Dental Materials Design and Application

Background/Objectives: The main objective of optimizing the composition of dental implants is to improve tissue compatibility for enhanced biological/biochemical performance. In this context, research on the development of new titanium alloys in dental implantology considers the careful selection of alloying elements, both in terms of biocompatibility (their lack of toxicity) and their potential to improve the metallurgical processing capacity (thermal and/or thermomechanical), which through controlled microstructural changes lead to the optimal combination of properties for functionality and durability of the implant. The purpose of the research is to study the influence of alloying elements on the phase composition and physical–mechanical properties of experimental titanium alloys. Methods: Four alloys with original chemical compositions were developed, coded in the experiments as follows: Ti1, Ti2, Ti3, Ti4. The characterization of the alloys was carried out by detailed analysis of the chemical composition, phase structure and by testing the physico-mechanical properties (HV hardness, tensile strength, yield strength, elongation, modulus of elasticity), by standardized modern methods. Characterization methods, such as optical microscopy, SEM, EDS and XRD were performed, followed by tensile tests based on ASTM EB/EBM-22 and EN ISO 6892-1-2009 standards. Results: The research results provide information regarding the relationship between the composition and the physico-mechanical properties (Rm, Rp, HV, A, G, E) of the experimental alloys (Ti1–Ti4). Depending on the value level of the properties, these have been highlighted: compositions in which the alloy can be indicated for conditions of intense stress (Ti3), compositions that describe highly ductile alloys, easy to process and adapt to clinical requirements (Ti4), but also alloys compositions characterized by a balanced combination of strength, plasticity/ductility (Ti1, Ti2). Conclusions: Research for the development of new titanium alloys through the optimization of chemical composition has taken into account the requirements regarding the biological/biomechanical compatibility of biomaterials. Analyzed in comparison with Cp-Ti grade 4 and Ti6A4V, the experimental alloys (Ti1–Ti4) can be characterized as follows: The mechanical strength properties (Rm and Rp) are higher than those of pure commercial titanium (Cp-Ti grade 4) for all compositions Ti1–Ti4, but slightly lower than those of alloy Ti6Al4V. The plasticity–ductility properties have values comparable to those of Cp-Ti grade 4 (Ti4 and Ti2 compositions) and Ti6Al4V (Ti1 composition), with one exception, the Ti3 alloy. All four experimental alloys have a lower modulus of elasticity than Cp-Ti grade 4 (102–104 GPa) and Ti6Al4V (113 GPa), commonly used in dental implants. An in-depth analysis, which will also consider information on corrosion behavior and cellular testing, may support the selection of some of the four experimental alloys studied. The research aims to continue the progress to a higher level of testing, through the realization of dental implants (e.g., fatigue, wear, osteointegration capacity, etc.). Full article

Background/Objectives: The clinical application of CAD/CAM restorative materials continues to evolve due to increasing demand for aesthetic, durable, and minimally invasive indirect restorations. Hybrid nanoceramics, such as Grandio disc (VOCO GmbH, Cuxhaven, Germany), are increasingly used in indirect restorative dentistry due to their favourable combination of mechanical strength, polishability, wear resistance, and bonding potential. One challenge associated with adhesive protocols for CAD/CAM materials lies in achieving durable bonds with resin cements. Extensive post-polymerization during fabrication reduces the number of unreacted monomers available for chemical interaction, thereby limiting the effectiveness of traditional adhesive strategies and necessitating specific surface conditioning approaches. This study aimed to evaluate, in a preliminary, non-inferential manner, the influence of several combined conditioning protocols on surface micromorphology, elemental composition, and descriptive SBS trends of a CAD/CAM hybrid nanoceramic. This work was designed as a preliminary pilot feasibility study. Due to the limited number of specimens (two discs per protocol, each providing two independent enamel bonding measurements), all bond strength outcomes were interpreted descriptively, without inferential statistical testing. This in vitro study investigated the effects of various surface conditioning protocols on the adhesive performance of CAD/CAM hybrid nanoceramics (Grandio disc, VOCO GmbH, Cuxhaven, Germany) to dental enamel. Hydrofluoric acid (HF) etching was performed to improve adhesion to indirect resin-based materials using two commercially available gels: 9.5% Porcelain Etchant (Bisco, Inc., Schaumburg, IL, USA) and 4.5% IPS Ceramic Etching Gel (Ivoclar Vivadent, Schaan, Liechtenstein), in combination with airborne-particle abrasion (APA), silanization, and universal adhesive application. HF may selectively dissolve the inorganic phase, while APA increases surface texture and micromechanical retention. However, existing literature reports inconsistent results regarding the optimal conditioning method for hybrid composites and nanoceramics, and the relationship between micromorphology, elemental surface changes, and adhesion remains insufficiently clarified. Methods: A total of ten composite specimens were subjected to five conditioning protocols combining airborne-particle abrasion with varying hydrofluoric acid (HF) concentrations and etching times. Bonding was performed using a dual-cure resin cement (BiFix QM) and evaluated by shear bond strength (SBS) testing. Surface morphology was examined through environmental scanning electron microscopy (ESEM), and elemental composition was analyzed via energy-dispersive X-ray spectroscopy (EDS). Results: indicated that dual treatment with HF and sandblasting showed descriptively higher SBS, with values ranging from 5.01 to 6.14 MPa, compared to 1.85 MPa in the sandblasting-only group. ESEM revealed that higher HF concentrations (10%) created more porous and irregular surfaces, while EDS indicated an increased fluorine presence trend and silicon reduction, indicating deeper chemical activation. However, extending HF exposure beyond 20 s did not further improve bonding, suggesting the importance of protocol optimization. Conclusions: The preliminary observations suggest a synergistic effect of mechanical and chemical conditioning on hybrid ceramic adhesion, but values should be interpreted qualitatively due to the pilot nature of the study. Manufacturer-recommended air abrasion alone may provide limited adhesion under high-stress conditions, although this requires confirmation in studies with larger sample sizes and ageing simulations. Future studies should address long-term durability and extend the comparison to other hybrid CAD/CAM materials and to other etching protocols. Full article

