Porcelain Surface Roughness, Color and Gloss Changes after Orthodontic Bonding

The purpose of this study was to evaluate the alteration in surface characteristics after orthodontic debonding of two types of porcelain systems commonly used in prosthetic dentistry. For this purpose, porcelain specimens were fabricated from low-fusing (n = 20) and high-fusing (n = 20) porcelain. The baseline surface roughness, color, and gloss were evaluated using profilometry, color shade index, and gloss study. All specimens were bonded with brackets and debonded using a testing machine at a rate of 0.1 mm/minute crosshead speed. The porcelain surfaces were polished using a 12-fluted carbide composite removal bur (low-fusing, n = 20; high-fusing, n = 20). In addition, half of each porcelain group was further polished using a series of Sof-Lex discs (low-fusing, n = 10; high-fusing, n = 10). The postdebond porcelain surface characteristics roughness, color, and gloss were reevaluated and compared with baseline measurements. The results were analyzed with two-way analysis of variance and Tukey multiple comparisons test, with porcelain type (low-fusing or high-fusing) and polishing protocol (carbide bur or carbide bur and discs) serving as discriminate variables at α = 0.05 level of significance. Bonding and debonding increased all roughness parameters tested; however, no change was revealed between the two polishing protocols. Similarly, gloss and color index changes were significantly altered after resin grinding, regardless of the polishing method used. No difference was identified between the two porcelain types with respect to roughness, color index, or gloss. Orthodontic bonding alters the porcelain surfaces, and postdebond polishing does not restore the surface to the prebond state

Force to Debond Brackets from High-fusing and Low-fusing Porcelain Systems

The purpose of this study was to test the hypothesis that porcelain surface finishing, ie, low- and high-fusing porcelain, has an effect on the amount of force required to debond orthodontic brackets. A total of 20 high-fusing and 20 low-fusing porcelain specimens were prepared, polished, and bonded with standard edgewise brackets using a suggested porcelain bonding protocol. The brackets were debonded with a universal testing machine at shear mode. Resin removal was performed using two methods: a multifluted carbide bur with and without the use of Sof-Lex polishing discs. Representative specimens were studied under a scanning electron microscope before and after debonding to assess the surface morphology and potential surface damage. Statistical analysis with a t-test revealed that there was no difference between the two porcelain treatments on the force to debond values and no qualitative differences were observed on the porcelain surface between the two resin clean-up methods. From a clinical perspective, the practitioner can bond ceramic restorations without previous knowledge of the porcelain type used

Do the Mechanical and Chemical Properties of Invisalign\u3csup\u3eTM\u3c/sup\u3e Appliances Change After Use? A Retrieval Analysis

Aim: To investigate the mechanical and chemical alterations of Invisalign appliances after intraoral aging. Materials and methods: Samples of Invisalign appliances (Align Technology, San Jose, California, USA) were collected following routine treatment for a mean period of 44±15 days (group INV), whereas unused aligners of the same brand were used as reference (group REF). A small sample from the central incisors region was cut from each appliance and the buccal surface was analysed by attenuated total reflectance-Fourier transform infrared (ATR-FTIR) spectroscopy (n = 5). Then the appliances were cut (n = 25) and embedded in acrylic resin, ground/polished in a grinding polishing machine, and the prepared surfaces were subjected to Instrumented Indentation Testing under 4.9 N load. Force-indentation depth curves were recorded for each group and the following parameters were calculated according to ISO 14577-1; 2002 specification: indentation modulus (E IT), elastic to total work ratio also known as elastic index (ηIT), Martens Hardness (HM), and indentation creep (C IT) The mean values of the mechanical properties were statistically analysed by unpaired t-test (a = 0.05). Results: ATR-FTIR analysis confirmed the urethane based structure of the appliances, without important chemical differences attributed to the aging process. INV group showed significantly lower E IT (REF: 2466±20, INV: 2216±168MPa), HM (REF: 119±1, INV: 110±6 N mm−2) and higher ηIT (REF: 40.0±0.3, INV: 41.5±1.2%), and C IT (REF: 3.7±0.2 INV: 4.0±0.1%). The increase in ηIT indicates that INV is a more brittle than REF, whereas the increase in C IT, a decrease in creep resistance. Conclusion: Despite the lack of detectable chemical changes, intraoral aging adversely affected the mechanical properties of the Invisalign appliance

