Improving the compatibility of an Y-TZP/porcelain system using a new composite interlayer composition.

The aim of this study was to evaluate the effects of different cooling procedures and a new composite interlayer composition on the flexural strength, and veneer delamination resistance, of an all-ceramic veneered translucent Y-TZP core. One hundred twenty bar-shaped specimens of a translucent Y-TZP ceramic were prepared and divided into three groups: (1) no composite interlayer; (2) a glass interlayer (silica-based glass); (3) a mixed composite interlayer of glass and porcelain veneer material. A veneering porcelain (with and without a composite interlayer) was applied on the specimen surface and sintered. Each core-veneer group was cooled using a rapid or a slow cooling rate. All specimens were tested in four-point bending. Data were statistically analyzed using two-way ANOVA, followed by Post-Hoc tests with Bonferroni correction (α=0.05) and Weibull analysis. The group with no interlayer using the rapid cooling technique exhibited the highest flexural strength. However, with low reliability and the greatest delaminated area of porcelain under tension. A glass interlayer between porcelain veneer and zirconia core presents as a good alternative for maintaining flexural strength and porcelain veneer delamination resistance in zirconia based restorations.

The effect of air-abrasion and heat treatment on the fracture behavior of Y-TZP.

OBJECTIVES: This study evaluated how the flexural strength and fracture behavior of a zirconia-based ceramic (Y-TZP) were affected by pre- and post-sintering mechanical and thermal treatments. METHODS: Treatments included sandblasting with different particle size and type (30µm SiO2; 50 and 110µm Al2O3) and thermal conditioning. Two hundred bar-shaped specimens of pre-sintered Y-TZP ceramic (Lava Frame, 3M) were prepared (specimen dimensions: 25mm length×4mm width×0.7mm thickness) and divided into three groups (before sintering, after sintering and after sintering with heating treatment). The before sintering group specimens were airborne-particle abraded prior to dense sintering. Specimens from the after sintering group were airborne-particle abraded after sintering. The after sintering with heating treatment group specimens were submitted to a heating procedure after airborne-particle abrasion. The controls were the specimens that were sintered and not treated with any conditioning procedures. The specimens from all experimental conditions were analyzed by SEM, CLSM and XRD. All specimens were tested in four-point bending. Data were statistically analyzed using one-way ANOVA and Post Hoc tests (α=0.05). A Weibull analysis was used to analyze the strength reliability. RESULTS: Sandblasting pre-sintered zirconia before sintering significantly decreased the flexural strength, except when the smallest blasting particles were used (30µm SiO2). Phase transformation (t-m) was observed after sandblasting and reverse transformation (m-t) was observed after heating. SIGNIFICANCE: Sandblasting with 30µm SiO2 and 50µm Al2O3 allowed lower phase transformation. However, 30mm SiO2 presented better reliability.

Comparison of mechanical properties of five commercial dental core build-up materials.

OBJECTIVE: This study aimed to evaluate and compare the mechanical properties of five commercial core materials using fracture toughness (FT), Knoop hardness number (KHN), diametral tensile strength (DTS), and dynamic elastic moduli (DEM). METHODS: Composite material specimens were produced (Rock Core, CosmeCore, ParaCore, MultiCore Flow, and Filtek Supreme Plus). The FT test (n = 15) was performed using notchless triangular prism (NTP) specimens. FT was determined using an Instron testing machine. KHN (n = 3) was evaluated using three indentations applied on each specimen. DTS test (n = 15) was measured using an Instron testing machine. The density. of the specimens (n = 3) was determined by water displacement method. Dynamic Young's, shear moduli, and Poisson's ratio (n = 3) were measured by an ultrasonic method. Statistical analysis was conducted using ANOVA and a Tukey B rank order test (P = 0.05). RESULTS: Rock Core presented the lowest FT values. Filtek Supreme Plus and CosmeCore exhibited significantly higher KHN values than the rest of the materials. CosmeCore had the highest DTS value, which was statistically significant only compared to Rock Core. For DEM, Filtek Supreme Plus exhibited significantly higher Young's and shear moduli than the rest of the materials (P < 0.05). CONCLUSIONS: Results demonstrated significant differences in the FT, KHN, and DTS values of the core build-up materials tested. According to the elastic behavior of the core composite materials, Rock Core had the lowest Young's values.

