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1.
Int Orthod ; 22(4): 100915, 2024 Sep 05.
Artículo en Inglés | MEDLINE | ID: mdl-39241604

RESUMEN

BACKGROUND: The removal of adhesive remnants after bracket debonding has been shown to cause damaging effects on the enamel surface. This study aimed to investigate the efficacy of stained adhesive remnant removal (ARR) on enamel roughness compared to translucent composite. MATERIAL AND METHODS: Thirty extracted premolar teeth were divided equally into three groups; conventional composite control group (CC), stained composite group (SC) and stained bonding solution group (SB). The buccal surface of each tooth was cleaned, dried and the surface roughness (Ra) was evaluated using a contact prophylometer (T0). After bracket debonding, a high-speed carbide bur under a water-cooling system was used for ARR in one direction and the time consumed for ARR was recorded. After ARR, the second mean Ra values were recorded (T1). The samples were then polished using polishing paste with low-speed rubber cup and the third mean Ra values were recorded (T2). RESULTS: Repeated one-way ANOVA revealed a significant difference in the mean Ra values at T0, T1 and T2 within each group P˂0.05. A statistically significant difference in the changes of the mean Ra values after ARR (T1-T0) and after polishing (T1-T2) was found between the CC group and both SC and SB groups. A significant difference in the time consumed for ARR was found between the three groups with CC group being the most time-consuming group. CONCLUSION: Stained composite material followed by the stained bonding solution provided better visibility during ARR with lower mean Ra values and less time for ARR compared totranslucent composite material.

2.
Sensors (Basel) ; 24(17)2024 Aug 28.
Artículo en Inglés | MEDLINE | ID: mdl-39275477

RESUMEN

Carbon fiber-reinforced polymers (CFRPs) are widely used in the fabrication of solid rocket motor casings due to their exceptional performance. However, the bonding interface between CFRP and viscoelastic materials (rubber) is prone to debonding damage during service and storage under complex environmental conditions, which poses a significant threat to the structural integrity and reliability of the engine. Existing nondestructive testing (NDT) methods, such as X-ray imaging, infrared thermography, and ultrasonic testing, although somewhat effective, exhibit significant limitations in detecting interfacial defects in deep or multilayered composite materials, particularly under the challenging conditions of service and storage. This study proposes an innovative method based on active Lamb wave energy analysis and introduces the Damage Evolution Factor (DEF), specifically designed to detect and evaluate interfacial debonding defects in CFRP-rubber bonded structures within solid rocket motors during service and storage. Through numerical simulations and experimental validation, we selected the A0 mode Lamb wave, which is more sensitive to interfacial damage, as the incident wave and excited it on the surface of the structure. Displacement time-history response signals at observation points under different damage models were extracted and analyzed, and DEF values were calculated. The results show that DEF values increase with the size of the interfacial debonding damage. Similar trends were observed in experimental studies, further validating the effectiveness of this method and demonstrating that DEF can be used for the quantitative evaluation of interfacial debonding defects in CFRP-rubber bilayer bonded structures.

3.
Artículo en Inglés | MEDLINE | ID: mdl-39189297

RESUMEN

OBJECTIVES: The objective of this study is to investigate the outcomes of clinically relevant laboratory studies regarding the cementation of implant-supported restorations over ti-bases. MATERIALS AND METHODS: The present study has been conducted according to PRISMA statement. An electronic search was performed, including publications up to March 2024, to identify studies investigating the parameters affecting the cementation between ti-bases and CAD/CAM prostheses. An assessment of the internal validity was performed, using a custom-made risk of bias tool (QUIN). RESULTS: From the included studies, 40.1% were reported on luting systems, 25% on ti-base surface treatment, 25% on restoration surface, 21.8% on restoration material, and 18.7% on ti-base height. The majority of the included studies were associated with a medium risk of bias. In the absence of micro-retentive features, air-abrasion of ti-bases with a minimum height of 3.5 mm can be beneficial for restoration's retention. The bonding performance can vary not only between different bonding systems but also for different applications within the same system, based on a restoration's material and surface treatment as well as on ti-base height and surface treatment. CONCLUSIONS: The height of the ti-base seems to be the prevailing factor as it constitutes the prerequisite for other modifications of the bonding surfaces to have an advantageous effect. Since the parameters that can affect bonding performance between ti-base and restoration can interact with each other, it is important for the clinician to focus on verified bonding protocols.

