scholarly journals Material selection for tooth-supported single crowns—a survey among dentists in Germany

2020 ◽  
Vol 25 (1) ◽  
pp. 283-293 ◽  
Author(s):  
Angelika Rauch ◽  
Annett Schrock ◽  
Oliver Schierz ◽  
Sebastian Hahnel
Keyword(s):  
Material Selection ◽  
Ceramic Materials ◽  
Free Response ◽  
Fixed Dental Prosthesis ◽  
Restorative Materials ◽  
Cad Cam ◽  
Dental Practices ◽  
Abutment Teeth ◽  
Survey Responses ◽  
Single Crowns

Abstract Objectives This study aimed to survey dentists in Germany to identify their favored materials for the fabrication of tooth-supported single crowns (SCs) depending on the location of the abutment teeth and the preparation margin. Materials and methods The survey included questions regarding demographic characteristics of dentists/their dental practice and preferred restorative materials for the fabrication of SCs for abutment teeth 16, 11, 34, and 36 with either supra- or subgingival preparation margins. Results Between August 2019 and February 2020, 721 dentists participated in the survey; responses from 33 dentists were excluded from data analysis because the dentists did not work in Germany or provided less than one fixed dental prosthesis/month. Dentists favored ceramic materials independent of the location of the abutment tooth and preparation margin (56.6–92.2%). CAD/CAM resin composites or full metals were preferred by only a few participants. A significantly higher proportion of dentists recommended porcelain fused to metal for subgingival preparation margins than for supragingival margins (p < 0.001). Characteristics of dentists/dental practices influenced a single scenario (11 subgingival) that was dependent on the dentist’s time since graduation. When asked to specify the ceramic materials, numerous participants wrote a free response (5.7–7.8%) or did not answer (0.7–4.8%). Conclusions Dentists in Germany selected restorative materials for SCs depending on the clinical scenario. Since numerous dentists did not specify the ceramic materials, postgraduate information and education might help to extend expertise. Clinical relevance The results of this survey provide insight into the favored materials of dentists for the fabrication of tooth-supported SCs.

scholarly journals In vitro Evaluation of the Marginal Fit and Internal Adaptation of Zirconia and Lithium Disilicate Single Crowns: Micro-CT Comparison Between Different Manufacturing Procedures

2018 ◽  
Vol 12 (1) ◽  
pp. 160-172 ◽  
Author(s):  
Francesco Riccitiello ◽  
Massimo Amato ◽  
Renato Leone ◽  
Gianrico Spagnuolo ◽  
Roberto Sorrentino
Keyword(s):  
Clinical Success ◽  
Lithium Disilicate ◽  
Resin Cement ◽  
Micro Ct ◽  
Marginal Fit ◽  
Restorative Materials ◽  
Cad Cam ◽  
Internal Adaptation ◽  
Single Crowns

Background:Prosthetic precision can be affected by several variables, such as restorative materials, manufacturing procedures, framework design, cementation techniques and aging. Marginal adaptation is critical for long-term longevity and clinical success of dental restorations. Marginal misfit may lead to cement exposure to oral fluids, resulting in microleakage and cement dissolution. As a consequence, marginal discrepancies enhance percolation of bacteria, food and oral debris, potentially causing secondary caries, endodontic inflammation and periodontal disease.Objective:The aim of the presentin vitrostudy was to evaluate the marginal and internal adaptation of zirconia and lithium disilicate single crowns, produced with different manufacturing procedures.Methods:Forty-five intact human maxillary premolars were prepared for single crowns by means of standardized preparations. All-ceramic crowns were fabricated with either CAD-CAM or heat-pressing procedures (CAD-CAM zirconia, CAD-CAM lithium disilicate, heat-pressed lithium disilicate) and cemented onto the teeth with a universal resin cement. Non-destructive micro-CT scanning was used to achieve the marginal and internal gaps in the coronal and sagittal planes; then, precision of fit measurements were calculated in a dedicated software and the results were statistically analyzed.Results:The heat-pressed lithium disilicate crowns were significantly less accurate at the prosthetic margins (p<0.05) while they performed better at the occlusal surface (p<0.05). No significant differences were noticed between CAD-CAM zirconia and lithium disilicate crowns (p>0.05); nevertheless CAD-CAM zirconia copings presented the best marginal fit among the experimental groups. As to the thickness of the cement layer, reduced amounts of luting agent were noticed at the finishing line, whereas a thicker layer was reported at the occlusal level.Conclusion:Within the limitations of the presentin vitroinvestigation, the following conclusions can be drawn: the recorded marginal gaps were within the clinical acceptability irrespective of both the restorative material and the manufacturing procedures; the CAD-CAM processing techniques for both zirconia and lithium disilicate produced more consistent marginal gaps than the heat-pressing procedures; the tested universal resin cement can be safely used with both restorative materials.

