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Statement of Problem: The in vivo release of Pd from palladium alloys into the oral environment and sensitivity reactions by patients has been of concern. However, little information is available about the variation in elemental release from different palladium alloys., Purpose: The purpose of this in vitro study was to compare the elemental release into a corrosion-testing medium from a high-palladium alloy (Freedom Plus, 78Pd-8Cu-5Ga-6In-2Au) and a Pd-Ag alloy (Super Star, 60Pd-28Ag-6In-5Sn) under different conditions., Material and Methods: Alloys were cast into Ø12×1-mm-thick disks, subjected to simulated porcelain-firing heat treatment, polished, and ultrasonically cleaned in ethanol. Three specimens of each alloy were immersed for 700 hours in a solution for in vitro corrosion testing (ISO Standard 10271) that was maintained at 37 °C. Two solution volumes (125 mL and 250 mL) were used, and the solutions were subjected to either no agitation or agitation. Elemental compositions of the solutions were analyzed by using inductively coupled plasma-mass spectroscopy (ICP-MS). Concentrations of released elements from each alloy for the 2 solution volumes and agitation conditions were compared by using the restricted maximum likelihood estimation method with a 4-way repeated-measures ANOVA, the Satterwhite degrees of freedom method, a lognormal response distribution, and the covariance structure of compound symmetry., Results: For the 4 combinations of solution volume and agitation conditions, the mean amount of palladium released was 3 orders of magnitude less for the Pd-Ag alloy (0.009 to 0.017 μg/cm 2 of alloy surface) compared with the Pd-Cu-Ga alloy (17.9 to 28.7 μg/cm 2 ). Larger mean amounts of Sn, Ga, Ag, and In (0.29 to 0.39, 0.57 to 0.83, 0.71 to 1.08, and 0.91 to 1.25 μg/cm 2 , respectively) compared with Pd were released from the Pd-Ag alloy. Smaller amounts of Cu, Ga, and In (4.8 to 9.9, 5.9 to 12.8, and 4.2 to 9.5 μg/cm 2 , respectively) compared with Pd were released from the Pd-Cu-Ga alloy. The Ru released was much lower for the Pd-Ag alloy (0.002 μg/cm 2 ) than the Pd-Cu-Ga alloy (0.032 to 0.053 μg/cm 2 ). Statistically significant differences (P<.001) in elemental release were found for the factors of alloy and element and the alloy×element interaction. Significant differences were found for the solution volume (P=.022), solution volume×element interaction (P=.022), and alloy×solution volume×element interaction (P=.004). No significant effect was found for agitation condition., Conclusions: The relative amounts of released elements from each alloy were not proportional to the relative amounts in the composition. The amounts of Pd and Ga released from the Pd-Cu-Ga alloy were consistent with the breakdown of a Pd 2 Ga microstructural phase and perhaps some dissolution of the palladium solid solution matrix. Precipitates, rather than the palladium solid solution matrix, appeared to undergo greater dissolution in the Pd-Ag alloy. The Pd-Ag alloy should have lower risk of adverse biological reactions than the Pd-Cu-Ga alloy., (Copyright © 2021 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.)

Statement of Problem: Although palladium-silver alloys have been marketed for over 3 decades for metal-ceramic restorations, understanding of the corrosion behavior of current alloys is incomplete; this understanding is critical for evaluating biocompatibility and clinical performance., Purpose: The purpose of this in vitro study was to characterize the corrosion behavior of 3 representative Pd-Ag alloys in simulated body fluid and oral environments and to compare them with a high-noble Au-Pd alloy. The study obtained values of important electrochemical corrosion parameters, with clinical relevance, for the rational selection of casting alloys., Material and Methods: The room temperature in vitro corrosion characteristics of the 3 Pd-Ag alloys and the high-noble Au-Pd alloy were evaluated in 0.9% NaCl, 0.09% NaCl, and Fusayama solutions. After simulated porcelain firing heat treatment, 5 specimens of each alloy were immersed in the electrolytes for 24 hours. For each specimen, the open-circuit potential (OCP) was first recorded, and linear polarization was then performed from -20 mV to +20 mV (versus OCP) at a rate of 0.125 mV/s. Cyclic polarization was subsequently performed on 3 specimens of each alloy from -300 mV to +1000 mV and back to -300 mV (versus OCP) at a scanning rate of 1 mV/s. The differences in OCP and corrosion resistance parameters (zero-current potential and polarization resistance) among alloys and electrolyte combinations were compared with the 2-factor ANOVA (maximum-likelihood method) with post hoc Tukey adjustments (α=.05)., Results: The 24-hour OCPs and polarization resistance values of the 3 Pd-Ag alloys and the Au-Pd alloy were not significantly different (P=.233 and P=.211, respectively) for the same electrolyte, but significant differences were found for corrosion test results in different electrolytes (P<.001 and P=.032, respectively). No significant interaction was found between the factors of alloy and electrolyte (P=.249 and P=.713, respectively). The 3 Pd-Ag silver alloys appeared to be resistant to chloride ion corrosion, and passivation and de-alloying were identified for these alloys., Conclusions: The Pd-Ag alloys test results showed excellent in vitro corrosion resistance and were equivalent to those of the high-noble Au-Pd alloy in simulated body fluid and oral environments. Passivation, de-alloying, and formation of a AgCl layer were identified as possible corrosion mechanisms for Pd-Ag alloys., (Copyright © 2017 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.)

