Mechanical Behavior of Different Restorative Materials and Onlay Preparation Designs in Endodontically Treated Molars

This study evaluated the effect of the combination of three different onlay preparation designs and two restorative materials on the stress distribution, using 3D-finite element analysis. Six models of first lower molars were created according to three preparation designs: non-retentive (nRET), traditional with occlusal isthmus reduction (IST), and traditional without occlusal isthmus reduction (wIST); and according to two restorative materials: lithium-disilicate (LD) and nanoceramic resin (NR). A 600 N axial load was applied at the central fossa. All solids were considered isotropic, homogeneous, and linearly elastic. A static linear analysis was performed, and the Maximum Principal Stress (MPS) criteria were used to evaluate the results and compare the stress in MPa on the restoration, cement layer, and tooth structure (enamel and dentin). A novel statistical approach was used for quantitative analysis of the finite element analysis results. On restoration and cement layer, nRET showed a more homogeneous stress distribution, while the highest stress peaks were calculated for LD onlays (restoration: 69-110; cement layer: 10.2-13.3). On the tooth structure, the material had more influence, with better results for LD (27-38). It can be concluded that nRET design showed the best mechanical behavior compared to IST and wIST, with LD being more advantageous for tooth structure and NR for the restoration and cement layer

Efeito da neutralização do ácido fluorídrico, limpeza sônica dos precipitados e da cimentação sobre a resistência à flexão de uma cerâmica vítrea

O objetivo deste trabalho foi avaliar cinco hipóteses: a) o condicionamento ácido diminui a resistência à flexão de uma cerâmica feldspática; b) a cimentação aumenta os valores de resistência à flexão de uma cerâmica feldspática; c) o processo de neutralização dos precipitados do ácido fluorídrico diminui os valores de resistência à flexão de uma cerâmica feldspática; d) a limpeza sônica (ultra-som) com água deionizada dos precipitados do ácido fluorídrico, formados sobre a superfície cerâmica após o condicionamento ácido, aumenta os valores de resistência à flexão de uma cerâmica feldspática; e) a associação entre o processo de neutralização dos precipitados do ácido fluorídrico e a limpeza sônica melhora a resistência à flexão de uma cerâmica feldspática. Foram confeccionadas 60 barras cerâmicas (20x4x1.2mm) (VM7 VITA Zahnfabrik). Cada barra cerâmica (1face) (exceção G1) foi condicionada (20s) com AF10% (Dentsply), seguida pela lavagem jato ar-água (60s) e secagem. Foram selecionadas aleatoriamente e separadas em 6 grupos(n=10): G1 - Controle (sem tratamento); G2 - condicionamento ácido apenas; G3 – o silano(Porcelain Primer,BISCO) foi aplicado na superfície cerâmica seguido da cimentação resinosa (Rely X ARC/3M); G4 – as barras foram imersas (40s) em solução supersaturada de bicarbonato de sódio, lavadas jato ar-água por (5s) e secas antes da aplicação do silano e cimentação; G5 - limpeza sônica (4min), silano e cimentação; G6 - associação da neutralização e limpeza sônica, seguido da silanização e cimentação. Após armazenagem (água destilada/sete dias a 37ºC), cada conjunto cerâmica/cimento) foi levado ao dispositivo de ensaio, sendo este acoplado em uma máquina de ensaios universal (EMIC) com célula de carga de 10Kgf, velocidade de 1,0mm/min e submetidos ao ensaio mecânico de flexão 3 pontos...The purpose of this study was to evaluate five hypotheses: a) hydrofluoric acid etching decreases the flexural strength of a feldspathic porcelain; b) cementation increases the flexural strength of a feldspathic porcelain; c) the neutralization process of hydrofluoric acid precipitates decreases the flexural strength of a feldspathic porcelain; d) hydrofluoric acid precipitates cleaning with ultrasonic bath in deionized water, formed on the ceramic surface after acid etching, increases flexural strength values of a feldspathic porcelain; e) the association between the neutralization process of the hydrofluoric acid precipitated and ultrasonic sonic cleaning improves the flexural strength of a feldspathic porcelain. Sixty ceramic bars (20x4x1.2mm) (VM7 VITA Zahnfabrik) were made and each one (1 surface) (except G1) was etched (20s) with HF10% (Dentsply), followed by water spray (60s) and drying. The specimens were randomly divided into 6 groups (n=10): G1 - Control (no treatment); G2 – hydrofluoric acid; G3 – silane(Porcelain Primer,BISCO) was applied on porcelain surface followed adhesive cementation (Rely X ARC/3M); G4 – the bars were immersed on a oversaturated sodium bicarbonate solution (40s), washed by water spray (5s) and drying before silane application and cementation; G5 – ultrasonic cleaning (4min), silane and cementation; G6 – association between neutralization and ultrasonic cleaning, followed by silanization and cementation. After storage (distillated water/ 7 days at 37ºC), each set (ceramic/cement) was carry to test device, which was mounted in universal test machine (EMIC) with a load cell of 10 Kgf, crosshead speed of 1,0mm/min, and submitted to the three-point bending mechanical test (immersed on water at 37 ºC). The flexural strength values and standard deviation (MPa) of the groups were: G1: 73,79±5,83a; G2: 60,65±10,07b; G3: 85,10±12,40a; G4: 80,91± ... (Complete abstract click electronic access below)Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES

