Search Results (56)

Pure titanium (Ti) and its alloys are the gold standard for dental implants because a stable titanium dioxide passive film provides excellent corrosion resistance in physiological environments. In this study, we aimed to examine electrochemical interactions between Ti and cobalt–chromium–molybdenum alloy (CoCrMo), and between a novel Ti–magnesium composite (BIACOM TiMg) and CoCrMo, when immersed in everyday solutions representing beverage or oral hygiene exposure. Test solutions included Coca-Cola^®, lemon juice, Elmex^® fluoride gel, Listerine^® Cool Mint, and Sensodyne^® fluoride paste. Immersion experiments paired Ti sticks with CoCrMo sticks and, separately, BIACOM TiMg with CoCrMo sticks, with three measurements per configuration. When galvanically coupled with CoCrMo, immersion in Coca-Cola produced galvanic potential differences of ~983 mV for the BIACOM TiMg-CoCrMo couple and 830 mV for the commercially pure grade 4 (CP4) Ti-CoCrMo couple, indicating significant electrochemical instability. Both materials showed significant potential increases in Elmex fluoride gel. Listerine Cool Mint and Sensodyne fluoride exposure produced electrochemical interactions exceeding 200 mV. Significant differences in corrosion stability were observed between CP4 Ti and BIACOM TiMg. These findings indicate that material pairing and electrolyte environment significantly influence galvanic behavior, with the Ti-Mg composite showing greater susceptibility than CP4 Ti, informing dental/biomedical material selection in oral environments. Full article

Introduction: The success of metal–ceramic restorations depends on the mechanical and adhesive properties of the metal–ceramic interface. With the emergence of additive manufacturing technologies such as selective laser melting (SLM), there is growing interest in comparing these methods with conventional casting. This pilot study aimed to generate hypothesis-forming data on how fabrication method (casting and 3D printing) and alumina sandblasting with two particle sizes (125 μm and 250 μm) influence flexural performance of Co-Cr metal–ceramic systems within the standardized ISO 9693 framework. Materials and Methods: Rectangular Co-Cr alloy specimens were manufactured using two techniques: conventional casting and 3D printing via SLM. Each group was divided based on the sandblasting particle size. After ceramic application in accordance with ISO 9693:2012, samples underwent a three-point bending test using a universal testing machine (Instron 8872) to assess the displacement force required to fracture the ceramic layer. Five specimens were tested per group, and mean values and standard deviations were calculated. Data were statistically analyzed using two-way ANOVA followed by Tukey’s HSD post hoc test (p < 0.05). Results: Cast samples exhibited significantly higher displacement strength than printed ones. Among all groups, the cast samples sandblasted with 250 μm particles (CCT_250) showed the best performance (mean: 12.48 ± 0.91 N), while the 3D-printed group treated with 125 μm particles (CCP_125) showed the lowest strength (mean: 7.24 ± 0.65 N). Larger abrasive particles (250 μm) improved bond strength in both fabrication techniques. Two-way ANOVA revealed significant main effects of manufacturing method (F(1,16) = 13.63, p = 0.002, η² = 0.46) and particle size (F(1,16) = 6.17, p = 0.024, η² = 0.28), with no interaction between factors. Conclusions: Both the manufacturing method and the sandblasting protocol significantly influence the flexural performance of Co-Cr ceramic systems. Conventional casting combined with 250 μm particle sandblasting ensures the highest ceramic adhesion, while SLM-printed substrates may require additional surface treatments to improve bonding efficiency. Complementary surface treatments such as bonding agents or chemical oxidation may enhance the metal–ceramic bond in SLM-fabricated frameworks. Full article