Statement of Problem: Computer-aided design and computer-aided manufacturing (CAD-CAM)-fabricated titanium and zirconia implant-supported fixed dental prostheses have become increasingly popular for restoring patients with complete edentulism. However, the distortion level of these frameworks is not well known., Purpose: The purpose of this in vitro study was to compare the 3-dimensional (3D) distortion of CAD-CAM zirconia and titanium implant-fixed screw-retained complete dental prostheses., Material and Methods: A master edentulous model with 4 implants at the positions of the maxillary first molars and canines was used. Multiunit abutments (Nobel Biocare) secured to the model were digitally scanned using scan bodies and a laboratory scanner (S600 ARTI; Zirkonzahn). Titanium (n=5) and zirconia (n=5) frameworks were milled using a CAD-CAM system (Zirkonzahn M1; Zirkonzahn). All frameworks were scanned using an industrial computed tomography (CT) scanner (Nikon/X-Tek XT H 225kV MCT Micro-Focus). The direct CT scans were reconstructed to generate standard tessellation language (STL) files. To calculate the 3D distortion of the frameworks, STL files of the CT scans were aligned to the CAD model using a sum of the least squares best-fit algorithm. Surface comparison points were placed on the CAD model on the midfacial aspect of all teeth. The 3D distortion of each direct scan to the CAD model was calculated. In addition, color maps of the scan-to-CAD comparison were constructed using a ±0.500 mm color scale range., Results: Both materials exhibited distortion; however, no significant difference was found in the amount of distortion from the CAD model between the materials (P=.747). Absolute values of deviations from the CAD model were evident in the x and y plane and less so in the z direction., Conclusions: Zirconia and titanium frameworks showed similar 3D distortion compared with the CAD model for the tested CAD-CAM and implant systems. The distortion was more pronounced in the horizontal and sagittal plane than in the vertical plane., (Copyright © 2017 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.)

Statement of Problem: The dimensions of implant-supported fixed cantilevered prostheses are important to prevent mechanical and biological complications. Information on the optimum thickness and cantilever length for improving the strength of zirconia cantilevered frameworks is limited in the literature., Purpose: The purpose of this in vitro study was to investigate the effect of cantilever length and occlusocervical thickness on the load-to-fracture and strain distribution of zirconia frameworks., Material and Methods: Twenty-seven rectangular prism-shaped specimens (6 mm thick buccolingually) were fabricated using a computer-aided design and computer-aided manufacturing (CAD-CAM) milling technique. The specimens were prepared in 9 groups (n=3) according to their vertical dimensions (6×6 mm, 8×6 mm, and 10×6 mm) and cantilever loading distance (7 mm, 10 mm, and 17 mm). All specimens were heat treated in a porcelain furnace and thermocycled for 20000 cycles before the tests. Each framework was secured using a clamp attached to the first 20 mm of the framework. A 3-dimensional image correlation technique was used for a full-field measurement of strain during testing. A load-to-fracture test was used until the specimens fractured. Maximum force and principal strain data were analyzed by 2-way analysis of variance using the maximum likelihood estimation method (α=.05)., Results: No statistically significant effects (P>.05) were found for occlusocervical thickness and cantilever length or between them on the strain distribution. The results showed that the effect of occlusocervical thickness and cantilever length was significant on the load to fracture (P<.001). No statistically significant interaction was observed between the 2 factors (P>.05)., Conclusions: Increased occlusocervical thickness and decreased cantilever length allowed the cantilever to withstand higher loads. The occlusocervical thicknesses and cantilever lengths of zirconia frameworks tested withstood the maximum reported occlusal force. The properties of components in the implant-abutment framework assembly should be considered in the interpretation of these results., (Copyright © 2017 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.)

STATEMENT OF PROBLEM: Production of precisely fitting fixed partial denture implant superstructures with titanium alloys is limited by casting techniques that introduce distortion. After alignment of the framework with existing implants, the remaining misfit may generate stresses that cause screw loosening and adversely affect the implant/bone interface. PURPOSE: The purpose of this study was to prepare diffusion-bonded joints between superplastic (SP) Ti-6Al-4V plates and indenters (representing analogs to implant-supported fixed frameworks and abutments) and determine if this process has potential for producing strong, dimensionally precise prostheses. MATERIAL AND METHODS: Seven sets of trial indenter and plate specimens with dimensions of 6.4 mm x 6.4 mm x 5 cm and 8.5 mm x 1.5 cm, respectively, were prepared. Several indenter designs were used (35- or 45-degree half-angle, presence or absence of a notch, and SP versus no SP condition for Ti-6Al-4V); all plates were prepared from SP Ti-6Al-4V. For the results-guided experimental design, there was 1 trial indenter/plate combination for each design/processing condition. Diffusion bonding was performed at 10(-6) Torr, while the temperature was increased 10 degrees C/min to 900 degrees or 920 degrees C. Following 10 minutes of equilibration, the indenter was pressed 2.5 mm into the plate at 0.13 mm/min. Joint strength was evaluated in tension, and the ductile or brittle character of fracture surfaces was assessed by the presence or absence of a dimpled rupture surface from secondary electron SEM observations. Fractured specimens were cross-sectioned and examined with an optical microscope to evaluate overall joint integrity and quality, and used for Vickers hardness measurements to gain insight into the variation in mechanical properties of the indenter and plate with distance from the joint. One-way ANOVA (alpha=.05) was used to compare hardness at the joint for the trial specimen with highest joint strength with hardness values for adjacent regions at 125-mum intervals in the indenter and plate. The Ryan-Einot-Gabriel-Welsch (REGW) multiple range test was used to identify any specific location having significantly (alpha=.05) different hardness. Backscattered electron SEM observations were also performed on the cross-sectioned specimens to investigate whether a layer of alpha-stabilized titanium, which would decrease joint strength, was present. Fits of Ti-6Al-4V implant analogs prepared by this diffusion-bonding process were assessed qualitatively from visual observation. RESULTS: The maximum joint strength of 820 MPa was achieved for a diffusion bonding temperature of 900 degrees C for an SP Ti-6Al-4V indenter with a 35-degree half-angle and no notch. This joint strength is nearly 90% of the maximum tensile strength of the parent Ti-6Al-4V, which can range from approximately 930 to 1015 MPa. The hardness at the joint was significantly higher (P<.05) than the hardness of the indenter and plate at 125-mum distances from the joint. The mean hardness of the indenter at 125 mum from the joint was significantly greater (P<.05) than the mean hardness of the plate at a distance of 500 mum from the joint. All other mean hardness values at the different measurement distances from the joint were not significantly different. Ductile fracture occurred for all superplastic processing conditions, and no alpha-titanium layer was present. Minimal asperities were observed with the optical microscope, and fits of implant prosthesis analogs were considered acceptable. CONCLUSIONS: A 900 degrees C processing condition for diffusion-bonding an SP Ti-6Al-4V indenter with a 35-degree half-angle and no notch to a Ti-6Al-4V SP plate yielded a joint with nearly the same strength as the parent alloy. Use of this processing temperature with a 0.13 mm/min rate of pressing the indenter into the plate yielded minimal distortions for implant prosthesis analogs when observed visually. [ABSTRACT FROM AUTHOR]

