Effects of Different Air Particle Abrasion Protocols on the Biaxial Flexural Strength and Fractography of High/Ultra-Translucent Zirconia

In this study, the biaxial flexural strength (BFS) and fractography of high/ultra-translucent monolithic zirconia ceramics subjected to different mechanical surface pretreatments were evaluated. A total of 108 disc-shaped samples (12 mm diameter, 1.2 mm thickness) of three zirconia materials (5Y-ZP KATANA Zirconia UTML (ML), 3Y-TZP DD Bio ZX2 (DB), and 5Y-ZP DD cube X2 (DC)) were used. The BFS was investigated after subjecting the samples to surface treatment using air abrasion particles of two types (aluminum oxide or glass microbeads). The data were analyzed using two-way analysis of variance, followed by Scheffe’s post hoc test for multiple comparisons. The mean ± standard deviation BFS for DB was highest after treatment with 50 µm Al2O3 (1626.05 ± 31.9 MPa), with lower values being observed following treatment with 50 µm glass microbeads (1399.53 ± 24.2 MPa) and in the control sample (1198.51 ± 21.1 MPa). The mean ± standard deviation (SD) BFSs for DC and ML were the highest in the control groups. Surface air abrasion with 50 µm Al2O3 particles and 2 bar pressure is recommended for 3Y-TZP translucent zirconia, while no abrasion of 5Y-ZP translucent zirconia ceramic.

Comparative Evaluation of Compressive Bond Strength between Acrylic Denture Base and Teeth with Various Combinations of Mechanical and Chemical Treatments

Debonding and detachment of artificial teeth from the denture base is frequently encountered in prosthodontic practice. This study aims to assess the effect of modifications in the ridge-lap surface of denture teeth with various combinations of mechanical and chemical surface treatments with hydrofluoric acid on bond strength with the acrylic denture base resin and to identify the failure modes (adhesive, cohesive, or mixed). Seventy acrylic resin teeth samples were randomly divided into seven groups (n = 10): a control group (unmodified) and six treatment groups, in which various combinations of mechanical and chemical surface treatments were performed. Then, these teeth were attached to a heat-cured denture base resin block at 45° angulation. The acrylized test samples were thermocycled, and the compressive bond strength was evaluated using a universal mechanical testing machine. The results suggest that roughening with diamond burs yields the highest bond strength, whereas etching/grooving and air abrasion result in the lowest bond strength. Acid etching complemented air abrasion to improve bond strength, while negative effects were noted with acid etching in other groups. Furthermore, roughening at the neck portion of the acrylic teeth can be used by the manufacturing companies as a standard to provide higher bond strength while maintaining the esthetics of the anterior teeth.

Effect of Air-Abrasion on Shear Bond Strength of Resin Composite to Dentin: A Study in Vitro

The purpose of this study was to evaluate in vitro the efficacy of alumina, sodium bicarbonate and erythritol-based tooth air-abrasion on shear bond strength (SBS) of resin composite to dentin. Methods and Results: In order to assess the strength of the adhesive bond of the resin composite to tooth dentin, 50 tooth samples were prepared in accordance with the Ultradent Shear Bond Test method. All samples were divided into 5 groups. In Group 1 (n=10) and Group 2 (n=10), for air-abrasion of dentin surface 2 powders based on aluminum oxide with a particle size of 50μm and 27μm, respectively, were used (RONDOflex plus 360, KaVo, Biberach, Germany). In Group 3 (n=10) and Group 4 (n=10), other abrasive powders based on sodium bicarbonate (40μm) and erythritol (14μm), respectively, were used for a similar purpose (Air-Flow Classic comfort, Air-Flow Plus, EMS, Nyon, Switzerland). The control group (n=10) consisted of the remaining tooth samples in which the dentin surface, after preparation with a carbide bur, was not subjected to an air-abrasion.The one-day adhesive strength of bonded interfaces was evaluated on an UltraTester device (Ultradent Products Inc., USA) after resin bonding without aging simulation. The speed of movement of the test clamp with the installed sample was set to 1 mm/min. The maximal value of bonding failure was fixed in pounds (lb). The dentin surface ultrastructure was studied on 10 additional tooth samples, which were prepared for SEM analysis. It was found that the treatment of dentin surface with air-abrasive powders based on alumina (50 μm and 27 μm) and sodium bicarbonate (40 μm) did not improve the strength of the adhesive bond of resin composite to dentin. The strength of adhesion of the resin composite to dentin decreased significantly after air-abrasion of the tooth surface with erythritol-based powder.