Microstructural and mechanical characterization of contemporary lingual orthodontic brackets

SUMMARYOBJECTIVES: To investigate the composition and the microstructural and mechanical characterization of three different types of lingual brackets. MATERIALS AND METHODS: Incognito™ (3M Unitek), In-Ovation L (DENTSPLY GAC) and STb™ (Light Lingual System, ORMCO) lingual brackets were studied under the scanning electron microscope employing backscattered electron imaging and their elemental composition was analysed by energy-dispersive X-ray microanalysis. Additionally, Vickers hardness was assessed using a universal hardness-testing machine, and the indentation modulus was measured according to instrumented indentation test. Two-way analysis of variance was conducted employing bracket type and location (base and wing) as discriminating variable. Significant differences among groups were allocated by post hoc Student-Newman-Keuls multiple comparison analysis at 95% level of significance. RESULTS: Three different phases were identified for Incognito and In-Ovation L bracket based on mean atomic number contrast. On the contrary, STb did not show mean atomic contrast areas and thus it is recognized as a single phase. Incognito is a one-piece bracket with the same structure in wing and base regions. Incognito consists mainly of noble metals while In-Ovation L and STb show similar formulations of ferrous alloys in wing and base regions. No significant differences were found between ferrous brackets in hardness and modulus values, but there were significant differences between wing and base regions. Incognito illustrated intermediate values with significant differences from base and wing values of ferrous brackets. CONCLUSIONS/IMPLICATIONS: Significant differences exist in microstructure, elemental composition, and mechanical properties among the brackets tested; these might have a series of clinical implications during mechanotherap

Surface and cross-sectional characterization of titanium-nitride coated nickel–titanium endodontic files

Background/purpose Although the effect of experimental surface modifications on various properties (e.g., fatigue, wear) on coated files have been tested in the past, there is no report for the coating quality of commercially available TiN coated files. The aim of this study was to characterize the surface and cross section of TiN coated endodontic files. Materials and methods TiN coated nickel–titanium endodontic files (EasyShape) were surface and cross-sectionally analyzed via scanning electron microscopy backscattered electron imaging and energy-dispersive X-ray spectroscopy analysis in spot, area, and line scan modes. Results Surface imaging revealed parallel oblong regions with higher mean atomic contrast, a finding attributed to increased Ni content. Cross-sectional analysis showed that the coating’s average total thickness was 0.31 μm and consisted of a thin layered film. Energy-dispersive X-ray spectroscopy analysis revealed the presence of Ti, Ni, N, and O in the coating, whereas only Ni and Ti were identified in the bulk of the file. Ti and O showed their peak compositions at the bulk/coating and coating/surface interfaces, respectively, whereas N displayed a rather constant content within the coated region. The N and O contents started increasing inner to the coating/bulk interface, denoting possible diffusion of both elements to the subcoating region. Conclusion Surface and bulk characterization showed no uncoated areas of the files tested. Apart from Ti, Ni, and N, oxygen was also identified within the coating region

Structure, Composition, and Mechanical Properties of Australian Orthodontic Wires

Objective: To investigate the surface morphology, structure, elemental composition, and key mechanical properties of various sizes and tempers of Australian wires. Materials and Methods: Three types of Australian wire were used: 0.016″ regular, 0.018″ regular+, and 0.018″ special+ (A.J. Wilcock, Whittlesea, Victoria, Australia). Each type of wire was subjected to scanning electron microscopy (SEM) analysis, x-ray energy dispersive spectroscopy (EDS) investigation, Vickers hardness testing, and tensile testing. The modulus of elasticity and ultimate tensile strength were determined. Hardness, modulus, and strength data were analyzed with one-way analysis of variance (ANOVA) and Tukey testing at the .05 level of significance. Results: All three types of Australian wire were found to possess considerably rough surfaces with striations, irregularities, and excessive porosity. All three wire types had high levels of carbon and a similar hardness, which ranged within 600 VHN (Vickers hardness number), and a similar modulus of elasticity (173 to 177 GPa). The 0.018″ special+ had a significantly lower tensile strength (1632 MPa) than the 0.016″ regular and the 0.018″ regular+ wire (2100 MPa). Conclusions: Australian wires did not show variation implied by the size or temper of the wires