Statement of Problem: New noble alloys for metal ceramic restorations introduced by manufacturers are generally lower-cost alternatives to traditional higher-gold alloys. Information about the metal-to-ceramic bond strength for these alloys, which is needed for rational clinical selection, is often lacking., Purpose: The purpose of this study was to evaluate the bond strength of 4 recently introduced noble alloys by using 2 techniques for porcelain application., Material and Methods: Aquarius Hard (high-gold: 86.1 gold, 8.5 platinum, 2.6 palladium, 1.4 indium; values in wt. %), Evolution Lite (reduced-gold: 40.3 gold, 39.3 palladium, 9.3 indium, 9.2 silver, 1.8 gallium), Callisto 75 Pd (palladium-silver containing gold: 75.2 palladium, 7.1 silver, 2.5 gold, 9.3 tin, 1.0 indium), and Aries, (conventional palladium-silver: 63.7 palladium, 26.0 silver, 7.0 tin, 1.8 gallium, 1.5 indium) were selected for bonding to leucite-containing veneering porcelains. Ten metal ceramic specimens that met dimensional requirements for International Organization for Standardization (ISO) Standard 9693 were prepared for each alloy by using conventional porcelain layering and press-on-metal methods. The 3-point bending test in ISO Standard 9693 was used to determine bond strength. Values were compared with 2-way ANOVA (maximum likelihood analysis, SAS Mixed Procedure) and the Tukey test (α=.05)., Results: Means (standard deviations) for bond strength with conventional porcelain layering were as follows: Aquarius Hard (50.7 ±5.5 MPa), Evolution Lite (40.2 ±3.3 MPa), Callisto 75 Pd (37.2 ±3.9 MPa), and Aries (34.0 ±4.9 MPa). For the press-on-metal technique, bond strength results were as follows: Aquarius Hard (33.7 ±11.5 MPa), Evolution Lite (34.9 ±4.5 MPa), Callisto 75 Pd (37.2 ±11.9 MPa), and Aries (30.7 ±10.8 MPa). From statistical analyses, the following 3 significant differences were found for metal-to-ceramic bond strength: the bond strength for Aquarius Hard was significantly higher for conventional porcelain layers compared with the press-on-metal technique; the bond strength for Aquarius Hard with conventional porcelain layers was significantly higher than the bond strengths for the other 3 alloys with conventional porcelain layers; and the bond strength for Aquarius Hard with conventional porcelain layers was significantly higher than the bond strength for Callisto 75 Pd with conventional porcelain layers and the other 3 alloys with the press-on-metal technique., Conclusions: For both conventional layering and press-on-metal techniques, all 4 noble alloys had a mean metal-to-ceramic bond strength that substantially exceeded the 25 MPa minimum in the ISO Standard 9693. The results for Aries support the manufacturer's recommendation not to use the press-on-metal technique for alloys that contain more than 10% silver., (Copyright © 2014 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.)

Statement of Problem: Casting a high-gold alloy to a wrought prefabricated noble implant-component increases the cost of an implant. Selecting a less expensive noble alloy would decrease implant treatment costs., Purpose: The purpose of this study was to investigate the interfacial regions of a representative noble implant component and cast noble dental alloys and to evaluate the effects of porcelain firing cycles on the interface., Material and Methods: Six representative alloys (n=3) were cast to gold implant abutments (ComOcta). Scanning electron microscopy (SEM) was used to characterize microstructures. Compositions of interfacial regions and bulk alloys were obtained by energy-dispersive spectroscopy. Vickers hardness was also measured across the interface. By using Micro-X-ray diffraction, the phases were evaluated at 7 points perpendicular to the interface. The effects of porcelain firing cycles on microstructures, diffusion, hardness, and phases were also evaluated. For statistical evaluation of diffusion length and hardness, a 3-way repeated measures ANOVA was used. Pairwise comparisons of interest were conducted with Tukey pairwise comparisons or, when a significant interaction was found, Bonferroni-adjusted t-tests (overall α=.05)., Results: Microstructures of bulk alloys were predominantly maintained to a well-defined boundary for both as-cast and heat-treated conditions. An interaction band, 5-6 μm wide, was observed. The alloy grain size at the interface and the interaction band width increased after simulated porcelain firing. The extent of elemental diffusion from the interface was about 30 μm and not affected by simulated porcelain firing. Differences in Vickers hardness for the alloys were consistent with their compositions. Micro-XRD patterns indicated that substantial amounts of new phases had not formed at the interfacial regions., Conclusions: Less expensive noble alternatives to high-gold alloys provided comparable metallurgical compatibility with the noble implant component., (Copyright © 2011 The Editorial Council of the Journal of Prosthetic Dentistry. Published by Mosby, Inc. All rights reserved.)

