scholarly journals CAD/CAM milled complete removable dental prostheses: An in vitro evaluation of biocompatibility, mechanical properties, and surface roughness

2018 ◽  
Vol 37 (4) ◽  
pp. 526-533 ◽  
Author(s):  
Murali SRINIVASAN ◽  
Harald GJENGEDAL ◽  
Maria CATTANI-LORENTE ◽  
Mira MOUSSA ◽  
Stéphane DURUAL ◽  
...  
2021 ◽  
Vol 6 (2) ◽  
Author(s):  
Nagy Abdulsamee

Background: Advanced computer-aided design and computer-aided manufacturing (CAD-CAM) technology led to the introduction of an increasing number of machinable materials suitable for dental prostheses. One of these materials is polyetheretherketone (PEEK), a high performance polymer recently used in dentistry with favorable physical, mechanical and chemical properties. Purpose: The aim of this study was to review the current published literature on the use of PEEK for the fabrication of dental prostheses with CAD-CAM techniques. Methods: Electronic database searches were performed using the terms “PEEK”, “CAD-CAM”, “dental”, “dentistry” to identify studies related to the use of PEEK for the fabrication of CAD-CAM prostheses. Results: A great number of in vitro studies are available in the current literature pointing out the noticeable properties of PEEK. The use of PEEK has been recommended for a wide range of CAD-CAM fabricated fixed and removable dental prostheses, occlusal splints, intra-radicular posts, implant abutments, customized healing abutments, space maintainers for pediatric dentistry, orthodontic appliances and provisional restorations. However, only a few clinical studies were identified. Conclusions: PEEK could be considered as a viable alternative for CAD-CAM dental appliances to well-established dental materials. Due to the scarcity of clinical data, clinical trials are needed to assess the longterm performance of PEEK prostheses.


2021 ◽  
Vol 875 ◽  
pp. 373-378
Author(s):  
Ali Haider ◽  
Omar Farooq Azam ◽  
Muhammad Talha ◽  
Saleem Akhtar

Restorative material is a class of dental materials used for direct filling and fabrication of indirect restoration. NiCr alloy is a restorative material frequently used for dental prostheses due to its properties and economic reasons. In present work beryllium free NiCrMo alloy was developed and studied for dental restoration application. The alloy have unique characteristics of resistance to oxidation and biocompatibility; the requisites for dental prostheses. NiCrMo alloy is found to possess mechanical strength and fabrication properties suitable for dental repairs. In this study the developed alloy was tested for its mechanical properties, biocompatibility and corrosion resistance. An in-vitro biocompatibility study was carried out. No signs of toxicity and no signs of cell growth inhibition, in presence of NiCrMo alloy specimen, were observed. Mechanical properties and corrosion resistance are found in the range that is suitable for dental prostheses and easy fabrication.


Materials ◽  
2019 ◽  
Vol 12 (14) ◽  
pp. 2252 ◽  
Author(s):  
Yin ◽  
Jang ◽  
Lee ◽  
Bae

This study compares the mechanical properties and wear ability of five CAD/CAM (computer-aided design/computer-aided manufacturing) millable dental blocks. All the discs, including Amber Mill Hybrid, Vita Enamic, Katana Avencia, Lava Ultimate, and Amber Mill, were cut in dimensions of 1.2 mm in thickness and 12 mm in diameter, polished to a machined surface, and immersed in distilled water for seven days. Vickers hardness was measured and the indentations were observed using microscope. The discs were brushed under a 150 g load. Mean surface roughness (Ra) and topography were determined after 100,000 cycles. Finally the biaxial flexure strength of the discs was measured and the broken surfaces were observed using scanning electron microscopy (SEM). The data was subjected to Weibull analysis. All data were analyzed by one-way analysis (ANOVA). The results of Vickers hardness are shown as: Amber Mill > Vita Enamic > Amber Mill Hybrid > Lava Ultimate > Katana Avencia. Katana Avencia showed the highest volume percentage reduction and the roughest surface after toothbrushing. The biaxial flexural strength is shown as: Amber Mill > Katana Avencia > Lava Ultimate > Amber Mill Hybrid > Vita Enamic. All the tested materials exhibited varying degrees of mass loss and surface roughness. The properties of the composite materials are related to the filler content, filler volume, and polymerization methods.


2018 ◽  
Vol 55 (3) ◽  
pp. 361-363
Author(s):  
Daniel Alexandru Pop ◽  
R. Malaescu ◽  
Liviu Marsavina ◽  
Tiberiu Hosszu ◽  
Raul Rotar ◽  
...  

The aim of this in vitro study is to compare the load-to-fracture performance of polymethyl methacrylates (PMMA) provisional restorations manufactured with a traditional laboratory technique in comparison to a computer-assisted design and computer-assisted manufacturing (CAD-CAM) technique. Five interim three-unit fixed dental prostheses were fabricated with the conventional indirect technique, on a standard typodont. The same model was scanned with an intraoral scanner and the digital design of identical fixed dental prostheses was made. Then other five interim three-unit fixed dental prostheses were milled from PMMA CAD/CAM blocks with an in office milling machine. All specimens were tested for flexural strength in a universal testing machine, and the maximum load to fracture was measured. For the conventional provisional restorations, the load to fracture was 121.16 � 24.6, in comparison to CAD/CAM interim restorations, for which the load to fracture was 728.88 � 228.7. Within the limitations of this study, one can conclude that CAD/CAM provisional restorations present a higher fracture load than the conventional manufactured interim restorations.


