The impact of different surface treatments on repair bond strength of conventionally, subtractive-, and additive-manufactured denture bases.

OBJECTIVE: This study aimed to examine the shear bond strength (SBS) of repair material to conventionally, subtractive-, and additive-manufactured denture bases after different surface treatments. MATERIALS AND METHODS: Disk-shaped test specimens (N = 300) were prepared from denture base materials produced by one conventional (Procryla), one subtractive (Yamahachi), and one additive (Curo Denture) method. The test specimens were randomly divided into five groups (n = 10) and exposed to a variety of surface treatments-Group A: no surface treatment; Group B: grinding with silicon carbide paper; Group C: sandblasting; Group D: erbium: yttrium-aluminum-garnet laser; and Group E: plasma. Repair was performed with autopolymerizing acrylic resin (Meliodent). Surface roughness analyses were performed with a profilometer. Scanning electron microscopy was used to examine one specimen from each subgroup. SBS was evaluated on a universal testing machine. Failure types were observed under a stereomicroscope. RESULTS: Surface roughness values were significantly higher in all test materials in Group D than in the other groups (p < 0.001). For conventional resin, the SBS values were higher in Group C than in Groups A, D, and E (p < 0.001). For CAD/CAM material, Groups B and C had significantly greater SBS increases compared with Group E (p < 0.001). For 3D material, Group D showed higher SBS than all groups except Group C (p < 0.001). CONCLUSIONS: For SBS, sandblasting was most effective in the conventional group, whereas laser treatment was the most effective in the additive-manufactured group. For the subtractive group, surface treatments other than plasma exhibited similar SBS. CLINICAL SIGNIFICANCE: In repairing fractured prostheses, any degree of roughening suitable for the material content may provide an SBS benefit.

The effect of various surface treatments on the repair bond strength of denture bases produced by digital and conventional methods.

There is limited information on the repairability of prostheses produced with digital technology. This study aims to evaluate various surface treatments on flexural bond strength of repaired dentured base resins produced by digital and conventional methods. A total of 360 samples were prepared from one heat-polymerized, one CAD/CAM milled and one 3D printed denture base materials. All of the test samples were subjected to thermocycling (5-55 °C, 5000 cycles) before and after repair with auto-polymerizing acrylic resin. The test samples were divided into five subgroups according to the surface treatment: grinding with silicon carbide (SC), sandblasting with Al2O3 (SB), Er:YAG laser (L), plasma (P) and negative control (NC) group (no treatment). In addition, the positive control (PC) group consisted of intact samples for the flexural strength test. Surface roughness measurements were performed with a profilometer. After repairing the test samples, a universal test device determined the flexural strength values. Both the surface topography and the fractured surfaces of samples were examined by SEM analysis. The elemental composition of the tested samples was analyzed by EDS. Kruskal-Wallis and Mann-Whitney U tests were performed for statistical analysis of data. SB and L surface treatments statistically significantly increased the surface roughness values of all three materials compared to NC subgroups (p < 0.001). The flexural strength values of the PC groups in all three test materials were significantly higher than those of the other groups (p < 0.001). The repair flexural strength values were statistically different between the SC-SB, L-SB, and NC-SB subgroups for the CAD/CAM groups, and the L-SC and L-NC subgroups for the 3D groups (p < 0.001). The surface treatments applied to the CAD/CAM and heat-polymerized groups did not result in a statistically significant difference in the repair flexural strength values compared to the NC groups (p > 0.05). Laser surface treatment has been the most powerful repair method for 3D printing technique. Surface treatments led to similar repair flexural strengths to untreated groups for CAD/CAM milled and heat-polymerized test samples.

In vitro evaluation of color replication of metal ceramic specimens using visual and instrumental color determinations.

STATEMENT OF PROBLEM: It remains unclear whether or not the performance of intraoral colorimetric devices is accurate. PURPOSE: The purpose of this study was to evaluate the color replication of metal ceramics using an intraoral colorimeter and visual shade determination. MATERIAL AND METHODS: Twenty-five metal ceramic specimens were prepared to match 5 different shades (A1, B1, C3, D3, A3.5) of the Vitapan Classical shade guide. Five clinicians determined the shades of the specimens using the same shade guide. The shade determination was based on the agreement of at least 3 of the 5 observers. Instrumental shade determinations were made with an intraoral colorimeter (ShadeEye NCC) to obtain results in terms of the Vitapan Classical shade guide. Based on these shade determinations, 50 additional metal ceramic specimens (25 visually determined and 25 instrumentally determined) were prepared. The master (initial) and definitive (additional) specimens were analyzed with a spectrophotometer. L*, a*, b* values of each specimen were measured, and the color difference between the master and definitive specimens was calculated. The Wilcoxon signed rank test was used to analyze the color difference (ΔE) values (α=.05). RESULTS: Visual shade determination produced lower ΔE values than instrumental shade determination. The differences between ΔE values of different shade determination methods were significant for master specimens of the shades B1 and A3.5 (P=.02). The ΔE value calculated from the result of instrumental determination of shade B1 (ΔE=2.97) was within the clinically acceptable limit (ΔE=3.5), whereas the ΔE value for A3.5 (4.03) exceeded the limit for clinical acceptability. The ΔE values for C3 exceeded the acceptable limit for both shade determination methods (ΔE>3.5). CONCLUSIONS: Color replication of metal ceramic specimens using visual shade determination was more accurate compared to instrumental shade determination. The replication of the high-value shades (A1-B1) was observed to be reliable with both shade determination methods.

In vivo and in vitro assessment of an intraoral dental colorimeter.