An investigation into the cutting efficiency of a novel degradable glass as an alternative to alumina powder in air abrasion cutting of enamel

Objectives To develop and test the cutting efficiency of a novel degradable glass as an alternative media to alumina powder for air abrasion. Materials and methods A zinc-based glass (QMZK2) was designed, produced, and evaluated with a multi-modality imaging analysis. The glass dissolution study was carried out in three acids, using ICP-OES (inductively coupled plasma optical emission spectroscopy) at 5 different time points: 2.5, 5, 10, 60, and 240 min. The cutting efficiency of both materials was tested under the same parameters on slabs of elephant enamel. A stained fissure of a molar tooth was air abraded with the glass and evaluated with X-ray micro-tomography before and after air abrasion. Results The particle size distribution of the glass was similar to that of alumina 53 µm but with a slightly greater dispersion of particle size. The shape of the particles was angular, appropriate for cutting purposes. The dissolution study showed that the glass dissolved rapidly in acidic conditions at all time points. Between the two variables, pressure and powder flow, pressure was found to influence the cutting speed to a greater extent than powder flow. Conclusions Alumina powder was found to perform significantly better in 4 of the 9 conditions tested on elephant enamel, QMZK2 in one, and no significant differences were found for the rest of the 4 conditions. The QMZK2 seems to offer promising results as an alternative material to alumina. Clinical relevance. QMZK2 glass has the potential for replacing aluminum oxide as a degradable material in air abrasion technology.

Effects of Immediate and Delayed Cementations for CAD/CAM Resin Block after Alumina Air Abrasion on Adhesion to Newly Developed Resin Cement

The purpose of this study was to evaluate the effect of one week of Computer-aided design/Computer-aided manufacturing (CAD/CAM) crown storage on the μTBS between resin cement and CAD/CAM resin composite blocks. The micro-tensile bond strength (μTBS) test groups were divided into 4 conditions. There are two types of CAD/CAM resin composite blocks, namely A block and P block (KATANA Avencia Block and KATANA Avencia P Block, Kuraray Noritake Dental, Tokyo, Japan) and two types of resin cements. Additionally, there are two curing methods (light cure and chemical cure) prior to the μTBS test—Immediate: cementation was performed immediately; Delay: cementation was conducted after one week of storage in air under laboratory conditions. The effect of Immediate and Delayed cementations were evaluated by a μTBS test, surface roughness measurements, light intensity measurements, water sorption measurements and Scanning electron microscope/Energy dispersive X-ray spectrometry (SEM/EDS) analysis. From the results of the μTBS test, we found that Delayed cementation showed significantly lower bond strength than that of Immediate cementation for both resin cements and both curing methods using A block. There was no significant difference between the two types of resin cements or two curing methods. Furthermore, water sorption of A block was significantly higher than that of P block. Within the limitations of this study, alumina air abrasion of CAD/CAM resin composite restorations should be performed immediately before bonding at the chairside to minimize the effect of humidity on bonding.

Evaluation of Surface Roughness of a Ni-Cr Alloy Treated With the Nd/YAG Laser and the Sandblast Technique

Introduction: This study was to assess the effect of various output parameters of laser treatment on roughening the surface of a commercial nickel-chromium (Ni-Cr) alloy as compared to the sandblasting technique. Materials and Methods: Ninety-six disk-shaped (5 mm diameter and 2 mm thickness) specimens in total were made of a nickel-chromium alloy by using the lost-wax technique. Air-abrasion surface treatment was used for sixteen specimens. Specimens were divided into six groups; one of them was sandblasted and the rest were irradiated by different Nd:YAG laser output parameters as follows: Group A: energy: 122 mJ, frequency: 20 Hz, irradiation duration: 20 seconds, spot size: 1.5 mm; Group B: energy: 122 mJ, frequency: 20 Hz, irradiation duration: 20 seconds, spot size: 3.5 mm; Group C: energy: 122 mJ, frequency: 10 Hz, irradiation duration: 20 seconds, spot size: 3.5 mm; Group D: energy: 102 mJ, frequency: 10 Hz, irradiation duration: 20 seconds, spot size: 3 mm; Group E: energy: 102 mJ, frequency: 20 Hz, irradiation duration: 20 seconds, spot size: 3 mm. The surface roughness of all surface-treated specimens was evaluated by using a profilometer, and their average roughness (Ra) was calculated. The average value of each group was analyzed by t test and one-way ANOVA (SPSS 17). Results: Significant differences (P<0.05) were observed between the study groups. The highest Ra was achieved for the sandblasted group. The Ra value in group C was the highest value among the laser-etched groups. Conclusion: Based on the results, Nd:YAG laser irradiation increases surface roughness, but it is not as efficient as the sandblasting method as a gold standard.

