-
The Journal of Prosthetic Dentistry May 2024Excellent optical properties are essential for esthetic dental materials. However, the translucency and color masking ability of zirconia fabricated with nanoparticle...
STATEMENT OF PROBLEM
Excellent optical properties are essential for esthetic dental materials. However, the translucency and color masking ability of zirconia fabricated with nanoparticle jetting (NPJ), a type of printed zirconia, are unknown.
PURPOSE
The purpose of this in vitro study was to evaluate the translucency and color masking ability of zirconia fabricated using NPJ.
MATERIAL AND METHODS
A total of 90 specimens with thicknesses of 1.5, 1.0, and 0.5 mm were fabricated using high translucent milled zirconia (HT), low translucent milled zirconia (LT), and NPJ. CIELab values (L*, a*, and b*) of the specimens over 7 backgrounds, black, white, VitaB1, VitaA2, VitaA4, gold alloy (Au), and titanium (Ti), were obtained using a spectral radiometer. The relative translucency parameter (RTP) and color difference (∆E) of specimens over VitaB1, VitaA4, Au, and Ti were determined using VitaA2 as the control with the CIEDE2000 color difference equation. The normality of the data distribution was determined using the Shapiro-Wilk test. Differences among groups were analyzed using 2-way analysis of variance and the Student-Newman-Keuls (SNK) post hoc test (α=.05). The ∆E of specimens was analyzed according to perceptibility (∆E=0.8) and acceptability (∆E=1.8) thresholds using the 1 sample t test. The correlation between RTP and ∆E and RTP/∆E and thickness was examined using the Pearson correlation analysis.
RESULTS
Statistically significant differences were observed in translucency and color masking ability among HT, LT, and NPJ (P<.05). The RTP value was the lowest for zirconia fabricated with NPJ (P<.001) and highest for HT (P<.001). Monolithic zirconia fabricated with NPJ had lower ∆E values than those of HT and LT for the same thickness and background (P<.05). A positive correlation was found in RTP and ∆E (P<.001). A negative correlation was observed in RTP and thickness (P<.001) and ∆E and thickness across a constant background (P<.001).
CONCLUSIONS
Zirconia fabricated with NPJ was less translucent and had a greater color masking ability for discolored backgrounds than HT and LT.
PubMed: 38796354
DOI: 10.1016/j.prosdent.2024.05.005 -
Materials (Basel, Switzerland) May 2024Chromium- and cobalt-based alloys, as well as chrome-nickel steels, are most used in dental prosthetics. Unfortunately, these alloys, especially nickel-based alloys, can...
Chromium- and cobalt-based alloys, as well as chrome-nickel steels, are most used in dental prosthetics. Unfortunately, these alloys, especially nickel-based alloys, can cause allergic reactions. A disadvantage of these alloys is also insufficient corrosion resistance. To improve the properties of these alloys, amorphous Si (C,N) coatings were deposited on the surfaces of metal specimens. This paper characterizes coatings of silicon carbide nitrides, deposited by the magnetron sputtering method on the surface of nickel-chromium alloys used in dental prosthetics. Depending on the deposition parameters, coatings with varying carbon to nitrogen ratios were obtained. The study analyzed their structure and chemical and phase composition. In addition, a study of surface wettability and surface roughness was performed. Based on the results obtained, it was found that amorphous coatings of Si (C,N) type with thicknesses of 2 to 4.5 µm were obtained. All obtained coatings increase the value of surface free energy. The study showed that Si (C,N)-type films can be used in dental prosthetics as protective coatings.
PubMed: 38793515
DOI: 10.3390/ma17102450 -
Materials (Basel, Switzerland) May 2024The resistance of nickel-titanium endodontic instruments against cyclic fatigue failure remains a significant concern in clinical settings. This study aimed to assess...
The resistance of nickel-titanium endodontic instruments against cyclic fatigue failure remains a significant concern in clinical settings. This study aimed to assess the cyclic fatigue strength of five nickel-titanium rotary systems, while correlating the results with the instruments' geometric and metallurgical characteristics. A total of 250 new instruments (sizes S1/A1, S2/A2, F1/B1, F2/B2, F3/B3) from ProTaper Gold, ProTaper Universal, Premium Taper Gold, Go-Taper Flex, and U-Files systems underwent mechanical testing. Prior to experimental procedures, all instruments were meticulously inspected to identify irregularities that could affect the investigation. Using a stereomicroscope, design characteristics such as the number of spirals, length, spirals per millimeter, and average helical angle of the active blade were determined. The surface finishing characteristics of the instruments were examined using a scanning electron microscope. Differential scanning calorimetry was employed to establish the instruments' phase transformation temperatures, while energy-dispersive X-ray spectroscopy was utilized to analyze the elemental composition of the alloy. The instruments were subjected to cyclic fatigue testing within a stainless steel non-tapered artificial canal featuring a 6 mm radius and 86 degrees of curvature. Appropriate statistical tests were applied to compare groups, considering a significance level of 0.05. The assessed design characteristics varied depending on the instrument type. The least irregular surface finishing was observed in U-Files and Premium Taper Gold files, while the most irregular surface was noted in Go-Taper Flex. All instruments exhibited near-equiatomic proportions of nickel and titanium elements, whereas ProTaper Universal and U-Files instruments demonstrated lower phase transformation temperatures compared to their counterparts. Larger-sized instruments, as well as ProTaper Universal and U-Files, tended to display lower cyclic fatigue strength results. Overall, the design, metallurgical, and cyclic fatigue outcomes varied among instruments and systems. Understanding these outcomes may assist clinicians in making more informed decisions regarding instrument selection.