The aim of this laboratory study was to evaluate the fitting accuracy of complete-arch implant-supported fixed dental prostheses (ISFDPs) and the occurrence of possible constraint forces after ISFDP fixation using the All-on-four treatment concept. A titanium model was fabricated with support posts for implants in positions 15, 12, 22, and 25. The forces acting on these posts were assessed using strain gauge half bridges. Implants (BEGO Semados^® SCX Implantat 4.1 mm × 10 mm, BEGO Implant Systems, Bremen, Germany) were fixated on top of the support posts. Based on conventional impressions and intraoral scans, two 12-unit monolithic ISFDPs made from cobalt–chromium alloy (CoCr) and zirconia (ZrO₂) were fabricated, jointed with titanium adhesive abutments (PS TiB NH, BEGO), and successively attached to the model. Constraint forces caused by ISFDP fixation were measured for each implant without external force. After testing four ISFDPs with different materials and impression techniques, four new implants were fixated (n = 10 model situations). A standard linear mixed model was used to assess horizontal and vertical constraint forces. The horizontal constraint forces acting on the implants were oriented in the oral direction, indicating that the ISFDPs were too small. The highest constraint forces were measured on implant 22 in the horizontal and vertical directions. Within the limitations of the present laboratory study, the fitting accuracy of complete-arch CoCr and ZrO₂ ISFDPs based on the All-on-four concept was sufficient for clinical use. Restorations made using conventional impressions had better fitting accuracy and reliability than those made using intraoral scans. Full article

Metal additive manufacturing (AM) techniques, particularly laser powder bed fusion, are being increasingly recognized not as brand-new technologies, but as emerging technologies with their recent advancements—such as the development of optimized alloys, seamless digital workflow integration, and applications in patient-specific prostheses. With the rise in patient-specific approaches in dentistry, clinicians are seeking customized devices that precisely match individual anatomical and functional needs. AM offers various advantages, such as the fabrication of complex geometries directly from digital designs, enhanced clinical precision, reduced material waste, and simplified manufacturing workflow, and hence can uniquely address these demands. Recent advancements in AM techniques have led to the development of titanium and cobalt–chromium alloys with improved mechanical properties, corrosion resistance, and biological compatibility. These alloys show great potential for clinical applications. Additionally, AM enables precise control over the microstructures and surface topographies of these alloys during fabrication, facilitating their optimized integration with biological tissues. This mini review summarizes recent advancements in metal AM technologies relevant to personalized dentistry, highlights key material developments, discusses current clinical applications, and identifies key challenges such as high cost, materials limitations, and regulatory hurdles, and highlights future opportunities including multi-materials AM, smart implants, and AI-driven optimization for fully integrated, digitally driven personalized dental care. Full article

The primary goal of this study was to assess the suitability of the proposed method for modifying the surface of cobalt alloys in dental prosthetics, taking into account the specific characteristics of the stomatognathic system during long-term use and their impact on physicochemical properties and the adhesion of cariogenic bacteria such as Streptococcus mutans. Technological factors influencing the quality of the product and its final dimensional characteristics were considered, confirming or ruling out the possibility of iatrogenic errors (related to poorly shaped prostheses) occurring during laboratory fabrication. This study demonstrates that atomic layer deposition of ZrO₂ on CoCr dental alloys results in a chemically stable, uniform, and protective surface layer, reducing ion release and improving surface quality. These improvements address key safety and performance requirements outlined in MDR 2017/745, supporting the use of ALD as a state-of-the-art technique for functionalizing dental prosthetic devices. Such coating development may influence the final quality of the denture and also verify its suitability for use in the oral environment (reducing the likelihood of denture stomatitis). 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

Ceramic dental prosthetics with internal metal structures are made from a cobalt–chromium alloy that is coated with ceramic. This study aims to validate surface treatments for the metal that enhance the adhesion of the ceramic coating under masticatory forces. Surface conditioning is performed using mechanical methods, like sandblasting (SB), and thermal methods, such as oxidation (O). The ceramic coating is applied to the metal component following the conditioning process, which can be conducted using either a single method or a combination of methods. Each conditioned sample undergoes characterization through various techniques, including drop shape analysis (DSA), scanning electron microscopy (SEM), X-ray diffraction (EDX), and atomic force microscopy (AFM). After the ceramic coating is applied and subjected to thermal sintering, the metal–ceramic samples are mechanically tested to assess the adhesion of the ceramic layer. The research findings, illustrated by scanning electron microscopy (SEM) images of the metal structures’ surfaces, indicate that alloy powder particles ranging from 10 to 50 µm were either adhered to the surfaces or present as discrete dots. Particles that exceed the initial design specifications of the structure can be smoothed out using sandblasting or mechanical finishing techniques. The energy-dispersive spectroscopy (EDS) results show that, after sandblasting, fragments of aluminum oxide remain trapped on the surface of the metal structures. These remnants are considered impurities, which can negatively impact the adhesion of the ceramic to the metal substrate. The analysis focuses on the exfoliation of the ceramic material from the deformed metal surfaces. The results emphasize the significant role of the sandblasting method and the micro-topography it creates, as well as the importance of the oxidation temperature in the treatment process. Drawing on 25 years of experience in dental prosthetics and the findings from this study, this publication aims to serve as a guide for applying the ceramic bonding layer to metal surfaces and for conditioning methods. These practices are essential for enhancing the adhesion of ceramic materials to metal substrates. Full article