Residual Adhesive Removal Methods for Rebonding of Debonded Orthodontic Metal Brackets: Systematic Review and Meta-Analysis

Debonding of orthodontic brackets is a common occurrence during orthodontic treatment. Therefore, the best option for treating debonded brackets should be indicated. This study aimed to evaluate the bond strength of rebonded brackets after different residual adhesive removal methods. This systematic review and meta-analysis was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. PubMed, Web of Science, The Cochrane Library, SciELO, Scopus, LILACS, IBECS, and BVS databases were screened up to December 2020. Bond strength comparisons were made considering the method used for removing the residual adhesive on the bracket base. A total of 12 studies were included for the meta-analysis. Four different adhesive removal methods were identified: sandblasting, laser, mechanical grinding, and direct flame. When compared with new orthodontic metallic brackets, bond strength of debonded brackets after air abrasion (p = 0.006), mechanical grinding (p = 0.007), and direct flame (p < 0.001) was significantly lower. The use of an erbium-doped yttrium aluminum garnet (Er:YAG) laser showed similar shear bond strength (SBS) values when compared with those of new orthodontic brackets (p = 0.71). The Er:YAG laser could be considered an optimal method for promoting the bond of debonded orthodontic brackets. Direct flame, mechanical grinding, or sandblasting are also suitable, obtaining clinically acceptable bond strength values.

Evaluation of Resin Bonding to Tetragonal and Gradient-Shaded Cubic Zirconia Ceramics After Air-Abrasion

Self-assembled nano-layering resulting from combined ionic and hydrogen-bonding interactions of phosphate functional monomers with zirconia have been proposed. The purpose of this study was to investigate the bond strengths of two phosphate monomer-containing adhesive resin cements (Panavia F 2.0 and RelyX U200) to a conventional tetragonal zirconia (Lava Plus, LP) and a new cubic zirconia (Lava Esthetic, LE), with three different shade zones, after air-abrasion. The structures of the zirconia surfaces were examined with scanning electron microscopy (SEM) and X-ray diffractometry (XRD). Vickers hardness and fracture toughness of the surfaces were also evaluated using a hardness tester. After air-abrasion (with 50 µm Al2O3 at a pressure of 0.25 MPa), the surface roughness was measured using confocal laser scanning microscopy (CLSM) and the resin cements were bonded (diameter: 2.38 mm) to the surfaces. All bonded specimens were stored in water at 37 °C for 24 h before performing the shear bond strength (SBS) test (n = 15). In the SEM images, the LP group showed a finer grain size than the LE groups. The XRD patterns confirmed that LP and LE had tetragonal and cubic phases, respectively. Although there were no significant differences in Vickers hardness among the four groups (p = 0.117), the three LE groups revealed inferior fracture toughness to the LP group (p < 0.001). However, neither the surface roughness of the air-abraded zirconia surfaces nor SBS values of each resin cement bonded to them were significantly different (p > 0.05). In conclusion, no significant difference in SBS value was detected between the tetragonal and cubic zirconia within each resin cement used, probably due to the similar surface roughness of the air-abraded zirconia ceramics.

Optimization of Dental Devices and Tools Used on Teeth

Taking decisions is important in every aspect of life. Decision-making has become a difficult problem in any situation where there are multiple criteria. The application of multicriteria decision-making methods that can bring mathematical and logical solutions to the problem from an analytical perspective has experienced considerable growth recently. It provides great benefits in solution and subsequent stages. Medical equipment selection is also a challenging, complex, and difficult problem for the decision-maker, due to the requirements of conflicting criteria, which must be taken into account simultaneously. In this context, the aim of this study implicates the principle of multicriteria decision-making theories on various types of instruments used in dentistry. Since the data used in this study are not numeric but linguistic, the Fuzzy PROMETHEE decision-making method is used. In this research, six dental tools most commonly used by professionals to perform operations on patients are compared and evaluated. Fuzzy PROMETHEE decision-making method investigations show that the dental mirror is the most effective tool among all compared tools, followed by dental suction, dental air abrasion, dental handpiece, dental laser, and dental X-ray, consequently, basing on the selected criteria and the importance weight given to each criterion. Using this technique, one can obtain more specific ranking results based on a specific preference level.