Prosthodontics and Prosthodontology Commons^™

Digital Assessment Of Subtractive And Additive Cad/Cam Fabrication Methods On The Fit And Accuracy Of Lithium Disilicate Veneers, Basma Refaat Fayad, Islam Heiba Dr, Sara Fikry Dr, Maha Nagy

Dentistry

Objectives: This study compared subtractive and additive fabrication methods regarding their impact on the marginal/internal fit, trueness, and precision of lithium disilicate ceramic veneers. Methods: Laminate veneer preparations on an acrylic tooth were duplicated into twenty-four additively manufactured resin dies. Veneers were digitally designed and fabricated via milling (subtractive) or 3D-printing (additive) (n=12/group). All veneers were scanned. For trueness, the final design served as the reference; for precision, pairwise comparisons were made within each group. For adaptation, the scanned die was the reference. Post-cementation and thermal cycling (10,000 cycles, 5–55°C), marginal adaptation was measured using a digital microscope (×100). Data …

Digital Assessment Of Subtractive And Additive Cad/Cam Fabrication Methods On The Fit And Accuracy Of Lithium Disilicate Veneers, Sara Fikry Elshafei Dr, Islam Heiba Dr, Basma Fayyad, Maha Nagy

Dentistry

No abstract provided.

Effect Of Dynamic Fatigue Loading On The Adaptation And Retention Of Maxillary Single Dentures Reinforced With Digitally Constructed Zirconia And Cobalt–Chromium Frameworks, Ghada Elgindy, Fardos N Rizk, Marwa Ezzat Sabet, Hebatallah Tarek Mohamed

Dentistry

Background. The impact of dynamic fatigue loading on denture adaptation and retention is clinically important. Zirconia and cobalt–chromium (Co–Cr) frameworks enhance denture strength, but their performance under cyclic loading remains unclear. Objectives. The aim of the study was to evaluate the adaptation and retention of maxillary single dentures reinforced with digitally constructed Co–Cr or zirconia frameworks after a simulated 1 year of function. Material and methods. Three types of maxillary single dentures were constructed on maxillary master casts. Group A included maxillary dentures without reinforcement (control group), whereas groups B and C encompassed maxillary dentures reinforced with digitally designed and …

The Effect Of Cementation Load, Unload Time And Storage Time On Film Thickness And Μtbs Durability Of Dual-Cure Resin Cements. An In-Vitro Study, Sara Adel Botros, Abdullah Hassanien, Nader Maher Tadros, Farid Sabry El-Askary, Salvatore Sauro

Dentistry

No abstract provided.

Impact Of Adhesive Curing Mode And Dentin Sealing On Bond Strength Of Cad/Cam Resin Composite, Sara Adel Botros, Mohamed Fouad Haridy, Nermin Mohieldin Abdelmohssen

Dentistry

No abstract provided.

Comparative Evaluation Of Maxillary Partial Denture Frameworks Additively Manufactured With Different 3d Printing Techniques, Basma Refaat Fayad, Islam Heiba Dr, Eman Gamal Abdelghaffar, Ayman Hany Amin

Dentistry

Objectives: To compare the accuracy of fit, surface roughness, and microstructure of cobalt chromium (Co-Cr) maxillary removable partial denture (RPD) frameworks fabricated using direct metal laser melting (DMLS) and selective laser melting (SLM). Methods: A custom Kennedy Class II maxillary partial edentulous resin model was digitally scanned, and a virtual RPD framework was designed. Frameworks were fabricated using DMLS (Co-Cr, n = 8) and SLM (Co-Cr, n = 8), while a control group was produced using a hybrid digital-conventional protocol by lost-wax casting (CAST-Co- Cr, n = 8), in total 24 frameworks. Overall and point comparison adaptation was assessed using …

Effect Of Acid-Containing Drinks On Surface Roughness And Bacterial Accumulation Of Different Types Of Denture Base Materials, Sara Fikry Dr, Ayman Amin, Eman Khedr, Fatma Makkeya

Dentistry

No abstract provided.

