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18 pages, 8890 KiB

Open AccessArticle

Evaluation of the Mechanical and Adhesion Characteristics of Indirect Restorations Manufactured with Three-Dimensional Printing

by Cem Peskersoy and Aybeniz Oguzhan

Polymers 2024, 16(5), 613; https://doi.org/10.3390/polym16050613 - 23 Feb 2024

Viewed by 674

Abstract

The aim of this study was to investigate the marginal fit and bond strength characteristics of onlay restorations manufactured by three-dimensional printing (Varseo XS, Bego GmbH, Bremen, Germany) and CAD/CAM (CAMcube, Montreal, QC, Canada) systems. Class II onlay cavities on sixty mandibular molars [...] Read more.

The aim of this study was to investigate the marginal fit and bond strength characteristics of onlay restorations manufactured by three-dimensional printing (Varseo XS, Bego GmbH, Bremen, Germany) and CAD/CAM (CAMcube, Montreal, QC, Canada) systems. Class II onlay cavities on sixty mandibular molars were prepared in cavities and restored in three separate groups using different fabrication methods. Digital and conventional impressions were taken to design the restorations in the CAD system (DWOS, Straumann GmbH, Freiburg, Germany). To evaluate the marginal fit and void volumes, all specimens were scanned with microcomputed tomography. A microshear test was performed to compare the bond strength of the restorations to the tooth surface. The marginal fit values measured for the 3D-printed and CAD/CAM onlay restorations were found to be at clinically acceptable levels (<120 µm), and no significant difference could be observed between the three different fabrication methods (p > 0.05). According to the microshear test results, the CAD/CAM group had the highest bond strength values before (34.82 MPa) and after (26.87 MPa) thermal cycling (p < 0.05), while the 3D-printed and conventionally produced onlays had similar results (p < 0.05). 3D printing technology is a promising option for indirect restorations; however, the post-production phase is as crucial as the printing and cementation phases. Full article

(This article belongs to the Special Issue Advanced Polymeric Materials for Dental Applications II)

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15 pages, 2588 KiB

Open AccessArticle

Influence of Post-Processing on the Degree of Conversion and Mechanical Properties of 3D-Printed Polyurethane Aligners

by Luka Šimunović, Antonija Jurela, Karlo Sudarević, Ivana Bačić, Tatjana Haramina and Senka Meštrović

Polymers 2024, 16(1), 17; https://doi.org/10.3390/polym16010017 - 20 Dec 2023

Cited by 1 | Viewed by 920

Abstract

Background: This study explores how different post-processing methods affect the mechanical properties and degree of conversion of 3d-printed polyurethane aligners made from Tera Harz TC-85 resin. Methods: Using Fourier-transform infrared (FTIR) spectroscopy, the degree of conversion of liquid resin and post-processed materials was [...] Read more.

Background: This study explores how different post-processing methods affect the mechanical properties and degree of conversion of 3d-printed polyurethane aligners made from Tera Harz TC-85 resin. Methods: Using Fourier-transform infrared (FTIR) spectroscopy, the degree of conversion of liquid resin and post-processed materials was analyzed. This investigation focused on the effects of various post-curing environments (nitrogen vs. air) and rinsing protocols (centrifuge, ethanol, isopropanol, and isopropanol + water). The assessed mechanical properties were flexural modulus and hardness. Results: The degree of conversion showed no significant variance across different groups, though the polymerization environment influenced the results, accounting for 24.0% of the variance. The flexural modulus varied considerably, depending on both the rinsing protocol and the polymerization environment. The standard protocol (centrifugation followed by nitrogen polymerization) exhibited the highest flexural modulus of 1881.22 MPa. Hardness testing revealed significant differences, with isopropanol treatments showing increased resistance to wear in comparison to the centrifuge and ethanol rinse treatments. Conclusions: This study conclusively demonstrates the adverse effects of oxygen on the polymerization process, underscoring the critical need for an oxygen-free environment to optimize material properties. Notably, the ethanol rinse followed by nitrogen polymerization protocol emerged as a viable alternative to the conventional centrifuge plus nitrogen method. Full article