This study demonstrates that effervescent denture cleansers can influence the electrochemical behavior of cobalt–chromium (Co-Cr) alloys, with a particular focus on their corrosion resistance. The findings underscore the importance for dental professionals of selecting cleansers compatible with Co-Cr prostheses to minimize material degradation and enhance clinical durability. Corrosion resistance was evaluated using open-circuit potential (OCP), corrosion current density (i_corr), and passivation current density (i_pass). Surface morphology and elemental composition were analyzed through scanning electron microscopy (SEM) and energy-dispersive X-ray spectroscopy (EDS). Forty specimens (n = 5 per group) were individually immersed in one of ten test solutions: distilled water (DW), artificial saliva (AS), and eight commercial denture cleansers—Polident 3 minutes™ (P3M), Steradent™ (St), Polident for Partials™ (PP), Efferdent™ (Ef), Corega Tabs™ (CT), NitrAdine™ (Ni), Fixodent™ (Fi), and Kukident™ (Ku). Each specimen was exposed a single solution to avoid cross-contamination. Results showed St, Ef, and Ku had higher OCP values than DW and Ni (p < 0.05), indicating better corrosion resistance. AS exhibited lower OCP values compared to St (p = 0.034), Ku (p = 0.023), and P3M (p = 0.050). DW had higher i_corr than PP (p = 0.030), CT (p = 0.005), and P3M (p = 0.003). For i_pass, DW had lower values than Ef (p = 0.025) and Ku (p = 0.016). SEM and EDS revealed no significant surface alterations. Understanding the underlying corrosion mechanisms in different solutions provides valuable insights into optimizing material performance and ensuring durability in clinical applications. The corrosion resistance of Co-Cr depends on the stability of the passive oxide layer, which can be degraded by chloride ions, reinforced by sulfate ions, and influenced by active ingredients in denture cleansers. Overall, the Co-Cr alloy demonstrated acceptable corrosion resistance, underscoring the importance of selecting suitable cleansers for prosthesis longevity. Full article

Cobalt–chromium (CoCr) alloys are frequently used to produce customized dental applications such as crowns, bridges, or prostheses. These medical products have anatomical forms, and can be effectively manufactured using the laser-based powder bed fusion (PBF-LB/M) technique. A major disadvantage of this approach is the extended time required to refine the resultant surface. The purpose of this research is to reduce the surface roughness of PBF-LB/M/CoCr dental crowns by adopting drag finishing (DF) technology. To evaluate the impact of this automatic post-processing, surface roughness measurements and geometrical investigations were undertaken. The microstructure was characterized using scanning electron microscopy (SEM), and the chemical composition was verified by energy-dispersive X-ray spectroscopy (EDAX). On outside surfaces, the DF post-processing decreased the initial surface roughness by 70–90%. The dental crown’s surface roughness value after DF post-processing was comparable to that of the basic form (cylinder). The lowest roughness was obtained with DF3 post-processing (Ra~0.60 μm). The inner surfaces were limitedly finished. The 3D surface texture showed that the DF method reduced the height of peaks, uniformizing the surfaces. CMM work compared the deviations between the virtual model and the printed samples before and after DF post-processing. This analysis revealed that dimensional deviations were reduced on the outside crown walls, ranging from +0.01 to +0.05 mm. The laser parameters and the heat treatment applied increased the hardness of CoCr crowns to 520 HV, but the proper DF conditions identified reduced the surface roughness and improved the accuracy. Full article

