Biomedical subjects

Kenneth J Anusavice

Publications and source records attributed to Kenneth J Anusavice.

23 records · Page 2Linked to original sources

PubMedDate not supplied

Microstructure, composition, and etching topography of dental ceramics.

PURPOSE: Topographic analysis of etched ceramics provides qualitative surface structure information that affects micromechanical retention mechanisms. This study tested the hypothesis that the etching mechanism changes according to the type of etchant and the ceramic microstructure and composition. MATERIALS AND METHODS: Quantitative and qualitative analyses of 15 dental ceramics were performed using scanning electron microscopy, back-scattered imaging, X-ray diffraction, optical profilometry, and wavelength dispersive spectroscopy based on Phi-Rho-Z correction. All ceramic specimens were polished to 1 micron with diamond compound, and the following etchants and etching times were used: ammonium bifluoride (ABF) for 1 minute, 9.6% hydrofluoric acid (HF) for 2 minutes, and 4% acidulated phosphate fluoride (APF) for 2 minutes. RESULTS: HF produced an irregular etching pattern in which pores were the characteristic topographic feature. ABF-etched ceramic surfaces showed mostly grooves, and APF etchant caused a buildup of surface precipitate. Core ceramics showed less topographic change after etching because of their high alumina content and low chemical reactivity. CONCLUSION: The observations suggest that the etching mechanism is different for the three etchants, with HF producing the most prominent etching pattern on all dental ceramics examined.

Acid Etching, Dental↗

PubMedDate not supplied

Effect of ceramic surface treatment on tensile bond strength to a resin cement.

PURPOSE: The objective of this study was to test the following hypotheses: (1) hydrofluoric acid (HF)-treated ceramic surfaces produce the highest tensile bond strength to resin cements, independent of the ceramic microstructure and composition; and (2) the tensile bond strength test is appropriate for analysis of interfacial adhesion for ceramic-bonded-to-resin systems. MATERIALS AND METHODS: Ceramic specimens were polished with 1-micron alumina abrasive and divided into four groups of 10 specimens for each of seven ceramic types. One of the following surface treatments was applied: (1) 10% ammonium bifluoride (ABF) for 1 minute; (2) 9.6% HF for 2 minutes; (3) 4% acidulated phosphate fluoride (APF) for 2 minutes; and (4) a silane coupling agent. The surface-treated areas were coated with an adhesive resin and bonded to a resin cement. Specimens were loaded to failure in tension using a testing machine. Tensile bond strength data were statistically analyzed, and fracture surfaces were examined to determine the mode of failure. RESULTS: Silane-treated surfaces showed statistically higher mean tensile bond strength values than surfaces treated with any etchant (HF, ABF, APF). HF produced statistically higher mean tensile bond strengths than ABF and APF. All failures occurred in the adhesion zone. CONCLUSION: The tensile bond strength test is adequate for analysis of the adhesive zone of resin-ceramic systems. The chemical adhesion produced by silane promoted higher mean bond strength values than the micromechanical retention produced by any etchant for the resin-ceramic systems used in this study.

Acid Etching, Dental↗

PubMedDate not supplied

Effect of nucleation temperature on fracture toughness (KIC) of fluorcanasite-based glass-ceramic.

PURPOSE: The purpose of this study was to test the hypothesis that nucleation temperature significantly affects the fracture toughness of a fluorcanasite-based glass-ceramic. MATERIALS AND METHODS: Sixty specimens were cut from a glass bar, polished, and randomly divided into six groups for nucleation treatment at temperatures of (1) 520 degrees C, (2) 550 degrees C, (3) 580 degrees C, (4) 610 degrees C, (5) 640 degrees C, and (6) 670 degrees C for 4 hours and a crystallization temperature of 850 degrees C for 6 hours. A precrack was produced at the center of each bar, and the prepared specimens were subjected to three-point flexural loading with the cracked surface under tension using an Instron machine at a cross-head speed of 0.5 mm/min. Fracture toughness was calculated based on the indentation strength technique, and crystal volume fraction was determined by quantitative stereology of SEM images of each group of ceramic specimens. RESULTS: The mean fracture toughness and crystal volume fraction ranged from 2.6 to 3.5 MPa x m1/2 and from 65% to 81%, respectively, within the limits of the nucleation temperatures investigated. ANOVA showed statistically significant differences among the test groups. Based on Duncan's multiple comparison test, significant differences in mean fracture toughness and crystal volume fraction were found among the following statistical subsets: groups 1 to 4, group 5, and group 6. CONCLUSION: Fracture toughness and crystal volume fraction of a fluorcanasite-based glass-ceramic were strongly influenced by nucleation temperature; the crystals precipitated during thermal processing are thought to be an important factor in increasing fracture toughness.

