Browsing by Author "Phasuk, Kamolphob"
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Item Effects of shade and thickness on the translucency parameter of anatomic-contour zirconia, transmitted light intensity, and degree of conversion of the resin cement(Elsevier, 2023-01) Supornpun, Noppamath; Oster, Molly; Phasuk, Kamolphob; Chu, Tien-Min G.; Biomedical Sciences and Comprehensive Care, School of DentistryStatement of problem Anatomic-contour zirconia prostheses are usually cemented with resin cement. However, information regarding the effects of the zirconia shade and thicknesses on the translucency of the prosthesis, the intensity of the transmitted light beneath the prosthesis, and the subsequent degree of conversion in the resin cement is sparse. Purpose The purpose of this in vitro study was to investigate the translucency parameter in 3 anatomic-contour zirconia specimens of 2 shades at 5 different thicknesses and to investigate the transmitted light intensity and degree of conversion of the resin cement beneath the ceramic specimens by using a traditional zirconia and a lithium disilicate glass ceramic as controls. Material and methods Ceramic specimens from 1 anatomic-contour zirconia in a generic shade (CAP FZ) and 2 anatomic-contour zirconias in A2 shade (Zirlux and Luxisse) were used. Lithium disilicate in HT A2 shade (IPS e.max CAD) and traditional zirconia in a generic shade (CAP QZ) were used as controls. A total of 125 ceramic specimens (n=25) were fabricated to a final specimen dimension of 12×12 mm and in thicknesses of 1.0, 1.25, 1.5, 1.75, and 2.0 mm according to the manufacturers’ recommendations. The CIELab color space for all specimens placed against a white and black ground was measured with a spectrophotometer (CM-2600D), and the translucency parameters were calculated for the materials at various thicknesses. A light-polymerizing unit (DEMI LED) was used to polymerize the resin cement (Variolink II) placed beneath the ceramic specimens. Transmitted light intensity from the polymerization unit beneath the ceramic specimens was measured by using a spectrophotometer (MARC Resin Calibrator), and the transmittance of each specimen was calculated. The coefficient of absorption of each material was calculated from the regression analysis between the natural log of transmittance and specimen thickness. The degree of conversion of resin cement was measured by using a Fourier transformation infrared (FTIR) spectrophotometer. The results were analyzed by using 2-way ANOVA (α=.05). The relationship between the transmittance and the translucency parameter was evaluated by plotting the transmittance against the translucency parameter value of each specimen. Results The translucency parameter decreased with increasing thickness in all 5 material groups. All anatomic-contour zirconia had lower translucency parameters than e-max CAD (P<.001). The same results were found for the intensity of the transmitted light (P<.001). Both A2 shade anatomic-contour zirconia (Zirlux and Luxisse) showed significantly lower light transmittance than a generic shade anatomic-contour zirconia (CAP FZ) (P<.001). The coefficients of absorption were found to range from 0.63 to 1.72 mm-1, and reflectance from 0.10 to 0.25. The results from the degree of conversion of resin cement after polymerization through 1 to 2 mm of specimens showed a significantly higher degree of conversion in the e.max group than in all other groups (P<.001). The correlation between translucency parameter and the intensity of the transmitted light suggested that the relationship was shade dependent. Conclusions The translucency parameter and the transmitted light intensity of ceramic material were influenced by the type of ceramic and the shade and thickness of the ceramic. The combined effects of layer thickness and the intensity of the transmitted light in the A2 shade anatomic-contour zirconia (Zirlux and Luxisse) resulted in a lower degree of conversion in resin cement than in a generic shade anatomic-contour zirconia (CAP FZ) at layer thicknesses of 1.75 and 2 mm.Item Fatigue failure load of lithium disilicate restorations cemented on a chairside titanium-base(2017) Kaweewongprasert, Peerapat; Morton, Dean; Levon, John A.; Phasuk, Kamolphob; Bottino, Marco