PubMed: 38793413
DOI: 10.3390/ma17102345 -
Materials (Basel, Switzerland) May 2024The primary focus of the current paper centers on the microstructures and mechanical properties exhibited by a Ti-30Nb-12Zr-5Ta-2Sn-1.25Fe (wt. %) (TNZTSF) alloy that...
The primary focus of the current paper centers on the microstructures and mechanical properties exhibited by a Ti-30Nb-12Zr-5Ta-2Sn-1.25Fe (wt. %) (TNZTSF) alloy that has been produced through an intricate synthesis process comprising cold-crucible induction in levitation, carried out in an atmosphere controlled by argon, and cold-rolling deformation (CR), applying systematic adjustments in the total deformation degree (total applied thickness reduction), spanning from 10% to 60%. The microstructural characteristics of the processed specimens were investigated by SEM and XRD techniques, and the mechanical properties by tensile and microhardness testing. The collected data indicate that the TNZTSF alloy's microstructure, in the as-received condition, consists of a β-Ti phase, which shows polyhedral equiaxed grains with an average grain size close to 82.5 µm. During the cold-deformation processing, the microstructure accommodates the increased applied deformation degree by increasing crystal defects such as sub-grain boundaries, dislocation cells, dislocation lines, and other crystal defects, powerfully affecting the morphological characteristics. The as-received TNZTSF alloy showed both high strength (i.e., ultimate tensile strength close to σ = 705.6 MPa) and high ductility (i.e., elongation to fracture close to ε = 11.1%) properties, and the computed β-Ti phase had the lattice parameter a = 3.304(7) Å and the average lattice microstrain ε = 0.101(3)%, which are drastically influenced by the applied cold deformation, increasing the strength properties and decreasing the ductility properties due to the increased crystal defects density. Applying a deformation degree close to 60% leads to an ultimate tensile strength close to σ = 1192.1 MPa, an elongation to fracture close to ε = 7.9%, and an elastic modulus close to 54.9 GPa, while the computed β-Ti phase lattice parameter becomes a = 3.302(1) Å.
PubMed: 38793379
DOI: 10.3390/ma17102312 -
Journal of Personalized Medicine May 2024As an alternative to regenerative therapies, numerous authors have recently proposed bringing back subperiosteal implants. The aim of the study was to present our...
As an alternative to regenerative therapies, numerous authors have recently proposed bringing back subperiosteal implants. The aim of the study was to present our clinical experience with a subperiosteal jaw implant that needs minimal bone preparation and enables the rapid implantation of prosthetic teeth in edentulous, atrophic alveolar bone. The research included 36 complete or partial edentulous patients (61 subperiostal implants) over a period of 6 years. To create the patient-specific subperiostal implants design, DentalCAD 3.0 Galway software (exocad GmbH, Darmstadt, Germany) was used and fabricated with a Mysint 100 (Sisma S.p.A., Piovene Rocchette, Italy) by titanium alloy powder. The results showed that only 9 of the 36 cases were successful at 6-year follow-up, while 27 cases had complications, including exposure of the metal frame (early or delayed), mobility of the device prior to the first 4-6 months, and late mobility due to recurrent infections and progressive structure exposure; 1 case failed for reasons unrelated to the device. This study indicated that the prudent application of fully customized subperiosteal jaw implants is a dependable alternative for the dental rehabilitation of atrophic edentulous cases that necessitate bone grafts for traditional fixed dental implant solutions.
PubMed: 38793123
DOI: 10.3390/jpm14050541 -
BMC Oral Health May 2024The use of artificial intelligence in the field of health sciences is becoming widespread. It is known that patients benefit from artificial intelligence applications on...
Evaluating the accuracy of Chat Generative Pre-trained Transformer version 4 (ChatGPT-4) responses to United States Food and Drug Administration (FDA) frequently asked questions about dental amalgam.