The current study began with the following question: Is smoking a balanced factor between human body systems? One of the particular features of the oral cavity is its localization at the gateway of respiratory and digestive. Morphologically, the oral cavity encompasses a complex association of soft tissues, hard tissues, salivary glands, and taste receptors. The main purpose of this study was to analyze the tobacco residues (TAR) deposited on dental materials and the alterations of artificial saliva that comes into contact with tobacco smoke, by obtaining a solution of cigarette smoke extracts (CSE) after 5, 10, 15, and 20 tobacco cigarettes. According to LC-MS analysis and FT-IR spectra, carbonyl compounds, phenols, and carboxylic acids are present in CSE, which could explain the pH decrease and acid characteristic. Moreover, the CSE solution was added to the culture medium of Mesenchymal Stem Cells (MSCs) to evaluate the cytotoxicity. The MTT study revealed decreased MSC viability; morphological changes and cell death were more intense at higher doses of CSE added to the culture medium. Scanning Electron Microscopy (SEM) indicated cellular ruffling and irregular cell surface under higher concentrations of CSE-15 and CSE-20 in culture media, which is a characteristic feature demonstrating the membrane stress. In conclusion, the present study, with its limitations, showed the negative cellular effects of tobacco cigarette smoking and the impact of this habit on the oral cavity homeostasis. Full article

Background and Objectives: The manufacturing of single crowns using hybrid abutments is an alternative that may be interesting in clinical practice, combining the advantages of the different materials used in a personalized design for each case. The purpose of this in vitro study was to evaluate the torque loss, survival, reliability, failure mode, and strain distribution of implant-supported prostheses with zirconia (Zir) and cobalt–chromium (Co-Cr) hybrid abutments. Materials and Methods: Abutments were milled by CAD/CAM and divided into two groups according to the materials used, Zir and Co-Cr, and cemented on titanium bases screwed to dental implants. Monolithic zirconia crowns were cemented on the abutments. The implant/abutment/crown sets were subjected to thermomechanical cycling (n = 10) (2 Hz, 140 N, 1 × 10⁶ cycles, immersed in water at 5–55 °C) to evaluate the torque loss. The single load to fracture test (SLF) was performed to design the loading profiles (light, moderate, and aggressive) of the step-stress accelerated life testing (SSALT) (n = 21) to evaluate the survival and reliability. The representative fractured specimens were analyzed under optical and scanning electron microscopy. The digital image correlation (DIC) (n = 1) was performed using specimens embedded in polyurethane resin models that received static point loading, and the strain distribution was analyzed. Results: There was no difference in torque loss, survival, or reliability between zirconia and Co-Cr abutments. An analysis of the fractured surfaces showed that the abutments presented the same failure mode, where the fracture probably started in the titanium base/screw. The zirconia abutment model presented only compressive strains around the implant, while the Co-Cr abutment model showed tensile and compressive strains in the middle of the implant; however, all strains were within the clinically acceptable limits. There was a strain concentration in the titanium base close to the implant platform for both groups. Conclusions: Zirconia and Co-Cr hybrid abutments presented similar torque loss, survival, reliability, and failure modes, but the abutment material influenced the strain distribution around the implant. The titanium base screw was the weakest link in the system. Full article

This study aimed to investigate the release of metallic ions from cobalt–chromium (Co-Cr) alloys fabricated by additive manufacturing (AM) for comparison with dental casting. Co-Cr alloys were fabricated via AM using selective laser melting (SLM) and electron beam melting (EBM) in powder-bed fusion. Polished and mechanically ground specimens were prepared. Each specimen was analyzed using an electron probe microanalyzer (EPMA). Each specimen was immersed in an acidic saline solution for 7 days in accordance with ISO 10271: 2020. The EPMA indicated the segregation of some elements in the as-prepared SLM and EBM specimens, whereas the polished and ground specimens exhibited a homogenous elemental distribution. The total amount of ion release from the SLM and EBM specimens was confirmed to be less than 7 μg/cm², which was less than 42 μg/cm² for the cast specimen. The polished and ground specimens exhibited an even lower ion release than the as-prepared specimens. The amount of ions released from the Co-Cr alloy was less than the 200 μg/cm² requirement of ISO 22674: 2022. Co-Cr alloys fabricated by SLM and EBM could provide superior corrosion resistance to cast specimens. AM could be a valuable method for fabricating appliances and denture frameworks in dentistry. Full article

