Application of computer-aided design and 3D-printed template for accurate bone augmentation in the aesthetic region of anterior teeth.

PURPOSE: To explore the outcomes of bone augmentation in the aesthetic zone of the anterior teeth using computer-aided design and a 3D-printed template. METHODS: Ten patients with severe bone defects in the aesthetic zone of anterior teeth were included in the study; CT data were collected before surgery. The design of the osteotomy line in the bone defect area was determined under computer simulation. The position parameters and osteotomy line of the free bone were determined via virtual surgery. A 3D-printed template was prepared to guide the accurate placement of the bone graft. Reexamination was conducted to evaluate the position of the bone graft immediately after the operation and the resorbed capacity of the bone graft before implant restoration. RESULTS: The position of the bone graft was consistent with the preoperative design. The amount of bone graft resorbed was within the acceptable range three months after the operation, and the effect of implant restoration was satisfactory. CLINICAL SIGNIFICANCE: Use of computer-aided design and a 3D-printed template can be an effective approach for accurate bone augmentation in the aesthetic zone of the anterior teeth.

[Research on physical and mechanical properties, crown accuracy by using self- made FUS-invest dental investment].

PURPOSE: To evaluate the physical and mechanical properties of pure titanium castings cast by self- made FUS-invest dental investment, and evaluate casting accuracy. METHODS: Seven pure titanium castings were cast by self-made FUS-invest zirconium investment and analyzed using servo hydraulic dynamic experiment system (JJG139-83 standard), scanning electron microscope and energy spectrum analysis. Thirty-eight crowns of pure titanium were cast by two different methods. One cast by FUS-invest zirconium embedding material was used for experiment and the other cast by phosphate embedding material was used as control. Casting accuracy was assessed through measuring the difference value d at the marginal marker points and distance between casting pieces of wall and working modes of casting were examined under microscope. Scanning electron microscope with energy-dispersive spectrum (EDS) was used to analyze the status of composition of the casting surface. SPSS 17.0 software package was used to investigate the difference of two groups. RESULTS: ①Qualitative analysis of servo hydraulic dynamic experiment system showed various mechanical properties: elastic modulus (123.5±14.2) GPa, yield strength (569.3±16.5) MPa, tensile strength (668.4±16.1) MPa, elongation (4.5±0.2)%. EDS analysis of the fracture was observed at different depth (13, 25, 50, 350 µm) under the surface of pollution layer, a little Si and Fe with different atomic percentage was found but no Zr. ②No significant difference (P>0.05) was found between each group of four markers on the marginal fit, and internal fit, whereas significant difference (P<0.01) was found at different marker point. CONCLUSIONS: The mechanical properties of commercially pure titanium casting by self-made FUS-invest zirconium-based investment can meet the qualification of dental metal materials, although elongation was a little lower. Both the marginal adaptation and internal fit between the two groups had no significant difference. The mean marginal difference was 46 µm, the mean internal difference at axial angle was 56 µm and approximately 0 at axial wall.

[Effect of investment composition ratio for pure titanium crown and bridge on some mechanical properties of mould].

OBJECTIVE: To determine the optimal composition of a self-developing investment material by measuring physical and mechanical properties of mould. METHODS: L(9) (3(4)) orthogonal design was adopted. One hundred and fifty specimens with the size of 80 mm × 20 mm × 20 mm were prepared to measure the atmospheric temperature bending strength, high temperature bending strength and residual bending strength. Nine specimens with the size of 5 mm diameter 25 mm heigh were prepared to survey the thermal expansion curve from ambient temperature to 1150°C. RESULTS: Strengths were greatly affected by fine powder proportion in refractory and water/powder ratio. When the content of fine powder was 35% and water/powder ratio was 1:7.5, adequate atmospheric temperature strength and high temperature strength could be achieved. Moreover, the residual strength was moderate. The thermal extension curves of specimens in experiment group were almost similar. And the average linear expansion coefficient was (4 ∼ 5) × 10(-6)/°C. CONCLUSIONS: The three kinds of bending strength of self-developing investment material are compared with commercialized investment material for titanium casting when water/powder ratio and the content of fine powder are carefully controlled.

[Effect of investment for titanium crown and bridge on reactive layer of castings].