Layer thickness optimization of ceramic composite for body armor by considering volume, weight, and cost

2021 ◽  
pp. 095440622110157
Author(s):  
Yuksel Palaci ◽  
Mustafa M Arikan
Keyword(s):  
Silicon Nitride ◽  
Boron Carbide ◽  
Layer Thickness ◽  
Ceramic Composite ◽  
Material Selection ◽  
Composite Layer ◽  
Ceramic Materials ◽  
Ternary Diagram ◽  
Body Armor ◽  
Volume Weight

This study investigates visualization of optimized layer thickness with a ternary diagram by considering Volume, Weight, and Cost priorities to determine the composite structure of alternative ceramics to use in body armor application by using the Digital Logic Method (DLM). Three criterion priorities (volume, weight, cost) have been investigated to help designers decide on optimum ceramic material for their applications. Alumina (Al2O3), silicon carbide (SiC), silicon nitride (Si3N4), and boron carbide (B4C) were analyzed and ranked to decide for material selection based on priorities. The analysis results showed that silicon nitride (Si3N4) had the maximum performance index (PI) point (80.0) based on the volume priority. On the other hand, while boron carbide (B4C) had the maximum PI point (76.4) in terms of the weight priority, alumina (Al2O3) was determined to be the best material according to the cost priority. PI point of alumina (Al2O3) was calculated as 100. A ternary diagram was developed for decision-makers to visualize material selection performances. The optimization of the ceramic composite layer thickness of the alternative ceramic materials is visualized by considering three criteria.

scholarly journals Full Zirconia Implant-Born Prosthetic Rehabilitation with CAD/CAM Technology after Accurate Digital Planning. A Case Report

2021 ◽  
Vol 18 (15) ◽  
pp. 7998
Author(s):  
Riccardo Scaringi ◽  
Michele Nannelli ◽  
Alessio Franchina ◽  
Giuseppe Lizio ◽  
Luigi V. Stefanelli ◽  
...  
Keyword(s):  
Soft Tissues ◽  
Ceramic Materials ◽  
Surgical Removal ◽  
Holistic Treatment ◽  
Single Crown ◽  
Digital Planning ◽  
Cad Cam ◽  
Treatment Philosophy ◽  
Zirconia Implant

CAD/CAM technology can enhance the dentistry application of ceramic materials that meet the more relevant biocompatibility and aesthetics demands. In implant-borne prosthesis rehabilitation, yttria-stabilized zirconia appeared to be a valid alternative to metal-alloys and titanium, with comparable mechanical properties and even better interaction with bone and soft tissues. The improvement of monolithic CAD/CAM manufacturing allows for a reliable, predictable, and rapid workflow that can correspond to a holistic treatment philosophy associated with zirconia fixtures. This reported clinical case highlights the advantages of this approach in resolving particularly functionally and aesthetically complex situations. A 40-year-old patient with permanent canine impaction and the persistence of a deciduous tooth compromised by caries was successfully rehabilitated with the surgical removal of the enclosed tooth, the seating of a mono-phase zirconia implant after the deciduous extraction and its loading with a zirconia single crown, without any clinical or radiographical alteration up to seven years follow-up.