Metal-ceramic crowns and bridges provide a stable and aesthetic tooth reconstruction. Hot pressing of veneering ceramics to metal substructure minimizes the formation of pores. Within the oral cavity, prosthetic structures are exposed to thermal stress. The study examines the influence of temperature changes on the quality and durability of the metal-ceramic bond using thermocyclic loading. Prior to the ceramic pressing, 40 cylindrical alloy specimens (height: 15 mm, diameter: 7 mm) were treated with abrasive blasting using Al₂O₃ (250 µm) or SiC (250 µm). They were divided into four groups: two control groups (sandblasted with Al₂O₃ or SiC) and two groups subjected to thermocyclic simulation. The ceramic-to-metal bond strength was measured with a shear test before and after thermocyclic loading. A statistically significant reduction in the bond strength between the metal substructure and the pressed ceramic was found after thermocyclic exposure. The bond strength decreased by 57% for Al₂O₃ sandblasted specimens and 36% for those sandblasted with SiC, as against the control group. This indicates that thermocycling weakens the bond between the metal alloy and pressed ceramic. The SiC blasting of the cobalt-chromium alloy results in a higher shear bond strength of the material connection after thermocyclic stimulation than the abrasive blasting with Al₂O₃. Full article

Introduction: Metal ions, released from dental alloys due to corrosion, come in contact with the cells of the surrounding tissues and may spread throughout the body via the gastrointestinal system, thus inducing dose-dependent cytopathological effects. This study aimed to assess and compare the salivary cobalt and chromium concentrations in individuals aged 18–65 years with and without dental restorations containing metal alloys. Methods: Participants were divided into two main groups according to the existence of metal alloys in the oral cavity—18 patients had fixed prosthetic restorations made of metal alloys, and 17 patients had no metal objects in their oral cavity. Each main group was subdivided into two subgroups according to the type of saliva sample—with or without additional stimulation. Salivary cobalt and chromium concentrations were measured by inductively coupled plasma mass spectrometry. A non-parametric Mann–Whitney test and Spearman’s rank correlation coefficient were applied, and the level of significance was set to p < 0.05. Results: The results showed that the chromium level in non-stimulated saliva was higher in the group of patients with metal dental restorations. No statistical difference was found in cobalt levels. There was no statistical difference in Co or Cr concentrations in stimulated saliva between the studied groups. A positive correlation was found between Cr and Co concentrations in non-stimulated saliva and between cobalt concentrations in stimulated and non-stimulated saliva. Conclusions: Metal alloys in the oral cavity induced elevated chromium levels in non-stimulated saliva, and a correlation between chromium and cobalt ion concentration was found. A detailed examination of patients and their medical history prior to prosthetic treatment is advisable in order to avoid any undesired health effects. Full article

Legislative framework addresses the issues of alloy corrosion, demanding the restricted use of probable carcinogenic, mutagenic, and toxic-for-human-reproduction (CMG) metals like nickel, cobalt, and chromium and demanding the development of new biomaterials. The aim of this research was to evaluate and compare the ion release of standard dental alloys and their hypoallergenic equivalents. Six types of orthodontic alloy wires (nickel–titanium (NiTi), coated NiTi, stainless steel (SS), Ni-free SS, and cobalt–chromium (CoCr) and titanium–molybdenum (TMA) were immersed into artificial saliva of pH 5.5 and 6.6. Release of metal ions was measured by inductively coupled plasma–mass spectrometry after 3, 7, 14 and 28 days. The data were analyzed using analysis of variance, and results with p < 0.05 were considered significant. NiTi released more Ti and Ni ions compared to the coated NiTi; SS released more iron, chromium, and nickel compared to the nickel-free SS. CoCr released cobalt in a high concentration and low amounts of chromium, nickel, and molybdenum compared to the molybdenum and titanium released by TMA. Release of metals from dental orthodontic alloys in vitro was overall lower at pH 6.6 and for the hypoallergenic equivalents when compared to standard dental alloys. Full article