated abutment teeth required a radicular retainer with cast metal post, but because of the opacity of zirconia, the esthetics of the prosthesis was not compromised. The low silica content of high resistance ceramics such as zirconia hampers the adhesive cementation, with numerous studies advocating for different cementation protocols, with no clear scientific consensus so far. In the present case, the internal surface of the FPD was initially blasted with aluminum oxide, followed by the application of a universal adhesive system containing 10-methacryloyloxydecyl dihydrogen phosphate. Finally, cementation to the dental structure was conducted with dual-cure self-adhesive resin cement.

Effect of Methacryloyloxydecyl Dihydrogen Phosphate–Containing Silane and Adhesive Used Alone or in Combination on the Bond Strength and Chemical Interaction With Zirconia Ceramics Under Thermal Aging

2020 ◽  
Vol 45 (5) ◽  
pp. 516-527 ◽  
Author(s):  
MF Gutierrez ◽  
J Perdigão ◽  
P Malaquias ◽  
AM Cardenas ◽  
F Siqueira ◽  
...  
Keyword(s):  
Bond Strength ◽  
Computer Aided Design ◽  
Chemical Interaction ◽  
Interaction Analysis ◽  
Resin Cement ◽  
Dihydrogen Phosphate ◽  
Universal Adhesive ◽  
Adhesive Application ◽  
Aided Design ◽  
Silane Solution

Clinical Relevance Achieving durable bonding to zirconia is fundamental for the application of a methacryloyloxydecyl dihydrogen phosphate (MDP)–containing silane solution or an MDP-containing silane solution associated with an MDP-containing universal adhesive. SUMMARY Objectives: To evaluate the effect of a methacryloyloxydecyl dihydrogen phosphate (MDP)–containing silane coupling agent and universal adhesive, used alone or in combination, on the microshear bond strength (μSBS) to zirconia after 24 hours of water storage (24h) and after 10,000 thermocycles (TC), complemented with chemical analysis of the surface to establish the presence of MDP on the surface of the zirconia after bonding procedures. Methods and Materials: Thirty computer-aided design/computed-aided manufacturing blocks of zirconia were cut into four sections (6×6×6 mm) and sintered. Zirconia sections (n=96) were assigned to 24 groups according to three factors: 1) silane (no silane, Monobond S [MBS], Monobond P [MB+]), 2) adhesive + resin cement (no adhesive + Enforce [ENF], no adhesive + RelyX Ultimate [REX], Prime&Bond Elect + Enforce [PBE/ENF], Scotchbond Universal + RelyX Ultimate [SBU/REX]), and 3) thermocycling (no thermocycling [24h], 10,000 thermocycles [TC]). Upon silane/adhesive application, cylinder-shaped matrices were filled with resin cement and light cured. Specimens were tested in μSBS (1.0 mm/min) after 24h or TC. The μSBS data were analyzed using twoway ANOVA and Tukey’s post hoc test (α=0.05). In addition, micro-Raman spectroscopy was used to analyze the zirconia surface for immediate chemical interaction analysis (n=24). Results: For the 24h condition, PBE/ENF resulted in lower mean μSBS than both groups with silane without PBE (MBS and MB+ groups; p<0.001). SBU alone or MB+ alone and MB+ associated with SBU showed the highest mean μSBS (p<0.001). For the TC condition, all groups showed a significant decrease in mean μSBS compared with those of 24h (p<0.001), with the exception of MB+ associated to SBU (p>0.05). However, the application of MB+ alone or MB+ associated to SBU resulted in higher mean μSBS (p<0.001) after TC than the remaining TC groups. In terms of chemical interaction, only the SBU groups, alone or combined with both of the silane agents, were associated with the methacrylate groups after rinsing. Conclusions: The results of the current study support the use of an MDP-containing silane solution or an MDP-containing silane solution associated with an MDP-containing universal adhesive for bonding to air-abraded zirconia, as a more stable bonding after thermocycling.

scholarly journals Single blinded in-vitro study comparing microleakage between CAD/CAM crowns milled out of feldspathic ceramic and resin nano ceramic, cemented with three resin cements

2019 ◽  
Vol 18 (4) ◽  
pp. 764-772
Author(s):  
Asa Yazdani Fard ◽  
Zuryati Ab Ghani ◽  
Zaihan Ariffin ◽  
Dasmawati Mohamad
Keyword(s):  
Computer Aided Design ◽  
Medical Science ◽  
In Vitro Study ◽  
Resin Cement ◽  
Blue Dye ◽  
Resin Cements ◽  
Etch And Rinse ◽  
Computer Aided ◽  
Cad Cam

