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Objectives Methods Results Conclusion To compare marginal bone levels, biological, and technical outcomes of screw‐retained versus cemented all‐ceramic implant‐supported zirconia‐based single crowns after an observation period of 7.5 years.Forty‐four single implants in the esthetic zone in 44 patients (22 females, 22 males) were randomly assigned to two types of restorations: SR (screw‐retained); veneered one‐piece zirconia abutment and CR (cement‐retained); veneered lithium disilicate crown intraorally cemented on a one‐piece zirconia abutment. Patients were recalled annually up to 7.5 years and survival rates, biological, and technical parameters assessed.A total of 31 patients attended the 7.5‐year follow‐up visit (17 SR group, 14 CR group). The survival rate on the restorative level was 77.5% (74.0% CR, 81.0% SR, p = .6399). Median marginal bone loss (MBL) values yielded −0.073 mm (−0.305; 0.238) in the CR and −0.215 mm (−0.500; 0.555) in the SR group (intergroup p = .6194). Mean bleeding on probing (BoP) values were significantly in favor of group SR with 20 ± 17% compared to 40 ± 22% in group CR (p = .011). The overall biological complication rate amounted to 27.5% (42.1% CR, 14.3% SR, p = .0775), whereas the technical complication rate was 32.5% (42.1% CR, 23.8% SR, p = .314). In total, CR restorations showed significantly more complications (84.2% for CR, 38.1% for SR, p = .0041).One‐piece zirconia‐based single crowns on two‐piece dental implants exhibited a high rate of technical and biological complications at 7.5 years of follow‐up. Cemented restorations revealed significant higher rates of bleeding on probing and total complications compared to screw‐retained restorations. [ABSTRACT FROM AUTHOR]

Objectives: The objective of this in vitro study was to evaluate the effects of different preparation designs on the mean colour change (ΔE*), marginal adaptation, fracture resistance, and fracture types of maxillary and mandibular premolar endocrowns (ECs). Methodology: A total of 40 extracted maxillary and mandibular premolars were treated endodontically, and each type was subdivided according to the remaining axial height (remaining walls on all surfaces; 2–4 mm) and 2 mm inside the pulp chamber. Specimens were immersed in coffee for 14 days, ΔE* was determined, marginal adaptation was observed, fracture forces test was conducted, and the samples were examined visually at 10× magnification to evaluate failure type and identify fracture origin. The data were entered and analyzed using Statistical Package for Social Sciences, and significance between and within groups was evaluated through ANOVA. The p-value ≤ 0.05 was considered statistically significant. Results: The ΔE* values of the maxillary premolar with 2 mm axial height were the highest (6.8 ± 0.89 units), whereas the lowest value was observed in the mandibular premolar with 4 mm axial height (2.9 ± 0.53 units). Significant differences (p < 0.05) in teeth and design were observed. The marginal adaptation of the mandibular premolar with 4 mm axial height was the highest (30.20 ± 1.53 μm), whereas the lowest marginal adaptation was observed in the maxillary premolar with 2 mm axial height (14.38 ± 0.99 μm), and the difference was statistically significant (p < 0.05). The maximum fracture force was observed in maxillary premolars with 2 mm axial height (2248.15 ± 134.74 N), and no statistically significant difference (p = 0.07) was observed between maxillary and mandibular premolars at 4 mm axial height. Conclusion: The recorded ΔE* values of the ECs were within clinically acceptable values or slightly higher, and the marginal adaption values were within acceptable and recommended clinical values in µm. EC preparation with 2 mm axial height in both arches recorded the highest fracture forces. Type III (split fracture) failure was recorded as the highest in the maxillary and mandibular premolar ECs with different axial wall heights. [ABSTRACT FROM AUTHOR]

Wettability is recognized as an important property of implant surfaces for ensuring improved biological responses. However, limited information exists on how bone grafting procedures including materials influence the hydrophilic behavior of implant surfaces. This in vitro study aimed to investigate the influence of two bovine grafting materials after hydration on the wettability of four different disk surfaces: commercially pure titanium (CP-Ti), titanium–zirconium dioxide (TiZrO2-Cerid®), zirconia (SDS®), and niobium. Wettability tests were performed on each of the four implant surfaces with a solution of 0.9% sodium chloride after mixture with W-boneTM (Group A) or Bio-Oss® (Group B) or 0.9% sodium chloride alone (Group C). In total, 360 contact angle measurements were completed with n = 30 per group. Statistical analysis was performed using a one-way analysis with variance (ANOVA) test with a significant mean difference at the 0.05 level. For pure titanium, Group A demonstrated increased hydrophilicity compared to Group B. Both TiZrO2 and zirconia showed significant differences for Groups A, B and C, exhibiting a decrease in hydrophilicity after the use of bovine grafting materials compared to titanium surfaces. Niobium remained consistently hydrophobic. In summary, this study revealed that bovine grafting materials may diminish the hydrophilicity of zirconia surfaces and exert varied effects on titanium and niobium. These findings contribute to the understanding of implant surface interactions with grafting materials, offering insights for optimizing biological responses in implantology. [ABSTRACT FROM AUTHOR]

This work reports the preparation and characterization of a 3D-printed porous 3 mol% yttria-stabilized zirconia (3YSZ) inert-supported micro-tubular solid oxide fuel cell (MT-SOFC) with high cell performance. For the first time, the impacts of pore-former particle size and mass fraction on the microstructure of 3D-printed porous 3YSZ, along with the influences of debinding atmosphere and pre-sintering temperature on the flexural strength and the shrinkage rate, were comprehensively explored. Optimal results were achieved using a particle size of 3 μm and a mass fraction of 30 wt%, facilitating the preparation of a printable 3YSZ photocurable slurry with a relatively low apparent viscosity of 4.2 Pa s at a shear rate of 30 s−1. Notably, 3D-printed porous 3YSZ debound in nitrogen and sintered in air at 1400 °C exhibited the highest flexural strength of ∼80.2 MPa compared to debinding in air or vacuum. Based on flexural strength and shrinkage rate considerations, the 3D-printed porous 3YSZ debound in nitrogen and pre-sintered at 1150 °C was deemed suitable as an inert support for SOFC. Cells prepared using this optimized approach demonstrated exceptional performance, achieving a maximum power density of 876.8 mW cm−2 at 850 °C, surpassing inert-supported MT-SOFCs fabricated using traditional methods. The outstanding cell performance underscores the successful application of 3D printing technology in preparing porous 3YSZ inert supports for SOFCs, offering an attractive approach for cell preparation and porous ceramics. [ABSTRACT FROM AUTHOR]

Rehabilitation of pulpotomized primary molars with an appropriate restoration is essential for recovering function and safeguarding the durability of the treatment. This study aimed to assess and compare the surface roughness of stainless steel (ST) crowns, zirconia (ZR) crowns, fiberglass (FG) crowns, and lithium disilicate (LD) endo-crowns as a restoration for pulpotomized primary molars also, evaluating the surface roughness of their antagonists. Sixty pulpotomized primary mandibular first molars were used for qualitative surface roughness evaluation and divided into four groups (n = 15/group) according to the crown type (group-ST, group-ZR, group-FG, group-LD). While the other sixty sound, unprepared primary maxillary first molars were used for evaluation of their surface roughness against the tested crowns. Specimens' preparation and cementation were carried out according to each crown type and manufacturer's instructions. The surface roughness was done using a two-body wear test. The data were statistically analyzed. All tested crowns showed an increased change in surface roughness, except group-ZR, which had the least change in surface roughness after mechanical wear with no statistically significant difference(P = 0.681). All crown types significantly increased the surface roughness of their antagonists after mechanical wear, except group-ST which showed insignificant affection (p ≥ 0.05). Zirconia crowns and lithium disilicate endo-crowns had the least change in surface roughness compared to other groups while SSCs showed the least tooth loss in the antagonist enamel. [ABSTRACT FROM AUTHOR]

In clinical applications, resin‐based dental composites primarily face challenges with fractures and secondary caries. To overcome these issues, the physical characteristics of dental composites, especially mechanical properties, need to be improved. Hydroxyapatite (HA), present in the structure of the teeth, is preferred due to its biological properties, and zirconia (ZrO2) nanoparticles are known to enhance the mechanical properties of this type of composites. The aim of this study is to develop resin‐based dental composites containing HA and ZrO2 nanoparticles. The study also aims to explore the synergistic effect of these two nanoparticles on the physical properties of the developed composites. Composites with nine different compositions were prepared by mixing the components with the help of a mortar mill. The flexural and compressive strength, polymerization shrinkage, depth of cure and water sorption, and solubility properties of the prepared composites have been investigated. All composites have been found to meet the requirements of ISO 4049 standard. Among them, composite containing 5 wt. % HA and 1 wt. % ZrO2 (H5Z1) has exhibited the highest flexural strength with an increase of 58% compared to the control sample, and composite containing 3 wt. % HA and 2 wt. % ZrO2 (H3Z2) has exhibited the highest compressive strength with an increase of 22% compared to the control sample. Other physical properties of the composites have been found to be in an acceptable level. Highlights: Dental composites with HA and ZrO2 fillers were developed by a mortar mill.Synergistic effect of HA and ZrO2 nanoparticles was investigated.Mechanical properties of dental composites were significantly improved.Physical properties of dental composites were found to be at acceptable levels.Depth of cure decreases with increasing HA and ZrO2 loading. [ABSTRACT FROM AUTHOR]

