Bond and fracture strength of metal-ceramic restorations formed by selective laser sintering

PURPOSE: The purpose of this study was to compare the fracture strength of the metal and the bond strength in metal-ceramic restorations produced by selective laser sintering (SLS) and by conventional casting (CAST). MATERIALS AND METHODS: Non-precious alloy (StarLoy C, DeguDent, Hanau, Germany) was used in CAST group and metal powder (SP2, EOS GmbH, Munich, Germany) in SLS group. Metal specimens in the form of sheets (25.0 x 3.0 x 0.5 mm) were produced in accordance with ISO 9693:1999 standards (n=30). To measure the bond strength, ceramic was fired on a metal specimen and then three-point bending test was performed. In addition, the metal fracture strength was measured by continuing the application of the load. The values were statistically analyzed by performing independent t-tests (alpha=0.05). RESULTS: The mean bond strength of the SLS group (50.60 MPa) was higher than that of the CAST group (46.29 MPa), but there was no statistically significant difference. The metal fracture strength of the SLS group (1087.2 MPa) was lower than that of the CAST group (2399.1 MPa), and this difference was statistically significant. CONCLUSION: In conclusion the balling phenomenon and the gap formation of the SLS process may increase the metal-ceramic bond strength.

Impact of rehabilitation with metal-ceramic restorations on oral health-related quality of life

Dental ceramics present excellent ability to reproduce the natural teeth regarding esthetic and biomechanics. Recently, due to the advancement of ceramic technology, metal-free restorations were developed. However, the traditional metal-ceramic restorations still present the requirements of high strength, long survival in the oral environment and favorable aesthetics. In this context, it is essential to know the specificity of each ceramic system available in order to apply it properly to various clinical situations. This report describes an integrated rehabilitation using metal-ceramic restorations of a patient at 50 years of age, who presented edentulous spaces, and previous unsatisfactory composite and amalgam restorations, and indirect metallic restorations, leading to compromised quality of life in both functional and psychosocial aspects. The impact on quality of life was measured using a generic instrument, OHIP-14, validated for the World Health Organization, which covers both the biological and the psychosocial dimensions. This instrument was applied to the patient before and after treatment. The patient had an overall OHIP-14 score of 28 before the treatment and after treatment the score decreased to 0, showing that dental and oral health conditions are factors that do impact on the quality of life. Rehabilitation has provided functional and aesthetic restorations, harmony of the stomatognathic system and improvement of life quality.

As cerâmicas dentais são conhecidas pela excelência em reproduzir artificialmente dentes naturais. Recentemente, devido ao aprimoramento da tecnologia cerâmica, surgiram as restaurações livres de metal. Entretanto, as tradicionais metalocerâmicas ainda preenchem adequadamente os requisitos de alta resistência, longa sobrevida em meio bucal e estética favorável. Neste contexto, é fundamental conhecer a especificidade de cada sistema cerâmico a fim de indicá-lo adequadamente às diversas situações clínicas. Este artigo relata um caso de reabilitação integral e integrada de paciente de 50 anos de idade, portador de espaços edêntulos, restaurações protéticas posteriores e restaurações diretas anteriores insatisfatórias, resultando em comprometimento da qualidade de vida nos âmbitos funcional e psicossocial, utilizando coroas metalocerâmicas. O impacto na qualidade de vida foi mensurado utilizando um instrumento genérico, OHIP-14, validado pela Organização Mundial de Saúde, que abrange tanto a dimensão biológica, como a dimensão psicossocial. Este instrumento foi aplicado à paciente antes e após o tratamento, obtendo pontuação total de 28 e 0 respectivamente, o que mostra que a condição de saúde oral representa fator de grande impacto sobre a qualidade de vida. A reabilitação oral proporcionou restabelecimento funcional e estético, harmonia do sistema estomatognático e melhoria da qualidade de vida da paciente.