BACKGROUND
The use of artificial intelligence in the field of health sciences is becoming widespread. It is known that patients benefit from artificial intelligence applications on various health issues, especially after the pandemic period. One of the most important issues in this regard is the accuracy of the information provided by artificial intelligence applications.
OBJECTIVE
The purpose of this study was to the frequently asked questions about dental amalgam, as determined by the United States Food and Drug Administration (FDA), which is one of these information resources, to Chat Generative Pre-trained Transformer version 4 (ChatGPT-4) and to compare the content of the answers given by the application with the answers of the FDA.
METHODS
The questions were directed to ChatGPT-4 on May 8th and May 16th, 2023, and the responses were recorded and compared at the word and meaning levels using ChatGPT. The answers from the FDA webpage were also recorded. The responses were compared for content similarity in "Main Idea", "Quality Analysis", "Common Ideas", and "Inconsistent Ideas" between ChatGPT-4's responses and FDA's responses.
RESULTS
ChatGPT-4 provided similar responses at one-week intervals. In comparison with FDA guidance, it provided answers with similar information content to frequently asked questions. However, although there were some similarities in the general aspects of the recommendation regarding amalgam removal in the question, the two texts are not the same, and they offered different perspectives on the replacement of fillings.
CONCLUSIONS
The findings of this study indicate that ChatGPT-4, an artificial intelligence based application, encompasses current and accurate information regarding dental amalgam and its removal, providing it to individuals seeking access to such information. Nevertheless, we believe that numerous studies are required to assess the validity and reliability of ChatGPT-4 across diverse subjects.
Topics: Dental Amalgam; United States; United States Food and Drug Administration; Humans; Artificial Intelligence; Surveys and Questionnaires
PubMed: 38789962
DOI: 10.1186/s12903-024-04358-8 -
The International Journal of... Feb 2024To compare the positional trueness of implant-crown bonding to titanium bases (Ti-bases) using different bonding protocols. (Comparative Study)
Comparative Study
Positional Trueness with Different Titanium Base Bonding Techniques for Single Implant Crowns: In Vitro Evaluation of Model-Free Workflow Versus Additively Manufactured Models.
OBJECTIVES
To compare the positional trueness of implant-crown bonding to titanium bases (Ti-bases) using different bonding protocols.
MATERIALS AND METHODS
A nonprecious alloy model with a single implant at the mandibular right first molar site was digitized, then a single implant crown was designed. The crown was milled, adhesively cemented on a Ti-base, and screw-retained on the implant in the master model to obtain a reference scan. Forty PMMA implant crowns were subtractively manufactured and allocated to one of four study groups (n = 10 crowns per group) based on the bonding protocol on Ti-bases: Group 1 = modelfree bonding; Group 2 = bonding on the master model (control); Group 3 = bonding on a model from an industrial-grade 3D printer (Prodways); Group 4 = bonding on a model from a conventional 3D printer (Asiga). To assess the positional trueness of crowns, the scans of crowns when on the model were superimposed over the reference scan. Median distance and angular deviations were analyzed using Kruskal-Wallis and Mann- Whitney tests (α = .05). Mesial and distal contacts of crowns were assessed by two independent clinicians.
RESULTS
The control group (Group 2) resulted in the smallest distance deviations (0.30 ± 0.03 mm) compared to model-free (0.35 ± 0.02 mm; P = .002; Group 1) and conventional 3D printer (0.37 ± 0.01 mm; P = .001; Group 4) workflows. Buccolingual (P = .002) and mesiodistal (P = .01) angular deviations were higher in the conventional 3D printer group than in the control group (P = .002). Proximal contact assessments did not show any differences among groups.
CONCLUSIONS
While bonding crowns to Ti-bases on a master model created with an industrial-grade 3D printer resulted in the highest positional trueness, model-free workflows had a similar positional trueness to those manufactured with a conventional 3D printer.
Topics: Titanium; Crowns; Humans; Dental Bonding; Dental Prosthesis Design; Dental Implants, Single-Tooth; Workflow; In Vitro Techniques; Computer-Aided Design; Dental Prosthesis, Implant-Supported; Printing, Three-Dimensional; Models, Dental
PubMed: 38787591
DOI: 10.11607/ijp.8896 -
The International Journal of... Feb 2024To characterize material changes that may occur in virgin cobalt-chromium (Co-Cr) alloy powder when it is blended with alloy powders that have been reused multiple times.
PURPOSE
To characterize material changes that may occur in virgin cobalt-chromium (Co-Cr) alloy powder when it is blended with alloy powders that have been reused multiple times.
