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K J Anusavice

Publications and source records attributed to K J Anusavice.

At least 19 recordsLinked to original sources
PubMed2000

Structural reliability of alumina-, feldspar-, leucite-, mica- and zirconia-based ceramics.

OBJECTIVES: The objective of this study was to test the hypothesis that industrially manufactured ceramic materials, such as Cerec Mark II and Zirconia-TZP, have a smaller range of fracture strength variation and therefore greater structural reliability than laboratory-processed dental ceramic materials. METHODS: Thirty bar specimens per material were prepared and tested. The four-point bend test was used to determine the flexure strength of all ceramic materials. The fracture stress values were analyzed by Weibull analysis to determine the Weibull modulus values (m) and the 1 and 5% probabilities of failure. RESULTS: The mean strength and standard deviation values for these ceramics are as follows: (MPa+/-SD) were: Cerec Mark II, 86.3+/-4.3; Dicor, 70.3+/-12.2; In-Ceram Alumina, 429. 3+/-87.2; IPS Empress, 83.9+/-11.3; Vitadur Alpha Core, 131.0+/-9.5; Vitadur Alpha Dentin, 60.7+/-6.8; Vita VMK 68, 82.7+/-10.0; and Zirconia-TZP, 913.0+/-50.2. There was no statistically significant difference among the flexure strength of Cerec Mark II, Dicor, IPS Empress, Vitadur Alpha Dentin, and Vita VMK 68 ceramics (p>0.05). The highest Weibull moduli were associated with Cerec Mark II and Zirconia-TZP ceramics (23.6 and 18.4). Dicor glass-ceramic and In-Ceram Alumina had the lowest m values (5.5 and 5.7), whereas intermediate values were observed for IPS-Empress, Vita VMK 68, Vitadur Alpha Dentin and Vitadur Alpha Core ceramics (8.6, 8.9, 10.0 and 13.0, respectively). CONCLUSIONS: Except for In-Ceram Alumina, Vitadur Alpha and Zirconia-TZP core ceramics, most of the investigated ceramic materials fabricated under the condition of a dental laboratory were not stronger or more structurally reliable than Vita VMK 68 veneering porcelain. Only Cerec Mark II and Zirconia-TZP specimens, which were prepared from an industrially optimized ceramic material, exhibited m values greater than 18. Hence, we conclude that industrially prepared ceramics are more structurally reliable materials for dental applications although CAD-CAM procedures may induce surface and subsurface flaws that may adversely affect this property.

Aluminum Oxide↗
PubMed2000

Minimal intervention dentistry--a review. FDI Commission Project 1-97.

The concept of minimal intervention dentistry has evolved as a consequence of our increased understanding of the caries process and the development of adhesive restorative materials. It is now recognised that demineralised but noncavitated enamel and dentine can be 'healed', and that the surgical approach to the treatment of a caries lesion along with 'extension for prevention' as proposed by G V Black is no longer tenable. This paper gives an overview of the concepts of minimal intervention dentistry, describes suggested techniques for a minimally invasive operative approach, and reviews clinical studies which have been carried out in this area.

Composite Resins↗
PubMed2000

Crack initiation modes in bilayered alumina/porcelain disks as a function of core/veneer thickness ratio and supporting substrate stiffness.

We hypothesize that the fracture resistance of alumina core/porcelain veneer disks increases and that crack initiation shifts from veneer to core as the core/veneer thickness ratio (t(C)/t(V)) increases from 0.5/1.0 to 1.3/0.2, or as the elastic modulus of the supporting substrate (E(S)) to which it is resin-bonded increases from 5.1 to 226 GPa. When supported by a low-modulus substrate, disks with low t(C)/t(V) ratios exhibited cracks in the veneer and within the core, while those with high t(C)/t(V) ratios demonstrated core cracks, but not veneer cracks. None of the disks supported by Ni-Cr alloy (E = 226 GPa) exhibited core cracks. These results support the hypothesis that the crack initiation site shifts as the t(C)/t(V) ratio increases, but the increase in E(S) did not affect the crack initiation site. This study suggests that the t(C)/t(V) ratio is the dominant factor that controls the failure initiation site in bilayered ceramic disks.

Aluminum Oxide↗
PubMed2000

Ceramic design concepts based on stress distribution analysis.

This article discusses general design concepts involved in fabricating ceramic and metal-ceramic restorations based on scientific stress distribution data. These include the effects of ceramic layer thickness, modulus of elasticity of supporting substrates, direction of applied loads, intraoral stress, and crown geometry on the susceptibility of certain restoration designs to fracture.

