https://www.zora.uzh.ch/id/eprint/85668/1/Fatigue_of_dental_ceramics_acc.pdf

Fatigue of dental ceramics

Objective . This study determined the ultimate tensile strength (UTS) of enamel (E), dentin (D) and dentin–enamel junction (DEJ) using the microtensile technique. It was hypothesized that the UTS of dental structures varies according to location and nature. Methods . Intact occlusal enamel surfaces from extracted human third molars were etched with 37% phosphoric acid and bonded with a one-bottle adhesive system. The bonded occlusal surfaces received a resin composite build-up and teeth were serially, vertically sectioned into several 0.7 mm thick slabs. Each slab was then trimmed to a dumbbell-shaped specimen with irrigated diamond burs to reduce the cross-sectional area to approximately 0.5 mm 2 at E, D or DEJ. E was tested according to its prismatic orientation (parallel, EP; and transversally, ET) and D as function of depth (superficial, DS; middle, DM and deep, DD). Specimens were tested in tension in an Instron testing machine at 0.5 mm/min. Results were analyzed by one-way ANOVA and Duncan's Multiple Range test. Results. UTS mean values ( N =20) were, MPa (SD): DEJ, 46.9 (13.7) b ; EP, 42.1 (11.9) b ; ET, 11.5 (4.7) d ; DS, 61.6 (16.2) a ; DM, 48.7 (16.6) b and DD, 33.9 (7.9) c . Enamel stressed transversally to its prismatic orientation was significantly weaker ( p p p >0.05). Significance . The UTS of dental structures varies according to its nature and location.

Ultimate tensile strength of tooth structures

The introduction of the new generation of particle-filled and high strength ceramics, hybrid composites and technopolymers in the last decade has offered an extensive palette of dental materials broadening the clinical indications in fixed prosthodontics, in the light of minimally invasive dentistry dictates. Moreover, last years have seen a dramatic increase in the patients’ demand for non-metallic materials, sometimes induced by metal-phobia or alleged allergies. Therefore, the attention of scientific research has been progressively focusing on such materials, particularly on lithium disilicate and zirconia, in order to shed light on properties, indications and limitations of the new protagonists of the prosthetic scene. This article is aimed at providing a narrative review regarding the state-of-the-art in the field of these popular ceramic materials, as to their physical-chemical, mechanical and optical properties, as well as to the proper dental applications, by means of scientific literature analysis and with reference to the authors’ clinical experience. A huge amount of data, sometimes conflicting, is available today. Both in vitro and in vivo studies pointed out the outstanding peculiarities of lithium disilicate and zirconia: unparalleled optical and esthetic properties, together with high biocompatibility, high mechanical resistance, reduced thickness and favorable wear behavior have been increasingly orientating the clinicians’ choice toward such ceramics. The noticeable properties and versatility make lithium disilicate and zirconia materials of choice for modern prosthetic dentistry, requiring high esthetic and mechanical performances combined with a minimal invasive approach, so that the utilization of such metal-free ceramics has become more and more widespread over time.

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Current status on lithium disilicate and zirconia: a narrative review.

Dental Ceramics for Restoration and Metal Veneering

The threat of wear to dental enamel from hard particles of silica or silicates may have exerted great selective pressure on mammals. Increasing the hardness of enamel helps to forestall this, but capacity for variation is small because the tissue is almost entirely composed of hydroxyapatite. Hard though it is, enamel also displays considerable toughness, which is important in setting the sharpness of particles (defined as an attack angle) necessary to wear it. Added to the threat from environmental silica(tes) are phytoliths, particles of opaline silica embedded in plant tissues. We show here that phytoliths have very different properties to grit and dust and are unlikely to wear enamel. However, phytoliths would tend to fracture between teeth under similar conditions, so resembling natural agents of wear. In this context, we suggest that phytoliths could represent an example of mimicry, forming an example of a feeding deterrent operating by deceit.

/pdf/the-role-of-dust-grit-and-phytoliths-in-tooth-wear-1maca88te5.pdf

The Role of Dust, Grit and Phytoliths in Tooth Wear

Fracture-resistant monolithic dental crowns.

Mechanics of longitudinal cracks in tooth enamel

A model for the fracture of tooth enamel with graded elastic modulus and toughness is constructed using an extended finite element modeling (XFEM) package. The property gradients are taken from literature data on human molars, with maximum in modulus at the outer enamel surface and in toughness at the inner surface. The tooth is modeled as a brittle shell (enamel) and a compliant interior (dentin), with occlusal loading from a hard, flat contact at the cusp. Longitudinal radial (R) and margin (M) cracks are allowed to extend piecewise along the enamel walls under the action of an incrementally increasing applied load. A simple stratagem is deployed in which fictitious temperature profiles generate the requisite property gradients. The resulting XFEM simulations demonstrate that the crack fronts become more segmented as the property gradients become more pronounced, with enhanced propagation at the outer surface and inhibited propagation at the inner. Whereas the growth history of the cracks is profoundly influenced by the gradients, the ultimate critical loads required to attain full fractures are relatively unaffected. Some implications concerning dentistry are considered.

Amir Barani

Papers

Fracture-resistant monolithic dental crowns.

Mechanics of longitudinal cracks in tooth enamel

Effect of property gradients on enamel fracture in human molar teeth.

Inferring biological evolution from fracture patterns in teeth

Mechanics analysis of molar tooth splitting