Alternate metal framework designs for the metal ceramic prosthesis to enhance the esthetics

PURPOSE: The objective of the present study was to evaluate the effect of five different metal framework designs on the fracture resistance of the metal-ceramic restorations. MATERIALS AND METHODS: For the purpose of this study, the central incisor tooth was prepared, and the metal analogue of it and a master die were fabricated. The counter die with the 0.5 mm clearance was used for fabricating the wax patterns for the metal copings. The metal copings with five different metal framework designs were designed from Group 1 to 5. Group 1 with the metal collar, Group 2, 3, 4 and 5 with 0 mm, 0.5 mm, 1 mm and 1.5 mm cervical metal reduction respectively were fabricated. Total of fifty metal ceramic crown samples were fabricated. The fracture resistance was evaluated with the Universal Testing Machine (Instron model No 1011, UK). The basic data was subjected to statistical analysis by ANOVA and Student's t-test. RESULTS: Results revealed that the fracture resistance ranged from 651.2 to 993.6 N/m2. Group 1 showed the maximum and Group 5 showed the least value. CONCLUSION: The maximum load required to fracture the test specimens even in the groups without the metal collar was found to be exceeding the occlusal forces. Therefore, the metal frameworks with 0.5 mm and 1 mm short of the finish line are recommended for anterior metal ceramic restoration having adequate fracture resistance.

Collarless metal ceramic restorations to obscure the umbrella effect.

Esthetics with porcelain fused to metal restoration in the anterior region can be adversely affected due to the inadequate teeth preparations and design of the prosthesis. We presented here a case report where esthetics was compromised due to darkening of the interdental papilla and marginal gingival and overcontoured restorations in relation to porcelain fused to metal restorations. Good esthetic results were obtained by using basic principles of tooth preparation and using collarless metal ceramic restorations.

Effect of water content on the flexural strength during refiring in dental porcelain / 대한치과보철학회지

STATEMENT OF PROBLEM: Long-term exposure of dental porcelain to saliva during temporary cementation of a porcelain-fused to metal (PFM) restoration could affect mechanical strength of dental porcelain if the restoration is refired. PURPOSE: This work was performed to verify the effect of water on the mechanical strength in aged dental porcelain. MATERIAL AND METHOD: 63 specimens(Vintage Metalbond opaque and opal powder) were distributed to three experimental groups; non-water immersed control, immersed and pedried, and immersed and non-predired groups. The changes in flexural strength and fracture toughness after specimen refiring related to Fourier Transform Infrared (FT-IR) spectroscopy. RESULTS: 1. The FT-IR reflectances assigned to molecular bonds of H2O were noted as significantly different between the first-fired group and three refired groups and between two water-immersed groups and control group after refiring( p<0.05). They were also significantly different between predried group and non-predried group after refiring( p<0.05). 2. For opal specimens, FT-IR absorbances for hydrogen bond of H2O and silanols were significantly higher in non-predried group than in predreid group( p<0.05). 3. Predried opal group showed the highest mean flexural strength( p<0.05). Non-predried group indicated higher mean flexural strength than control group( p<0.05). 4. The mean fracture toughness for predired group was higher than non-predried group( p<0.05). 5. The difference of leucite crystal size is noted between control group and water-immersed, predried group in scanning electron microscopic study(x10000).

A study of the interfacial area of auro-galvano-form ceramic crowns / 实用口腔医学杂志

Objective: To study the ionic diffusion and the distri bu tion character in the interfacial area of aurogalvano form ceramic crown, and t o discuss the bond mechanism of porcelain fused to 99.9% gold. Method s: The ionic diffusion and the distribution character in the interfac ial area of aurogalvano form ceramic crown were observed by electron probe and scanning electron microscope. Results: The examination wit h electron microprobe showed that from gold to porcelain aluminum ascended from zero to peak value, aurum dropped from the peak value to zero, and the bandwidt h was about 3～4 ?m.There were obvious mechanical table and tuber. C onclusion: There is ionic diffusion and no crack in the interfacial a rea;there are physical and chemical combinations between porcelain and 99.9% gol d.

Effect of the metal ceramic restoration on detecting color using photoelectric colorimeter / 实用口腔医学杂志

Objective: To detect whether the metal base of the metal-fused-to-ceramic restoration have the same color performance and can be tested as natural teeth, and to evaluate whether they have effect on the color value determination by means of the photoelectrometer. Methods:Two kinds of shade guides of metal ceramic restoration were measured by photoelectric colorimeter, and color difference are analyzed compared with natural teeth of the same color. Results:The empfindung (color difference) of the shade guides with or without metal base and natural teeth is significantly different (P