Statement of Problem: Because noble dental casting alloys for metal ceramic restorations have a wide range of mechanical properties, knowledge of these properties is needed for rational alloy selection in different clinical situations where cast metal restorations are indicated., Purpose: The purpose of this study was to compare the mechanical properties and examine both the fracture and polished surfaces of 6 noble casting alloys that span many currently marketed systems. Five alloys were designed for metal ceramic restorations, and a sixth Type GPT has Type IV alloy for fixed prosthodontics (Maxigold KF) was included for comparison., Material and Methods: Specimens (n=6) meeting dimensional requirements for ISO Standards 9693 and 8891 were loaded to failure in tension using a universal testing machine at a crosshead speed of 2 mm/min. Values of 0.1% and 0.2% yield strength, ultimate tensile strength, elastic modulus, and percentage elongation were obtained. Statistical comparisons of the alloy mechanical properties were made using 1-way ANOVA and the REGW multiple-range test (α=.05). Following fracture surface characterization using scanning electron microscopy (SEM), specimens were embedded in epoxy resin, polished, and again, examined with the SEM., Results: When the multiple comparisons were considered, there were generally no significant differences in the elastic modulus, 0.1% and 0.2% offset yield strength, and ultimate tensile strength for the d.SIGN 91 (Au-Pd), d.SIGN 59 (Pd-Ag), Capricorn 15 (Pd-Ag-Au) and Maxigold KF (Au-Ag-Pd) alloys, except that the ultimate tensile strength was significantly lower (P<.05) for Maxigold KF than these other 3 alloys. These 4 mechanical properties were generally significantly lower (P<.05) for Aquarius XH (Au-Pt-Pd) and Brite Gold XH (Au-Pt). The d.SIGN 59 (14.6%) and Capricorn 15 (13.8%) alloys had the highest values of mean percentage elongation, which were not significantly different. Aquarius XH (6.0%) and Maxigold KF (4.2%) had the lower mean values of percentage elongation, which were also not significantly different. The polished and etched surfaces for all alloys revealed equiaxed, fine-grain microstructures, and all fracture surfaces contained casting porosity. Incomplete solidification suggestive of dendritic structures was observed for some alloys. Fracture surfaces were complex, with characteristic features of both brittle and ductile fracture. Precipitate particles on the fracture surfaces indicated the multi-phase character of the alloys., Conclusions: For the important mechanical property of yield strength, there were generally no significant differences among the Au-Pd, Pd-Ag, Pd-Ag-Au and Au-Ag-Pd alloys. Wide variation was found in percentage elongation, with the Pd-Ag and Pd-Ag-Au alloys having the highest values and the Au-Pd-Pt and Au-Ag-Pd alloys having the lowest values., (Copyright © 2011 The Editorial Council of the Journal of Prosthetic Dentistry. Published by Mosby, Inc. All rights reserved.)

Statement of Problem: N-vinylcaprolactam (NVC)-containing glass ionomers are promising dental restorative materials with improved mechanical properties; however, little information is available on other physical characteristics of these types of modified glass ionomers, especially their surface properties. Understanding the surface characteristics and behavior of glass ionomers is important for understanding their clinical behavior and predictability as dental restorative materials., Purpose: The purpose of this study was to investigate the effect of NVC-containing terpolymers on the surface properties and bond strength to dentin of GIC (glass-ionomer cement), and to evaluate the effect of NVC-containing terpolymer as a dentin conditioner., Material and Methods: The terpolymer of acrylic acid (AA)-itaconic acid (IA)-N-vinylcaprolactam (NVC) with a molar ratio of 8:1:1 (AA:IA:NVC) was synthesized by free radical polymerization and characterized using nuclear magnetic resonance ((1)H-NMR) and Fourier transform infrared spectroscopy (FTIR). The synthesized terpolymer was used in glass-ionomer cement formulations (Fuji IX GP). Ten disc-shaped specimens (12 × 1 mm) were mixed and fabricated at room temperature. Surface properties (wettability) of modified cements were studied by contact angle measurements as a function of time. Work of adhesion values of different surfaces were also determined. The effect of NVC-modified polyacid on the bond strength of glass-ionomer cement to dentin was investigated. The mean data obtained from contact angle and bonding strength measurements were subjected to t test and 2-way ANOVA (α=.05)., Results: NVC-modified glass-ionomer cements showed significantly (P<.05) lower contact angles (46 degrees) and higher work of adhesion (W(A)=60.33 erg/cm(2)) in comparison to commercially available Fuji IX GP (57 degrees and W(A)=53.01 erg/cm(2)). The wettability of dentin surfaces conditioned with NVC-containing terpolymer was significantly higher (P<.05) (22 degrees, WA=73.77 erg/cm(2)) than dentin conditioned with GC dentin conditioner (29 degrees, W(A)=70.52 erg/cm(2)). The experimental cement also showed significantly higher values for shear bond strength to dentin (8.7 ±0.15 MPa after 1 month) when compared to the control group (8.4 ±0.13 MPa after 1 month)., Conclusions: NVC-containing terpolymers may enhance the surface properties of GICs and increase their bond strength to the dentin. Furthermore, NVC-containing polyelectrolytes are better dentin conditioners than a commercially available dentin conditioner (GC dentin conditioner)., (Copyright © 2011 The Editorial Council of the Journal of Prosthetic Dentistry. Published by Mosby, Inc. All rights reserved.)