Purpose: Investigate survival and technical complications of two‐unit posterior implant‐supported cantilever made of monolithic zirconia on titanium‐base abutments (Zr‐TiB) vs. porcelain‐fused‐to‐metal on castable gold abutments (PFM‐GA) using two different implant connections, internal butt‐joint (IBJ) and internal conical (IC). Materials and Methods: Forty‐eight implants (4.3 mm diameter) were divided into four groups (n = 12) to support 2‐unit mandibular premolar cantilevers with two different materials (Zr‐TiB vs. PFM‐GA) and two connection types (IBJ vs. IC). Tested groups were as follows: (1) IBJ/Zr‐TiB; (2) IBJ/PFM‐GA; (3) IC/Zr‐TiB; and (4) IC/PFM‐GA. Specimens were thermomechanical aged (1,200,000 cycles, 98 N, 5–55°C) with occlusal axial load on the pontic. Catastrophic and non‐catastrophic events were registered, and removal torque values measured before and after aging. Specimens surviving aging were subjected to loading until failure. Survival, total complication rates, torque loss (%), and bending moments were calculated. Results: From 48 specimens, 38 survived aging. Survival rates significantly varied from 16.7% (IC/PFM‐GA) to 100% (IBJ/Zr‐TiB; IBJ/PFM‐GA; IC/Zr‐TiB) (p <.01). Internal conical connection revealed significantly higher torque loss (IC/ZrTiB – 67%) compared to internal butt‐joint (IBJ/Zr‐TiB – 44%; IBJ/PFM‐GA – 46%) (p <.01). Bending moments were higher in internal butt‐joint connections than in internal conical (p <.05). Conclusion and Clinical Implications: Two‐unit posterior implant‐supported cantilever FDPs replacing mandibular premolars composed of monolithic zirconia on titanium‐base abutments demonstrated higher mechanical stability compared to porcelain‐fused‐to‐metal on castable gold abutments in this in vitro study. The internal conical connection combined with porcelain‐fused‐to‐metal on gold abutments revealed a high number of failures; therefore, their clinical use may be considered cautiously for this indication. [ABSTRACT FROM AUTHOR]

Double-walled carbon nanotube-yttria-stabilized ZrO2 nanocomposites are prepared by a mixing route followed by Spark Plasma Sintering. The double-walled carbon nanotubes (DWCNTs) have been previously subjected to a covalent functionalization. The nanocomposites present a high densification and show a homogenous dispersion of DWCNTs into a matrix about 100 nm in size. The DWCNTs are well distributed at the matrix grain boundaries but form larger bundles upon the increase in carbon content. The Vickers microhardness of the nanocomposites decreases regularly upon the increase in carbon content. Incorporation of carbon at contents higher than 2 wt.% results in significantly lower friction coefficients, both against alumina and steel balls, possibly because of the elastic deformation of the DWCNTs at the surface of the sample. Their presence also favors a reduction of the steel/ceramic contacts and reduces the wear of the steel ball at high loads. DWCNTs improve wear resistance and reduce friction without incurring any severe damage, contrary to multi-walled carbon nanotubes. [ABSTRACT FROM AUTHOR]

A vacuum environment is usually preferred for reducing the dwell time and sintering temperature for doped zirconia ceramics. However, for the present work with 10 mol.% CaO‐doped ZrO2 (10CaSZ) ceramics, both hot‐pressing and vacuum sintering techniques yielded ceramics with open pores (ρ ∼ 93%) and significant amounts of the deleterious monoclinic phase (>$ > $50%). This is in stark contrast with the conventionally sintered highly dense (>99%) 10CaSZ ceramics, where only tetragonal and cubic phases were noted. Probing via electron paramagnetic resonance (EPR) depicted the trapping of oxygen vacancies by vacancies generated in vacuum at high temperature. A possible change in the local coordination (of ions) and the subsequent chemical environment was confirmed by the observed asymmetric signal shape and broader linewidth of the EPR signals. Potential loss of oxygen and deviation from stoichiometry (for dopant) was confirmed via EPR analysis along with the support of energy dispersive spectra analysis. Despite no noticeable shift in the XRD pattern for Ca2+ depletion, the observed compositional gradient differences in the calcium elemental mapping suggested dopant segregation at the grain boundaries. The conclusions from the present work point toward specificity of a given materials system for its beneficial densification under hot pressing or vacuum sintering. [ABSTRACT FROM AUTHOR]

To evaluate the hygroscopic expansion characterization of resin composite dies during thermal cycling, and their influence on the fracture resistance of dental ceramic materials as well as the effect of pre-immersion on these measurements. Disc-shaped specimens (φ = 15.0 mm, h = 1.2 mm) and anatomical crown dies of four resin composites (epoxy, Z350, P60, G10) were fabricated. Disc-shaped samples were continuously soaked in distilled water and the volume expansion was measured at different time point by Archimedes method. Disc-shaped samples were pre-immersed for 0, 7, or 30 days, elastic modulus and hardness were measured using Nanoindentation test; thermal cycling (TC) test was performed (5 °C-55 °C, 104 cycles), and volume expansion during TC was measured. Four kinds of resin die with pre-immersion for 0, 7, or 30 days were cemented to 5Y-Z crown, or epoxy dies without pre-immersion were cemented to 5Y-Z, 3Y-Z and lithium disilicate glass (LDG) crowns, and load-to-failure testing was performed before and after TC. Finite element analysis (FEA) and fractography analysis were also conducted. The hygroscopic expansion was in the order: epoxy > Z350 > P60 > G10. Except for G10, the other three resin composites exhibited different degrees of hygroscopic expansion during TC. Only the elastic modulus and hardness of epoxy decreased after water storage. However, only the fracture loads of 5Y-Z and LDG crowns supported by epoxy dies were significantly decreased after TC. FEA showed a stress concentration at the cervical region of the crown after volume expansion of the die, leading to the increase of the peak stress at the crown during loading. Significance : Only the hygroscopic expansion of epoxy dies caused by TC led to the decrease in the fracture resistance of the 5Y-Z and LDG crown, which may be related to the decrease in the elastic modulus of the epoxy die and the tensile stress caused by it. • The hygroscopic expansion of resin dies during thermal cycling decreases the fracture load of their supported ceramic crowns. • The susceptibility of hygroscopic expansion is related to the elastic modulus and the filler/matrix ratio of the resin die. • Pre-immersion of the resin dies could reverse their hygroscopic expansion effect on the supported crown. [ABSTRACT FROM AUTHOR]

To investigate a near-infrared-to-blue luminescence upconversion curing method for polymerizing resin cements under zirconia discs. Lava zirconia discs of different thicknesses (0.5–2.0 mm) were manufactured. First, the transmittances of the NIR and two blue lights (BLs) (LED and halogen lights) through these discs were measured. Second, NaYF 4 :Yb3+/Tm3+ upconversion phosphor (UP) powder was milled into 0.5-μm particle sizes. A light-curable resin cement VariolinkII base was chosen as the control (UP0), and an experimental cement (UP5) was prepared by adding 5 % UPs. These two cements were examined using multiphoton excitation microscopy for particle distribution. UP5 and UP0 were polymerized with or without zirconia shielding then subjected to a microhardness test. A multifold analysis was performed to examine the effects of zirconia thickness, curing protocols (pure BL or combined BL and NIR curing), and cement type. The transmittance of NIR was superior to that of BL through zirconia discs of all thicknesses. UP particles were homogeneously distributed in UP5 and emitted blue luminescence under 980-nm NIR excitation. UP5 showed higher microhardness values than UP0 under any curing protocol or zirconia shielding condition. The combination of 20-s BL and 40-s NIR curing yielded the highest microhardness in uncovered UP5. However, combining 40-s BL and 20-s NIR curing surpassed the other groups when the zirconia discs were thicker than 0.5 mm. NIR exhibits higher transmission through zirconia than BL. UP particles work as strengthen fillers and photosensitizers in cements. NIR upconversion curing could be a new strategy for polymerizing resin cements under thick zirconia restorations. • An NIR activated upconversion reaction was used to induce blue light (BL) emission. • The transmittance of NIR through zirconia discs is higher than conventional BL. • Phosphor particles work as photosensitizers and strengthen fillers in cements. • Combining BL and NIR effectively enhanced polymerization of cements under zirconia. [ABSTRACT FROM AUTHOR]