Background: Studies on microleakage of Computer-Aided Design/Computer-Aided Manufacturing (CAD/CAM) crowns are abundant. However many of them are inconclusive, especially those using self adhesive cements. Aims: To compare the microleakage between CAD/CAM crowns milled out of feldspathic ceramic and resin nano ceramics, cemented with three resin cements. Materials and Methods: Crown preparation was made on 54 extracted human premolars. Impressions were captured optically using CEREC 3D machine intraoral camera, and crowns were milled from feldspathic ceramic (CEREC® Blocs PC, VITA) and resin nano ceramic (Lava™ Ultimate CAD/CAM Restorative, 3M ESPE) blocks. The crowns were then cemented with three cements (n = 9); RelyX™ U200 Self-Adhesive Resin Cement (3M ESPE); NX3 Nexus ® cement with two-step etch-and-rinse adhesive (Kerr Corporation) or three/multistep etch-and-rinse resin cement, Variolink® II/Syntac Classic (Ivoclar Vivadent). The specimens were kept in water for 24 hours, thermocycled, and then soaked in methylene blue dye for 24 hours, before being sectioned mesiodistally. Microleakage was assessed using a fivepoint scale using stereomicroscope. Statistical analysis of the data was carried out using ONEWay ANOVA. Results: CEREC® Blocs PC crowns showed significantly less microleakage (p< 0.001) compared to Lava™ Ultimate. RelyX™ U200 showed significantly lower microleakage (p< 0.001) compared to other cements. Combination of Lava™ Ultimate crown cemented with RelyX™ U200 showed the least microleakage (p< 0.001). Conclusions: The microleakage scores were affected by the types of crown and cements. Bangladesh Journal of Medical Science Vol.18(4) 2019 p.764-772

Premolar Axial Wall Height Effect on CAD/CAM Crown Retention

2016 ◽  
Vol 41 (6) ◽  
pp. 666-671 ◽  
Author(s):  
C Gillette ◽  
R Buck ◽  
N DuVall ◽  
S Cushen ◽  
M Wajdowicz ◽  
...  
Keyword(s):  
Computer Aided Design ◽  
Lithium Disilicate ◽  
Resin Cement ◽  
Failure Resistance ◽  
All Ceramic ◽  
Computer Aided ◽  
Cad Cam ◽  
Ceramic Crowns ◽  
Aided Design ◽  
Post Hoc

SUMMARY Objective: To evaluate the significance of reduced axial wall height on retention of adhesively luted, all-ceramic, lithium disilicate premolar computer-aided design/computer-aided manufacturing (CAD/CAM) crowns based on preparations with a near ideal total occlusal convergence of 10°. Methods: Forty-eight recently extracted premolars were randomly divided into four groups (n=12). Each group received all-ceramic CAD/CAM crown preparations featuring axial wall heights of 0, 1, 2, and 3 mm, respectively, all with a 10° total occlusal convergence. Scanned preparations were fitted with lithium disilicate all-ceramic crowns that were luted with a self-etching resin cement. Specimens were tested to failure at a 45° angle to the tooth long axis with failure load converted to megapascals (MPa) based on the measured bonding surface area. Mean data were analyzed using analysis of variance/Tukey's post hoc test (α=0.05). Results: Lithium disilicate crowns adhesively luted on preparations with 0 axial wall height demonstrated significantly less failure resistance compared with the crowns luted on preparations with axial wall heights of 1 to 3 mm. There was no failure stress difference between preparations with 1 to 3 mm axial wall height. Conclusions: Under conditions of this study, adhesively luted lithium disilicate bicuspid crowns with a total occlusal convergence of 10° demonstrated similar failure resistance independent of axial wall height of 1 to 3 mm. This study provides some evidence that adhesion combined with an ideal total occlusal convergence may compensate for reduced axial wall height.

scholarly journals Fracture Resistance and Microleakage of Endocrowns Utilizing Three CAD-CAM Blocks

2015 ◽  
Vol 40 (2) ◽  
pp. 201-210 ◽  
Author(s):  
HM El-Damanhoury ◽  
RN Haj-Ali ◽  
JA Platt
Keyword(s):  
Fracture Mode ◽  
Computer Aided Design ◽  
Fracture Resistance ◽  
Testing Machine ◽  
Resin Cement ◽  
Blue Dye ◽  
Endodontically Treated Teeth ◽  
Modes Of Failure ◽  
Computer Aided ◽  
Cad Cam