Statement of Problem: Noble dental alloys are commonly remelted in the dental laboratory, but the effect of repeated casting on porcelain bond strength requires further documentation., Purpose: The purpose of this study was to determine if casting up to 3 times affected metal ceramic bond strength for 3 noble alloys using methodology in ANSI/ADA Specification No. 38., Material and Methods: Representative high-gold (Brite Gold XH), gold-palladium (W-5), and palladium-silver (IPS d.SIGN 53) alloys were cast into metal strips (25 x 3 x 0.5 mm), using torch melting. IPS InLine porcelain with overall dimensions of 8 x 3 x 1.1 mm was centrally applied on each strip. Metal ceramic specimens were also prepared after each alloy was melted a second and third time. There were 12 specimens in each of the 9 groups. Force to failure and porcelain bond compatibility index (tau(b)) were determined for each specimen, and statistical comparisons were made using the Ryan-Einot-Gabriel-Welsch multiple range test (experimental alpha=.05). Fractured specimens were examined with a scanning electron microscope., Results: Mean values of tau(b) for specimen groups ranged from 40.6 to 48.2 MPa, and there were no significant differences among the 3 alloys after the first casting. For the high-gold alloy, tau(b) was significantly different for the first and third castings. Increases in size and frequency of interfacial voids were observed with the SEM when all alloys were cast 2 additional times., Conclusions: All 3 alloys had adequate porcelain bond strength (>25 MPa). The bond strength for the high-gold alloy was significantly greater for the third casting than for the first casting., (Copyright © 2010 The Editorial Council of the Journal of Prosthetic Dentistry. Published by Mosby, Inc. All rights reserved.)

Statement of Problem: Difficulties encountered during casting of base metal dental alloys limit their use. Application of these alloys might be enhanced if new techniques are used., Purpose: The purpose of this study was to compare the internal fit of laser-sintered Co-Cr alloy crowns with base metal restorations prepared from another Co-Cr alloy and a Ni-Cr alloy using conventional casting techniques., Material and Methods: Internal fit of laser-sintered Co-Cr crowns was compared with the fit of conventionally cast Ni-Cr and Co-Cr alloy crowns. Twelve crown-shaped specimens were prepared on a stainless steel die representing a prepared maxillary right central incisor for each group. Fit of crowns was evaluated using 2 different techniques: (1) weighing the light-body addition silicone that simulated a cement material, and (2) measuring the internal gap width on a die for longitudinally sectioned specimens. One-way ANOVA followed by Tukey multiple comparison test was used for statistical analysis (alpha=.05)., Results: Significantly higher mean (SD) light-body silicone weights (P<.001) were observed in the laser-sintered Co-Cr alloy group (14.34 (1.67) mg) compared to the conventionally cast Ni-Cr alloy group (9.36 (1.97) mg) and Co-Cr alloy group (7.85 (1.19) mg). Mean internal gap widths (SDs) were 58.21 (19.92) microm, 50.55 (25.1) microm, and 62.57 (21.62) microm, respectively, for the cast Ni-Cr and Co-Cr alloy groups and the laser-sintered Co-Cr alloy group. No significant difference was observed between the 3 groups for internal gap widths (P=.42)., Conclusions: Weighing the light-body addition silicone is a convenient method for evaluating the 3-dimensional internal fit of dental crowns. However, no significant difference was found among the 3 alloy groups evaluated for the internal gap width of sectioned crown specimens.

Statement of Problem: Cast-to components are commonly used in screw-retained implant-supported restorations to produce precise fit. There is little information in the literature about the compositions and microstructures of commercially available products., Purpose: The purpose of this study was to characterize as-received cast-to components from 5 manufacturers (Dentsply Friadent CeraMed, Lifecore Biomedical, Inc, Nobel Biocare AB, Institut Straumann AG, and Zimmer Dental)., Material and Methods: Two components from each manufacturer were mounted in metallographic resin, sectioned into quarters, remounted, wet polished with alumina abrasives, cleaned by ultrasonic agitation in distilled water, etched with aqua regia solutions, and carbon coated for scanning electron microscope (SEM) observation. Secondary (SE) and backscattered electron (BSE) images were collected to investigate the variations in surface topography and composition, respectively. Elemental analyses (EDS) were performed using an energy-dispersive x-ray spectrometer coupled to the SEM. Overall Vickers hardness (500-g load) and Vickers hardness of the 2 primary microstructural constituents (10-g load) were measured. Mean values and standard deviations were determined for the composition and Vickers hardness data., Results: All implant components were composed of 2 distinctive parallel-band constituents containing gold, palladium, and platinum. Trace concentrations of iridium were also found. Elemental compositions of the darker bands observed by BSE differed by up to 20% for Au and Pt in the 5 products, whereas there was a minimal difference in Pd content. The lighter bands observed by BSE had nearly the same compositions in all 5 products, and contained much more Au and much less Pt than the darker bands. The gold-rich bands in each product were found to have much lower Vickers hardness. At high magnifications, each of the 2 bands appeared to contain 2 phases., Conclusions: The elemental compositions, microstructures, and Vickers hardness of the 5 as-received cast-to implant components were similar. Because both microstructural bands principally contain gold, palladium, and platinum, these noble cast-to implant components should be metallurgically compatible with noble metal casting alloys.

