• Proceedings of the KACD Conference
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• 2001.05a
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• pp.235-237
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• 2001

;Dentistry has benefited from tremendous advances in technology with the introduction of new techniques and materials, and patients are aware that esthetic approaches in dentistry can change one's appearance. Increasingly. tooth-colored restorative materials have been used for restoration of posterior teeth. Tooth-colored restoration for posterior teeth can be divided into three categories: 1) the direct techniques that can be made in a single appointment and are an intraoral procedure utilizing composites: 2) the semidirect techniques that require both an intraoral and an extraoral procedure and are luted chairside utilizing composites: and 3) the indirect techniques that require several appointments and the expertise of a dental technician working with either composites or ceramics. But, resin restoration has inherent drawbacks of microleakage. polymerization shrinkage, thermal cycling problems. and wear in stress-bearing areas. On the other hand, Ceramic restorations have many advantages over resin restorations. Ceramic inlays are reported to have less leakage than resin restoration and to fit better. although marginal fidelity depends on technique and is laboratory dependent. Adhesion of luting resin is more reliable and durable to etched ceramic material than to treated resin composite. In view of color matching, periodontal health. resistance to abrasion, ceramic restoration is superior to resin restorationl. Materials which have been used for the fabrication of ceramic restorations are various. Conventional powder slurry ceramics are also available. Castable ceramics are produced by centrifugal casting of heat-treated glass ceramics. and machinable ceramics are feldspathic porcelains or cast glass ceramics which are milled using a CAD/CAM apparatus to produce inlays (for example, Cered. They may also be copy milled using the Celay apparatus. Pressable ceramics are produced from feldspathic porcelain which is supplied in ingot form and heated and moulded under pressure to produce a restoration. Infiltrated ceramics are another class of material which are available for use as ceramic inlays. An example is $In-Ceram^{\circledR}$(Vident. California, USA) which consists of a porous aluminum oxide or spinell core infiltrated with glass and subsequently veneered with feldspathic porcelain. In the 1980s. the development of compatible refractory materials made fabrication easier. and the development of adhesive resin cements greatly improved clinical success rates. This case report presents esthetic ceramic inlays for posterior teeth.teeth.

• The Journal of Advanced Prosthodontics
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• v.9 no.4
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• pp.257-264
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• 2017

PURPOSE. To evaluate the adhesion to CAD/CAM feldspathic blocks by failure analysis and shear bond strength test (SBSt) of different restorative systems and different surface treatments, for purpose of moderate chipping repair. MATERIALS AND METHODS. A self-adhering flowable composite (Vertise Flow, Kerr) containing bi-functional phosphate monomers and a conventional flowable resin composite (Premise Flow, Kerr) applied with and without adhesive system (Optibond Solo Plus, Kerr) were combined with three different surface treatments (Hydrofluoric Acid Etching, Sandblasting, combination of both) for repairing feldspathic ceramics. Two commercial systems for ceramic repairing were tested as controls (Porcelain Repair Kit, Ultradent, and CoJet System, 3M). SBSt was performed and failure mode was evaluated using a digital microscope. A One-Way ANOVA (Tukey test for post hoc) was applied to the SBSt data and the Fisher's Exact Test was applied to the failure analysis data. RESULTS. The use of resin systems containing bi-functional phosphate monomers combined with hydrofluoric acid etching of the ceramic surface gave the highest values in terms of bond strength and of more favorable failure modalities. CONCLUSION. The simplified repairing method based on self-adhering flowable resin combined with the use of hydrofluoric acid etching showed high bond strength values and a favorable failure mode. Repairing of ceramic chipping with a self-adhering flowable resin associated with hydrofluoric acid etching showed high bond strength with a less time consuming and technique-sensitive procedure compared to standard procedure.

