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The effect of surface grinding and sandblasting on flexural strength and reliability of Y-TZP zirconia ceramic.

OBJECTIVES: This study was conducted to evaluate the effect of grinding and sandblasting on the microstructure, biaxial flexural strength and reliability of two yttria stabilized tetragonal zirconia (Y-TZP) ceramics. METHODS: Two Y-TZP powders were used to produce fine grained and coarse grained microstructures. Sixty discs from each material were randomly divided into six groups of ten. For each group, a different surface treatment was applied: dry grinding, wet grinding, sandblasting, dry grinding + sandblasting, sandblasting + dry grinding and a control group. Biaxial flexural strength was determined and data were analyzed using one-way ANOVA, followed by Tukey's HSD test (p < 0.05). In addition, Weibull statistics was used to analyze the variability of flexural strength. The relative amount of transformed monoclinic zirconia, corresponding transformed zone depth (TZD) and the mean critical defect size Ccr were calculated. RESULTS: There was no difference in mean strength between the as sintered fine and coarse grained Y-TZP. Significant differences (p < 0.05) were found between the control group and ground fine grained material for both wet and dry grinding. Sandblasting significantly increased the strength in fine and coarse grained materials. All surface treatment procedures reduced the Weibull modulus of Y-TZP. For both materials, the highest amount of the monoclinic phase and the largest TZD was found after sandblasting. Lower amounts of the monoclinic phase were obtained after both grinding procedures, where the highest mean critical defect size Ccr was also calculated. SIGNIFICANCE: Our results indicate that sandblasting may provide a powerful technique for strengthening Y-TZP in clinical practice. In contrast, grinding may lead to substantial strength degradation and reduced reliability of prefabricated zirconia elements, therefore, sandblasting of ground surfaces is suggested.

Analysis of Variance↗

The influence of handling technique on the strength of phosphate-bonded investments.

OBJECTIVES: This study examined the influence of six handling techniques on the strength of four phosphate-bonded investment (PBI) materials. The size and distribution of pores produced by the handling techniques were investigated and their effect on room temperature strength determined. METHODS: Specimens were tested for strength using four point bend at a cross-head speed of 1 mm min-1. The fracture surface of randomly selected specimens was viewed through a light microscope to determine the pore size. A three-parameter Weibull distribution was used to describe strength giving values of Weibull modulus and characteristic strength. RESULTS: The handling technique that produced the smallest pore size resulted in the highest strength. Significant differences in strength (90% confidence level) were found between most handling techniques. The reduction of pore size by mechanical spatulation and setting under pressure was found to be the most effective method of increasing the strength of PBI. SIGNIFICANCE: Previous studies have related handling technique to the inclusion of air bubbles in dental investments but have not reported any consequent effect on strength. PBI materials are used in production of a range of dental appliances with a variety of different material forming processes and are required to withstand the loads applied without fracture or distortion to ensure accuracy of fit of these prostheses. The use of a handling technique that reduces pore size can significantly increase the strength of PBIs, thereby decreasing the possibility of die fracture or degradation.

Dental Casting Investment↗

Mechanical properties and wear behavior of light-cured packable composite resins.

