Background: Zirconia has emerged as a versatile dental material due to its excellent aesthetic outcomes such as color and opacity, unique mechanical properties that can mimic the appearance of natural teeth and decrease peri-implant inflammatory reactions. Objective: The aim of this review was to critically explore the state of art of zirconia surface treatment to enhance its biological and osseointegration behavior in implant dentistry. Materials and Methods: An electronic search in PubMed database was carried out until May 2018 using the following combination of key words and MeSH terms without time periods: "zirconia surface treatment" or "zirconia surface modification" or "zirconia coating" and "osseointegration" or "biological properties" or "bioactivity" or "functionally graded properties". Results: Previous studies have reported the influence of zirconia-based implant surface on the adhesion, proliferation, and differentiation of osteoblast and fibroblasts at the implant to bone interface during the osseointegration process. A large number of physicochemical methods have been used to change the implant surfaces to improve the early and late bone-to-implant integration, namely: acid etching, gritblasting, laser treatment, UV light, CVD, and PVD. The development of coatings composed of silica, magnesium, graphene, dopamine, and bioactive molecules has been assessed although the development of a functionally graded material for implants has shown encouraging mechanical and biological behavior.

Calcium carbonate is one of the most used raw materials in various industries, such as construction materials, food supplement, pharmaceutics, animal feed, plastic production, and others. Calcium carbonate can derive from marine wastes, like crustaceans and bivalve’s shells. The worldwide demand for new sources of food has increased exponentially, and following that tendency, the mariculture—especially the oyster culture—has been increasingly resorting to farming techniques. In 2016, 438 billion tons of oysters were produced. The majority of the shells were unduly discarded, presenting a public health problem. This article offers a solution based on the reuse and recycling of oyster shell residues in the production region of Florianópolis, SC, Brazil. The presented solution is an oyster shell by-product developed by a local company which produces artificial stone. The main component of the artificial stone is a composite material made of oyster shells incorporated in a polymeric resin. The mechanical properties, such as its flexural strength, hardness, Weibull modulus, and fracture analysis, were held in the artificial stone. The mechanical results of the new artificial stone were compared with other natural stones, such as granite and marble, and other commercial artificial stones. This material owns suitable mechanical properties for table tops and workbenches. Using this product as an artificial stone represents an innovation in the development of a new product and adds commercial value to local waste. This product is an excellent example of a circular economy for local producers who care about the environment, and it encourages the reduction of extraction of natural stone, such as granite and marble.

Hard tissue modification by means of laser irradiation is becoming popular in dentistry, since it promotes assorted responses between the tooth and the restorative material. Some studies on the bond strength of adhesive systems to Nd:YAG irradiated teeth have shown distinctive behaviors when irradiation was applied before or after the adhesive agent. This study evaluated the microtensile bond strength of a commercial adhesive system to dentin irradiated with Nd:YAG laser after adhesive application but prior to polymerization. The experiment was conducted in vitro, using freshly extracted human teeth as samples. For the microtensile test, the teeth were separated into 4 different groups according to the energy density of laser irradiation: 0, 5, 10 and 50 J/cm2. The data was analyzed with analysis of variance (ANOVA) and LSD tests, and the results indicated that the group that was irradiated with 5 J/cm2 had significantly higher bond strength values. Adhesive penetration on the etched dentin was observed by scanning electron microscopy, where the images showed better adhesive penetration on dentinal tubules after dentin irradiation with 5 J/cm2. Based on the results of this study, it is possible to conclude that irradiation of dentin with the Nd:YAG laser at low energy densities after application of the adhesive but prior to polymerization might be positive for the adhesive restorative process.