Titanium Nitride and Nitrogen Ion Implanted Coated Dental Materials

Titanium nitride and/or nitrogen ion implanted coated dental materials have been investigated since the mid-1980s and considered in various applications in dentistry such as implants, abutments, orthodontic wires, endodontic files, periodontal/oral hygiene instruments, and casting alloys for fixed restorations. Multiple methodologies have been employed to create the coatings, but detailed structural analysis of the coatings is generally lacking in the dental literature. Depending on application, the purpose of the coating is to provide increased surface hardness, abrasion/wear resistance, esthetics, and corrosion resistance, lower friction, as well as greater beneficial interaction with adjacent biological and material substrates. While many studies have reported on the achievement of these properties, a consensus is not always clear. Additionally, few studies have been conducted to assess the efficacy of the coatings in a clinical setting. Overall, titanium nitride and/or nitrogen ion implanted coated dental materials potentially offer advantages over uncoated counterparts, but more investigation is needed to document the structure of the coatings and their clinical effectiveness

The Effects of Surface Roughening Techniques on Surface and Electrochemical Properties of Ti Implants

This chapter deals with the effect of commonly used surface roughening techniques for rapid osseointegration on surface and electrochemical properties of dental implants. Dental implants prepared by smooth machining (MAC), double acid etching (DAE), sandblasting and acid etching (SLA), Ti plasma spray (TPS) and anodization (ANO) were included, and their electrochemical properties were compared to untreated commercially pure titanium (cpTi). The treated surfaces demonstrated great differences in surface roughness, morphology, elemental composition and oxide type. Open circuit potential (OCP) and anodic scan potentiodynamic curves showed that electrochemical properties of treated surfaces are inferior to untreated cpTi in an original Ringer’s solution and a Ringer’s solution enriched with NaF except from the case of ANO where the electrochemical properties were enhanced. Galvanic action between dental implants and prosthetic superstructures and more importantly between the treated root and polished collar of dental implants is also discussed

New aesthetic in-house 3D-printed brackets: proof of concept and fundamental mechanical properties

Objectives: Three-dimensional (3D) printing technology is an emerging manufacturing process for many orthodontic appliances, and the aim of this study was to evaluate the mechanical properties of resin-based materials as alternatives for the in-house preparation of orthodontic brackets. Material and methods: Two types of 3D printed resins used for temporary (T) and permanent (P) crown fabrication were included in this study. Ten blocks from each resin were manufactured by a 3D printer and, after embedding them in acrylic resin, the samples were subjected to metallographic grinding and polishing, followed by instrumented indentation testing (IIT). Martens hardness (HM), indentation modulus (EIT), and elastic index (ηIT) were determined with a Vickers indenter recording force-indentation depth curves from each specimen. After calculating descriptive statistics, differences between material types were investigated with Wilcoxon rank sum test accounting for clustering of measurements within specimens at alpha = 5%. Results: No statistically significant differences in the mechanical properties of the two tested materials were seen: HM: median 279 N/mm2 (interquartile range [IQR] 275-287 N/mm2) for T and median 279 N/mm2 (IQR 270-285 N/mm2) for P (P value = 0.63); EIT: median 5548 MPa (IQR 5425-5834 MPa) for T and median 5644 (IQR 5420-5850 MPa) for P (P value = 0.84); ηIT: median 47.1% (46.0-47.7%) for T and median 46.0% (IQR 45.4-47.8%) for P (P value = 0.24). Conclusions: Under the limitations of this study, it may be concluded that the mechanical properties of the two 3D printed resins tested are equal, and thus, no differences in their clinical performance are expected. Keywords: 3D printing; Instrumented indentation testing; Mechanical properties; Orthodontic brackets; Resins