Statement of Problem: Viscoelastic behavior can influence the fracture properties of glass ionomers, which is of clinical relevance. Glass-ionomer cements can display viscoelastic behavior, defined as having displacement rate- or strain rate-dependent mechanical properties. Understanding and describing the viscoelastic behavior of glass ionomers is important to understanding their clinical behavior., Purpose: The purpose of this study was to evaluate the viscoelastic behavior of 6 glass-ionomer cements and determine whether there was a correlation to fracture toughness., Material and Methods: Three conventional glass-ionomer cements (alpha-Silver, alpha-Fil, and Ketac-Molar) and 3 resin-modified glass-ionomer cements (Vitremer, Fuji II LC, and Photac-Fil Quick) were evaluated using measurements of compressive strength (CS), flexural strength (FS), and diametral tensile strength (DTS) at displacement rates of 0.5, 1.0, 1.5, and 2.0 mm/min. The CS and DTS specimens were cured in glass tubes and cut to 4 x 6-mm and 4 x 2-mm disk-shaped specimens, respectively. The FS specimens were cured in bar molds (2 x 2 x 15 mm). The fracture toughness (FT) specimens were cured in a minicompact mold to obtain precracked specimens. The mechanical testing results were compared statistically using generalized linear model/analysis of covariance and the Ryan-Einot-Gabriel-Welsch multiple range test at the alpha=.05 level., Results: For all 3 mechanical properties, there was a displacement-rate dependence on the mechanical property. However, there were no differences in the displacement-rate dependence based on the type of material-conventional glass ionomer or resin-modified glass ionomer-for any of the mechanical properties. Only for FS test was there a significant difference based on the brand of material. There was no statistical difference in FT among the glass-ionomer cements tested, although the resin-modified glass ionomers tended to display higher FT., Conclusion: A larger sample size and a much wider range of crosshead speeds are necessary to support a correlation between viscoelastic behavior and FT.

Statement of Problem: The color of dental porcelain depends on the type of metal substrate. Little research has been done to document the effects of different types of high-palladium alloys on the color of dental porcelain., Purpose: The purpose of this in vitro study was to evaluate the effects of different high-palladium alloys on the resulting color of dentin porcelain, as well as on that of opaque porcelain after simulated dentin and glazing firing cycles., Material and Methods: Three Pd-Cu-Ga alloys, Spartan Plus (S), Liberty (B), and Freedom Plus (F), and 5 Pd-Ga alloys, Legacy (L), IS 85 (I), Protocol (P), Legacy XT (X), and Jelenko No.1 (N), were examined. A Pd-Ag alloy, Super Star (T), was included for comparison to the high-palladium alloys, and the Au-Pd alloy, Olympia (O), served as the control. Six cast discs (16 x 1 mm) were prepared from each of the alloys. Shade B1 opaque porcelain (Vita-Omega) was applied at a final thickness of 0.1 mm. After 2 opaque porcelain firing cycles, the surfaces were airborne-particle abraded, and the specimens were divided into 2 groups. In the first group, 0.9 mm of B1 dentin porcelain was applied. The other group of specimens with only opaque porcelain underwent the same dentin porcelain and glazing firing cycles. Color differences (DeltaE) were determined with a colorimeter between the control and each experimental group, after the second opaque porcelain, second dentin porcelain, and glazing firing cycles. One-way analysis of variance and Dunnett's multiple range test were performed on the DeltaE data (alpha=.05)., Results: After the application of dentin porcelain, the 3 Pd-Cu-Ga alloys showed significantly different (P<.05) DeltaE values (S=2.3 +/- 0.5, B=1.4 +/- 0.3, and F=1.3 +/- 0.7) than the control group. After the glazing cycle of this group, the 3 Pd-Cu-Ga alloys and the Pd-Ag alloy exhibited significantly different (P<.05) DeltaE values (S=2.8 +/- 0.8, B=2.2 +/- 0.3, F=1.9 +/- 1.0, and T=1.4 +/- 0.5) than the control group. After the simulated dentin porcelain firing cycles, the specimens with only opaque porcelain exhibited significantly different (P<.05) DeltaE values (S=5.2 +/- 1.4, B=5.4 +/- 0.6, and F=3.9 +/- 0.2) than the control group. The color difference between the 3 Pd-Cu-Ga alloys with only opaque porcelain and the control group increased more after the simulated glazing cycle (S=6.6 +/- 1.5, B=6.3 +/- 0.5, and F=4.6 +/- 0.1). The observed color differences between the Pd-Ga alloys and the control group were not statistically significant at any point., Conclusions: The Pd-Cu-Ga alloys with only opaque porcelain, after the simulated dentin porcelain and glazing firing cycles, exhibited clinically unacceptable color differences. The application of dentin porcelain to the Pd-Cu-Ga alloys resulted in clinically acceptable color differences. The application of dentin porcelain to the Pd-Ag alloy, after the glazing firing cycle, resulted in clinically acceptable color differences (approximately 2.8 to 3.7 DeltaE CIELAB units). The Pd-Ag alloy specimens with only opaque porcelain did not exhibit significant color differences from the control group, whereas significant color differences from the control group after the dentin porcelain and glazing firing cycles were still clinically acceptable.

Statement of Problem: The biocompatibility of high-palladium alloy restorations has been of some concern due to the release of palladium into the oral environment and sensitivity reactions in patients., Purpose: This study measured the in vitro elemental release from a Pd-Cu-Ga alloy and a Pd-Ga alloy into a corrosion testing medium., Material and Methods: Both alloys were cast into 12-mm-diameter x 1-mm-thick disks, subjected to heat treatment that simulated porcelain firing cycles, polished to a 0.05-mm surface finish, and ultrasonically cleaned in ethanol. Two specimens of each alloy were immersed 3 times (at 7, 70, and 700 hours) in an aqueous lactic acid/NaCl solution used for in vitro corrosion testing and maintained at 37 degrees C. The specimens were removed after each immersion time, and the elemental compositions of the solutions were analyzed with inductively coupled plasma-mass spectroscopy (ICP-MS). Elemental concentrations for the 2 alloys at each immersion time were compared with Student t test (alpha=.05)., Results: No significant differences in palladium release were found for the 7- and 70-hour solutions, but significant differences were found for the 700-hour solutions. Mean concentrations of palladium and gallium in the 700-hour solutions, expressed as mass per unit area of alloy surface, were 97 (Pd) and 46 (Ga) microg/cm(2) for the Pd-Cu-Ga alloy and 5 (Pd) and 18 (Ga) microg/cm(2) for the Pd-Ga alloy., Conclusion: Relative proportions of the elements in the solutions were consistent with the release of palladium and breakdown of microstructural phases found in the alloys. The results suggest that there may be a lower risk of adverse biological reactions with the Pd-Ga alloy than with the Pd-Cu-Ga alloy tested.

