Search Results (26)

Zirconia is a material that mimics human teeth and has been extensively studied and applied. This study investigated the surface modifications of dental zirconia induced by two UV-C wavelengths (222 and 254 nm). A total of 72 zirconia specimens were prepared and divided into groups for irradiation at varying distances (1, 6, 12 cm) and durations (40, 120, 480 and 1440 min), with three specimens retained as untreated controls. Surface changes were assessed by measuring colour difference (ΔE) and water contact angle, and by analyzing surface morphology and elemental composition using SEM and EDX, and XRD was employed to determine the crystalline structure. The results showed that both wavelengths induced clinically perceptible colour changes (ΔE > 2.0), with the most pronounced effect at 6 cm for 222 nm and 1 cm for 254 nm. WCA decreased significantly with irradiation time, showing a linear correlation with log(time), and 222 nm irradiation yielded lower WCA than 254 nm. While SEM revealed no morphological changes, both UV treatments significantly increased the Zr/O ratio compared to the control. XRD tests confirmed that UV-C irradiation does not damage the zirconium oxide crystal structure. It is concluded that both UV-C wavelengths can alter the colour and enhance the wettability of zirconia; these modifications are particularly relevant for dental restorative applications, specifically in the fabrication of anterior tooth crowns, where achieving a natural tooth-like appearance is desired. Full article

This study focuses on improving the wear resistance of cutting tools and extending their service life under intense mechanical, thermal, and radiation loads in nuclear power plant environments. This research investigates the potential of electrospark alloying (ESA) using W–Zr–B system electrodes obtained from disks synthesised by spark plasma sintering (SPS). The novelty of this work lies in the use of SPS-synthesised W–Zr–B ceramics, which are promising for nuclear applications due to their high thermal stability, radiation resistance and neutron absorption, as ESA electrodes. This work also establishes the relationship between discharge energy, coating microstructure and performance. The alloying electrode material exhibited a heterogeneous microstructure containing WB₂, ZrB₂, and minor zirconium oxides, with high hardness (26.6 ± 1.8 GPa) and density (8.88 g/cm³, porosity < 10%). ESA coatings formed on HS6-5-2 steel showed a hardened layer up to 30 µm thick and microhardness up to 1492 HV, nearly twice that of the substrate (~850 HV). Elemental analysis revealed enrichment of the surface with W, Zr, and B, which gradually decreased toward the substrate, confirming diffusion bonding. XRD analysis revealed a multiphase structure comprising WB₂, ZrB₂, WB₄, and BCC/FCC solid solutions, indicating the formation of complex boride phases during the ESA process. Tribological tests demonstrated significantly enhanced wear resistance of ESA coatings. The results confirm the efficiency of ESA as a simple, low-cost, and energy-efficient method for local strengthening and restoration of cutting tools. Full article

Objective: The aim of this study was to evaluate surface roughness (R_a) and microbial adhesion on four provisional prosthodontic materials in comparison to zirconium oxide. Methods: Four provisional prosthodontic restorative materials were evaluated in this study: poly methyl methacrylate (PMMA) acrylic resin (ALIKE; GC America Inc., Alsip, IL, USA), dimethacrylate (Bis-acryl) resin (Integrity; Dentsply Sirona, Charlotte, NC, USA), 3D-printed temporary crown and bridge resin (Formlabs Inc., Somerville, MA, USA), prepolymerized poly methyl methacrylate (milled PMMA) (Harvest Dental Laboratory Products, Brea, CA, USA), and zirconium oxide (Ivoclar Vivadent AG, Liechtenstein, Germany). A total of 90 samples were prepared and divided into two groups per material (treated and untreated). Provisional material samples were prepared per manufacturer’s instructions, polished with the same sequence using acrylic burs followed by Acrylipro silicone polishers (Brasseler, Savannah, GA, USA), and pumice with a goat brush. Zirconia was polished with a green grinding stone (ZR Grinders; Brassseler, Savannah, GA, USA), followed by a feather lite (Dialite ZR polisher; Brasseler, Savannah, GA, USA). The Ra of all samples was measured using a digital profilometer. Sterilized samples were incubated in Todd Hewitt yeast extract (THY) broth containing Candida albicans SC5314 and Streptococcus mutans BM71 at 37 °C under anaerobic conditions for 72 h. Subsequently, the number of colony-forming units (CFU) adhered to each sample was determined by serial dilution plating. Normality and homoscedasticity were assessed prior to statistical analysis. Welch’s ANOVA was then performed to evaluate differences among all samples, followed by Games–Howell post hoc tests for pairwise comparisons. A p < 0.05 was considered significant in all experiments. Results: Zirconia demonstrated the lowest surface roughness and significantly reduced adhesion of S. mutans and C. albicans compared to all other materials (p < 0.001). Milled PMMA exhibited significantly lower roughness and microbial adhesion than conventional PMMA (p < 0.001), with no significant difference from Printed PMMA in microbial adhesion. Additional pairwise differences were observed between Bis-acryl and PMMA (p = 0.0425), Milled and Printed PMMA (p < 0.0001), and Bis-acryl and Printed PMMA (p < 0.0001). Conclusions: Zirconia and milled PMMA showed superior surface properties and reduced microbial adhesion, supporting their use in long-term provisional restorations. Materials with higher microbial retention, such as self-curing PMMA, bis-acryl, and 3D-printed resins, may be less suitable for extended use. These findings guide material selection to improve clinical outcomes and highlight the need for further in vivo research. Full article

