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Showing 19 results for Zirconia

H. Kermanshah , Sh. Farzin Ebrahimi,
Volume 20, Issue 2 (5-2007)
Abstract

Background and Aim: All ceramic, inlay-retained resin bonded fixed partial denture is a conservative method for replacement of missing teeth, because of minimal tooth reduction. The connector between the retainer and the pontic is the weak point of these bridges. Reinforcement of ceramic core will increase the clinical longevity. The aim of this study was to determine the effect of zirconia on flexural strength of IPS Empress 2 core ceramic.

Materials and Methods: In this experimental in vitro study, twenty eight bar shape specimens (17´3.1´3.1 mm) were made of four different materials: (1) Slip casting in-ceram alumina core (control group) (2) Hot-pressed lithium disilicate core ceramic (IPS Empress 2) (3) IPS Empress 2 with cosmopost (zirconia post) inserted longitudinally in the center of the bar (4) IPS Empress 2 with cosmopost (zirconia post) inserted longitudinally in bottom of the bar. Specimens were subjected to three-point flexure loading with the span of 15mm, at a cross-head speed of 0.5 mm/min. Failure loads were recorded and analyzed using one-way ANOVA and Tomhane Post-hoc tests and p<0.05 was set as the level of significance. Fractured surfaces were then observed by scanning electron microscope (SEM). Four additional samples were made as the third group, and zirconia-IPS interface was observed by SEM before fracture.

Results: Mean values and standard deviations of three point flexural strengths of groups 1 to 4, were: 378.4±44.6, 258.6±27.5, 144.3±51.7, 230±22.3 MPa respectively. All the groups were statistically different from each other (P<0.05), except groups 2 and 4. The flexural strengths of groups 2, 3, 4 were significantly lower than group 1. Group 3 had the lowest flexural strength. SEM analysis showed that the initiated cracks propagated in the interface of zirconia post and IPS Empress 2 ceramic.

Conclusion: Based on the results of this study, inserting zirconia post (cosmopost) in IPS Empress 2 ceramic does not reinforce all-ceramic inlay retained resin bonded fixed partial dentures.
Gh Omati Shabestari, H. Haj Mir Agha, S. Shahabi, R. Bagherpor,
Volume 22, Issue 4 (1-2010)
Abstract

Background and Aims: Metal-free and fiber-reinforced composite (FRC) restorations have drawn considerable attention and interest in recent years for restoring in the posterior area due to their improved esthetics. Fracture resistance is one of the most important mechanical properties of materials because of 500-600 N load of occlusion. The restorations should tolerate this load. The purpose of this in vitro study was to compare the fracture resistance of FRC with that of zirconia all-ceramic for posterior partial dentures.

Materials and Methods: Forty extracted human intact teeth (20 first premolars and 20 first molars) selected for fabricating 10 pairs of fiber-reinforced composite and 10 pairs of zirconia all-ceramic bridges. After receiving standard tooth preparation, the teeth were mounted with 7.5 mm distance between each other. The bridges were made and cemented on the teeth. Then the restorations were stored in 37ºC water for 30 days. The fracture resistance was measured using mechanical testing machine with cross-head speed of 1mm/min. Data were evaluated by Independent Sample T test.

Results: The mean fracture resistance in the ceramic group was 1329.41 N and for the F.R.C group was 1118.528 N with significant differences between them (P=0.034). The failure modes were mainly cohesive at pontic area for ceramic samples, but adhesive for FRC samples at pontic area.

Conclusion: Both systems showed sufficient fracture resistance for using in posterior area.