Statement of Problem: Corrosion of cast alloy restorations may lead to their failure or adversely affect their biocompatibility. Although some documentation of the corrosion behavior of the high-palladium dental alloys exists, questions remain about their corrosion resistance and mechanisms., Purpose: This study compared the in vitro corrosion characteristics of 3 high-palladium alloys and 1 gold-palladium alloy in simulated body fluid and oral environments., Material and Methods: Two Pd-Cu-Ga alloys and 1 Pd-Ga alloy were selected; an Au-Pd alloy served as the control. The corrosion behavior for the as-cast and simulated porcelain-firing (heat-treated) conditions of each alloy (N = 5) was evaluated in 0.9% NaCl, 0.09% NaCl, and Fusayama solutions. Heat-treated specimens of each alloy (N = 5) were also tested in N(2)-deaerated 0.09% NaCl and Fusayama solutions (pH 4). After immersion in the electrolyte for 24 hours, the open-circuit potential (OCP) was measured, and linear polarization was performed from -20 mV to +20 mV (vs. OCP) at a scanning rate of 0.125 mV/s. Cyclic polarization was performed from -300 mV to +1000 mV and back to -300 mV (vs. OCP) at a scanning rate of 1 mV/s. Data were evaluated with analysis of variance and the Ryan-Einot-Gabriel-Welsch multiple-range test (alpha=.05)., Results: The OCP of each alloy varied with the condition (as-cast or heat-treated) and electrolyte used. Corrosion resistance was similar for the 4 alloys tested. For cyclic polarization, all alloys showed active-passive or spontaneous passive behavior in nearly all electrolytes. During some reverse scans, the 3 high-palladium alloys displayed 3 or 5 anodic peaks. No positive hysteresis was observed for any of the alloy/electrolyte combinations evaluated., Conclusion: The corrosion resistances of the 3 high-palladium alloys in simulated body fluid and oral environments were comparable to that of the gold-palladium alloy. The similar corrosion resistance for the 3 high-palladium alloys was attributed to their high noble metal content and theorized stable structure at the submicron level. Selective corrosion of different phases and elements, surface enrichment of palladium, and adsorption of species are possible corrosion mechanisms. The cyclic polarization results suggest that none of the 4 alloys would be prone to pitting or crevice corrosion under in vivo conditions, but crevice conditions should nonetheless be avoided for these alloys in the oral environment.

Statement of Problem: Crown fit is a prerequisite for long-term clinical success; however, crown distortion may occur during porcelain firing. The dimensional stability of some high-palladium alloys at high temperatures has been questioned., Purpose: The purpose of this study was to use a new method to measure the distortion of copings for metal-ceramic single units of selected high-palladium alloys with compositions representative of commercial alloys., Material and Methods: Four high-palladium alloys containing copper and 3 containing no copper were tested. A palladium-silver alloy was included for comparison, and a gold-palladium alloy served as the control. By using reference points scribed on the margin, the mesiodistal and buccolingual margin diameters of identical copings were measured with a traveling microscope at 4 stages: as-cast, oxidized, after 2 simulated opaque porcelain firings, and after 2 simulated dentin porcelain firings. The margin distortions for the various specimen groups representing combinations of alloys, stages, and measurement diameters were compared with the use of 1-way analysis of variance and a multiple range test., Results: Most of the high-palladium alloys had high-temperature distortions that were not significantly different from those of the control alloy. The distortions occurred principally during the oxidation cycle. The effect of mesiodistal groove reinforcement on preventing distortion was not the same for all alloys., Conclusion: The results suggest that small observed distortions of these alloys will not produce clinical problems. Several laboratory techniques are available to counteract the distortions.

Statement of Problem: Little information is available on the optimum technique for soldering high-palladium alloys, which have gained considerable popularity for prosthodontic applications., Purpose: The objective of this study was to compare the flexural stress at the proportional limit of four noble dental alloy specimens soldered with torch, oven, and infrared-techniques., Materials and Methods: The high-palladium alloys studied were Legacy XT (Jelenko), Freedom Plus (Jelenko), and IS 85 (Williams/Ivoclar). A gold-palladium alloy, Olympia (Jelenko), served as the control. Thirty round bars, 18 x 3 mm, were cast from each alloy, cut in half, aligned, and joined using Olympia Pre solder (Jelenko) for the gas-oxygen torch and the infrared technique and Alboro LF solder (Jelenko) for the oven technique. Each soldered bar was subjected to three-point bending, and the maximum elastic stress or strength of the solder joint was calculated at the proportional limit. Data were analyzed by two-way ANOVA and the Ryan-Einot-Gabriel-Welsch (REGW) multiple range test at the 0.05 level of significance., Results: There was no significant difference between torch and oven-soldering, but both were significantly different from the infrared technique. ANOVA showed a significant difference between alloys, but this difference could not be detected with the REGW test. SEM examination of the fracture surfaces revealed grooves associated with the path of crack propagation. X-ray energy-dispersive spectroscopic analysis failed to detect copper in the solders, and there were no significant changes in the solder compositions after the melting procedures., Conclusions: All three techniques can yield satisfactory solder joints in high-palladium alloys. These joints should be well-polished to achieve optimal strength.

