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Objective: To describe the existing knowledge about metal-free prosthetic biomaterials according to their physicochemical properties and based on this, define criteria for their placement in both the anterior and posterior sectors. Materials and methods: A digital search was carried out in the databases: PubMed/Medline, Scopus, Web of Science and Google Scholar of the literature published in the English language without time restrictions and included original articles such as case reports, retrospective and prospective studies, narrative, comprehensive, systematic reviews and meta-analysis. Meanwhile, short communications, editorials and articles in a language other than English were excluded. Results: 40 articles were evaluated, published between 2000 and 2023. The main characteristics and physicochemical properties of ceramic biomaterials such as zirconia, feldspathic based ceramics, lithium disilicate and alumina, among others, were analyzed and summarized. In addition, certain criteria were defined based on the available scientific evidence on the use of different ceramic systems both in the anterior sector and in the posterior sector for patients who need some type of prosthetic restoration. Conclusions: Among the different metal-free materials used for the construction of fixed dental prostheses, zirconia has been shown to have better aesthetic, biomechanical and biocompatibility properties, which makes it a candidate material for the rehabilitation of partially edentulous patients.

Objetivo: Describir el conocimiento existente sobre los biomateriales protésicos libres de metal, según sus propiedades fisicoquímicas, y definir, con base en ello, criterios para su colocación tanto en el sector anterior como en el posterior. Materiales y métodos: Se realizó una búsqueda digital en las bases de datos PubMed/Medline, Scopus, Web of Science y Google Scholar de la literatura publicada en idioma inglés, sin restricciones de tiempo. Se incluyó artículos originales como reportes de casos, estudios retrospectivos y prospectivos, revisiones y metanálisis narrativos, exhaustivos y sistemáticos. Por otra parte, se excluyeron comunicaciones breves, editoriales y artículos en idioma distinto al inglés. Resultados: Se evaluaron 40 artículos, publicados entre 2000 y 2023. Se analizaron y resumieron las principales características y propiedades fisicoquímicas de biomateriales cerámicos, como circonia, cerámicas de base feldespática, disilicato de litio y alúmina, entre otros. Además, se definieron ciertos criterios basados en la evidencia científica disponible sobre el uso de diferentes sistemas cerámicos, tanto en el sector anterior como en el posterior, para pacientes que necesitan algún tipo de restauración protésica. Conclusiones: Entre los diferentes materiales libres de metales utilizados para la construcción de prótesis dentales fijas, la circonia ha demostrado tener mejores propiedades estéticas, biomecánicas y de biocompatibilidad, lo que la convierte en un material candidato para la rehabilitación del paciente parcialmente edéntulo.

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Objetivo: Avaliar o comportamento biológico do tecido ósseo ao redor de implantes manufaturados em liga Ti-6Al-4V diante das superfícies modificadas por jateamento de óxido de alumínio seguido condicionamento ácido (SBAS) e a superfície usinada (MS). Material e Métodos: Dez coelhos receberam aleatoriamente 20 implantes de hexágono externo com dimensões de 4,0 mm de diâmetro e 10 mm de comprimento em suas tíbias direita e esquerda, sendo um implante de cada superfície em cada tíbia. Os implantes de ambos os grupos foram analisados através de microscopia eletrônica de varredura (MEV-EDX) e microscopia de força atômica (AFM). Discos com as mesmas superfícies foram submetidos à análise de rugosidade média (Ra) e secção transversal. Nos períodos de 3 e 6 semanas foi mensurado o coeficiente de estabilidade primária por meio da análise de frequência por ressonância (ISQ), seguido da eutanásia dos animais. As peças obtidas foram submetidas ao processamento de inclusão em resina fotopolimerizável e levadas ao micrótomo para corte calcificado. Foi mensurada em porcentagem a extensão linear de contato entre tecido ósseo mineralizado e implante (ELCOMI) e área óssea neoformada (AON). Os dados foram submetidos à análise de variância e ao teste t de Tukey. Resultados: MEV e AFM mostraram diferenças na topografia das superfícies. Os valores médios obtidos pelas análises de frequência por ressonância, Ra e secção transversal para SBAS foram estatisticamente superiores (p<0,05) quando comparados a MS. Os valores médios em porcentagem de ELCOMI para SBAS foram de 69,65 e 71,56 respectivamente para 3 e 6 semanas, enquanto para MS os valores médios foram de 54,06 e 55,99 respectivamente para os mesmos períodos. Os valores médios de AO no grupo SBAS foram de 69,85 e 79,60 para os períodos de 3 e 6 semanas, enquanto para MS os valores médios foram de 59,59 e 74,32 respectivamente nos mesmos grupos. Houve diferenças estatisticamente superiores (p<0,05) nos implantes SBAS para a ELCOMI nos períodos de 3 e 6 semanas e AON no período de 3 semanas. Conclusão: A modificação na superfície nos implantes SBAS proporcionou alterações na topografia dos implantes, promovendo um maior contato entre tecido ósseo e a liga de titânio, permitindo melhores níveis de osseointegração. Relevância clínica: Implantes manufaturados em liga de Ti-6Al-4V modificados por jateamento de óxido de alumínio seguido condicionamento ácido (SBAS) apresentam bons níveis de osseointegração e podem ser usados com segurança para reabilitação protética de pacientes(AU)