H. Dorriz, M. Memarian, A. Madani, L. Sedighpor, Ar. Shamshiri,
Volume 24, Issue 1 (3-2011)
Abstract

Background and Aims: The aim of this study was to evaluate the effect of zirconia and base metal cores on the color of restorations. Furthermore, the effect of different backings on the color of cercon zirconia was evaluated.
Materials and Methods: The specimens were Cercon zirconia and metal ceramic discs with "high Au" and "base metal" alloys. Cercon zirconia discs were veneered with veneering shade of A2 and two thickness of porcelain (0.7 mm, 1.2 mm). There were 3 discs in each group. Metal ceramic discs were made of "nickel-chromium" alloy (Verobond) and "high Au" alloy (World 89) and two shades (A2, A3.5) and two thicknesses of veneering porcelain. 3 types of backing (high Au, nickel-chromium and A3 shade composite) were made for Cercon zirconia discs. Spectrophotometric evaluation of zirconia discs (on 3 backings) and metal ceramic discs was done. One-way ANOVA and Tukey tests were used for data analysis.
Results: There were no significant differences between the amounts of L*, a*, b* for Cercon zirconia on different backings (P>0.05). In comparison between different core groups, a* was significantly higher in metal ceramic groups compared with that of zirconia groups (P<0.05).
Conclusion: Cercon zirconia can completely mask the underlying backing.


Sakine Nikzad, Abbase Azari, Mohamad Ehsan Khalil, Poya Aslani, Sima Shahabi,
Volume 24, Issue 4 (1-2012)
Abstract

Background and Aims: Reliable bonding between tooth substrate and zirconia-based ceramic restorations is always of great importance. The laser might be useful for treatment of ceramic surfaces. The aim of the present study was to investigate the effect of laser irradiation on the shear bond strength of zirconia ceramic surface to dentin.

Materials and Methods: In this experimental in vitro study, 40 Cercon zirconia ceramic blocks were fabricated. The surface treatment was performed using sandblasting with 50-micrometer Al2O3, CO2 laser, or Nd:YAG laser in each test groups. After that, the specimens were cemented to human dentin with resin cement. The shear bond strength of ceramics to dentin was determined and failure mode of each specimen was analyzed by stereo-microscope and SEM investigations. The data were statistically analyzed by one-way analysis of variance and Tukey multiple comparisons. The surface morphology of one specimen from each group was investigated under SEM.

Results: The mean shear bond strength of zirconia ceramic to dentin was 7.79±3.03, 9.85±4.69, 14.92±4.48 MPa for CO2 irradiated, Nd:YAG irradiated, and sandblasted specimens, respectively. Significant differences were noted between CO2 (P=0.001) and Nd:YAG laser (P=0.017) irradiated specimens with sandblasted specimens. No significant differences were observed between two laser methods (P=0.47). The mode of bond failure was predominantly adhesive in test groups (CO2 irradiated specimens: 75%, Nd:YAG irradiated: 66.7%, and sandblasting: 41.7%).

Conclusion: Under the limitations of the present study, surface treatment of zirconia ceramics using CO2 and Nd:YAG lasers was not able to produce adequate bond strength with dentin surfaces in comparison to sandblasting technique. Therefore, the use of lasers with the mentioned parameters may not be recommended for the surface treatment of Cercon ceramics.


Naser Golshah, Habib Hajimiragha, Saeed Nokar, Somayeh Zeighami,
Volume 25, Issue 1 (4-2012)
Abstract

Background and Aims: Since a large marginal opening allows more plaque accumulation, gingival sulcular fluid flow and bone loss, microleakage, recurrent caries and periodontal disease, marginal fit is of great importance in fixed restorations. The aim of this study was to compare the marginal fit of zirconium-based all ceramic (Cercon) frameworks, made by two different approaches (Direct and Wax-up scanning).

Materials and Methods: An abutment analog, with 5.5 mm width and height, was selected as an experimental model. Twenty all ceramic cores were made for this model (10 specimens per each group). In the first group (Direct), experimental models were scanned directly using Computer Aided Design/Computer Aided Manufacturing (CAD/CAM). The core was then designed with the aid of a computer and machined. In the second group (Wax-up or CAM) a wax-up pattern was made on the experimental model and then scanned and milled from Cercon blocks. The marginal discrepancy of each specimen was recorded using a stereomicroscope (SZX9, Olympus, Japan) and digital camera (Mode TK, C1380E, JVC, Japan) and then measured by Adobe Photoshop CS software. The data were analyzed using T-test.

Results: Mean marginal discrepancy of Direct group (85.2±3.95 µm) was significantly less than that of Wax-up group (120.2±6.91 µm).