Biomechanicalperformanceofimplant-Tooth-Supportedprostheses:Anumerical3dfiniteelementanalysis, Basma Refaat Fayad, Islam Heiba Dr, Al Hassan Diab

Dentistry

Objective:Toassessthebiomechanicalbehaviourofimplant-tooth-supported(hybrid)pros-theses,comparedwithanimplant-implant-supportedprosthesis,utilisingtwodifferentprostheticmaterials,employingfiniteelementanalysis(FEA).Method:Threedigitalmodels,derivedfromaCBCT-scannededentulousmandible,weredesigned:twohybridconfigurations(M1:distalimplant-firstpremolar;M2:mesialimplant-firstmolar)andanimplant-implant-supportedprosthesis(M3).Abiomechanicalmodellingworkflowwascarriedout(Mimicsforsegmentation,3-Maticforbone/mucosallayerrefinement,ExocadDentalCADandSolidWorksforimplants,abutmentandprosthe-sisintegration,andANSYSformeshingandFEA).Assumingisotropic/elasticmaterialproperties,zirconiaandpolyetherketoneketone(PEKK)wereselectedasprostheticmateri-als.Modelsweresubjectedtoastaticverticalload(100N).vonMisesstressandtotaldefor-mationwereanalysedtoevaluatestructuralresponses.Results:M3demonstratedthemostfavourablebiomechanicalprofile,exhibitingthelowestvonMisesstressmagnitudesalongsidethehighestoveralldeformation.Inhybridmodels(M1,M2),stressmaximawerelocalisedatthepontic−toothconnectorregionsand,inM1-PEKK,reached261MPainthescrew.Corticalboneandpreparedteethexhibitedhigherstressindis-tallyanchoredhybridsystems(M1)comparedtomesiallysupporteddesigns(M2),regardlessoftheprostheticmaterial.Comparativeanalysisrevealedthatzirconia-basedprosthesesgen-eratedhigherstressconcentrationsinbone(≤35MPa)comparedtoPEKK,whereasthePEKKprosthesisitselfexhibitedgreaterstructuraldeformation(70mminM1-PEKK).Conclusion:Hybridimplant-tooth-supportedprosthesescanactasareliablealternativetoimplant-implantonesandeliminatecantileverextensions;however,theiruseshouldbereservedforcarefullyselectedcasestoavoidbiomechanicalincompatibilities.

Effect Of Margin Thickness And Cement Gap On The Fabrication And Fit Accuracy Of Additively Manufactured Crowns In Definitive Resins With Different Filler Content, Mustafa Borga Dönmez, Gülce Çakmak, Çiğdem Kahveci, Amir H. Nejat, Burak Yilmaz, Pinar Altinci

School of Dentistry Faculty Publications

PURPOSE: To evaluate how commercially available composite resins in varying filler content affect the fabrication and fit accuracy (trueness and precision) of additively manufactured (AM) definitive crowns with different margin thickness and cement gaps by comparing them to subtractively manufactured (SM) polymer-infiltrated ceramic crowns. MATERIALS AND METHODS: Two identical unprepared mandibular right first molars were prepared by an experienced prosthodontist for crowns with either 0.5 mm or 1.0 mm chamfer margins, verified using silicone indexes and a periodontal probe, and then digitized with an industrial-grade scanner. These scan files were used to design reference crowns with either 50-µm or 80-µm …

Evaluation Of Marginal And Internal Fit In Cad/Cam-Fabricated Indirect Restorations, Sara Adel Botros, Mohamed Samy Salama, Hend Sayed Ahmed, Ayman Helmy

Dentistry

No abstract provided.

Effect Of Smoking And Finishing And Polishing Protocol On Color Stability And Surface Roughness Of Resin Composite, Fatma Makkeyah, Mohamed Samy Salama, Sara Adel Botros, Mohamed Shamel, Mahmoud Al Ankily

Dentistry

Purpose To investigate the influence of smoking and finishing and polishing protocol on color stability and surface roughness of resin composite. Materials and methods Seventy-two discs fabricated from supra-nanofilled composite were divided to 6 groups according to: Tobacco Product (Conventional Cigarette/CS and Heated Tobacco/HTP); and Finishing and Polishing Protocol (Control/C, Multi-step finishing system/FS, and Medium-grit abrasive bur + two-step polishing system/ PS). After finishing and polishing, specimens were exposed to a total of 600 cigarettes, divided into 20 each day, simulating 30 days of smoking. Color parameters were detected using a spectrophotometer. Surface roughness (Ra) was measured before and after …

Effect Of Load Removal On Bonding Of Resin Cement To Cad/Cam Composite, Sara Adel Botros, Farid Sabry El-Askary, Nader Maher Tadros, Abdallah Hassanien, Salvatore Sauro

Dentistry

No abstract provided.