(This article belongs to the Special Issue Advanced Polymeric Materials for Dental Applications II)

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12 pages, 3366 KiB

Open AccessArticle

Study of Water Sorption in Methacryl-Based Polyhedral Oligomeric Silsesquioxane (POSS) Dental Composites Using Molecular Dynamics Simulations

by Chandra Mouli R. Madhuranthakam, Sudharsan Pandiyan, Omar Chaalal and Ali Elkamel

Polymers 2023, 15(20), 4161; https://doi.org/10.3390/polym15204161 - 20 Oct 2023

Viewed by 724

Abstract

Methacrylate-based polyhedral oligomeric silsesquioxane (POSS) is one of the new composites used as a dental resin. Both monofunctional methacryl isobutyl POSS (MIPOSS) and multifunctional methacryl POSS (MAPOSS) are reported to be possible resins that possess the desired properties for using them as dental [...] Read more.

Methacrylate-based polyhedral oligomeric silsesquioxane (POSS) is one of the new composites used as a dental resin. Both monofunctional methacryl isobutyl POSS (MIPOSS) and multifunctional methacryl POSS (MAPOSS) are reported to be possible resins that possess the desired properties for using them as dental resins. Our group’s previous comparative study on these two resins showed that the MAPOSS composite has superior mechanical properties compared with the MIPOSS composite. In this article, molecular dynamic simulations (MD simulations) are performed to study the water sorption in these two composites. Water sorption in dental composites can have several effects on the material properties, performance, and longevity of dental restorations. Water sorption in MAPOSS and MIPOSS composites is analyzed by studying the hydrogen bonding, cluster analysis, density projection calculations, and diffusion coefficient calculation of water molecules within the resin matrix. MD simulations results are further used to understand the interaction of water molecules with the resin matrix comprehensively, which governs the composite’s mechanical properties. The water sorption study showed that the MAPOSS composite has less water sorption capacity than the MIPOSS composite. The practical significance of this study is to find properties that affect dental restoration and longevity, which can help in the design of better materials for dental applications. Full article

(This article belongs to the Special Issue Advanced Polymeric Materials for Dental Applications II)

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18 pages, 7360 KiB

Open AccessArticle

The Mechanical, Thermal, and Biological Properties of Materials Intended for Dental Implants: A Comparison of Three Types of Poly(aryl-ether-ketones) (PEEK and PEKK)

by Sandra Paszkiewicz, Paweł Lesiak, Konrad Walkowiak, Izabela Irska, Karol Miądlicki, Marcin Królikowski, Elżbieta Piesowicz and Paweł Figiel

Polymers 2023, 15(18), 3706; https://doi.org/10.3390/polym15183706 - 08 Sep 2023

Cited by 4 | Viewed by 1148

Abstract

Regarding the dynamic development of 3D printing technology, as well as its application in a growing part of industries, i.e., in the automotive industry, construction industry, medical industry, etc., there is a notable opportunity for its application in producing dental implants, which presents [...] Read more.

Regarding the dynamic development of 3D printing technology, as well as its application in a growing part of industries, i.e., in the automotive industry, construction industry, medical industry, etc., there is a notable opportunity for its application in producing dental implants, which presents a promising alternative to traditional implant manufacturing methods. The medical industry is very restrictive regarding the applied materials, and it is necessary to use materials that exhibit very good mechanical and thermal parameters, show clinical indifference and biocompatibility, are non-allergenic and non-cancerous, and are likely to sterilize. Such materials are poly(aryl-ether-ketone)s (PAEK)s, mainly poly(ether-ether-ketone) (PEEK) and poly(ether-ketone-ketone) (PEKK), that are found to be high-performance polymers and can be defined as materials that retain their functionality even in extreme conditions. In the present paper, two types of PEEKs and PEKK were compared regarding their structural, mechanical, and thermal properties along with the biological activity toward selected strains. The tested samples were obtained with Fused Deposition Modeling (FDM) technology. The PEKK, after heat treatment, exhibits the most promising mechanical properties as well as less bacterial adhesion on its surface when compared to both PEEKs. Consequently, among the evaluated materials, PEKK after heat treatment stands out as the optimal selection for a dental prosthesis. Full article