MATERIALS AND METHODS
Initially, 20 kg of virgin Co-Cr powder was loaded into a laser-sintering device. The tensile test specimens were fabricated in the first (Group 1), fourth (Group 2), seventh (Group 3), tenth (Group 4), and thirteenth (Group 5) production cycles (N = 15). Prior to fabricating the specimens, powder alloy samples were collected from the powder bed for analysis. The tensile strength, elastic modulus, and percent elongation were calculated with tensile testing. Scanning electron microscopy and energy dispersive x-ray spectroscopy (SEM/EDS) and laser particle size distribution (LPSD) were used to analyze the alloy powder samples. The fracture surface of one tensile test specimen from each group was examined via SEM/EDS. One-way ANOVA followed by Dunnett T3 test was used for statistical analysis (α = .05).
RESULTS
No difference was observed between groups in terms of tensile strength. A statistically significant difference was observed between Groups 1 and 2 in terms of percent elongation. Groups 2 and 4 were statistically significantly different in terms of both elastic modulus and percent elongation (P ≤ .05). SEM images of the powder alloy showed noticeable differences with increasing numbers of cycles. SEM images and the EDS analysis of the fractured specimens were in accordance with the strength data.
CONCLUSIONS
Reusing Co-Cr alloy powder increased the particle size distribution. However, there was no correlation between increased cycle number and the mechanical properties of the powder.
Topics: Chromium Alloys; Particle Size; Powders; Tensile Strength; Materials Testing; Microscopy, Electron, Scanning; Elastic Modulus; Spectrometry, X-Ray Emission; In Vitro Techniques; Surface Properties
PubMed: 38787583
DOI: 10.11607/ijp.8905 -
Plastic and Reconstructive Surgery.... May 2024Finger entrapment with rings or ring-like objects is an uncommon possible hand emergency. In cases in which noncutting removal is ineffective, ring cutters or dental...
Finger entrapment with rings or ring-like objects is an uncommon possible hand emergency. In cases in which noncutting removal is ineffective, ring cutters or dental drills with carbide or diamond burs have been successfully used. However, objects composed of hard metallic alloys, such as lug nuts or wrenches, are often resistant to such equipment. In these instances, larger diameter metal cutting burrs or rasps may be more advantageous. Due to their increased size and cutting power, these tools are better suited to handle the toughness of hard metals. In this case report, we present the effective and efficient removal of a stainless steel wrench from an entrapped digit using a helicoidal rasp. Availability of this instrument within orthopedic departments may prevent the delays often described in the treatment of finger entrapment when traditional cutting equipment fails.
PubMed: 38784830
DOI: 10.1097/GOX.0000000000005833 -
Dental Press Journal of Orthodontics 2024This study aimed to compare the insertion torque (IT), flexural strength (FS) and surface alterations between stainless steel (SS-MIs) and titanium alloy (Ti-MIs)... (Comparative Study)
Comparative Study
OBJECTIVE
This study aimed to compare the insertion torque (IT), flexural strength (FS) and surface alterations between stainless steel (SS-MIs) and titanium alloy (Ti-MIs) orthodontic mini-implants.
METHODS
Twenty-four MIs (2 x 10 mm; SS-MIs, n = 12; Ti-MIs, n = 12) were inserted on artificial bone blocks of 20 lb/ft3 (20 PCF) and 40 lb/ft3 (40 PCF) density. The maximum IT was recorded using a digital torque meter. FS was evaluated at 2, 3 and 4 mm-deflection. Surface topography and chemical composition of MIs were assessed by scanning electron microscopy (SEM) and energy dispersive X-ray spectroscopy (EDS). General linear and mixed models were used to assess the effect of the MI type, bone density and deflection on the evaluated outcomes.
RESULTS
The IT of Ti-MIs was 1.1 Ncm greater than that obtained for the SS-MIs (p= 0.018). The IT for MIs inserted in 40 PCF test blocks was 5.4 Ncm greater than that for those inserted in 20 PCF test blocks (p < 0.001). SS-MIs inserted in higher density bone (40 PCF) had significantly higher flexural strength than the other groups, at 2 mm (98.7 ± 5.1 Ncm), 3 mm (112.0 ± 3.9 Ncm) and 4 mm (120.0 ± 3.4 Ncm) of deflection (p< 0.001). SEM evidenced fractures in the Ti-MIs. EDS revealed incorporation of 18% of C and 2.06% of O in the loaded SS-MIs, and 3.91% of C in the loaded Ti-MIs.
CONCLUSIONS
Based on the findings of this in vitro study, it seems that SS-MIs offer sufficient stability and exhibit greater mechanical strength, compared to Ti-MIs when inserted into higher density bone.
Topics: Titanium; Torque; Stainless Steel; Surface Properties; Flexural Strength; Orthodontic Anchorage Procedures; Microscopy, Electron, Scanning; Dental Implants; Materials Testing; Dental Alloys; In Vitro Techniques; Spectrometry, X-Ray Emission; Dental Stress Analysis; Humans; Stress, Mechanical; Bone Density
PubMed: 38775601
DOI: 10.1590/2177-6709.29.2.e2423282.oar