Evaluation Of Marginal And Internal Fit In Cad/Cam-Fabricated Indirect Restorations, Mohamed Salama, Sara Adel Botros, Hend Sayed Ahmed

Dentistry

Objectives: This study investigated the effect of marginal adaptation and internal fit of premolar teeth restored with indirect overlays, fabricated from different CAD/CAM materials (lithium-disilicate and composite blocks). Materials and Methods: Twenty-two intact premolars with standardized concave chamfer overlay preparation were divided into two groups (n= 18) Group (A): lithium disilicate blocks and Group (B): composite blocks. All groups cemented with dual cured resin cement. After 24h of storage at 37°C followed by thermocycling. Marginal gap evaluation evaluated using a stereomicroscope at x50 magnification at 4 points at each surface. Specimens were then sectioned mesiodistally to assess internal fit. Statistical …

Effect Of Build Orientation On The Fabrication Trueness Of Additively Manufactured Implant-Supported Complete Arch Interim Fixed Prostheses, Amir H. Nejat, Mehmet Esad Güven, Gülce Çakmak, Burak Yilmaz, Mustafa Borga Donmez

School of Dentistry Faculty Publications

PURPOSE: To evaluate how build orientation affects the fabrication trueness of additively manufactured implant-supported complete arch prostheses by comparing them to subtractively manufactured high-impact polymer-based prostheses. MATERIALS AND METHODS: An edentulous maxillary model with four implants at canine and first molar regions bilaterally was digitized (ATOS Core 80 5MP) to design a reference implant-supported complete arch prosthesis standard tessellation language file (RF-STL). The STL file was used to manufacture prostheses additively in five different orientations according to the build platform (AM-0, 0-degree; AM-15, 15-degree; AM-30, 30-degree; AM-45, 45-degree; AM-90, 90-degree) or subtractively (SM-HIP, control) (n = 10). The prostheses were …

Effect Of Different Digital Technology On The Adaptation And Retention Of Co-Cr Partial Denture Frameworks, Islam Heiba

Dentistry

Purpose: To evaluate the overall adaptation and retention of class I cobalt-chromium (Co-Cr) removable partial denture (RPD) frameworks using three different computeraided design and computer-aided manufacturing (CAD-CAM) technologies: Indirect wax milling with lost wax technique (LWT), direct milling, and selective laser melting (SLM) technique. Materials and Methods: An educational maxillary stone model (Kennedy class I) was scanned after preparing rest seats to create a resin model. The resin model was scanned, and the RPD framework was digitally designed and saved as a standard tessellation language (STL) file. Twenty-four Co-Cr RPD frameworks were then constructed and divided into three groups (n …

Application Of Different Digital Technology On Partial Denture Frameworks, Islam Heiba, Fardos N Rizk, Marwa Sabet Prof., Shaimaa Mohamed Lotfy A. Prof

Dentistry

AIM or PURPOSE

MATERIALS and METHOD

Efect Of Conventional Cigarette Smoking And Recent Heated Tobacco Products On Cad/ Cam Restorative Materials, Fatma Makkeyah, Omar Elsergany, Mohamed Shamel, Mahmoud Al Ankily

Dentistry

No abstract provided.

The Effect Of Using Two Sintering Cycles On The Optical Properties Of Gradient Multi-Layered Zirconia (In Vitro Study), Fatma Makkeyah, Passent Elghalab, Maged Zohdy, Mostafa Nour

Dentistry

No abstract provided.

Effect Of Acidic Media On Surface Topography And Color Stability Of Two Different Glass Ceramics, Fatma Makkeyah, Nesrine A. Elsahn, Mahmoud Bakr, Mahmoud Al Ankily

Dentistry

No abstract provided.

Effect Of Layer Thickness, Inner Structure, And Implant Angulation On The Accuracy Of 3d Printed Models With Implant Analogs, Omar Elsergany

Dentistry

Objective: This study evaluated the effect of layer thickness, model inner structure, and im- plant angulation on the accuracy of 3D printed models with repositional analogs.

