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Lithium disilicate

Adham Elsayed, Sebastian Wille, Majed Al-Akhali, Matthias Kern
STATEMENT OF PROBLEM: The whitish color of zirconia (ZrO2) abutments offers favorable esthetics compared with the grayish color of titanium (Ti) abutments. Nonetheless, ZrO2 has greater opacity, making it difficult to achieve natural tooth color. Therefore, lithium disilicate (LaT) abutments have been suggested to replace metal abutments. PURPOSE: The purpose of this in vitro study was to evaluate the fracture strength and failure mode of single-tooth implant restorations using ZrO2 and LaT abutments, and to compare them with titanium (Ti) abutments...
October 18, 2016: Journal of Prosthetic Dentistry
Doğu Ömür Dede, Gözlem Ceylan, Burak Yilmaz
STATEMENT OF PROBLEM: Resin cements are available in various shades from different manufacturers. However, there is no standard for the optical properties of these cements, which may result in differences in the color of translucent ceramic restorations. PURPOSE: The purpose of this in vitro study was to evaluate the effects of different shades and brands of resin cements on the color of a lithium disilicate ceramic. MATERIALS AND METHODS: Ten ceramic disks (11×1...
October 17, 2016: Journal of Prosthetic Dentistry
Federico Tirone, Stefano Salzano, Erik Rolando
BACKGROUND: Microdontia of the maxillary anterior teeth occurs quite frequently but is poorly documented. The literature describes several treatment choices, which are often focused on an orthodontic approach rather than a restorative one. The latest trends in restorative dentistry and the new ceramic materials, such as lithium disilicate, allow clinicians to perform esthetic rehabilitations based on microinvasive approaches that are most appropriate for younger patients. SUMMARY: Four patients, all employed in the field of dentistry, presented at our dental practice complaining of diastemata between their maxillary anterior teeth...
2016: International Journal of Esthetic Dentistry
Marco Degidi, Diego Nardi, Gianluca Sighinolfi, Adriano Piattelli
PURPOSE: The use of the conical coupling connection to support definitive restorations was evaluated in cases involving full acrylic resin or hybrid acrylic resin-composite prostheses. The aim of this study was to evaluate the performance of definitive fixed partial prostheses made with lithium disilicate and supported by coupling connection abutments and healed implants. MATERIALS AND METHODS: The prostheses were placed in the posterior regions of partially edentulous patients; 65 patients received fixed lithium disilicate restorations splinted with conical coupling connections to two implants...
October 10, 2016: Journal of Prosthodontics: Official Journal of the American College of Prosthodontists
Hee-Kyung Kim, Sung-Hun Kim
OBJECTIVES: The purposes of this study were to evaluate the optical properties of recently marketed pre-colored monolithic zirconia ceramics and to compare with those of veneered zirconia and lithium disilicate glass ceramics. METHODS: Various shades of pre-colored monolithic zirconia, veneered zirconia, and lithium disilicate glass ceramic specimens were tested (17.0×17.0×1.5mm, n=5). CIELab color coordinates were obtained against white, black, and grey backgrounds with a spectrophotometer...
October 4, 2016: Journal of Dentistry
Christian Mehl, Matthias Kern, Anna-Marie Schütte, Laith F Kadem, Christine Selhuber-Unkel
OBJECTIVE: We tested the adhesion properties of living gingival fibroblasts on three different implant abutment materials, adhesive resin used to bond bi-partite abutments, and human dentin. METHODS: Discs of lithium disilicate (LS), zirconium dioxide (Zr), adhesive resin cement (AR), titanium (Ti), and human dentin (HD) were fabricated with three different levels of surface roughness (rough, machined, and polished). Ra and Rz, water contact angle, and cell detachment forces were measured...
October 4, 2016: Dental Materials: Official Publication of the Academy of Dental Materials
Stephen D Poss
Depending on the case, predictably seating today's esthetic indirect restorations can be challenging. Ultimately, the cementation and adhesive materials selected, combined with the techniques used for their placement, can greatly affect the quality and efficient delivery of laboratory-fabricated restorations. New adhesive bonding and cementation materials have the potential to simplify the delivery of indirect restorations and simultaneously reduce and/or eliminate many of the challenges clinicians face during the placement process...
