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Biomedical subjects

H Lüthy

Publications and source records attributed to H Lüthy.

At least 19 recordsLinked to original sources
PubMed2001

Flexural strength of Cerec 2 machined and jointed InCeram-Alumina and InCeram-Zirconia bars.

OBJECTIVE: The flexural strength of Cerec 2 InCeram-Alumina and InCeram-Zirconia bars is evaluated. The focus of the in vitro study is to identify a jointing procedure for InCeram which may be used for producing full-ceramic fixed-partial-denture frameworks. METHODS: Six groups (n=15) of machined and jointed InCeram-Alumina (T1-T5) and InCeram-Zirconia (T6) bars (3x4x13mm(3)), respectively, were examined using a 3-point-bending test. InCeram-Alumina joint-free controls were: machined (C1), slip cast (C2, C3) and cut from the block (C4) bars. Machined joint-free InCeram-Zirconia bars were used as controls (C5). InCeram-Alumina slip was used for jointing T1-T5 and InCeram-Zirconia slip for bars T6. Bars were jointed in groups T1 and T2 using butt joint (S1), in T3 and T4 oblique (S2, S3) and in T5 and T6 rounded (S4) joint shapes. RESULTS: Two-way analysis of variance showed significant differences between materials (p<0.001) and jointing shapes (p<0.001). The rounded (S4) shape showed the highest flexural strength of 434 (65) MPa of InCeram-Alumina (T5) and 475 (54) MPa of InCeram-Zirconia (T6) bars, respectively but machined/joint-free InCeram-Alumina (511 (59) MPa, C1) and machined/joint-free InCeram-Zirconia (624 (58) MPa, C5) were significantly (p<0.01/p<0.001) stronger. No significant differences (p>0.05) were found between machined/jointed InCeram-Zirconia (475 (54) MPa, T6), joint-free InCeram-Alumina slip cast (498 (125) MPa, C2) and joint-free InCeram-Alumina machined bars (511 (59) MPa, C1). SIGNIFICANCE: Compared to conventional slip cast InCeram-Alumina the flexural strength of machined/jointed InCeram-Zirconia appears to be adequate for fixed-partial-denture frameworks.

Aluminum Oxide↗
PubMed2001

Reliability and strength of all-ceramic dental restorations fabricated by direct ceramic machining (DCM).

All-ceramic dental bridges for the molar region are not yet available at reasonable costs. The novel direct ceramic machining (DCM) process allows an easy, reliable and rapid fabrication for all-ceramic dental restorations with high mechanical strength and good biocompatibility. In DCM, an enlarged framework is easily milled out of a pre-fabricated porous ceramic blank made of zirconia. After sintering to full density, no further time-consuming hard machining with diamond tools is needed. For individual esthetical requirements, the framework is coated with a veneer porcelain. Compared to the commercially available In-Ceram Alumina and IPS Empress2 restorations, the mechanical strength of zirconia frameworks is twice as high, allowing the restorations to bear the high mastication forces in the molar region. In terms of reliability, zirconia bridges fabricated by the DCM process are also superior to In-Ceram Alumina and IPS Empress2. A clinical study of three-unit dental bridges in the molar region found no problems after the first year of observation.

Aluminum Oxide↗
PubMed2000

[Clinical study of zirconium oxide bridges in the posterior segments fabricated with the DCM system].