Materials and methods: 126 models designed to receive all-on-4 implant retained fixed den- tal prosthesis were 3D printed. Models were divided into 2 groups (n=63) according to posterior implant angulation (Group 1; 30 ̊ and group 2;45 ̊). The models were then divided into three sub- groups (n=21) according to the printing layer thickness (Group a; 50 μm, group b; 100 μm, and group c; 150 μm). Each subgroup was later subdivided into 3 …

Color Stability And Marginal Adaptation Of Ceramic Veneers Cemented Using Different Composite Resins, Basma Refaat Fayad, Maged Zohdy, Engy Adel Farag, Ghada Hussein

Dentistry

BACKGROUND: The purpose of this study was to compare the color stability and marginal adaption of lithium disilicate veneers before and after thermocycling using various resin composite materials employed as cement. METHODS: Laminate veneer preparation was done on an acrylic tooth according to standardized procedures. The veneer preparations were duplicated into twenty-one dies. The veneers were fabricated from lithium disilicate using the CEREC in Lab system. According to the cement type, the twenty-one die specimens were randomly divided into three equal groups: group I, with light cured adhesive resin cement (N.=7), group II, with owable light cured composite, and group …

Effect Of Two Different Intraoral Polishing Systems On Surface Roughness, Color Stability, And Bacterial Accumulation Of Zirconiareinforced Lithium Silicate Ceramic, Fatma Makkeyah, Dina Mohamed Mostafa, Griffith University - Australia, Mahmoud Al Ankily

Dentistry

No abstract provided.

Accuracy And Surface Roughness Of Co-Cr Partial Denture Frameworks With Different Digital Fabrication Methods, Islam Heiba

Dentistry

Statement of problem. Traditional removable partial denture (RPD) manufacture is being phased out in favor of computer-aided design and computer-aided manufacturing (CAD-CAM) techniques and rapid prototyping (RP), which provide more efficient methods of producing RPD frameworks. However, studies comparing the accuracy and surface roughness of these approaches on RPD frameworks are still scarce. Purpose. The purpose of this in vitro study was to evaluate the accuracy and surface roughness of class I cobalt chromium (Co-Cr) removable partial denture frameworks digitally constructed using 2 different CAD-CAM technologies: direct milling (DM) and selective laser melting (SLM). Material and methods. An educational maxillary …

The Effect Of Die Material On The Crown Fracture Strength Of Zirconia Crowns, Akram Sayed Ahmed, Nathaniel C. Lawson, Chin-Chuan Fu, Pranit V. Bora, Edwin Kee, Amir H. Nejat

School of Dentistry Faculty Publications

BACKGROUND: Determination of the eligibility of several tooth analog materials for use in crown fracture testing. METHODS: A standardized premolar crown preparation was replicated into three types of resin dies (C&B, low modulus 3D printed resin; OnX, high modulus 3D printed resin composite; and highest modulus milled resin composite). 0.8 mm zirconia crowns were bonded to the dies and the maximum fracture load of the crowns was tested. Twelve extracted human premolars were prepared to a standardized crown preparation, and duplicate dies of the prepared teeth were 3D printed out of C&B. Zirconia crowns were bonded to both the dies …

The Use Of Tissue Grafts Associated With Immediate Implant Placement To Achieve Better Peri-Implant Stability And Efficacy: A Systematic Review And Meta-Analysis, Enrico Maria Rondone, Bruno Leitão-Almeida, Miguel Silva Pereira, Gustavo Fernandes, Tiago Borges

MOSDOH Faculty Publications

Background: The goal of this systematic study and meta-analysis was to evaluate the efficacy of hard and/or soft tissue grafts associated with type-1 implants on healing and treatment outcomes. The primary outcomes studied were implant survival rate, pocket depth, marginal periimplant recession, bone loss, bone thickness (volumetric change), interproximal bone level, mesial and distal papilla migration, and radiographic evaluation; and the secondary parameters were Pink Esthetic Score (PES), vertical distance from implant shoulder and bone, Visual Analogue Score (VAS), Implant Stability Quotient (ISQ), and biological complications (fistulas, pain, mucositis, and peri-implantitis). Methods: The PICO strategy was used to formulate the …

Fibroblasts And Osteoblasts Behavior After Contact With Different Titanium Surfaces Used As Implant Abutment: An In Vitro Experimental Study, Jose Henrique Cavalcanti De Lima, Patricia Cristina Matos Robbs, Elena Mavropoulos Oliveira Tude, Piedad N. De Aza, Eleani Maria Da Costa, Antonio Scarano, Juan Carlos Prados-Frutos, Gustavo Fernandes, Sergio Alexandre Gehrke