Purpose: This study assessed the effects of dental laboratory processing variables and testing medium on porcelain adherence of representative high-palladium alloys., Material and Methods: The processing variables were recasting two and three times, porcelain stripping with hydrofluoric acid and rebuilding, and changing the recommended oxidation procedures. The testing medium was air for these four groups and the nontreatment group. In the last group, the specimens were stored and tested in artificial saliva. The metal ceramic specimens were fractured with biaxial flexure in constant strain. The area fraction of adherent porcelain (%) was calculated with a standardized spectrometric technique. A gold-palladium alloy served as the control., Results: Recasting without adding new alloy negatively affected some high-palladium alloys. Porcelain stripping did not cause a decrease in adherence of the tested alloys. The alternate oxidation treatment reduced significantly the porcelain adherence of the Au-Pd and one Pd-Cu-Ga alloy. Storage and testing in artificial saliva did not significantly affect the porcelain adherence of the alloys. The Au-Pd alloy exhibited the highest porcelain adherence.

A common procedure in the fabrication of implant prostheses is the use of premade wrought cylinders in cast frameworks. Although manufacturers outline some precautions in the use of these components, detailed information about the metal interface between cylinders and cast alloys is lacking. This article, following a previous report that compared titanium-based implant cylinders used with two different classes of cast alloys, compares conventional noble metal cylinders from three different manufacturers combined with these two classes of cast noble alloys. Analysis of the as-received cylinders revealed that the implant cylinders as a group are predominantly composed of metals commonly found in noble dental alloys, namely, platinum, palladium, gold, and silver. The interfaces created by casting both high-fusing and low-fusing alloys around the cylinders exhibited a general elemental concentration variability compared with the bulk alloy regions, but continuous concentrations for shared elements suggested alloy-cylinder compatibility. Vickers hardness values, which ranged from 212 to 276 for the as-received cylinders, decreased from 12% to 43% for the various cylinders after casting. This study suggests characteristics of an ideal cast interface that include maintenance of the cylinder and casting alloy microstructures up to the interface, absence of interfacial reaction regions, lack of porosity created by volatilization of components from either alloy or the casting process, and sufficient strength to maintain anticipated loads.

The adherence of porcelain to four representative high-palladium alloys of the first generation (Pd-Cu-Ga) and second generation (Pd-Ga) was measured by use of a gold-palladium alloy as a control. The area fraction of adherent porcelain after metal-ceramic specimens were debonded in biaxial flexure at constant strain was calculated from the characteristic Si x-ray intensity with a standardized scanning electron microscope/energy-dispersive spectroscopy technique (SEM/EDS). The gold-palladium alloy exhibited the highest percentage of cohesive fracture through the porcelain, the two first-generation alloys were intermediate, and the two second-generation alloys exhibited the lowest area fractions. This study demonstrated that conventional visual (naked eye) or microscopic examination of the fractured metal-ceramic specimens at moderate magnification and the use of standard quantitative metallographic techniques were inadequate to provide accurate measurements of the area fraction covered with porcelain.

Titanium alloy has been proposed as a suitable alternative to noble metal alloys in premanufactured metal cylinders for fabricating implant prosthesis frameworks. The interfaces produced by standard lost wax procedures that use titanium and conventional noble metal implant cylinders with both high-fusing (high-palladium) and low-fusing (high-gold) noble metal casting alloys were compared. Elemental analysis by scanning electron microscopy and energy-dispersive spectroscopy (SEM/EDS) of the two titanium cylinders revealed that one commercial product had a composition similar to that for commercially pure titanium and the other had a composition consistent with that for Ti-6Al-4V alloy. The SEM observations and complementary elemental line scans indicated that the interfaces between the titanium cylinders and the two noble metal casting alloys did not meet proposed criteria for acceptable metal-to-metal unions. The interfaces between the noble metal cylinders and noble metal casting alloys did exhibit acceptable unions. The SEM observations and elemental analyses were supported by push-shear test results that showed that the resistance to failure was appreciably greater for interface specimens produced with alloy cast to noble metal cylinders compared with titanium cylinders.

An investigation was conducted to evaluate the accuracy of one-piece castings of FPDs consisting of three, four, and five units with a ceramometal alloy cast in a large circular ring. A three-piece aluminum mold with stainless steel dies simulating the various lengths of the FPDs was used. A total of 18 castings, six castings for each FPD, were fabricated. Marginal discrepancies of the castings on the dies and the length of the castings were compared before and after sectioning the castings at the connectors. The following conclusions were drawn from the study. Seating of the castings improved approximately 50% after sectioning, which indicates that the castings were distorted. The distortion was a three-dimensional phenomenon, with the greatest discrepancy on the mesiogingival surface of the anterior retainer and on the distolingual surface of the posterior retainer. The distortion was least for the three-unit FPDs and greatest for the five-unit FPDs. The lingual-facial diameter of the castings at the gingival axial line angle was significantly larger than the dies in most cases. The mesiodistal diameter of the castings at the gingival axial line angle was smaller than that of the dies but was only significant with the three-unit FPDs. Although the castings were slightly oversized or undersized, the primary reason the castings did not seat was warpage.

The following conclusions may be drawn from this study: 1. More powder may be incorporated into the cement liquid when the cement is mixed on a frozen slab rather than a room temperature slab. 2. A dramatic increase in the working time and decrease in setting time occur with frozen-slab mixes. 3. No statistically significant difference in compressive strength was found for the room temperature and frozen-slab mixes. 4. Solubility and disintegration values for room temperature and frozen-slab mixes of the three cements not containing fluoride were below the maximum limit of ADA Specification No. 8.