OBJECTIVES: Determination of flexural strength, flexural modulus, fracture toughness and wear resistance of three packable composites (Solitaire, Surefil, ALERT) and a packable ormocer (Definite) in comparison with an advanced hybrid composite (Tetric Ceram) and an ion-releasing composite (Ariston pHc). METHODS: Flexural strength, flexural modulus and fracture toughness of each material were determined in three-point bending (each test n = 10). Single-edge notched-bend specimens were used to evaluate the fracture toughness (K1C). Wear of the materials (n = 8) was determined in a pin-on-block-design with a spherical Degusit antagonist at 50 N vertical load and quantified by a replica technique using a 3D-laser scanner. Replicas were made after 6000, 10,000, 30,000 and 50,000 load cycles. The mean wear rate (MWR (micron 3 cycle-1)) was obtained by a linear regression analysis in the steady-state of the time-wear-curve. All results were statistically analyzed with ANOVA and post hoc Tukey HSD tests (p < 0.05). RESULTS: ALERT exhibited the highest flexural modulus (12.5 +/- 2.1 GPa) and K1C (2.3 +/- 0.2 MN m-3/2), but the lowest wear resistance (8275 micron 3 cycle-1). Solitaire presented the highest wear resistance (1591 micron 3 cycle-1), but significantly lower flexural strength (81.6 +/- 10.0 MPa), flexural modulus (4.4 +/- 0.3 GPa), and K1C (1.4 +/- 0.2 MN m-3/2) than all other materials. Surefil revealed a significantly higher flexural modulus (9.3 +/- 0.9 GPa) and wear resistance (3028 micron 3 cycle-1) than Tetric Ceram (6.8 +/- 0.5 GPa; 5417 micron 3 cycle-1) and Ariston pHc (7.3 +/- 0.8 GPa; 7194 micron 3 cycle-1). SIGNIFICANCE: The tested packable composite resins differed significantly in their mechanical properties. This study suggested that fracture and wear behavior of the composite resins are highly influenced by the filler system. Overall, Surefil demonstrated good fracture mechanics parameters and a low wear rate.

Analysis of Variance↗

An assessment of the influence of mixing induced variability on the bi-axial flexure strength of dentine porcelain discs and the implications for laboratory testing of porcelain specimens.

OBJECTIVES: The proportions of dentine powder and modelling fluid employed to produce a "creamy" porcelain slurry consistency used in veneer construction are assessed by the technical experience of the operator so that variability is inevitable. The present study investigated the implications of mixing variability on the slurry consistency used in the manufacture of dentine porcelain disc specimens for laboratory testing. METHODS: Vitadur-Alpha dentine porcelain was fabricated into disc specimens and the mean fracture strength, standard deviation and associated Weibull Moduli (m) were determined by fracturing sets of 30 specimens prepared to different powder contents for a constant 0.33 ml of liquid using bi-axial flexure (ball-on-ring). RESULTS: The strength data showed variation in magnitude and consistency ranging from 85.1 +/- 12.9 MPa (m = 7.2 +/- 1.3) at 0.82 g to 87.3 +/- 11.9 MPa (m = 8.0 +/- 1.5) at 0.91 g and 81.9 +/- 13.2 MPa (m = 6.7 +/- 1.2) at 1.0 g of powder. Increasing or decreasing the powder content of the slurry (compared with specimens condensed using 0.91 g of powder) resulted in an increase in porosity and a decrease in the apparent solid density. SIGNIFICANCE: No significant decrease in the mean bi-axial flexure strength or reliability of the fracture strength data was identified for the slurry consistencies investigated, however, the results suggested that an optimum consistency existed wherein consistent reproducibility of test results was achieved. A comparison between materials can only be achieved if specimen preparation occurs consistently between test centres and therefore these results appear to have implications for the laboratory testing of materials.

Algorithms↗

Improved reliability of leucite reinforced glass by ion exchange.

OBJECTIVES: The aim of this study was to develop an adequate process-, proof- and calculation technique for the chemical strengthening of dental ceramic materials in order to evaluate the efficiency of this method from the engineering point of view. METHODS: Ion exchange examinations below glass temperature have been done for the dental all ceramic system IPS-Empress (Ivoclar). In addition experiments on specimens were undertaken, which were stored in artificial saliva for the period of one month after the ion exchange treatment. The efficiency of the ion-exchange treatments has been evaluated based on the chemical composition of the surface layer, the residual stress distribution, the flexural- and the burst-strength and surface hardness. In addition, Weibull statistical analysis of the four-point bending and burst test data provides new information about the failure mechanisms of chemically strengthened dental ceramics. RESULTS: The ion-exchange process with a potassium salt increases the reliability of the dental ceramic material "IPS-Empress". By the KNO3 or Tuf-Coat ion exchange treatment potassium ions will be implanted as clusters directly into the crystal lattice which results in an increase of the binding energy and hence, in a pronounced increase in the surface hardness. In particular the stress bearing capabilities of dental all ceramic restorations, which are subject to high bending stresses, i.e. dental crowns and dental bridges, are largely improved by the induced residual stresses. This increase of residual stresses did not relax significantly after a one month storage in artificial saliva. SIGNIFICANCE: Enhanced load limits and a more narrow strength distribution spectrum is considered desirable for increasing the clinical longevity of all ceramics.