SUMMARY This study assessed marginal leakage and fracture resistance of computer-aided design/computer-aided manufacturing (CAD/CAM) fabricated ceramic crowns with intracoronal extensions into the pulp chambers of endodontically treated teeth (endocrowns) using either feldspathic porcelain (CEREC Blocks [CB], Sirona Dental Systems GmbH, Bensheim, Germany), lithium disilicate (e.max [EX], Ivoclar Vivadent, Schaan, Liechtenstein), or resin nanoceramic (Lava Ultimate [LU], 3M ESPE, St Paul, MN, USA).). Thirty extracted human permanent maxillary molars were endodontically treated. Standardized preparations were done with 2-mm intracoronal extensions of the endocrowns into the pulp chamber. Teeth were divided into three groups (n=10); each group was restored with standardized CAD/CAM fabricated endocrowns using one of the three tested materials. After cementation with resin cement, specimens were stored in distilled water at 37°C for one week, subjected to thermocycling, and immersed in a 5% methylene-blue dye solution for 24 hours. A compressive load was applied at 35 degrees to long axis of the teeth using a universal testing machine until failure. Failure load was recorded, and specimens were examined under a stereomicroscope for modes of failure and microleakage. Results were analyzed using one-way analysis of variance and Bonferroni post hoc multiple comparison tests (α=0.05). LU showed significantly (p&lt;0.05) higher fracture resistance and more favorable fracture mode (ie, fracture of the endocrown without fracture of tooth) as well as higher dye penetration than CB and EX. In conclusion, although using resin nanoceramic blocks for fabrication of endocrowns may result in better fracture resistance and a more favorable fracture mode than other investigated ceramic blocks, more microleakage may be expected with this material.

CAD/CAM Endocrown Fabrication from a Polymer-Infiltrated Ceramic Network Block for Primary Molar: A Case Report

2016 ◽  
Vol 40 (4) ◽  
pp. 264-268 ◽  
Author(s):  
Mehmet Selim Bilgin ◽  
Ali Erdem ◽  
Mehmet Tanrıver
Keyword(s):  
Case Report ◽  
Computer Aided Design ◽  
Resin Cement ◽  
Primary Tooth ◽  
Primary Molar ◽  
Long Term Treatment ◽  
Computer Aided ◽  
Cad Cam

Objective: The aim of this case report is to describe the treatment of a primary molar with a deep carious lesion by pulpotomy and placement of a ceramic endocrown. Clinical case: A 7-year-old male patient with profound caries in tooth number 85 was referred to our clinic and underwent a pulpotomy. As the final treatment in tooth restoration, placement of an endocrown was planned, because little more than half of the tooth structure remained. After an additional request from the patient's parents for an advanced and prompt restoration, a computer-aided design/computer-aided manufacturing (CAD/CAM) polymer-infiltrated ceramic network (PICN) block was chosen. A three-dimensional model of the arch was obtained after scanning the dental cast, and the endocrown was designed digitally according to the model. When the design was complete, the endocrown was fabricated with a milling machine. Finally, the endocrown was cemented with self-adhesive resin cement. Results: Over the 9-month follow-up period, no pulpal or periradicular pathology was observed on radiographs. Regarding the crown, the marginal fit was excellent, the anatomical form was protected, and no discoloration occurred. Conclusion: During follow-up, the CAD/CAM PICN block endocrown proved to be a good material for the short- to long-term treatment of a primary tooth. However, more clinical cases and follow-up are required to investigate the long-term effects of antagonistic tooth wear.

scholarly journals Controlled, prospective, randomized, clinical split-mouth evaluation of partial ceramic crowns luted with a new, universal adhesive system/resin cement: results after 18 months

2016 ◽  
Vol 20 (9) ◽  
pp. 2481-2492 ◽  
Author(s):  
Vanessa Vogl ◽  
Karl-Anton Hiller ◽  
Wolfgang Buchalla ◽  
Marianne Federlin ◽  
Gottfried Schmalz
Keyword(s):  
Adhesive System ◽  
Resin Cement ◽  
Universal Adhesive ◽  
Partial Ceramic Crowns ◽  
Ceramic Crowns

scholarly journals In vitro Study of the Effect of Internal Relief Space on the Color of Ceramic Laminate Veneer

2021 ◽  
Vol 9 (D) ◽  
pp. 37-42
Author(s):  
Abd El Azeem Mostafa ◽  
Cherif A. Mohsen
Keyword(s):  
Computer Aided Design ◽  
Color Change ◽  
In Vitro Study ◽  
Resin Cement ◽  
Lithium Silicate ◽  
Standard Design ◽  
Significant Difference ◽  
Computer Aided ◽  
Cad Cam