4.
Materials (Basel) ; 17(15)2024 Jul 31.
Artículo en Inglés | MEDLINE | ID: mdl-39124430

RESUMEN

Despite the rise in popularity of ceramic braces for adults, the risk of enamel microcracks (EMCs) upon removal remains a significant drawback for both dental professionals and patients. Our study aimed to assess the effects of thermocycling, pre-curing, and co-curing techniques with different bonding agents on the enamel surface of teeth after the removal of ceramic brackets. We also examined the incidence, quantity, length, and direction of EMCs on tooth surfaces. Additionally, the adhesive remnant index (ARI) scores and orthodontic bracket bond failure modes were evaluated and compared. The study divided 40 extracted upper canine teeth into ten groups for further analysis. Two groups had intact enamel as the negative control, while the remaining groups had orthodontic ceramic brackets bonded using different bonding agents and curing techniques. Thermocycling was performed in five groups, and ARI was assessed after debonding. The study findings were statistically significant (p < 0.05) in demonstrating the impact of curing techniques on EMCs and debonding outcomes. Seventh-generation bonding agents resulted in complete adhesive removal (ARI = 0). The microcracks' incidence, number, and length showed insignificant results. Differences in ARI between thermocycler and non-thermocycler samples were insignificant. Both co-curing and pre-curing techniques yielded comparable ARI results. This study highlights the importance of using advanced bonding agents to minimize enamel damage during ceramic bracket debonding.

5.
Polymers (Basel) ; 16(16)2024 Aug 22.
Artículo en Inglés | MEDLINE | ID: mdl-39204593

RESUMEN

The widely used adhesive joining technique suffers from the drawback of being unable to be dismantled to examine for degradation. To counteract this weakness, several structural health monitoring (SHM) methods have been proposed to reveal the joint integrity status. Among these, doping the adhesive with carbon nanotubes to make the joint conductive and monitoring its electrical resistance change is a promising candidate as it is of relatively low cost and easy to implement. In this work, resistance change to monitor fatigue debonding of composite single-lap adhesive joints has been attempted. The debonded area, recorded with a liquid penetrant technique, related linearly to the fatigue life expended. However, it correlates with the resistance change in two different trends. Scanning electron microscopy on the fracture surface reveals that the two trends are associated with distinct failure micromechanisms. Implications of these observations on the practical use of the resistance change for SHM are discussed.

6.
Sensors (Basel) ; 24(16)2024 Aug 12.
Artículo en Inglés | MEDLINE | ID: mdl-39204912

RESUMEN

Probability of detection (POD) is an acknowledged mean of evaluation for many investigations aiming at detecting some specific property of a subject of interest. For instance, it has had many applications for Non-Destructive Evaluation (NDE), aimed at identifying defects within structural architectures, and can easily be used for structural health monitoring (SHM) systems, meant as a compact and more integrated evolution of the former technology. In this paper, a probability of detection analysis is performed to estimate the reliability of an SHM system, applied to a wing box composite spar for bonding line quality assessment. Such a system is based on distributed fiber optics deployed on the reference component at specific locations for detecting strains; the attained data are then processed by a proprietary algorithm whose capability was already tested and reported in previous works, even at full-scale level. A finite element (FE) model, previously validated by experimental results, is used to simulate the presence of damage areas, whose effect is to modify strain transfer between adjacent parts. Numerical data are used to verify the capability of the SHM system in revealing the presence of the modeled physical discontinuities with respect to a specific set of loads, running along the beam up to cover its complete extension. The POD is then estimated through the analysis of the collected data sets, wide enough to assess the global SHM system performance. The results of this study eventually aim at improving the current strategies adopted for SHM for bonding analysis by identifying the intimate behavior of the system assessed at the date. The activities herein reported have been carried out within the RESUME project.