• The Journal of Advanced Prosthodontics
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• v.6 no.5
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• pp.387-394
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• 2014

PURPOSE. Topographic analysis of treated ceramics provides qualitative information regarding the surface texture affecting the micromechanical retention and locking of resin-ceramics. This study aims to compare the surface microstructure following different surface treatments of feldspathic porcelain. MATERIALS AND METHODS. This in-vitro study was conducted on 72 porcelain discs randomly divided into 12 groups (n=6). In 9 groups, feldspathic surfaces were subjected to sandblasting at 2, 3 or 4 bar pressure for 5, 10 or 15 seconds with $50{\mu}m$ alumina particles at a 5 mm distance. In group 10, 9.5% hydrofluoric acid (HF) gel was applied for 120 seconds. In group 11, specimens were sandblasted at 3 bar pressure for 10 seconds and then conditioned with HF. In group 12, specimens were first treated with HF and then sandblasted at 3 bar pressure for 10 seconds. All specimens were then evaluated under scanning electron microscopy (SEM) at different magnifications. RESULTS. SEM images of HF treated specimens revealed deep porosities of variable sizes; whereas, the sandblasted surfaces were more homogenous and had sharper peaks. Increasing the pressure and duration of sandblasting increased the surface roughness. SEM images of the two combined techniques showed that in group 11 (sandblasted first), HF caused deeper porosities; whereas in group 12 (treated with HF first) sandblasting caused irregularities with less homogeneity. CONCLUSION. All surface treatments increased the surface area and caused porous surfaces. In groups subjected to HF, the porosities were deeper than those in sandblasted only groups.

• Nuclear Engineering and Technology
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• v.56 no.9
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• pp.3898-3903
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• 2024

There is a lack of available data on the radioactivity levels of these materials, despite the potential risks they may pose to patients, dental technicians, and dentists. A total of forty samples were collected from different dental markets in Egypt. Using an NaI(Tl) detector, the gamma-ray spectrometer measured the activity levels of uranium-238, radium-226, thorium-232, and potassium-40. The findings revealed that the mean concentration of ²³⁸U (below the minimum detectable activity, MDA), ²²⁶Ra (135 ± 5 and 132 ± 5 Bq/kg), ²³²Th (187 ± 4 and 243 ± 8 Bq/kg), and ⁴⁰K (1560 ± 52 and 2501 ± 89 Bq/kg) in feldspar and zirconia (ZrO₂) dental ceramic samples, respectively, were all within the limits established by the International Organization for Standardization (ISO) and the European Commission (EC). The use of feldspar and zirconia dental ceramics to restore all teeth would result in an estimated maximum beta dose of 1.5 mGy/year to the oral tissue. The results suggest that there is no cause for concern regarding any additional beta dose to the oral cavity from the use of feldspar and zirconia dental ceramics.

• The Journal of Advanced Prosthodontics
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• v.4 no.3
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• pp.162-169
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• 2012

PURPOSE. Fracture of the veneering material of zirconia restorations frequently occurs in clinical situations. The purpose of this in vitro study was to compare the fracture strengths of zirconia crowns veneered with various ceramic materials by various techniques. MATERIALS AND METHODS. A 1.2 mm, $360^{\circ}$ chamfer preparation and occlusal reduction of 2 mm were performed on a first mandibular molar, and 45 model dies were fabricated in a titanium alloy by CAD/CAM system. Forty-five zirconia copings were fabricated and divided into three groups. In the first group (LT) zirconia copings were veneered with feldspathic porcelain by the layering technique. In the second group (HT) the glass ceramic was heat-pressed on the zirconia coping, and for the third group (ST) a CAD/CAM-fabricated high-strength anatomically shaped veneering cap was sintered onto the zirconia coping. All crowns were cemented onto their titanium dies with Rely $X^{TM}$ Unicem (3M ESPE) and loaded with a universal testing machine (Instron 5583) until failure. The mean fracture values were compared by an one-way ANOVA and a multiple comparison post-hoc test (${\alpha}$= 0.05). Scanning electron microscope was used to investigate the fractured interface. RESULTS. Mean fracture load and standard deviation was $4263.8{\pm}1110.8$ N for Group LT, $5070.8{\pm}1016.4$ for Group HT and $6242.0{\pm}1759.5$ N for Group ST. The values of Group ST were significantly higher than those of the other groups. CONCLUSION. Zirconia crowns veneered with CAD/CAM generated glass ceramics by the sintering technique are superior to those veneered with feldspathic porcelain by the layering technique or veneered with glass ceramics by the heat-pressing technique in terms of fracture strength.