In this work, the morphology of zirconia, alumina, and silicas was studied, and static sorption of the repellents N, N-diethyl-3-methylbenzamide and ethyl-3-[acetyl(butyl)amino]propionate on these oxides was carried out. ZrO2, Al2O3, and SiO2 phenyl were shown to have high sorption activity to the repellents N, N-diethyl-3-methylbenzamide (239 mg/g for SiO2 phenyl) and ethyl-3-[acetyl(butyl)amino]propionate (251 mg/g for ZrO2). Pointedly, it was found that despite having the largest pore volume and high specific surface area (compared to the other studied oxides), SiO2 C2 has a significantly inferior sorption capacity in respect to other oxides, in particular SiO2 phenyl, which can be explained by the presence of the phenyl group in the latter that has chemical affinity for repellent molecules. Obtained isotherms of SiO2 300 also confirm the low sorption activity towards N, N-diethyl-3-methylbenzamide. The sorption equilibrium for both repellents, in most cases, is described by the Langmuir monomolecular adsorption model. The obtained results suggest that the studied zirconia, alumina, and silica can be used as carrier components of repellents. [ABSTRACT FROM AUTHOR]

The main objectives of the present prospective clinical study were to evaluate the survival and success rates of implant-supported zirconia single crowns fabricated with a full digital workflow for the rehabilitation of mono- and bilateral agenesis of maxillary lateral incisors after 2 years of clinical function; biological and technical parameters affecting the prosthetic restorations were recorded, as well as the patient-satisfaction score. Twenty-two patients showing mono- or bilateral agenesis of the maxillary lateral incisors were included in this study, and a total of 30 narrow-diameter implants were inserted. Thirty screw-retained monolithic cubic zirconia single crowns with internal connections were fabricated. Objective outcome evaluations were performed by means of the Functional Implant Prosthodontic Score, whereas the patient-satisfaction score was evaluated using Visual Analog Scales. Descriptive statistics were performed and the Kaplan–Meier analysis was run to analyze time-to-event data. After 2 years of clinical function, the overall FIPS found in the present study was 9.2, whereas the average patient-satisfaction score was 8.7. The Kaplan–Meier analysis at the 2-year follow-up reported a cumulative survival rate of 100% and a cumulative success rate of 93.3%. The implant-prosthetic rehabilitation with a full digital workflow proved to be an effective and reliable procedure for the functional and aesthetic treatment of the agenesis of maxillary lateral incisors in the short-term. Clinical investigations with wider sample populations and longer observational follow-ups could be useful to validate, in the long-term, the clinical outcomes of the present prospective clinical study. [ABSTRACT FROM AUTHOR]

This study evaluates the dynamic shift in the microbiota at the peri-implant site of titanium (Ti) and zirconia (Zr) implants subjected to experimental peri-implantitis (PI) and, for the first time, of implants made of ceria-stabilized alumina-reinforced zirconia (Ce-TZP/Al), a revolutionary zirconia that is set to play a key role in modern implant dentistry. One- and two-piece (TP) implants, including Ce-TZP/AL TP/G3 glass, were placed bilaterally (six implants/side) in five beagle dogs to mimic a natural vs. ligature-induced PI following a split-mouth design. The experiment spanned 30 weeks from tooth extraction. Both PI models promoted plaque deposition at peri-implant sites. Comparatively, the PI induced by ligatures favored the deposition of anaerobes (p = 0.047 vs. natural). Regardless of the model, the plaque deposition pattern was entirely dependent on the implanted material. Ligated Ti and Zr implant sites accumulated up to 2.14 log CFU/mL unit anaerobic load (p ≤ 0.033 vs. non-ligated implant sites), predominantly comprising obligate anaerobes. Naturally occurring PI induced the deposition of co-occurring networks of obligate anaerobes and less oxygen-dependent bacteria. PI induction favored the enrichment of Ti and Zr sites with bacterial taxa belonging to the orange and red complexes (up to 28% increase naturally and up to 71% in the ligated hemiarch). Anaerobic deposition was significantly lower in ligated Ce-TZP/Al implant sites (p ≤ 0.014 vs. TI and Zr) and independent of the induction model (0.63–1 log units of increase). Facultative bacteria prevailed at Ce-TZP/AL sites. The abundance was lower in the Ce-TZP/AL TP implant. Unlike Ti and Zr sites, taxa from the orange and red complexes were negligible. Biofilms configured at the Ti and Zr sites after ligation-induced PI resemble those found in severe IP. We hypothesize that, although surface properties (surface energy and surface roughness) and physicochemical properties of the substrate play an important role in bacterial adhesion and subsequent plaque formation, Ce-TZP/Al modulates several biological activities that preserve the integrity of the gingival seal by limiting PI progression. In conclusion, biofilm progression differs in peri-implant sites according to the specific properties of the material. Ce-TZP/A, unlike titanium or zirconia, prevents dysbiosis in sites subjected to experimental PI and preserves the microbial signature of emergent obligate anaerobes related to PI development. [ABSTRACT FROM AUTHOR]

Background and Aims: Strong bond between the ceramic brackets and ceramic veneers has an important role in cosmetic treatment. The purpose of this study was to investigate the effect of aging on the shear bond strength (SBS) of ceramic brackets bonded to zirconia after surface preparation by Neodymium-doped Yttrium Aluminum Garnet (Nd: YAG) laser or sandblasting with alumina. Materials and Methods: This experimental study was conducted on 24 zirconia blocks and these blocks were randomly divided into two groups for surface preparation and each was sub-divided into three time intervals. Surface preparation was done by sandblasting with alumina: in SG1 (Immediately after sandblasting), SG2 (2 weeks after sandblasting), and SG3 (3 months after sandblasting) groups. For the Nd: YAG laser (1/5W, 20Hz, 10s) with non-contact mode: in LG4 (Immediately after laser), LG5 (2 weeks after laser), and LG6 (3 months after laser) groups. The ceramic brackets were bonded to the zirconia blocks. The SBS and adhesive remnant index (ARI) were evaluated and compared among test groups. Dara were analyzed using Mann Whitney test. Results: There was no significant difference between the SBS of SG1 and LG4 (P=0.430), SG2 and LG5 (P=0.382) and SG3 and LG6 (P=0.326) groups. LG4 group showed the highest shear bond strength. After aging (2 weeks and 3 months), the laser groups showed higher SBS. There was no significant difference in the ARI between SG1 and LG4 (P=0.220), SG2 and LG5 (P=0.154), SG3 and LG6 (P=0.527) groups. Conclusion: No significant difference was observed between the Nd: YAG laser and sandblasted groups in terms of SBS and ARI over time. Therefore, Nd: YAG laser could be used as a surface treamnet method in Zirconia crowns for bonding to ceramic brackets. [ABSTRACT FROM AUTHOR]

Purpose: To evaluate the effect of different veneering ceramics and veneering techniques on the bond strength to zirconia. Materials and Methods: 3Y‐TZP zirconia blocks were sliced into 60 slabs, polished, and sintered. Each slab received one ceramic cylinder (Ø = 3.4 mm, 5 mm‐high), according to the veneering ceramic type (feldspathic—FEL or lithium disilicate‐based—LD) and the veneering technique (file‐splitting with resin‐based luting agent—RC, file‐splitting with fusion ceramic—FC, or heat‐pressing—HT), which resulted in six groups: FEL‐RC, FEL‐FC, FEL‐HT, LD‐RC, LD‐FC, LD‐HT. After preparation, the samples were immersed in distilled water for 24 h before the shear bond strength (SBS) test. The failure modes were classified as adhesive, predominantly adhesive, or cohesive. Representative failure mode images were taken in a Scanning Electron Microscope. The SBS data were analyzed by two‐way ANOVA and Tukey's test. Results: Both type of veneering ceramic and technique affected the bond strength. FC led to the highest SBS values. RC and HP provided similar results when compared within each veneering ceramic. Lithium disilicate achieved lower bond strength than feldspathic ceramic when the heat‐pressing technique was applied. The most frequent failure modes were predominantly adhesive and adhesive for FEL and LD, respectively. Conclusion: File‐splitting with fusion ceramic provided the highest adhesion to zirconia when feldspathic or lithium disilicate‐based ceramics were used. The heat‐pressing technique for veneering with lithium disilicate significantly decreased the bond strength when compared to the feldspathic ceramic. [ABSTRACT FROM AUTHOR]

