Quantifying the Strength of a Resin-coated Dental Ceramic

2008 ◽  
Vol 87 (6) ◽  
pp. 542-547 ◽  
Author(s):  
O. Addison ◽  
P.M. Marquis ◽  
G.J.P. Fleming

Resin luting all-ceramic restorations increases clinical performance; however, the strengthening mechanisms are not fully understood. The authors have previously proposed the existence of a resin-ceramic hybrid layer, and the hypothesis tested was that ceramic strength enhancement was conferred by the characteristics of the resin-ceramic hybrid layer. Dentin porcelain discs were polished with a P4000-grade abrasive paper, and half were centrally indented at 9.8 N. Further discs were alumina-air-abraded. Groups of 30 specimens were coated with resin cement thicknesses varying from 0 to 250 ± 20 μm before bi-axial flexure testing. Following investigation of residual stresses by annealing, regression analysis enabled us to calculate the magnitude of ’actual’ strengthening for a theoretical ’zero’ thickness of resin cement on each surface texture. Accounting for resin bulk strengthening, resin cement coating significantly increased the mean strength that was attributed to a resin-ceramic hybrid layer sensitive to surface texture.

2008 ◽  
Vol 33 (6) ◽  
pp. 644-650 ◽  
Author(s):  
S. Reich ◽  
S. Gozdowski ◽  
L. Trentzsch ◽  
R. Frankenberger ◽  
U. Lohbauer

Clinical Relevance The marginal fit of all-ceramic restorations has an important influence on the clinical performance and lifetime of adhesively luted restorations. In proximal boxes, an average marginal gap of less than 100 μm is claimed. These clinical requirements are fulfilled by both processing procedures.


1989 ◽  
Vol 68 (5) ◽  
pp. 823-825 ◽  
Author(s):  
P.M. McInnes-Ledoux ◽  
W.R. Ledoux ◽  
R. Weinberg

Accurate intra coronal castings can be produced using a castable ceramic-DICOR®-for which there is a need to identify a suitable luting cement. The aim of this investigation was to evaluate the bond strength of three glass-ionomer luting cements and one resin cement to treated and untreated DICOR®, enamel, and dentin surfaces. Forty "cerammed" DICOR® specimens were assigned to four groups: (1-3) grit-blasting and bonding to each of the three glass-ionomer cements; and (4) acid-etching, silane coating, and bonding to the resin cement. Seventy enamel specimens were assigned to seven groups: (1-3) no etching and bonding to each of the glass-ionomer cements; (4-7) acid-etching and bonding to the glass-ionomer cements and the resin cement. Seventy dentin specimens were assigned to seven groups: (1-4) bonding to each of the three glass-ionomer cements and the resin cement; (5-7) polyacrylic acid preconditioning and bonding to each of the three glass-ionomer cements. The mean resin cement bond strengths (MN/m 2) to DICOR® (9.4) and to etched enamel (10.7) were significantly greater (p<0.01) than those of the glass-ionomer cements (DI-COR®, 0.8-1.2 ; enamel, 0.4-0.9). Preconditioning of enamel and dentin significantly increased (p<0.05) the bond strengths to the glass-ionomer cements. The mean bond strength of the resin cement to untreated dentin (4.3) was significantly higher (p<0.05) than the glass-ionomer bond strengths to untreated dentin (1. 0-1.7) and to preconditioned dentin (2.1-3.3). The high bond strengths achieved with the resin cement are encouraging. Selected surface treatment of DICOR®, enamel, and dentin prior to luting should be clinically useful.


2006 ◽  
Vol 85 (3) ◽  
pp. 272-276 ◽  
Author(s):  
G.J.P. Fleming ◽  
F.R. Maguire ◽  
G. Bhamra ◽  
F.M. Burke ◽  
P.M. Marquis

All-ceramic crowns bonded with resin cements have increased performance, and two theories have been proposed. Marquis (1992) suggested that the resin modified defects by crack healing, while Nathanson (1993) proposed that resin polymerization shrinkage strengthened porcelains. Both theories imply a sensitivity of strengthening to defect size. The hypothesis tested was that resin strength enhancement is independent of defect severity. We ground 200 porcelain discs to remove imperfections and indented 120 to create a large defect. Discs were tested dry, wet, and after being coated with 75–100 μm of resin cement in bi-axial flexure. Disc strength with and without indentations was increased significantly when coated with 2 resin cements. Both cements significantly increased the strength independent of defect population, and the hypothesis was accepted. It is proposed that the combination of surface pre-treatment and cement moved the fracture origin from the porcelain/cement interface to the cement surface, consistent with resin strength enhancement independent of defect severity.


