A COMPARISON OF FRACTURE STRENGTHS OF PORCELAIN-FUSED-TO-TITANIUM CROWN AMONG TITANIUM SURFACE COATING TREATMENTS

타이타늄 표면 코팅 처리에 따른 타이타늄도재관의 파절강도 비교

  • Kim, Ji-Hye (Department of Prosthodontics, College of Dentistry, Chonnam National University) ;
  • Park, Sang-Won (Department of Prosthodontics, College of Dentistry, Chonnam National University) ;
  • Vang, Mong-Sook (Department of Prosthodontics, College of Dentistry, Chonnam National University) ;
  • Yang, Hong-So (Department of Prosthodontics, College of Dentistry, Chonnam National University) ;
  • Park, Ha-Ok (Department of Prosthodontics, College of Dentistry, Chonnam National University) ;
  • Lim, Hyun-Pil (Department of Prosthodontics, College of Dentistry, Chonnam National University) ;
  • Oh, Gye-Jeong (Department of Prosthodontics, College of Dentistry, Chonnam National University) ;
  • Kim, Hyun-Seung (Department of Prosthodontics, College of Dentistry, Chonnam National University) ;
  • Lee, Kwang-Min (Department of Prosthodontics, College of Dentistry, Chonnam National University) ;
  • Lee, Kyung-Ku (Department of Prosthodontics, College of Dentistry, Chonnam National University)
  • 김지혜 (전남대학교 치의학 전문 대학원 보철학교실) ;
  • 박상원 (전남대학교 치의학 전문 대학원 보철학교실) ;
  • 방몽숙 (전남대학교 치의학 전문 대학원 보철학교실) ;
  • 양홍서 (전남대학교 치의학 전문 대학원 보철학교실) ;
  • 박하옥 (전남대학교 치의학 전문 대학원 보철학교실) ;
  • 임현필 (전남대학교 치의학 전문 대학원 보철학교실) ;
  • 오계정 (전남대학교 치의학 전문 대학원 보철학교실) ;
  • 김현승 (전남대학교 치의학 전문 대학원 보철학교실) ;
  • 이광민 (전남대학교 치의학 전문 대학원 보철학교실) ;
  • 이경구 (전남대학교 치의학 전문 대학원 보철학교실)
  • Published : 2007.04.30

Abstract

Statement of problem: Titanium and its alloy, with their excellent bio-compatibility and above average resistance to corrosion, have been widely used in the field of dentistry. However, the excessive oxidization of titanium which occurs during the process of firing on porcelain makes the bonding of titanium and porcelain more difficult than that of the conventional metal-porcelain bonding. To solve this problem related to titanium-porcelain bonding, several methods which modify the surfaces, coat the surfaces of titanium with various pure metals and ceramics, to enable the porcelain adhesive by limiting the diffusion of oxygen and forming the adhesive oxides surfaces, have been investigated. Purpose: The purpose of this study was to know whether the titanium-porcelain bonding strength could be enhanced by treating the titanium surface with gold and TiN followed by fabrication of clinically applicable porcelain-fused-to-titanium crown Material and method: The porcelain-fused-to-titanium crown was fabricated after sandblasting the surface of the casting titanium coping with $Al_2O_3$ and treating the surface with gold and TiN coating followed by condensation and firing of ultra-low fusing porcelain. To compare with porcelain-fused-to-titanium crowns, porcelain-fused-to-gold crowns were fabricated and used as control groups. The bonding strengths of porcelain-fused-to-gold crowns and porcelain-fused-totitanium crowns were set for comparison when the porcelain was fractured on purpose to get the experimental value of fracture strength. Then, the surface were examined by SEM and each fracturing pattern were compared with each other Result:Those results are as follows. 1. The highest value of fracture strength of porcelain-fused-to-titanium crowns was in the order of group with gold coating, group with TiN coating, group with $Al_2O_3$ sandblasting. No statistically significant difference was found among the three (P>.05). 2. The porcelain-fused-to-gold crowns showed the highest value in bonding strength. The bonding strength of crowns porcelain-fused-to-titanium crowns of rest groups showed bonding strength reaching only 85%-94% of that of PFG, though simple comparision seemed unacceptable due to the difference in materials used. 3. The fracturing patterns between metal and porcelain showed mixed type of failure behavior including cohesive failure and adhesive failure as a similar patterns by examination with the naked eye and SEM. But porcelain-fused-to-gold crowns showed high incidence of adhesive failure and porcelain-fused-to-titanium crowns showed high incidence of cohesive failure. Conclusion: Above results proved that when fabricating porcelain-fused-to-titanium crowns, treating casting titanium surface with gold or TiN was able to enhance the bonding strength between titanium and porcelain. Mean value of masticatory force was found to showed clinically acceptable values in porcelain bonding strength in all three groups. However, more experimental studies and evaluations should be done in order to get better porcelain bonding strength and various surface coating methods that can be applied on titanium surface with ease.

