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Biomedical subjects

Albert J Feilzer

Publications and source records attributed to Albert J Feilzer.

4 recordsLinked to original sources

The influence of the veneering porcelain and different surface treatments on the biaxial flexural strength of a heat-pressed ceramic.

STATEMENT OF PROBLEM: The strength of all-ceramic restorations can be adversely affected by surface defects, leading to restoration failures. Additionally, when a 2-layer all-ceramic restoration is required for esthetic purposes, part of the stronger ceramic core material is replaced by veneering porcelain. PURPOSE: This study evaluated the effect of different surface treatments on the strength of a ceramic core material and veneering porcelain, as well as the influence of veneering porcelain on the strength of a 2-layer ceramic structure. MATERIAL AND METHODS: Fifty heat-pressed ceramic cores and 30 veneering porcelain discs (17 mm diameter x 2 mm) were made. From the ceramic core group, 20 discs were selected and reduced to a thickness of 1 mm and veneered with 1 mm of porcelain. These specimens were divided into 2 groups of 10 each. The remaining 30 ceramic core and the 30 veneering porcelain discs were divided into 2 sets of 3 equal sized groups (n=10). Ceramic core groups were prepared for testing having the following surfaces: airborne-particle abrasion, ground, and overglazed. Veneering porcelain groups were tested: as fired (no additional treatment), ground, and overglazed. Biaxial flexural strength was measured using the ball-on-ring test method. All specimens were loaded to fracture. One and 2-way analysis of variance were used to analyze the data (alpha=.05). RESULTS: The ceramic core discs were significantly (P=.001) stronger than the veneering porcelain discs for the airborne-particle abrasion, as-fired, and ground surface treatments (82 +/- 11 MPa vs 51 +/- 8 MPa and 93 +/- 14 MPa vs 60 +/- 6 MPa, respectively). For the overglazed treatment, there was not a significant difference between the core (115 +/- 1 4 MPa) and the veneer materials (107 +/- 14 MPa). The ground 1-layer core was significantly (P=.015) stronger (93 +/- 14 MPa) than the 2-layer with the core tested in tension (72 +/- 19 MPa). There was no significant difference between 1-layer veneer overglazed (107 +/- 14 MPa) and 2-layer discs when tested with the veneer in tension (105 +/- 16 MPa). CONCLUSION: The overglazed surface treatment significantly improved the strength of the materials tested, as well as the strength of 2-layer discs with the veneer in tension. The veneering porcelain influenced the strength of 2-layer specimens only when tested with the ground ceramic core surface in tension.

Analysis of Variance↗

Modeling of the viscoelastic behavior of dental light-activated resin composites during curing.

OBJECTIVE: Three models consisting of springs and dashpots were investigated to describe the viscoelastic behavior of a commercial light-activated restorative composite during curing. METHODS: Stress-strain data on Z100 were recorded by means of a dynamic test method performed on a universal testing machine. The model was tested by matching its response to experimental data and the material parameters, E (Young's modulus) and eta (viscosity), associated with the model were calculated. RESULTS: The universal testing machine generated reliable stress-strain data on the fast curing, light-activated resin composite during curing. The high polymerization rate of Z100 had a negative effect on the viscous flow capability of the material. A predictive model of the viscoelastic behavior of Z100 during curing was carried out, using the Maxwell model for the initial 3 min in the curing process and the Kelvin model for the remainder of the process. SIGNIFICANCE: Dental researchers analyzing shrinkage stress problems by mathematical modeling can obtain a good quantitative estimate of the shrinkage stress development of Z100 before the restoration is actually made.

Composite Resins↗

Microtensile bond strength testing of luting cements to prefabricated CAD/CAM ceramic and composite blocks.

OBJECTIVES: To investigate the Microtensile bond strength (microTBS) and failure mode of resin cements bonded to composite and ceramic CAD/CAM blocks following various surface treatments. METHODS: Paradigm composite blocks and Cerec Vitablocs received three surface treatments following the control treatment of surface grinding with 600 SiC grit. (1) Application of adhesive resin (Adh), (2) etching with hydrofluoric acid and silanization (HF+S) or (3) combination of the previous two treatments (HF+S+Adh). Three resin cements (Tetric Flow, Nexus 2, RelyX ARC) were applied to these surfaces and built-up in layers. After 24 h water storage at 37 degrees C, the non-trimming version of microTBS test was used to produce 1 mm(2) microbars. The Microbars were subjected to a tensile load using a modified testing device. The broken specimens were examined with a stereomicroscope and SEM to determine the failure mode. RESULTS: All control and adhesive treated groups of the ceramic substrate showed premature debonding during cutting. The overall mean microTBS for the three resin cements bonded to ceramic following HF+S and HF+S+Adh surface treatment, was 27 and 29.2 MPa and for the resin cements bonded to composite substrate was 42.3 and 54.2 MPa, respectively. The mode of failure was 98% adhesive with composite as a substrate and 68% mixed failures with ceramic as a substrate. CLINICAL SIGNIFICANCE: CAD/CAM restorations fabricated from processed composite blocks may have advantage over the ceramic blocks with regard to the higher bond strength with resin cements.

Adhesives↗

Porcelain-veneered computer-generated partial crowns.

OBJECTIVE: It would be advantageous to be able to use computer-aided design and manufacturing to fabricate a restoration that can be layered with a conventional porcelain veneer in the occlusal region, thus optimizing esthetics, function, and strength. This case study reports the laboratory technique and the clinical performance of 38 partial crowns fabricated with computer technology and veneered with porcelain. METHOD AND MATERIALS: Twenty-one mandibular and 17 maxillary molars in 27 patients were prepared for partial crowns. The occlusal surfaces were lowered (1.5 to 2.0 mm), deep shoulders (1.5 mm) were prepared around the functional cusps, and 1.0-mm-deep shoulders were prepared in the proximal gingival regions. The nonfunctional cusps were prepared with an occlusal shoulder at approximately a right angle with the axial surfaces of the seat. In the computer-aided design procedure, the occlusal table was reduced to 1.4 mm above the preparation surface. The marginal ridge points, the marginal ridge line, the equator line, and the fissure line heights were adjusted accordingly. RESULTS: The lowest occlusal table thickness was 1.1 mm in six partial crowns, 1.2 mm in 26 partial crowns, and 1.3 mm in six partial crowns. The lowest occlusal table thickness of the porcelain veneers varied between 0.4 and 0.6 mm. The total occlusal table thickness thus was 1.5 mm or more. Clinically, no fractures occurred during an observation period varying between 1 and 4 years after placement. CONCLUSION: Computer-aided design and manufacturing technology is also convenient for partial crown preparation design with shoulder finish lines.

Cementation↗