Nenad Funduk

The effect of surface grinding and sandblasting on flexural strength and reliability of Y-TZP zirconia ceramic

OBJECTIVES This study was conducted to evaluate the effect of grinding and sandblasting on the microstructure, biaxial flexural strength and reliability of two yttria stabilized tetragonal zirconia (Y-TZP) ceramics. METHODS Two Y-TZP powders were used to produce fine grained and coarse grained microstructures. Sixty discs from each material were randomly divided into six groups of ten. For each group, a different surface treatment was applied: dry grinding, wet grinding, sandblasting, dry grinding + sandblasting, sandblasting + dry grinding and a control group. Biaxial flexural strength was determined and data were analyzed using one-way ANOVA, followed by Tukeys HSD test (p < 0.05). In addition, Weibull statistics was used to analyze the variability of flexural strength. The relative amount of transformed monoclinic zirconia, corresponding transformed zone depth (TZD) and the mean critical defect size Ccr were calculated. RESULTS There was no difference in mean strength between the as sintered fine and coarse grained Y-TZP. Significant differences (p < 0.05) were found between the control group and ground fine grained material for both wet and dry grinding. Sandblasting significantly increased the strength in fine and coarse grained materials. All surface treatment procedures reduced the Weibull modulus of Y-TZP. For both materials, the highest amount of the monoclinic phase and the largest TZD was found after sandblasting. Lower amounts of the monoclinic phase were obtained after both grinding procedures, where the highest mean critical defect size Ccr was also calculated. SIGNIFICANCE Our results indicate that sandblasting may provide a powerful technique for strengthening Y-TZP in clinical practice. In contrast, grinding may lead to substantial strength degradation and reduced reliability of prefabricated zirconia elements, therefore, sandblasting of ground surfaces is suggested.

Strength and reliability of surface treated Y-TZP dental ceramics

This work was undertaken to evaluate the effects of dental grinding and sandblasting on the biaxial flexural strength and Weibull modulus of various Y-TZP ceramics containing 3 mol% yttria. In addition, the susceptibility of pristine and mechanically treated materials to low-temperature degradation under the conditions adopted for testing the chemical solubility of dental ceramics was investigated. The results revealed that surface grinding and sandblasting exhibit a counteracting effect on the strength of Y-TZP ceramics. Dental grinding lowered the mean strength and Weibull modulus, whereas sandblasting provided a powerful method for strengthening, but at the expense of somewhat lower reliability. The finest-grained material exhibited the highest strength after sintering, but it was less damage tolerant than tougher, coarse-grained materials. Upon extraction with the acetic acid solution and the ammonia solution, a significant amount of tetragonal zirconia had transformed to monoclinic, but extensive microcracking and attendant strength degradation had not yet occurred. Standard grade Y-TZP ceramics are more resistant in an alkaline than in an acidic environment, and there was a strong grain-size dependence of the diffusion-controlled transformation. Since a special Y-TZP grade containing a small amount of alumina exhibited the highest damage tolerance and superior stability in an acidic environment, this material shows considerable promise for dental applications.

The effect of nano-structured alumina coating on resin-bond strength to zirconia ceramics

OBJECTIVES The aim of this study was to functionalize the surface of yttria partially stabilized tetragonal zirconia ceramics (Y-TZP) with a nano-structured alumina coating to improve resin bonding. MATERIALS AND METHODS A total of 120 densely sintered disc-shaped specimens (15.5+/-0.03 mm in diameter and 2.6+/-0.03 mm thick) were produced from biomedical-grade TZ-3YB-E zirconia powder (Tosoh, Tokyo, Japan), randomly divided into three groups of 40 and subjected to the following surface treatments: AS - as-sintered; APA - airborne-particle abraded; POL - polished. Half of the discs in each group received an alumina coating that was fabricated by exploiting the hydrolysis of aluminium nitride (AlN) powder (groups AS-C, APA-C, POL-C). The coating was characterized using scanning electron microscopy (SEM), atomic force microscopy (AFM), and transmission electron microscopy (TEM). The shear-bond strength of the self-etching composite resin (RelyX Unicem, 3M ESPE, USA) was then studied for the coated and uncoated surfaces of the as-sintered, polished and airborne-particle abraded specimens before and after thermocycling (TC). RESULTS The SEM/TEM analyses revealed that the application of an alumina coating to Y-TZP ceramics created a highly retentive surface for resin penetration. The coating showed good surface coverage and a uniform thickness of 240 nm. The resin-bond strength to the groups AS-C, APA-C, POL-C was significantly higher than to the groups AS, APA and POL, both before and after TC (p< or =0.05). During TC all the specimens in the POL and AS groups debonded spontaneously. In contrast, the TC did not affect the bond strength of the AS-C, POL-C and APA-C groups. SIGNIFICANCE A non-invasive method has been developed that significantly improves resin-bond strength to Y-TZP ceramics. After surface functionalization the bond survives thermocycling without reduction in strength. The method is relatively simple and has the potential to become an effective conditioning method for zirconia ceramics.