Algorithms↗

Mechanical properties and microstructures of glass-ionomer cements.

OBJECTIVE: The objective of this study was to determine the flexural strength (FS), compressive strength (CS), diametral tensile strength (DTS), Knoop hardness (KHN) and wear resistance of ten commercial glass-ionomer cements (GICs). The fracture surfaces of these cements were examined using scanning electron microscopic (SEM) techniques to ascertain relationships between the mechanical properties and microstructures of these cements. METHODS: Specimens were fabricated according to the instructions from each manufacturer. The FS, CS, DTS, KHN and wear rate were measured after conditioning the specimens for 7 d in distilled water at 37 degrees C. One-way analysis of variance with the post hoc Tukey-Kramer multiple range test was used to determine which specimen groups were significantly different for each test. The fracture surface of one representative specimen of each GIC from the FS tests was examined using a scanning electron microscope. RESULTS: The resin-modified GICs (RM GICs) exhibited much higher FS and DTS, not generally higher CS, often lower Knoop hardness and generally lower wear resistance, compared to the conventional GICs (C GICs). Vitremer (3M) had the highest values of FS and DTS; Fuji II LC (GC International) and Ketac-Molar (ESPE) had the highest CS; Ketac-Fil (ESPE) had the highest KHN. Ketac-Bond (ESPE) had the lowest FS; alpha-Silver (DMG-Hamburg) had the lowest CS. Four GICs (alpha-Fil (DMG-Hamburg), alpha-Silver, Ketac-Bond and Fuji II) had the lowest values of DTS, which were not significantly different from each other; alpha-Silver and Ketac-Silver had the lowest values of KHN. The highest wear resistance was exhibited by alpha-Silver and Ketac-Fil; F2LC had the lowest wear resistance. The C GICs exhibited brittle behavior, whereas the RM GICs underwent substantial plastic deformation in compression. The more integrated the microstructure, the higher were the FS and DTS. Higher CS was correlated with smaller glass particles, and higher KHN was found where there was a combination of smaller glass particles and lower porosity. Larger glass particle sizes and a more integrated microstructure contributed to a higher wear resistance. SIGNIFICANCE: The mechanical properties of GICs were closely related to their microstructures. Factors such as the integrity of the interface between the glass particles and the polymer matrix, the particle size, and the number and size of voids have important roles in determining the mechanical properties.

Analysis of Variance↗

Flexural properties and impact strength of denture base polymer reinforced with woven glass fibers.

OBJECTIVES: The present investigation was undertaken to determine the reinforcing effect of woven glass fibers on deflection, flexural strength, flexural modulus and impact strength of acrylic denture base polymer. METHODS: Three silanized or unsilanized woven glass fibers were used. Specimens were made by heating the denture cure resin dough containing glass fibers, which were sheathed in the dough. Specimens with four different thicknesses and of five different types were made, incorporating the glass fiber. Three-point flexural test and flywheel type impact test were employed to determine the flexural properties and impact strength. RESULTS: When specimens contained unsilanized glass fiber, the flexural strength in specimens of 1 and 2 mm thickness and the impact strength in specimens of 2 mm thickness were higher than those of specimens without glass fiber (p < 0.01). On the contrary, the flexural strength and deflection in specimens reinforced with silanized glass fiber of 1 mm thickness were significantly higher (p < 0.01, p < 0.05) than those of unreinforced specimens. Further, the impact strength in specimens reinforced with silanized glass fiber of 2 mm thickness was significantly higher (p < 0.01) than that of unreinforced specimens. Statistically significant differences were found in the flexural strength (p < 0.05) and in the impact strength (p < 0.01) when specimens of 4 mm thickness were reinforced with two or three unsilanized glass fibers. SIGNIFICANCE: The reinforcement with glass fiber was effective in thin specimens, and the reinforcing effect increased with the increase of the number of glass fibers in the case of thick specimens.

