Influence of Framework Material and Posterior Implant Angulation in Full-Arch All-on-4 Implant-Supported Prosthesis Stress Concentration

This study evaluated the influence of distal implants angulation and framework material in the stress concentration of an All-on-4 full-arch prosthesis. A full-arch implant-supported prosthesis 3D model was created with different distal implant angulations and cantilever arms (30° with 10-millimeter cantilever; 45° with 10-millimeter cantilever and 45° with 6-millimeter cantilever) and framework materials (Cobalt–chrome [CoCr alloy], Yttria-stabilized tetragonal zirconia polycrystal [Y-TZP] and polyetheretherketone [PEEK]). Each solid was imported to computer-aided engineering software, and tetrahedral elements formed the mesh. Material properties were assigned to each solid with isotropic and homogeneous behavior. The contacts were considered bonded. A vertical load of 200 N was applied in the distal region of the cantilever arm, and stress was evaluated in Von Misses (σVM) for prosthesis components and the Maximum (σMAX) and Minimum (σMIN) Principal Stresses for the bone. Distal implants angled in 45° with a 10-millimeter cantilever arm showed the highest stress concentration for all structures with higher stress magnitudes when the PEEK framework was considered. However, distal implants angled in 45° with a 6-millimeter cantilever arm showed promising mechanical responses with the lowest stress peaks. For the All-on-4 concept, a 45° distal implants angulation is only beneficial if it is possible to reduce the cantilever’s length; otherwise, the use of 30° should be considered. Comparing with PEEK, the YTZP and CoCr concentrated stress in the framework structure, reducing the stress in the prosthetic screw.

Alumina-Toughened-Zirconia with Low Wear Rate in Ball-on-Flat Tribological Tests at Temperatures to 500 °C

An alumina-toughened zirconia (ATZ) material, fabricated using a procedure consisting of the common sintering of two different zirconia powders, was tested using the ball-on-disc method in a temperature range between room temperature and 500 °C. Corundum balls were used as a counterpart. The ATZ composite behaviour during tests was compared with that of commonly used α-alumina and tetragonal zirconia sintered samples. At temperatures over 350 °C, a drastic decrease in the wear rate of the material was detected. SEM analyses proved that, in such conditions, nearly the whole surface of the sliding material was covered with a layer of deformed submicrometric grains, which limited contact with the part of material that was not deformed. The mentioned layer was relatively strongly connected with the material, increased its resistance, and decreased its coefficient of friction. As a reference, commonly used materials, namely commercial alumina and tetragonal zirconia, were tested. The wear parameters of the composite were significantly better than those registered for the materials prepared of commercial powders.

Effect of Cooling Rate during Glazing on the Mechanical and Optical Properties of Monolithic Zirconia with 3 mol% Yttria Content

Glazing is the final heat treatment process in the manufacturing of a monolithic zirconia prosthesis. Herein, the effect of cooling rate during zirconia glazing was investigated. A 3 mol% yttria-stabilized tetragonal zirconia polycrystal was glazed at the general cooling rate suggested by the manufacturer, as well as at higher and lower cooling rates, and the differences in flexural strength, hardness, optical properties, and crystal structure were evaluated. A higher cooling rate did not affect the flexural strength, hardness, grain size, optical properties, or crystal structure; however, the Weibull modulus decreased by 1.3. A lower cooling rate did not affect the flexural strength, optical properties, or crystal structure; however, the Weibull characteristic strength increased by 26.7 MPa and the Weibull modulus increased by 0.9. The decrease in hardness and the increase in grain size were statistically significant; however, the numerical differences were negligible. This study revealed that a lower cooling rate provides more reliable flexural strength. Therefore, glazing can proceed at a general cooling rate, which takes 3–4 min; however, glazing at a lower cooling rate will provide a more consistent flexural strength if desired, despite being time-consuming.

Alumina, Zirconia and Their Composite Ceramics with Properties Tailored for Medical Applications

Although in 1977 the first ceramic composite material had been introduced into the market, it was a long time before composite materials were qualified for medical applications. For a long period high purity alumina ceramics have been used as ball-heads and cups. Because of their brittleness, in 1986 yttria stabilized zirconia has been introduced into this application, because of higher strength and fracture toughness. However, due to its hydrothermal instability this material disappeared in orthopaedic applications in 2000. Meanwhile a composite materials based on an alumina matrix with dispersed metastable tetragonal zirconia particles and in-situ formed hexagonal platelets became the standard material for ceramic ball-heads, because of their excellent mechanical strength, hardness and improved fracture toughness. Especially fracture toughness can be improved further by special material formulations and tailored microstructure. It has been shown that a mixed stabilisation of zirconia by yttria and ceria with dispersed alumina and hexagonal platelets overcomes the hydrothermal instability and excellent materials properties can be achieved. Such materials do have big potential to be used in dental applications. Furthermore, these materials also can be seen as a new generation for ball-heads, because of their enhanced fracture toughness. All materials are described within these articles. In order to achieve the required properties of the materials, special raw materials are required. Therefore, it is quite important to understand and know the raw material manufacturing procedures.

The influence of roughness on the resistance to impact of different CAD/CAM dental ceramics

This study aimed to investigate the effect of surface roughness (polished vs. CAD/CAM milling simulation) on impact strength of five dental ceramics for manufacturing CAD/CAM monolithic restorations. Specimens of five ceramics (FC- feldspathic glass-ceramic; PICN- polymer-infiltrated ceramic-network; ZLS- zirconia-reinforced lithium silicate glass-ceramic; LD- lithium disilicate glass-ceramic; YZ- yttria-stabilized tetragonal zirconia polycrystal ceramic) to be tested under impact (15×10×2mm3; n= 15) were divided into two groups, according to surface treatment: polishing (pol) and grinding (gri) as CAD/CAM milling simulation. Impact strength was tested using the Dynstat method. Roughness, topographic, fractographic and finite element analyses were performed. The impact strength data were analyzed by Weibull, and Pearson correlation was used to correlate roughness and impact strength data. The CAD/CAM milling simulation led to significantly (p<0.05) greater roughness (Ra and Rz) and statistically reduced the impact strength for PICN (polPICN= 4.59 to griPICN= 1.09; ±76% decrease), for LD (polLD= 17.69 to griLD= 10.09; ±43% decrease) and for YZ (polYZ= 74.99 to griYZ= 20.67; ±72% decrease) ceramics; and also promoted a more irregular topography with scratches and grooves. Fractographic and FEA analyses depicted the origin of failure at the higher stress concentration side during the impact test, where the pendulum impacted. The CAD/CAM milling simulation significantly decreased the impact strength of the evaluated ceramic materials.