Conclusion: Improved marginal fit of zirconia ceramics was found with the direct model scanning compared with that of Wax-up scanning using CAD/CAM.


Abbas Monzavi, Reza Shabanpoor, Marzieh Alikhasi, Ghasem Omati Shabestari,
Volume 25, Issue 4 (1-2013)
Abstract

Background and Aims: One of the decisive factors on the final esthetic results of implant treatment is the abutment material. Ceramic abutments are nowadays very popular in this regard. The purpose of this study was to compare the fracture resistance of three zirconia abutments with titanium abutment.

Materials and Methods: Four groups of abutments (five specimens in each) were prepared. The abutments were prefabricated titanium, prefabricated zirconia, zirconia-metal, and copy-milled zirconia abutment. After securing the abutments to the implant using a torque of 24 Ncm, they were mounted into a mounting jig using the 30º tilt. The force was applied on the assembly till the failure occured. Facture resistance and mode of failure were recorded for each specimen. The data were analyzed using One-way ANOVA.

Results: The mean values recorded for fracture resistance of different zirconia abutments varied between 426 to 688 N however, there was no significant differences among the groups (P=0.14). Body fracture was observed only in prefabricated zirconia abutments. Screw fracture and screw bending were the common failures observed in other groups.

Conclusion: Zirconia abutments of any type could be successfully used in regular plateform implants.


Marzieh Alikhasi, Roshanak Baghaie, Nasim Khosronejad, Pooya Aslani,
Volume 26, Issue 1 (3-2013)
Abstract

Background and Aims: In response to esthetic demand of patients, ceramic abutments have been developed. Despite esthetic of zirconia abutments, machining accuracy of these abutments has always been a question. Any misfit in the abutment-implant interface connection can lead to detorque and screw loosening. The aim of this study was to compare torque loss value of manually aided design/manually aided manufacture (MAD/MAM) zirconia abutments with prefabricated titanium abutments.

Materials and Methods: Seven titanium abutments (Branemark RP, Easy abutment) and seven copy milled abutments which were duplicated from the prefabricated Zirkonzhan (ZirkonZahn, Sand in Taufers, Italy) were prepared. After sintering process of zirconia abutment, all abutments were fastened with a torque screw under 35 Ncm. Detorque measurements were performed per group pushing the reverse button of the Torque controller soon after screw tightening with values registered. The mean torque loss were calculated and compared using Student's t test.

Results: The mean of torque loss was 12.71 Ncm with standard deviation of 1.70 for prefabricated titanium abutments and 15.50 Ncm with standard deviation of 4.67 for MAD-MAM abutments. The difference between the two groups was not statistically significant (P=0.23).

Conclusion: Within the limitation of this study, MAD-MAM ceramic abutments could maintain the applied torque comparing to the prefabricated abutments.


Sakineh Nikzad, Abbas Azari, Mani Arashrad, Ghazal Arashrad,
Volume 26, Issue 1 (3-2013)
Abstract

Background and Aims: The marginal integrity of fixed restorations always is a major matter of concern for dental clinicians. Any cause of distortion, including veneering processes, in the marginal integrity is supposed to be detrimental for long-term success of fixed dental prostheses. The aim of this in vitro study was to compare the marginal adaptation of two different full ceramic restoration systems (Zirkouzahu&Cercon) and possible changes in marginal integrity following the multiple veneering process.

Materials and Methods: Twelve all-ceramic crowns in the form of coping were fabricated on a pre-made standard metal die with finish line of shoulder preparation from two commercial systems: Cercon® and Zirkonzahn®. The specimens were not cemented. The Crown/Die discrepancy were measured by means of a precise stereo microscope (accuracy±0.1 μm), at various points (n=12) selected along circumferential margin of the restorations. Same procedure was accomplished after applying the veneering porcelain. The mean gap dimensions were calculated and data were analyzed by multivariate (b) test.

Results: Mean marginal gap dimensions before and after veneering porcelain firing cycles, for Cercon® were (59.67±13.46 µm) and (63.75±14.16 µm) and for Zirkonzahn® were (65.81±24.37 µm) and (64.74±21.94 µm), respectively. Hotelling trace Multivariate(b) test method showed that the rate of mismatching marginal integrity in two groups (Cercon® and Zirkonzahn®) had no significant difference before and after porcelain firing (P>0.05).

