Influence of Sequential CAD/CAM Milling on the Fitting Accuracy of Titanium Three-Unit Fixed Dental Prostheses.

This study investigated the fitting accuracy of titanium alloy fixed dental prostheses (FDP) after sequential CAD/CAM (Computer Aided Design/Computer Aided Manufacturing) fabrication. A three-unit FDP model connecting mandibular second premolars and molars was prepared and scanned to fabricate titanium FDPs by CAD/CAM milling. A total of six FDPs were sequentially milled in one titanium alloy disk using a new set of burs every time (n = 4). The fitting accuracy of FDPs was mesiodistally evaluated by a silicone replica technique and the measurement was triplicated at four different locations: MO (marginal opening), MG (marginal gap), AG (axial gap), and OG (occlusal gap). Data were statistically analyzed using ANOVA and Tukey's HSD test. The fitting accuracy of PMMA (polymethyl methacrylate) FDPs milled using the worn or new bur were evaluated by the same procedure (n = 6). The mean dimensions of titanium FDP for all measuring positions, except for AG, were significantly increased from the third milling. However, no difference was noted between the first FDP and the second FDP milled with the same set of burs. Severe edge chippings were observed in all milling burs. Detrimental effects of the worn burs on the fitting accuracy were demonstrated in the CAD/CAM-milled PMMA FDP. The results recommend proper changing frequency of cutting burs to achieve the quality of fit and predictable outcomes for dental CAD/CAM prostheses.

Characterization of an anti-foaming and fast-setting gypsum for dental stone.

OBJECTIVE: An anti-foaming and fast-setting gypsum for dental stone recently became available on the market. Interestingly, this product can be mixed by the cocktail shaking method, providing a more convenient way to obtain high reproducibility when fabricating error-free study models for digital dentistry. The aim of this study is to investigate setting time, surface bubble formation, and other gypsum characteristics of three dental stone products with different mixing methods. METHODS: Shake mix stone (SM), new plastone 2 white (NP), and Hi-Koseton (HK) were chosen. Using different mixing methods (cocktail shaking, hand mixing, hand mixing+vibrating, and hand mixing+vacuum process), the characteristics of dental stone were investigated according to ISO 6873. Powder size, morphology, and thermo/chemical analyses were performed. RESULTS: Regardless of the method of mixing, SM exhibited the fastest setting time (3-4min) and the smallest number (˜10% versus HK) and area (˜30% versus HK) of surface bubbles among the investigated products, while setting expansion, mechanical properties such as compressive/impact strength and microhardness and detail reproduction before and after digital scanning were similar. A smaller size (˜1.5µm) and unidentified additives were revealed as possible reasons for the above anti-foaming and fast-setting characteristics. SIGNIFICANCE: Anti-foaming and fast-setting characteristics of a developed gypsum for dental stone were confirmed even with shaking.

Uniaxial/biaxial flexure strengths and elastic properties of resin-composite block materials for CAD/CAM.

OBJECTIVE: Comparing strengths under different loading conditions provides useful information on the mechanical behaviour of restorative materials under multiaxial masticatory loading in the oral cavity. The aims of this study was to investigate the flexural strengths and the reliability of resin-composite blocks for CAD/CAM by uniaxial and biaxial flexure tests and to compare the elastic properties measured by different methods including digital image correlation (DIC). METHODS: Four resin-composite blocks for CAD/CAM, namely, VE (Vita Enamic), LU (Lava Ultimate), MD (Mazic Duro), and CS (Cerasmart), were investigated. Beam specimens (4.0×1.4×18.0mm3) and disks (12-14mmϕ×1.5mm) were prepared to determine the uniaxial (three-point bending) and biaxial (ball-on-ring, BOR) flexural strengths and flexural moduli. A compression test (8×4×18mm3) with DIC analysis was utilized to measure the elastic modulus and Poisson's ratio. Data were analysed by a 2-parameter Weibull function and ANOVA with Scheffe's test. RESULTS: The mean uniaxial and biaxial strengths and Weibull moduli of the specimen groups were as follows: uniaxial VE (140.1±7.0, 24.1), LU (159.1±6.3, 31.5), MD (144.9±13.3, 13.6), and CS (165.4±16.9, 11.2) and biaxial VE (153.6±10.4, 19.0), LU (231.0±29.3, 9.7), MD (148.9±23.8, 7.4), and CS (249.7±22.4, 13.8). Although the ranking of both sets of strength data remained unchanged, the strength reliability was significantly affected by the loading; the Weibull moduli of the specimens decreased when they were subjected to biaxial tests (except for that of CS). The elastic modulus values of the materials varied significantly under the different test loadings, although they were in the same order regardless of the test method: VE>>LU≈MD>CS. The DIC technique yielded elastic moduli that were in good agreement with those measured by the uniaxial flexure test. SIGNIFICANCE: The flexural strength, reliability, and elastic modulus of resin-composite block materials differed with the uniaxial and biaxial flexural loading and the test method. The different behaviours under both loadings should be considered in the evaluation of the mechanical performance of those materials.