Objective: Evaluate the biological behavior of bone tissue around implants manufactured in Ti-6Al-4V alloy before surfaces modified by aluminum oxide blasting followed by acid etching (SBAS) and machined surface (MS). Material and Methods: Ten rabbits randomly received 20 external hexagon implants with dimensions of 4.0 mm in diameter and 10 mm in length on their right and left tibiae, one implant of each surface on each tibia. The implants of both groups were analyzed by scanning electron microscopy (SEM-EDX) and atomic force microscopy (AFM). Disks with the same surfaces were submitted to analysis of average roughness (Ra) and cross section. In the periods of 3 and 6 weeks, the primary stability coefficient was measured by means of resonance frequency analysis (ISQ), followed by euthanasia of the animals. The obtained pieces were submitted to the inclusion processing in photopolymerizable resin and taken to the microtome for cutting without decalcification. The bone interface contact (BIC) and neoformed bone area (NBA) was measured in percentage. Data were submitted to analysis of variance and Tukey t test. Results: SEM and AFM showed differences in surface topography. The mean values obtained by the resonance, Ra and cross section analyzes for SBAS were statistically higher (p <0.05) when compared to MS. The mean values in percentage of BIC for SBAS were 69.65 and 71.56 respectively for 3 and 6 weeks, while for MS the mean values were 54.06 and 55.99 respectively for the same periods. The mean values of NBA in the SBAS group were 69.86 and 79.59 for the 3 and 6 week periods, while for MS the mean values were 59.59 and 74.32, respectively, in the same groups. There were statistically superior differences (p <0.05) in SBAS implants for BIC in the 3 and 6 week periods and AON in the 3 week period. Conclusion: The surface modification of the SBAS implants provided changes in the topography of the implants, promoting a better contact between bone tissue and titanium alloy, allowing better levels of osseointegration. Clinical Relevance: Implants manufactured in Ti-6Al-4V alloy modified by aluminum oxide etching followed by acid etching (SBAS) present good levels of osseointegration and can be safely used for prosthetic rehabilitation of patients(AU)

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The aim of this study was to compare the values of bone-implant contact (BIC) and removal torque (RTQ) reported in different animal studies for titanium-zirconium (TiZr) and titanium (Ti) dental implants. This review has been registered at PROSPERO under number CRD42016047745. We undertook an electronic search for data published up until November 2017 using the PubMed/Medline, Embase, and The Cochrane Library databases. Eligibility criteria included in vivo studies, comparisons between Ti and TiZr implants in the same study, and studies published in English that evaluated BIC and RTQ. After inclusion criteria, 8 studies were assessed for eligibility. Of the 8 studies, 7 analyzed BIC outcome and 3 analyzed RTQ outcome. Among such studies, 6 studies were considered for meta-analysis of quantitative for BIC and 2 studies for RTQ. There was no significant difference for BIC analysis ( P = .89; random ration [RR]: -0.21; 95% confidence interval [CI]: -3.14 to 2.72). The heterogeneity of the primary outcome studies was considered low (7.19; P = .21; I 2 : 30%). However, the RTQ analysis showed different results favoring the TiZr dental implants ( P = .001; RR: 23.62; 95%CI: 9.15 to 38.10). Low heterogeneity was observed for RTQ (χ2: 1.25; P = .26; I 2 : 20%). Within the limitations of this study, there was no difference between TiZr and Ti alloys implants in terms of BIC. However, TiZr implants had higher RTQ than Ti alloys.