Today's dental reconstructive therapeutic concepts require restoration of high esthetic quality and excellent biocompatibility. Full ceramic reconstructions accomplish these requirements but only for anterior teeth and premolars. For all-ceramic bridges the mechanical strength was insufficient to withstand the posterior chewing forces. Frequently the interdental connectors cracked, and the only way to prevent these fractures was to overconture the connectors to a size of approx. 16 mm2. The high-tech ceramic zirconia is a potential alternative for three-to five-unit full ceramic bridges in the functionally loaded posterior segments. Experimental zirconia bridges which were fabricated using the DCM system (Direct Ceramic Machining System at the ETH Zurich, were tested in vitro. The frameworks were digitally enlarged by 20% and were easily milled from a presintered yet porous zirconia blank. After the milling process, the framework was densely sintered and shrank to its original size. Due to these positive in-vitro results a clinical investigation was started. 22 veneered zirconia bridges were luted; 19 molars and 25 premolars were prepared. The connectors, max. 7 mm2, of all these bridges, have been functionally loaded by antagonists. After a mean observation time of 385 days (307 days to 488 days), all 22 bridges did not show any cracks in the framework or in the veneering porcelain. The patients commented particularly on the low heat conduction rate of zirconia. The only endodontic problem which occurred could not be directly connected to the type of bridge framework. The reliability of zirconia bridges in this investigation was connected to the DCM-Process. No statement about other zirconia-systems can be made on the results of this study.

Dental Alloys↗
PubMed1998

Perfusing dentine with horse serum or physiologic saline: its effect on adhesion of dentine bonding agents.

Freshly prepared dentine specimens of human teeth were perfused with either horse serum or physiologic saline. After application of AllBond2, ART Bond, Syntac or an experimental dentine bonding agent called P-Bond, a composite cylinder was added and cured at the same time. After 1500 thermal cycles with constant imitation of intrapulpal pressure, the shear bond strengths were measured. Resulting shear bond strength values were analysed with Students t-test or Mann-Whitney Test. The values for AllBond2 were not significantly different. The values for ART Bond (P < 0.05) and for Syntac (P < 0.05) were significantly higher if the dentine was perfused with horse serum. For P-Bond (P < 0.001) the values were significantly higher if the dentine was perfused with physiologic saline. According to these results it does not seem to be appropriate to take a clear decision as to which of the two perfusing media investigated might be more suitable to imitate in vivo conditions.

Animals↗
PubMed1998

A new all-ceramic post and core system: clinical, technical, and in vitro results.

Root-filled teeth with fractured or discolored coronal aspects invariably need to be restored by crowns. The prepared abutment tooth is usually reinforced by a metallic post and core system. The grayish discoloration of the root, and consequently of the gingiva, caused by the metal color may be an enormous esthetic disadvantage in the anterior teeth. In 1993 ceramic posts made of zirconia were introduced by the authors, allowing a new all-ceramic concept for nonvital abutment teeth. A new ceramic post and core system has now been developed with the idea of further improving esthetic appearance. In this system the core material is heat pressed directly onto the zirconia post. This article describes the material and the fabrication procedures (chairside and in the laboratory) of the system. Clinical results are presented. The retention of the core material is evaluated by in vitro tests.

Aluminum Silicates↗
PubMed1997

Effect of cleaning dentine with soap and pumice on shear bond strength of dentine-bonding agents.

This in vitro study reports on the cleaning effect of different soaps on the shear bond strength of various dentine-bonding agents. Human teeth were coated with provisional cements for 24 h or for 14 days. After removing the provisional cements with a scaler, the dentinal surface was cleaned with a cotton pellet and non-fluoridated flour of pumice and soap for 10 sec. Different dentine-bonding agents and a luting resin were bonded to the dentinal surface according to manufacturers' instructions with the bonding agent and the composite material being light-cured at the same time. The bonding agents were tested under intrapulpal pressure and with thermal cycling to imitate physiological conditions. Compared with cleaning the dentine with water and pumice, all soaps investigated in this study decreased the shear bond strength values of the tested dentine-bonding agents considerably.

Dental Bonding↗
PubMed1997

Film thickness of various dentine bonding agents.

Curing dentine bonding agents create a film thickness on the surface of teeth which are prepared for all-ceramic crowns. The aim of this study was to investigate if the film thickness of dentine bonding agents (DBAs) is acceptable with the fit of definitive restorations of 50-100 microm. AllBond 2, Syntac, ART Bond, P-Bond (an experimental DBA), and the Primer of AllBond 2 were applied onto teeth which were prepared with standardized all-ceramic crown preparations. The DBAs were applied onto the prepared tooth surfaces according to manufacturers' instructions and under a standardized simulation of intrapulpal pressure. After curing the DBAs, the teeth were cut mesiodistally and orolingually and the film thickness was measured under a light microscope. Only the film thicknesses of AllBond 2 and P-Bond were low enough and, therefore, would enable curing to take place immediately after their application.