Aims and Objectives: To evaluate the effect of coffee thermocycling on color stability and translucency of CAD‐CAM polychromatic high translucent zirconia compared with lithium disilicate glass ceramic. Methods: Sixteen rectangular plates (14 × 16 × 1.0 mm) of two ceramic materials (IPS E.max CAD (IEC), IPS E.max ZirCAD Prime [IZP]) were prepared. Each specimen was measured for color coordinates using a spectrophotometer following 30,000 cycles of coffee thermocycling. CIELAB formula was used to determine color and translucency differences (ΔE and ΔTP). The means of ΔE and ΔTP were compared using independent samples t‐test and were evaluated using their respective 50%:50% perceptibility and acceptability thresholds (PT and AT). One‐way analysis of variance was performed to evaluate the translucency parameter (TP) and surface roughness (Ra) of each material. Results: Mean ΔE values of IEC (4.69) and IZP (4.64) were higher than the AT (ΔE ≤ 2.7) with no significant difference found between the two groups (p = 0.202). Considering the TP, only IEC showed a statistically significant increase in TP value (p < 0.001). However, the mean ΔTP of IEC (3.25) remained within the range of acceptability (1.3 < ΔTP ≤ 4.4). Conclusions: Within the limitations of this current study, the color stability of all materials was clinically affected by coffee thermocycling. In terms of translucency, only lithium disilicate glass ceramic was influenced by coffee thermocycling. High translucent zirconia had superior translucency stability compared to lithium disilicate glass ceramic. [ABSTRACT FROM AUTHOR]

Zirconia implants have emerged as a valuable alternative for clinical scenarios where aesthetic demands are high, as well as in cases of hypersensitivity to titanium or for patients who refuse metallic objects in their bodies due to personal reasons. However, these implants have undergone various changes in geometry, manufacturing techniques, and surface modifications since the introduction of the first zirconia implants. The present study aims to review the current evidence on zirconia implants, considering the changes they have undergone in recent years. Additionally, it aims to analyze the three-dimensional surface characteristics of a failed zirconia implant using scanning electron microscopy and elemental analysis with energy-dispersive X-ray spectrometry (EDX). A zirconia implant lost three weeks after placement was immediately assessed using VP-SEM equipment and chemically analyzed by EDX using a 410-M detector connected to the microscope. Sparse material depositions were found on all parts of the implant, with a notable concentration in the thread grooves. The elements identified in the sample included zirconium, oxygen, carbon, calcium, and phosphorus. This report demonstrates that the surface of zirconia implants can accumulate elements early in the process of bone matrix neoformation, which is consistent with the initial stage of osseointegration. [ABSTRACT FROM AUTHOR]

Zirconia has become widely used in dentistry due to its mechanical strength, biocompatibility, and esthetics. However, durable resin bonding to zirconia remains a challenge due to its inert surface chemistry. This study demonstrates an approach for tribochemical silica coating of zirconia using a silica-coated zirconia powder synthesized via sol-gel chemistry from upcycled zirconia milling waste. Systematic variation of blasting pressures and durations revealed an optimized protocol of 0.28 MPa for 10 s, achieving an exceptional resin bond strength of 39.13 MPa. Extensive materials characterization, including field emission scanning electron microscopy (FESEM), energy dispersive X-ray spectroscopy (EDS), atomic force microscopy (AFM), and X-ray diffraction (XRD) elucidated the interfacial mechanisms governing adhesive performance. These techniques confirmed the uniform deposition of a nano-silica layer through mechanical embedding and heating upon particle impact. This silicatization transformed the intrinsic hydrophobicity and created reactive hydroxyl groups for subsequent silanization. Precisely controlled roughening was evidenced by atomic force microscopy, with a root mean square roughness of 676 nm for optimal coatings. X-ray diffraction confirmed silica incorporation generated some transformation from the metastable tetragonal to the monoclinic phase, however less than for an analogous commercial alumina-based powder. Realization of stronger, imperceptible ceramic modification introduces possibilities for thinner, aesthetically superior restorations. This demonstration of upcycling zirconia waste into tunable surface coatings represents a paradigm shift in sustainable materials design and unprecedented value creation from disposal debris. Insights gained can inspire scalable, broadly applicable surface engineering solutions utilizing waste streams. Highlights: Developed SiO2-coated ZrO2 particles from recycled zirconia. Optimized blasting process to achieve high resin bond strength. Confirmed nano-silica layer deposition and surface chemistry transformation. Caused less damage to zirconia compared to commercial alumina powder. Demonstrated sustainable upcycling of waste into tunable coatings. [ABSTRACT FROM AUTHOR]

The pursuit of efficient materials for technological applications is essential. Among these materials, zirconia emerges as a promising candidate with potential for several applications, from applications related to mechanical resistance to optoelectronic applications. By introducing dopants into this compound, it becomes feasible to modulate its inherent properties. In this study, ZrO 2 doped with strontium was synthesized for the first time via the sonochemical method at different percentages in mol (1, 2, 4, and 8 mol%). Analysis via X-ray diffraction (XRD) and Raman spectroscopy unveiled the formation of both monoclinic and tetragonal phases, with the latter being stabilized through the incorporation of the dopant element. In addition to observing irregular morphology through scanning electron microscopy (SEM-FEG), a reduction in particle size was also evidenced following the introduction of Sr2+ ions, a phenomenon corroborated via Rietveld refinement. The reflectance spectra of the doped samples exhibited an optical absorption tail characterized by the Urbach energy (E U), indicating an increase in structural disorder in the samples. The photoluminescence (PL) results indicated that the introduction of Sr2+ ions into the ZrO 2 matrix induced modifications in the characteristics of the spectrum profile. The phase transformation observed in XRD was reflected in the changes observed in the photoluminescent behavior of the samples, which emitted light between the blue and green regions. [ABSTRACT FROM AUTHOR]

The phase relationships of Eu 2 O 3 - Gd 2 O 3 – ZrO 2 system at 1873 K and 1673 K were investigated. To experimentally determine the phase relationships, the scanning electron microscopy, X-ray diffraction, and electron probe microanalyzer with wavelength dispersive spectrometer were employed. Our findings indicated that there were no ternary compounds. However, the binary pyrochlore phases (Eu 2 Zr 2 O 7 and Gd 2 Zr 2 O 7) formed a continuous solid solution, denotated as (Eu 2-x Gd x)Zr 2 O 7 at 1673 K. Moreover, the solubility of Gd 2 O 3 was observed to reach at least 28.0 mol.% along Eu 2 Zr 2 O 7 - Gd 2 O 3 composition line at 1873 K. Additionally, a continuous cubic solid solution was formed between C–Gd 2 O 3 and C–Eu 2 O 3 at 1673 K. The obtained experimental data were utilized to optimize the thermodynamic parameters for the Eu 2 O 3 - Gd 2 O 3 – ZrO 2 system. Thermodynamic modeling was carried out to reproduce the present phase diagram experimental results and isothermal phase diagrams of this ternary system at 1673 and 1873 K were calculated. [ABSTRACT FROM AUTHOR]

Measuring the flexural strength of restorative materials such as zirconia is crucial for providing proper indications for clinical applications and predicting performance. Great variations in specimen preparation for flexural strength measurements exist among laboratories. The aim was to evaluate how the processing method, surface treatment, and test method of the specimens affect the flexural strength of zirconia. Zirconia specimens (VITA YZ HT) (n = 270) were processed using CAD/CAM or were conventionally milled with three different surface treatments (machined, ground, polished) and were measured with three-point bending (non-chamfered/chamfered) or biaxial flexural strength test. Weibull statistics were conducted. The mean flexural strength values ranged from 612 MPa (conventional, machined, three-point bending non-chamfered) to 1143 MPa (CAD/CAM, polished, biaxial flexural strength). The highest reliability is achieved when specimens are prepared using thoroughly controllable processing with CAD/CAM and subsequently polished. Higher strength values are achieved with the biaxial flexural strength test method because the stress concentration in relation to the effective volume is smaller. Polishing reduces surface microcracks and therefore increases the strength values. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Prevention & Treatment For Stomatological Diseases is the property of Journal of Prevention & Treatment For Stomatological Diseases Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Diesel soot is a significant contributor to air pollution. Soot particles present in diesel engine exhaust have a negative impact on the environment and human health. Diesel oxidation catalysts (DOCs) and diesel particulate filters (DPFs) currently use noble metal-based catalysts for soot oxidation. Due to the use of noble metals in the catalyst, the cost of diesel after-treatment systems is steadily rising. As a result, diesel vehicles have become commercially less viable than gasoline vehicles and electronic vehicles. The study focuses on an alternative diesel oxidation catalyst with efficiency similar to that of a noble metal catalyst but with a much lower cost. CeO2-Al2O3 catalysts are known for their oxygen storage capacity and high redox activity, making them suitable for soot oxidation. Adding Zr to these catalysts has been shown to influence their structural and chemical properties, significantly affecting their catalytic behavior. Therefore, the current study is focused on using Zr/CeO2-Al2O3 as a substitute for noble metal-based catalysts to enhance its performance for diesel soot oxidation in automotive exhaust. Evaporation-induced self-assembly (EISA) was used to prepare 1, 3, and 5 weight (wt) % Zr supported mesoporous CeO2-Al2O3 catalysts. Morphological, structural, and physicochemical properties of the synthesized catalysts were examined using Brunauer–Emmett–Teller (BET) absolute isotherm, Scanning electron microscopy (SEM), X-ray diffraction (XRD), Fourier transform infrared spectroscopy (FTIR), Temperature programmed reduction (TPR), and Temperature-programmed desorption of ammonia (NH3-TPD). XRD, BET, and SEM data confirmed that the catalysts were mesoporous and low-crystalline with a high surface area. The soot oxidation activity of the catalysts was evaluated using a thermogravimetric analysis (TGA) technique. The loose contacts soot oxidation activity test suggested that 50% oxidation of soot occurred at 390 °C in the absence of a catalyst. T50 of CeO2-Al2O3 catalyzed soot oxidation was 296 °C. Adding Zr to the catalyst significantly improved catalytic activity for diesel soot oxidation. We observed a further drastic change in T50 of soot over 1, 3, and 5% Zr/CeO2-Al2O3, which were 220 °C, 210 °C, and 193 °C, respectively. According to these results, incorporating Zr into the CeO2-Al2O3 catalyst significantly improved the oxidation process of soot. [ABSTRACT FROM AUTHOR]