Conclusion: Within the limitation of this study, the marginal integrity of both systems were seems to be within the clinically acceptable standard dimension, i.e. 120μm.The marginal gap of both all-ceramic systems were not affected by veneering porcelain firing cycles.


Marzieh Alikhasi , Razieh Khanmohammadi, Somayeh Niakan ,
Volume 26, Issue 3 (8-2013)
Abstract

  Background and Aims: Along with the advances in dental materials and invention of new techniques for ceramic producion, the demand for the beauty and matching restoration’s color with patient’s natural teeth is growing. Nowadays, zirconia systems are the focus of attention. Despite their strength, one of the problems with such systems is the high opacity and failing to provide the favored color. Considering few studies about the influence of shading on Zirconia, the purpose of this in vitro study was to evaluate the effect of different shading of zirconia-based ceramics on the biaxial flexural strength .

  Materials and Methods: In this in vitro experimental study, Rainbow (Dentium, Korea) zirconia-based ceramics (the diameter of 15mm and 1mm in thick) were divided into four groups of 10 specimens. According to Vita shade guide system and manufacturer’s time recommendations (3 seconds), three groups of disc specimens were shaded to A3, B3 and D3 colors and other ten specimens remained uncolored as control group. The biaxial flexural strength test of discs was evaluated and the elements’ composition of colors was detected by Energy Dispersiue X-ray Microanalysisd (EDX). Finally, data were analyzed using one-way ANOVA and Post-hoc tests.

  Results: The biaxial flexural strength in non colored specimens, A3 shaded discs, B3 shaded, and D3 shaded specimens were determined 1061.93, 819.16, 1100.10, and 825.48 MPa respectively which was statistically significant among groups (P<0.001). The statistical analysis revealed that the highest strength in B3 and non colored groups which were significantly higher than A3 and D3. EDX analysis showed significant differences among different colored compositions.

  Conclusion: The biaxial flexural strength of zirconia cores are affected by shading and the specific selected color.


Ezatollah Jalalian, Mona Sadegh, Rana Mohamadi, Reihane Aghajani, Elnaz Shafiee,
Volume 27, Issue 1 (4-2014)
Abstract

  Background and Aims : The root fracture resistance of endodontically treated teeth depends on the types of posts. The aim of this study was to compare the effect of two types of bonded non-metallic posts with different elasticity modulus on the fracture resistance of endodontically treated teeth under compressive loads.

  Materials and Methods: In this in vitro experimental study, 20 fresh extracted mandibular premolars were selected and sectioned adjacent to the CEJ and then were endodontically treated. The specimens were randomly divided into two groups (n=10). After post space preparations, the fiber RTD Light posts (R.T.D, France) and zirconia coated fiber posts (ICE light, Danville) were cemented into the root canals. Composite resin (Lumiglass R.T.D, France) cores were built up. Aluminium foil was used to mimic the PDL, and the specimens were embedded in acrylic resin and tested in a Universal Testing Machine. A compressive load was applied at a 90 degree angle until fracture at a crosshead speed of 1mm/min. Data were analyzed using one-way ANOVA and T test .

  Results: The mean fracture resistance of R.T.D group was (1083.11 ± 156.74 (N)) and the mean of ICE light group was (865.18 ± 106.24 (N)). The highest mean fracture resistance was observed in RTD fiberglass and a statistically significant difference was observed between the two groups (P<0.001).

  Conclusion: FRC posts with zirconia coating due to unfavorable fractures of the teeth should be used with caution, and thus, fiber posts are preferred.


Saeed Nokar, Amir Azizi, Ahmad Rohanian,
Volume 27, Issue 1 (4-2014)
Abstract

  Background and Aims: Nowadays, the application of all ceramic restorations are being raised, because of their physical characteristics, such as translucency and good appearance. Numerous researchers investigated the impact of surface treatments on the bond strength of zirconia ceramic with resin cements. The aim of this study was to compare the microshear bond strength of Cercon and Zirkonzahn (two kind of zirconia) ceramics, to two types of resin cements after thermocycling.

