Harunori Gomi

Effect of Self-adhesive Resin Cement and Tribochemical Treatment on Bond Strength to Zirconia

AimTo evaluate the interactive effects of different self‐adhesive resin cements and tribochemical treatment on bond strength to zirconia.MethodologyThe following self‐adhesive resin cements for bonding two zirconia blocks were evaluated: Maxcem (MA), Smartcem (SM), Rely X Unicem Aplicap (UN), Breeze (BR), Biscem (BI), Set (SE), and Clearfil SA luting (CL). The specimens were grouped according to conditioning as follows: Group 1, polishing with 600 grit polishing paper; Group 2, silica coating with 110 µm Al2O3 particles which modified with silica; and, Group 3, tribochemical treatment ‐ silica coating + silanization. Specimens were stored in distilled water at 37°C for 24 hours before testing shear bond strength.ResultsSilica coating and tribochemical treatment significantly increased the bond strength of the MA, UN, BR, BI, SE and CL to zirconia compared to #600 polishing. For both #600 polished and silica coating treatments, MDP‐containing self‐adhesive resin cement CL had the highest bond strengths to zirconia.ConclusionApplying silica coating and tribochemical treatment improved the bond strength of self‐adhesive resin cement to zirconia, especially for CL.

The effect of surface treatment on bond strength of layering porcelain and hybrid composite bonded to zirconium dioxide ceramics

PURPOSE The purpose of this study was to investigate the differences between Rocatec (as surface treatment) and #600 polishing (as control) on shear bond strength of layering porcelain and hybrid composite to zirconium dioxide ceramics. METHODS Manufactured zirconia blocks used in this study were yttrium partially stabilized zirconia (YTZ(®)), and veneering materials were NobelRondo Zirconia Dentin A2 High Value (NZR) and Estenia C&B (ES). Total 48 zirconia blocks were fabricated (10 mm × 10 mm × 20 mm). The blocks of 24 each were treated by Rocatec and #600 paper, respectively. Surface treated zirconia blocks were divided into two groups, according to veneering materials of NZR and ES. NZR was fired and ES was polymerized to zirconia. The fabricated specimen was fixed to mounting jig and applied shear force using the universal testing machine at a crosshead speed of 0.5 mm/min. All results were statistically analyzed by two-way ANOVA and Tukeys test. EPMA analysis and SPM analysis of specimen interface were carried out. RESULTS Mean shear bond strength of each condition was: NZR/#600; 23.3 (S.D. ±7.0) MPa, NZR/Rocatec; 26.9 (S.D. ±7.0) MPa, ES/#600; 10.7 (S.D.±2.4) MPa, ES/Rocatec; 12.5 (S.D.±0.8) MPa. CONCLUSIONS From the results of this study, shear bond strength of layering porcelain to zirconia was higher than that of restorative hybrid resin. However the more study will be needed, the appropriate choice of materials became the gides to the expansion of the applied cases of metal-free prothesis.

