Effect of sintering speed, aging processes, and different surface treatments on the optical and surface properties of monolithic zirconia restorations.

STATEMENT OF PROBLEM: Advances in dentistry have led to more esthetic and biocompatible restorative materials such as translucent zirconia and to faster and more accurate manufacturing methods. How changes in the surface and optical properties of translucent zirconia affect the esthetics and durability of these restorations under different conditions and manufacturing processes is unclear. PURPOSE: The purpose of this in vitro study was to evaluate the effect of the sintering speed, aging process, and different surface treatments on the translucency and surface structure of monolithic zirconia restorations. MATERIAL AND METHODS: Prepared typodont teeth were scanned, and 40 three-unit fixed partial dentures (FPDs) and 40 disk specimens were designed and prepared from monolithic zirconia blanks. The specimens were divided into traditional or speed sintering groups (20 FPDs and 20 disks each); half of each group (10 FPDs and 10 disks) was polished with a handpiece at 10 000 rpm, and the other half was glazed. Half of the specimens were thermocycled with 3500 cycles in 5 °C and 55 °C water baths, and the remaining half were not thermocycled. Translucency was measured with a spectrophotometer. Surface free energy was calculated in mNm with a contact angle device; surface roughness was measured in nm with an atomic force microscope. Translucency data were analyzed by the Kruskal-Wallis and Mann-Whitney tests, while surface free energy and surface roughness data were analyzed by 3-way ANOVA (α=.05). RESULTS: The highest transmittance was in the speed sintered, polished, nonthermocycled group, and the lowest transmittance was in the speed sintered, polished, thermocycled group (P=.029). The transmittance of the traditionally sintered, polished, nonthermocycled group was significantly higher than that in all the speed sintered, glazed groups; the traditionally sintered, glazed groups; and the traditionally sintered, polished, thermocycled group (P=.029). The transmittance of the traditionally sintered, polished, thermocycled group was significantly higher than that of all traditionally sintered, glazed groups (P=.029). The mean surface free energy in the traditionally sintered groups was higher than that in the speed sintered groups (P=.002); also, it was higher in the glazed groups than in the polished groups (P<.001). The aging process decreased surface free energy (P=.023). The mean surface roughness in the speed sintered groups was significantly lower than that in the traditionally sintered groups (P=.004). No significant difference in surface roughness was found between the polished and glazed groups and between the 2 variables of the aging process (P>.05). CONCLUSIONS: Speed sintering and polishing may decrease the surface free energy and increase the translucency of the monolithic zirconia restoration. Also, speed sintering creates a smoother surface. Aging had a more significant effect on decreasing the surface free energy of the specimens and could make the least translucent restorations.

Comparison of the fracture resistance of the teeth prepared with ProTaper Universal, ProTaper Next, and ProTaper Gold rotary files.

OBJECTIVES: Root canal preparation can lead to cracks on the roots by creating stresses on the root canal walls, which decreases the fracture resistance of the tooth. The present study compared the fracture resistance of the teeth prepared by the ProTaper Universal (PTU), ProTaper Next (PTN), and ProTaper Gold (PTG) rotary file systems. MATERIALS AND METHODS: Fifty-six single-canal premolar teeth were sectioned 14 mm from the root apex. The roots were standardized based on the buccolingual and mesiodistal diameter and randomly assigned to three experimental (n = 14) and one control group (n = 14). The teeth in three experimental groups were instrumented with PTU, PTN, and PTG rotary files. The roots in the control group were not instrumented. A vertical force was applied to each root in a universal testing machine until the root fractured. The data were statistically analyzed by one-way analysis of variance. RESULTS: There was no significant difference in the fracture resistance of the teeth between the control, PTU, PTN, and PTG groups (p = .115). CONCLUSIONS: Root canal preparation with ProTaper files manufactured with conventional NiTi (PTU) and heat-treated alloys (PTN and PTG) did not affect the fracture resistance of teeth.

Effect of Sintering Speed and Polishing or Glazing on the Failure Load of Monolithic Zirconia Fixed Partial Dentures.

PURPOSE: To evaluate the effect of sintering speed and polishing or glazing on the failure load (FL) of monolithic zirconia fixed partial dentures (FPDs). MATERIALS AND METHODS: A total of 40 three-unit FPDs extending from the mandibular first premolar to the first molar were evaluated. The prepared typodont teeth were scanned, and the prostheses were designed. Afterwards, the prostheses were milled from monolithic zirconia blanks. The samples were divided into classic and speed sintering groups (n = 20 each). Half of the samples in each group (n = 10) were polished with an electric handpiece according to the manufacturer's instructions, and the other half (n = 10) were glazed. All of the samples were thermocycled for 3,500 cycles between 5ºC and 55ºC in water baths. The FL was calculated in Newtons with the three-point bending test. RESULTS: The mean ± SD FL values were as follows: classic sintering/polished group = 2,026.5 ± 172.8 N; classic sintering/glazed group = 1,917.58 ± 174.45 N; speed sintering/polished group = 1,787.58 ± 145.81 N; and speed sintering/glazed group = 1,719.6 ± 143.9 N. There was a significant difference in the mean FL between the two sintering methods (P < .001), with the classic sintering group exhibiting the highest FL. CONCLUSION: Classic sintering of the monolithic zirconia FPDs led to the maximum amount of FL and strength.