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The aim of this study was to evaluate different materials for restoration of teeth without ferrule by three-dimensional (3D) finite element analysis (FEA). Five models simulating the maxillary central incisor and surrounding bone were simulated according to the type of post: glass fibre post (GFP) or cast metal post (CMP) with different alloys such as gold (Au), silver-palladium (AgPd), copper-aluminum (CuAl) and nickel-chromium (NiCr). Models were designed using Invesalius and Rhinoceros. FEAs were made using FEMAP and NeiNastran, with an applied axial force of 100 N and oblique occlusal load at 45°. Stress distribution among groups was analysed by two-way analysis of variance (ANOVA), followed by post-hoc Tukey's test. The GFP showed the best stress distribution in the post, followed by CMP with Au, AgPd, CuAl and NiCr alloys, respectively (p < .001). No statistically significant difference in the stress distribution in teeth was found under application of axial load (p > .05). Under oblique load, the GFP generated the highest values of tension among the models, followed by the CMP with NiCr alloy than other models (p < .001). The use of GFP resulted in a lower stress concentration in the post, but increased stress in the tooth without ferrule. The CMP with NiCr alloy exhibited the highest stress distribution among other CMP. To avoid higher stress in teeth, alloys of Au, AgPd and CuAl, respectively, are recommended.

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Este trabalho avaliou o comportamento eletroquímico do metal de base (MB) de uma liga a base de níquel-cromo em relação a juntas soldadas desta liga obtidas pelos processos de brasagem (BRA) e Tungsten Inert Gas (TIG), imersos em saliva artificial com pH 2,5 e 5,5. Foram também realizados ensaios de microdureza e caracterização microestrutural, por meio de microscopia óptica e eletrônica de varredura e análise química semi-quantitativa por EDS, nos grupos MB, TIG, BRA e no cordão de solda a laser (LAS). O MB apresentou uma matriz rica em níquel e cromo, distribuída em um arranjo dendrítico típico, apresentando inclusões metálicas de silício e titânio, além de porosidades. As soldas TIG e LAS revelaram uma microestrutura mais refinada que o MB, mostrando, entretanto, uma mesma composição química e distribuição de seus elementos. A solda BRA apresentou diferenças marcantes em sua microestrutura, composição química e distribuição de seus elementos em relação ao MB. Os dados de microdureza Vickers (HV), potencial de corrosão (Ecorr) e densidade de corrente de corrosão (jcorr) foram analisados com ANOVA e teste de Tukey (p<0,05). Para determinação da influência do pH quanto a resistência à corrosão dos grupos MB, TIG e BRA, empregou-se o teste t de Student (p<0,05). O MB apresentou menor média de microdureza (256,13 ± 9,39 HV), seguido pelos grupos TIG (271,53 ± 8,07 HV), LAS (303,73 ± 13,93 HV) e BRA (551,99 ± 37,73 HV). Em pH 2,5 as médias do Ecorr (mV) para o MB, TIG e BRA foram, respectivamente, -67,9 ± 8,43, -52,78 ± 16,74, e -284,33 ± 19,04; e em pH 5,5, médias de -54,03 ± 21,15, -62,08 ± 20,16 e -278,8 ± 28,96. Os valores médios de jcorr (µA.cm-2) para o MB, TIG e BRA em pH 2,5 foram, respectivamente, 2,49 ± 0,95, 5,584 ± 1,64 e 27,45 ± 4,9; e em pH 5,5, médias de 1,929 ± 0,83, 4,267 ± 1,51 e 54,2 ± 11,96. Os grupos MB e TIG apresentaram boa resistência à corrosão, com maior módulo de impedância em relação ao grupo BRA. As diferenças no pH da ...