Keywords

References

  1. Moffa JP. Alternative dental casting alloys. Dent Clin North Am 1983;27:733-746
  2. Kelly JR, Rose TC. Nonprecious alloys for use in fixed prosthodontics: A literature review. J Prosthet Dent 1983;49:363 https://doi.org/10.1016/0022-3913(83)90279-2
  3. Jones TK, Hansen CA, Singer MT, Kessler HP. Dental implications of nickel hypersensitivity. J Prosthet Dent 1986;56:507- 509 https://doi.org/10.1016/0022-3913(86)90398-7
  4. Moffa JP. Biocompatibility of nickel-based dental alloys. J Can Dent Assoc 1984; 12;45-51
  5. Cai Z, Bunce N, Nunn ME, Okabe T. Porcelain adherence to dental cast CP titanium: effects of surface modifications. J Biomaterials 2001;22:979-986 https://doi.org/10.1016/S0142-9612(00)00263-5
  6. Sadeq A, Cai Z, Woody RD, Miller AW. Effects of interfacial variables on ceramic adherence to cast and machined commercially pure titanium. J Prosthet Dent 2003;90:10-17 https://doi.org/10.1016/S0022-3913(03)00263-4
  7. Lee KM, Cai Z, Griggs JA, Guiatas L, Lee DJ, Okabe T. SEM/EDS evaluation of porcelain adherence to gold-coated cast titanium. J Biomed Mater Res Part B:Appl Biomater 2004;68B:165-173 https://doi.org/10.1002/jbm.b.20017
  8. Derand T, Hero H. Bond strength of porcelain on cast vs. wrought titanium. Scand J Dent Res 1992;100;184-8
  9. Russell R. Wang, Gerhard E. Welsch, Othon Monteriro. Silicon nitride coating on titanium to enable titanium-ceramic bonding. J Biomed Mater Res 1999;46:262- 270 https://doi.org/10.1002/(SICI)1097-4636(199908)46:2<262::AID-JBM16>3.0.CO;2-1
  10. Oshida Y, Fung LW, Isikbay SC. Titaniumporcelain system. Part II : Bond strength of fired porcelain on nitrided pure titanium. Bio-Med Mater and Eng 1997;7:13-34
  11. Adachi M, Mackert JR, Parry EE, Fairhurst CW. Oxide adherence and porcelain bonding to titanium and Ti-6Al-4V alloy. J Dent Res 1990;69(6):1230-1235 https://doi.org/10.1177/00220345900690060101
  12. Miyakawa O, Watanabe K, Okawa S, Kobayashi M, Shiokawa N. Layered structure of cast titanium surface. Dent Mater J 1989;8:175-185 https://doi.org/10.4012/dmj.8.175
  13. Okabe T, Hero H. The use of titanium in dentistry. Cell Mater 1995;5;211-30
  14. Kaus T, Probster L, Weber H. Clinical follow-up study of ceramic veneered titanium restorations three-year results. Int J Prosthodont 1996;9:9-15
  15. Kononen M, Kivilhti J. Bonding of low-fusing dental porcelain to commercially pure titanium. J Biomed Mater Res 1994;28; 1027-1035 https://doi.org/10.1002/jbm.820280907
  16. Togaya T, Suzuki M, Tsutsumi S, Ida K. An application of pure titanium to the metal porcelain system. Dent Mater J 1983;2(2):210-219 https://doi.org/10.4012/dmj.2.210
  17. Kimura H, Horng CJ, Okazaki M, Takahaski J. Oxidation effects in porcelain-tatinium interface reactions and bond strength. Dent Mater J 1990;9:91-99 https://doi.org/10.4012/dmj.9.91
  18. Walter M, Reppel PD, Boning K, Freesmeyers WB. Six-year follow-up of titanium and high-gold porcelain-fusedto-metal fixed partial dentures. J Oral Rehabil 1999;26:91-96 https://doi.org/10.1046/j.1365-2842.1999.00373.x
  19. Wang RR, Fung KK. Bond strength Oxidation behavior of surface-modification titanium for titanium-ceramic restorations. J Prosthet Dent 1997;77:423-434 https://doi.org/10.1016/S0022-3913(97)70168-9
  20. Pang IC, Gilbert JL, Chai J, Lautenschlager EP. Bonding characteristics of low-fusing porcelain bonded to pure titanium and paladium- copper alloy. J Prosthet Dent 1995; 73;17-25 https://doi.org/10.1016/S0022-3913(05)80267-7