7.
Waste Manag ; 187: 275-284, 2024 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-39083850

RESUMEN

The active silicon cell of a solar photovoltaic (PV) panel is covered by an ethylenevinylacetate (EVA) adhesive and a protective top glass layer. Separating this glass-EVA layer from the underlying silicon represents a bottleneck for recycling PV panels. Previous work has shown that the EVA-Si bond can be weakened by applying a continuous source of heat to melt the EVA. In this paper, a new method using nanosecond laser pulses is demonstrated to induce transient melting selectively at the EVA-Si interface. This impulsive heating method can cleanly separate the glass-EVA layer from the silicon in both model and commercial multicrystalline PV panels. The dependence of this debonding on parameters like laser pulse fluence (laser pulse energy per area), wavelength, applied pressure, and scan speed were characterized. For model PV panels, the single-pulse laser fluences required for spontaneous separation of the assembly under the force of gravity, were 0.23, 0.32 and 0.78 J/cm2 for 355 nm, 532 nm and 1064 nm, respectively. The use of shorter wavelengths reduces the laser fluence needed for debonding, while higher fluences can compensate for faster laser beam scanning rates. Optical and electron microscopy images of the Si surfaces before and after laser irradiation show that the textured antireflection layer is destroyed but the silver metal grid remains intact. Preliminary experiments using 532 nm pulses showed that the laser debonding method could remove the glass-EVA layer from sections of decommissioned commercial PV panels, even when the top glass layer was densely cracked.


Asunto(s)
Vidrio , Rayos Láser , Silicio , Silicio/química , Vidrio/química , Reciclaje/métodos , Energía Solar , Polivinilos/química
8.
Adv Colloid Interface Sci ; 332: 103251, 2024 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-39053160

RESUMEN

In the domain of photopolymerization-based additive manufacturing (3D vat printing), ceramic photopolymer resins represent a multifaceted composite, predominantly comprising oligomers, ceramic fillers, and photoinitiators. However, the synergy between the ceramic fillers and polymer matrix, along with the stabilization and homogenization of the composite, is facilitated by specific additives, notably surface-active agents, dispersants, and adhesion promoters. Although these additives constitute a minor fraction in terms of volume, their influence on the final properties of the material is substantial. Consequently, their meticulous selection and integration are crucial, subtly guiding the performance and characteristics of the resultant ceramic matrix composites toward enhancement. This review delves into the array of dispersants and coupling agents utilized in the additive manufacturing of ceramic components. It elucidates the interaction mechanisms between these additives and ceramic fillers and examines how these interactions affect the additive manufacturing process. Furthermore, this review investigates the impact of various additives on the rheological behavior of ceramic slurries and their subsequent effects on the post-manufacturing stages, such as debinding and sintering. It also addresses the challenges and prospects in the optimization of dispersants and coupling agents for advanced ceramic additive manufacturing applications.

9.
J Prosthodont ; 2024 Jul 10.
Artículo en Inglés | MEDLINE | ID: mdl-38985129

RESUMEN

PURPOSE: The objective of this study was to evaluate the effect of (Er,Cr: YSGG) laser debonding treatment on optical properties and surface roughness of veneers made of different ceramic materials. MATERIALS AND METHODS: Thirty bovine incisors were prepared to receive laminate veneers and divided into three groups (n = 10) according to ceramic material where group (E): IPS e.max CAD, group (S): Vita Suprinity, and group (C): Celtra Duo. Blocks were sectioned into 0.5 mm thickness plates and cemented on the labial surface of incisors using resin cement. The Er,Cr: YSGG laser was applied to each specimen at 4.5 W and 25 Hz for group E and at 6 W and 25 Hz for groups S and C. Color change (△E00), translucency parameter (TP) and surface roughness in µm (Ra) values were measured and calculated before and after laser treatment. Data were analyzed using two-way mixed model ANOVA at a significance level of p < 0.05. RESULTS: The highest mean △E00 value was recorded in group E (1.35 ± 0.09) followed by group S (1.08 ± 0.16) and then group C (0.93 ± 0.10) with a significant difference between them (p < 0.001). All groups exceeded the perceptibility threshold but remained below the acceptability threshold. No statistically significant difference was found in TP except for group E (p = 0.019). Ra values after laser debonding showed significantly higher values than before laser treatment in all three groups (p < 0.001). CONCLUSION: Er,Cr: YSGG laser can be safely used for debonding ceramic veneers without altering the optical properties but it does increase the roughness of debonded ceramic restorations.