October 2016: Compendium of Continuing Education in Dentistry
Vinicius P Fardin, Vitor Guarconi de Paula, Estevam A Bonfante, Paulo G Coelho, Gerson Bonfante
OBJECTIVE: To evaluate the fatigue life of zirconia-veneered and metal-ceramic crowns comprised by an even thickness or a modified framework design when loaded on marginal ridges. METHODS: Eighty marginal ridges were present after fabrication of forty molar crowns cemented onto composite-resin replicas and divided (n=20/each), in the following groups: metal-ceramic with even thickness (MCev) or with a modified framework design (MCm, lingual collar with proximal struts); porcelain-fused to zirconia with even thickness (PFZev) or with the modified framework design (PFZm)...
September 30, 2016: Dental Materials: Official Publication of the Academy of Dental Materials
Flávia Zardo Trindade, Luiz Felipe Valandro, Niek de Jager, Marco Antônio Bottino, Cornelis Johannes Kleverlaan
PURPOSE: To determine the elastic properties of five ceramic systems with different compositions (lithium disilicate vs. feldspathic ceramics) and processing methods and compare the stress distribution in premolars in the interface with inlays made with these systems loaded with the maximum normal bite force (665 N) using 3D finite element analysis (FEA). MATERIALS AND METHODS: The elastic properties of five ceramic restoration materials (IPS e.max Press, IPS e...
October 3, 2016: Journal of Prosthodontics: Official Journal of the American College of Prosthodontists
Sonia K Makhija, Nathaniel C Lawson, Gregg H Gilbert, Mark S Litaker, Jocelyn A McClelland, David R Louis, Valeria V Gordan, Daniel J Pihlstrom, Cyril Meyerowitz, Rahma Mungia, Michael S McCracken
OBJECTIVES: Dentists enrolled in the National Dental Practice-Based Research Network completed a study questionnaire about techniques and materials used for single-unit crowns and an enrollment questionnaire about dentist/practice characteristics. The objectives were to quantify dentists' material recommendations and test the hypothesis that dentist's and practice's characteristics are significantly associated with these recommendations. METHODS: Surveyed dentists responded to a contextual scenario asking what material they would use for a single-unit crown on an anterior and posterior tooth...
September 28, 2016: Journal of Dentistry
Bjørn Einar Dahl, Hans Jacob Rønold, Jon E Dahl
STATEMENT OF PROBLEM: Whether single crowns produced by computer-aided design and computer-aided manufacturing (CAD-CAM) have an internal fit comparable to crowns made by lost-wax metal casting technique is unknown. PURPOSE: The purpose of this in vitro study was to compare the internal fit of single crowns produced with the lost-wax and metal casting technique with that of single crowns produced with the CAD-CAM technique. MATERIAL AND METHODS: The internal fit of 5 groups of single crowns produced with the CAD-CAM technique was compared with that of single crowns produced in cobalt-chromium with the conventional lost-wax and metal casting technique...
September 28, 2016: Journal of Prosthetic Dentistry
C L Leal, Apv Queiroz, R M Foxton, S Argolo, P Mathias, A N Cavalcanti
PURPOSE: The aim of this study was to evaluate the effect of low-thickness ceramic laminate translucency on water sorption and solubility in resin luting agents. METHODS AND MATERIALS: Ceramic slides (15×0.7 mm) were generated using lithium disilicate (IPS e.max Press, Ivoclar-Vivadent, Schaan, Liechtenstein) that were A1 in color and had decreasing degrees of translucency (high, medium, and low). A slide of transparent glass of similar size was used as the control...
September 2016: Operative Dentistry
M Metz, M Durski, J Chou, G Crim, B Harris, W-S Lin
OBJECTIVE: For some esthetic clinical situations, it is necessary to finish crown margins on direct restorative materials to preserve tissue integrity, bonding integrity, and biological width. The purpose of this research was to investigate microleakage at the interface between bonded lithium disilicate crowns and various direct restorative materials in a class III and class V position. METHODS AND MATERIALS: Class III or class V restorations were prepared on one side of extracted incisors with either Tetric EvoCeram, Tetric Evoceram Bulk, Fuji II LC, or Tetric Evoflow...
September 2016: Operative Dentistry
Norah K Alajaji, David Bardwell, Matthew Finkelman, Ala Ali
OBJECTIVES: To evaluate the marginal and internal adaptation of CAD/CAM lithium-disilicate inlay restorations fabricated by two milling systems (Five and Three-axis), and a traditional heat-press technique. METHODS: Fifteen premolar teeth with an MOD cavity preparation were fabricated. Lithium-disilicate inlay restorations were obtained by three fabrication techniques and fitted to their dies (n = 15/gp) as follows: Group-1, three-axis milling system, Group-2, five-axis milling system, Group-3, conventional heat-press technique...