Enhanced permeability of acid-etched or ground dental enamel

STATEMENT OF PROBLEM Acid etching creates retentive microcraters on enamel surfaces. Designing of a partial denture often involves reshaping the supporting and retentive teeth by grinding the enamel. Unfortunately, both these procedures damage the enamel surface. In vivo such surface damage takes several months to recover. PURPOSE This study evaluated the effect of 1-minute etching, prolonged etching, and grinding on the permeability of dental enamel for water-soluble molecules. MATERIAL AND METHODS With the electron paramagnetic resonance and a two-chamber diffusion cell, the influence of etching and grinding on the diffusion of spin label molecules through the enamel was studied quantitatively. The enamel permeability was measured in 30 sound enamel samples, of which 10 samples were exposed to 1-minute etching with 37% phosphoric acid, 10 samples were etched for 5 minutes, and 10 samples were ground with a diamond bur. RESULTS AND CONCLUSIONS All procedures significantly increased the permeability of dental enamel. These results demonstrate that in vivo the acid-etched and ground dental enamel surfaces are less protected and consequently, unless the tooth is properly protected, are more susceptible to carious lesions. Therefore ground or accidentally etched enamel should be protected.

Determination of curing time in visible-light-cured composite resins of different thickness by electron paramagnetic resonance

The irradiation time of a visible-light-activated composite necessary to achieve full polymerization throughout the material was studied. Curing-time dependence on the thickness of the material was also investigated. To monitor the visible light-activation effect, the free radical concentration was measured as a function of irradiation time. If the composite sample is less than 0.5 mm thick and exposed to light for a time interval recommended by the manufacturer, full radical concentration is indeed created uniformly. This is not the case in thicker samples. Electron paramagnetic resonance (EPR) was used to monitor the concentration of free radicals in the samples. The number of radicals was monitored as a function of irradiation time during which the radicals were generated in samples 0.5, 0.8, 2.0, 3.0 and 5.0 mm thick. An EPR X-band spectro-meter was used to detect the free radical spectra. The number of free radicals per unit mass as a function of irradiation time shows that 60% of the maximum concentration of radicals in a 1 mm sample is reached in 24 s curing time, while in thicker samples it takes hundreds of seconds. On the basis of the experiments, a depth and irradiation time-dependent radical concentration model was developed. This model shows that a 2.0 mm thick sample is cured at the bottom side if irradiated for 60 s. It is proposed that the measure of the degree of polymerization in composite materials should be the polymerization of the bottom layer of the sample which is modelled from the number of free radicals generated in the sample.

Micro magnetic resonance imaging of water uptake by glass ionomer cements.