10.
Angew Chem Int Ed Engl ; : e202408441, 2024 Jul 27.
Artículo en Inglés | MEDLINE | ID: mdl-39072978

RESUMEN

Debondable pressure-sensitive adhesives (PSAs) promise access to recyclability in microelectronics in the transition toward a circular economy. Two PSAs were synthesized from a tetravalent thiol star-polyester forming thiol-catechol-connectivities (TCC) with either biorelated DiDopa-bisquinone (BY*Q) or fossil-based bisquinone A (BQA). The PSAs enable debonding by oxidation of TCC-catechols to quinones. The extent of debonding efficiency depends on the interaction modes, which are determined by the chemical structure differences of both TCC-motifs. BY*Q-TCC-PSA debonds with exceptional loss of 99% of its approx. 2 MPa shear strength. For BQA-TCC-PSA, a debonding efficiency of only approx. 60% was found, irrespective of its initial shear strength, which could be tuned up to approx. 7 MPa. The efficiency of debonding for BY*Q-TCC-PSA after TCC-oxidation is linked to the loss of synergistic interactions without strongly affecting the bulk glue properties, outperforming the purely catechol-based BQA-analogue.

11.
Materials (Basel) ; 17(13)2024 Jun 27.
Artículo en Inglés | MEDLINE | ID: mdl-38998237

RESUMEN

Interface bonding conditions between concrete and steel materials play key roles in ensuring the composite effect and load-carrying capacity of concrete-steel composite structures such as concrete-filled steel tube (CFST) members in practice. A method using both surface wave and electromechanical impedance (EMI) measurement for detecting the existence and the location of inaccessible interface debonding defects between the concrete core and steel tube in CFST members using piezoelectric lead zirconate titanate (PZT) patches as actuators and sensors is proposed. A rectangular CFST specimen with two artificially mimicked interface debonding defects was experimentally verified using PZT patches as the actuator and sensor. By comparing the surface wave measurement of PZT sensors at different surface wave travelling paths under both a continuous sinusoidal signal and a 10-period sinusoidal windowed signal, three potential interface debonding defects are quickly identified. Furthermore, the accurate locations of the three detected potential interface debonding defects are determined with the help of EMI measurements from a number of additional PZT sensors around the three potential interface debonding defects. Finally, the accuracy of the proposed interface debonding detection method is verified with a destructive observation by removing the local steel tube at the three detected interface debonding locations. The observation results show that the three detected interface debonding defects are two mimicked interface debonding defects, and an unexpected debonding defect occurred spontaneously due to concrete shrinkage in the past one and a half years before conducting the test. Results in this study indicate that the proposed method can be an efficient and accurate approach for the detection of unknown interface debonding defects in existing CFST members.