Acid Etching, Dental↗
PubMed1997

Bond strength of one-bottle dentin bonding agents on human dentin.

PURPOSE: To evaluate the shear bond strength of one-bottle dentin bonding agents (DBA's) (Prime & Bond 2.1, ART Experimental, Syntac Single Component) on pressurized human dentin. MATERIALS AND METHODS: Freshly prepared dentin specimens of human teeth were perfused with horse serum which was diluted 1:5 in physiologic saline. Three different types of surface treatment were evaluated on the freshly prepared dentin. Group 1: One of the three one-bottle DBA's was applied onto freshly prepared dentin together with a cylinder of composite luting resin and cured. Group 2: A provisional cement (Freegenol, without eugenol, or Temp Bond, containing eugenol) was applied first on the dentin surface for 24 h. Only then was one of the three the one-bottle DBA's added onto the dentin together with a cylinder of composite luting resin after cleaning the dentin surface with pumice. Group 3: One of the three one-bottle DBA's was applied first on the dentin surface and light-cured. Then a provisional cement (Freegenol, without eugenol, or Temp Bond, containing eugenol) was added for 24 h. After cleaning with pumice, the respective one-bottle DBA was applied for a second time onto the dentin together with a cylinder of composite luting resin and light-cured. As control for Group 1 (freshly prepared dentin), the two- or three-step DBA's ART Bond and Syntac were used in a similar way. As control for Group 2 (single application of the DBA's after contamination of the dentin with a provisional cement) and Group 3 (dual application of the DBA's with intermediate contamination of the dentin with a provisional cement) the two-step DBA ART Bond was used. After 1500 thermal cycles with constant imitation of intrapulpal pressure, shear bond strengths were measured. Resulting shear bond strength values were displayed by means of a box plot and they were analyzed statistically by Student's t-Test or one-way ANOVA. RESULTS: Lowest and highest mean shear bond strength values were 0.26 +/- 0.47 MPa (single use of ART Bond with prior application of Temp Bond) and 16.34 +/- 5.02 MPa (dual use of ART Bond with intermediate application of Temp Bond). With respect to the surface treatment significant differences between the DBA's could be found in all groups.

Analysis of Variance↗
PubMed1997

Dentin bond strength of Dyract Cem.

PURPOSE: To evaluate the influence of provisional cements and of a dentin bonding agent on the adhesion of a self-curing polyacid-modified resin composite (Dyract Cem) on pressurized human dentin. MATERIALS AND METHODS: Freshly prepared dentin specimens of human teeth were perfused with physiologic saline. Three different types of surface treatment were evaluated. (1) Dyract Cem was applied to freshly prepared dentin without (Group 1.1) or with (Group 1.2) the respective dentin bonding agent (Prime & Bond 2.0) and cured. (2) Freegenol (Groups 2.1 and 2.2) or Temp Bond (Groups 2.3 and 2.4) were applied first on the dentin surface for 24 hours. Only then was Dyract Cem (with or without Prime & Bond 2.0) added onto the dentin after cleaning the dentin surface with pumice. 3) Prime & Bond 2.0 was applied first on the dentin surface and cured. Then Freegenol (Group 3.1) or Temp Bond (Group 3.2) were added for 24 hours. After cleaning with pumice, Prime & Bond 2.0 was applied for a second time on the dentin (= dual application) and finally Dyract Cem was added. As control, a conventional glass ionomer cement (Ketac-Cem Maxicap; Groups 4.1-4.3) was used in a similar way. After 1,500 thermal cycles with constant imitation of intrapulpal pressure, shear bond strengths were measured. Resulting shear bond strength values were displayed by means of a box plot and they were analyzed statistically by Mann-Whitney, Kruskal-Wallis or one way ANOVA tests. RESULTS: Lowest and highest mean shear bond strength values were 0.27 +/- 0.42 MPa (Group 2.4; single use of Prime & Bond 2.0 with prior application of TempBond) and 5.84 +/- 3.36 MPa (Group 3.1; dual use of Prime & Bond 2.0 with intermediate application of Freegenol). A clearly significant difference between groups could only be found when a single or dual use of the dentin bonding agent Prime & Bond 2.0 were combined with either Freegenol (Groups 2.1, 2.2 and 3.1; Kruskal-Wallis: P < 0.01) or Temp Bond (Groups 2.3, 2.4 and 3.2; Kruskal-Wallis: P < 0.001) as additional dentin surface treatment.

