How to cite: Jalali H, Mostafavi AS, Balaghi F. The effect of coloring beverages on color stability of hybrid ceramics with different surface treatments. Pesqui Bras Odontopediatria Clín Integr. 2022; 22:e210044.
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Ceramic implant abutments are becoming increasingly popular due to the growing esthetic demands of patients. Two-piece ceramic abutments have the advantages of both ceramic and titanium abutments. This study aimed to review the published articles regarding hybrid abutments and their characteristics.Published articles regarding two-piece abutments were retrieved by electronic search of PubMed, Embase, Scopus, Medline, and Google Scholar databases using certain keywords. Articles highly relevant to our topic of interest were selected and reviewed.The presence of titanium inserts in hybrid abutments can overcome the brittleness of ceramic, increase the overall fracture resistance, prevent the implant connection wear, and provide better marginal fit compared with one-piece zirconia abutments. Hybrid abutments enable the fabrication of monolithic metal-free implant restorations with optimal esthetics. Furthermore, the risk of porcelain chipping, which is a common complication of implant restorations, is eliminated due to the monolithic structure of these restorations.According to the available literature, hybrid implant abutments have shown promising results with regard to optimal esthetics in the rehabilitation of the esthetic zone. However, long-term clinical studies are required to assess the long-term durability of all-ceramic restorations supported by hybrid abutments.
Zirconia has been used for rehabilitation of edentulous spaces approximately for a decade, and there have been several reports regarding the clinical performance and retention of zirconia crowns. Outstanding mechanical properties, biocompatibility, and excellent aesthetics make zirconia-based crowns as a popular crown among the current all-ceramic crowns in restorative dentistry. However, restoration with a zirconia crown is a challenging treatment. The goal of this study was to assess the current literature to summarize the studies reporting the effective risk factors on retention of zirconia crowns to provide clinicians with a useful point of view in the decision-making process for use of these restorations. Literature based-search was performed to find related articles until August 2020 using EMBASE, Google Scholar, and MEDLINE. Search terms used were “zirconia restorations properties,” “zirconia crowns clinical performance,” “zirconia crown survival,” “biological complications,” and “zirconia crown retention.” Results were limited to papers available in English. The references of all related literature were also searched for further citations. Overall, although clinical long-term and follow-up studies are a vital requirement to conclude that zirconia has great reliability, it seems that zirconia crown restorations are both well tolerated and sufficiently resistant.
PURPOSE Implant mechanical complications, including screw loosening, can influence dental implant success. It has been shown that torque values are affected by contamination occurred in implant-abutment (I/A) interface. This study aimed to examine the effects of blood, saliva, fluoride and chlorhexidine contamination on reverse torque values (RTVs) of abutment screws in oral conditions. MATERIALS AND METHODS 50 fixtures were mounted into the stainless-steel holders and divided into five groups (n = 10). Except control group (NC), fixture screw holes in other groups were contaminated with chlorhexidine (CG), saliva (SG), blood (BG), or fluoride (FG). Abutment screws were tightened with a digital torque meter. I/A assemblies were subjected to thermocycling and cyclic loading. The mean RTVs were recorded and data were analyzed with one-way ANOVA and Tukey test. RESULTS Except for specimens in SG (20.56 ± 1.33), other specimens in BG (21.11 ± 1.54), CG (22.89 ± 1.1) and FG (24.00 ± 1.12) displayed significantly higher RTVs compared to NC (19.00 ± 1.87). The highest RTVs were detected in CG and FG. CONCLUSION The obtained data robustly suggest that RTVs were significantly affected by fluid contaminations. Specimens in FG and CG displayed the highest RTVs. Therefore, clinicians should have enough knowledge about probable contaminations in I/A interface in order to manage them during clinical procedure and to inform patients about using oral care products.
Objectives. Despite the widespread use of resin cements in cementing dental restorations, their bond strength to CAD/CAM base metal alloys is not widely studied. This study aimed to evaluate the microshear bond strength (μSBS) between cobalt-chrome (Co-Cr) alloys fabricated using casting or CAD/CAM methods with three types of resin cements. Materials and Methods. Fifty Co-Cr blocks were prepared with CAD/CAM or casting technique. Specimens were divided using primer or not and bonded to three types of resin cements: Panavia F2, RelyX Unicem, and Duo-Link. The differences between the mean μSBS values were analyzed using the two-way ANOVA test and Tukey analysis (α = 0.05). The mode of failure was evaluated using a stereomicroscope. In addition, the specimens were examined by scanning electron microscopy (SEM) based on two received signals: backscattered electrons (SEB) and secondary electrons (SEs). One intact alloy specimen in each group was analyzed by energy-dispersive X-ray spectroscopy (EDX). Results. Most of the specimens in the no-primer group were prematurely debonded. Statistical analyses showed that the interaction between the alloy substrate and cement type was significant ( p = 0.001 ). The bond strength of Panavia F2 was significantly higher than Duo-Link in the CAD/CAM group ( p = 0.001 ). SEM evaluation confirmed the difference in grain structures, while EDX showed no remarkable difference in the chemical composition of the alloy substrates. Conclusion. Alloy fabrication technique may influence the bond strength of resin cements. In the CAD/CAM group, cement containing MDP molecules exhibited higher strength than the etch-and-rinse one.
Background and aim: Changes in the physical properties of casts retrieved from disinfected impressions are a common problem in the fabrication of dental prostheses. However, there are limited data available about the effect of disinfecting solutions on the surface roughness of casts. This study aimed to assess the surface roughness of casts retrieved from addition silicone impressions disinfected by immersion in three different disinfectants for 5 and 30 minutes. Materials and methods: This in-vitro experimental study was conducted on 49 casts in 7 groups (n=7). A standard stainless steel die was used according to ANSI/ADA specification no. 25, and impressions were made using a low-viscosity addition silicone impression material. The impressions were disinfected by immersion in 1% sodium hypochlorite (NaOCl), 2.4% glutaraldehyde, or 5% povidone-iodine for 5 and 30 minutes. All impressions were poured with type IV dental stone, and their surface roughness (Ra) was measured using a digital hand-held roughness tester. Data were analyzed using two-way analysis of variance (ANOVA) and Tukey's test. Results: One-way ANOVA showed a statistically significant difference between the control group and the other 6 groups (P=0.004). 1% NaOCl/5 minutes was the only group which presented a different result from the control group (P=0.012). Two-way ANOVA showed that over time, the surface roughness of casts retrieved from silicone impressions disinfected by immersion in a disinfectant decreased (P=0.002), but no significant difference was noted between the disinfectant agents (P=0.243). Conclusion:The type of the disinfectant had no significant effect on surface roughness, although an increased duration of disinfection decreased the surface roughness of casts.
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