• The Journal of Advanced Prosthodontics
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• v.8 no.6
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• pp.417-422
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• 2016

PURPOSE. The purposes of this study were to evaluate the staining resistance of CAD/CAM resin-ceramics polished with different techniques and to determine the effectiveness of the polishing techniques on resin-ceramics, comparing it with that of a glazed glass-ceramic. MATERIALS AND METHODS. Four different CAD/CAM ceramics (feldspathic ceramic: C-CEREC Blocs, (SIRONA) and three resin-ceramics: L-Lava Ultimate, (3M ESPE), E-Enamic, (VITA) and CS-CeraSmart, (GC)) and one light cure composite resin: ME-Clearfil Majesty Esthetic (Kuraray) were used. Only C samples were glazed (gl). Other restorations were divided into four groups according to the polishing technique: nonpolished control group (c), a group polished with light cure liquid polish (Biscover LV BISCO) (bb), a group polished with ceramic polishing kit (Diapol, EVE) (cd), and a group polished with composite polishing kit (Clearfil Twist Dia, Kuraray) (kc). Glazed C samples and the polished samples were further divided into four subgroups and immersed into different solutions: distilled water, tea, coffee, and fermented black carrot juice. Eight samples ($8{\times}8{\times}1mm$) were prepared for each subgroup. According to CIELab system, four color measurements were made: before immersion, immersion after 1 day, after 1 week, and after 1 month. Data were analyzed with repeated measures of ANOVA (${\alpha}=.05$). RESULTS. The highest staining resistance was found in gl samples. There was no difference among gl, kc and cd (P>.05). Staining resistance of gl was significantly higher than that of bb (P<.05). Staining resistances of E and CS were significantly higher than those of L and ME (P<.05). CONCLUSION. Ceramic and composite polishing kits can be used for resin ceramics as a counterpart of glazing procedure used for full ceramic materials. Liquid polish has limited indications for resin ceramics.

• Journal of the Korean Crystal Growth and Crystal Technology
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• v.9 no.5
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• pp.527-533
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• 1999

Hertzian indentation tests with spherical indenters in water were conducted to examine the contact fatigue in three dental ceramics, such as feldspathic porcelain, micaceous glass-ceramic (MGC) and glass-infiltrated alumina, which was used as dental restorations, and evaluated the effect of contact damage on strength. Initial damage was dependent of microstructure, showing cone cracks of brittle behavior in the feldspathic porcelain and deformation of quasi-plastic behavior in the MGC, with an intermediate case in the glass-infiltrated alumina. However, as increasing the number of cyclic loading (n=1~n =$10^6$)all materials showed an abrupt strength degradation, at which fracture was originated from damage in the contact fatigue. There were two strength degradation with increasing the number of cyclic loading in specific loads (200N, 500N, 1000N):first was from the cone cracks, and second was from the radial cracks created by cyclic loading. The radial cracks, once formed, led to rapid degradation in strength properties, Finally the material was failed at the high number of cyclic loading. Strength degradation with indentation load at fixed number of cyclic loading indicated that the feldspathic porcelain should be highly damage tolerant to the contact fatigue.

• The Journal of Korean Academy of Prosthodontics
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• v.47 no.1
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• pp.21-28
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• 2009