Flash sintering is a novel technique that involves the sintering of green bodies in few seconds at relatively very low furnace temperature as compared to what is required to sinter them conventionally. In the present work, we flash‐sintered composites of 3 mol.% yttria‐stabilized zirconia (3YSZ) and graphene oxide (GO). The main aim of this work was to see if the decomposition or oxidation of carbonaceous materials can be prevented by the high heating rates during flash sintering and if composites of 3YSZ and GO can be processed in air. 3YSZ with 5, 10, and 20 wt.% of GO were prepared and subjected to constant heating rate flash‐sintering experiments where electric field was applied across the sample right from room temperature. A DC electric field of 100 V/cm was applied and the current density was set to 100 mA/mm2. It was observed that GO decomposed from the surface of the samples; however, in the core of samples, GO was retained but was reduced to graphite. Grain size of the 3YSZ phase increased with increase in the GO content, whereas the hardness decreased. It was observed that the composites containing carbonaceous reinforcements need to be flash sintered in inert atmosphere to realize their full potential. [ABSTRACT FROM AUTHOR]

There has been enormous research on diagnostic and therapeutic dental methods due to the growing recognition of oral wellness. Numerous studies in this area have resulted in dental biomaterials, including polymers, metals, and acrylic resins, essential to restore teeth affected by illnesses or accidents. Compared to other biomaterials, such as metals or polymers, ceramics offer distinct features. Materials like zirconia and alumina demonstrate their high intrinsic strength, making them appropriate for biomedical applications like dental implants or artificial joints. Additionally, they have outstanding biocompatibility, which lowers the possibility of adverse effects or inflammation. Some ceramics, like hydroxyapatite (HA) and bioactive glasses, even encourage tissue integration and regeneration. Moreover, because of their adaptability, they can be precisely shaped and composed to emphasize specific characteristics. Yttria‐stabilized tetragonal zirconia offers outstanding mechanical properties and biocompatibility but faces concerns over long‐term durability due to low‐temperature degradation. To address this, researchers have developed non‐oxidic ceramics like silicon nitride and advanced oxide‐based materials like alumina‐zirconia composites, aiming to enhance the durability and reliability of biomedical applications. In this review, we highlighted the recent advancements in ceramic dental implants; examples and applications of different ceramics‐based materials, including zirconia, alumina, HA, and beta calcium phosphate, are provided in detail. [ABSTRACT FROM AUTHOR]

Statement of Problem: Limited evidence is available for the effect of chairside adjustment using rotary cutting instruments on the surface roughness and optical properties of different zirconia types. Purpose: To evaluate the effect of simulated adjustments on surface roughness and optical properties of different zirconia types. Materials and Methods: Three Partially Stabilized Zirconia (PSZ) types based on mole percent yttria (Y) concentration from the same manufacturer (Katana; Kuraray) were used: 3Y‐PSZ, 4Y‐PSZ, and 5Y‐PSZ. Thirty disk‐shaped specimens (Ø14 × 1.2 mm) from different zirconia types (N = 90) were prepared. Specimens were either left without adjustment (NA), adjusted with Dialite ZR finishing and polishing system (Brasseler) (APol), or adjusted with course diamond instruments only (ADia). The specimens were distributed into 9 groups (n = 10): Group 3Y‐PSZ/NA, Group 3Y‐PSZ/APol, Group 3Y‐PSZ/ADia, Group 4Y‐PSZ/NA, Group 4Y‐PSZ/APol, Group 4Y‐PSZ/ADia, Group 5Y‐PSZ/NA, Group 5Y‐PSZ/APol, and Group 5Y‐PSZ/ADia. The surface roughness of specimen was analyzed using an Atomic Force Microscope (AFM) (Bruker's Dimension Icon, Bruker) and Root Means Square (RMS) were recorded (nm). Surface Gloss (SG), Translucency Parameter (TP), and Contrast Ratio (CR) values of all groups were recorded using an integrating sphere spectrophotometer. Statistical analysis was performed using analysis of variance (ANOVA) and Tukey's multiple comparison tests for pairwise comparisons at p < 0.05 and 95% confidence interval. Results: APol had no effect on the surface roughness (p = 0.88) while ADia had a significant negative effect (p < 0.05) despite the type of zirconia. Out of the three testes optical properties, only SG was negatively affected by ADia for all types of zirconia (p < 0.05). The two adjustment types did not affect the TP of all the tested zirconia (p = 0.91). The CR was not affected by the tested adjustments for all zirconia types (p = 0.726). Conclusion: Proper zirconia adjustment following a sequence of burs and polishers can maintain acceptable roughness and optical properties. Adjustment of zirconia with rough diamond can lead to deleterious effects and should be avoided. Clinical Significance: Chairside adjustment of zirconia could lead to rougher surface and unpredictable changes of surface gloss. Therefore, zirconia adjustment should be minimized to the greatest extent possible and a proper protocol should be followed if had to be done. [ABSTRACT FROM AUTHOR]

In ceramic injection molding, the conventional solvent‐debinding process encounters limitations such as solvent cost and environmental pollution. In this paper, a suitable thermal‐debinding process from room temperature to 250°C using carbon/alumina embedding powders with nano and submicron size was developed to remove the soluble binders replacing the conventional solvent debinding of injection molding ZrO2 ceramic. The effects of the embedding powders on microstructure and debinding ratio were studied in detail. The results showed that the main factor influencing debinding ratio was associated with the sufficient dispersing of mixed particles, which was characterized by the relative change ratio of tap volume. A debinding mechanism was proposed to explain the effects of carbon/alumina mixed powders on the debinding ratio and surface cracks. Based on the influencing mechanism, the debinded green part with the elimination of soluble binders and optimal surface was achieved using the mixed powders with C/A = 8/2 on the top and C/A = 4/6 on the bottom. [ABSTRACT FROM AUTHOR]

Objective: To describe the clinical and radiographic performance and survival rate of a new two-piece ceramic implant system after at least 12 months of follow-up. Materials and methods: Sixty-five implants were placed and followed up for at least 12 months (12.3 ± 1.5), in 50 patients. The implants were installed both in fresh extraction sockets and in healed sites and received provisional restoration when the clinical insertion torque was greater than 35Ncm. The primary results describe the survival rate of these implants. Clinical performance was evaluated through the evaluation of the Pink Esthetic Score (PES) and the degree of satisfaction of the patients. Bone loss was measured through radiographic measurements of the marginal bone loss in the mesial (MBLM) and distal (MBLD) sites. Results: The survival rate was 98.5%. The average MBLM was 0.24 mm (± 0.53) and the MBLD was 0.27 mm (± 0.57). A statistical difference was observed only when comparing immediate implants with delayed ones (MBLM – p = 0.046 and MBLD - p = 0.028) and when they received immediate provisionalization or not (MBLM - p = 0.009 and MBLD - p = 0.040). The PES before the intervention (T0) was 13.4 (± 0.8) and the PES at T2 (12-month follow-up) was 12.9 (± 1.5) (p = 1.14). Conclusion: The new two-piece ceramic implant used in the present study showed predictable and reliable results, similar to those found with titanium implants after one year of follow-up. Clinical relevance: These implants can be used as an alternative to titanium implants in terms of the marginal bone loss and the degree of patient satisfaction. [ABSTRACT FROM AUTHOR]

Context: Freon, a greenhouse gas that contributes to the depletion of the ozone layer, has been the subject of investigation in this study. The catalytic hydrolysis enhancement of CFC-12 by ZrO2 was examined using a density functional theory approach. A detailed reaction mechanism and a new reaction pathway were proposed. The study found that CFC-12 is more likely to be adsorbed on the ZrO2 surface in the CFC-12-TO(F) configuration, while H2O is more likely to be adsorbed on the ZrO2 surface in the H2O-TO(H) configuration. Additionally, H2O replaces CFC-12 on the surface of ZrO2. The hydrolysis of CFC-12 is primarily determined by the first dechlorination process, while the defluorination process is comparatively easier. ZrO2 has a catalytic effect on both dechlorination and defluorination processes, with a more pronounced effect on the former. The production of C–OH bonds is inhibited, which facilitates the dechlorination and defluoridation processes. Methods: This work was carried out in the Dmol3 program in the Material Studio 2017, including the geometric structure optimization and energy calculations. The GGA/PBE method was used in this work, along with the DNP basis, spin-polarized set, and DFT-D correction. The possible TSs were guessed based on the linear synchronous transit/quadratic synchronous transit/conjugate gradient (LST/QST/CG) method, and they were further confirmed and reoptimized to ensure that the only one imaginary frequency exists in the TSs. [ABSTRACT FROM AUTHOR]