Glass ionomer cements (GICs) have been clinically attractive dental restorative materials for many years and are widely used as luting, lining, and restorative materials. However, these materials still have limitations in terms of weak physio-mechanical properties. The aim of the study was to evaluate the effect of zirconium oxide nanoparticles (nano-ZrO₂ particles) on the physical and mechanical properties of two commercially available GICs. Four groups were prepared for each material: the control group (without nanoparticles) and three groups modified by the incorporation of nanoparticles at 2, 5, and 7 weight% (wt%). Firstly, the morphology and size of the nanoparticles were evaluated via scanning electron microscopy (SEM) and X-ray diffraction (XRD). Secondly, flexural strength, flexural modulus, Vickers hardness, water sorption, and solubility were evaluated. The main effect plots revealed that the addition of nano-ZrO₂ particles enhances flexural strength, flexural modulus, and water sorption of GICs at a 7 wt% concentration and Vickers hardness at a 2 wt% concentration. The SEM analysis clearly shows that the cracks became narrower with the addition of nano-ZrO₂ particles, whereas these cracks were completely closed at 7% nano-ZrO₂ particles. The findings of the study appear promising, and it is anticipated that the optimization of nano-ZrO₂ particles may aid the development of improved materials for load-bearing restorations. Full article

Background: Primary molars with deep carious lesions often require a treatment with pulpotomy and restoration with a crown. Aim: This study aims to compare the survival rates of stainless steel (SSC) and zirconium oxide (ZOC) crowns carried out on pulpotomized primary molars using the International Caries Detection and Assessment System (ICDAS) 4 to 6 lesions. Materials and Methods: The data of 100 patients (mean age 5.3 ± 2.1 years, mean decayed, missing or filled primary teeth (dmft) 7.1 ± 3.2) with 272 primary molars (40, 225, 7 with ICDAS 4, 5, 6, respectively) were collected retrospectively from a specialized private pediatric dental office after ethical approval was obtained and each participant agreed to participation in the study. Primary molars were treated between 2019 and 2021 with pulpotomy (15.5% ferrous sulfate solution for hemostasis and zinc oxide eugenol as a wound dressing) followed by a crown (203 SSC and 69 ZOC) with a minimum follow-up period of 6 months and a mean follow-up time of 28.2 (±11.0) months. Results: Failure occurred significantly less often in SSC (n = 13 out of 203) than in ZOC (n = 20 out of 69; p < 0.001). Major failure was attributed to swelling and abscess (n = 13, 39.4%) followed by the occurrence of fistula (n = 15, 45.4%) and fracture of the crown and abutment (n = 5, 15.2%). Minor failure due to cement dissolution occurred significantly less often in SSC than in ZOC (n = 10 out of 203 vs. n = 9 out of 69; p < 0.005. A Kaplan–Meier survival analysis showed an overall estimated survival time of 38.25 (Confidence interval (CI): 37.0–39.4) months for both types of crowns. A Log-Rank (Mantel–Cox) analysis showed a statistically significant difference (p < 0.05) in the estimated mean survival time of SSC (39.75; CI: 38.5–40.9 months) and ZOC (33.4; CI: 30.5–36.3 months). Survival probability drops just below 80% for ZOC and stays a little over 90% for SCC around the 20th month. Conclusions: SSC showed an advantage over its ZOC counterpart when placed after pulpotomy for the management of primary molars with deep carious lesions. A higher necessity for re-intervention in the more aesthetic ZOC should be considered in clinical decision taking. Full article

