Over the last decade, zirconia (ZrO2)-based ceramic materials have become more applicable to modern dental medicine due to the sustained development of diverse computer-aided design/computer-aided manufacturing (CAD/CAM) systems. However, before the cementation and clinical application, the freshly prepared zirconia material (e.g., crowns) has to be processed by sandblasting in the dental laboratory. In this work, the impact of the sandblasting on the zirconia is monitored as changes in morphology (i.e., grains and cracks), and the presence of impurities might result in a poor adhesive bonding with cement. The sandblasting is conducted by using Al2O3 powder (25, 50, 110 and 125 µm) under various amounts of air-abrasion pressure (0.1, 0.2, 0.4 and 0.6 MPa). There has been much interest in both the determination of the impact of the sandblasting on the zirconia phase transformations and conductivity. Morphology changes are observed by using Scanning Electron Microscope (SEM), the conductivity is measured by Impedance Spectroscopy (IS), and the phase transformation is observed by using Powder X-Ray Diffraction (PXRD). The results imply that even the application of the lowest amount of air-abrasion pressure and the smallest Al2O3 powder size yields a morphology change, a phase transformation and a material contamination.
Nowadays, yttria (Y3+)-stabilized ZrO2 (Y-TZP) is the most commonly used material in dental prosthetics. Y-TZP dental ceramics are mainly stabilized via the addition of 3 mol% yttrium oxide (Y2O3). These ceramics exhibit excellent mechanical properties, including high flexural strength, fracture toughness, elastic modulus, etc. Some manufacturers have recently introduced a new class of dental materials with multilayer composition with the aim of combining the advantages of adding more or less Y2O3 to the ceramic composition in one Y-TZP material. The flexural strength values of multilayer Y-TZP may vary depending on the dimensions of the specimen, layer distributions, and especially the layer exposed on the maximum tension side, i.e., loading configuration. Although previous studies have examined the flexural strength of separate Y-TZP layers, capturing the flexural strength of multilayer Y-TZP is still challenging. However, one should keep in mind that multilayer flexural strength is important for clinical indications. The objective of this study is to compare the flexural strength of three distinct multilayer translucent Y-TZP materials made up of layers with different Y3+ contents. Rectangular samples (2 mm × 2 mm × 16 mm) were prepared from CAD/CAM discs using the milling machine Programill PM7 (Ivoclar Vivadent AG). Milled bars were tested for flexural strength in a three-point bending test (ISO 6872:2015) using a universal testing machine (Inspekt Duo 5kN; Hegewald & Peschke, Nossen, Germany) at a crosshead speed of 0.5 mm/min. Representative samples of each type of material were selected for quantitative and qualitative analysis of the microstructure. Representative samples of each type of material were selected for structural, mechanical, and microstructural analyses.
Dental ceramics represents a major structural material in fixed prosthodontics. Increasing demands for esthetics led to development of new ceramic materials in order to eliminate the use of metal framework and for all ceramic restorations with mechanical properties to withstand high occlusal forces. Out of all the present ceramic materials, zirconium-ceramic has the best mechanical properties, and is the only material that can be used for longer span fixed dental restorations. Despite its excellent mechanical properties, to achieve great esthetics, due to absence of translucency, zirconium-dioxide cannot be used as a single material and needs veneering with more esthetic ceramic. When introduced in dental medicine, it was considered an almost ideal material for fixed prosthodontics, but clinical use and in vivo and in vitro studies showed many problems which still persist despite the improvements. This review aims to reveal new developments in zirconium-ceramics and technical procedures which could increase clinical performance and longevity of these restorations.
Background: This randomized trial’s objective was to investigate the impact of social network content on the perception of smiles among specialists, doctors, students of dental medicine, and laypeople. Method: A sample of 360 respondents was shown 7 digitally altered photographs of smiles (85.63% female, 14.37% male). Dental specialists, dentists, dental students (first to third year and fourth to sixth year), and laypeople made up the sample. Respondents were asked to rank the images on a scale of 1 to 10, starting with the least appealing and moving up to the most attractive, using a Google Form. Respondents were divided into experimental and control groups at the end of the following month by random selection. The experimental group followed an Instagram profile posting two images of beautiful smiles for seven days, while the control group received no intervention at all. Both groups then completed the same questionnaire again. The comparison of esthetic scores between the experimental and control group was performed using the Mann–Whitney U-test and the difference in test responses between the starting point of the measurement and after exposure to perfect content on social media within individual groups was tested with the Wilcoxon paired-samples test. When comparing the absolute difference of scores, the Mann–Whitney U-test and the Kruskal–Wallis test were used. Results: Respondents in the experimental group rated the rounded embrasures of the incisors with lower esthetic scores compared to the control group that was not exposed to images on the Instagram social network. In those exposed to Instagram (experimental group), laypeople showed significantly greater satisfaction with their own smile after the exposure to Instagram, whereas no such difference was present in the control group. Conclusions: The content of social networks potentially has an influence on smile perception, most visible in the perception of incisal embrasures and self-perception of smile.
Zirconia (ZrO2), a widely known material with an extensive range of applications, is especially suitable for dental applications. This kind of dental material is produced in the form of blocks or discs (mostly discs—depending on CAD/CAM machines) by cold isostatic pressing (CIP). Such discs are subsequently milled by CAM/CAD technology into a desirable form. Due to the application of CIP, the resulting discs consist of different yttria-stabilized tetragonal zirconia polycrystal (Y-TZP) powders, additives and pigments. The diverse composition of the discs (e.g., different Y3+ content) governs material properties, such as hardness, toughness and translucence. The aim of this work was to investigate the impact of Y3+ addition on the grains and grain boundaries, on the ZrO2 phases lattice parameter values and on the electrical equivalent circuit parameters of the prepared Y-TZP samples. The disc-shaped samples were prepared by using CAM/CAD technology. It was observed that the grain size and the grain density were increased by Y3+ addition. The sample with the lowest Y3+ content was characterized by the highest portion of the tetragonal phase, whilst the disc with the highest Y3+ addition consisted mainly of the cubic phase. It was also observed that at the higher Y3+ ion concentrations, these ions mainly incorporated the tetragonal phase. Furthermore, conductivity investigations showed that the resistivity of the grains in the samples with the higher Y3+ concentrations was decreased as these ions were mainly trapped in the grain boundary. On the other hand, the Y3+ trapping increased the capacitance of the grain boundary.