12.
Materials (Basel) ; 17(13)2024 Jul 02.
Artículo en Inglés | MEDLINE | ID: mdl-38998332

RESUMEN

The external bonding (EB) of fiber-reinforced polymer (FRP) is a usual flexural reinforcement method. When using the technique, premature debonding failure still remains a factor of concern. The effect of incorporating multi-wall carbon nanotubes (MWCNTs) in epoxy resin on the flexural behavior of reinforced concrete (RC) beams strengthened with basalt fiber-reinforced polymer (BFRP) sheets was investigated through four-point bending beam tests. Experimental results indicated that the flexural behavior was significantly improved by the MWCNT-modified epoxy. The BFRP sheets bonded by the MWCNT-modified epoxy more effectively mitigated the debonding failure of BFRP sheets and constrained crack development as well as enhanced the ductility and flexural stiffness of strengthened beams. When the beam was reinforced with two-layer BFRP sheets, the yielding load, ultimate load, ultimate deflection, post-yielded flexural stiffness, energy absorption capacity and deflection ductility of beams strengthened using MWCNT-modified epoxy increased by 7.4%, 8.3%, 18.2%, 22.6%, 29.1% and 14.3%, respectively, in comparison to the beam strengthened using pure epoxy. It could be seen in scanning electron microscopy (SEM) images that the MWCNTs could penetrate into concrete and their pull-out and crack bridging consumed more energy, which remarkably enhanced the flexural behavior of the strengthened beams. Finally, an analytical model was proposed for calculating characteristic loads and characteristic deflections of RC beams strengthened with FRP sheets, which indicated a reasonably good correlation with the experimental results.

13.
Materials (Basel) ; 17(13)2024 Jul 05.
Artículo en Inglés | MEDLINE | ID: mdl-38998422

RESUMEN

I-shaped concrete girders are widely used in precast bridge and roof construction, making them a common structural component in existing infrastructure. Despite well-established strengthening techniques using various innovative materials, such as externally bonded carbon fibre reinforced polymer (CFRP) reinforcement, the shear strengthening of an I-shaped concrete girder is not straightforward. Several research studies have shown that externally bonded CFRP reinforcement might exhibit early debonding at the concave corners of the I-shape, resulting in a marginal increase in shear capacity. This research study aims to assess the performance of two different CFRP shear strengthening strategies for I-shaped concrete cross-sections. In the first strategy, CFRP was bonded along the I-shape of the cross-section with the provision of additional anchorage. In the second strategy, the I-shape was transformed into a rectangular shape by using in-fill blocks over which the CFRP was bonded in a U-configuration. In addition to the strengthening strategies, the investigated parameters included two different materials for the in-fill blocks (conventional and aerated concrete) and two different anchoring schemes (bolted steel plate anchor and CFRP spike anchor). To avoid testing on large-scale girders, a new test methodology has been implemented on concrete I-sections. The test results demonstrate the feasibility of comparing different shear strengthening configurations dedicated to I-sections. Among other findings, the results showed that the local transformation of the I-shape to an equivalent rectangular shape could be a viable solution, resulting in shear strength enhancement of 12% to 53% without and with the anchorages, respectively.

14.
Cureus ; 16(5): e61050, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38915986

RESUMEN

The development of ceramic brackets in orthodontics three decades ago emerged as a response to the increasing patient demand for less visible orthodontic appliances. While these brackets provide superior aesthetics, they are characterized by lower fracture toughness and higher bond strength in contrast to metal brackets. These properties present challenges during the debonding step, including the risk of enamel micro-fractures and cracks. Historically, various strategies have been developed to address challenges associated with debonding, reduce patient discomfort, and ensure that the bond failure site is confined to the bracket-adhesive interface. This included the use of specially designed debonding pliers, electrothermal debonding, ultrasonic technique, and chemical agents. Recently, there has been a shift towards utilizing different types of laser irradiation for this purpose. The burgeoning strategy, however, requires diligent scientific scrutiny to establish a standardized protocol with particular laser parameters and ultimately achieve the goal of enhancing the patient experience by reducing discomfort. This article offers a narrative review of laser-aided debonding of ceramic brackets, aimed at comparing different laser types, presenting their benefits and downsides, validating the efficiency of each method, and summarizing the published literature on this subject. It also provides insights for orthodontists on reducing patient discomfort that usually accompanies debonding ceramic brackets by delving into the science behind the use of lasers for this purpose.