Effect of ceramic shade on the degree of conversion of a dual-cure resin cement analyzed by FTIR.

OBJECTIVES: The aim of this research was to evaluate the degree of monomer conversion of different resin cement shades when photocured under different feldspathic ceramic shades. The photocuring time was also evaluated as well as the translucency of each ceramic shade. METHODS: Three VITA VM7 ceramic shades (Base Dentin 0M1, Base Dentin 2M2 and Base Dentin 5M3) were used to determine the translucency percentage. A spectrophotometer MiniScan was used to measure the opacity percentage of each specimen (2-mm-thick) and then the translucency was calculated. To measure the degree of conversion (DC), the resin cement (Variolink II; A3 Yellow and transparent) specimens (thickness: 100 µm) were photocured under a ceramic block (2-mm-thick) for 20 or 40s. Specimens photocured without the ceramic block were used as control. Sixteen groups (n=3) were evaluated. Micro-ATR/FTIR spectrometry was used to evaluate the extent of polymerization of all specimens after 24h. The %DC was calculated of experimentally polymerized versus maximally polymerized composite. RESULTS: The translucency percentages of 0M1, 2M2 and 5M3 ceramics were 12.41 (1.02)%, 5.75 (1.91)% and 1.07 (0.03)%, respectively. The %DC of both resin cement shades cured under ceramic 5M3 was significantly lower than the other groups (p<0.05). The %DC of 0M1 groups exhibited no significant difference from 2M2 groups (p>0.05), with the exception of the transparent cement photocured for 40s. CONCLUSION: Photocuring under 2mm ceramic showed that the increase in chroma saturation significantly decreased Variolink II resin cement %DC (100-µm-thick).

Effect of bleaching agent on dental ceramics roughness

The aim of this study was to assess the effect of bleaching agents (10% and 16% carbamide peroxide) on the roughness of two dental ceramics in vitro, and to analyze the surface by scanning electronic microscopy (SEM). Two bleaching agents (10% and 16% / Whiteness, FGM Gel) and two microparticle feldspathic ceramics (Vita VM7 and Vita VM13) were used. Forty disks of Vita VM7 and Vita VM13 ceramic were manufactured, measuring 4mm in diameter and 4mm high, in accordance with the manufacturers’ recommendations, and were divided into 4 groups (n=10): (1) VM7 + Whiteness 10%; (2) VM7 + Whiteness 16%; (3) VM13 + Whiteness 10%; (4) VM13 + Whiteness 16%. The bleaching agent was applied for 8 hours a day for 15 days and during the intervals the test specimens were stored in distilled water at 37°C. The roughness (Ra) of the test specimens was evaluated before and after exposure to the bleaching agents using a laser roughness meter and the topographic description was analyzed by SEM. The statistical analysis of roughness data showed significant differences in the VM7 groups, using paired t-test, p=0.05 (VM7 + Whiteness 10%: p=0.002; VM7 + Whiteness 16%: p=0.001) and two-sample t-test (VM7 p=0,047), and no significant difference was found among VM13 groups. The qualitative SEM analysis showed different degrees of surface changes. The results suggest that the roughness of the tested ceramic surfaces increased after exposure to the bleaching agents.