(This article belongs to the Special Issue Advanced Polymeric Materials for Dental Applications II)

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11 pages, 4850 KiB

Open AccessArticle

Enhancing Dental Cement Bond Strength with Autofocus-Laser-Cutter-Generated Grooves on Polyetheretherketone Surfaces

by Tzu-Yu Peng, Tien-Li Ma, I-Ta Lee, Sheng-Han Wu, Yuichi Mine and Chia-Cheng Lin

Polymers 2023, 15(18), 3670; https://doi.org/10.3390/polym15183670 - 06 Sep 2023

Cited by 1 | Viewed by 896

Abstract

Polyetheretherketone (PEEK) is widely used in dentistry owing to its exceptional properties, including its natural appearance; however, existing surface treatment methods for bonding PEEK have limitations. Autofocus laser cutters, known for their precise engraving and cutting capabilities, offer potential for surface treatment of [...] Read more.

Polyetheretherketone (PEEK) is widely used in dentistry owing to its exceptional properties, including its natural appearance; however, existing surface treatment methods for bonding PEEK have limitations. Autofocus laser cutters, known for their precise engraving and cutting capabilities, offer potential for surface treatment of PEEK; thus, the objective of this study was to investigate the creation of laser groove structures on PEEK to enhance its bonding capability with dental resin cement. A dental computer-aided design and manufacturing system was used to fabricate PEEK samples, and three groove patterns (circle, line, and grid) were generated on PEEK surfaces, with air-abrasion used as the control group. The surface characteristics, cell viability, and bond strength were evaluated, and the data were statistically analyzed using one-way analysis of variance and post hoc Tukey’s tests (α = 0.05). Laser-treated PEEK exhibited a uniform texture with a groove depth of approximately 39.4 µm, hydrophobic properties with a contact angle exceeding 90°, a surface roughness of 7.3–12.4 µm, consistent topography, and comparable cell viability compared with untreated PEEK. Despite a decrease in bond strength after thermal cycling, no significant intergroup differences were observed, except for the line-shaped laser pattern. These findings indicate that the autofocus laser cutter effectively enhances the surface characteristics of PEEK by creating a uniform texture and grooves, showing promise in improving bonding properties, even considering the impact of thermal cycling effects. Full article

(This article belongs to the Special Issue Advanced Polymeric Materials for Dental Applications II)

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11 pages, 2835 KiB

Open AccessArticle

by Oriana Karolina Ribera, José Manuel Mendes, Joana Mendes, Pedro Barreiros, Carlos Aroso and António Sérgio Silva

Polymers 2023, 15(16), 3411; https://doi.org/10.3390/polym15163411 - 15 Aug 2023

Viewed by 841

Abstract

Implant-supported provisional restorations are critical for improving the esthetics and shaping of the peri-implant tissue. The mechanical properties of these provisional materials can be influenced by saliva, food, beverages, and interactions between these materials in the oral environment. Therefore, the integrity of provisional [...] Read more.

Implant-supported provisional restorations are critical for improving the esthetics and shaping of the peri-implant tissue. The mechanical properties of these provisional materials can be influenced by saliva, food, beverages, and interactions between these materials in the oral environment. Therefore, the integrity of provisional restorations should be preserved throughout the treatment period. This study aimed to evaluate the fracture strength of implant-supported polymethyl methacrylate (PMMA) provisional restorations made of computer-aided design and computer-aided manufacturing when immersed in different solutions at a controlled temperature of 37 °C for 7 days. Each analog-pillar-crown set was submerged in different liquids: 10 pieces were placed in distilled water then in tea, coffee, red wine, and Coca Cola^® for 1 week at a controlled oral temperature of 37 °C. The samples were then subjected to fracture forces. The moment of fracture of the crown was recorded and compared with those of the other samples. Specimens immersed in distilled water (control group) had the highest fracture resistance (mean [M] = 1331.00 ± 296.74 N), while those immersed in tea had the lowest mean resistance to fracture (mean [M] = 967.00 ± 281.86 N). Nutritional deficiency and inappropriate eating habits influence the fracture strength of temporary crowns, thereby rendering them more elastic or less resistant to fractures. Full article