  Materials and Methods: In this study, 24 rectangular specimens were made from each group of Cercon and Zirkonzahn ceramics. After sandblasting, these specimens were connected to 3×1 mm2 composite cylinders by two resin cements (Panavia F2 and Rely X Unicem2). After performing a thermocycling regime for 5000 cycles (5-55 ◦ C), the microshear bond strengths were measured by a universal testing machine. The mode of failures were determined by a stereomicroscope. Data were analyzed using two-way ANOVA.

  Results: Type of ceramics had no significant impact on the microshear bond strength (P=0.317). The highest bond strengths in both ceramics were obtained with Reply X Unicem (P=0.035). The predominant failure mode was adhesive between the cement and ceramic.

  Conclusion: Type of resin cement had a significant effect on their bond strengths to zirconia ceramics.


Sakineh Nikzad, Abbas Azari, Somayeh Niakan, Zeynab Bahrani,
Volume 27, Issue 3 (9-2014)
Abstract

  Background and Aims: The aim of this review article was to present the information have been published, regarding the functional properties of Zirconia until today.

  Materials and Methods: A review of the literature was carried out in MEDLINE database using key words (Dental ceramic, Zirconia, 3Y-TZP, Clinical performance, Machining and Transformation toughening). These searches were limited to the articles published after the year 2000.

  Conclusion: Despite excellent clinical results in short-term studies, there is still a major need to have more clinical and laboratory long-term information about zirconia restorations.


Majid Sahebi, Marzieh Alikhasi, Farshad Movafegh, Vahideh Nazari,
Volume 29, Issue 1 (7-2016)
Abstract

Background and Aims: In response to esthetic demand and use of zirconia abutments; detection of implant-abutment connection misfit is so important. The purpose of this study was to evaluate the sensitivity and specificity of radiographic images in the detection of abutment-implant connection misfit in zirconia and titanium abutments of three different implant connections.

Materials and Methods: One regular implant fixture of Branemark, Noble active and Replace systems were mount in acrylic models. Two pieces titanium and zirconium abutments were attached to the implants, once with correct adaptation and once with 0.5 mm spacer. Digital radiographic images were taken of 12 created states with zero degree vertical and horizontal inclination and evaluated by 10 specialists in implant treatment in two different time penods. Data were analyzed using Kappa analysis.

Results: Interclass Correlation Coefficients (ICC) of the agreement of answers in the first and second times were 97.4 and 97.5, respectively (P<0/001). Sensitivity of detecting gap in all groups was acceptable (95-100%) except titanium abutment in Noble active which was the lowest value (35%). Specificity of all groups were acceptable (80-95%) except zirconia abutments in Noble active and Replace with 45% and 30% values, respectively, and titanium abutments in Branemark had the highest value (95%).

Conclusion: The sensitivity of radiographic images in detection of abutment-implant connection misfit only in Noble active with titanium abutment was not acceptable. Specificity of radiographic images in the absence of gap in titanium abutments was more favorable.


Arash Zar Bakhsh, Ezzatollah Jalalian, Nilufar Rahimi, Shahrzad Sadr Haghighi,
Volume 29, Issue 1 (7-2016)
Abstract

Background and Aims: The zirconia coated FRC posts (Ice light) is the next generation of aesthetic posts , ice light features 70% fill of zirconia enriched, parallel glass fiber for exceptional strength. Its flexibility is close to dentine so stress is distributed. The aim of this study was to evaluate the effect of post type (FRC post and the zirconia coated FRC post) on the retention to the root canal wall.

Materials and Methods: 20 extracted human premolar teeth with 14 mm length were selected. After post space preparation, the teeth were randomly divided into two groups: Group1: the zirconia coated FRC post (Danville, USA) Group2: FRC post (RTD DT light post, France). All posts were cemented with a dual-cure resin cement (Panavia, Kuraray, Japan). All specimens were mount in acrylic cylinders, and the push-out test was done using a universal testing machine (Instron 5500 R, USA) at 1 mm/min speed. Data were analyzed using T-test.