Ceramics↗
PubMed2000

Microtensile strength of composite bonded to hot-pressed ceramics.

PURPOSE: The objective of this in vitro study employing the microtensile test was to test the hypothesis that the tensile bond strength of hot-pressed ceramics to composite is controlled by the ceramic microstructure and the ceramic surface treatment. MATERIALS AND METHODS: Hot-pressed IPS Empress (E1) and IPS Empress 2 (E2) ceramic blocks were polished with 1-micron alumina abrasive and treated as follows: group 1: 9.6% hydrofluoric acid (HF) on E1; group 2: 4% acidulated phosphate fluoride (APF) on E1; group 3: silane (S) on E1; group 4: HF + S on E1; group 5: APF + S on E1; group 6: HF on E2; group 7: APF on E2; group 8: S on E2; group 9: HF + S on E2; group 10: APF + S on E2. The surfaces as described above were then treated with Scotchbond Multi-Purpose Plus and covered with composite (Z-100). From the blocks obtained in this manner, specimens for microtensile testing were created by sectioning. Twenty bar specimens for each group were loaded to failure under tension using an Instron testing machine. RESULTS: Mean tensile bond strength (MPa) and standard deviation values are as follows: (1) 9.9 +/- 1.2; (2) 0; (3) 27.2 +/- 4.8; (4) 20.6 +/- 3.0; (5) 13.6 +/- 4.5; (6) 41.7 +/- 6.7; (7) 19.1 +/- 2.6; (8) 30.1 +/- 5.3; (9) 56.1 +/- 4.1; (10) 36.9 +/- 3.9. All fractures occurred within the adhesion zone. SEM images of chemically etched specimens revealed that HF produced greater surface degradation and greater bond strength than APF for both E1 and E2 ceramics. The mean bond strength of groups 6 through 10 (E2) was significantly greater than that of groups 1 through 5 (E1) for each treatment condition. CONCLUSION: The tensile fracture resistance of the composite-ceramic adhesion zones is controlled primarily by ceramic microstructure and ceramic surface treatment.

Acid Etching, Dental↗
PubMed1999

Does ART have a place in preservative dentistry?

The ART technique consists of hand excavating carious tissue and placing a highly viscous glass ionomer cement as a restoration material and as a sealant. Although the results of several studies are promising, the retention rates of these restorations for primary teeth are not impressive. Materials and methods that yield greater success rates are needed to improve long-term caries management outcomes. In principle, ART should yield outcomes similar to those associated with preservative dentistry, including the potential for minimal surgical intervention, conservation of sound tooth structure, avoidance of pain and need for local anesthetic injections, reduced risk for subsequent endodontics and tooth extraction, and increased survival time of the affected teeth. The ideal direct-filling ART material would be biocompatible and tooth colored; "forgiving" in its handling properties; insensitive to moisture or desiccation; hardenable without special equipment; able to form stable bonds to enamel and dentin; able to seal marginal gaps against bacteria; capable of releasing fluoride or remineralization and antibacterial agents when demineralization is most likely; and resistant to chemical attack. The highly viscous glass ionomer materials currently used for ART meet several of this criteria, though they may be deficient in their ability to seal marginal gaps against bacteria and in their sensitivity to desiccation. Furthermore, although they release fluoride over the lifetime of the restoration, this fluoride release alone may not prevent caries progression in all cases. It is necessary for cases of high caries risk to use chlorhexidine in conjunction with fluoride to achieve caries arrest and remineralization of adjacent areas of the affected teeth. Thus, while the ART technique offers some benefits in restoring function and reducing the rate of caries progression, it is unlikely that current materials will be able to arrest caries progression completely in high-risk persons.

Dental Caries↗
PubMed1998

Thermal incompatibility analysis of metal-ceramic systems based on flexural displacement data.