C.PURPOSE: To evaluate the fatigue failure load of distinct lithium disilicate restoration designs cemented on a chairside titanium-base (VariobaseTM for CEREC®, Straumann® LLC, USA) for restoring anterior implant restoration. MATERIALS AND METHODS: Left maxillary incisor restoration was virtually designed in 3 groups (n=10; CTD: lithium disilicate crowns cemented on custom-milled titanium abutments; VMLD: monolithic full-contour lithium disilicate crowns cemented on titanium-base; and VCLD: lithium disilicate crowns cemented on lithium disilicate customized anatomic structures then cemented on titanium-base). The titanium-base was air-abraded with aluminum oxide particles, 50 µm at 2 bars. Subsequently the titanium-base was steamed, air-dried and a thin coat of silane (Monobond Plus, Ivoclar Vivadent®, USA). All ceramic components were surface treated with hydrofluoric acid etching gel, follow by silanized, and bonded with resin cement (Multilink Automix, Ivoclar Vivadent®, USA). Specimens were fatigued at 20 Hz, starting with a load of 100 N (×5000 cycles), followed by stepwise loading up to 1400 N at a maximum of 30,000 cycles each. The failure loads, number of cycles, and fracture analysis were recorded. Data were statistically analyzed using one-way ANOVA followed by pair-wise comparisons (p < 0.05). Kaplan-Meier survival plots and Weibull survival analyses were reported. RESULT: For catastrophic fatigue failure load and total number of cycles for failure, VMLD (1260 N, 175231 cycles) was significantly higher than VCLD (1080 N, 139965 cycles) and CDT (1000 N, 133185 cycles). VMLD had higher Weibull modulus (11.6), demonstrating higher structural reliability. CONCLUSIONS: VMLD performed the best fatigue behavior when compared with the two other groups.Item Fracture Resistance Behaviors of Titanium-Zirconium and Zirconia Implants(Wiley, 2021) Hanes, Brenda; Sochacki, Sabrina Feitosa; Phasuk, Kamolphob; Levon, John A.; Morton, Dean; Lin, Wei-Shao; Prosthodontics, School of DentistryPurpose To evaluate the fracture resistance behaviors of titanium-zirconium, one-piece zirconia, and two-piece zirconia implants restored by zirconia crowns and different combinations of abutment materials (zirconia and titanium) and retention modes (cement-retained and screw-retained zirconia crowns). Material and Methods Three research groups (n=12) were divided according to combinations of abutment material, retention mode, and implant type. In the control group (TTC), titanium-zirconium implants (∅ 4.1 mm RN, 12 mm, Roxolid; Straumann USA) and prefabricated titanium abutments (RN synOcta Cementable Abutment, H 5.5 mm; Straumann USA) were used to support cement-retained zirconia crowns. In the second group (ZZC), one-piece zirconia implants (PURE Ceramic Implant Monotype, ∅ 4.1 mm RD, 12 mm, AH 5.5 mm; Straumann USA) were used to support cement-retained zirconia crowns. In the third group (ZTS), two-piece zirconia implants (PURE Ceramic Implant, ∅ 4.1 mm RD, 12 mm) and prefabricated titanium abutments (CI RD PUREbase Abutment, H 5.5 mm) were used to support screw-retained zirconia crowns. All zirconia crowns were manufactured in the same anatomic contour with a 5-axis dental mill and blended 3 and 5 mol% yttria-stabilized zirconia (LayZir A2). Implants were inserted into specimen holders made of epoxy resin-glass fiber composite. All specimens were then subject to artificial aging in an incubator at 37 C° for 90 days. Fracture resistance of specimen assemblies was tested under static compression load using the universal testing machine following ISO14801 specification. The peak fracture loads were recorded. All specimens were examined at the end of the test microscopically at 5 × and 10 × magnification to detect any catastrophic failures. Comparisons between groups for differences in peak fracture load were made using Wilcoxon Rank Sum tests and Weibull and Kaplan-Meier survival analyses (α = .05). Results The TTC group (942 ±241 N) showed significantly higher peak fracture loads than the ZZC (645 ±165 N) and ZTS (650 ±124 N) groups (p < .001), while there was no significant difference between ZZC and ZTS groups (p = 0.940). The survival probability based on the Weibull and Kaplan-Meier models demonstrated different failure molds between