Innovations in digital manufacturing enabled the fabrication of implant‐supported fixed dental prostheses (ISFDPs) in a wide variety of recently introduced materials. Computer‐aided design and computer‐aided manufacturing (CAD‐CAM) milling allows the fabrication of ISFDPs with high accuracy by reducing the fabrication steps of large‐span frameworks. The longevity of ISFDPs depends on the overall mechanical properties of the framework material including its fit, and the physical properties of the veneering material and its bond with the framework. This comprehensive review summarizes the recent information on millable CAD‐CAM framework materials such as pre‐sintered soft alloys, fiber‐reinforced composite resins, PEEK, and PEKK in high‐performance polymer family, and 4Y‐TZP. Even though promising results have been obtained with the use of new generation millable CAD‐CAM materials for ISFDPs, clinical studies are lacking and future research should focus on the overall performance of these millable materials in both static and dynamic conditions.

Loss of an eye caused by cancer, trauma, or congenital defect creates a deep psychological impact on an individual's life especially social and professional life. Custom-made prosthesis, compared to stock prosthesis, provides a better fit to the eye socket, better cosmetic results, and less discomfort to the patient in the long term. The main objective of this article was to describe 3 different alternative and practical techniques of fabricating custom-made ocular prosthesis. An impression of anophthalmic socket was made with the addition of cured silicone-based precision impression material in all techniques. A master cast was prepared and duplicated with condensation silicone. A self-cure acrylic resin was polymerized in the silicone model and was fitted into the patient's eye socket. A digital photograph of the patient's iris was made using a digital camera and printed on good-quality photo paper in various shades and sizes in the first and the second techniques. Then the photo paper was coated with PVC so as not to allow any color flowing. The proper iris was then inserted to the acrylic base. The prosthesis was final processed using orthodontic heat polymerizing clear acrylic resin.In the other technique, after the trying-in process with wax pattern, an acrylic base was fabricated using heat polymerizing scleral acrylic resin. The prosthetic iris was fabricated from a transparent contact lens by painting the lens with watercolor paints and attaching it to an acrylic resin with tissue conditioner. The final process was made with heat polymerizing transparent acrylic resin. Custom-made prosthesis allows better esthetic and functional results to the patient in comparison to stock prosthesis. Further follow-up is necessary to check the condition and fit of the ocular prosthesis in such patients.

Purpose: Patients with maxillofacial deformities always seek for aesthetic prosthesis. Recently, three-dimensional printing technologies have been used for dental treatments on such patients. Case report: A 24-year-old man reported to the Department of Prosthodontics for replacement of his missing right ear induced by a trauma. A magnet-retained auricular prosthesis was planned for the patient. Three-dimensional scanning was performed on the healthy side by using a three-dimensional optical scanner and the data were mirrored. The mirrored image was then imported to a software and a virtual model of the future prosthesis was obtained for the defect side. A three-dimensional printer was used to fabricate a negative mold for the mirrored image by using additive manufacturing. Initially, an impression of the defect side was made; then, the cast model was obtained in a dental flask. Magnets of the prosthesis were inserted to the acrylic resin framework on the cast model. Room temperature vulcanized silicone elastomer was mixed and poured into the three-dimensionally fabricated mold. Then, the flask was placed over the negative mold firmly. After polymerization of the silicone, the auricular prosthesis was delivered to the patient and the patient was instructed to clean the prosthesis daily. Conclusions: Three-dimensional printing technology was used for the fabrication of the patient’s missing ear. This method eliminated the conventional laboratory steps and reduced the number of stages of the fabrication of a silicone prosthesis. The negative mold of the defect side allowed us a direct fabrication of the silicone prosthesis without a need for waxing or flasking procedures.

The aim of this study was to evaluate the shear bond strength of orthodontic brackets bonded to different kinds of ceramic surfaces after different surface conditioning methods. A total of 120 ceramic disks were divided into two main groups in terms of feldspathic or lithium disilicate. Each ceramic group was further subdivided into six subgroups depending on surface treatment (n = 10). The ceramic surfaces were conditioned by one of the following methods: Group C: control group; Group P: %37.5 orthophosphoric acid; Group HF: %9.6 hydrofluoric acid; Group L: Nd-YAG laser irradiation; Group SB: sandblasting with 50 µm Al₂O₃ particles; and Group DB: grinding with a diamond bur. Surface roughness value was evaluated with a digital profilometer. Surface topographies of one specimen from each group were observed by atomic force microscopy (AFM) after surface treatments. All samples were primed with silane before the bracket bonding, including the control group. Metal brackets were bonded to the specimens with a light curing composite resin. The samples were stored in distilled water for 24 h and thermocycled 2500× at 5 and 55 ºC for 30 s. Shear bond strengths between the ceramic surface and the bracket were measured with a universal testing machine at a crosshead speed of 0.5 mm/min. Failure modes were classified as adhesive, cohesive, or mixed. Data were analyzed using ANOVA and Tukey's tests (α = .05). Group SB had significantly rougher surface compared with the other groups in each ceramic system (p < .05), and Group SB demonstrated significantly higher shear bond strengths than other groups as well. Within the limitations of this study, surface conditioning methods, except for sandblasting and grinding, were associated with lower shear bond strengths; however, thermocycling may have had negative effects on bond strengths of specimens. Furthermore, in each ceramic system, there was a significant difference between surface-conditioning methods and surface roughness with regard to shear bond strength.

Aim : The aim of this study was to evaluate the effect of various surface treatments on the bond strength of veneering feldspathic porcelain to zirconia. Methods: Fifty yttria-stabilized tetragonal zirconia polycrystalline specimens were divided into five groups (n = 10) according to various surface treatments. The groups were as follows: Group 1: control group with liner application and no further surface treatment; Group 2: air-particle abrasion with 110 μm of alumina (Al₂O₃) particles; Group 3: grinding with a diamond disk; Group 4: Nd:YAG laser irradiation (the laser and the energy parameters were 10 Hz, and 2 W and 200 mJ, and the pulse duration (short pulse) range was up to 180 μs); Group 5: selective infiltration etching (SIE). After surface treatments, a liner application was performed for all surfaces according to the manufacturer’s instructions. Veneering porcelain was applied on zirconia surfaces using a Teflon mold. Shear bond strength was tested using a universal testing machine. The fractured surface morphologies were examined with scanning electron microscopy. The data were statistically analyzed using Mann–Whitney U and Kruskal–Wallis tests (α = .05). Results: The Megapascal values of the bonding groups were as follows: G1 = 8.62 ± 1.12, G2 = 13.87 ± 5.08, G3 = 12.31 ± 3.35, G4 = 17.32 ± 6.16, and G5 = 16.17 ± 4.55. Statistically significant differences were observed between the control group and the other groups (p < 0.05). Group 4 had the highest bond strength while G1 showed the lowest bond strength. No significant differences were found between the Nd:YAG, grinding, sandblasting, and SIE groups. Conclusion: Surface treatments had different effects on the shear bond strength of feldspathic porcelain to zirconia. Surface treatment techniques used in this study can be used on zirconia specimens prior to liner application to obtain an acceptable bond strength of veneering porcelain to zirconia. The effect of Nd:YAG laser irradiation and SIE techniques on bond strength of veneering ceramic to zirconia should be evaluated with further studies.