Polymerization Shrinkage, Hygroscopic Expansion, Elastic Modulus and Degree of Conversion of Different Composites for Dental Application

Objectives: To characterize the mechanical properties of different resin-composites for dental application. Methods: Thirteen universal dentin shade composites (n = 10) from different manufacturers were evaluated (4 Seasons, Grandio, Venus, Amelogen Plus, P90, Z350, Esthet-X, Amaris, Vita-l-escence, Natural-Look, Charisma, Z250 and Opallis). The polymerization shrinkage percentage was calculated using a video-image recording device (ACUVOL—Bisco Dental) and the hygroscopic expansion was measured after thermocycling aging in the same equipment. Equal volumes of material were used and, after 5 min of relaxation, baseline measurements were calculated with 18 J of energy delivered from the light-curing unit. Specimens were stored in a dry-dark environment for 24 h then thermocycled in distilled water (5–55 °C for 20,000 cycles) with volume measurement at each 5000 cycles. In addition, the pulse-excitatory method was applied to calculate the elastic modulus and Poisson ratio for each resin material and the degree of conversion was evaluated using Fourier transform infrared spectroscopy. Results: The ANOVA showed that all composite volumes were influenced by the number of cycles (α = 0.05). Volumes at 5 min post-polymerization (12.47 ± 0.08 cm3) were significantly lower than those at baseline (12.80 ± 0.09 cm3). With regard to the impact of aging, all resin materials showed a statistically significant increase in volume after 5000 cycles (13.04 ± 0.22 cm3). There was no statistical difference between volumes measured at the other cycle steps. The elastic modulus ranged from 22.15 to 10.06 GPa and the Poisson ratio from 0.54 to 0.22 with a significant difference between the evaluated materials (α = 0.05). The degree of conversion was higher than 60% for all evaluated resin composites.

Preparation and Performance Evaluation of Duotone 3D-Printed Polyetheretherketone as Oral Prosthetic Materials: A Proof-of-Concept Study

Literature has reported the successful use of 3D printed polyetheretherketone (PEEK) to fabricate human body implants and oral prostheses. However, the current 3D printed PEEK (brown color) cannot mimic the vivid color of oral tissues and thus cannot meet the esthetical need for dental application. Therefore, titanium dioxide (TiO2) and ferric oxide (Fe2O3) were incorporated into PEEK to prepare a series of tooth-color and gingival-color PEEK composites in this study. Through color measurements and mechanical tests, the color value and mechanical performance of the 3D printed PEEK composites were evaluated. In addition, duotone PEEK specimens were printed by a double nozzle with an interface between tooth-color and gingival-color parts. The mechanical performance of duotone PEEK with two different interfaces (horizontal and vertical) was investigated. With the addition of TiO2 and Fe2O3, the colors of 3D printed PEEK composites become closer to that of dental shade guides. 3D printed PEEK composites generally demonstrated superior tensile and flexural properties and hence have great potential in the dental application. In addition, duotone 3D printed PEEK with a horizontal interfacial orientation presented better mechanical performance than that with a vertical one.

Realization of a Dental Framework by 3D Printing in Material Cobalt-Chromium with Superior Precision and Fitting Accuracy

We report on the generation of a cobalt-chromium dental framework with superior precision and fitting accuracy using selective laser melting. The objective of this study is the reduction of surface roughness and the possibility to manufacture a dental framework with high precision for passive fit with attachments, in particular a round tack. After selective laser melting, the dental framework is thermally post processed at 750 °C, shot-blasted with glass and highly polished. Nominal to actual 3D form deviation is analyzed by stripe light projection, revealing deviations being less than 250 μm, i.e., warpage is as low as to permit dental application and accurate passive fit. In particular, the critical area of the dental framework, the fixture to the implant (overdenture) shows negligible deviations. This superior fitting accuracy is confirmed by joining the bar with a testing stylus.

Retention Forces of Prosthetic Clasps over a Simulated Wearing Period of Six Years In-Vitro: Direct Metal Laser Melting Versus Dental Casting

This study determinates the persistence of retention force in Akers-clasps for removable partial dentures made from Co-Cr alloy. Therefore, standardized computer-aided designed (CAD) clasp #1 specimens were made by direct metal laser melting (DMLM, n = 10) and by lost-wax dental casting (DC) of computer-aided manufactured (CAM) replicas (n = 10, DC) from two comparable Co-Cr alloys. The retention force was tested after manufacturing for 9000 cycles of setting and removal from a molar tooth crown analog made from zirconia; simulating in-vitro a duration of six years in service. The first and last 360 cycles (T0 and T1, 3 months each) of all specimens were selected for comparison of retention forces between the materials. A constant decrease of 6% from the initial retention force (T0 = 4.86 N, SD = 0.077; T1 = 4.57 N, SD = 0.037) was detected at the DC specimens, and an increase of 4% in DMLM specimens (T0 = 5.69 N, SD = 0.078; T1 = 5.92 N, SD = 0.077); all differences were statistically significant (p < 0.0001). Even if these deviations are not of clinical relevance, further studies and applications should investigate the fatigue behavior of laser melted Co-Cr-alloys for dental application.