Acrylic Resins↗

Light-emitting diode (LED) polymerisation of dental composites: flexural properties and polymerisation potential.

The clinical performance of light polymerised dental composites is greatly influenced by the quality of the light-curing unit (LCU) used. Commonly used halogen LCUs have some specific drawbacks such as decreasing of the light output with time. This may result in low degree of monomer conversion of the composites with negative clinical implications. Previous studies have shown that blue-light-emitting diode (LED) LCUs have the potential to polymerise dental composites without having the drawbacks of halogen LCUs. Despite the relatively low irradiance of current LED LCUs, their efficiency is close to that of conventional halogen LCUs with more than twice the irradiance. This phenomenon has not been explained fully yet. Hence, more tests of the LED LCU's effectiveness and of the mechanical properties of oral biomaterials processed with LED LCUs need to be carried out. This study investigates the flexural properties of three different composites with three different shades, which were polymerised with either a commercial halogen LCU or an LED LCU, respectively. In most cases no significant differences in flexural strength and modulus between composites polymerised with a halogen LCU or an LED LCU, respectively, were found. A simple model for the curing effectiveness based on the convolution absorption spectrum of the camphorquinone photoinitiator present in composites and the emission spectra of the LCUs is presented.

Composite Resins↗

Biological and mechanical properties of PMMA-based bioactive bone cements.

We reported previously that a bioactive PMMA-based cement was obtained by using a dry method of silanation of apatite-wollastonite glass ceramic (AW-GC) particles, and using high molecular weight PMMA particles. But handling and mechanical properties of the cement were poor (Mousa et al., J Biomed Mater Res 1999;47:336-44). In the present study, we investigated the effect of the characteristics of PMMA powder on the cement. Different cements containing different PMMA powders (CMW1, Surgical Simplex, Palacos-R and other two types of PMMA powders with Mw 270,000 and 1,200,000) and AW-GC filler in 70 wt% ratio except Palacos-R (abbreviated as B-CMW1 and B-Surg Simp, B-Palacos 50 [50 wt% AW-GC filler] and B-Palacos 70 [70 wt% AW-GC filler], B-270 and B-1200) were made. Dough and setting times of B-CMW1, B-Surg Simp B-270 and B-1200 were similar to the commercial CMW1 cement which did not contain bioactive powder (C-CMW1), but B-palacos which contained large PMMA beads with high Mw had delayed setting time. B-270 had the highest bending strength among the tested cements. After 4 and 8 weeks of implantation in the medullary canals of rat tibiae, the bone-cement interface was examined using SEM. The affinity index of B-1200 was significantly higher than the other types of cements. B-270 showed good combination of handling properties, high mechanical properties and showed higher bioactivity with minimal soft tissue interposition between bone and cement compared with commercial PMMA bone cement. This may increase the strength of the bone-cement interface and increase the longevity of cemented arthroplasties.

Animals↗

Poly(D,L-lactide/epsilon-caprolactone)/hydroxyapatite composites.

In this study, elastomeric D,L-lactide and epsilon-caprolactone copolymers with two different molecular weights (Mn: 108.000 and 40.000) were synthesized by ring-opening polymerization of the respective dimers by using stannous octoate as the catalyst, as a potential bone-filling material. The final ratio of D,L-lactide to epsilon-caprolactone obtained by 1NMR was 60/40 (comparing to the initial ratio of 50/50). Both copolymers were amorphous having Tg at around -21 degrees C. Different amounts of hydroxyapatite (HA) powder were loaded within the copolymers. These composites were easily shaped by hand. Mechanical properties of the composites changed with the HA loading and the molecular weight of the copolymer. The percent elongation decreased, while both the Young's modulus and yield point (stress) increased with the HA content. The copolymers were degraded within the Ringer solutions in about 6 weeks. The molecular weight distribution became broader during degradation. Incorporation of HA reduced the degradation rate.