This study aimed to evaluate the effects of different surface preparation techniques on the surface microstructure, the shear bond strength (SBS) between zirconia and an MDP-containing light-cured veneer adhesive system, and the adhesive failure mode. Sixty-four zirconia specimens were divided into four groups based on surface preparation methods (n = 16), including zirconia sandblasting (ZSB), zirconia vitrification or glaze-on (ZVG), zirconia surface architecture technique (ZSAT), and ZSAT-ZVG combined technique (ZSATVG) groups. Sixteen lithium disilicate specimens prepared by etching with hydrofluoric acid (HF) were used as a positive control group (LDE). Surface roughness measurement and scanning electron microscopy (SEM) evaluation were performed before and after surface preparation. All specimens were then bonded with an MDP-containing light-cured adhesive system, followed by SBS testing and adhesive failure mode analysis. The ZVG and ZSATVG groups showed the greatest differential roughness value and microscopic irregularities, while the ZSAT and LDE groups had the least surface change but the most micromechanical retentive structures for resin infiltration. SBS values were significantly different among groups (p < 0.001) with the highest SBS observed in the ZSAT group, followed by the ZSB group, LDE group, ZSATVG group, and lastly, the ZVG group. There was a statistically significant difference in failure types among the surface preparation groups (p < 0.001). The ZSAT group had the highest frequency of mixed failure, followed by the ZSB group, LDE group, and the ZSATVG and ZVG groups. Establishing direct micromechanical retention within zirconia itself yields a higher bond strength than indirect micromechanical retention within a glass ceramic layer. [ABSTRACT FROM AUTHOR]

Employed ubiquitously in oral restorations, zirconia-based bioceramics face challenges with low-temperature degradation (LTD) in the tetragonal phase (t-ZrO 2) within oral environments. In order to improve the resistance of ZrO 2 ceramics to LTD, this study utilized vat photopolymerization technology to prepare 7Ce3Y–ZrO 2 (7 mol% CeO 2 and 3 mol% Y 2 O 3). By adjusting the dispersant content and photosensitive resin ratio enabled the attainment of a 63.5 μm curing depth with a 400 mJ/cm2 exposure, meeting the requirements for vat photopolymerization printing. After sintering at 1550 °C, these ceramics shown a relative density of 97.84 % and an impressive flexural strength of 503.1 MPa. Accelerated LTD tests were conducted to assess LTD-resistance, revealing no degradation in mechanical properties or evidence of tetragonal to monoclinic phase transitions. This stability is credited to the cerium ions' efficacy in hindering oxygen vacancy formation and subsequent aging within the ZrO 2. This study affirms that CeO 2 –Y 2 O 3 co-stabilized ZrO 2 ceramics prepared using vat photopolymerization technology exhibit outstanding properties and resistance to LTD, showcasing significant potential in the field of oral restoration. [ABSTRACT FROM AUTHOR]

The glass infiltration technique was employed for surface modification of zirconia implants in this study. The prepared glassinfiltrated zirconia with low infiltrating temperature showed excellent mechanical properties and enough infiltrating layer. The zirconia substrate was pre-sintered at 1,200°C and the glass infiltration depth reached 400 μm after infiltrating at 1,200°C for 10 h. The infiltrating glass has good wetting ability, thermal expansion match and good chemical compatibility with the zirconia substrate. Indentation fracture toughness and flexural strength of the dense sintered glass-infiltrated zirconia composite are respectively 5.37±0.45 MPa•m1/2 and 841.03±89.31 MPa. Its elasticity modulus is 163.99±7.6 GPa and has about 500 μm infiltrating layer. The glass-infiltrated zirconia can be acid etched to a medium roughness (1.29±0.09 μm) with a flexural strength of 823.65±87.46 MPa, which promotes cell proliferation and has potential for dental implants. [ABSTRACT FROM AUTHOR]

Zirconia is a highly biodegradable ceramic material with excellent fracture resistance, in biomedical engineering, particularly dental implants. This research work has been focused on optimizing the quality of micro-hole generation in zirconia ceramic through ultrasonic micromachining (USMM). Three key process parameters such as abrasive slurry concentration, tool feed rate, and power rating are considered in this research work. The material removal rate, overcut, and taper angle are considered as responses. Response surface methodology has been employed for modeling during the USMM process, and a mathematical model has been developed to understand material removal mechanisms. Finite element analysis has been utilized to provide insights into the impacting process for industry requirements. A 3D model has been created to perform dynamic analysis under practical conditions. Multi-objective optimization has been applied to achieve optimum material removal rate (MRR), overcut, and taper angle. From multi-objective optimization, a slurry concentration of 49.59% g/l, tool feed rate of 1.16 mm/min, and power rating of 386.87 W has been found and in this parameter settings maximum MRR of 0.5333 mm3/min, minimum taper angle of 0.3428 degrees, and minimum overcut of 36.64 µm has been obtained during machining of ZrO 2 ceramics. [ABSTRACT FROM AUTHOR]

Few studies have established the relationship between connector widths, cuspal angulation, loading forces, and supporting structures of zirconia fixed dental prosthesis (FDP). The objective of the study was to compare the stress distribution in implant- and tooth-supported zirconia FDP with different connector designs, and cuspal angulations of replaced teeth under diverse angulations of forces. Finite element (FE) analysis was done by simulating a 3-unit implant- and tooth-supported FDP. FE models with varying cuspal angulations 0°, 20°, and 33° and connector designs 2 mm, 2.5 mm, and 3 mm was generated. The simulated models were loaded with 100 N of forces under different axial and non-axial angulations. The graphical and numerical stresses were observed, recorded, and statistically analyzed. Higher stress of 245.55 MPa in implant-supported FDP and lower stress value of 28.22 MPa in tooth-supported FDP was observed at 0-cuspal inclination for 3 mm connector width. The data were statistically analyzed with unpaired t test to eliminate the differences. The inter-group, intra-group tests, p and t values for various connector, and tooth angulations of tooth- and implant-supported FDP were statistically insignificant. (p > 0.05) There was no statistically significant difference in stress was observed between tooth- and implant-supported FDP for different connector widths, cuspal inclination, and diverse angulation of forces. [ABSTRACT FROM AUTHOR]

Despite the success of monolithic zirconia restorations (MZ), metal-ceramic restorations (MC) are still considered the gold standard for fixed prosthetics in the posterior region. This systematic review and meta-analysis aimed to compare the fracture strengths of single-unit MC and MZ in the molar region. This review was based on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA, 2020) statement. All articles were searched from the PubMed and Web of Science databases until November 18, 2022. All in vitro studies evaluating the fracture strengths of MC and MZ were also included. Statistical analysis was performed with the Comprehensive Meta-Analysis program, with a significance level of 0.05. Out of 753 studies, five were selected. The fracture strengths of MZ and MC did not show any statistically significant difference for both tooth (95% CI − 1.589: 2.118, p = 0.779, z = 0.280) and implant (95% CI − 2.215: 2.191, p = 0.992 z = − 0.010) supported restorations. However, different abutment materials (p < 0.001) and aging treatments (p < 0.001) in tooth-supported restorations displayed a significant statistical difference. Additionally, a significant difference was also observed in subgroup analysis considering different cements (p = 0.001) and load speeds (p = 0.001) in implant-supported restorations. Fracture strengths of MZ and MC did not show a significant statistical difference in implant or tooth-supported single-unit posterior restorations. MZ may be a suitable alternative to MC in single-unit posterior restorations. The results should be interpreted with caution, as the included studies were in vitro. [ABSTRACT FROM AUTHOR]

The conventional manufacturing chain for technical ceramics is too expensive for the production of small series or unique parts with complex designs. Hybrid machines that combine additive and subtractive processes can be an interesting solution to overcome this technology lock-in. However, despite the great interest in hybrid machines for metallic parts, there is a lack of data in the literature when it comes to ceramics. The purpose of this paper is to contribute to closing this gap. It is the first to evaluate the achievable geometrical tolerances according to ISO 2768-2 as well as the surface textures of composite zirconia parts shaped sequentially by pellet additive manufacturing (PAM, from ceramic injection molding feedstock) and finish milling. The green parts were then debinded and sintered to analyze the influence of these steps. Compared to the initial green parts, the sintered parts exhibited shiny and smooth surfaces with sharp edges. Flatness, parallelism and perpendicularity all achieved an H (fine) class, while the surface textures were significantly improved, resulting in arithmetic roughness (Ra) below 1.6 µm. [ABSTRACT FROM AUTHOR]

