Comparative evaluation of the effect of impression materials and trays on the accuracy of angulated implants impressions

Vinyl Polyether Siloxane is a newly introduced impression material and studies on that is scarce. Implant insertion in posterior mandible might be angulated due to anatomical considerations. The purpose of this study was to compare the dimensional and angular accuracy of impressions using full-arch versus sectional tray and Vinyl Polysiloxane versus Vinyl Polyether Siloxane in angulated implants. Four implants were placed in dental areas #19, #21, #28 and #30 of a Kennedy class I mandibular acrylic model with 30° lingual angulation. Twenty sectional and 20 full-arch open trays were made on the primary cast. Impressions were taken using Vinyl Polysiloxane and Vinyl Polyether Siloxane (n=10 in 4 groups); and were poured with type IV dental stone. The coordinate measuring machine was used to measure displacements in the X, Y and Z axes and rotational discrepancies of implants. The data were analyzed using SPSS 22 and two-way ANOVA. Type of tray had no significant effect on the dimensional and angular accuracy of impressions (p >0.05). Type of impression material significantly affected linear displacement (?r) (P 0.05). Vinyl Polysiloxane yielded more accurate impressions of angulated implants

The Effect of Thermocycling on Tensile Bond Strength of Two Soft Liners

Objective: Failure of soft liners depends mostly on separation from the denture base resin; therefore measurement of the bond strength is very important. The purpose of this study was to compare the tensile bond strength of two soft liners (Acropars, Molloplast-B) to denture base resin before and after thermocycling.Materials and Methods: Twenty specimens from each of the two different soft liners were processed according to the manufacturer’s instructions between two polymethyl methacrylate (PMMA) sheets. Ten specimens in each group were maintained in 37°C water for 24 hours and 10 were thermocycled (5000 cycles) among baths of 5° and 55°C. The tensile bond strength was measured using a universal testing machine at a crosshead speed of 5 mm/min. Mode of failure was determined with SEM (magnification ×30). Two-way ANOVA was used to analyze the data.Results: The mean and standard deviation of tensile bond strength of Acropars and Molloplast-B before thermocycling were 6.59±1.85 and 1.51±0.22 MPa, respectively and 5.89±1.52 and 1.37±0.18 MPa, respectively after thermocycling. There was no significant difference before and after thermocycling. Mode of failure in Acropars and Molloplast-B were adhesive and cohesive, respectivley.Conclusion: The bond strength of Acropars was significantly higher than Molloplast-B (P<0.05)

Full Mouth Reconstruction of a Bruxer with Severely Worn Dentition: A Clinical Report

Tooth wear is attributed to several factors many of which often remain unidentified. Management of tooth wear is challenging in preventive and restorative dentistry. Correct assessment of occlusal vertical dimension, interocclusal rest space, and centric relation records are critical for successful treatment. In order to evaluate different treatment modalities and select the treatment of choice some information can be obtained from study casts and diagnostic wax-up. In order to achieve a predictable and desirable result, a systematic approach may be helpful. This paper describes the full mouth rehabilitation of a 36-year-old bruxer with severely worn dentition and other dental problems such as unfavorable restorations. A diagnostic work-up was performed and provisional restorations were made; then, they were clinically evaluated and adjusted based on the criteria dictating esthetics, phonetics, and vertical dimension. After endodontic therapy, clinical crown lengthening was performed. Two short implants were inserted in the posterior mandible. Custom-cast dowel cores and metal-ceramic restorations were fabricated and a full occlusal splint was used to protect the restorations. We ensured stable contacts on all teeth with equal intensity in centric relation and anterior guidance in accord with functional jaw movements

Effect of Denture Cleansers on Tensile Bond Strength of Soft Liners to Denture Base Resin

Background and Aim : Optimal bond strength between soft liners and denture base resin is an important requirement for application of these materials. This study aimed to determine the effect of 2.5% sodium hypochlorite (NaOCl) and Corega denture cleanser solutions on tensile bond strength of Acropars, Molloplast-B, GC soft liner and Mollosil soft liners to denture base resin .   Materials and Methods : In this in-vitro experimental study, 30 specimens of each of the 4 soft liners according to the manufacturer’s instructions were processed between two blocks of polymethyl methacrylate. Specimens were divided into 3 groups and after immersion in 2.5% sodium hypochlorite and Corega solutions were subjected to tensile bond strength testing using Universal Testing Machine (Zwick Roell, Z50, Germany) with a crosshead speed of 5 mm/min. Data were analyzed with two-way ANOVA, Tamhane’s post hoc test and Fisher’s exact test .   Results : The mean tensile bond strength of all three testing positions was 3.27 ± 1.04, 0.93 ± 0.35, 0.71 ± 0.31 and 0.28 ± 0.11 MPa for Acropars, Molloplast-B, GC soft liner and Mollosil, respectively. Type of soft liner material had a significant effect on the tensile bond strength of soft liner to denture base resin (P<0.0001) but type of cleansing solution had no significant influence on tensile bond strength of specimens .   Conclusion : The 2.5% sodium hypochlorite and Corega solutions had no significant effect on tensile bond strength of soft liners to denture base