(This article belongs to the Special Issue Advanced Polymeric Materials for Dental Applications II)

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15 pages, 2257 KiB

Open AccessArticle

The Effects of Cross-Linking Agents on the Mechanical Properties of Poly (Methyl Methacrylate) Resin

by Gulsum Ceylan, Serkan Emik, Tuncer Yalcinyuva, Emin Sunbuloğlu, Ergun Bozdag and Fatma Unalan

Polymers 2023, 15(10), 2387; https://doi.org/10.3390/polym15102387 - 19 May 2023

Cited by 1 | Viewed by 2864

Abstract

Cross-linking agents are incorporated into denture base materials to improve their mechanical properties. This study investigated the effects of various cross-linking agents, with different cross-linking chain lengths and flexibilities, on the flexural strength, impact strength, and surface hardness of polymethyl methacrylate (PMMA). The [...] Read more.

Cross-linking agents are incorporated into denture base materials to improve their mechanical properties. This study investigated the effects of various cross-linking agents, with different cross-linking chain lengths and flexibilities, on the flexural strength, impact strength, and surface hardness of polymethyl methacrylate (PMMA). The cross-linking agents used were ethylene glycol dimethacrylate (EGDMA), tetraethylene glycol dimethacrylate (TEGDMA), tetraethylene glycol diacrylate (TEGDA), and polyethylene glycol dimethacrylate (PEGDMA). These agents were added to the methyl methacrylate (MMA) monomer component in concentrations of 5%, 10%, 15%, and 20% by volume and 10% by molecular weight. A total of 630 specimens, comprising 21 groups, were fabricated. Flexural strength and elastic modulus were assessed using a 3-point bending test, impact strength was measured via the Charpy type test, and surface Vickers hardness was determined. Statistical analyses were performed using the Kolmogorov–Smirnov Test, Kruskal–Wallis Test, Mann–Whitney U Test, and ANOVA with post hoc Tamhane test (p ≤ 0.05). No significant increase in flexural strength, elastic modulus, or impact strength was observed in the cross-linking groups compared to conventional PMMA. However, surface hardness values notably decreased with the addition of 5% to 20% PEGDMA. The incorporation of cross-linking agents in concentrations ranging from 5% to 15% led to an improvement in the mechanical properties of PMMA. Full article

(This article belongs to the Special Issue Advanced Polymeric Materials for Dental Applications II)

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15 pages, 4720 KiB

Open AccessEditor’s ChoiceArticle

Antibacterial and Physicochemical Properties of Orthodontic Resin Cement Containing ZnO-Loaded Halloysite Nanotubes

by Jeong-Hye Seo, Kwang-Mahn Kim and Jae-Sung Kwon

Polymers 2023, 15(9), 2045; https://doi.org/10.3390/polym15092045 - 25 Apr 2023

Cited by 2 | Viewed by 1240

Abstract

Demineralized white lesions are a common problem when using orthodontic resin cement, which can be prevented with the addition of antibacterial substances. However, the addition of antibacterial substances such as zinc oxide alone may result in the deterioration of the resin cement’s functions. [...] Read more.