This study evaluated and compared the electrochemical behavior of the base metal (BM) of a nickel-chromium dental alloy with welded joints obtained by brazing processes (BRA) and Tungsten Inert Gas (TIG), when immersed in artificial saliva at pH 2.5 and 5.5. Microhardness, microstructural characterization by means of optical microscopy, scanning electron microscopy (SEM) and semi-quantitative chemical analysis by Energy Dispersive Spectroscopy (EDS), were performed in the groups BM, TIG, BRA and in joints weld by laser (LAS). The BM showed a matrix rich in nickel and chromium, distributed in a typical dendritic arrangement, with inclusions of silicon and titanium, and porosities. LAS and TIG welds reveled a microstructure more refined than the BM, however, the same chemical composition and distribution of its elements. BRA showed marked differences in their microstructure, chemical composition and distribution of the elements in relation to BM. Vickers microhardness (HV), corrosion potential (Ecorr) and corrosion current density (jcorr) were statistically analyzed with ANOVA and Tukey test (p <0.05). In order to determine the influence of pH and corrosion resistance in groups BM, TIG and BRA, Student t test, with significance level of 95% was used. BM had the lowest average microhardness (HV 256.13 ± 9.39), followed by groups TIG (271.53 ± 8.07 HV), LAS (303.73 ± 13.93 HV) and BRA (551, HV 99 ± 37.73). At pH 2.5 the average Ecorr (mV) for the MB and TIG were respectively -67.9 ± 8.43 and -52.78 ± 16.74, and at pH 5.5, averaging -54, 03 ± 21.15 and -62.08 ± 20.16. LAS group showed averages of Ecorr (mV) at pH 2.5 and 5.5, respectively, -284.33 ± 19.04 and 28.96 ± -278.8. The average values of jcorr (ìA.cm-2) to BM and TIG at pH 2.5 were respectively 2.49 ± 0.95 and 5.584 ± 1.64, and at pH 5.5, 1.929 ± 0.83 and 4.267 ± 1.51. Average jcorr for LAS group (ìA.cm-2) at pH 2.5 and 5.5 were respectively 27.45 ± 4.9 and 11.96 ± 54.2. BM and TIG ...

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Introduction: Dental alloys are routinely subjected to multiple casting procedures. Repeated casting of the same alloys may cause loss of trace elements (such as Sn, Si, Mn, etc.) that are essential for the metal ceramic bond. A common practice is to include a proportion of new metal with the previously cast metal that is thought to replenish the lost elements. Objective: The study was done to evaluate the effect of variation in percentage of recasted Ni-Cr alloy used and to compare the effects with the shear bond strength of porcelain to the fresh ingot Ni-Cr alloy. Materials and methods: Uniform patterns were fabricated, invested and casting was done in five different combinations of fresh and recast alloy. A hundred percent fresh alloy; 25% recast with 75% fresh alloy; 50% recast and 50% fresh alloy; 75% recast and 25% fresh alloy; 100% recast alloys. After uniform porcelain application and firing, the specimens were subjected to shear bond test using a universal testing machine. Data were statistically analyzed using Duncans’s multiple comparison test. Results: The results showed that the mean shear bond strength of the 100% fresh alloy was maximum and 100% recast alloy was least among the groups tested. The mean shear bond strength of castings obtained from 100% fresh, 25% recast, and 50% recast alloy were similar to each other and showed statistically significant difference when compared to the 100% recast group. Seventy five percent recast group did not show statistically significant difference with 100% recast alloy. Arch Oral Res. 2011 May/Aug.;7(2)177-82 Rajalbandi SK, Kumar V, Sajjan S. 178 Introduction The Development of “Taggarts” technique of casting by lost wax process into the Dentistry gave an impetus to use alloyed metals as a restoration (1). Most of the dental laboratories commonly use the sprue and button from a previous casting as a part of the melt for the new casting (2, 3). This practice is especially detrimental with ceramometal...