Background/Objectives: Accurate drug dosage calculation in pediatric dentistry represents an essential component of everyday clinical practice. However, manual calculation methods, reliance on memory, and inconsistent pharmacological education often lead to uncertainty among practitioners. Methods: To support clinicians in this process, a mobile application—Dent.IN CALC—was developed as a rapid, evidence-based, and user-friendly tool. The app allows the input of age and weight to instantly generate recommended and maximum safe dosages of commonly prescribed antibiotics, analgesics, and local anesthetics. Additionally, it includes a list of corresponding pharmaceutical preparations available on the local market. A preliminary evaluation among sixty dentists revealed significant variability in dosage knowledge and confirmed the need for digital tools that facilitate accurate and efficient prescribing. Results: Most users rated the app as intuitive, time-saving, and highly beneficial for daily practice (mean satisfaction score 4.7 ± 0.4; 95% would recommend the app). Conclusions: The Dent.IN CALC app shows strong user acceptance and demonstrates how digital solutions can streamline workflow and support clinicians in routine pediatric pharmacological decision-making. Full article

Background/Objectives: The purpose of this study was to assess the in vitro biocompatibility and corrosion resistance of five titanium alloys that have been recently developed for dental implant applications, whose compositions were designed to align with current approaches in the development of novel biomaterials. Priority was given to limiting the harmfulness associated with specific chemical elements present in common conventional alloys and increasing corrosion resistance to improve the biomaterial–tissue cellular interaction. Methods: For this purpose, five types of titanium alloys with original chemical compositions (Ti1–Ti5) were developed. The electrochemical behavior of the alloys was analyzed by evaluating the corrosion resistance in environments that simulate the oral environment, as well as the cellular behavior, by evaluating the viability, growth, and proliferation of human cells on osteoblasts and gingival fibroblasts. Detailed analysis of the chemical composition by scanning electron microscope (SEM/EDS) methods was used. The corrosion rate of the alloys in artificial saliva was tested using the polarization resistance technique (Tafel). Human osteoblasts (hFOB cell line) and human gingival fibroblasts (hFIB-G cell line) were used to measure biocompatibility in vitro. Results: The Ti5 alloy demonstrated the highest cell viability and the lowest corrosion rate (0.114 μm/year) among all tested compositions, with the Ti3 alloy containing Mo and Zr following closely behind. The Ti2 alloy exhibited reduced biocompatibility because of the inclusion of Ni and Fe in its composition. Conclusions: Taken together, the results of this study provide useful information on the basic characteristics of titanium alloys with original chemical compositions. The titanium alloys were analyzed in comparison with common conventional alloys (Cp–Ti and Ti6Al4V) as well as alloys such as Ti–Zr, Ti–Nb, and Ti–Nb–Zr–Ta, which are considered to be viable alternatives to conventional materials for making dental implants. Full article

