An important challenge in today’s dentistry is to create sturdy and aesthetic restorations. Dental research aims to create restorations with long-term durability and optical properties similar to healthy natural teeth. Recent works have shown that the magnetic handling of a dental adhesive doped with magnetic nanoparticles (MNPs) improves the adhesion between the composite and the dentin. This study presents the preparation of dental adhesives loaded with iron oxide (Fe3O4) NPs incorporated in SiO2 shells, and their applications in the creation of dental veneers. Extracted incisors were prepared for veneering and divided in two groups: Group A was bonded with normal adhesive and Group B was bonded with the augmented adhesive, in the presence of a permanent magnet. The samples were analyzed using stereomicroscopy, optical coherence tomography (OCT), and scanning electron microscopy (SEM), the latter combined with energy dispersive analysis of X-rays (EDAX). All techniques enabled the visualization of the veneer-adhesive and adhesive-dentin interfaces: (i) stereomicroscopy demonstrated that the adhesive layer was thinner for Group B and revealed conglomerates of MNPs in the adhesive layer; (ii) OCT enabled a visualization of the marginal closure, as well as of defects in the two interfaces; (iii) SEM provided a high-resolution image of the adhesive layer, whereas EDAX furnished an elemental analysis of the augmented adhesive. In conclusion, under the action of an external magnetic field, MNPs can penetrate deeper into the demineralized structure of the tooth, reducing the thickness of the adhesive layer and, thereby, decreasing the probability of microleakage.
INTRODUCTION: The use of Optical Coherence Tomography (OCT) as a non-invasive and high precision quantitative information providing tool has been well established by researches within the last decade. The marginal discrepancy values can be scrutinized in optical biopsy made in three dimensional (3D) micro millimetre scale and reveal detailed qualitative and quantitative information of soft and hard tissues. OCT-based high resolution 3D images can provide a significant impact on finding recurrent caries, restorative failure, analysing the precision of crown preparation, and prosthetic elements marginal adaptation error with the gingiva and dental hard tissues. During the CAD/CAM process of prosthodontic restorations, the circumvent of any error is important for the practitioner and the technician to reduce waste of time and material. Additionally, OCT images help to achieve a new or semi-skilled practitioner to analyse their crown preparation works and help to develop their skills faster than in a conventional way. The aim of this study is to highlight the advantages of OCT in high precision prosthodontic restorations.
MATERIALS AND METHODS: 25 preparations of frontal and lateral teeth were performed for 7 different patients. The impressions of the prosthetic fields were obtained both using a conventional optoelectronic system (Apolo Di, Syrona) and a Spectral Domain using OCT (Dental prototype, working at 860 nm). For the conventional impression technique the preparation margins were been prelevated by gingival impregnated cords. No specific treatments were performed by the OCT impression technique.
RESULTS: The scanning performed by conventional optoelectronic system proved to be quick and accurate in terms of impression technology. The results were represented by 3D virtual models obtained after the scanning procedure was completed. In order to obtain a good optical impression a gingival retraction cord was inserted between the prepared tooth and the gingival tissue for a better elevation of the tooth cervical margin preparation. Spectral OCT was enforced in order to observe the quality but also the advantages coming from this technology. No special preparation was performed for this operation.
CONCLUSION: Considering these aspects, OCT could be used as a valuable tool for dental impression technology, being non-invasive but also non-destructive on the marginal gingival tissue, in comparison with conventional optoelectronic technology where the gingival retraction cord is still mandatory.
Prevention and allopathic medicine gained attention, since it is possible for dentists to prevent demineralization, using plants and natural substances with well-known efficacy. The purpose of this study was to present new methods for teeth remineralization. It was made a selection of 10 extracted teeth, maintained in physiological serum, with no color fading, decay or demineralization. It was induced demineralization, with ortho-phosphoric acid (concentration 45 %), for one minute. The probes were visually and with optical coherence tomography (OCT) inspected. The natural product and the bonding with additional nanoparticles of argent were created and applied on the demineralization zone of the both groups of teeth. Each tooth in the first group had one plain surface demineralized. The second group of teeth had a cavity prepared on one of each tooth’s side. The pastes were applied on the demineralized surfaces and in the demineralized cavities for two minutes. After time expired, the pasta applied on the first group of teeth was washed away; the bonding above the second group of teeth was light cured. The probes were again visually and with OCT inspected. It was observed an improvement in remineralizing the white marks on plain surfaces and in the created cavities, the OCT being able to detect different levels of remineralization. The efficacy of natural pasta depends on the time it is applied and the concentration of the different main substances. Also, the type of surface, plain or occlusal facets, may influence the substances’ penetration ability. The non-invasive specific feature of these products, low costs and safety are strong positive aspects of this method of remineralization. However, the natural process of remineralization is a long-lasting one; perfecting the main substances in order to accelerate the process, in addition to several in vivo studies would be necessary to be fulfilled.
Introduction. Dental ceramics show better biocompatibility and aesthetic properties in dental constructs with regard to
metals. However, they also have an insufficient mechanical stability, as well as low resistance limits due to their
fragility. Taking into account these aspects, glass infiltrated with ceramic materials such as alumina (i.e., zirconiareinforced
ceramics) is being nowadays considered a better material for full fixed partial prostheses (FPPs) than
ceramics: the former has a higher mechanical resistance, which makes it more appropriate for restoration areas, where
there is an increased mechanical stress. The interest for zirconia is growing due both to its resistance and to the
possibility to develop such prostheses using the CAD/CAM technology.