Comparison of Marginal Fit in Zirconia-Based All-Ceramic Frameworks (Cercon) Made by Two Approaches (Direct and Wax-Up Scanning)

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

Evaluating the Final Color of Restorations with Three CAD/CAM Core Materials (Co–Cr, Zirconia, and PEEK), Veneered by Two Methods (Indirect CAD/CAM Composite and Heat-Pressed Ceramics)

Background. This study aimed to evaluate the final color of restorations with three different core materials (Co–Cr, Zirconia, and PEEK) veneered with heat-pressed ceramic or CAD/CAM composite. Methods. Forty cores in the form of square with dimensions of 10 × 10 mm and thickness of 0.5 mm were milled from Zirconia and Co–Cr blocks and were veneered with either A2 shade CAD/CAM composite resin or heat-press ceramic (n = 10). Ten samples from polyetheretherketone blocks were only veneered with composite resins. A2 shade veneer material with 2 mm served as control for color evaluation of samples. Color parameters were measured by spectrophotometer. The data were analyzed using one-way ANOVA and Tukey’s post hoc test. Results. The mean color differences between Co–Cr, Zirconia and PEEK samples veneered with composite and the control sample were 2.91 (±0.45), 3.24 (±0.33), and 2.75 (±0.35) and for Co–Cr and Zirconia in ceramic groups were 6.46 (±0.32) and 1.97 (±0.19), respectively. One-way ANOVA and Tukey’s post hoc test showed a significant difference between the core groups veneered with ceramic (P≤0.001). The type of core material in the composite veneered samples, however, did not make a significant difference (P=0.186). All groups except for Co–Cr-ceramic showed clinically acceptable results (ΔE < 3.7). Conclusion. Type of core material presented significant effect on the final color of restorations when ceramic was used as a veneer material. Conversely, the final color of composite veneer restorations is not affected by the core type. CAD/CAM composites can provide adequate color coverage for different core materials without exceeding a minimum clinically acceptable thickness

Evaluation of torque loss in Co-Cr castable abutments after cyclic loading

Background and Aims: For the clinical success of implant-retained prostheses, fitness of matching components and stability of the applied torque to the implant-abutment assembly under dynamic occlusal loading is essential. The aim of this study was to evaluate the torque loss in Co-Cr castable abutments after cyclic loading. Materials and Methods: 10 castable abutments were cast in Co-Cr alloy with similar size and height. Each specimen was mounted vertically on a separated implant using a 30 Ncm tightening torque. The detorque values of the abutments were evaluated after 10 min. The same tightening torque was applied to the abutments on their corresponding implants and cyclic loading was applied for 500,000 cycles to the implant-abutment assembly. The torque values after cyclic loading were recorded for each specimen. T-test analysis was conducted on scores from the groups. Resultes: The results of this study showed that the percentage of torque loss in castable abutments was significantly increased after cyclic loading (P<0.001). Conclusion: Misfit between the castable implant components can cause torque loss before and after cyclic loading. However, it is more appropriate to relate the results of this study to the screw loosening of the above mentioned abutments than judging their clinical performance

Retention and Clinical Performance of Zirconia Crowns: A Comprehensive Review

Zirconia has been used for rehabilitation of edentulous spaces approximately for a decade, and there have been several reports regarding the clinical performance and retention of zirconia crowns. Outstanding mechanical properties, biocompatibility, and excellent aesthetics make zirconia-based crowns as a popular crown among the current all-ceramic crowns in restorative dentistry. However, restoration with a zirconia crown is a challenging treatment. The goal of this study was to assess the current literature to summarize the studies reporting the effective risk factors on retention of zirconia crowns to provide clinicians with a useful point of view in the decision-making process for use of these restorations. Literature based-search was performed to find related articles until August 2020 using EMBASE, Google Scholar, and MEDLINE. Search terms used were “zirconia restorations properties,” “zirconia crowns clinical performance,” “zirconia crown survival,” “biological complications,” and “zirconia crown retention.” Results were limited to papers available in English. The references of all related literature were also searched for further citations. Overall, although clinical long-term and follow-up studies are a vital requirement to conclude that zirconia has great reliability, it seems that zirconia crown restorations are both well tolerated and sufficiently resistant

Effect of storage time of extended-pour and conventional alginate impressions on dimensional accuracy of casts.

Some manufacturers claim to have produced new irreversible hydro-colloids that are able to maintain their dimensional stability during storage. The present study evaluated the effect of storage time on dimensional stability of three alginates: Hydrogum 5, Tropicalgin and Alginoplast.In this experimental in-vitro trial, a total of 90 alginate impressions were made from a Dentoform model using Hydrogum 5, Tropicalgin and Alginoplast alginates. The impressions were stored in a sealed plastic bag without a damp paper towel for 0, 24, 48, 72 and 120 hours and then poured with type III dental stone. Cross-arch (facial of 6 to facial of 6 on the opposite side) and antero-posterior (distal of right first molar to the ipsilateral central incisor) measurements were made with a digital caliper on the casts. Data were analyzed by two-way and one-way ANOVA and Tukey's post-hoc test (