Aim: This study aimed to evaluate and compare the surface properties, roughness, skewness, and wettability of three CAD/CAM-processed ceramic materials: zirconia-reinforced lithium silicate (Celtra Duo), feldspathic ceramic (CEREC Blocs), and lithium disilicate (CEREC Tessera). Materials and Methods: Thirty specimens (10 per group) were fabricated (10 × 10 × 2 mm) using the CEREC Omnicam AC system with the MC XL milling unit and SpeedFire furnace. Surface characterization included computed tomography (CT) for dimensional accuracy, scanning electron microscopy (SEM) with energy-dispersive X-ray spectroscopy (EDS) for microstructure and composition, profilometry for roughness parameters (Ra, Rq, Rsk), and contact angle measurements with water, ethylene glycol, and diiodomethane for wettability. Statistical analysis was performed using ANOVA (p < 0.05). Results: No dimensional or compositional changes occurred after processing. Mean Ra values were 2.8647 µm for lithium disilicate, 1.9715 µm for zirconia-reinforced lithium silicate, and 1.9148 µm for feldspathic ceramic. All materials exhibited negative skewness, with zirconia-reinforced lithium silicate showing the smoothest morphology. Contact angle results indicated greater hydrophilicity for lithium disilicate (31.41°), followed by feldspathic ceramic (38.31°) and zirconia-reinforced lithium silicate (42.48°). Conclusions: Zirconia-reinforced lithium silicate demonstrated a favorable combination of surface topography, roughness, and wettability, suggesting superior long-term clinical performance. Full article

Objectives: This study aimed to compare in vitro the protective effect of two enamel remineralizing agents, a varnish containing β-tricalcium phosphate with sodium fluoride (β-TCP-F) and a paste containing casein phosphopeptide-amorphous calcium phosphate with sodium fluoride (CPP-ACP-F), on artificially demineralized human enamel. Methods: A total of 120 human third molar enamel specimens were randomly assigned to four groups (n = 30 each): Group I (healthy enamel, control), Group II (initially demineralized, lesioned enamel), Group III (demineralized enamel and treated with β-TCP-F), and Group IV (demineralized enamel and treated with CPP-ACP-F). Groups II–IV underwent, for 15 days, a daily pH cycling regimen consisting of 21 h of demineralization under pH 4.4, followed by 3 h of remineralization under pH 7. Groups III and IV were treated with either β-TCP-F or CPP-ACP-F, prior to each 24 h demineralization–remineralization cycle. Fluoride ion release was measured after each pH cycle. Surface hardness, roughness, wettability, and Streptococcus mutans biofilm formation were assessed on days 5, 10, and 15 after a daily pH cycle. Results: CPP-ACP-F treatment showed a larger improvement in surface hardness (515.2 ± 10.7) compared to β-TCP-F (473.6 ± 12.8). Surface roughness decreased for both treatments compared to initially lesioned enamel; however, the decrease in roughness in the β-TCP-F group only reached a value of 1.193 μm after 15 days of treatment, a significantly larger value in comparison to healthy enamel. On the other hand, the decrease in roughness in the CPP-ACP-F treatment group reached a value of 0.76 μm, similar to that of healthy enamel. Contact angle measurements indicated that wettability increased in both treatment groups (β-TCP-F: 71.01°, CPP-ACP-F: 65.24°) compared to initially lesioned samples in Group II, reaching WCA values similar to or smaller than those of healthy enamel surfaces. Conclusions: Both treatments, β-TCP-F and CPP-ACP-F, demonstrated protective effects against enamel demineralization, with CPP-ACP-F showing superior enhancement of surface hardness and smoother enamel texture under in vitro pH cycling conditions. β-TCP-F varnish and CPP-ACP-F paste treatments counteracted surface modifications produced on human healthy enamel by in vitro demineralization. Full article

Although dental implants appear to be an alternative for treatment of tooth loss, fixed prosthetic restorations are an irreplaceable part of oral rehabilitation. Regarding the EU directives concerning cobalt health risks, titanium alloys may be an alternative to cobalt–chromium and nickel–chromium for metal–ceramic dental restorations. The presented review briefly describes the specific properties of titanium, and the challenges met during production and use of titanium–ceramic fixed prosthetic restorations. Full article

Background/Objectives: Edentulism is a prevalent chronic condition among older adults, and conventional complete dentures remain the standard of care. However, their fabrication often involves multiple clinical sessions and operator-dependent steps that may compromise fit and comfort. Digital workflows using CAD/CAM technologies have emerged as viable alternatives, offering improved efficiency, precision, and patient-centered outcomes. This case report aims to present a fully digital workflow for maxillary complete dentures and describe clinical efficiency and patient-reported outcomes. Case Presentation: A 73-year-old edentulous male patient underwent maxillary rehabilitation using a fully digital workflow. The protocol included intraoral scanning; the design and 3D printing of a custom tray with occlusal rims; border-molded functional impressions; virtual articulation; and CAD/CAM fabrication. A digitally designed Try-In denture was 3D printed for clinical evaluation, followed by adjustments. The definitive prosthesis was milled from high-performance PMMA discs using a five-axis milling machine. The workflow reduced the number of appointments and laboratory steps. At six-month follow-up, the patient reported high satisfaction with esthetics, retention, phonetics, and masticatory performance. No significant post-delivery adjustments were required. Conclusions: This case demonstrates that fully digital workflows for maxillary complete dentures are clinically viable, providing excellent precision, patient satisfaction, and time efficiency compared to conventional methods. The reproducible protocol described may support the broader integration of CAD/CAM technologies in edentulous rehabilitation. Full article