Background and Objectives: This five-year retrospective study evaluated the survival and clinical performance of 1143 zirconium oxide restorations, including both monolithic (144) and layered (999) restorations. Materials and Methods: The analysis included clinical records and follow-up data of patients treated with zirconium oxide restorations. Failures in layered restorations were examined, particularly focusing on chipping caused by unsupported feldspathic ceramic exceeding 1.5 mm. Monolithic restorations were used as a benchmark for durability. Results: The results demonstrated a high overall survival rate of 96.3%, with monolithic restorations achieving a perfect survival rate of 100%, while layered restorations had a survival rate of 95.8%. Failures in the layered restorations were primarily associated with chipping, especially when the unsupported feldspathic ceramic exceeded 1.5 mm. Conclusions: This finding highlights the importance of maintaining adequate support for the ceramic layer to prevent such complications. Monolithic restorations, in contrast, showed superior durability, with no failures reported, making them a more reliable option for long-term success. These findings emphasize the need for the careful selection of zirconium oxide restoration types based on the clinical context, particularly in cases where durability is critical. Full article

Objectives: This study aimed to evaluate patients’ satisfaction with the esthetic outcomes of combined endodontic and prosthetic treatments for devitalized or dyschromic teeth, a condition influenced by various intrinsic and extrinsic factors that present a growing concern in modern dentistry. Methods: A total of 104 patients, including 43 men and 61 women, underwent treatment using lithium disilicate restorations for esthetic zones and zirconium oxide restorations for regions with higher occlusal demands. Patient satisfaction was evaluated through a post-treatment questionnaire, classifying responses as either “satisfied” or “dissatisfied”. Dissatisfied participants were further asked to specify their concerns. Results: The study revealed a high satisfaction rate of 93%. Dissatisfaction was slightly more prevalent among women than men, but this difference was statistically insignificant. The primary reasons for dissatisfaction included darker restoration color, chipping, and gingival recessions. Conclusions: Combined endodontic and prosthetic treatments, utilizing lithium disilicate and zirconium oxide restorations, achieved high levels of patient satisfaction. Nevertheless, addressing specific issues, such as color matching and gingival health, could enhance outcomes further. Full article

This study evaluates the mechanical properties of materials used in the post-endodontic restoration of root-treated teeth and examines their performance under stress to provide insights for material selection in clinical applications. Particular attention is given to zirconium oxide, which demonstrates promising characteristics due to its esthetic color and favorable material properties, positioning it as a potential material for future use in post-endodontic treatments. Three materials—prefabricated quartz fiber-reinforced composite, milled zirconium oxide, and additively manufactured cobalt–chromium—were evaluated using compressive-deflection tests. The specimens were subjected to a 45° compressive load extending 5 mm from a metal core. Their mechanical properties were analyzed using one-way ANOVA and Tukey’s post hoc test. Significant differences were observed among the materials. Quartz fiber posts, with the lowest force resistance, buckled at lower loads (143.3 ± 9.9 N), while zirconia posts failed in a brittle manner at higher forces (246.1 ± 97.2 N). Cobalt–chromium posts demonstrated the highest maximal force (323.2 ± 10.5 N, p < 0.001) and, unlike the other materials, bent rather than fractured. The failure patterns of the tested materials underscore the importance of careful material selection when restoring root-treated teeth. Despite displaying distinct fracture characteristics, zirconium oxide, due to its color, rigidity, and hardness, stands out as a promising material for future dental applications. Further research through randomized clinical trials is recommended to refine treatment approaches and optimize clinical outcomes. Full article