Results: The retentive strengths were in coronal (75.27+14.81 MPa), in middle (64.38+15.29 MPa) and in apical (51.46+13.29 MPa) for the zirconia coated FRC post, and also were in Coronal (59.16+1.91 MPa), in middle (66.83+12.32 MPa) and in apical (67.88+17.47 MPa) for the FRC post. There was no significant difference in mean retentive strength between two groups in each region (P=0.07).

Conclusion: The FRC post and zirconia coated FRC post had similar retention to the root canal walls.


Narges Ameri , Hakimeh Siadat, Ahmad Reza Shamshiri, Marzieh Alikhasi,
Volume 29, Issue 2 (11-2016)
Abstract

Background and Aims: Marginal accuracy is a crucial factor influencing the clinical long-term reliability of implant-supported fixed dental prostheses (FDPs). The aim of this in vitro study was to evaluate the marginal fit of three-unit zirconia bridge frameworks fabricated using two different computer-aided design (CAD)/
computer-aided manufacturing (CAM) systems (AmannGirrbach and Zirkonzahn).

Materials and Methods: The master model of 3-unit FDP was made of two implant abutments (AmannGirrbach and Zirkonzahn) from canine to second premolar. Twelve frameworks were manufactured using each fabricating system from semi-sintered zirconia blanks, which had to be sintered for final density after milling. After manufacturing, the absolute marginal discrepancy in each abutment were determined by means of Video Measurement System (VMS). The data were analyzed, using independent and paired t test (P=0.05).

Results: For the premolar abutment, the absolute marginal discrepancy of frameworks fabricated by AmannGirrbach system was significantly greater than those of the other system (P=0.005). There was no significant difference between the marginal discrepancy of canine and premolar abutments (P>0.05).

Conclusion: Within the limitations of this study, it could be concluded that the marginal fit of zirconia FDPs was significantly dependent on the CAD/CAM system used, but the abutment size was not an effective factor.


Mohammad Hosain Lotfi Kamran, Mahnaz Hatami, Abbas Fallah Tafti, Mohammad Malekzadeh,
Volume 30, Issue 3 (10-2017)
Abstract

Background and Aims: To create a good adhesion between porcelain veneers and zirconia restorations has been important issues is the prosthesis. The aim of this study was to identify an effective way to prepare the zirconia surface infrastructure to increase its shear bond strength to the porcelain veneer.
Materials and Methods: 75 samples of zirconia (Y-TZP) cylinders (diameter of 7 mm and a thickness of 3 mm) were fabricated. Based on the surface treatment, specimens were randomly divided into 3 groups: control, air abrasion and
Er-YAG laser. After surface treatment, the specimen surfaces were examined by SEM. Using a metal mold, the porcelain was veneered on the zirconia surface and then fired. After thermocycling, the shear bond strength of porcelain to zirconia was measured and then the failure mode of each specimen was analyzed using a stereo-microscope. Data were analyzed by one-way ANOVA and Tukey test.
Results: Significant differences were observed between the mean shear bond strength of different groups (P=0.001). The greatest amount of shear bond strength was observed in the group (S) and the lowest bond strength in the control group. Analysis of failure modes showed no statistically significant difference in the type of failure among study groups. The adhesive failure was predominating failure at the intersection of porcelain veneers.
Conclusion: The highest shear bond strength between zirconia and porcelain was achieved by sandblasting the zirconia surfaces compare with that of Er_YAG application.