Purpose: The purpose of this study was to compare the wear characteristics of human enamel opposing 2 heat-pressed ceramics (e.max Press and Empress Esthetic), conventional feldspathic porcelain (Ceramco 3) and type III gold alloy. Material and methods: Intact cusps of extracted premolars were used for enamel specimens. Five disk samples were made for each of two heat-pressed ceramics groups, conventional feldspathic porcelain group and type III gold alloy group. Wear tests were conducted in distilled water using a pin-on-disk tribometer. The amount of enamel wear was determined by weighing the enamel specimens before and after wear tests, and the weight was converted to volumes by average density. The wear tracks were analyzed by scanning electron microscopy and surface profilometer to elucidate the wear characteristics. Results: 1. Ceramco 3 led to the greatest amount of enamel wear followed by Empress Esthetic, e.max Press and type III gold alloy. However, there was no significant difference between Ceramco 3 and Empress Esthetic (P>.05), and there were also no significant differences among Empress Esthetic, e.max Press and type III gold alloy (P>.05). 2. The average surface roughness of e.max Press after wear test was smallest followed by Empress Esthetic and Ceramco 3, but there was no significant difference between Empress Esthetic and Ceramco 3 (P>.05). 3. There were no significant differences among the depth of wear tracks of all the groups (P>.05). The group that showed the largest width of wear track was Ceramco 3 followed by Empress Esthetic, e.max Press and type III gold alloy. However, there was no significant difference between e.max Press and Empress Esthetic (P>.05), and there was also no significant difference between Empress Esthetic and Ceramco 3 (P>.05). Conclusion: Within the limits of this study, heat-pressed ceramics were not more abrasive than conventional feldspathic porcelain.

• The Journal of Korean Academy of Prosthodontics
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• v.35 no.4
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• pp.781-792
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• 1997

This study was peformed to evaluate the dynamic fatigue characteristics of the dental ceramics for all-ceramic crown. A feldspathic porcelain of VMK68. glass ceramic of IPS-Empress, and glass infiltrated alumina ceramic of In-Ceram were used. Disc specimens were prepared to the final dimensions of 12 mm in diameter and 1 mm in thickness. The biaxial flexure test was conducted using a ball-on-three-ball method. 240 specimens were tested in $37^{\circ}C$ water by testing 20 samples at each of four loading rates:0.05, 0.2, 1, and 5mm/min. 60 specimens were tested in a moisture-free environment by testing 20 samples at 5mm/min. The inert strength of VMK68 was 80.25MPa, and the fatigue parameters were n=29.1, ${\sigma}_{fo}=52.90MPa$. The inert strength of IPS-Empress was 104.76MPa, and the fatigue parameters were n=32.46, ${\sigma}_{fo}=67.52MPa$. The inert strength of In-Ceram was 429.33MPa, and the fatigue parameters were n=31.46, ${\sigma}_{fo}=258.36MPa$. 10-year failure stresses of VMK68, IPS-Empress, and In-Ceram were 20.3MPa, 24.8MPa, and 93.6MPa, respectively. Failure strength and fatigue life showed the highest value in In-Ceram, and then, IPS-Empress and VMK68.

• The Journal of Advanced Prosthodontics
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• v.16 no.3
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• pp.163-173
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• 2024

PURPOSE. This study assessed the effect of storage time on chemical structure of a single-bottle and a two-bottle experimental ceramic primer and micro-shear bond strength (µSBS) of composite to ceramic. MATERIALS AND METHODS. This study was conducted on 60 sintered zirconia and 60 feldspathic porcelain blocks. Half of the specimens (n = 30) were subjected to surface treatment with the single-bottle Clearfil ceramic primer (n = 15) and two-bottle experimental primer (n = 15) after 24 hours. The remaining half received the same surface treatments after 6 months storage in distilled water. Composite cylinders were bonded to the ceramics, and they were then subjected to µSBS test. Also, the primers underwent Fourier-transform infrared spectroscopy (FTIR) after 24 hours and 6 months to assess their chemical structure. Data were analyzed with 3-way ANOVA and adjusted Bonferroni test (alpha = 0.05). RESULTS. The µSBS of both ceramics significantly decreased at 6 months in one-bottle ceramic primer group (P = .001), but it was not significantly different from the two-bottle experimental primer group (P = .635). FTIR showed hydrolysis of single-bottle primer, cleavage of silane and 10-MDP bonds, and formation of siloxane bonds after 6 months. CONCLUSION. Six months of storage caused significant degradation of single-bottle ceramic primer, and consequently had an adverse effect on µSBS.