15.
Dent Mater J ; 43(4): 531-538, 2024 Jul 31.
Artículo en Inglés | MEDLINE | ID: mdl-38925979

RESUMEN

No effective technique exists for removing adhesive remnants following bracket debonding. We propose that fluorescence imaging using europium ions (Eu3+) offers an effective solution for minimizing iatrogenic enamel damage. This study aimed to assess the impact of different mixing ratios of monomer mixtures on the photoluminescence and flexural properties of a newly developed fluorescent adhesive. Four monomer blends with varying urethane dimethacrylate (UDMA) to triethylene glycol dimethacrylate (TEGDMA) ratios were prepared and polymerized. The blends contained 0.1 wt% of tris(1,3-diphenyl-1,3-propanedionato)(1,10-phenanthroline) Eu(III), [Eu(DBM)3Phen], as the phosphor. Optical measurements and flexural tests were conducted for each resin specimen. The emission spectra exhibited narrow bands corresponding to the 4f-4f transitions of the Eu3+ ions. The photoluminescence properties remained unaffected by the mixing ratio, whereas the mechanical properties tended to improve with higher UDMA content. We conclude that the Eu(DBM)3Phen-containing resin shows promise as a fluorescent orthodontic adhesive that contributes to preserving enamel health.


Asunto(s)
Europio , Ensayo de Materiales , Metacrilatos , Polietilenglicoles , Europio/química , Polietilenglicoles/química , Metacrilatos/química , Poliuretanos/química , Ácidos Polimetacrílicos/química , Polimerizacion , Cementos de Resina/química , Cetonas/química , Imagen Óptica
16.
Materials (Basel) ; 17(11)2024 May 30.
Artículo en Inglés | MEDLINE | ID: mdl-38893916

RESUMEN

Bimetallic lined pipe (BLP) has been increasingly used in offshore and subsea oil and gas structures, but how to identify the invisible inner defects such as liner wall thinning and interface debonding is a challenge for future development. A nondestructive testing (NDT) method based on pulsed eddy current testing (PECT) has been proposed to face these difficulties. The inspection of the BLP specimen (AISI1020 base tube and SS304 liner) is implemented from outside of the pipe by using a transmitter-receiver-type PECT probe consisting of two induction coils. By simplifying the BLP specimen to stratified conductive plates, the electromagnetic field interaction between the PECT probe and specimen is analytically modeled, and the probe inspection signals due to liner wall thinning and interface debonding are calculated. In order to highlight the weak response (in microvolts) from the liner, the inspection signals are subtracted by the signal, which is calculated in the case of only having a base tube, yielding differential PECT signals. The peak voltage of the differential signal is selected to characterize the liner wall thinning and interface debonding due to its distinguishable and linear variation. Experiment verification is also carried out on a double-walled specimen simulated by a combination of a Q235 casing pipe and SS304 tubes of different sizes. The experimental results basically agree with the analytical predictions. The peak value of the PECT signal has an ascending and descending variation with the increase in the remaining liner wall thickness and debonding gap, respectively, while the negative peak value shows opposite changes. The peak value exhibits a larger sensitivity than the negative peak value. The proposed method shows potential promise in practical applications for the evaluation of the inner defects in BLP lines.

17.
Lasers Med Sci ; 39(1): 156, 2024 Jun 13.
Artículo en Inglés | MEDLINE | ID: mdl-38869676

RESUMEN

The risk of enamel deterioration that frequently coexists with debonding of orthodontic teeth brackets elevates the mandate for finding an optimum approach for debonding them without harmful effects. This in-vitro study is intended to compare the effects of two different laser modes (scanning and circular) and a conventional method on the enamel surface after debonding orthodontic brackets. 66 extracted premolars were assigned into 3 groups. After that, light-cure composite resin was used to attach the ceramic brackets to the teeth. Amongst the test groups, Group I: specimens that were debonded using conventional debonding using pliers; Group 2: specimens that were debonded using Er, Cr: YSGG laser applications using the circular motion method; and Group 3: specimens that were debonded using Er, Cr: YSGG laser applications using the scanning motion method. Adhesive Remnant Index (ARI) assessment, intra-pulpal temperature increase, enamel surface roughness after polishing, and assessment of the microstructure of enamel were carried out with scanning electron microscopy. The gathered information was examined statistically. The conventional debonding method had a significantly higher proportion of adhesive remnant index (ARI) scores of 2 and 3 in comparison to the circular (p < .004) and scanning laser groups (p < .001). There was no significant difference in ARI scores between the circular and scanning laser groups (p > .05). Moreover, the circular and scanning laser debonding methods resulted in a significantly higher proportion of Enamel Surface Roughness (ESR) scores of 0 and a lower proportion of ESR scores of 3 compared to the conventional technique group (p < .001). However, there was no significant difference in ESR scores between the circular and scanning laser methods (p = .945). Lastly, the average intra-pulpal temperature was significantly higher in the circular laser group (1.9 ± 0.5 ) compared to the scanning laser group (0.9 ± 0.2) with p < .001. Er, Cr: YSGG laser irradiation is a tool that shows promise for debonding ceramic brackets with minimal harm to the enamel surface. The scanning laser technique is more desirable due to the lower intra-pulpal temperature increase.