Polymers ◽  
2021 ◽  
Vol 13 (17) ◽  
pp. 2915
Author(s):  
Nicola Scotti ◽  
Andrei Ionescu ◽  
Allegra Comba ◽  
Andrea Baldi ◽  
Eugenio Brambilla ◽  
...  

The aim of this in vitro study is to evaluate the effect of different acidic media on volumetric wear and surface roughness of CAD/CAM monolithic materials. Forty-eight rectangular specimens were prepared using different CAD/CAM monolithic materials: nanohybrid composite (Grandio Blocks, Voco), resin-based composite (Cerasmart, GC), lithium disilicate (E-Max, Ivoclar), and high-translucency zirconia (Katana STML, Kuraray Noritake). After storage in distilled water at 37 °C for two days, the specimens were tested using a chewing machine with a stainless-steel ball as an antagonist (49N loads, 250,000 cycles). Testing was performed using distilled water, Coca-Cola, and Red Bull as abrasive media. Wear and surface roughness analyses of the CAD/CAM materials were performed using a 3D profilometer and analyzed with two-way analysis of variance and post hoc pairwise comparison procedures. Worn surfaces were examined using scanning electron microscopy. Resin-based materials suffered higher volumetric wear than ceramics (p = 0.00001). Water induced significantly less volumetric wear than the other tested solutions (p = 0.0014), independent of the material tested. High-translucency zirconia showed less surface roughness than all the other materials tested. The selection of monolithic CAD/CAM materials to restore worn dentition due to erosive processes could impact restorative therapy stability over time. Resin-based materials seem to be more influenced by the acidic environment when subjected to a two-body wear test.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Eva Anadioti ◽  
Leen Musharbash ◽  
Markus B. Blatz ◽  
George Papavasiliou ◽  
Phophi Kamposiora

Abstract Background The purpose of this paper is to review the available literature on three-dimensionally printed complete dentures in terms of novel biomaterials, fabrication techniques and workflow, clinical performance and patient satisfaction. Methods The methodology included applying a search strategy, defining inclusion and exclusion criteria, selecting studies and forming tables to summarize the results. Searches of PubMed, Scopus, and Embase databases were performed independently by two reviewers to gather literature published between 2010 and 2020. Results A total of 126 titles were obtained from the electronic database, and the application of exclusion criteria resulted in the identification of 21 articles pertaining to printed technology for complete dentures. Current innovations and developments in digital dentistry have successfully led to the fabrication of removable dental prostheses using CAD/CAM technologies. Milled dentures have been studied more than 3D printed ones in the currently available literature. The limited number of clinical studies, mainly case reports, suggest current indications of 3D printing in denture fabrication process to be custom tray, record bases, trial, interim or immediate dentures but not definitive prostheses fabrication. Limitations include poor esthetics and retention, inability to balance occlusion and low printer resolution. Conclusions Initial studies on digital dentures have shown promising short-term clinical performance, positive patient-related results and reasonable cost-effectiveness. 3D printing has potential to modernize and streamline the denture fabrication techniques, materials and workflows. However, more research is required on the existing and developing materials and printers to allow for advancement and increase its application in removable prosthodontics.


Materials ◽  
2020 ◽  
Vol 13 (15) ◽  
pp. 3407
Author(s):  
Mladen Bencun ◽  
Andreas Ender ◽  
Daniel B. Wiedemeier ◽  
Albert Mehl

In vitro studies investigating the mechanical properties of dental reconstructions use various materials to replicate prepared teeth. However, no uniform recommendation exists as to which material is most suitable for standardized testing. The purpose of this study was to identify a material that resembles human dentin in fracture load tests. Sixteen human teeth were scanned with an intraoral scanner to obtain copies of the original crown morphology and were then prepared for crowns. Replica dies of the prepared teeth including the root morphology were fabricated with a Computer-aided design and computer-aided manufacturing (CAD/CAM) system and divided into four groups: (A) reinforced composite (RC); (B) human dentin (HD); (C) polymethyl methacrylate (PM); and (D) hybrid ceramic (HC). Sixty-four feldspar ceramic crowns were designed with the biocopy mode, fabricated with a CAD/CAM system, luted on the dies, and then with the roots embedded in polymethyl methacrylate. Care was taken to position all specimens of the same morphology identically. Thermo-mechanical load cycling was performed in a chewing simulator followed by fractural loading of the crowns. A mixed effect linear model was fitted to the data, and pairwise contrasts were estimated on the marginal means and corrected for multiple testing according to Tukey (α = 0.05). The means for fracture load (N) were 2435 N (95% CI (2162, 2709)) for hybrid ceramic, 1838 N (95% CI (1565, 2112)) for reinforced composite, 1670 N (95% CI (1396, 1943)) for human tooth and 1142 N (95% CI (868, 1415)) for polymethyl methacrylate abutment materials. Post-hoc pairwise contrasts revealed a statistically significant (p < 0.05) difference among all groups except for reinforced composite and human dentin (p = 0.76). The results indicate that the mechanical properties of abutment dies play a significant role for a possible substitution of natural teeth in in vitro studies.


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