We present a straightforward one‐pot hydrothermal method for the synthesis of zirconia nanodispersions, leading to the formation of stable sols. By simply varying the nature of the stabilizer used, one can obtain a large variety of objects with different sizes, shapes and crystallinities. Our results demonstrate the crucial role played by aliphatic amino acids both during the formation of the objects and after, since their interaction with the surface of the inorganic crystals influences strongly the optical properties and colloidal stability of the latter. Importantly, the versatility of this method allows for the introduction of different dopants, increasing substantially the scope of applications that can be achieved with such nanoscale oxides. The high transparencies and the easy dispersibility of nanoparticles in different liquid matrixes ensure the formation of zirconia‐based nanocomposites and ceramics with outstanding optical features for the orthopedic, dental, photonics and chemical sectors. This method can be easily scaled up, being already available for the production of high‐quality zirconia nanodispersions at the industrial level. [ABSTRACT FROM AUTHOR]

When fabricating definitive implant-supported fixed prostheses in upper and lower completely edentulous patients, it is crucial to get information about the vertical dimension, jaw relationship, implants, abutments and gingival contour. In this case, temporary prostheses were used to take the information. The temporary prosthesis was scanned outside of the mouth so that it increased the efficiency of scanning it. During the scan of the prosthesis, a scan zig which connected both posterior parts of the prosthesis was used to minimize the scan errors. We report this case because we obtained satisfactory functional and esthetic results by using the digital technology. [ABSTRACT FROM AUTHOR]

Copyright of Lubrication Engineering (0254-0150) is the property of Editorial Office of LUBRICATION ENGINEERING and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To determine the effect of grit-blasting before and after sintering on the surface roughness of zirconia and the micro-tensile bond strength of a pressable veneering ceramic to zirconia. Methods: Pre-sintered zirconia blocks (IPS e.max ZirCAD, Ivoclar) were divided into four test groups of three specimens each and a control group ('CTR'; no surface treatment). Pre-S-30, Pre-S-50, and Pre-S-110 were grit-blasted with 30-µm SiO2-coated Al2O3, 50-µm Al2O3 and 110-µm Al2O3 particles, respectively, before sintering. Post-S-30 was grit-blasted with 30-µm SiO2-coated Al2O3 after sintering. For each treatment, the surface roughness was measured (Ra, Perthometer M4P, Mahr Perthen). After sintering the zirconia blocks, a liner was applied and a pressable ceramic (IPS e.max ZirPress, Ivoclar) was heat-pressed. Sixteen microbars were obtained from each block and submitted to micro-tensile bond-strength (µTBS) testing. Data were analyzed with one-way ANOVA. Any correlation between Ra and µTBS was evaluated (Sperman test). Results: Grit-blasting before sintering with 110-µm Al2O3 (RaPre-S-110 = 3.4 ± 0.4 µm), 50-µm Al2O3 (RaPre-S-50 = 2.3 ± 0.5 µm), and 30-µm SiO2-coated Al2O3 (RaPre-S-30 = 1.2 ± 0.2 µm) resulted in significantly higher roughness than grit-blasting after sintering with 30-µm SiO2-coated Al2O3 (RaPost-S-30 = 0.5 ± 0.1 µm). The highest µTBS was measured when the sintered zirconia was grit-blasted with 30-μm SiO2-coated Al2O3 (µTBSPost-S-30 = 28.5 ± 12.6 MPa), which was significantly different from that of specimens that were grit-blasted before sintering (µTBSPre-S-30 = 21.8 ± 10.4; µTBSPre-S-50 = 24.1 ± 12.6; µTBSPre-S-110 = 26.4 ± 14.1) or were not grit-blasted (µTBSCTR = 20.2 ± 11.2). Conclusions: Grit-blasting zirconia before sintering enhanced the surface roughness proportionally to the particle size of the sand used. Grit-blasting with 30-µm SiO2-coated Al2O3 after sintering improved bonding of the veneering ceramic to zirconia. Clinical Significance: As grit-blasting with 30-µm SiO2-coated Al2O3 after sintering improved bonding of the veneering ceramic to zirconia, it may reduce veneering ceramic fractures/chipping. [ABSTRACT FROM AUTHOR]

Aim: The aim of this umbrella review was to systematically review the systematic reviews on antagonist enamel wear opposing zirconia crowns compared to other ceramics and natural enamel. Settings and Design: This was an umbrella review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Materials and Methods: An electronic search of PubMed, Cochrane Central, EBSCOhost, and Google Scholar search engines for articles published from January 1, 2013, to January 1, 2023, was conducted using keywords "enamel wear," "zirconia," "feldspathic," "dental ceramics," and "Y-TZP" to identify systematic reviews on antagonist enamel wear opposing zirconia crowns compared to other ceramics and natural enamel. Statistical Analysis Used: Qualitative analysis. Results: A total of 86 articles were obtained through electronic search, of which four articles were selected after abstract screening that met the inclusion criteria for evaluating antagonist enamel wear. As compared to feldspathic groups, zirconia had substantially less antagonist wear, while surface polishing exhibited less enamel wear than glazing. Because of the heterogeneity in study design, measurement methods, and outcome variables, a meta-analysis was not possible. Conclusions: Over time, the opposing enamel wear caused by polished monolithic zirconia will be either equal to or less than that of natural enamel wear. Polished monolithic zirconia also maintains lower values of enamel wear compared to metal ceramics, feldspathic porcelains, and lithium disilicate. [ABSTRACT FROM AUTHOR]

Aim: This study investigates the interaction of zirconia and polyetheretherketone (PEEK) with indirect composite in fixed dental prostheses. This investigation aimed to assess the shear bond strength (SBS) and color stability of zirconia and PEEK before and after aging, addressing critical concerns in dental restorative applications. Settings and Design: The current in vitro study used 96 samples, 48 of which were divided into two groups, zirconia and PEEK, before and after thermocycling. A dual-axis chewing simulator was used for thermocycling. SBS was measured using a universal testing machine, and color stability was checked using a reflective spectrophotometer. Materials and Methods: Ninety-six samples were categorized into zirconia and PEEK groups, each with subgroups undergoing thermocycling. Samples were prepared using computer-aided design/computer-aided manufacturing milling and veneered with composite resin. Thermocycling involved 10,000 cycles, simulating stress levels equivalent to approximately 1 year of clinical use. SBS was assessed using standardized tests. Stereomicroscopic analysis was performed to evaluate the type of failure. Color stability of the core materials with indirect composite was done using a spectrophotometer before and after aging. Statistical Analysis Used: Statistical analysis included paired t-tests and independent t-tests in SPSS software. Results: The results revealed that SBS values for composite on PEEK decreased from 13.86 ± 0.164 MPa before thermocycling to 13.46 ± 0.185 MPa after thermocycling, with a significant difference (P < 0.005). However, both pre- and postthermocycling values for PEEK were higher than zirconia. The t-test confirmed the lower bond strength of composite to zirconia, with a noteworthy improvement after aging. Stereomicroscopic images revealed adhesive failure for the zirconia group and mixed (adhesive and cohesive) failure for the PEEK group. ΔE values were 3.21 ± 0.127 and 2.93 ± 0.142 for zirconia and PEEK groups, respectively (P < 0.005). Conclusion: Within the limitations of this study, it can be deduced that PEEK is a feasible substitute for zirconia when used in conjunction with indirect composite for the fabrication of dental prostheses. [ABSTRACT FROM AUTHOR]

Aims: The aim of this study was to compare the marginal fit of prefabricated occlusal veneers with computer-aided design/computer-aided manufacturing (CAD-CAM)-milled zirconia occlusal veneers in the posterior teeth. Settings and Design: Forty extracted human maxillary premolars were divided into two groups of 20 each. Group 1 was prepared to receive prefabricated occlusal veneers, and Group 2 was prepared to receive CAD-CAM-milled zirconia occlusal veneers. Materials and Methods: Prefabricated samples (Edelweiss) were selected for Group 1, whereas for Group 2, the tooth preparations were scanned, and occlusal veneers were fabricated using Exocad designing software and milling machine. After luting, both the groups were submerged in dye, sectioned, and evaluated for marginal fit and microleakage under a stereomicroscope using the microscope imaging software and its measurement tool. Statistical Analysis Used: Data collected were subjected to statistical analysis using SPSS 27.0. Intragroup and intergroup comparison was done using the Mann--Whitney U test. The Chi-square test was applied to check the depth of penetration of dye based on percentages. Results: The marginal gap of zirconia occlusal veneers fabricated with CAD-CAM is higher compared to that of prefabricated occlusal veneers. Similarly, the depth of penetration of dye is higher in CAD-CAM-milled zirconia occlusal veneers than prefabricated occlusal veneers. Conclusion: The marginal fit of prefabricated occlusal veneer is better than the marginal fit of zirconia occlusal veneers fabricated with CAD-CAM. Similarly, it can also be concluded that the microleakage of prefabricated occlusal veneer is less compared to the CAD-CAM-milled zirconia occlusal veneers. [ABSTRACT FROM AUTHOR]