Demineralized white lesions are a common problem when using orthodontic resin cement, which can be prevented with the addition of antibacterial substances. However, the addition of antibacterial substances such as zinc oxide alone may result in the deterioration of the resin cement’s functions. Halloysite nanotubes (HNTs) are known to be biocompatible without adversely affecting the mechanical properties of the material while having the ability to load different substances. The purpose of this study was to prepare orthodontic resin cement containing HNT fillers loaded with ZnO (ZnO/HNTs) and to investigate its mechanical, physical, chemical, and antibacterial properties. A group without filler was used as a control. Three groups containing 5 wt.% of HNTs, ZnO, and ZnO/HNTs were prepared. TEM and EDS measurements were carried out to confirm the morphological structure of the HNTs and the successful loading of ZnO onto the HNTs. The mechanical, physical, chemical, and antibacterial properties of the prepared orthodontic resin cement were considered. The ZnO group had high flexural strength and water absorption but a low depth of cure (p < 0.05). The ZnO/HNTs group showed the highest shear bond strength and film thickness (p < 0.05). In the antibacterial test, the ZnO/HNTs group resulted in a significant decrease in the biofilm’s metabolic activity compared to the other groups (p < 0.05). ZnO/HNTs did not affect cell viability. In addition, ZnO was cytotoxic at a concentration of 100% in the extract. The nanocomposite developed in this study exhibited antimicrobial activity against S. mutans while maintaining the mechanical, physical, and chemical properties of orthodontic resin cement. Therefore, it has the potential to be used as an orthodontic resin cement that can prevent DWLs. Full article

(This article belongs to the Special Issue Advanced Polymeric Materials for Dental Applications II)

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15 pages, 2916 KiB

Open AccessArticle

Fracture Resistance Analysis of CAD/CAM Interim Fixed Prosthodontic Materials: PMMA, Graphene, Acetal Resin and Polysulfone

by Cristian Abad-Coronel, Carolina Calle, Gabriela Abril, César A. Paltán and Jorge I. Fajardo

Polymers 2023, 15(7), 1761; https://doi.org/10.3390/polym15071761 - 01 Apr 2023

Cited by 3 | Viewed by 1684

Abstract

The aim of this study was to evaluate and compare the fracture resistance of temporary restorations made of polymethylmethacrylate (PMMA), graphene-modified PMMA (GRA), acetal resin (AR) and polysulfone (PS) obtained by a subtractive technique (milling) using a computer-aided design and manufacturing (CAD/CAM) system [...] Read more.

The aim of this study was to evaluate and compare the fracture resistance of temporary restorations made of polymethylmethacrylate (PMMA), graphene-modified PMMA (GRA), acetal resin (AR) and polysulfone (PS) obtained by a subtractive technique (milling) using a computer-aided design and manufacturing (CAD/CAM) system of a three-unit fixed dental prosthesis (FDP). Methods: Four groups of ten samples were fabricated for each material. Each specimen was characterized by a compression test on a universal testing machine, all specimens were loaded to fracture and the value in Newtons (N) was recorded by software connected to the testing machine. The fracture mode was evaluated on all samples using a stereomicroscope. Results: There were statistically significant differences (p value < 0.005) between PMMA and the other three materials (PMMA: 1302.71 N; GRA: 1990.02 N; RA: 1796.20 N; PS: 2234.97). PMMA presented a significantly lower value than the other materials, and PS showed the highest value. GRA and RA presented a similar range of values but they were still higher than those of PMMA. Conclusions: GRA, RA and PS are presented as valid options within the range of interim milled restorative materials and as alternatives to PMMA. Full article

(This article belongs to the Special Issue Advanced Polymeric Materials for Dental Applications II)

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13 pages, 3427 KiB

Open AccessArticle

Micro-CT Marginal and Internal Fit Evaluation of CAD/CAM High-Performance Polymer Onlay Restorations

by Flavia Roxana Toma, Lavinia Cristina Moleriu and Liliana Porojan

Polymers 2023, 15(7), 1715; https://doi.org/10.3390/polym15071715 - 30 Mar 2023

Cited by 3 | Viewed by 1572

Abstract

(1) Background: The use of high-performance polymers for fixed restorations requires additional studies regarding their adaptability and processing with CAD/CAM technology. This in vitro study aims to assess the marginal and internal fit of PEEK and PEKK materials using microcomputed tomography. (2) Methods: [...] Read more.