OBJECTIVE: To investigate the effect of self-developing investment (FUS-invest) on the reactive layer of titanium castings. METHODS: Three 10 mm x 10 mm x 1 mm pure titanium castings were founded using FUS-invest. Metallographical structure of reactive layer was observed. X-ray diffraction (XRD) and scanning electron microscope with energy-dispersive spectrum (EDS) were used to analyze the status of composition of the casting surface. Micro-Vickers hardness was measured. RESULTS: The metallograph indicated that the reactive layer was composed of coarse flake-shaped alpha phase of grains. The value of micro-Vickers hardness with the range 243 to 314 MPa had not significantly difference under the depth of 105 microm beneath the surface. The XRD pattern clearly showed the peaks of ZrO2, SiO2, Mg2TiO4 and TiO2. EDS analysis demonstrated that the main elements were Al, Si, Zr and Cl. CONCLUSION: FUS-invest is suited for pure titanium casting because of the thin reactive layer and less change to metallographical structure.

New nano-sized Al2O3-BN coating 3Y-TZP ceramic composites for CAD/CAM-produced all-ceramic dental restorations. Part I. Fabrication of powders.

Partially sintered 3 mol % yttria-stabilized tetragonal zirconium dioxide (ZrO(2), zirconia) polycrystal (3Y-TZP) ceramics are used in dental posterior restorations with computer-aided design-computer-aided manufacturing (CAD/CAM) techniques. High strength is acquired after sintering, but shape distortion of preshaped compacts during their sintering is inevitable. The aim of this study is to fabricate new machinable ceramic composites with strong mechanical properties that are fit for all-ceramic dental restorations. Aluminum oxide (Al(2)O(3))-coated 3Y-TZP powders were first prepared by the heterogeneous precipitation method starting with 3Y-TZP, Al(NO(3))(3) . 9H(2)O, and ammonia, then amorphous boron nitride (BN) was produced and the as-received composite powders were coated via in situ reaction with boric acid and urea. Transmission electron microscopy (TEM) and X-ray diffraction (XRD) were used to analyze the status of Al(2)O(3)-BN on the surface of the 3Y-TZP particles. TEM micrographs show an abundance of Al(2)O(3) particles and amorphous BN appearing uniformly on the surface of the 3Y-TZP particles after the coating process. The size of the Al(2)O(3) particles is about 20 nm. The XRD pattern shows clearly the peak of amorphous BN among the peaks of ZrO(2).

[Effects of the improved FUS-invest investment for zirconium-oxide titanium crown and bridge on the reaction layer].

OBJECTIVE: To investigate the effects of the improved FUS-invest investment for zirconium-oxide titanium crown and bridge on the reaction layer. METHODS: 10 mm x 10 mm x 1 mm titanium castings were invested. Spectrum analysis was done to its reaction layer, the metallographic examination was observed and Vickers hardness was measured. RESULTS: The reaction layer was not obvious by the metallographic examination. The layer with plenty of Si was hardly detectable. The needle crystal layer diffused distribution on the surface of the titanium matrix. The depth was about 55 microm. Spectrum analysis showed that the contents of Si and Zr decreased as the depth increased. The microhardness, which obviously decreased from the surface to the matrix, tended to be equal with the hardness of the matrix after the depth reached 75 microm from the surface. CONCLUSION: The thickness of the reaction layer of the improved FUS-invest investment for zirconium-oxide titanium crown and bridge was decreased to 55 microm from 85 microm, which was the thickness before improvement.

[The effect of casting techniques on the accuracy of titanium crown and bridge].

OBJECTIVE: To investigate the method of enhancing the accuracy of titanium crowns by improving the casting method. METHODS: A self-assembled die was used to fabricate 48 standardized wax crowns. The dies were averagely divided into two groups. 21 crowns were successfully fabricated from one group according to the improved techniques. 18 crowns were fabricated by traditional method. A reference mark was scribed 90 degrees apart at four sites on the margin of each wax pattern and respective die. The distance between the margins of the wax pattern and the die was measured under a stereomicroscope. Similar method was also applied to measure the margin of castings. The castings were longitudinally split through midline. The distance between the 4 points(B',C',D',E') selected in the inner part of the crown and the die was respectively examined. RESULTS: Castings acquired by the improved method were more complete and had smoother surface. Marginal discrepancy value had significant difference between the two groups. Value in experimental group was smaller. Distance from B',E' to die between the two groups had no significant difference, but the distance from C',D' to the die was significantly different. The experimental group was smaller. CONCLUSION: Standardized crowns fabricated by the improved titanium casting technique were more accurate, but special investment for titanium crowns and bridges should be developed to compensate the casting shrinkage of metal.