Introdução: Ligas dentárias são rotineiramente submetidas a procedimentos de fundição múltipla. Fundiçõesrepetidas da mesma liga podem causar perda de elementos-traço, tais como Sn, Si e Mn, os quais são essenciaispara a união entre metal e cerâmica. Uma prática comum é a de incluir uma proporção de liga nova com ometal anteriormente fundido visando repor esses elementos perdidos. Objetivo: O presente estudo avaliou oefeito da variação da porcentagem de liga de Ni-Cr refundida na resistência de união ao cisalhamento comporcelana, comparado a liga de Ni-Cr nova. Materials e métodos: Padrões uniformes foram confeccionados,incluídos e fundidos sob cinco diferentes combinações de liga nova e refundida: 100% liga nova; 25% ligarefundida + 75% liga nova; 50% liga refundida + 50% liga nova; 75% liga refundida + 25% liga nova; 100%liga refundida. Após a aplicação uniforme da porcelana e sua posterior cocção, as amostras foram submetidasao teste de cisalhamento utilizando uma máquina universal de ensaios. Os dados foram analisados estatisticamenteatravés do teste de comparações múltiplas de Duncan. Resultados: Os resultados mostraram que amaior resistência de união ao cisalhamento para a liga 100% nova, e a menor resistência para a liga 100%refundida. A resistência de união ao cisalhamento das fundições com 100% de liga nova, 25% e 50% de ligarefundida foi similar e estatisticamente diferente do grupo com 100% de liga refundida. O grupo com 75%de liga refundida não mostrou diferença estatisticamente significante com o grupo de liga 100% refundida.Conclusão: Pode-se concluir que o mínimo de 50% de liga nova para a fundição é uma margem de segurançapara a refundição de ligas de Ni-Cr.

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Purpose: Titanium alloys are commonly used for prosthetic abutments fabrication, but these alloys present high cost and difficult handling. Alternative Ni-Cr alloys with Mo and Ti combination have been proposed. This study compared the alloys Ti-6Al-4V and Ni-Cr-Ti-Mo by analyzing their surface properties such as hardness, morphology and microstructural characterization. Methods: Five discs (5 x 2 mm) of commercially Ti-6Al-4V and Ni-Cr-Ti-Mo alloys were used to evaluate Vickers hardness by hardness micro indentation test. The same specimens were analyzed by scanning electron microscopy (SEM) regarding surface morphology and subjected to a metallographic analysis of the microstructure by optical microscopy. Data on surface hardness were analyzed using one-way ANOVA followed by Tukey test (α = 0.05). Results: The Ni-Cr-Mo-Ti alloy showed significantly higher Vickers hardness (kg/mm2) values (452.2 ± 3.9) than the Ti-6Al-4V alloy (375.7 ± 15.2). The surface morphology evaluated by SEM revealed differences between the alloys. Metallographic analyses, for both alloys, showed a two-phase equilibrium microstructure, with the presence of e α + ß phase for Ti-6Al-4V; and gamma (γ) primary phase and gamma-prime (γ´) as a second phase for Ni-Cr-Mo-Ti. Conclusion: It can be concluded that both alloys present the requirements to be used in prosthetic abutments.

Objetivo: As ligas de titânio são comumente usadas para a fabricação de componentes protéticos, entretanto apresentam alto custo e dificuldade de manuseio laboratorial. Ligas alternativas a base de Ni-Cr combinadas com Mo e Ti também tem sido propostas com o mesmo objeto. Este estudo comparou as ligas Ti-6Al-4V e Ni-Cr-Ti-Mo pela análise de suas propriedades de superfície como dureza, morfologia e caracterização da microestrutura.Metodologia: Cinco discos (5 × 2 mm) das ligas Ti-6Al-4V e Ni-Cr-Ti-Mo foram utilizados para a avaliação da dureza Vickers, análise de morfologia de superfície por meio da microscopia eletrônica de varredura (MEV) e análise da microestrutura pela análise metalográfica. Os dados da dureza de superfície foram analisados pela Análise de Variância a um nível seguida do teste de Tukey (α = 0,05). Resultados: A liga Ni-Cr-Mo-Ti apresentou os maiores valores de dureza Vickers (kg/mm2) (452,2 ± 3,9) comparada a liga Ti-6Al-4V (375,7 ± 15,2) A morfologia de superfície avaliada por MEV revelou características distintas entre as ligas. A análise metalográfica para ambas as ligas mostrou uma microestrutura com equilíbrio de duas fases, com a presença de fase α + ß para Ti-6Al-4V; e fase gamma primária (γ) e fase gamma-prime (γ') como secundária para Ni-Cr-Mo-Ti. Conclusão: Ambas as ligas podem ser utilizadas para fabricação de pilares protéticos.

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