Gholamreza Esfahanizadeh, Mahmood Aghel, Saeed Mohammadi Asl, Elnaz Bayat,
Volume 30, Issue 4 (1-2018)
Abstract

Background and Aims: Marginal gap measurement in all ceramic restorations they are of fundamental important for the successful used. As some studies led to contradiction results, yhe aim of this study is to compare marginal gap restorations between 4 kinds of ceramic restorations Inceram, IPS-e.max Press, Zirconia (CAD/CAM) and PFM.
Materials and Methods: In this In-vitro experimental research, one stainless steel die with deep chamfer finish line design (1 mm depth) was prepared on a maxillary premolar. 40 epoxy resin dies were made, dies were divided in to 4 groups (n=10), Zirconia, IPS e.max press, Inceram, Mental Ceramic systems (MC). Then, the prepared crowns were put on the stainless steel die and observed their marginal mismatch under sterio microscope before cementation. Data were analyzed by One- way ANOVA, and one sample kolmogorosmirnov tests.
Resultes: There was significant difference in the marginal gaps between (MC) (102.92±28.7), Inceram (98.41±24.91), IPS e.max press (128.22±25.48), and Zirconia (69.5±10.9) (P=0.0001).
Conclusion: The comparison of marginal gap for the four groups was significant test. Therefore, it can be concluded that marginal gap, the probability of leakage and recurrence of caries in Zirconia systems is the least and in the IPS e.max press systems is the most.

Marzieh Alikhasi, Narges Ameri, Hakimeh Siadat, Ahmad Reza Shamshiri, Mohammadreza Nejati,
Volume 32, Issue 1 (7-2019)
Abstract

Background and Aims: Passive fitness of implant frameworks are important factors for long-term success of dental implant restorations. The aim of this in vitro study was to evaluate the dimensional changes of implant supported zirconia frameworks fabricated by Zirkonzahn CAD/CAM system during fabrication stages.
Materials and Methods: The master model of 3-unit FDP was made of two implant abutments. The master model was scanned 12 times and data were saved as STL files (scanning groups). Using semi-sintered zirconia,
12 real-size frameworks (milling groups) and 12 enlarged frameworks which were then sintered (sintering group) were made in this system. Dimensions of master model and specimens of each stage were measured. The dimensional changes in respect to master model were calculated. Data were analyzed using Repeated measures ANOVA, independent t-test, and paired sample t-test at α=0.05 of significance.
Results: The milling stage showed greater dimensional changes comparing to the other stages (P<0.05). At all stages, the dimensional changes of premolar abutment height were greater than canine (P<0.001).
Conclusion: Within the limitations of this study, the results suggested that the fabrication stages and size of abutments had significant effects on the dimensional changes of zirconia frameworks.

Elahe Soltanmohamadi Borujeni, Ali Bavi, Mohammad Aghaali, Ali Saleh, Aida Mehdipour,
Volume 37, Issue 0 (3-2024)
Abstract

Background and Aims: Strong bond between the ceramic brackets and ceramic veneers has an important role in cosmetic treatment. The purpose of this study was to investigate the effect of aging on the shear bond strength (SBS) of ceramic brackets bonded to zirconia after surface preparation by Neodymium-doped Yttrium Aluminum Garnet (Nd: YAG) laser or sandblasting with alumina.
Materials and Methods: This experimental study was conducted on 24 zirconia blocks and these blocks were randomly divided into two groups for surface preparation and each was sub-divided into three time intervals. Surface preparation was done by sandblasting with alumina: in SG1 (Immediately after sandblasting), SG2 (2 weeks after sandblasting), and SG3 (3 months after sandblasting) groups. For the Nd: YAG laser (1/5W, 20Hz, 10s) with non-contact mode: in LG4 (Immediately after laser), LG5 (2 weeks after laser), and LG6 (3 months after laser) groups. The ceramic brackets were bonded to the zirconia blocks. The SBS and adhesive remnant index (ARI) were evaluated and compared among test groups. Dara were analyzed using Mann Whitney test.
Results: There was no significant difference between the SBS of SG1 and LG4 (P=0.430), SG2 and LG5 (P=0.382) and SG3 and LG6 (P=0.326) groups. LG4 group showed the highest shear bond strength. After aging (2 weeks and 3 months), the laser groups showed higher SBS. There was no significant difference in the ARI between SG1 and LG4 (P=0.220), SG2 and LG5 (P=0.154), SG3 and LG6 (P=0.527) groups.
Conclusion: No significant difference was observed between the Nd: YAG laser and sandblasted groups in terms of SBS and ARI over time. Therefore, Nd: YAG laser could be used as a surface treamnet method in Zirconia crowns for bonding to ceramic brackets.
 

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