ObjectiveThe aim of this in vitro study is to evaluate the masking ability of polymer‐infiltrated ceramic‐network materials (PICN) with different translucencies and thicknesses on multiple types of substrates.Materials and MethodsCeramic samples were prepared of VITA ENAMIC blocks in two different translucencies (2M2‐T, 2M2‐HT) in a thickness range of 0.5–2.5 mm (±0.05 mm). Layered specimens were obtained using composite substrates in nine shades and transparent try‐in paste. Spectral reflectance of specimens was measured using a Konica Minolta CM‐3720d spectrophotometer and D65 standard illumination. CIEDE2000 color difference (ΔE00) between two samples was evaluated using 50%:50% perceptibility and acceptability thresholds. Specular component of the reflection was examined with Specular Component Excluded (SCE) and Included (SCI) settings. Statistical evaluation was performed by linear regression analysis, Kruskal–Wallis test, and multiplicative effect analysis.ResultsAn increase in thickness of 0.5 mm reduces ΔE00 of HT samples to 73.5%, of T samples to 60.5% (p < 0.0001). Five substrates with HT specimens, and three substrates with T specimens had significantly different results from average (p < 0.05). There is a significant difference between SCE and SCI data depending on the wavelength (p < 0.0001).ConclusionsMasking ability of PICN materials is influenced by the thickness and translucency of the ceramic, and by the substrate. Reflection of the examined PICN material is characterized by both diffuse and specular reflection.Clinical SignificanceAlthough PICN materials have been available on the market for 10 years now, there is a lack of information regarding their masking ability. Acquiring in‐depth data and thereby practical experience of the factors affecting the esthetics of PICN materials is essential for creating perfectly lifelike restorations.
The goal of this study is to examine specific optical effects of multilayered and coloured monolithic zirconia considering thickness and substrates of different colours using one of the most advanced spectrophotometers of the world. Multilayered zirconia specimens were used for the study with the thickness range of 0.5-2.5 mm and six types of substrate materials and three types of metal substrates. Measurements were carried out at Budapest Technical University with a PerkinElmer®Lambda1050UV/Vis/NIR spectrophotometer. The substrate colour and the thickness of zirconia affects the optical results, with special regard to colour perceptibility and acceptability. Monochromatic and multilayer zirconia show both similarities and discrepancies in behaviour, i.e. spectral reflectance and ΔE. Owing to the multi-coloured characteristics of multilayered zirconia the optical effect of the substrate less predictable than in the case of monochromatic zirconia thus requiring more detailed planning and implementation.
AimEctrodactyly‐ectodermal dysplasia‐cleft lip/palate (EEC) syndrome is a rare genetic disorder that affects ectodermal derived structures, including teeth, nails, hair, and sweat glands. Prosthetic rehabilitation of patients with EEC syndrome is essential towards improving their overall quality of life.Methods and ResultsIn the case shown, a telescopic retained overdenture was made on the lower jaw based on digital impression of a patient with EEC syndrome associated with cleft lip and cleft palate. Due to the congenital anomalies and limited mouth opening, the impression was taken with intraoral scanner, and after designing the telescopes on the digital model, the primary and secondary telescopes were confectioned by selective laser sintering.ConclusionCombining digital dental technology and conventional clinical prosthetic treatment methods, results in a well‐functioning overdenture even in such complicated situations. The prosthodontic rehabilitation of patients with ECC helps to restore the masticatory and phonetic functions, increases the patient's self‐esteem, and prevents further psychological trauma caused by hypodontia.
Bevezetés: Világszerte egyre szélesebb körben alkalmazzák a cirkónium-dioxid kerámiákat monolitikus fogpótlások anyagaként. A teljes kerámiarendszerek esetén a végleges restaurátum esztétikáját a kerámiaanyag színén túl olyan további tényezők is befolyásolják, mint a csonkszín, a kerámia vastagsága és transzlucenciája, illetve a cement színe és rétegvastagsága. Célkitűzés: A Semmelweis Egyetem Fogpótlástani Klinikájának és a Budapesti Műszaki és Gazdaságtudományi Egyetem Atomfizika Tanszékének közös in vitro kísérletének célja tanulmányozni, hogy a különböző árnyalatú és vastagságú monolitikus cirkónium-dioxid kerámiák optikai tulajdonságait milyen módon befolyásolja a csonkszín és a cementszín. Anyag és módszer: Vizsgálatunkhoz kétféle árnyalatú (A2P1, WHITE), ötféle rétegvastagságú cirkónium-dioxid mintát (Erran Tech), háromféle próbacementet (Variolink Esthetic Try-In Paste, Ivoclar Vivadent), kilencféle csonkanyagot (hat VITA Simulate, három fémtartalmú csonkanyag) használtunk fel. Méréseinket a Budapesti Műszaki és Gazdaságtudományi Egyetem Atomfizika Tanszékén lévő PerkinElmer LAMBDA 1050 UV/Vis/NIR spektrofotométerrel végeztük el. A színkülönbség (ΔE) számításához a CIEDE2000 képletet alkalmaztuk. Eredmények: 0,5 mm vastagságú A2P1-minták esetén az átlagos ΔE xΔE = 4,10 (σΔE = 2,91); 2,5 mm vastagság mellett xΔE = 1,88 (σΔE = 0,67). 0,5 mm vastagságú WHITE-minták esetén az átlagos ΔE xΔE = 6,40 (σΔE = 2,75); 2,5 mm vastagság mellett xΔE = 5,46 (σΔE = 0,79). Megbeszélés: A kutatás rámutatott arra, hogy a cirkónium-dioxid minták színezettsége és rétegvastagsága nagyban befolyásolja a fedőképességet, illetve 1,5 mm kerámiavastagság mellett a próbacementek szignifikáns színeltérést okoznak. A színezetlen cirkónium-dioxidok színét kevésbé befolyásolja a csonkszín, különösen 1,5 mm rétegvastagság felett. Következtetés: Elszíneződött csonkok monolitikus cirkónium-dioxid fogpótlással való fedése esetén a rétegvastagságnövelésével esztétikusabb végeredményt tudunk elérni a vizsgált színezett cirkónium-dioxid alkalmazása mellett.
Initially, ceramics - mostly burnt clay - were used to manufacture container pottery. The first porcelain objects reached Europe out of China in the Medieval Ages. The technique of their manufacturing was a mystery for many hundred years, yet Germans succeeded first to produce fine European porcelain at the beginning of the 18th century. Its elegance and hardness woke the dentists’ interest too thus Frenchmen created the first porcelain dentures in the second half of the 18th century. Since then, there has been an increasing demand for esthetic fixed implant dentures instead of removable ones. The development of ceramic materials resulted in better mechanical and optical properties, thus the first fixed porcelain inlays and jacket crowns were introduced already in 1889. The addition of leucite filler crystals to porcelain in the 20th century increased the thermal expansion of the ceramic. It could be fired on common dental casting alloys, so the first porcelain-fused-to-metal (PFM) crown was created in 1962. Several new techniques were developed from the middle of the 1980s to the end of the 1990s to deal with initial shrinkage and achieve better properties. Beyond casting, pressing, and CAD/CAM technology, additive manufacturing opened new perspectives in dentistry several years ago in processing dental ceramics.
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