The feasibility of simple tests or analytical methods for prediction of residual stress states in metal-ceramic (MC) prostheses has not been demonstrated. Biomaterial metal-ceramic strips have been proposed to provide sensitive measures of transient and residual stress states through the measurement of midpoint deflection after cooling from the ceramic sintering temperature. The objective of this study was to apply the elastic-viscoelastic analogy to calculate transient and residual midpoint deflections in MC biomaterial strips and to compare these values with deflections measured with a beam-bending viscometer (BBV). Calculations and measurements were made for five MC systems that were found from a clinical study to be "thermally compatible" systems. Metal strips, 64 mm in length, 3 mm wide, and either 0.5 mm, 1.0 mm, or 2.0 mm in thickness, were veneered with four 0.25-mm thick layers of opaque porcelain. Midpoint deflection of the MC strips (ceramic oriented in the posterior position) was measured during cooling from an initial temperature of 700 degrees C. In general, the directions of the measured residual deflections did not agree with the "textbook" convention that negative deflections are associated with positive thermal contraction mismatch (alpha(M) - alpha(c) > 0) regardless of metal thickness. For a metal thickness of 0.5 mm, the residual midpoint deflection for all thermal contraction mismatch cases, except one, was positive (upward deflection) whereas the residual midpoint deflections were all negative when the metal thickness was increased to 1 or 2 mm, independent of the thermal contraction mismatch. The best agreement between calculated and measured values of residual midpoint deflection (+16 microns vs. +14 +/- 2.3 microns, respectively was obtained for MC biomaterial strips with a Ni-Cr alloy (0.5 mm thick) while the largest difference (+346 microns vs. +61 +/- 43.8 microns) was obtained for MC bimaterial strips with a Au-Pd allow (0.5 mm thick). In all but one case, changes in deflection direction as a function of metal thickness were correctly predicted by the viscoelastic analysis. The results of this study indicate that a viscoelastic model is useful for estimating thermal compatibility conditions of MC systems.

Biocompatible Materials↗
PubMed1998

Viscoelastic stress analysis of thermally compatible and incompatible metal-ceramic systems.

OBJECTIVE: The purpose of this study was to analyze transient and residual midpoint deflections and stresses in metal-opaque porcelain-body porcelain systems with matched and mismatched thermal contraction coefficients. METHODS: Calculations and measurements were made for seven trimaterial strips that covered a wide range of thermal contraction mismatches among constituent materials. Midpoint deflections were measured in a beam-bending viscometer during slow cooling from an initial temperature of 700 degrees C. Linear regression analysis with a correlation coefficient of 0.950 was used to compare measured and calculated residual midpoint deflections. Stress relaxation data were fit to a three-term exponential series by nonlinear regression analyses with correlation ratios ranging from 0.9972 to 0.9999. RESULTS: While finite element analyses correctly predicted the general shape of the deflection behavior as a function of temperature for all combinations, the best agreement between measured mean residual midpoint deflections and calculated values (+250 microns vs. +268 microns) was obtained for strips composed of a Au-Pd alloy (alpha m = 13.5 ppm/ degree C) with a medium expansion opaque porcelain (alpha o = 13.3 ppm/degree C) and a high expansion body porcelain (alpha B = 14.4 ppm/degree C). The highest calculated residual tensile stress of +26 MPa at the surface of body porcelain was associated with the 0.5-mm-thick Ni-Cr-Be alloy strip (alpha m = 15.1 ppm/degree C) with medium expansion porcelains (alpha o = 13.5 ppm/degree C and alpha B = 13.9 ppm/degree C). The smallest measured residual deflection (+10 microns) was also associated with this combination. The results of this study indicated that metal-ceramic strips are sensitive indicators of stress development caused by a thermal contraction mismatch; however, the magnitudes of the residual deflections do not necessarily correlate with the stress magnitudes in the ceramic. SIGNIFICANCE: Currently there are no U.S. or international standards that define the maximum difference in thermal contraction coefficients that can exist between a metal and its ceramic veneer without causing transient failures of ceramic during cooling or delayed failures in ceramic because of high residual tensile stresses. The present research represents a major step in understanding the various factors that influence the development of transient and residual stresses. A knowledge of the effects of process variables on stress development is necessary for selection of potentially successful metal-ceramic systems and for optimizing the design of dental prostheses.

Aluminum Oxide↗
PubMed1998

Chemical durability of Dicor and fluorocanasite-based glass-ceramics.

Fluorocanasite (Al2O3-CaO-F-K2O-Na2O-SiO2) glass-ceramics exhibit fracture toughness values of up to 5.0 MPa x m1/2. However, their chemical durability is not adequate for dental applications. The objective of this study was to test the hypothesis that an increased concentration of Al2O3 can increase the chemical durability of fluorocanasite-based glass-ceramics. Glass frits containing 2 wt% (CAN2), 5 wt% (CAN5), and 10 wt% Al2O3 (CAN10) were melted individually, poured into a graphite mold, and cut into 16-mm-diam. x 2-mm-thick disks. Each disk was crystallized at 850 degrees C for 6 hrs. The disks were immersed in a solution of de-ionized-distilled water, 4% acetic acid, or a pH 1 buffer solution, and sealed in 90-mL Teflon containers. Corrosion testing was performed by means of vibrational motion at 60 cycles per min in a shaker-bath at 80 degrees C for 15 days. Solution analyses were performed by means of a pH meter, an atomic absorption spectrophotometer, and an inductively coupled plasma spectrometer. Samples exposed to 4% acetic acid solution exhibited a mean weight loss rate (WLR) for the control group (Dicor) of 0.04+/-0.01 mg/cm2 day, which was significantly lower (p < or = 0.0001) than the mean WLR of the CAN2 (1.08+/-0.02 mg/cm2 x day), CAN5 (1.31+/-0.02 mg/cm2 x day), and CAN10(1.51+/-0.05 mg/cm2 x day) groups. The reduced durability of fluorocanasite-based glass-ceramics with increasing Al2O3 concentration is most likely associated with a more uniform distribution of smaller crystals during heat treatment of the glass.

