Mechanical properties of cobalt-chromium 3-unit fixed dental prostheses fabricated by casting, milling, and additive manufacturing

2018 ◽  
Vol 120 (1) ◽  
pp. 156.e1-156.e7 ◽  
Author(s):  
Marit Øilo ◽  
Harald Nesse ◽  
Odd Johan Lundberg ◽  
Nils Roar Gjerdet
2013 ◽  
Vol 26 (4) ◽  
pp. 343-349 ◽  
Author(s):  
Per Svanborg ◽  
Lena Längström ◽  
Ritva Moisio Lundh ◽  
Göran Bjerkstig ◽  
Anders Örtorp

2015 ◽  
Vol 114 (5) ◽  
pp. 686-692 ◽  
Author(s):  
Harald Nesse ◽  
Dina Mari Åkervik Ulstein ◽  
Malene Myhre Vaage ◽  
Marit Øilo

2015 ◽  
Vol 113 (1) ◽  
pp. 22-28 ◽  
Author(s):  
Danilo Gonzaga B. de França ◽  
Maria Helena S.T. Morais ◽  
Flávio D. das Neves ◽  
Gustavo A.S. Barbosa

2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Per Svanborg ◽  
Henrik Skjerven ◽  
Pablo Carlsson ◽  
Alf Eliasson ◽  
Stig Karlsson ◽  
...  

Objectives. Digital impressions are increasingly used and have the potential to avoid the problem of inaccurate impressions. Only a few studies to verify the accuracy of digital impressions have been performed. The purpose of this study was to compare the marginal and internal fit of 3-unit tooth supported fixed dental prostheses (FDPs) fabricated from digital and conventional impressions.Methods. Ten FDPs were produced from digital impressions using the iTero system and 10 FDPs were produced using vinyl polysiloxane (VPS) impression material. A triple-scan protocol and CAD software were used for measuring and calculating discrepancies of the FDPs at 3 standard areas: mean internal discrepancy, absolute marginal gap, and cervical area discrepancy. The Mann-Whitney U test was used for analyzing the results.Results. For conventional and digital impressions, respectively, FDPs had an absolute marginal gap of 147 μm and 142 μm, cervical area discrepancy of 69 μm and 44 μm, and mean internal discrepancy of 117 μm and 93 μm. The differences were statistically significant in the cervical and internal areas (P<0.001).Significance. The results indicated that the digital impression technique is more exact and can generate 3-unit FDPs with a significantly closer fit compared to the VPS technique.


Materials ◽  
2021 ◽  
Vol 14 (2) ◽  
pp. 259
Author(s):  
Julian Nold ◽  
Christian Wesemann ◽  
Laura Rieg ◽  
Lara Binder ◽  
Siegbert Witkowski ◽  
...  

Computer-aided design and computer-aided manufacturing (CAD–CAM) enable subtractive or additive fabrication of temporary fixed dental prostheses (FDPs). The present in-vitro study aimed to compare the fracture resistance of both milled and additive manufactured three-unit FDPs and bar-shaped, ISO-conform specimens. Polymethylmethacrylate was used for subtractive manufacturing and a light-curing resin for additive manufacturing. Three (bars) and four (FDPs) different printing orientations were evaluated. All bars (n = 32) were subjected to a three-point bending test after 24 h of water storage. Half of the 80 FDPs were dynamically loaded (250,000 cycles, 98 N) with simultaneous hydrothermal cycling. Non-aged (n = 40) and surviving FDPs (n = 11) were subjected to static loading until fracture. Regarding the bar-shaped specimens, the milled group showed the highest flexural strength (114 ± 10 MPa, p = 0.001), followed by the vertically printed group (97 ± 10 MPa, p < 0.007). Subtractive manufactured FDPs revealed the highest fracture strength (1060 ± 89 N) with all specimens surviving dynamic loading. During artificial aging, 29 of 32 printed specimens failed. The present findings indicate that both printing orientation and aging affect the strength of additive manufactured specimens. The used resin and settings cannot be recommended for additive manufacturing of long-term temporary three-unit FDPs.


Materials ◽  
2020 ◽  
Vol 13 (21) ◽  
pp. 4781
Author(s):  
Soohyun Bae ◽  
Min-Ho Hong ◽  
Hyunwoo Lee ◽  
Cheong-Hee Lee ◽  
Mihee Hong ◽  
...  

Three-dimensional (3D) printing technologies have been widely used to manufacture crowns and frameworks for fixed dental prostheses. This systematic review and meta-analysis aimed to assess the reliability of the marginal fit of 3D-printed cobalt-chromium-based fixed dental prostheses in comparison to conventional casting methods. Articles published until 25 June 2020, reporting the marginal fit of fixed prostheses fabricated with metal 3D printing, were searched using electronic literature databases. After the screening and quality assessment, 21 eligible peer-reviewed articles were selected. Meta-analysis revealed that the marginal gap of the prostheses manufactured using 3D printing was significantly smaller compared to that manufactured using casting methods (standard mean difference (95% CI): −0.92 (−1.45, −0.38); Z = −3.37; p = 0.0008). The estimated difference between the single and multi-unit types did not differ significantly (p = 0.3573). In the subgroup analysis for the measurement methods, the tendency of marginal discrepancy between the 3D printing and casting groups was significantly different between articles that used direct observation and those that used the silicone replica technique (p < 0.001). Metal 3D printing technologies appear reliable as an alternative to casting methods in terms of the fit of the fixed dental prostheses. In order to analyze the factors influencing manufacturing and confirm the results of this review, further controlled laboratory and clinical studies are required.


Author(s):  
Leonhard Hitzler ◽  
Frank Alifui-Segbaya ◽  
Philipp Williams ◽  
Burkhard Heine ◽  
Michael Heitzmann ◽  
...  

The limitations of investment casting of cobalt-based alloys are claimed to be less problematic with significant improvements in metal additive manufacturing by selective laser melting (SLM). Despite these advantages, the metallic devices are likely to display mechanical anisotropy in relation to build orientations, which could consequently affect their performance &lsquo;in vivo&rsquo;. In addition, there are inconclusive evidence concerning the requisite composition and post-processing steps (e.g. heat-treatment to relieve stress) that must be completed prior to the devices being used. In the current paper, we evaluate the microstructure of ternary cobalt-chromium-molybdenum (Co-Cr-Mo) and cobalt-chromium-tungsten (Co-Cr-W) alloys built with Direct Metal Printing and LaserCUSING SLM systems respectively at 0&deg;, 30&deg;, 60&deg; and 90&deg; inclinations (&Phi;) in as-built (AB) and heat-treated (HT) conditions. The study also examines the tensile properties (Young's modulus, E; yield strength, RP0.2; elongation at failure, At and ultimate tensile strength, Rm), relative density (RD), and micro-hardness (HV5) and macro-hardness (HV20) as relevant physico-mechanical properties of the alloys. Data obtained indicate improved tensile properties and HV values after short and cost-effective heat-treatment cycle of Co-Cr-Mo alloy; however, the process did not homogenize the microstructure of the alloy. Annealing heat-treatment of Co-Cr-W led to significant isotropic characteristics with increased E and At (except for &Phi; = 90&ordm;) in contrast to decreased RP0.2, Rm and HV values, compared to the AB form. Similarly, the interlaced weld-bead structures in AB Co-Cr-W were removed during heat-treatment, which led to a complete recrystallization in the microstructure. Both alloys exhibited defect-free microstructures with RD exceeding 99.5%.


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