Biodegradation, Environmental↗

Evaluating mechanical adhesion of sol-gel titanium dioxide coatings containing calcium phosphate for metal implant application.

The adhesion of thin (< 10 microm) sol-gel calcium phosphate-titanium dioxide films bonded to a titanium substrate was studied using two different tests: a rotating-bending test and a tensile bond test. The former evaluates the impact of both the coating procedure and the surface pre-treatment on the resistance to fatigue of the substrate as well as the adhesion of the coating; the latter measures the tensile adhesion strength of the coating. Both tests gave similar results. A reduction of the thickness of the coating or an increase of the roughness of the substrate improves the quality of the interface. A comparison of the adhesion of the calcium phosphate-titanium dioxide film with that of a pure calcium phosphate coating obtained by a similar route suggests the involvement of a chemical component in the binding.

Calcium Phosphates↗

Micro X-ray diffraction study of superelastic nickel-titanium orthodontic wires at different temperatures and stresses.

The phase transformation behavior in three commercial nickel-titanium orthodontic wires having different transformation temperatures was studied by micro X-ray diffraction (micro-XRD). Micro-XRD spectra were obtained at three different included bending angles (135 degrees, 146 degrees and 157 degrees) and three different temperatures (25 degrees C, 37 degrees C and 60 degrees C). The regions analyzed by micro-XRD were within the separate areas of a given wire specimen that experienced only tensile or compressive strain. The intensity ratio (M002/A110) between the 002 peak for martensitic NiTi and the 110 peak for austenitic NiTi was employed as the index to the proportions of the martensite and austenite phases. The ratio of martensite to austenite increased in all three nickel-titanium wires with decreasing included bending angle (greater permanent bending deformation), and was lower within the compression area for all wires at all bending angles than within the tension area. Micro-XRD provides an effective method for quantitative evaluation of the proportions of these two phases in nickel-titanium orthodontic wires, even though considerable preferred crystallographic orientation exists because of the wire drawing process.

Alloys↗

Immediate versus one-month wet storage fatigue of restorative materials.

Immediate finishing is a highly desirable property of restorative materials. In general, the resin composites, the polyacid-modified resin composites and resin-modified glass-ionomers are finished immediately after light-curing. For the conventional glass-ionomers a waiting period of 24 h is recommended. Therefore, the objective of this study was to investigate whether immediate finishing and application of cyclic loading under water spray on resin-modified glass-ionomers, a conventional glass-ionomer, a polyacid-modified resin composite and a resin composite are reflected in their Young's modulus and fatigue resistance after 1-month wet storage compared with a control group that could mature untroubled for 1 month. From this study, it could be concluded that there is a material-dependent response on immediate finishing. For the conventional glass-ionomer, the waiting period of 24 h is highly advisable. The resin composite suffered more than the other test materials. A second statement is that one must be cautious by the extrapolation of findings obtained on quasi static tests (Young's modulus) towards dynamic properties (flexural fatigue limit).

Biocompatible Materials↗

Long-term flexural strengths of resin-modified glass-ionomer cements.

The use of resin-modified glass-ionomer cements (RMGICs) in restorative dentistry has expanded since their introduction about seven years ago. These materials have been shown to possess superior initial mechanical properties to those of the conventional glass-ionomer cements. However, studies on the strength of RMGICs as a function of storage time are limited. This in vitro study investigated the effects of long-term storage of RMGICs in two storage media, distilled water and artificial saliva, at 37 degrees C on their four-point and bi-axial flexural stengths for a period up to 1 yr. All materials, except Fuji Lining LC, were weak at 5 min after light exposure but reached the maximum strengths within 7 d. Subsequently, there was a small decline in strength. Generally, the specimens aged in distilled water and artificial saliva had similar strength values. The bi-axial strengths of RMGICs were significantly greater than those obtained from the four-point flexure tests by a factor of approximately three. More variations in strengths of RMGICs with time were also observed from the four-point flexure test than from the bi-axial flexure test.