The oral cavity's soft and hard tissues create a conducive environment for microbial proliferation and biofilm development, facilitating the colonization of prosthodontic and implant materials such as titanium (Ti) and zirconia (Zr). This study aimed to compare the efficacy of conventional decontamination methodologies (i.e., chemical and mechanical, using 0.12% digluconate chlorhexidine (CHX) solution-treatment and airflow) to adjunctive laser-based interventions on Ti and Zr substrates inoculated with Staphylococcus (S.) aureus ATCC 25923. Additionally, this investigation sought to elucidate the impact of these treatments on temperature variations and surface integrity, analyzing the laser irradiation effects on these prevalent dental materials. Experimental configurations were delineated for both Ti and Zr samples across four groups: (1) a conventional treatment group (CV); (2) a photodynamic therapy group (PDT); (3) an Er:YAG laser treatment group (Er); (4) a combined PDT and Er:YAG treatment group (PDTEr). Also, a negative control group (C) that received no treatment was considered. The decontamination of the inoculated disc samples was evaluated by quantifying the microbial colonies in colony-forming units per milliliter (CFU/mL). Temperature variations on the surface of the samples were determined during laser treatments. Surface modifications were investigated using scanning electron microscopy (SEM) and optical coherence tomography (OCT). For statistical analysis, Fisher 95% confidence intervals, Hsu's MCB method, and the Kruskal–Wallis test were applied. With regard to the 105 CFU/mL of the negative control group, results indicated average values equal for each study group to (1) 2.66 CFU/mL for Ti and 2 CFU/mL for Zr for the CV group; (2) 0.33 CFU/mL for Ti and 1 CFU/mL for Zr for the PDT group; (3) 1.25 CFU/mL for Ti and 0 CFU/mL for Zr for the Er group; (4), and 0 CFU/mL for both Ti and Zr for the PDTEr group. Therefore, the combined PDT and Er:YAG treatment (PDTEr) and the singular PDT modality outperformed conventional decontamination methods in eradicating S. aureus biofilms from both Ti and Zr surfaces. Notably, the PDTEr regime achieved a comprehensive elimination of microbial colonies on treated substrates. Surface examination employing OCT demonstrated discernible alterations in the surface morphology of samples subjected to Er:YAG and combined PDT and Er:YAG treatments. Temperature checks during treatments showed no major changes, suggesting the applied laser methods are safe. In conclusion, PDTEr and PDT eliminated bacteria more effectively, but Zr surfaces were more resilient, making them better for microbe-controlling applications. Also, the study demonstrated that the (less costly but lower resolution) OCT method can replace SEM for such investigations. [ABSTRACT FROM AUTHOR]

In order to prolong the service life of ZrO2 thermal barrier coatings,HS188 alloy was used as the substrate,and NiCrAlY powder (base layer, d50=106 μm) and yttria stabilized zirconia (YSZ,d50=50 μm) were employed as sprayed feeder to prepare NiCrAlY+YSZ thermal barrier coatings using high-energy plasma spraying equipment with a progressive exploration method.The microstructure of the coatings was controlled by adjusting the stand-off distance (85,95,105 and 115 mm) and air-cooling manner (rear air cooling,rear air cooling+gun cooling,front air cooling,and front air cooling+gun cooling). The bonding strength of the coatings was evaluated by the drawing method.The results indicate that under the conditions of long stand-off distance and low cooling rate, it is difficult for the coatings to form a vertical crack structure due to the low instantaneous heating temperature and insufficient quenching on the sample surface.However, when the instantaneous heating temperature reaches the critical value and the air cooling rate is excessive,un-melted spray particles exist.When the stand-off distance is 85 mm and the cooling method is front air cooling, a thermal barrier ceramic coating with vertical crack morphology was obtained on HS188 alloy. Simultaneously,it has a moderate density of vertical cracks, the highest bonding strength and the best toughness. [ABSTRACT FROM AUTHOR]

Background.: This in vivo study assessed the accuracy of single-tooth monolithic zirconia crowns made using an intraoral scanner (IOS) and computer-aided design/computer-aided manufacturing (CAD/CAM) technology. Methods.: Thirty patients requiring single posterior crowns were selected. The teeth were prepared with a deep chamfer finish line with a 1-mm extension subgingivally and a 1-mm reduction in all surfaces by one prosthodontist. The gingival margins were retracted using a gingival retraction paste before making impressions using a Trios scanner. All the digital impression files were sent to one laboratory using the dental designer software (3Shape, Copenhagen, Denmark). After completing the milling and sintering processes, the crowns were dyed and glazed. After removing the temporary crown, the qualitative assessment of proximal contacts of definitive monolithic zirconia crowns was performed according to the CDA criteria. Data were analyzed with Friedman's two-way analysis and independent t-test at α=0.05. Results.: The difference in axial and total gaps between premolar and molar teeth was not significant; however, the mean marginal gap of molars was higher than that of the premolars (P =0.043). Furthermore, the comparison of the axial, total, and marginal gaps between the upper and lower jaws showed no significant difference (P >0.05). The distribution of occlusal and proximal contacts indicated 60% and 66.7% proper contacts and no contacts in 6.7% and 10% of cases, respectively. Conclusion.: Using IOSs could result in accurate monolithic zirconia crowns in terms of adaptation. Also, most occlusal and proximal contacts did not need any adjustments. [ABSTRACT FROM AUTHOR]

Proton conductivity in fluorite-structured RE 2 O 3 –ZrO 2 solid solutions (RE = Gd, Sm, and Nd) with the composition of [RE 2 O 3 ]/[ZrO 2 ] ∼ 1 was studied. By screening the proton solubility and diffusivity using the tracer diffusion technique with secondary ion mass spectrometry (SIMS) depth profiling, Nd 0.7 Zr 0.3 O 1.65 was found to exhibit the highest proton conductivity among the prepared RE 2 O 3 –ZrO 2 systems. Detailed electrical conductivity measurements at various atmospheric conditions and temperatures revealed that Nd 0.7 Zr 0.3 O 1.65 is a nearly pure proton conductor below 600 °C under a reducing atmosphere, whereas electron-hole conduction is dominant under an oxidizing atmosphere. The proton conductivity was 1 × 10−4 S cm−1 at 600 °C, which is approximately two orders of magnitude lower than that of Y 2 O 3 -doped BaZrO 3. Because proton solubility in Nd 0.7 Zr 0.3 O 1.65 and Y 2 O 3 -doped BaZrO 3 are similar, the lower conductivity was attributed to the lower proton diffusivity. • H+-conductivity in fluorite-structured RE 2 O 3 –ZrO 2 solid solutions (RE = Gd, Sm, and Nd) was studied. • Nd 0.7 Zr 0.3 O 1.65 is the best H+-conductor among the prepared systems (1 × 10−4 S cm−1 at 600 °C). • Nd 0.7 Zr 0.3 O 1.65 is a nearly pure H+-conductor below 600 °C under a reducing atmosphere. [ABSTRACT FROM AUTHOR]

Developing efficient and anti‐corrosive oxygen reduction reaction (ORR) catalysts is of great importance for the applications of proton exchange membrane fuel cells (PEMFCs). Herein, we report a novel approach to prepare metal oxides supported intermetallic Pt alloy nanoparticles (NPs) via the reactive metal‐support interaction (RMSI) as ORR catalysts, using Ni‐doped cubic ZrO2 (Ni/ZrO2) supported L10−PtNi NPs as a proof of concept. Benefiting from the Ni migration during RMSI, the oxygen vacancy concentrations in the support are increased, leading to an electron enrichment of Pt. The optimal L10−PtNi−Ni/ZrO2−RMSI catalyst achieves remarkably low mass activity (MA) loss (17.8 %) after 400,000 accelerated durability test cycles in a half‐cell and exceptional PEMFC performance (MA=0.76 A mgPt−1 at 0.9 V, peak power density=1.52/0.92 W cm−2 in H2−O2/−air, and 18.4 % MA decay after 30,000 cycles), representing the best reported Pt‐based ORR catalysts without carbon supports. Density functional theory (DFT) calculations reveal that L10−PtNi−Ni/ZrO2−RMSI requires a lower energetic barrier for ORR than L10−PtNi−Ni/ZrO2 (direct loading), which is ascribed to a decreased Bader charge transfer between Pt and *OH, and the improved stability of L10−PtNi−Ni/ZrO2−RMSI compared to L10−PtNi−C can be contributed to the increased adhesion energy and Ni vacancy formation energy within the PtNi alloy. [ABSTRACT FROM AUTHOR]