OBJECTIVES The purpose of the present study was: 1) to visualize the water penetration into glass ionomer cement samples prepared in two different setting modes as a function of time, and 2) to assess the potential use of micro magnetic resonance imaging by studying penetration processes. METHODS An encapsulated form of resin-modified glass ionomer cement (Fuji II LC, GC) was used in this study. The mixed cement was syringed into quartz tubes (4 mm ID x 10 mm long). Half of the samples were radially exposed to a light source for 120 s; the other half were allowed to set chemically in a photographic darkroom. One hour after the start of mixing, samples were extruded from the quartz tubes, immediately immersed in distilled water, and stored at 37 degrees C. Eight specimens were prepared with each setting mode and imaged at different times. Micro magnetic resonance imaging was performed on a Bruker Biospec System equipped with micro-imaging utilities. A spin echo technique was used. A small tube containing a mixture of normal and deuterated water was added as a standard to which the signals from the samples were normalized. The average signal, as calculated by the image processing software from each region, was divided by the signal from the standard sample to obtain the normalized intensity. The results were analyzed by a Students t-test. RESULTS After 24 h of immersion, water diffused 1 mm into the chemical-cured material and approximately 0.5 mm in the light-cured samples. After 96 h, the water had reached the center of all chemical-cured samples but not of the light-cured samples. After 192 h, water had reached the center of the cylinders of both groups of samples. SIGNIFICANCE MRI microscopy is a good method for monitoring the water permeability of glass ionomer cements. The technique is nondestructive thus, the process can be followed on the same sample without destroying it. By using some special imaging techniques, refinement of the method will be possible.

Effects of pulsed CO2 and Er:YAG lasers on enamel and dentin

Enamel and dentin samples were exposed extraorally to pulsed TEA CO2 lasers with pulse durations of 1 microsecond(s) ec and 0.1 microsecond(s) ec. The ablation rate is for energy densities above 5 J/cm2 independent of the CO2 laser energy. For 1 microsecond(s) long CO2 pulses the ablation rate is 3 micrometers /pulse for drilling in enamel, and 8 micrometers /pulse for drilling in dentin. Drilling with 0.1 microsecond(s) CO2 laser results in lower ablation rates of approximately 1 micrometers /pulse in enamel, and 4 micrometers /pulse in dentin. At all experimental energy densities plasma formation is observed, effectively reducing the amount of energy deposition. Compared with these results, experiments with the Er:YAG laser show that 200 microsecond(s) long Er:YAG laser pulses achieve better ablation in the high energy density range because ablation is not diminished as rapidly by the plasma formation. The Er:YAG laser saturated ablation rates are approximately 60 micrometers /pulse for drilling in dentin and 40 micrometers /pulse for drilling in enamel.

Optoacoustic studies of Er:YAG laser ablation in hard dental tissue

Optoacoustic measurements were carried out in order to obtain better understanding of the ablation mechanisms during the illumination of hard dental tissue by Er:YAG laser radiation. A broadband microphone was used to detect laser generated acoustic waves in the ambient air. Correlation analysis of the laser pulse spikes and the response of the optoacoustic probe indicates that each laser spike ablates the hard dental tissue independently of other spikes. This is in agreement with the model of ablation by means of micro explosions. The optoacoustic signal is observed to be approximately linearly related to the ablation efficiency, and is thus demonstrated to be a good measure of the ablation efficiency. The experiments also show a significant difference in optoacoustic signals obtained during ablation in caries, enamel, and dentin.

Interaction thresholds in Er:YAG laser ablation of organic tissue

Because of their unique properties with regard to the absorption in organic tissue, pulsed Er:YAG lasers are of interest for various applications in medicine, such as dentistry, dermatology, and cosmetic surgery. The relatively low thermal side effects, and surgical precision of erbium medical lasers have been attributed to the micro-explosive nature of their interaction with organic tissue. In this paper, we report on preliminary results of our study of the thresholds for tissue ablation, using an opto-acoustic technique. Two laser energy thresholds for the interaction are observed. The lower energy threshold is attributed to surface water vaporization, and the higher energy threshold to explosive ablation of thin tissue layers.

Optoacoustic effects during Er:YAG laser ablation in hard dental tissue

Optoacoustic method is a very useful tool for studying laser induced processes in hard dental tissues. In principle, the method can also be used for on-line monitoring of laser drilling. Our study, however, shows that at high laser energies the optoacoustic energy is not proportional to the volume of the ablated hard dental tissue. In addition, the optoacoustic signal depends critically on the presence of water on the tooth surface. These observations must be taken into account when attempting to use the optoacoustic method for on-line monitoring of the laser drilling process.