Effect of toothbrushing on the surface of enamel, direct and indirect CAD/CAM restorative materials

2021 ◽  
Author(s):  
Gabriel Bermejo ◽  
Jocelyn Lugo-Varillas ◽  
Jorge Soto ◽  
Juliana Faraoni ◽  
Regina Palma-Dibb ◽  
...  
Keyword(s):  
Restorative Materials ◽  
Cad Cam

Surface Roughness of Two CAD/CAM Restorative Materials as Affected by Chewing Simulation v1

2022 ◽  
Author(s):  
eaeldwakhly not provided
Keyword(s):  
Surface Roughness ◽  
Computer Aided Design ◽  
Surface Characteristics ◽  
Ceramic Materials ◽  
Study Groups ◽  
Significance Level ◽  
Chewing Simulation ◽  
Computer Aided ◽  
Cad Cam ◽  
The Individual

This study was conducted to assess the surface characteristics in terms of roughness of two CAD/CAM (Computer-Aided-Design/Computer-Aided Manufacturing)restorative material spre and post chewing simulation exposure. Methods: Specimens were prepared from two CAD/CAM ceramic materials: Cerec Blocs C and IPS e-max ZirCAD. A total of 10 disks were prepared for each study group. 3D optical noncontact surface profiler was used to test the surface roughness (ContourGT, Bruker, Campbell, CA, USA). A silicone mold was used to fix the individual samples using a self-curing resin. Surface roughness (SR) was examined pre and post exposure to chewing simulation. 480,000 simulated chewing cycles were conducted to mimic roughly two years of intraoral clinical service. The results data was first tested for normality and equal variance (Levene’s test >0.05) then examined with paired and independent sample t-test at a significance level of (p < 0.05). Results:The two CAD-CAM materials tested exhibited increased surface roughness from baseline. The highest mean surface roughness was observed in Cerec blocs C group after chewing simulation (2.34 µm± 0.62 µm). Whereas the lowest surface roughness was observed in IPS e.max ZirCAD group before chewing simulation (0.42 µm± 0.16 µm). Both study groups exhibited significantly different surface roughness values (p< 0.05). There was a statistically higher surface roughness values after the chewing simulation in Cerec blocs C when compared to IPS e.max ZirCAD groups (p = 0.000).Conclusion:Even though both tested CAD/CAM materials differ in recorded surface roughness values, results were within clinically accepted values.

An in vitro Evaluation of Artificial Caries-like Lesions on Restored Overdenture Abutments

1988 ◽  
Vol 67 (3) ◽  
pp. 582-584 ◽  
Author(s):  
P.P. Kambhu ◽  
R.L. Ettinger ◽  
J.S. Wefel
Keyword(s):  
Light Microscopy ◽  
Polarized Light ◽  
Polarized Light Microscopy ◽  
The Other ◽  
Type Ii ◽  
Restorative Materials ◽  
Abutment Teeth ◽  
The Mean ◽  
Materials Used

An acidified dialyzed gelatin gel system was used to determine the caries resistance of a variety of restorative materials used to obturate the canal orifice of overdenture abutment teeth. The restorative materials used were Tytin, Tytin + Copalite, P30 + Scotchbond, Fuji Ionomer-Type II, and Miracle Mix. Polarized light microscopy and microradiography were used to examine the caries-like lesions adjacent to the restorations. The lesions formed in the Fuji Ionomer-Type II and Miracle Mix groups appeared arrested at the wall adjacent to the restoration, and did not penetrate apically down the wall as did those associated with the other restorative materials. The mean depths of lesions adjacent to Fuji Ionomer-Type II and Miracle Mix restorations were significantly less than those of Tytin, Tytin + Copalite, or P30 + Scotchbond.

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