Zirconia ceramics are used in a wide range of applications, including dental restorations, bioimplants, and fuel cells, due to their accessibility, biocompatibility, chemical resistance, and favorable mechanical properties. Following the development of 3D printing technologies, it is possible to rapidly print zirconia-based objects with high precision using stereolithography (SLA) and digital light processing (DLP) techniques. The advantages of these techniques include the ability to print multiple objects simultaneously on the printing platform. To align with the quality standards, it is necessary to focus on optimizing processing factors such as the viscosity of the suspension and particle size, as well as the prevention of particle agglomeration and sedimentation during printing, comprising the choice of a suitable debinding and sintering mode. The presented review provides a detailed overview of the recent trends in preparing routes for zirconium oxide bodies; from preparing the suspension through printing and sintering to characterizing mechanical properties. Additionally, the review offers insight into applications of zirconium-based ceramics. Full article

Aim: The influence of different heat treatments on the mechanical properties of CAD/CAM ceramics was assessed. Methodology: A systematic search in five databases and gray literature was performed. In vitro studies providing data about the influence of various thermal treatments on the mechanical properties of CAD/CAM ceramics were included. Results: Out of 6500 articles found, 15 were included for results analysis. In the disilicate group, e.max CAD showed the best results in flexural strength (FS) and Vita Suprinity in microhardness (MH) and fracture toughness (FT). In the zirconium oxide group, Incoris exhibited better performance in FS while Razor Zirconia demonstrated superior MH and FT. Eleven studies had low and four had a moderate risk of bias (RoB). Conclusions: Both reinforced vitreous ceramics and zirconia ceramics, when subjected to high temperatures for short periods of time, significantly improve their mechanical properties. Favoring the biomechanical behavior of restorations present in the oral cavity, they are always subjected to constant changes in temperature, forces of different nature, intensity, or direction, changes in acidity, presence of moisture, etc., which make this a difficult environment for their clinical survival. Full article

Background: Sealing the peri-implant tissue is a determining factor for long-term implant survival. In the transmucosal region, the cervical fraction of the prosthetic crown is in contact with these tissues, so mucointegration will also be influenced by the biomaterial used for the prosthetic restoration. This study aims to compare the tissue response generated by definitive restorative materials and polymeric materials from a histological point of view. Methods: This study performed an observational prospective cohort study in which biopsies of the peri-implant mucosa were taken after placement of implant-supported prosthetic restorations made of different materials (zirconium oxide, lithium disilicate, and PMMA). Results: A statistically significant difference was observed in the increase in the thickness of the non-keratinized epithelium when comparing the definitive materials (zirconium oxide/lithium disilicate) vs. the provisional material (PMMA) and in the number of collagen fibers when comparing zirconium oxide and lithium disilicate. Conclusions: This study found that zirconia is the material that presents the most adequate biological response of peri-implant tissues. It shows a lower intensity of inflammatory cellular content, a total normality in the number of collagen fibers (the arrangement of the fibers is normal in 90% of the cases), and vascular proliferation of connective tissue in 83% of the cases. These parameters make it a material with a predictable response. Similarly, only the following slight statistically significant differences between the definitive and provisional materials are observed, indicating that the biological response generated by the provisional material (PMMA) is not very different from that obtained with the placement of the definitive restoration. Full article

The aim of the research was to find a zirconia treatment method that would reduce or minimize the transformation from the tetragonal phase to the monoclinic phase. Background: Yttria-stabilized zirconia is increasingly chosen for the base of permanent prosthetic restorations. To achieve a good bond between the prosthetic cup and the veneer material, the material must be treated to achieve surface development. This is a mechanical process, during which an unfavorable transformation from the tetragonal into the monoclinic phase takes place, which leads to the weakening of the internal structure of zirconium dioxide, and later damages the prosthetic restoration. Methods: The tested material consisted of cylindrical samples of 3Y-TZP CeramillZi zirconium oxide, which were sintered after cutting out from the block. After sintering, the samples were subjected to the following types of processing: laser structuring, chemical etching and plasma etching. After the surface treatments, the samples were subjected to diffraction tests to determine the phase composition. Next, the wettability was tested to determine the surface free energy. Results: On the basis of the conducted tests, it was noticed that the applied treatments caused a phase transformation from the tetragonal to the monoclinic phase. After the process of chemical etching, the range of the monoclinic phase for the sample was 5%; after plasma etching, it was 8%, and after laser structuring, it was 2%. In addition, post-surface free energy studies have shown that zirconia is wetted better with an apolar than a polar liquid. Conclusions: The obtained results indicate that the transformation was minimized with the treatments we applied; that is why they are called non-invasive methods. According to the literature data, depending on the parameters of the sandblasting process, the percentage of the monoclinic phase in the treated surfaces ranges from 22% to 52%, which confirms the above-mentioned conclusion. Full article