O objetivo do estudo foi avaliar o efeito de agente clareador (10% e 16% de peroxido de carbamida) na rugosidade de duas ceramicas dentais in vitro e analisar a superficie atraves da microscopia eletronica de varredura (SEM). Foram utilizados dois agentes clareadores (10% e 16% / Whiteness, FGM Gel) e duas ceramicas feldspaticas microparticuladas (Vita VM7 e Vita VM13). Foram confeccionados quarenta discos de ceramica Vita VM7 e Vita VM13, com 4mm de diametro e 4mm de altura, de acordo com as recomendacoes do fabricante, sendo divididos em 4 grupos (n=10): G1- VM7 + Whiteness 10%, G2- VM7 + Whiteness 16%, G3- VM13 + Whiteness 10% e G4- VM13 + Whiteness 16%. O agente clareador foi aplicado por 8 horas durante 15 dias e durante os intervalos os corpos de prova (cp) ficavam armazenados em agua destilada a 37°C. A rugosidade (Ra) dos cp foi avaliada antes e apos a exposicao aos agentes clareadores utilizando o rugosimetro a laser Perthomether S8P, e a descricao topografica foi analisada no MEV. A analise estatistica na rugosidade mostrou diferenca significante entre os grupos da VM7, usando o teste pareado, p=0.05 (VM7 + Whiteness 10%: p=0.002; VM7 + Whiteness 16%: p=0.001) e nao foi encontrado diferenca estatistica para os grupos da VM13. A descricao qualitativa no SEM evidenciou alteracao nas superficies em diferentes graus. Os resultados sugeriram que as superficies das ceramicas testadas aumentaram a rugosidade apos a exposicao ao agente clareador.

The effect of carbamide peroxide bleaching agents on the microhardness of dental ceramics.

This study examined the effect of 10% and 16% carbamide peroxide bleaching agents on the surface microhardness of micro-particulate feldspathic ceramics (VM7 and VM13, Vita Zahnfabrik). Forty specimens (8-mm diameter, 2-mm thickness) were divided into four groups (n=10): GI-VM7 + 10% Whiteness, G2-VM7 + 16% Whiteness, G3-VM13 + 10% and G4-VM13 + 16% Whiteness. The home-use bleaching agents were applied for 8 hours on 15 days, and the specimens were stored in distilled water at 37 degrees C. The Vickers hardness number (HV) was determined for each specimen. Data were analyzed by the Wilcoxon and Mann-Whitney tests (p < 0.05). The microhardness values before exposure were: g1-433 (57); g2-486 (22); g3-509 (28); g4-518 (24), and after exposure: G1-349 (32); G2-496 (95); G3-519 (38); G4-502 (81). G2 exhibited a higher and significant difference than GI in VM7 groups, and the effect of bleaching concentration was shown to be significant by the Mann-Whitney test. And for VM13, both the Wilcoxon and Mann-Whitney tests showed no significant differences. When using 10% carbamide peroxide, the microhardness of VM7 ceramic was affected, and there were no effect on the microhardness between VM7 and VM13 ceramics when 16% carbamide peroxide was used.

The effect of carbamide peroxide bleaching agents on the microhardness of dental ceramics

This study examined the effect of 10% and 16% carbamide peroxide bleaching agents on the surface microhardness of micro-particulate feldspathic ceramics (VM7 and VM13, Vita Zahnfabrik). Forty specimens (8-mm diameter, 2-mm thickness) were divided into four groups (n=10): G1- VM7 + 10% Whiteness, G2- VM7 + 16% Whiteness, G3- VM13 + 10% and G4- VM13 + 16% Whiteness. The home-use bleaching agents were applied for 8 hours on 15 days, and the specimens were stored in distilled water at 37°C. The Vickers hardness number (HV) was determined for each specimen. Data were analyzed by the Wilcoxon and Mann- Whitney tests (p<0.05). The microhardness values before exposure were: g1- 433 (57); g2- 486 (22); g3- 509 (28); g4- 518 (24), and after exposure: G1- 349 (32); G2- 496 (95); G3- 519 (38); G4- 502 (81). G2 exhibited a higher and significant difference than G1 in VM7 groups, and the effect of bleaching concentration was shown to be significant by the Mann-Whitney test. And for VM13, both the Wilcoxon and Mann-Whitney tests showed no significant differences. When using 10% carbamide peroxide, the microhardness of VM7 ceramic was affected, and there were no effect on the microhardness between VM7 and VM13 ceramics when 16% carbamide peroxide was used.