2004 ◽  
Vol 12 (3) ◽  
pp. 213-218 ◽  
Author(s):  
Maria Jacinta M. Coelho Santos ◽  
Carlos Eduardo Francischone ◽  
Gildo Coelho Santos Júnior ◽  
Eduardo Bresciani ◽  
José Carlos Romanini ◽  
...  

The aim of the present study was to evaluate the clinical performance of two types of ceramics: a slurry-powder ceramic (Duceram Plus, Degussa) - D and a hot-pressed leucite-based glass-ceramic (IPS Empress, Ivoclar Vivadent) - IPS. Eighty-six restorations, 44 IPS and 42 D, were made by one operator. A total of 33 onlays and 53 inlays on twenty-seven premolars and 59 molars were cemented in 35 patients of both sexes, mean age 35 years. All restorations were cemented with the dual-resin cement (Variolink, Ivoclar-Vivadent) under rubber dam and were evaluated at the baseline and after six months, using the modified U.S.P.H.S. criteria for postoperative sensitivity, secondary caries, fracture, color match, marginal discoloration, marginal integrity and surface texture. Additionally radiographs and intraoral photographs were carried out. At baseline 86 restorations were analyzed and all of them received Alfa rating, except for the following that received Bravo rating for postoperative sensitivity - IPS (2.27%); D (7.14%); for color match - IPS (2.27%); D (2.38%) and for surface texture - IPS (2.27%); D (11.90%). After 6 months 100% of the restorations were analyzed and the following received Bravo rating: color match - IPS (4.55%) and D (9.52%); surface texture - IPS (2.27%) and D (11.9%); marginal discoloration - IPS (6.82%) and D (4.76%) and marginal integrity - IPS (4.55%) and D (7.14%). The results were submitted to the Fisher and McNemar Statistical Tests. No significant differences were noticed between the two ceramics. Both ceramics demonstrated satisfactory clinical performance after six months.


2020 ◽  
Vol 10 (8) ◽  
pp. 2696
Author(s):  
Satheesh B. Haralur ◽  
Alaa Ali Alamri ◽  
Shatha Abdulrahman Alshehri ◽  
Danyah Saeed Alzahrani ◽  
Mohammed Alfarsi

Endocrowns are primarily recommended in a molar region with a standardized preparation design. The aim of the study was to evaluate the effect of different occlusal preparation depths, pulp chamber-radicular extension, and all-ceramic materials on the fracture resistance of premolar endocrowns. Ninety human premolar teeth were root canal treated, randomly divided into three main groups according to all-ceramic material used for fabrication as Lithium Disilicate (LD) ceramic, Polymer infiltrated ceramic (PIC) and High translucency zirconia (HTZ). They were further subdivided into three subgroups (n = 10) according to preparation design of 2 mm occlusal reduction, 4.5 mm occlusal reduction and 4.5 mm occlusal reduction with 2 mm radicular extension. The endocrowns from respective restorative materials were fabricated, surface conditioned, and cemented with self-adhesive resin cement. All samples were thermocycled for 5000 cycles and subjected to compressive static load at 45° angluation with the cross-head speed of 0.5 mm/minute until the fracture. The mean fracture resistance of LD ceramic at 2 mm, 4.5 mm thickness and radicular extension was 62.55 MPa, 45.80 MPa, 74.27 MPa respectively. The corresponding values for the PIC and HTZ ceramics were 26.30 MPa, 21.65 MPa, 25.66 Mpa and 23.47 MPa, 27.30 MPa, 37.29 MPa respectively. The LD ceramic and greater extension inside the pulp chamber had higher fracture resistance.