MOSDOH Faculty Publications

Background: The goal of this in vitro study was to compare three different surfaces: two types of implant surfaces commercially available ([a] smooth/machined and [b] acid-treated surface) versus (c) anodized surface. Discs were manufactured with commercially pure titanium (CP) grade IV, which were subsequently analyzed by scanning microscopy and fibroblastic and osteoblastic cell cultures. Methods: Ninety-nine discs (5 × 2 mm) were manufactured in titanium grade IV and received different surface treatments: (i) Mach group: machined; (ii) AA group: double acid etch; and (iii) AN group: anodizing treatment. Three discs from each group were analyzed by Scanning Electron Microscopy (SEM) …

Build Angle Effect On 3d-Printed Dental Crowns Marginal Fit Using Digital Light- Processing And Stereo-Lithography Technology: An In Vitro Study, Omar Elsergany

Dentistry

Background The effect of 3D printing technology and build angle on the marginal fit of printed crowns is unclear. The objective of this research was to use digital light processing (DLP) and stereo-lithography (SLA)-based 3D printing to construct single restorations with varied build angles and to analyze the crowns′ marginal fit.

Methods A prepared resin first molar was scanned utilizing an optical scanner. Three build orientations were used to construct the specimens: 0, 45, and 90o. DLP and SLA technology were used to produce the casting patterns. A digital microscope was used to measure the marginal gaps. The effect of …

Minimally Invasive Periodontal Regeneration With The Buccal Approach: A Systematic Review And Meta-Analysis Of Clinical Studies, Elisa Pasqualini, Filipe Castro, Denise Curado, Ana Martelete, Artak Heboyan, Muhammad H. Saleh, Juliana Campos Hasse Fernandes, Gustavo Fernandes

MOSDOH Faculty Publications

OBJECTIVE: The aim of this study was to investigate clinical periodontal parameters after treatment using the Minimally Invasive Surgical Technique (MIST), Modified Minimally Invasive Surgical Technique (M-MIST), and/or any technique for papilla preservation, such as Entire Papilla Preservation (EPP), modified-papilla preservation technique (M-PPT), or simplified-papilla preservation technique (SPPT). METHODS: The focus question was “For patients with periodontal intrabony defects (P), what is the best minimally invasive regenerative approach (I), comparing MIST, M-MIST, and papilla preservation techniques’ outcomes (C) to improve PD, CAL, GR, and periodontal stability (O)?” An online search was conducted on PubMed, Cochrane Library, and Embase. Only randomized …

Is The Facial Bone Wall Critical To Achieving Esthetic Outcomes In Immediate Implant Placement With Immediate Restoration? A Systematic Review, Sergio Charifker Ribeiro Martins, Marcio Da Costa Marques, Michael Gomes Vidal, Pedro Henrique Moreira Paulo Tolentino, Roberto Galvão Dinelli, Gustavo Fernandes, Jamil Awad Shibli

MOSDOH Faculty Publications

Background. Rehabilitation in the anterior region requires specific conditions for success, such as the presence of papilla, emergence profile, and balance between pink and white esthetic. Objectives. This systematic review aimed to evaluate the esthetic risk associated with immediate implant placement with immediate restoration in the anterior superior area, where the facial bone plate may be absent or deficient. Materials and methods. The search was done in PubMed, Embase, Cochrane, Lilacs, Scopus, Scielo, and Google Scholar databases. The investigation involved clinical studies and observational studies published between January 2012 and July 2023. Studies were excluded if there was less than …

Critical-Size Defects Reconstruction With Four Different Bone Grafts Associated With E-Ptfe Membrane: A Histomorphometric Experimental In Vivo Study, Gustavo Fernandes, Filipe Castro, Rafael Martins Pereira, Wendel Teixeira, Sergio Gehrke, Julio Cesar Joly, Juan Blanco Carrion, Juliana Campos Hasse Fernandes

MOSDOH Faculty Publications

Objectives: The goal of this study was to assess the newly formed bone and the remnant biomaterial by comparing four different bone grafts used to treat critical-size defects, associated or not with the non-resorbable membrane.

Materials and methods: Two calvaria critical-size bone defects were created in 50 male Wistar rats. They were divided into blood (G1), autogenous (G2), bioglass (G3), hydroxyapatite (G4), and xenograft (G5) groups, associated or not with e-PTFE. The experimental periods were 15 and 45 days. Sections were prepared for histomorphometric assessment. All data were analyzed by the mixed-effects model with multiple comparisons (significance level, p < .05).

Results: …