Este estudo examinou o efeito do agente clareador peroxido de carbamida a 10% e a 16% na microdureza superficial de ceramicas feldspaticas micro-particuladas (VM7 e VM13, Vita Zahnfabrik). Quarenta corpos-de-prova (8 mm de diametro, 2 mm de espessura) foram divididos em quatro grupos (n=10): G1- VM7 + 10% Whiteness, G2- VM7 + 16% Whiteness, G3- VM13 + 10% e G4- VM13 + 16% Whiteness. Os agentes clareadores foram aplicados por 8 horas durante 15 dias e os cp foram armazenados em agua destilada a 37°C. A dureza Vickers (HV) de cada cp foi determinada. Os dados foram analisados pelos testes de Wilcoxon e Mann-Whitney (p<0.05). Os valores da dureza antes da exposicao ao agente clareador foram: g1- 433 (57); g2- 486 (22); g3- 509 (28); g4- 518 (24), e depois da exposicao: G1- 349 (32); G2- 496 (95); G3- 519 (38); G4- 502 (81). G2 exibiu diferenca significante e microdureza maior comparado ao G1 nos grupos da VM7 e o efeito da concentracao do clareador foi significante, apresentados atraves dos testes Mann-Whitney. Para VM13, ambos testes, Wilcoxon e Mann-Whitney, nao apresentaram diferenca significante. Quando o peroxido de carbamida a 10% foi avaliado, a microdureza da ceramica VM7 foi afetada, e nao houve diferenca na microdureza entre as ceramicas VM7 e VM13 quando o peroxido de carbamida a 16% foi utilizado.

Effect of bleaching agent on dental ceramics roughness.

The aim of this study was to assess the effect of bleaching agents (10% and 16% carbamide peroxide) on the roughness of two dental ceramics in vitro, and to analyze the surface by scanning electronic microscopy (SEM). Two bleaching agents (10% and 16%/Whiteness, FGM Gel) and two microparticle feldspathic ceramics (Vita VM7 and Vita VM13) were used. Forty disks of Vita VM7 and Vita VM13 ceramic were manufactured, measuring 4 mm in diameter and 4 mm high, in accordance with the manufacturers' recommendations, and were divided into 4 groups (n = 10): (1) VM7 + Whiteness 10%; (2) VM7 + Whiteness 16%; (3) VM13 + Whiteness 10%; (4) VM13 + Whiteness 16%. The bleaching agent was applied for 8 hours a day for 15 days and during the intervals the test specimens were stored in distilled water at 37 degrees C. The roughness (Ra) of the test specimens was evaluated before and after exposure to the bleaching agents using a laser roughness meter and the topographic description was analyzed by SEM. The statistical analysis of roughness data showed significant differences in the VM7 groups, using paired t-test, p = 0.05 (VM7 + Whiteness 10%: p = 0.002; VM7 + Whiteness 16%: p = 0.001) and two-sample t-test (VM7 p = 0.047), and no significant difference was found among VM13 groups. The qualitative SEM analysis showed different degrees of surface changes. The results suggest that the roughness of the tested ceramic surfaces increased after exposure to the bleaching agents.

A comparison of the film thickness of two adhesive luting agents and the effect of thermocycling on their microTBs to feldspathic ceramic.

