Joško Viskić

CP Ti Fabricated by Low Temperature Extrusion of HDH Powder: Application in Dentistry

Powder metallurgy (PM) commercial purity titanium (CP Ti) was fabricated and studied, with an aim of utilization for dental application. PM CP Ti was manufactured using a cost effective approach, where affordable hydrogenation–dehydrogenation (HDH) process Ti 99.4 wt.% powder was consolidated via the following sequence of PM techniques: cold isostatic pressing, warm vacuum pressing at 420 °C and warm direct extrusion at 500 °C. The paper presents the first studies on processing, microstructure, testing of mechanical properties, fatigue performance and bonding strength with different veneer coatings. By employed consolidation process sound material with low porosity (1.5%) and sustained oxygen content (0.21 wt.%) was attained. The tensile properties obtained for PM CP Ti (UTS = 701 MPa, YS0.2 = 512 MPa, ε = 13 %) were improved over to those for cast / milled CP Ti Grade 4 reference, the material commonly used in dentistry. Tested using the ISO 14801 standard for dental implants, the samples machined from PM CP Ti showed fatigue performance similar to CP Ti Grade 4. PM CP Ti used as a metal base material in restoration metal – ceramic systems showed very good bond strength with three commercially available veneering ceramics and complied with the ISO 9693 standard. Within the limitations of this paper, the preliminary results demonstrated that performance of economic PM CP Ti is equal or superior to CP Ti Grade 4 reference material and it can be used in prosthodontics.

Esthetic Rehabilitation of Complicated Crown Fractures Utilizing Rapid Orthodontic Extrusion and Two Different Restoration Modalities

ABSTRACT This case report describes the management of a crown-root fractured maxillary right central incisor and a crown fractured maxillary left central incisor using two different techniques. A complex procedure was designed to manage this case including orthodontic extrusion to move the fracture line above the alveolar bone and surgical recontouring of the altered gingival margin. Finally, the right incisor was restored prosthodontically. Prosthetic treatment was based on performing a post and core, and all-ceramic crown on the extruded tooth. The left, less-damaged incisor was restored directly using composite resin. The treatment resulted in good esthetics and secured periodontal health. This case report demonstrates that a multidisciplinary treatment approach is a reliable and predictable option to save a tooth. How to cite this article: Ortolan SM, Strujic M, Aurer A, Viskic J, Bergman L, Mehulic K. Esthetic Rehabilitation of Complicated Crown Fractures Utilizing Rapid Orthodontic Extrusion and Two Different Restoration Modalities. Int J Clin Pediatr Dent 2012;5(1):64-67.

Scanning electron microscope comparative surface evaluation of glazed-lithium disilicate ceramics under different irradiation settings of Nd:YAG and Er:YAG lasers

OBJECTIVE To evaluate the surface of glazed lithium disilicate dental ceramics after irradiation under different irradiation settings of Nd:YAG and Er:YAG lasers using a scanning electron microscope (SEM). MATERIALS AND METHODS Three glazed-press lithium disilicate ceramic discs were treated with HF, Er:YAG, and Nd:YAG, respectively. The laser-setting variables tested were laser mode, repetition rate (Hz), power (W), time of exposure (seconds), and laser energy (mJ). Sixteen different variable settings were tested for each laser type, and all the samples were analyzed by SEM at 500× and 1000× magnification. RESULTS Surface analysis of the HF-treated sample showed a typical surface texture with a homogenously rough pattern and exposed ceramic crystals. Er:YAG showed no effect on the surface under any irradiation setting. The surface of Nd:YAG-irradiated samples showed cracking, melting, and resolidifying of the ceramic glaze. These changes became more pronounced as the power increased. At the highest power setting (2.25 W), craters on the surface with large areas of melted or resolidified glaze surrounded by globules were visible. However, there was little to no exposure of ceramic crystals or visible regular surface roughening. CONCLUSIONS Neither Er:YAG nor Nd:YAG dental lasers exhibited adequate surface modification for bonding of orthodontic brackets on glazed lithium disilicate ceramics compared with the control treated with 9.5% HF.