Asunto(s)
Cerámica , Desconsolidación Dental , Esmalte Dental , Láseres de Estado Sólido , Soportes Ortodóncicos , Propiedades de Superficie , Humanos , Esmalte Dental/efectos de la radiación , Desconsolidación Dental/métodos , Desconsolidación Dental/instrumentación , Láseres de Estado Sólido/uso terapéutico , Técnicas In Vitro , Microscopía Electrónica de Rastreo , Diente Premolar
18.
Cureus ; 16(4): e58957, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-38800248

RESUMEN

Aim This retrospective study aimed to evaluate if E-max veneers over five years caused changes in gingival, periodontal health, and veneer failures. Background As aesthetic dentistry progresses, dental veneers are becoming increasingly popular in both general and specialized dental practices. Due to technological advancements in dental ceramics and adhesive systems, porcelain veneers have become a highly sought-after solution for improving aesthetics in dental patients. The success of porcelain laminate veneers, a commonly used method for aesthetic restoration, relies on various factors. E-max veneers are frequently utilized, with their long-term durability contingent upon factors such as color stability, resistance to abrasion, as well as good compressive, tensile, and shear strength, along with maintaining marginal integrity. Methodology In this study, data was collected through a checklist form used to record clinical parameters. The clinical parameters evaluated were inflammation and bleeding on probing (BOP). The gingival health was evaluated by gingival index, gingival color, texture, and bleeding on probing, and periodontal health was evaluated by the pocket depth and radiographic evaluations. Finally, the veneer was visually inspected for chipping, staining, and debonding history. The score for most of the cases ranged between 0-1, with only 10 cases displaying moderate gingival inflammation and BOP (Gingival Index 2). Siemens Orthopantomogram (OPG) systems were used for radiological evaluation and documentation of cases. E-max porcelain veneers were only included in the research. Results Out of 28 patients, each with 6-to-10-unit veneer cases was examined, 18 patients (64.3%) displayed healthy gingival status with no bleeding area recorded in none of the veneers amongst the 6 to 10 units. In 10 patients (35.7%) most of the veneers had inflamed gingival tissue that was bleeding on probing. The majority revealed the presence of stippling (92.9%), absence of recession (96.4%), and pocket depth (67.9%). Half of our participants had their veneer for more than five years (50%) and the majority presented with no significant changes in veneer recorded like marginal staining, debonding, or chipping (89.3%). Conclusion Multiple factors such as patient selection, proper treatment planning, and design, including material selection, play a significant role in the long-lasting success of ceramic veneers. The retrospective study indicated that proper oral hygiene measures are vital for the long-term sustainability of E max veneers.