Impact of different complete coverage onlay preparation designs and the intraoral scanner on the accuracy of digital scans

Statement of problem: The trueness and precision of intraoral scanners (IOSs) and the effect of intracoronal restorations have been reported. However, studies addressing the accuracy of IOSs in reproducing different complete coverage onlay preparation designs are lacking. Purpose: The purpose of this in vitro study was to evaluate the influence of complete coverage onlay preparation design and intraoral scanning devices on the accuracy of digital scans in terms of trueness and precision. Material and methods: Three preparation designs on the mandibular first molar were considered: a traditional preparation design with isthmus reduction (IST), a traditional preparation design without isthmus reduction (wIST), and simplified nonretentive preparation (nRET). Digital scans of epoxy resin mandibular arch reference models of the preparations (containing second premolar, first molar, and second molar) were obtained by using 3 IOSs (iTero Element 2 [ELE], Trios 3 [TRI], and Primescan [PRI]) (n=10). Trueness (μm) and precision (μm) were analyzed by superimposing the digital scan on the digital reference models obtained with a high-accuracy industrial scanner (ATOS Core 80) in a tridimensional metrology software program. Accuracy was quantified by the absolute deviation (μm). Local and overall mean positive and negative deviations for trueness were also obtained. Data were analyzed by using the Kruskal-Wallis and Dunn tests with a statistical software program (α=.05). Results: The nonretentive preparation groups obtained higher trueness (3.8 μm) and precision (2.7 μm) than the IST and wIST groups (trueness=7.5 to 6.3 μm, precision=5.5 to 4.6 μm). Trueness values were lower with ELE×IST (16 μm), followed by ELE×wIST (13 μm), and PRI×IST (7.8 μm). In general, no difference was found between PRI and TRI scanners (6.3 to 5.9 μm), with lower performance for ELE (13 μm). Positive deviations were higher on the proximal box of the IST and wIST preparation and on the occlusal box of the IST group. Negative deviation was higher on the ELE×IST occlusal box. Conclusions: Different intraoral scanners and preparation designs influenced the accuracy of digital scans. A more complex preparation such as IST and wIST showed higher deviation. The iTero Element 2 scanner exhibited higher deviation for both trueness and precision

Lithium disilicate crown, zirconia hybrid abutment and platform switching to improve the esthetics in anterior region: A case report

The hybrid abutment emerged as an alternative to maintain a stable and favorable volume of peri-implant tissue; it is composed of a mesostructure in ceramic and a metallic connection, which can be machined according to the peri-implant emergence profile. This case report presented the clinical steps for a dental implant with immediate provisional restoration, followed by the installation of implant-supported all-ceramic crowns with zirconia abutment and platform switching. A 40-year-old male patient was rehabilitated with an implant-supported ceramic crown in the region of element 11 and a ceramic veneer was cemented on the upper right central incisor. To do so, an atraumatic extraction of the upper left central incisor was performed followed by implant placement and immediate loading. In this case, a zirconia hybrid abutment was used with a metallic link in the cervical region with a concave platform switching base. This association of clinical steps enabled improving the aesthetics in the anterior dental region