Biocompatible Materials↗

Effect of powder grinding on hydroxyapatite formation in a polymeric calcium phosphate cement prepared from tetracalcium phosphate and poly(methyl vinyl ether-maleic acid).

The primary aim of this study was to determine if cements based on poly(methyl vinyl ether-maleic acid) (PMVE-Ma) and tetracalcium phosphate resulted in hydroxyapatite formation. In addition, the mechanical strength of this type of polymeric calcium phosphate cement was evaluated. Cements were prepared by mixing, in a powder/liquid mass ratio of 3.0, an aqueous solution of PMVE-Ma (mass fraction = 25%) and tetracalcium phosphate powders ground for various periods of time. The tetracalcium phosphate powders and set cements were characterized by means of X-ray powder diffraction and scanning electron microscopy. Mechanical strengths of the cements were tested 24 h after mixing. Prolonged grinding of tetracalcium phosphate powder decreased particle size and/or crystallite size and increased lattice distortion. This enhanced the reactivity of the tetracalcium phosphate powder and elevated the extent of crosslinking between PMVE-Ma molecules, resulting in improved mechanical strength. Hydroxyapatite formation was detected in the cement prepared with the most finely ground tetracalcium phosphate powder. The conversion of residual tetracalcium phosphate particles to more thermodynamically stable hydroxyapatite crystals will reduce the solubility of the polymeric cement and increase its biocompatibility.

Calcium Phosphates↗

Metallized polymer fibers as leadwires and intrafascicular microelectrodes.

We have developed a process for producing fine, very flexible microwires suitable for use as small signal leadwires or nerve electrodes. The process incorporates metallization of high-performance monofilament polymer fibers to yield electrically conductive fibers with greatly improved flexibility over solid metal wires of similar strength. The metallization layers are produced by serial vacuum deposition of a 0.3 micron thick coating of three metals, titanium-tungsten (Ti/W), gold (Au), and platinum (Pt), onto monofilament, poly-p-phenyl-terephthalate aramid fibers (Kevlar). The metallized fibers are then insulated with an approx. 1 micron thick layer of silicone elastomer. The result is a microlead with high electrical conductivity (linear resistance = 30 omega/cm), desirable interfacial properties, excellent mechanical stability and extremely high flexibility. These physical characteristics are appropriate for application as signal leadwires or recording/stimulating electrodes where small size and high flexibility are paramount. In this paper we report on the electrical and mechanical properties of these metallized fibers and demonstrate their use as intrafascicular electrodes for recording multi-unit neural activity in feline peripheral nerves.

Animals↗

Targeted cancer gene therapy: the flexibility of adenoviral gene therapy vectors.

Recombinant adenoviral vectors are promising reagents for therapeutic interventions in humans, including gene therapy for biologically complex diseases like cancer and cardiovascular diseases. In this regard, the major advantage of adenoviral vectors is their superior in vivo gene transfer efficiency on a wide spectrum of both dividing and non-dividing cell types. However, this broad tropism at the same time represents an important limitation for their use in therapeutic applications where specific gene transfer is required. This limitation may be overcome by using targeting approaches. In this regard, targeting may be achieved at three levels: transductional targeting, translational targeting and targeting of the expressed transgene. Here we describe our research efforts towards cancer specific gene therapy using these different targeting approaches. The results show that targeting of adenoviral vectors may be achieved using cancer specific cell surface molecules for transductional and transgene targeting or cancer specific promoters for transcriptional targeting. Combinations of these targeting approaches should result in optimized cancer specific gene therapy.

Adenoviridae↗