Background: The aim of this in vitro study was to determine the mechanical and functional properties of zirconium oxide ceramics made using 3D printing technology and ceramics produced using conventional dental milling machines. Methods: Forty zirconia samples were prepared for this study: the control group consisted of 20 samples made using milling technology, and the test group consisted of 20 samples made using 3D printing technology. Their surface parameters were measured, and then their mechanical parameters were checked and compared. Density, hardness, flexural strength and compressive strength were tested by performing appropriate in vitro tests. After the strength tests, a comparative analysis of the geometric structure of the surfaces of both materials was performed again. Student’s t-test was used to evaluate the results (p < 0.01). Results: Both ceramics show comparable values of mechanical parameters, and the differences are not statistically significant. The geometric structure of the sample surfaces looks very similar. Only minor changes in the structure near the crack were observed in the AM group. Conclusion: Ceramics made using additive technology have similar mechanical and surface parameters to milled zirconium oxide, which is one of the arguments for the introduction of this material into clinical practice. This in vitro study has shown that this ceramic can compete with zirconium made using CAD/CAM (Computer-Aided Design and Computer-Aided Manufacturing) methods. Full article

Pathological tooth wear is an escalating social problem. Occlusal veneers can be an alternative to traditional prosthetic restorations such as crowns, inlays, and onlays. Background: The aim of this study is to assess the fracture resistance of occlusal veneers made of various materials depending on their thickness. Methods: In total, 120 occlusal veneers were examined. The restorations were made of four ceramics: leucite LC (IPS Empress Esthetic), hybrid HC (Vita Enamic), lithium disilicate LDC (IPS e.max Press), and zirconium oxide ZOC (Ceramill Zolid HT). A total of 30 veneers were made of each material, 10 for each of the three thicknesses: 1 mm, 1.5 mm, 2 mm. The restorations were cemented on identical abutments duplicated from the developed phantom tooth 35 (KaVo) with composite cement (All Bond Universal). The samples prepared in this way were subjected to a compressive strength test in a universal testing machine. Statistical analysis of the results was performed. Results: The average fracture resistance of occlusal veneers made of zirconium oxide ceramic was 1086–1640 N, of lithium disilicate ceramics 456–1044 N, of hybrid ceramics 449–576 N, and of leucite ceramics 257–499 N. Conclusions: Occlusal veneers made of ceramics, zirconium oxide and lithium disilicate, had the highest resistance to fractures. Restorations made of leucite ceramics turned out to be the least resistant to forces. The greater the thickness of the ceramic occlusal veneers, the greater their fracture resistance. Full article

Introduction: The conditioning procedures for glass-based ceramic restorations before adhesive cementation are generally recognized. In the case of polycrystalline ceramics, which include zirconium oxide, there is still no standardized protocol. The aim of this work was to present conditioning methods of the cementation surface of zirconium oxide fixed dentures. The new generation high translucency zirconia has been also considered. Material and method: The following keywords for the PUBMED and EMBASE databases were used: zirconium oxide, zirconium oxide with increased translucency, bond strength, bending strength, surface treatment. The inclusion criteria were original papers in English published between 2015–2021. Results: Out of 1537 publications, 53 articles were selected for the study, covering methods of conditioning zirconium ceramics, including new materials with increased translucency. These procedures were divided into 5 main groups. Summary: Due to the widespread use of zirconia ceramics and the introduction of new zirconia-based materials, the use of a predictable and standardized cementation protocol is one of the most important factors contributing to the long-term clinical success of prosthetic restorations. Therefore, the research showed differences in the properties of the covered materials after conditioning. It suggests the need to create separate conditioning protocols for highly translucent and traditional zirconia. Full article