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Item Effects of DCPD Cement Chemistry on Degradation Properties and Cytocompatibility: Comparison of MCPM/β-TCP and MCPM/HA Formulations(IOP, 2013) Alge, Daniel L.; Goebel, W. Scott; Chu, Tien-Min Gabriel; Pediatrics, School of MedicineDicalcium phosphate dihydrate (DCPD) cements are attractive biomaterials for bone repair, and a number of different DCPD cement formulations have been proposed in the literature. In this study, we have specifically compared monocalcium phosphate monohydrate (MCPM)/hydroxyapatite (HA) and MCPM/β-tricalcium phosphate (β-TCP) formulations to test the hypothesis that DCPD cement chemistry affects the degradation properties and cytocompatibility of the cement. Using simple in vitro models we found that MCPM/β-TCP formulations degraded primarily by DCPD dissolution, which was associated with a slight pH drop and relatively low mass loss. Cytocompatibility testing of cement conditioned culture media revealed no significant change in cell viability relative to the negative control for all of the MCPM/β-TCP formulations. In contrast, the MCPM/HA formulations were prone to undergo rapid conversion of DCPD to HA, resulting in a sharp pH drop and extensive mass loss. A stoichiometric excess of HA in the cement was found to accelerate the conversion process, and significant cytotoxicity was observed for the MCPM/HA formulations containing excess HA. Collectively, these results show that, although the product of the setting reaction is the same, DCPD cements produced with MCPM/HA and MCPM/β-TCP formulations differ significantly in their degradation properties and cytocompatibility. These differences may have important implications for the selection of a DCPD cement formulation for clinical application.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.