Joining dental ceramic layers with glass.

OBJECTIVE: Test the hypothesis that glass-bonding of free-form veneer and core ceramic layers can produce robust interfaces, chemically durable and esthetic in appearance and, above all, resistant to delamination. METHODS: Layers of independently produced porcelains (NobelRondo™ Press porcelain, Nobel BioCare AB and Sagkura Interaction porcelain, Elephant Dental) and matching alumina or zirconia core ceramics (Procera alumina, Nobel BioCare AB, BioZyram yttria stabilized tetragonal zirconia polycrystal, Cyrtina Dental) were joined with designed glasses, tailored to match thermal expansion coefficients of the components and free of toxic elements. Scanning electron microprobe analysis was used to characterize the chemistry of the joined interfaces, specifically to confirm interdiffusion of ions. Vickers indentations were used to drive controlled corner cracks into the glass interlayers to evaluate the toughness of the interfaces. RESULTS: The glass-bonded interfaces were found to have robust integrity relative to interfaces fused without glass, or those fused with a resin-based adhesive. SIGNIFICANCE: The structural integrity of the interfaces between porcelain veneers and alumina or zirconia cores is a critical factor in the longevity of all-ceramic dental crowns and fixed dental prostheses.

Veneer vs. core failure in adhesively bonded all-ceramic crown layers.

Joining a brittle veneer to a strong ceramic core with an adhesive offers potential benefits over current fabrication methods for all-ceramic crowns. We tested the hypothesis that such joining can withstand subsurface radial cracking in the veneer, from enhanced flexure in occlusal loading, as well as in the core. Critical conditions to initiate fractures were investigated in model crown-like layer structures consisting of glass veneers epoxy-joined onto alumina or zirconia cores, all bonded to a dentin-like polymer base. The results showed a competition between critical loads for radial crack initiation in the veneers and cores. Core radial cracking was relatively independent of adhesive thickness. Zirconia cores were much less susceptible to fracture than alumina, attributable to a relatively high strength and low modulus. Veneer cracking did depend on adhesive thickness. However, no significant differences in critical loads for veneer cracking were observed for specimens containing alumina or zirconia cores.

Joining veneers to ceramic cores and dentition with adhesive interlayers.

Adhesive joining of veneers to cores offers potential simplicity and economy in the fabrication of all-ceramic crowns. We tested the hypothesis that resin-based adhesives can be used for such fabrication without compromising mechanical integrity of the crown structure. A simple test procedure for quantifying this hypothesis was proposed. A model glass veneer layer 1 mm thick (representative of porcelain), adhesively bonded onto a glass-like core substrate (ceramic or dental enamel), was loaded at its top surface with a hard sphere (occlusal force) until a radial crack initiated at the veneer undersurface. The critical loads for fracture, visually observable in the transparent glass, afforded a measure of the predisposition for the adhesive to cause veneer failure in an occlusal overload. Two adhesives were tested, one a commercial epoxy resin and the other a relatively stiff in-house-developed composite. The results confirmed that stiffer adhesives provide higher resistance to failure.

Influence of microstructure and chemistry on the fracture toughness of dental ceramics.

OBJECTIVES: the primary aim of this research was to measure fracture toughness for several groups of dental ceramics, and determine how this property is affected by chemistry and microstructure. METHODS: Fracture toughness (KIc) values were obtained using Single Edge Precracked Beam (SEPB) and Single Edge V-Notch Beam (SEVNB) methods. Dynamic Young's modulus, which often scales with strength and has been used in explaining the microstructure/toughness relationship on a theoretical basis, was also obtained for the three groups of materials comprising this study. The first group, consisting of micaceous glass ceramics, included model materials that varied systematically in microstructure but not in chemistry. The second group, the feldspathic porcelains, varied significantly in microstructure, but little in chemistry. The ceramics comprising the third group were significantly different in both chemistry and microstructure. RESULTS: Upper toughness limits for the micaceous glass-ceramics and feldspathic porcelains were significantly raised compared to the base glasses, but remained under 2 MPa m(1/2). The highest toughnesses were associated with high percent crystallinity, large grains and high aspect ratios. The third group KIc values were 2.8 MPa m(1/2) for a lithium disilicate glass-ceramic, 3.1 MPa m(1/2) for a glass-infused alumina, and 4.9 MPa m(1/2) for zirconia. SIGNIFICANCE: the correlations between microstructural characteristics and measured properties supports theoretical predictions in the literature. From a practical standpoint, microstructural effects were found to be important, but only within a limited range; the chemistry apparently defined a band of achievable property values. This suggests very large increases in fracture toughness are unlikely to be attained by changes in microstructure alone. A functional relationship determined for the micaceous glass-ceramics enables quantitative predictions of fracture toughness based on the microstructure.

Materials design of ceramic-based layer structures for crowns.

Radial cracking has been identified as the primary mode of failure in all-ceramic crowns. This study investigates the hypothesis that critical loads for radial cracking in crown-like layers vary explicitly as the square of ceramic layer thickness. Experimental data from tests with spherical indenters on model flat laminates of selected dental ceramics bonded to clear polycarbonate bases (simulating crown/dentin structures) are presented. Damage initiation events are video-recorded in situ during applied loading, and critical loads are measured. The results demonstrate an increase in the resistance to radial cracking for zirconia relative to alumina and for alumina relative to porcelain. The study provides simple a priori predictions of failure in prospective ceramic/substrate bilayers and ranks ceramic materials for best clinical performance.

Effect of temperature on the absorption loss of chalcogenide glass fibers.

The change in the absorption loss of IR-transmitting chalcogenide glass fibers in the temperature range of -90 degrees C or= 6 microm the change in loss was mainly due to multiphonon absorption. The change in loss for tellurium-based glass fibers increased significantly at T = 60 degrees C. The increase in the loss at short wavelengths (lambda or= 9 microm, multiphonon absorption dominated the loss spectrum.

Upward migration of indwelling ureteral stents.

Polyethylene ureteral stents suspended from the kidney by a pigtail memory in the proximal end were placed bilaterally in a patient with ureteral obstruction secondary to retroperitoneal sarcoma. Both stents migrated upward and 1 migrated into the renal parenchyma. We recommend that these stents be inserted into the renal pelvis, as opposed to the calices, and that sufficient length be allowed to prohibit migration above the bladder.