Effect of accelerated aging on the fracture toughness of zirconias

STATEMENT OF PROBLEM Low temperature degradation (LTD) of yttria-stabilized tetragonal zirconia polycrystals (Y-TZP) is of concern. PURPOSE The purpose of this in vitro study was to assess the effect of accelerated aging on the Vickers hardness and fracture toughness of a newly developed Y-TZP and 2 primary Y-TZPs. MATERIAL AND METHODS Two primary 3 mol% Y-TZP, Lava (LA), Everest Zirconium Soft (EV), and a new 3 mol% Y-TZP, ZirTough (NZ) were assessed. Specimens (n=30 each brand) of 10 × 10 × 3 mm were hydrothermally treated for accelerated aging to examine LTD. Five conditions were used (n = 5 per condition) as follows: control group (no aging); 5 hours at 134°C/0.2 MPa (5h-134°C); 100 hours at 134°C/0.2 MPa (100 h-134°C); 5 hours at 180°C/1.0 MPa (5 h-180°C); and 20 hours at 180°C/1.0 MPa (20 h-180°C). Fracture toughness was measured by using the indentation fracture (IF) method under a loading of 294 N and calculated from the obtained measurements. To observe differences in particle composition and fracture patterns, mirror-polished test specimens (n=5 each brand) were re-sintered at 1200°C for 1 hour as a thermal etching process, and a Vickers indenter was pressed into the test specimens according to the IF method. Test piece surfaces and cracks were observed with scanning electron microscopy (SEM). One-way ANOVA and the post- hoc (Scheffé test were used to examine) interlevel significant differences (α=.05). RESULTS The Vickers hardness and fracture toughness were as follows: 1319 HV and 7.36 MPa · m(1/2) for LA, and 1371 HV and 6.76 MPa · m(1/2) for EV in no aging; 1334 HV and 7.02 MPa · m(1/2) for LA, and 1346 HV and 6.07 MPa · m(1/2) for EV in 5h-134°C. No significant differences were found between no aging and 5h-134°C for LA and EV for Vickers hardness and fracture toughness. Measurements could not be made for LA and EV for 100 h-134°C, 5h-180°C, or 20 h-180°C because of fractures in the surface layer. For NZ, Vickers hardness and fracture toughness were as follows: 1261 HV and 15.60 MPa · m(1/2) in no aging; 1217 HV and 14.98 MPa · m(1/2) in 5h-134°C; 1231 HV and 15.13 MPa · m(1/2) in 100 h-134°C; 1252 HV and 15.51 MPa · m(1/2) in 5h-180°C; 1224 HV and 15.01 MPa · m(1/2) in 20 h-180°C. No significant differences were shown in the Vickers hardness and fracture toughness. SEM observations after the thermal etching processing of NZ showed zirconia particles and scattered alumina particles. CONCLUSION Measurements with LA and EV could only be made for no aging and 5h-134°C, and no significant differences were found in Vickers hardness and fracture toughness. Measurements were made with NZ under all conditions and no significant differences were found in Vickers hardness and fracture toughness.

Finite element analysis to compare stress distribution of connector of lithia disilicate-reinforced glass–ceramic and zirconia-based fixed partial denture

This study used finite element method to analyze the stress distribution in connector of ceramic-based bilayer structures, in simulation of dental crown-like structures with a functional but weak veneer layer bonded onto a strong core layer. The purpose of this study was to evaluate the stress distribution at veneer/core interface of 2 different core materials [Yttria-stabilized tetragonal zirconia polycrystals (Y-TZP) and lithia disilicate-reinforced glass–ceramic] using three-dimensional finite element analysis. Within the limitations of this study, finite element analysis showed that stress concentrations were located at the veneer/core interface of the connector in Y-TZP core models. The general observation was that compared with Y-TZP, lithia disilicate-reinforced glass–ceramic showed a relatively stable stress value and had a minor effect on the stress concentration susceptibility.

The accuracy of the CAD system using intraoral and extraoral scanners for designing of fixed dental prostheses

The accuracy of prostheses affects clinical success and is, in turn, affected by the accuracy of the scanner and CAD programs. Thus, their accuracy is important. The first aim of this study was to evaluate the accuracy of an intraoral scanner with active triangulation (Cerec Omnicam), an intraoral scanner with a confocal laser (3Shape Trios), and an extraoral scanner with active triangulation (D810). The second aim of this study was to compare the accuracy of the digital crowns designed with two different scanner/CAD combinations. The accuracy of the intraoral scanners and extraoral scanner was clinically acceptable. Marginal and internal fit of the digital crowns fabricated using the intraoral scanner and CAD programs were inferior to those fabricated using the extraoral scanner and CAD programs.

Effects of Filling Technique and Light Irradiation Distance on the Push-Out Bond Strength of Dual and Light Cured Core Materials in a Direct Core Build-Up

This study evaluated the effects of filling technique and light irradiation distance on the push-out bond strength of dual-cured (DC) and light-cured (LC) core materials to the root canal dentin. D...