Acetic Acid↗
PubMed1997

Chemical durability of Dicor and lithia-based glass-ceramics.

OBJECTIVES: The aim of this study was to analyze the effect of a nucleation agent (P2O5) and a colorant/nucleation agent (AgNO3) on the chemical durability of Li2O-Al2O3-CaO-SiO2(LACS) glass-ceramics in 4% HAc solution, deionized-distilled water, and in pH buffer solutions of pH 1, pH 9, and pH 11. METHODS: Glass powder [27.8 mol% Li2O, 2.5% Al2O3, 5.9% CaO, and 63.8% SiO2(LACS)] was melted, poured into a cylindrical graphite mold (16 mm diameter), cooled, cut into 2.2 mm thick disks, polished through 1200 grit SiC, nucleated at 510 degrees C for 3 h, and crystallized at 650 degrees C for 6 h. Dynamic corrosion tests of LACS glass-ceramic, LACS glass-ceramic containing 1.0 mol% P2O5 (LACSP), LACS glass-ceramic containing 0.78 mmol% AgNO3(LACSAg), and Dicor control specimens were performed in a shaker-bath unit at 80 degrees C at a shaker speed of 30 cycles/min for periods of up to 15 d. Differences in mean weight loss and ionic concentration were analyzed for statistical significance (p = 0.05) using ANOVA and the Tukey's Studentized Range Test. RESULTS: The mean weight loss over 15 d in 4% HAc increased in the following order: LACS (0.21 +/- 0.02 mg/cm2), LACSAg (0.25 +/- 0.05 mg/ cm2), and Dicor (0.27 +/- 0.05 mg/cm2). The differences in mean values were not statistically significant (p > 0.05). The amounts of Li+ leached in 32 mL of pH1 and pH11 buffer solutions were 3.1 +/- 0.3 microgram/cm2/mL and 243 +/- 49.0 micrograms/cm2/mL, respectively, for the LACS group, and 3.0 +/- 0.6 microgram/cm2/mL and 166 +/- 28.0 micrograms/cm2/mL for the LACSAg group. The differences in mean values are not statistically significant (p > 0.05). The high chemical durability in acidic environments of LACS glass-ceramics without P2O5 and their decreased durability at pH values of 9 and above were confirmed by SEM observations of the exposed surfaces. SIGNIFICANCE: The weight loss for the three glass-ceramic systems was highest in pH 11 buffer solution, which represents an unlikely in vivo environment. From a toxicological viewpoint, the maximum amount of Li+ released from 28 fully dissolved crowns of LACS glass-ceramic at a temperature of 80 degrees C (which is greater than any temperature experienced in the oral cavity) is approximately 1.2 mg; this amount appears to be below the daily limit of 2 mg allowable from food sources.

Aluminum Silicates↗
PubMed1996

Analysis of tempering stresses in metal-ceramic disks.

Previous studies showed that residual compressive stresses induced by thermal tempering retarded the growth of surface cracks in bilayered porcelain disks. The objectives of the present study were: (1) to determine whether thermal tempering by air blasting reduces the length of cracks induced by microhardness indentation in metal-ceramic disks, and (2) to use visco-elastic finite element analyses to calculate transient and residual stresses in metal-ceramic disks. Ni-Cr-Be disks, 16 mm in diameter and 0.3 mm in thickness, were prepared with a 0.5-mm-thick layer of opaque porcelain and a 1.5-mm-thick layer of body porcelain. Metal-porcelain combinations were selected to provide a range of thermal contraction mismatch values. The disks were fired to the maturing temperature of body porcelain and then were subjected to three cooling procedures: (1) slow cooling in a furnace (SC), (2) cooling in air (FC), and (3) air tempering (T) by blasting the surface of the body porcelain with compressed air. The lengths of cracks induced in the surface of the body porcelain by a microhardness indenter were measured immediately after indentation at 20 points along diametral lines. The results of Tukey's multiple-contrast analyses indicated that the mean crack lengths of air-tempered specimens were significantly smaller (p < or = 0.05) than the crack lengths of the fast-cooled and slow-cooled groups. Except for one case, there were no statistically significant differences in the mean crack lengths between FC and SC specimens independent of thermal contraction mismatch. Residual tensile stresses were calculated for SC and FC specimens for all thermal contraction mismatch cases, with the largest values being associated with combinations containing the body porcelain with the smaller contraction coefficient. Calculations by use of the model confirmed that tempering induces large residual compressive stresses in the surface of body porcelain for all of the thermal contraction mismatch cases included in this study.