titanium- zirconium and zirconia implants, in which the TTC group remained in the plastic strain zone for a longer period before fracture when compared to ZZC and ZTS groups. Catastrophic failures, with implant fractures at the embedding level or slightly below, were only observed in the ZZC and ZTS groups. Conclusions Cement-retained zirconia crowns supported by titanium-zirconium implants and prefabricated titanium abutments showed superior peak fracture loads and better survival probability behavior. One-piece zirconia implants with cement-retained zirconia crowns and two-piece zirconia implants with screw-retained zirconia crowns on prefabricated titanium abutment showed similar peak fracture loads and survival probability behavior. Titanium-zirconium and zirconia implants could withstand average intraoral mastication loads in the incisor region. This study was conducted under static load, room temperature (21.7 °C), and dry condition, and full impacts of intraoral hydrothermal aging and dynamic loading conditions on the zirconia implants should be considered and studied further.Item Influence of coloring techniques and cement opacity on the optical properties of high translucent monolithic zirconia(2017) Yang, Chao-Chieh; Phasuk, Kamolphob; Chu, Tien-Min Gabriel; Brown, David; Levon, John A.Background: With the improvement of CAD/CAM technology and translucency of zirconia material, the full contour zirconia crown was introduced to offer dentists a metal free, high strength, and acceptable esthetic prosthesis option. In addition, it is claimed that it is possible to make a full contour high translucent zirconia crown close to natural tooth color by using coloring liquid. However, there is little information in the literature regarding the effect of coloring techniques and cement color on the optical properties of high translucent zirconia. Objective :1) To evaluate the effect of the coloring liquid technique on the resulting optical properties of a monolithic high translucent zirconia 2) To evaluate the cumulative effect of the cement color on the resulting optical properties of a monolithic high translucent zirconia. Alternative hypothesis: There is a significant difference in optical properties between the high translucent monolithic zirconia ceramics with different color staining technique. In addition, the use of shaded resin cement has an effect on the final optical properties of high translucent monolithic zirconia ceramics. Materials and methods: 35 specimens of high translucent zirconia (11mm x11mm) with thickness 1mm was divided into 5 groups according coloring technique, as follows: no color, submerge, two layers of painting, four layers of painting, and six layers of painting. All specimens were measured for the Δ E, transparent parameter (TP), and opalescence parameter(OP) by spectrophotometer (CM-2600D) after firing. Forty-two specimens of high translucent zirconia (11mm x11mm) with thickness 1mm were divided into three groups according to cement color, as follows: clear, opaque, and A2. After firing and cementing with ND4 resin Block. The Δ E, TP and OP will be measured by spectrophotometer. Statistics: The data were analyzed with significant level set at 0.05 one way ANOVA followed by pair-wise group comparisons using Fisher’s Protected Least Significant Differences. Result: 1) The shade of cement significantly affected the mean value of ΔE of E-max CAD and BruxZir high translucent zirconia restoration. Using opaque cement combined with E-max CAD resulted in color difference that was above the clinically perceptible level (ΔE> 3.7). 2) With more layers of staining liquid application, the ΔE and value decreased. The six-layered group showed lowest mean delta ΔE value of 22 (0.78). ΔE was significantly different among groups (p<0.0001). The submerged group showed higher ΔE than the all painting groups. Conclusions: Based on the results of the study, the colors of BruxZir high translucent zirconia and E-max CAD restorations were affected by the shade of cement, whereas white opaque resin cement resulted in BruxZir high translucent zirconia more yellowish. The results of the study demonstrated that the staining technique has an influence on value and final color of Lava-Plus high translucent. Therefore, it is recommended