Analysis of Variance↗

PubMedDate not supplied

Clinical performance of a lithia disilicate-based core ceramic for three-unit posterior FPDs.

PURPOSE: The purpose of this research project was to determine the clinical success rate of a lithia disilicate-based core ceramic for use in posterior fixed partial dentures (FPD) as a function of bite force, cement type, connector height, and connector width. MATERIALS AND METHODS: Thirty ceramic FPD core frameworks were prepared using a heat-pressing technique and a lithia disilicate-based core ceramic. The maximum clenching force was measured for each patient prior to tooth preparation. Connector height and width were measured for each FPD. Patients were recalled yearly after cementation for 2 years and evaluated using 11 clinical criteria. All FPDs were examined by two independent clinicians, and rankings from 1 to 4 were made for each criterion (4 = excellent; 1 = unacceptable). RESULTS: Two of the 30 ceramic FPDs fractured within the 2-year evaluation period, representing a 93% success rate. One fracture was associated with a low occlusal force and short connector height (2.9 mm). The other fracture was associated with the greatest occlusal force (1,031 N) and adequate connector height. All criteria were ranked good to excellent during the 2-year recall for all remaining FPDs. CONCLUSION: The performance of the experimental core ceramic in posterior FPDs was promising, with only a 7% fracture rate after 2 years. Because of the limited sample size, it is not possible to identify the maximum clenching force that is allowable to prevent fracture caused by interocclusal forces.

Adult↗

PubMedDate not supplied

In vivo wear of enamel by a lithia disilicate-based core ceramic used for posterior fixed partial dentures: first-year results.

PURPOSE: This study aimed (1) to test the hypothesis that no significant relationship exists between the magnitude of occlusal clenching force and wear rates of enamel opposing a new core ceramic (e.max Press, Ivoclar Vivadent) used in posterior fixed partial dentures (FPDs); and (2) to test the hypothesis that mean annual enamel wear by an experimental core ceramic is comparable to the mean annual enamel wear by enamel of 38 microm. MATERIALS AND METHODS: Baseline data were obtained for patients in addition to preliminary impressions of maxillary and mandibular teeth. Thirty ceramic FPDs were processed from a new core ceramic (e.max Press) that was hot pressed and glazed. Patients were recalled 1 year after cementation and evaluated using clinical criteria that included wear assessment of opposing teeth. Impressions were made of the opposing teeth with polyvinylsiloxane impression material and photographs were taken of intraoral occlusal contacts marked with articulating ribbon. Baseline casts and casts made at each recall exam of opposing dentitions were scanned using a 3-dimensional laser scanner (Laserscan 3D, Willytec) and evaluated for wear. A total of 21 occlusal surfaces were analyzed for the presence of wear. RESULTS: Statistical analysis using a linear and quadratic model revealed no significant relationship between occlusal forces and wear rate assuming either a linear model (R2 = 0.018) or a quadratic model (R2 = 0.023). The maximum annual wear of enamel by the glazed core ceramic (e.max Press) was 88.3 microm, which is significantly greater than the annual enamel-by-enamel wear of 38 microm (P < .0001). CONCLUSION: Further analysis with a larger sample size is needed to determine the relationship between occlusal clenching force and wear rate and the influence of other factors that cause increased wear of enamel by opposing ceramic restorations.

Adult↗