2014 ◽  
Vol 19 (2) ◽  
pp. 281-288 ◽  
Author(s):  
G. Sterzenbach ◽  
G. Karajouli ◽  
R. Tunjan ◽  
T. Spintig ◽  
K. Bitter ◽  
...  

2012 ◽  
Vol 512-515 ◽  
pp. 1779-1783
Author(s):  
Lin Lin Wang ◽  
Long Quan Shao ◽  
Yuan Fu Yi ◽  
Qi Liu ◽  
Bin Deng ◽  
...  

To compare thickness of veneering ceramics dependence of the stress profile in veneering ceramic layered on zirconia and metal frameworks. Cylindrical core materials dentine ceramic specimens whose diameter is 20.0mm, thickness is 0.5mm were made with customized method, and then Upcera zirconia and metal plate were veneered, the thickness of the veneering ceramics respectively were 1.25mm, 1.50mm and 1.75mm, a total of six groups (n=10). An CAD-CAM machine was used for the drilling procedure and residual stress profile of all-ceramic crowns and metal-ceramic crowns was calculated. The mean residual stress of zirconia all-ceramic restorations were: respecitively, 60.15±5.54MPa for 1.25mm thickness of veneering; 53.37±5.12MPa for 1.50mm thickness of veneering; 45.64±4.53MPa for 1.75mm thickness of veneering. The mean residual stress of glass infiltrated alumina all-ceramic restorations were: respectively, 61.32± 5.76MPa for 1.25mm thickness of veneering; 52.45±5.35MPa for 1.50mm thickness of veneering; 45.89±4.26MPa for 1.75mm thickness of veneering. Residual stress profile of all-ceramic restorations was significantly different among specimen groups of Y-TZP and Metal plate (P>0.05). There was also significantly different among specimen groups which had same thickness of the veneering ceramics but not belonged to same frameworks (P<0.01). As the depth increases, the stress gradually increases, reaching the maximum at the interface of MV or CV. The residual stress of frameworks was tensile stress, but the residual stress of veneering porcelain interior was compress. With the veneer porcelain thickness, the residual stress of the interface gradually reduce.


2020 ◽  
Vol 8 (10) ◽  
Author(s):  
Paula Mayumi Siqueira ◽  
Fábio Eduardo de Siqueira ◽  
Edson Suguiama ◽  
Gabriel Marcondes Castanheira ◽  
Fernanda Midori Tsuzuki ◽  
...  