(1) Background: The use of high-performance polymers for fixed restorations requires additional studies regarding their adaptability and processing with CAD/CAM technology. This in vitro study aims to assess the marginal and internal fit of PEEK and PEKK materials using microcomputed tomography. (2) Methods: Twenty-four (n = 8) MOD onlays made of PEKK (Pekkton ivory), unmodified PEEK (Juvora medical), and modified PEEK (BioHPP) were investigated. A typodont mandibular left first molar was scanned to achieve 24 resin, 3D printed abutment teeth. The onlays were fabricated with a five-axis milling machine, and after cementation of the specimens, the marginal (MG) and internal gaps (IG) were evaluated at twelve points in the mesio-distal section and thirteen points in the bucco-lingual section using microcomputed tomography. For statistical data analysis, Wilcoxon signed-rank/paired Student t-Test, Mann–Whitney/unpaired Student t-Test, and one-way ANOVA test were applied. (3) Results: Significant differences (p < 0.05; α = 0.05) were reported between the MG and IG for each material for all three polymers and also among two materials in terms of the MG and IG (except Juvora-BioHPP). The highest IG values were recorded in angular areas (axio-gingival line angle) in the mesio-distal section for all the polymers. (4) Conclusions: For all the materials, MG < IG. The type of polymer influenced the adaptability; the lowest marginal and internal gap mean values were recorded for BioHPP. The analyzed polymer used for onlays are clinically acceptable in terms of adaptability. Full article

(This article belongs to the Special Issue Advanced Polymeric Materials for Dental Applications II)

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Review

Jump to: Research

13 pages, 558 KiB

Open AccessReview

Mechanical Performance of Extensive Restorations Made with Short Fiber-Reinforced Composites without Coverage: A Systematic Review of In Vitro Studies

by András Jakab, Dániel Palkovics, Veronika T. Szabó, Balázs Szabó, Eszter Vincze-Bandi, Gábor Braunitzer, Lippo Lassila, Pekka Vallittu, Sufyan Garoushi and Márk Fráter

Polymers 2024, 16(5), 590; https://doi.org/10.3390/polym16050590 - 21 Feb 2024

Viewed by 623

Abstract

In recent years, composite resin materials have been the most frequently used materials for direct restorations of posterior teeth. These materials have some clinically relevant limitations due to their lack of fracture toughness, especially when used in larger cavities with high volume factors [...] Read more.

In recent years, composite resin materials have been the most frequently used materials for direct restorations of posterior teeth. These materials have some clinically relevant limitations due to their lack of fracture toughness, especially when used in larger cavities with high volume factors or when utilized as direct or indirect overlays or crown restorations. Recently, short-fiber-reinforced composite materials have been used in bi-structure restorations as a dentine substituting material due to their superior mechanical properties; however, there is no scientific consensus as to whether they can be used as full restorations. The aim of our review was to examine the available literature and gather scientific evidence on this matter. Two independent authors performed a thorough literature search using PubMed and ScienceDirect up until December 2023. This study followed the PRISMA guidelines, and the risk of bias was assessed using the QUIN tool. The authors selected in vitro studies that used short-fiber-reinforced composite materials as complete restorations, with a conventional composite material as a comparison group. Out of 2079 potentially relevant articles, 16 met our inclusion criteria. All of the included studies reported that the usage of short-fiber-reinforced composites improved the restoration’s load-bearing capacity. Fifteen of the included publications examined the fracture pattern, and thirteen of them reported a more favorable fracture outcome for the short-fiber-reinforced group. Only one article reported a more favorable fracture pattern for the control group; however, the difference between groups was not significant. Within the limitations of this review, the evidence suggests that short-fiber-reinforced composites can be used effectively as complete restorations to reinforce structurally compromised teeth. Full article

(This article belongs to the Special Issue Advanced Polymeric Materials for Dental Applications II)

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