September 29, 2016: Journal of Esthetic and Restorative Dentistry
Marco Zeltner, Irena Sailer, Sven Mühlemann, Mutlu Özcan, Christoph H F Hämmerle, Goran I Benic
STATEMENT OF PROBLEM: Trials comparing the overall performance of digital with that of conventional workflows in restorative dentistry are needed. PURPOSE: The purpose of the third part of a series of investigations was to test whether the marginal and internal fit of monolithic crowns fabricated with fully digital workflows differed from that of crowns fabricated with the conventional workflow. MATERIAL AND METHODS: In each of 10 participants, 5 monolithic lithium disilicate crowns were fabricated for the same abutment tooth according to a randomly generated sequence...
September 24, 2016: Journal of Prosthetic Dentistry
Krysta Sellers, John M Powers, Sudarat Kiat-Amnuay
STATEMENT OF PROBLEM: The optimal retention of implant-supported ceramic crowns on zirconia abutments is a goal of prosthodontic treatment. PURPOSE: The purpose of this in vitro study was to evaluate the retentive strength of implant-supported IPS e.max CAD-CAM (e.max) crowns bonded to custom zirconia implant abutments with different cements. MATERIAL AND METHODS: An optical scan of a zirconia custom abutment and a complete-coverage modified crown was designed using an intraoral E4D scanner...
September 24, 2016: Journal of Prosthetic Dentistry
Yukinori Maruo, Goro Nishigawa, Masao Irie, Kumiko Yoshihara, Takuya Matsumoto, Shogo Minagi
BACKGROUND: This study evaluated the surface morphology, chemical composition and adhesiveness of lithium disilicate glass ceramic after acid etching with hydrofluoric acid or phosphoric acid. METHODS: Lithium disilicate glass ceramic specimens polished by 600-grit silicon carbide paper were subjected to one or a combination of these surface treatments: airborne particle abrasion with 50-μm alumina (AA), etching with 5% hydrofluoric acid (HF) or 36% phosphoric acid (Phos), and application of silane coupling agent (Si)...
September 17, 2016: Journal of Applied Biomaterials & Functional Materials
Nathaniel C Lawson, Ritika Bansal, John O Burgess
OBJECTIVE: To measure the mechanical properties of several CAD/CAM materials, including lithium disilicate (e.max CAD), lithium silicate/zirconia (Celtra Duo), 3 resin composites (Cerasmart, Lava Ultimate, Paradigm MZ100), and a polymer infiltrated ceramic (Enamic). METHODS: CAD/CAM blocks were sectioned into 2.5mm×2.5mm×16mm bars for flexural strength and elastic modulus testing and 4mm thick blocks for hardness and wear testing. E.max CAD and half the Celtra Duo specimens were treated in a furnace...
September 14, 2016: Dental Materials: Official Publication of the Academy of Dental Materials
Fernando Zarone, Marco Ferrari, Francesco Guido Mangano, Renato Leone, Roberto Sorrentino
The present paper was aimed at reporting the state of the art about lithium disilicate ceramics. The physical, mechanical, and optical properties of this material were reviewed as well as the manufacturing processes, the results of in vitro and in vivo investigations related to survival and success rates over time, and hints for the clinical indications in the light of the latest literature data. Due to excellent optical properties, high mechanical resistance, restorative versatility, and different manufacturing techniques, lithium disilicate can be considered to date one of the most promising dental materials in Digital Dentistry...
2016: International Journal of Dentistry
Sorin Mihali, Silvana Canjau, Emanuel Bratu, Hom-Lay Wang
PURPOSE: The aim of this study was to evaluate, in a case control study, the esthetic and functional clinical performance of ceramic inlays used for covering the screw access hole in single monolithic lithium disilicate full-contour crowns bonded on computer-aided design/computer-aided manufacturing (CAD/CAM) prefabricated titanium abutments in order to eliminate the drawbacks of alternative restorative methods. MATERIALS AND METHODS: Twenty-eight patients with missing teeth in the lateral areas (premolars and molars) received screw-retained implant restorations...
September 2016: International Journal of Oral & Maxillofacial Implants
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