19.
BMC Oral Health ; 24(1): 570, 2024 May 15.
Artículo en Inglés | MEDLINE | ID: mdl-38802801

RESUMEN

BACKGROUND: Erbium lasers safely offer the possibility of reuse for debonded restorations. Since these lasers have a high affinity for water molecules, they are absorbed by resin cement causing explosive ablation of the cement and thus, the restoration debonds. The efficiency of this process depends on many factors, including the ceramic type, its chemical composition and thickness. Therefore, this study was designed to test the time taken to debond ultrathin occlusal veneers made of three types of milled ceramic materials and evaluate the integrity of these restorations after debonding. METHODS: Three ceramic types were evaluated in this study: lithium disilicate (IPS Emax CAD), highly condensed lithium disilicate (GC initial®LiSi), and translucent zirconia (Katana zirconia STML). Each group consisted of 8 occlusal veneers of 0.5 mm thickness. The samples were cemented to the occlusal surfaces of the upper molar teeth. An Er; Cr: YSGG laser was applied to the occlusal veneers using the scanning method, and time until debonding was calculated. The debonded samples were then inspected under a stereomicroscope for possible damage. Numerical data are presented as the mean with 95% confidence interval (CI), standard deviation (SD), minimum (min.) and maximum (max.) values. Normality and variance homogeneity assumptions were confirmed using Shapiro-Wilk's and Levene's tests, respectively. Data were normally distributed and were analyzed using one-way ANOVA followed by Tukey's post hoc test. The significance level was set at p < 0.05 for all tests. Statistical analysis was performed with R statistical analysis software version 4.3.2 for Windows (R Core Team (2023). R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. URL https://www.R-project.org/). RESULTS: There was no significant difference in debonding time between the different materials (p = 0.995). The longest debonding time was found for Katana STML (87.52 ± 20.45) (seconds), followed by Emax (86.94 ± 20.63) (seconds), while the lowest value was found for LiSi initial (86.14 ± 25.16) (seconds). In terms of damage to the debonded veneers, The Emax and zirconia samples showed no damage. However, 40% of the LiSi samples fractured during debonding, and 20% exhibited cracks. Only 40% of the LiSi samples were sound after debonding. CONCLUSION: Er; Cr: YSGG laser can be used efficiently to remove ceramic occlusal veneers. However, its effect on LiSi restorations needs further research.


Asunto(s)
Cerámica , Diseño Asistido por Computadora , Porcelana Dental , Coronas con Frente Estético , Circonio , Cerámica/química , Porcelana Dental/química , Humanos , Circonio/química , Láseres de Estado Sólido/uso terapéutico , Desconsolidación Dental/métodos , Ensayo de Materiales
20.
BMC Oral Health ; 24(1): 609, 2024 May 25.
Artículo en Inglés | MEDLINE | ID: mdl-38796434

RESUMEN

BACKGROUND: High speed electric handpieces have recently been growing in popularity among dental professionals. Advantages include smoother surface preparation and increased cutting efficiency. AIM: The primary objective was to compare enamel surface roughness following resin cleanup after bracket debonding using highspeed air turbine versus electric handpiece. The secondary objective was to record the time needed for resin-clean up. METHOD: Forty deidentified freshly extracted human premolars were cleaned and sectioned at the cement-enamel junction. The crowns were embedded in acrylic blocks. Enamel surface roughness parameters (Ra, Rz, Rp and Rv) were measured using a stylus profilometer. Brackets were bonded using a light-cure orthodontic adhesive and stored in distilled water for 24 h. Following bracket debonding, the specimens were randomly divided into 2 groups: First group: resin clean-up was carried out using a 12-fluted carbide bur mounted on a high-speed air turbine; and second group: where an electric handpiece was used. Surface roughness parameters were measured following resin clean up and after polishing using pumice and a rubber cup. Time needed for resin clean-up was recorded. Differences in enamel surface roughness and time between groups were compared using repeated measures ANOVA and independent samples t-test, respectively at P ≤ 0.05. RESULTS: The electric handpiece groups showed significantly higher values for Ra, Rz and Rp both following resin cleanup and polishing. Time taken for resin cleanup was significantly longer for the electric handpiece group. CONCLUSION: Considering both surface roughness and time, electric handpiece do not seem to add greater effectiveness or efficiency to resin cleanup following orthodontic bracket debonding.


Asunto(s)
Desconsolidación Dental , Esmalte Dental , Equipo Dental de Alta Velocidad , Propiedades de Superficie , Humanos , Desconsolidación Dental/métodos , Técnicas In Vitro , Cementos de Resina/química , Soportes Ortodóncicos , Factores de Tiempo , Diente Premolar , Pulido Dental/métodos
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