Air↗
PubMed1996

Effects of flaw size and auto-glaze treatment on porcelain strength.

The functional surfaces of porcelain restorations are often ground to adjust occlusion. This removes the surface glaze and introduces flaws. Re-firing the restoration before final placement produces a self-glaze layer on the surface that may reduce the extent of damage caused by grinding. The objectives of this study were to determine whether re-firing after grinding increases the strength of dental porcelain and to determine whether the effectiveness of this treatment was dependent on the initial flaw size. Six groups, each containing 12 disk specimens, were prepared from experimental body porcelain (No. 36, J.F. Jelenko & Co., Armonk, NY). The specimens were fired under vacuum, ground to a thickness of 1 mm with 240-grit SiC abrasive, and polished through 600-grit on the surface to be subjected to tensile stress. Control Group A consisted of 12 non-indented specimens. Flaws were induced in the remaining groups by means of a Vickers indenter under the following loads: 3.9 N (Group B), 7.8 N (Group C), 11.8 N (Group D), 15.7 N (Group E), and 19.6 N (Group F). Following indentation, half of the specimens from each group were re-fired. The flexure strength of each specimen was determined by means of a piston-on-three-ball biaxial fixture. The TTEST procedure of SAS (1985) indicated a significant difference between the mean strength values of glazed and non-glazed specimens in Group E only (p = 0.55, 0.24, 0.13, 0.07, 0.01, and 0.69 for Groups A to F, respectively). ANOVA with the GLM procedure of SAS (1985) revealed that the mean strength values of groups subjected to five indentation loads were not significantly different (p = 0.45 for glazed specimens and p = 1.00 for non-glazed specimens). These findings support those of Fairhurst et al. (1992) for specimens with smaller flaws that were induced by grinding with 1 micron abrasive grit. The results of the current study indicate that re-firing of porcelain with large surface flaws does not significantly increase the flexural strength.

Analysis of Variance↗
PubMed1995

Three-dimensional finite element analysis of the shear bond test.

OBJECTIVES: The purpose of this study was to use finite element analyses to model the planar shear bond test and to evaluate the effects of modulus values, bonding agent thickness, and loading conditions on the stress distribution in the dentin adjacent to the bonding agent-dentin interface. METHODS: All calculations were performed with the ANSYS finite element program. The planar shear bond test was modeled as a cylinder of resin-based composite bonded to a cylindrical dentin substrate. The effects of material, geometry and loading variables were determined primarily by use of a three-dimensional structural element. Several runs were also made using an axisymmetric element with harmonic loading and a plane strain element to determine whether two-dimensional analyses yield valid results. RESULTS: Stress calculations using three-dimensional finite element analyses confirmed the presence of large stress concentration effects for all stress components at the bonding agent-dentin interface near the application of the load. The maximum vertical shear stress generally occurs approximately 0.3 mm below the loading site and then decreases sharply in all directions. The stresses reach relatively uniform conditions within about 0.5 mm of the loading site and then increase again as the lower region of the interface is approached. Calculations using various loading conditions indicated that a wire-loop method of loading leads to smaller stress concentration effects, but a shear bond strength determined by dividing a failure load by the cross-sectional area grossly underestimates the true interfacial bond strength. SIGNIFICANCE: Most dental researchers are using tensile and shear bond tests to predict the effects of process and material variables on the clinical performance of bonding systems but no evidence has yet shown that bond strength is relevant to clinical performance. A critical factor in assessing the usefulness of bond tests is a thorough understanding of the stress states that cause failure in the bond test and then to assess whether these stress states also exist in the clinical situation. Finite element analyses can help to answer this question but much additional work is needed to identify the failure modes in service and to relate these failures to particular loading conditions. The present study represents only a first step in understanding the stress states in the planar shear bond test.

Dental Bonding↗