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PURPOSE: The purpose of this study was to determine the effect of the connector configuration on the fracture load in conventional and translucent zirconia of three-unit fixed dental prostheses (FDPs). MATERIALS AND METHODS: Six different three-unit FDPs were prepared (n = 6) from three types of zirconia (3Y-TZP (Katana ML®), 4Y-TZP (Katana STML®), and 5Y-TZP (Katana UTML®)) in combination with two connector configurations (4 × 2.25, 3 × 3 mm). The Co-Cr master models were scanned, and the FDPs were designed and fabricated using CAD-CAM. The FDPs were cemented on the metal model and then loaded with a UTM at a crosshead speed of 1 mm/min until failure. Two-way ANOVA and Tukey's test were used for statistical analysis (α = .05). RESULTS: Fracture loads of 3Y-TZP (2740.6 ± 469.2 and 2718.7 ± 339.0 N for size 4 × 2.25 mm and 3 × 3 mm, respectively) were significantly higher than those of 4Y-TZP (1868.3 ± 281.6 and 1663.6 ± 372.7 N, respectively) and 5Y-TZP (1588.0 ± 255.0 and 1559.1 ± 110.0 N, respectively) (P < .05). No significant difference was found between fracture loads of 4Y-TZP and 5Y-TZP (P > .05). The connector configuration within 9 mm2 was found to have no effect on the fracture loads on all three types of zirconia (P > .05). CONCLUSION: Fracture loads of three-unit FDPs were affected by the type of zirconia. The fracture loads of conventional zirconia were higher than those of translucent zirconia. However, it was not affected by the connector configuration when the connector had a cross-sectional area of 9 mm2.

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Aims: To evaluate the flexural properties of computer-aided design-computer-aided manufacturing (CAD-CAM) milled posts fabricated from the experimental fibre-reinforced composite disks in different fibre direction, and to compare the flexural properties of the CAD-CAM milled posts to those of commercial prefabricated posts, RelyX and FRC PostecPlus. Settings and Design: In vitro comparative study. Materials and Methods: E-glass fibre was used to fabricate the CAD-CAM composite disks. The fibres were prepared in unidirectional and multidirectional arrangements into the epoxy resin, at 70% by weight. The disk was milled by the Cerec InLab CAD-CAM system to fabricate a post. Ten posts for each type of disk were prepared. Two types of commercial fibre posts, RelyX fibre post, and FRC PostecPlus were used as control. The three-point bending test was performed. Statistical Analysis Used: The data were analysed using one-way ANOVA and Game-Howell post-hoc test. Results: The results indicated that both commercial fibre posts had the highest flexural strength and flexural modulus. The unidirectional experimental post yielded significantly lower values in both flexural strengths (739.1 ± 24.1 MPa) and flexural modulus (21.0 ± 3.5 GPa) compared to the control posts, while the multidirectional experimental posts had extremely low flexural strength and flexural modulus. Conclusions: The direction of the fibres significantly influenced the mechanical properties of the posts. The experimental unidirectional fibre-reinforced composite disk showed the potential to be used as a CAD-CAM disk for post and core fabrication.

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Aims: : This study aimed to evaluate the marginal and internal discrepancy of the zirconia coping fabricated by two dental computer-aided design-computer-aided manufacturing (CAD-CAM) systems. Settings and Design: In vitro comparative study. Materials and Methods: Twenty zirconia crowns fabricated from inCoris ZI by Cerec InLab CAD-CAM system (Dentsply Sirona Inc, USA) and Ceramill ZI by Ceramill CAD-CAM system (Amann Girrbach, Austria) were measured the discrepancy at six locations using silicone replica technique. Absolute marginal discrepancy (AMD) and marginal gap (MG) represent the marginal discrepancy, and the other four locations at chamfer area, axial wall, cusp tip, and occlusal adaptation represent the internal discrepancy. The gap was measured using an optical light microscope at ×50 magnification. Statistical Analysis Used: The data were analyzed using two-way ANOVA and Game-Howell post hoc test. Results: The statistical analysis showed that the accuracy of zirconia coping depends on CAD-CAM system and the location of measurement. Cerec InLab showed the marginal discrepancy of the coping 119.5 ± 44.8 µm at MG position and 125.3 ± 36.6 µm at AMD position, which was statistically larger than Ceramill system did at 53.0 ± 12.1 µm and 67.2 ± 19.1 µm. On the other hand, the discrepancy in other positions showed no statistical difference between the two CAD-CAM systems. Conclusions: The accuracy of zirconia coping was significant affected by CAD-CAM system and the location of measurement.