  21. Lovgren R. Prostpective clinical 5-year study of ceramic-veneered titanium restorations with the Procera system. J Prosthet Dent 2000;8:514-521
  22. Shell JS, Nielsen JP. Study of the bond between gold alloys and porcelain. J Dent Res 1962;41:1424-1437 https://doi.org/10.1177/00220345620410062101
  23. Rosenstiel SF, Land MF, Fujimoto J. Contemporary fixed prosthodontics. 3rd ed, St. Louis; Mosby; 2001; p.488-512
  24. Anusavice KJ, Dehoff PH, Gray A, Lee RB. Delayed crack development in porcelain due to incompatibility stress. J Dent Res 1988;65;1086-91
  25. Prbster M, Maiwald U, Weber H. Threepoint bending strength of ceramics fused to cast titanium. European J Oral Sciences 1996;104:313-319 https://doi.org/10.1111/j.1600-0722.1996.tb00083.x
  26. Kimura H, Horng CJ, Okazaki M, Takahashi J. Effects of retention and bonding agent on bond strength of the titanium- porcelain system. J Osaka Uni Dent Sch 1991;31;23-32
  27. Oshida Y, Fung L, Isikbay S. Titaniumporcelain system. Part II: Bond strength of fired porcelain on nitrided pure titanium. Biomed Mater Eng 1997; 7:13-34
  28. Hautaniemi JA. Juhanoja JT, Hero H. Porcelain bonding on Ti: Its dependence on surface roughness, firing time and vacuum level, Surf Intersurf Analysis 1993; 20:421-426 https://doi.org/10.1002/sia.740200515
  29. Lavine MH, Custer R. Variables affecting the strength of bond between porcelain and gold. J Dent Res 1966;45:32-35 https://doi.org/10.1177/00220345660450012501
  30. Wang R, Welsch G, Monterio O. Silicon nitride coating on titanium to enable titaniumceramic bonding. J Biomed Mater Res 1999;46:262-270 https://doi.org/10.1002/(SICI)1097-4636(199908)46:2<262::AID-JBM16>3.0.CO;2-1
  31. Cai Z, Carrasco L, Okabe T. Porcelain adherence to titanium cast in oxide-coated patterns. Trans Soc Biomater 2002;25:103
  32. Andersson M, Bergman B, Bessing C. et al. Clinical results with titanium crwons fabricated with machine duplication and spark erosion. Acta Odontol Scand 1989; 47:279-286 https://doi.org/10.3109/00016358909007713
  33. Leong D, Chai J, Lautenschlager E, Gilbert J. Marginal fit of machine-milled titanium and cast titanium single crowns. Int J Prosthdont 1994;7:440-447
  34. Valderrama S, Rokel NV, Andersson M. et al. A comparison of the marginal and internal adaptation of titanium and gold-platinum- palladium metal ceramic crowns. Int J Prosthdont 1995;8:29-37
  35. Kupper H. Pure titanium as an alternative material in restorative dentistry. QDT 1992: 143-152
  36. Eugene P. Titanium and titanium alloy as dental materials. Int Dent J 1993;43:245- 253
  37. Christer B, Maud B. The castability of unalloyed titanium in three different casting machines. Swed Dent J 1992;16:109- 113
  38. Al-Mesmar HS, Morgano SM, Mark LE. Investigation of the effect of three sprue designs on the porosity and the completeness of titanium cast removable partial denture frameworks. J Prosthet Dent 1999;82:15- 21 https://doi.org/10.1016/S0022-3913(99)70126-5
  39. Watanabe I, Watkins JH, Nakajima H. et al. Effect of pressure difference on the quality of titanium casting. J Dent Res 1997; 3:773-779
  40. McLean JW. Dental ceramics. Chicago; Quintessence; 1983; p. 13-49
  41. Kvam K, Derand T, Austrheim EK. Fracture toughness and flexural strength of dental ceramics for titanium. Biomater 1995;16;73-76 https://doi.org/10.1016/0142-9612(95)91099-K
  42. Helkimo E, Ingervall B. Bite force and functional state of the masticatory system in young men. Swed Dent J 1978;2;167- 175