BACKGROUND: Ceramic laminate veneer restoring is considered a challenging modality in solving various esthetic dental problems. AIM: The purpose of this study was to investigate the effect of digital internal relief space on the color of ceramic laminate veneer. MATERIALS AND METHODS: An acrylic central incisor model was prepared for ceramic laminate veneer with standard measures. The prepared acrylic resin dentotype model was scanned with intraoral computer-aided design/computer-aided manufacturing (CAD/CAM) optical scanner (CEREC Omnicam|Dentsply Sirona). The laminate veneer design was planned on the optically scanned preparation on CAD/CAM system software (CEREC software|Dentsply Sirona). Thirty ceramic laminate veneer specimens were machined from zirconia-reinforced lithium silicate (Celtra Duo blocks, Dentsply/Sirona) according to standard design by CAD/CAM system with the change of the digital internal relief space settings. The specimens were divided into three groups according to their digital internal relief settings (IRS) (20, 60, and 100 μm) (n = 10). Thirty epoxy dies were duplicated from the prepared acrylic model. The ceramic laminate veneer specimens were cemented to epoxy dies with total etch resin cement system according to the manufacture instructions. The color change (ΔE) of the cemented ceramic laminate veneer specimens was measured by spectrophotometer (Vita Easy shade, Ivoclar Vivadent AG, Schaan, Liechtenstein) using the CIELAB scale and L*, a*, b*. Each specimen was measured two times (before and after cementation). The value of color difference (ΔE) was calculated according to the formula: ΔE = [(L*2 - L*1)2 + (a*2 - a*1)2 + (b*2- b*1) 2]½. RESULTS: The highest mean value of ΔE was recorded in G100 group (1.91 ± 0.33), followed by G60 group (1.83 ± 0.09), with the least value recorded in G20 group (1.49 ± 0.49). Analysis of variance test revealed a statistically significant difference between groups (p = 0.024). CONCLUSION: The change of the digital IRS affects the color of ceramic laminate veneers.

Interfacial Evaluation of CAD/CAM Resin Inlays on the Cavity Floor Using Swept-source Optical Coherence Tomography

2020 ◽  
Vol 45 (6) ◽  
pp. 664-676
Author(s):  
S-H Han ◽  
Y Shimada ◽  
A Sadr ◽  
J Tagami ◽  
S-E Yang
Keyword(s):  
Optical Coherence Tomography ◽  
Computer Aided Design ◽  
Optical Coherence ◽  
Universal Adhesive ◽  
Swept Source ◽  
Group I ◽  
Computer Aided ◽  
Adhesive Cement ◽  
Luting Material ◽  
Dentin Adhesive

Clinical Relevance When a resin nanoceramic inlay is cemented using self-adhesive cement, a universal dentin adhesive can be applied to the prepared cavity. The application of the adhesive before self-adhesive cement placement provides similar or better interfacial adaptation than without the adhesive. SUMMARY Purpose: The first objective of this study was to determine whether the luting material used for computer-aided design and computer-aided manufacture resin nanoceramic inlays affected interfacial adaptation. The second objective was to investigate whether application of a universal dentin adhesive before cementation affected interfacial adaptation. The final objective was to compare the inlay-side and dentin-side interfaces in the cement space. Methods and Materials: Seventy-four class I cavities were prepared on extracted human third molars. Cavities were optically scanned, and resin nanoceramic inlays were milled using Lava Ultimate blocks (3M ESPE). For the control groups, the fabricated inlays were cemented using Panavia V5 (Kuraray Noritake) or FujiCem 2 (GC). For the experimental groups, the teeth were randomly divided into groups I and II. Group I contained four subgroups using different luting materials; in all subgroups, the inlays were cemented and dual cured without pretreatment. Group II contained six subgroups in which inlays were cemented and dual cured after application of a universal dentin adhesive. After thermocycling, interfacial adaptation was measured using swept-source optical coherence tomography (SS-OCT) imaging and statistically compared among groups. Results: Interfacial adaptation was different depending on the luting material used (p&lt;0.05). After application of a universal adhesive, some subgroups showed improved interfacial adaptation (p&lt;0.05). In the comparison of inlay-side and dentin-side interfaces, no difference was found in interfacial adaptation (p&gt;0.05). Conclusions: Interfacial adaptation for resin nanoceramic inlays differed with luting material. For some self-adhesive cements, application of a universal adhesive before cementation improved interfacial adaptation.

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