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PURPOSE: This in vitro study aimed to compare the failure load and failure characteristics of two different zirconia framework designs of premolar crowns when subjected to static loading. MATERIALS AND METHODS: Two types of zirconia frameworks, conventional 0.5 mm even thickness framework design (EV) and 0.8 mm cutback of full contour crown anatomy design (CB), were made for 10 samples each. The veneer porcelain was added on under polycarbonate shell crown made by vacuum of full contour crown to obtain the same total thickness of the experiment crowns. The crowns were cemented onto the Cobalt-Chromium die. The dies were tilted 45 degrees from the vertical plane to obtain the shear force to the cusp when loading. All crowns were loaded at the lingual incline of the buccal cusp until fracture using a universal testing machine with cross-head speed 0.5 mm/min. The load to fracture values (N) was recorded and statistically analyzed by independent sample t-test. RESULTS: The mean and standard deviations of the failure load were 1,170.1 ± 90.9 N for EV design and 1,450.4 ± 175.7 N for CB design. A significant difference in the compressive failure load was found (P<.05). For the failure characteristic, the EV design was found only cohesive failures within veneering porcelain, while the CB design found more failures through the zirconia framework (8 from 10 samples). CONCLUSION: There was a significant difference in the failure load between two designs, and the design of the framework influences failure characteristic of zirconia crown.

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PURPOSE: This study evaluated the depth of cure of resin composite cured by light through a translucent fiber post. MATERIALS AND METHODS: The opaque plastic tubes in various lengths of 2, 4, 6, 8, 10, 12, 14 mm. were filled with resin composite in which two different translucent fiber posts were inserted into the center and photo-polymerized for 40 seconds. The degree of conversion of the cured composite at bottom surface were examined using Fourier transform infrared attenuated total reflection spectrometer (FTIR/ATR) at 0.1, 0.5 and 1.0 mm apart from the post surface. RESULTS: The degree of conversion of the 0.1 mm, 0.5 mm, 1.0 mm apart from the post surface was highest at the 2 mm level and continuously decreased when the distance from the light source was increased and drastically decreased when the depth from the top of the post was greater than 4-6 mm. For each level, the highest degree of conversion was at 0.1 mm from the post surface and decreased continuously when the distance apart from the post surface was increased. CONCLUSION: The quantity of light transmission depends on the type of post and the light transmission capability of the post, especially after 4-6 mm depth and the area further apart from the post surface, are insufficient for clinical light activation of resin composite.