Materials and methods. 24 all ceramic FPPs created with CAD/CAM technology were used. The models were scanned
with Zeno Wieland Scanner, a one touch scanning machine which requires between 45-60 s for a full model scan. The
scanner provides 3 axis-architecture and automatic data processing. The zirconia infrastructures resulted from milling
zirconia green disks in Wieland units, followed by the deposition of ceramic masses and then by burning procedures. All
the samples were assessed with a Time Domain Optical Coherence Tomography (TD-OCT) system working at a
wavelenght of 1300 nm. Using OCT investigations, material defects were detected in the areas of maximal tension, i.e.
the connectors, the oclusal, and the cervical areas. These samples with defects in the above areas have not been
considered for the study further on. Finally, the samples were loaded in a MultiTest 5 i Mecmesin system and tested until
fracture occurred. The MultiTest 5-i creates tensile and compression forces of up to 5 kN.
Results and discussions. All the test samples survived a dynamic load of 1.2 x 107 cycles and a thermal cycle mixer
simulator version; signs of failure in terms of fracture lines were observed in all samples. The average value of the force
necessary to break the FPPs obtained from the tests is 1750 N.
Conclusions. Conventional metal-ceramic fixed partial dentures are still considered the standard for edentulous spaces
in the posterior region. Therefore, the resistance of metal-ceramic fixed partial dentures has served in this study as a
guide for new ceramics tests. All the values from this study conducted in FPP with zirconia frames were much lower
than the values reported for metal ceramic fixed partial dentures (i.e., 2500-3000 N), but higher that 1000 N, which is
considered the lowest resistance point to be utilized in the rear region of the oral cavity.
Digital impressions were introduced to overcome some of the obstacles due to traditional impression materials and techniques. The aim of this in vitro study is to compare the accuracy of all ceramic crowns obtained with digital impression and CAD-CAM technology with the accuracy of those obtained with conventional impression techniques. Two groups of 10 crowns each have been considered. The digital data obtained from Group 1 have been processed and the all-ceramic crowns were milled with a CAD/CAM technology (CEREC MCX, Sirona). The all ceramic crowns in Group 2 were obtained with the classical technique of pressing (emax, Ivoclar, Vivadent). The evaluation of the marginal adaptation was performed with Time Domain Optical Coherence Tomography (TD OCT), working at a wavelength of 1300 nm. Tri-dimensional (3D) reconstructions of the selected areas were obtained. Based on the findings in this study, one may conclude that the marginal accuracy of all ceramic crowns fabricated with digital impression and the CAD/CAM technique is superior to the conventional impression technique.
Background: The principal aim of our study was to evaluate digital impressions, taken with spray powder and powderfree scan systems, in order to determine the influence of the dentist’s commitment to training as a critical factor regarding quality.
Material and method: Two digital intraoral impression systems from the same manufacture (Sirona) : Apollo DI and CEREC Omnicam, were used to scan 16 crown preparations on teeth on a typodont maxillary model. Because an Apollo Di intraoral camera is a powder system, an adhesive was applied before using the powder spray. Three groups were used to scan the crown preparations in order to determine coating thickness homogeneity. One group consisted of senior year dental students, a second consisted of prosthodontics residents, and the third consisted of prosthodontics specialists. The same procedure was applied with a CEREC Omnicam intraoral camera, which is a powder-free system. By using the two systems software parameters we were able to determine the scanning precision.
Results: Homogeneity scores for Apollo Di regarding the spray layer was significantly thinner for all dental surfaces in the first group, while the second group had thinner coatings for buccal and distal surfaces. For the third group, the crown preparations were coated more homogeneously than the first two groups. The powder-free system CEREC Omnicam can, to a degree, mask the lack of experience in direct optical impressions by avoiding the poor quality coating, which can lead to defective marginal adaptation of definitive restoration.
Conclusions: The dentist’s lack of experience can be mitigated, and partially avoided, by using powder-free systems. At the same time, the dentist can give more time towards learning how to integrate computerized fabricated restoration into the practice. The commitment to training is a critical factor in the successful integration of the technology. In addition, scanning marginal preparation details needs time in order to develop technical and manual skills.
The osteoconductive materials are important in bone regeneration procedures. Three dimensional (3D) reconstructions were obtained from the analysis. The aim of this study is to investigate the interface between the femur rat bone and the new bone that is obtained using a method of tissue engineering that is based on two artificial matrixes inserted in previously artificially induced defects. For this study, under strict supervision 20 rats were used in conformity with ethical procedures. In all the femurs a round defect was induced by drilling with a 1 mm spherical Co-Cr surgical drill. The matrixes used were IngeniOss (for ten samples) and 4Bone(for the other ten samples). These materials were inserted into the induced defects. The femurs were investigated at 1 month, after the surgical procedures. The interfaces were examined using Time Domain (TD) Optical Coherence Tomography (OCT) combined with Confocal Microscopy (CM). The scanning procedure is similar to that used in any CM, where the fast scanning is en-face (line rate) and the scanning in depth is much slower (at the frame rate). The optical configuration uses two single mode directional couplers with a superluminiscent diode as the source centered at 1300 nm. The results showed open interfaces due to the insufficient healing process, as well as closed interfaces due to a new bone formation inside the defect. The conclusion of this study is that TD-OCT can act as a valuable tool in the investigation of the interface between the old bone and the one that has been newly created due to the osteoinductive process. The TD-OCT has proven a valuable tool for the non-invasive evaluation of the matrix bone interfaces.
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