to consider staining technique as one of the influential factors on the final color of zirconia crowns.Item Maxillofacial Prosthetics(Elsevier, 2018-11) Phasuk, Kamolphob; Haug, Steven; Prosthodontics, School of DentistryItem Optical properties Of CAD-CAM lithium disilicate glass-ceramic in different firing temperatures and thicknesses(2016) Alqahtani, Nasser; Chu, Tien-Min Gabriel; Phasuk, Kamolphob; Morton, Dean; Levon, John A.Background: With the emerging of digital dentistry, IPS e.max® CAD lithium disilicate (LD) glass-ceramic material has become one of the most popular esthetic restorative materials in digital assisted dental esthetic restoration. The mechanical and optical properties of this material have been investigated in several studies. However, there is a lack of information and consensus regarding the optical properties of IPS e.max® LD glass-ceramic materials. Objectives: 1) To investigate the optical properties as translucency parameters (TP), Contrast ratio (CR), light transmissions (Lt) and color changes (CC) between high-translucent (HT) and low-translucent (LT) IPS e.max® CAD LD glass-ceramic materials with different crystalline phases and thickness in different firing stages. 2) To investigate the optical properties as TP, CR, Lt and CC of each translucent (HT and LT) IPS e.max® CAD LD glass-ceramic materials with different crystalline phases and thickness in different firing stages. 3) To determine the mathematical relationships of thicknesses of IPS e.max® CAD LD glass-ceramics materials with TP and Lt. Materials and methods: The total of 120 of shade A2 IPS max CAD samples (HT and LT) were prepared into square shape (15.25 mm X 15.25 mm) and were divided into two main groups according to the material translucency (HT and LT) (n=60). Each main group was further divided into 5 sub-groups according to the thickness (1.00, 1.25, 1.5, 1.75, and 2.00 mm) (n=12). Each thickness group was assigned into three groups based on different crystallization (firing) temperatures (750, 820 °C in single stage heating schedule with 1 second and 10 second holding times, respectively, and 840 °C with two-stage heating schedule (RECOM) (820°C, 840 °C with 10 second and 7 min holding time, respectively) as recommended by manufacturer (n=4). CIEL*a*b*, TP, CR, and Lt were measured and calculated for all samples. Statistical analysis: The effects of the test results were evaluated using 3-way ANOVA with factors for Translucency (HT and LT), Firing Temperature (750, 850, and RECOM) and Thickness (1, 1.25, 1.5, 1.75, and 2), as well as all two-way and three-way interactions among the factors. Pair-wise comparisons were made using Least Significant Differences to control the overall significance level at 5%. Results: The mean irradiance and TP for both HT and LT decrease as the thickness of the samples increases from 1 to 2mm with significant difference between the thickness groups within each material translucency groups (HT and LT) and between both HT and LT. The coefficients of absorption (c) of the two materials were calculated. The effective incidence irradiance when material thickness approaches zero (Ie) was also calculated. There is an unexpected spectral peak shift as the thickness of the samples increases. There is no statistically significant difference in Ie at 750˚C and 820 ˚C between the HT and LT. However, there is a statistically significant higher Ie in HT at the recommended firing temperature as expected. Coefficients of translucency parameter (p) of the materials in various firing temperature were defined and the TP of the material as the thickness approaches zero were calculated (TP0). The TP of the materials is directly correlated to the mean irradiance passing through the samples. There is no statistically significant difference in the TP0 and Ie of the HT and LT groups at the recommended firing temperature. Conclusion: In this project we developed modified Beer-Lambert law to describe the parameters governing the effect of thickness on light transmission in dental ceramic material. We also applied the same equation to describe the translucency parameter. The parameters defined in these equations allow us to compare the optical property of dental ceramic material independent of the thickness of the samples.