Evaluation of mold-enclosed shear bond strength between zirconia core and porcelain veneer.

This study aimed to evaluate the mold-enclosed shear bond strength (ME-SBS) of zirconia to veneering porcelain with different surface treatments. Colored or uncolored zirconia coupons were either highly polished or airborne-particle abraded. The specimens were divided into groups with/without application of liner. Veneering porcelain was fired into an alumina ring mold on the zirconia coupons. The assembled specimens were subjected to the ME-SBS test. The mean ME-SBS for groups ranged from 7-10 MPa with no significant difference (p>0.05). A three-way ANOVA showed that coloring and surface roughening of the zirconia specimen had no significant influence on the ME-SBS value, but liner application exhibited a significant effect with a minor decrease in the MESBS (p=0.049). Surface treatments (coloring, airborne-particle abrasion, and liner application) were found to not cause a significant increase to the zirconia-porcelain bond strength. The application of zirconia liner had a slight negative influence on the ME-SBS results.

Inclusion of phytogenic blends in different nutrient density diets of meat-type ducks.

A total of 160 1-day-old ducklings (average initial body weight of 53 g), were used in a 42-d feeding trial to evaluate the effects of reducing nutrient density of diets, and supplementing the diets with a phytogenic blend (quillaja, anise, and thyme) on their growth, carcass quality, and nutrient digestibility. After checking body weight on d 1, the birds were sorted into pens with 5 birds/pen and 8 pens/treatment. The treatments were: T1, Basal diet; T2, T1+150 ppm phytogenic blend; T3, T1-(1% CP, 0.04% Lys, 0.05% Met+Cys, 0.02% Ca, and 0.02% P, and 50 kcal ME); T4, T3+150 ppm phytogenic blend. The results indicated that reducing nutrient density of the diets had an adverse effect (P<0.05) on body weight gain (BWG) on d 1 to 21, d 21 to 42, and the overall experimental period. Supplementing the diets with the phytogenic blend improved (P<0.05) BWG and feed conversion ratio (FCR) on d 21 to 42 and the overall experimental period. Feed intake was not affected by treatments. Low nutrient density diets increased (P<0.05) the cooking loss percentage of breast meat. Supplementing the diets with the phytogenic blend decreased (P<0.05) the lightness of breast meat. The percentage of drip loss was influenced (P<0.05) by nutrient density and the phytogenic blend on d 1 and d 7. The relative weights of breast meat, abdominal fat, gizzard, liver, spleen, and bursa of Fabricius, pH, and TBARS values were not affected by the treatments. The digestibility of dry matter, energy, nitrogen, ADF, and NDF was decreased (P<0.05) by reducing nutrients density of the diets, but addition of the phytogenic blend alleviated (P<0.05) the negative effects of lowering the nutrient density. The results indicated that the ducks fed high nutrient density diets supplemented with the phytogenic blend showed higher BWG and nutrient digestibility and lower FCR, cooking loss, drip loss, and TBARS value, without any negative effect on meat quality and relative organs weights.