Introdução: O restabelecimento de um sorriso harmônico constitui um grande desafio para a odontologia restauradora. A sincronia entre diversas especialidades se faz necessária para diagnosticar e tratar alterações estéticas, buscando a excelência do resultado e a satisfação do paciente. Um método bastante citado na literatura e aplicado por muitos clínicos é baseado na teoria da regra de proporção áurea. Quando adotada para situações complexas a proporção áurea pode ser um ponto de referência para a reabilitação. Deste modo, o trabalho tem como objetivo demonstrar uma reabilitação estética de diastemas múltiplos após tratamento ortodôntico, por meio de laminados vitrocerâmicos reforçados com dissilicato de lítio, onde o conceito de proporção áurea é aplicado. Descrição do caso clínico: Primeiramente, o plano de tratamento consistiu na distribuição uniforme dos diastemas, sendo posicionados da maneira mais harmônica e favorável para a oclusão na reabilitação com laminados vitrocerâmicos. A segunda fase consistiu na cimentação dos laminados, a fim de obter um resultado estético agradável. Discussão: A associação de ortodontia prévia a instalação dos laminados, permite uma melhor harmonia estética e oclusal, garantindo uma longevidade do tratamento. Opções restauradoras como laminados vitrocerâmicos reforçados com dissilicato de lítio permitem reabilitações extensas minimamente invasivas. Para casos complexos a proporção áurea, quando alinhada com os conceitos de macro e microestética, pode levar ao sucesso estético.Descritores: Estética Dentária; Facetas Dentárias; Diastema.ReferênciasSoares GP, Silva FAP, Lima DANL, Paulillo LAMS, Lovadino JR. Prevalência da proporção áurea em indivíduos adultos-jovens. Rev odonto ciênc. 2006;21:346-50.Higashi C, Amaral RC, Hilgenberg SP, Gomes JC, Hirata R, Loguercio R, et al. Finalização estética em dentes anteriores pós tratamento ortodôntico: relato de caso clínico. Int J Bras Dent. 2007;3:388-98.Kalia A, Mirdehghan N, Khandekar S, Patil W. Multi-disciplinary approach for enhancing orthodontic esthetics - case report. Clin Cosmet Investig Dent. 2015;13:83-9.Otani T, Raigrodski AJ, Mancl L, Kanuma I, Rosen J. In vitro evaluation of accuracy and precision of automated robotic tooth preparation system for porcelain laminate veneers. J Prosthet Dent. 2015;114:229-35.BaratierI LN. Estética: restaurações adesivas diretas em dentes anteriores fraturados. São Paulo: Santos Editora; 1998.Levin, EI. Dental esthetics and the golden proportion. J Prosthet Dent. 1978;3:244-52.Siqueira PM, Nahsan FPS, Naufel FS, Formighieri LA, Schmitt VL. Incidência da proporção áurea regressiva após tratamento ortodôntico. Rev Odontol Bras Central. 2012;21:515-18.Melo GFB, Menezes Filho PFM. Proporção áurea e sua relevância para a odontologia estética. Int J Dent. 2008;7:234-238.Oliveira VLR. Estudo da proporção áurea entre incisivos centrais. SOTAU R. Virtual Odontol. 2008;5:2-6.Proffit W, Fields HW, Sarver DM. Contemporary orthodontics Fourth edition. Oxford: Elsevier Health Sciences; 2006.Moon JE. Esthetic restorations of maxillary anterior teeth with orthodontic treatment and porcelain laminate veneers: a case report. J Adv Prosthodont. 2010;2:61-63.Keene HJ. Distribution of diastemas in the dentition of man. Am J Phys Anthropol. 1963;21:437-41.Nagalakshmi S, Sathish R, Priya K, Dhayanithi D. Changes in quality of life during orthodontic correction of midline diastema. J Pharm Bioallied Sci. 2014;6:162-64.Jacobson N, Frank CA. The myth of instant orthodontics: an ethical quandary. J Am Dent Assoc. 2008;139:224-34.Bona AD. Bonding to ceramics: scientific evidences for clinical dentistry. São Paulo: Artes Médicas; 2009. p. 91-132.Griggs JA. Recent advances in materials for all-ceramic restorations. Dent Clin North Am. 2007;51:713-27.Gurel G, Sesma N, Calamita MA, Coachman C, Morimoto S. Influence of enamel preservation on failure rates of porcelain laminate veneers. Int J Periodontics Restorative Dent 2013;33:31-9.Vargas MA, Bergeron C, Diaz-Arnold A. Cementing all-ceramic restorations: recommendations for success. J Am Dent Assoc. 2011;142:20-24.Runnacles P, Correr GM, Baratto Filho F, Gonzaga CC, Furuse AY. Degree of conversion of a resin cement light-cured through ceramic veneers of different thicknesses and types. Braz Dent J. 2014; 25:38-42.Almeida JR, Schmitt GU, Kaizer MR, Boscato N, Moraes RR. Resin-based luting agents and color stability of bonded ceramic veneers. J Prosthet Dent. 2015;114:272-77.Marubayashi AMW, Shinike, AY, Terada, HH, Kurihara, E, Terada RSS. Avaliação da proporção áurea em pacientes submetidos ou não a tratamento ortodôntico. Rev Dental Press Estét. 2010;7:72-80.Morley J1, Eubank J. Macroesthetic elements of smile design. J Am Dent Assoc. 2001;132:39-45.Johnston CD, Burden DJ, Stevenson MR. The influence of dental to facial midline discrepancies on dental attractiveness ratings. Eur J Orthod. 1999;21:517-22.Kokich VO Jr, Kiyak HA, Shapiro PA. Comparing the perception of dentists and lay people to altered dental esthetics. J Esthet Dent. 1999;11:311-24.


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