The aim of the present study was to evaluate the effect of thermocycling (TC) on the microtensile bond strength (microTBS) of two luting agents to feldspathic ceramic and to measure their film thickness (FT). For the microTBS test, sixteen blocks (6.4 x 6.4 x 4.8 mm) were fabricated using a feldspathic ceramic, etched with 10% hydrofluoric acid, rinsed and treated with the silane agent. The ceramic blocks were divided into two groups (n= 8): Gr1: dual-cured resin cement and Gr2: flowable resin. The luting agents were applied on the treated surfaces. Microsticks (1 +/-0. 1mm2) were prepared and stored under two conditions: dry, specimens immediately submitted to the microTBS test, and TC (6,000 cycles; 5 degrees C-55 degrees C). The microTBS was evaluated using a universal testing machine (1 mm/min). The microTBS data (MPa) were submitted to two-way ANOVA and Tukey' test (5%). For the FT test (ISO 4049), 0.05 ml of each luting agent (n=8) was pressed between two Mylar-covered glass plates (150 N) for 180 seconds and light polymerized. FT was measured using a digital paquimeter (Model 727-2001). The data (mm) were submitted to one-way ANOVA. The luting cement did not influence the microTBS results (p= 0.4467). Higher microtensile bond values were found after TC (20.5 +/- 8.6 MPa) compared to the dry condition (13.9 +/- 4. 7MPa), for both luting agents. The luting agents presented similar film thicknesses: Gr1- 0.052 +/- 0.016 mm; Gr2-0.041 +/- 0.003 mm. The luting agents presented similar film thickness and microTBS values, in dry and TC conditions and TC increased the bond strength regardless of the luting agent.

Shear bond strength between metal alloy and a ceramic system, submitted to different thermocycling immersion times.

The aim of this study was to evaluate the shear bond strength of Co-Cr and Ni-Cr metal alloys and a specific ceramic, submitted to different thermocycling immersion times. Sixty metal-ceramic specimens were confectioned and standardized in cylindricalformat. Three thermocycling conditions were evaluated: without thermocycling, 3,000 cycles (5 degrees C/55 degrees C+/-1) with 30s of immersion time and 3,000 cycles (5 degrees C/55 degrees C+/-1) with 60s. The shear bond strength was performed in a universal testing machine, using a special device to concentrate the tension at the metal/ceramic interface during the test. The load was applied until fracture of the specimens. The data was statistically analyzed by ANOVA (two-way) and Tukey (p<0.05) test. The results didn't show significant statistic differences between the metal-porcelain combinations. Nevertheless, both metal-ceramic systems submitted to 60s of immersion time showed lower values compared to specimens without thermocycling. It was concluded that the thermocycling immersion time of 1 minute affect the shear bond strength values for the Ni-Cr/porcelain and Cr-Co/porcelain systems.

Shear bond strenght between metal alloy and a ceramic system, submitted to different thermocycling immersion times

El objetivo de este estudio fue evaluar la resistencia a cizallamiento de aleaciones metálicas de Co-Cr y Ni-Cr; con un mismo tipo de cerámica, sometidos a diferentes tiempos de inmersión en el termociclaje. Sesenta especímenes fueron confeccionados de forma standarden formato cilindrico. Tres condiciones de termociclaje fueron evaluadas: sin termociclaje, 3000 ciclos (5ºC/55ºC±1) con 30s y 3.000 ciclos (5ºC/55ºC±1) con 60s de tiempo de inmersión. El ensayo de cizallamiento fue realizado en una máquina universal usando un dispositivo para concentrar la tensión en la interfase metalocerámica durante el test. La carga fue aplicada hasta que ocurra la fractura de los especimenes. La información fue estadísticamente analizada por ANOVA(two-way) y el test de Tukey (p<0,05). Los resultados no mostraron diferencia estadísticamente significante entre las combinaciones metal-porcelana. Sin embargo, ambas combinaciones metalocerámicas sometidas a 60s de tiempo de inmersión mostraron valores más bajos en comparación con los especimenes del grupo sin termociclaje. Fue concluido que el tiempo de inmersión de termociclaje de 1 minuto afectó los valores de resistencia de cizallamiento en los grupos de Ni-Cr/porcelana y Cr-Co/porcelana.