PURPOSE: The purpose of this study was to assess the performance of an intraoral dental colorimeter. MATERIALS AND METHODS: In vivo repeatability of an intraoral colorimeter was assessed by performing color measurements of 30 individuals' right maxillary central incisor. Three consecutive measurements from each individual were made. In the in vitro part of the study, 25 metal-ceramic and 25 all-ceramic specimens were prepared. Five shades of metal-ceramic and all-ceramic specimens were selected for color determination. A widely recognized in vitro colorimeter was used as the control group for the in vitro performance assessment of the in vivo colorimeter. The color differentiation capability of two colorimeters was compared with the readings obtained from ceramic specimens. DeltaE values between shade groups of ceramic specimens were calculated and statistically analyzed with Student's t-test. The repeatability of the intraoral instrument was evaluated statistically with Intraclass correlation coefficient. RESULTS: The in vivo evaluation results showed that the overall repeatability coefficient values of L*, a*, and b* notations of the intraoral colorimeter were "excellent." The color differences (DeltaE) calculated between the colorimeters were significant only between shades A(1)-B(1) for metal-ceramic specimens (p= 0.002); however, from 5 of 10 shade couples of all-ceramic specimens, the color differences obtained from the readings of the in vivo colorimeter were significantly different from that of the in vitro colorimeter (p < 0.001). For all specimens, the differences between DeltaE values were within clinically acceptable limits (<3.5). CONCLUSIONS: Within the limitations of this study, the intraoral colorimeter exhibited successful in vivo repeatability; however, the color difference detection performance of the device varied depending on the translucency of the specimens.

Influence of cement shade and water storage on the final color of leucite-reinforced ceramics.

Leucite-reinforced ceramics have a translucent structure, which may have an advantage when fabricating esthetic restorations. However, the different shades of cement and water storage may adversely affect the final color of translucent restorations. Over time, the final color of a restoration may be significantly affected by the shade of the cement. This in vitro study evaluated the effect of two different cement shades (Vita A1 and A3) and water storage on the final color of leucite-reinforced ceramics over time. Twenty disks of standardized thickness (0.8 mm), diameter (5 mm) and color (shade 110, Chromascope) were prepared from leucite-reinforced glass-ceramic (IPS Empress). Ten freshly extracted human molars were used as the underlying structure, and both the buccal and lingual surfaces of each tooth were prepared with a diamond rotary cutting instrument and flat surfaces were created. Initially, all of the disks were bonded to the flat surfaces of the teeth with a thin layer of bonding agent (Single Bond, 3M Dental Products) to ensure immobilization of the specimens (baseline). The teeth and ceramic specimens were not etched and silanated for easy removal of the specimens. The color of the ceramic specimens was measured with a colorimeter. All disks were gently removed from the tooth surfaces, and 10 specimens (Group A1) were luted to the buccal surfaces of teeth using a dual-polymerizing resin composite cement (Vita A1, Rely X ARC), while the remaining 10 specimens (Group A3) were luted to the lingual surfaces of the teeth with a different shade (Vita A3, Rely X ARC) of the same cement. The final color of the specimens was measured immediately after cementation and at 3-, 30- and 90-day intervals after cementation. Color coordinates L*, a*, b* were recorded. The teeth were stored in 37 degrees C saline solution during measurement intervals. The Mann-Whitney U-test (post-hoc test) was performed to compare the results (alpha=0.05). The color difference of specimens luted with the two cements with different shades was not perceivable (DeltaE<3.7) for AC (after cementation), AC/3, AC/30 and AC/90 measurements. The color alteration between baseline and immediately after cementation (AC) was not perceivable for each cement group. However, after water storage, color differences between the baseline and AC/3, AC/30 and AC/90 were above this limit in bo th cement groups. The shade of the luted 0.8 mm IPS Empress porcelain specimens became darker after cementation, particularly on the third day, regardless of the cement shade tested. When the final color of ceramics luted with cements in two different shades was compared, it was observed that the final color differences were not perceivable for each measurement session.

The adherence of Candida albicans to acrylic resin reinforced with different fibers.

One important aethiological factor in the pathogenesis of chronic atrophic candidosis is the presence of Candida albicans on the fitting surface of the dentures. Fibers may come into contact with oral mucosa during the finishing procedures of acrylic resins. The exposed fibers may provide mechanical retention for yeast cells at the interface of the components. The effect of two different glass fibers and two different environments were evaluated in respect of Candida albicans adhesion to the acrylic surface. Half of the acrylic samples reinforced with two different fibers (Sticknet and Eversticknet) were pretreated with phosphate-buffered saline (PBS) and the rest with unstimulated saliva. The test specimens were placed in yeast suspension. The adhered cells were examined with a scanning electron microscope. The amount of adhered cells in PBS was lower for Eversticknet but the difference was not significant (p > 0.05). The number of yeast cells decreased in saliva for both groups and the difference was statistically significant for the samples reinforced with Eversticknet (p < 0.01). The use of Sticknet or Eversticknet as reinforcing material for poly(methylmethacrylate) had no effect on surface topography due to the same adhesion state of Candida albicans. The presence of a salivary pellicle derived from unstimulated saliva reduced adhesion of Candida albicans.

A prosthetic treatment approach for a cherubism patient: A clinical report.

Cherubism is an early childhood disease that primarily involves the mandible and consists of painless mandibular enlargement with or without maxillary involvement and progresses rapidly over the course of several years. This clinical report describes the fabrication of maxillary fixed partial dentures and a mandibular overdenture for a 21-year-old man with cherubism.