The increased patients demand to improve their dental esthetics has led to the development of new tooth-colored ceramic restorations; however, accurate color matching of the restoration to the adjacent teeth and the subsequent dentist-laboratory communication remain one of the most critical procedures in clinical dentistry. (1,2) Several factors influence the esthetic success of dental ceramic restorations, (3) such as surface or substrate characteristics, (4,5) marginal accuracy, (6) ceramic thickness, (7) translucency, (8) underlying
To assess the effect of nano-modification of two CAD/CAM monolithic Zirconia systems (wet and dry-milled) on microstructural changes and fracture resistance upon aging. Twenty monolithic Zirconia discs (10mm x1.5mm) were divided into 2 groups (n=10) according to fabrication system;wet-milled (Incoris TZI) and dry-milled (CeramillZolid). Each group was subdivided into two subgroups (n=5), whether subjected to aging or not. Aging proceduresincluded accelerated hydrothermal aging and cyclic loading. Microstructural changes were assessed quantitatively and qualitatively using x-ray diffraction (XRD) and scanning electron microscope (SEM) respectively. Discs were subjected to fracture resistance test usinguniversal testing machine. Meansandstandard deviations were recorded for phase transformation (t-m)of Zirconia and repeated ANOVA was used to correlate phase transformation with fracture resistance results (p≤0.05). For aged subgroups, XRD analysis revealed significantly higher phase transformation of wet-milled than dry-milled (p≤0.05) and SEM analysis revealed wide zone phase transformation for wet-milled zirconia and minimal zone for dry-milled. For both systems, no significant difference between the mean flexural strength values ofnon-agedand aged zirconia (p≤0.05). Nanocrystalline microstructure of monolithic zirconia improved its resistance to aging. The fracture resistance of the two systems was not affected by aging.
Background. The trueness of intraoral scanners (IOSs) has been evaluated in many clinical situations. However, the tests of their performance when scanning post-space preparations are still lacking.Objectives. The aim of the present study was to compare the trueness of the digital impressions of post spaces with different depths, captured by means of different IOSs.Material and methods. Digital impressions of teeth (N = 16) with post spaces of depths of 8 mm and 10 mm were captured. Three IOSs were used, including Primescan AC, Medit i500 and CS 3600. The STL files were compared to the files obtained from the traditional impression scanning performed with an InEos X5 desktop scanner. Then, reverse engineering software measured the trueness values, which were analyzed using the two-way analysis of variance (ANOVA), followed by Tukey's post-hoc test. The significance level was set at p < 0.05.Results. Significant differences were found between the scanners in terms of root mean square (RMS) values (p < 0.001). The highest RMS value was found for CS 3600 (0.30 ±0.11 mm), followed by Primescan AC (0.26 ±0.09 mm), while the lowest value was found for Medit i500 (0.18 ±0.05 mm). The 8-millimeter-deep post spaces had a significantly higher RMS value than the 10-millimeter-deep ones (0.28 ±0.10 mm and 0.21 ±0.09 mm, respectively) (p = 0.009).Conclusions. The Medit i500 scanner showed the highest post-space digital impression trueness as compared to Primescan AC and CS 3600. In the digital impressions captured with CS 3600, the 10 mm postspace depth had higher trueness than the 8 mm depth. Moreover, CS 3600 was less able to capture the full length of both the 8 mm and 10 mm post-space depths than Primescan AC and Medit i500.
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