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PURPOSE: This study aimed to develop a copper-aluminium-nickel alloy which has properties comparable to that of dental alloys used for dental post and core applications with the reasonable cost. MATERIALS AND METHODS: Sixteen groups of experimental copper alloys with variants of 3, 6, 9, 12 wt% Al and 0, 2, 4, 6 wt% Ni were prepared and casted. Their properties were tested and evaluated. The data of thermal, physical, and mechanical properties were analyzed using the two-way ANOVA and Tukey's test (α=0.05). The alloy toxicity was evaluated according to the ISO standard. RESULTS: The solidus and liquidus points of experimental alloys ranged from 1023℃ to 1113℃ and increased as the nickel content increased. The highest ultimate tensile strength (595.9 ± 14.2 MPa) was shown in the Cu-12Al-4Ni alloy. The tensile strength was increased as the both elements increased. Alloys with 3-6 wt% Al exhibited a small amount of 0.2% proof strength. Accordingly, the Cu-9Al-2Ni and Cu-9Al-4Ni alloys not only demonstrated an appropriate modulus of elasticity (113.9 ± 8.0 and 122.8 ± 11.3 GPa, respectively), but also had a value of 0.2% proof strength (190.8 ± 4.8 and 198.2 ± 3.4 MPa, respectively), which complied with the ISO standard requirement (>180 MPa). Alloys with the highest contents of nickel (6 wt% Ni) revealed a widespread decolourisation zone (5.0-5.9 mm), which correspondingly produced the largest cell response, equating positive control. CONCLUSION: The copper alloys fused with 9 wt% Al and 2-4 wt% Ni can be considered for a potential use as dental post and core applications.

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This study aimed to examine the shear bond strength between cobalt chromium alloy and autopolymerizing acrylic resin using experimental primers containing 5, 10, and 15 wt% of 4-methacryloxyethyl trimellitic anhydride or 1, 2, and 3 wt% of 3-methacryloxypropyl-trimethoxysilane comparison to 5 commercial primers (ML primers, Alloy primer, Metal/Zirconia primer, Monobond S, and Monobond plus). Sixty alloy specimens were sandblasted and treated with each primer before bonded with an acrylic resin. The control group was not primed. The shear bond strengths were tested and statistically compared. Specimens treated with commercial primers significantly increased the shear bond strength of acrylic resin to cobalt chromium alloy (p<0.05). The highest shear bond strength was found in the Alloy primer group. Among experimental group, using 10 wt% of 4-methacryloxyethyl trimellitic anhydride -or 2 wt% of 3-methacryloxypropyltrimethoxysilane enhanced highest shear bond strength. The experimental and commercial primers in this study all improved bonding of acrylic resin to cobalt chromium alloy.

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This study evaluated the oxide characteristics on a Ag-Sn particle surface modified by acid and heat in order to understand the bonding mechanism. Nine different Ag-Sn particles including standard Sn, SnO and SnO2 were evaluated by X-ray Photoelectron Spectroscopy (XPS). The particles were also used for preparing the composite to test the flexural properties following the ISO 4049. A high correlation between flexural strength of the composites and Sn3d binding energy of their filler particles was found. Different oxide forms (SnO and SnO2) showed different adhesive abilities to bond with 4-META, regarding the difference in flexural strength of the composite. The highest flexural strength composite showed Sn3d binding energy of its filler at 486.4 eV, which was the SnO binding area. This implies that SnO was responsible for a good bond between particle surface and 4-META coupling agent.

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The flexural strength and flexural modulus of an experimental metal-resin composite, which used Ag-In alloy particle as the filler, were evaluated. The effect of acid treatment and heat treatment on the Ag-In alloy particle was investigated. The flexural strength of the experimental metal-resin composites ranged from 65.5 MPa to 91.0 MPa. The flexural strength of the metal-resin composite increased with the temperature of the heat treatment until 350 degrees C, but its effect varied with the concentrations of HCl of the acid treatment. A metal-resin composite, which used acid-treated and 350 degrees C heat-treated Ag-In alloy fillers, matched the requirement of strength of ISO 4049. The average of flexural modulus of the experimental metal-resin composite was 9.1 GPa. The flexural modulus of the metal-resin composite did not vary with the treatment conditions of the metal filler. The flexural modulus of a metal-resin composite, which used Ag-In alloy particle as the filler, was lower than that of Ag-Sn alloy metal-resin composite, which was reported previously. However, the flexural strength of the Ag-In alloy metal-resin composite was similar to that of Ag-Sn alloy metal-resin composite. We can control a flexural modulus of a metal-resin composite without decreasing flexural strength by choosing filler materials.

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