Adhesiveness↗
PubMed1996

Dual application of dentin bonding agents: effect on bond strength.

PURPOSE: To evaluate the effect of a dual application of dentin bonding agents (DBA) on their shear bond strength on dentin with intermediate application of a provisional cement. MATERIALS AND METHODS: Freshly prepared flat dentin surfaces of human teeth were coated with a first layer of one of various dentin bonding agents (All-Bond 2, ART Bond, Syntac or an experimental DBA called P-Bond). After curing the DBA, a provisional cement (Temp Bond, Freegenol or Fermit, a soft provisional diacrylate) was applied to the bonded dentin surface. After 24 hours, the provisional cement was removed and the dentin surface scrubbed with pumice. A second application of the same DBA together with a composite cylinder followed. After curing and 1,500 thermal cycles with constant imitation of intrapulpal pressure, shear bond strengths were measured. RESULTS: Compared to a single application of dentin bonding agents following Temp Bond treatment (SBS in MPa: Syntac: 0.86 +/- 1.75, ART Bond: 0.26 +/- 0.47, P-Bond: 14.90 +/- 4.51) application of DBAs prior to use of Temp Bond as well as after its removal seems to be very beneficial to shear bond strength values (SBS in MPa: Syntac:13.36 +/- 4.70, ART Bond: 16.34 +/- 5.02, P-Bond: 19.04 +/- 2.01). Independent from the provisional cement, the values after serial application of P-Bond provided consistently high bond values which were not statistically different (Kruskal-Wallis, P > 0.05) from values of P-Bond on fresh dentin (18.19 +/- 2.29 MPa). The only exception from these findings in the present study was All-Bond 2. Regardless of the provisional materials used, the bond strength values of All-Bond 2 remained low (maximum SBS with Fermit as intermediate provisional cement: 4.63 +/- 2.91 MPa).

Cementation↗
PubMed1995

[The chemical solubility and stability of low-melting dental porcelains].

The aim of this investigation was to study the chemical solubility of 3 new low-fusing ceramics (Duceram-LFC, Duceragold and Vita Omega 800) in comparison with a conventional PFM-ceramic (Vita Omega) together with different surface treatments. Additionally, the three-point flexure strengths were measured. Although the test conditions were very stringent in comparison to the standard solubility test, all ceramics comply with ISO/DIS 6872 specifications, and are thus deemed to be well tolerated in the oral environment. Vita Omega demonstrated the lowest chemical solubility. Mechanical polishing of the surfaces of LFC and Duceragold ceramics produced lower solubility results as compared to glazing. Vita Omega and Omega 800 behaved contrarily. After repeated hydrolysis testings Ducera-LFC demonstrated the highest disintegration resistance. The three-point flexure strengths of low-fusing ceramics were generally higher than that of the conventional PFM-ceramic. As opposed to the other ceramic materials tested, the flexure strength of Duceram-LFC increased significantly after hydrolysis testing.

Dental Porcelain↗
PubMed1993

Effects of veneering and glazing on the strength of heat-pressed ceramics.

A newly developed press-type all-ceramic crown system, the IPS-Empress system (Ivoclar), has recently been introduced. Two methods may be used to obtain the desired shade: surface staining and glazing; veneer technique. The purpose of this study was to determine whether these two methods affected flexure strength of Empress glass ceramic. Eight groups of test bars were pressed. In groups 1 and 2, one surface was stained and glazed. The bars were placed face down (1) or up (2) for testing. For comparison, group 3 was heat-treated only (simulating stain and glaze firing). In groups 4-7, one surface of the bars was either veneered with porcelain on the bottom (4) or top surface (5) and then subsequently glazed (6 and 7). Group 8 was just heat-treated (simulating veneer and glaze firings). The results showed that there were no significant differences in strength between groups 2, 5 and 7 compared to the reference groups 3 and 8 (159 +/- 28 and 175 +/- 32 MPa, respectively), indicating that, from the mechanical point of view, the two surface techniques can be equally used on Empress ceramic. If the porcelain veneer supported the ceramic (4), the strength was significantly decreased. The highest mean value was obtained in group 1 (220 +/- 34 MPa).

Ceramics↗
PubMed1993

[The strength of ceramic and polymer after CAD/CIM treatment and in a bond with dentin].

The flexural strength of bar samples (2 x 4 x 12 mm) of Vita Mark II, Dicor MGC Dark & Light and CR-Polymer was examined after machining with the Cerec E-Drive unit using grinding wheels coated with coarse (126 microns) and fine (46 microns) diamonds. The flexural strengths of both Vita MK II (98.5-112.4 MPa) and Dicor MGC Dark (135.1-205.3 MPa) were significantly (p < 0.01) different after machining with the coarse and fine discs respectively. The flexural strengths of both Dicor-MGC Light (192.6-220.1 MPa) and of CR-Polymer (103.9-104.3 MPa) were not significantly changed by machining with coarse or fine diamonds, respectively. Bonded sandwich samples (2 x 4 x 12 mm) were made from parts (1.45 x 4 x 12 mm) of Vita MK II, MGC D&L and CR-Polymer and of parts (0.45 x 4 x 12 mm) of bovine dentin using a dentin adhesive and a 100 microns layer of fine hybrid composite resin. The flexural strengths of the samples machined from porcelain and glass ceramic (2 x 4 x 12 mm) and the sandwich samples composed of ceramic (1.45 x 4 x 12 mm) and bovine dentin (0.45 x 4 x 12 mm), respectively, did not differ significantly (p > 0.001): Vita MK II 106.4 +/- 12.2/98.5 +/- 25.8 MPa. Dicor MGC Dark 195.6 +/- 34.6/145.6 +/- 31.2 MPa. Dicor MGC Light 204.1 +/- 29.1/171.5 +/- 18.2 MPa.(ABSTRACT TRUNCATED AT 250 WORDS)

Analysis of Variance↗
PubMed1990

Factors influencing metal-resin tensile bond strength to filled composites.

This study evaluated the effect of metal surface conditioning, application of a silicon layer, water storage, and resin filling on tensile bond strength of a metal-resin system using three experimental composites (un-, micro-, and macrofilled) having the same self-curing resin composed of Bis-GMA and TEGDMA (2:1 wt%). Test specimens were prepared by bonding the resin between pairs of Ni-Cr-Be alloy cast disks (diameter, 8 mm) previously subjected to heat treatments simulating porcelain firing procedures. A specially constructed apparatus facilitated the absolutely parallel alignment and orientation of the disk faces to each other, maintaining a constant resin thickness of 100 microns. Before being bonded, the sand-blasted metal surfaces were either electrolytically etched and/or silicoated. Prior to being tested, assemblies were stored in water at 37 degrees C for one and 30 days. Thereafter, the specimens were processed in a universal testing machine at a cross-head speed of 2 mm/min until failure. Bond strengths ranged from 4.2 to 20.5 MPa. Data were analyzed by ANOVA with a factorial design (conf. level = 99%). The results showed that: (i) bond strength was increased when the metal was silicoated, (ii) the combination of sandblasting/silicoating produced the best values, and (iii) the 30-day water storage combined with silicoating enhanced the strength of the bond. The resin filling had no significant effect, indicating that neither its presence nor type affects bonding strengths to metal.

Analysis of Variance↗