Titanium and titanium alloys are widely used in biomedical devices and components, especially as hard tissue replacements as well as in cardiac and cardiovascular applications, because of their desirable properties, such as relatively low modulus, good fatigue strength, formability, machinability, corrosion resistance, and biocompatibility. However, titanium and its alloys cannot meet all of the clinical requirements. Therefore, in order to improve the biological, chemical, and mechanical properties, surface modification is often performed. This article reviews the various surface modification technologies pertaining to titanium and titanium alloys including mechanical treatment, thermal spraying, sol–gel, chemical and electrochemical treatment, and ion implantation from the perspective of biomedical engineering. Recent work has shown that the wear resistance, corrosion resistance, and biological properties of titanium and titanium alloys can be improved selectively using the appropriate surface treatment techniques while the desirable bulk attributes of the materials are retained. The proper surface treatment expands the use of titanium and titanium alloys in the biomedical fields. Some of the recent applications are also discussed in this paper.

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Surface modification of titanium, titanium alloys, and related materials for biomedical applications

The Analysis of Variance.

An overview of zirconia ceramics: Basic properties and clinical applications

Current ceramic materials offer preferred optical properties for highly esthetic restorations. The inherent brittleness of some ceramic materials, specific treatment modalities, and certain clinical situations require resin bonding of the completed ceramic restoration to the supporting tooth structures for long-term clinical success. This article presents a literature review on the resin bond to dental ceramics. A PubMed database search was conducted for in vitro studies pertaining to the resin bond to ceramic materials. The search was limited to peer-reviewed articles published in English between 1966 and 2001. Although the resin bond to silica-based ceramics is well researched and documented, few in vitro studies on the resin bond to high-strength ceramic materials were identified. Available data suggest that resin bonding to these materials is less predictable and requires substantially different bonding methods than to silica-based ceramics. Further in vitro studies, as well as controlled clinical trials, are needed.

/pdf/resin-ceramic-bonding-a-review-of-the-literature-3mhy0pbzjv.pdf

Resin-ceramic bonding: a review of the literature.

The future of dental devices is digital.

Bonding to zirconia ceramic: adhesion methods and their durability

Durability of the resin bond strength to zirconia ceramic after using different surface conditioning methods.

Purpose The aim of this in vitro study was to evaluate the long-term bond strength of adhesive bonding systems to yttrium-oxide-partially-stabilized zirconia ceramic (YPSZ). Materials and methods Plexiglas tubes filled with resin composite were bonded to industrially manufactured zirconia ceramic disks (96% ZrO2 stabilized by 4% Y2O3). After air abrading the ceramic and ultrasonic cleansing, groups of 16 samples were bonded in an alignment apparatus using 7 different bonding methods. Subgroups of 8 bonded samples were tested for tensile strength following storage in distilled water at 37 degrees C either for 3 days or 2 years. In addition, the 2-year samples were thermocycled 37,500 times. The statistical analyses were conducted with the Kruskal-Wallis test followed by multiple pair-wise comparison of the groups using the Wilcoxon rank sum test. Results A moderate to relatively high initial bond strength was achieved by air abrasion alone, the additional use of a silane, or acrylizing the YPSZ surface in combination with a conventional bis-GMA resin composite. However, these methods failed spontaneously over storage time. The use of the bis-GMA resin composite after tribochemical silica coating of YPSZ and the use of a polyacid-modified resin composite after air abrasion of YPSZ resulted in a high initial bond strength which decreased significantly over storage time. A durable resin bond strength to YPSZ was achieved only after air abrasion of YPSZ and using one of two resin composites containing a special phosphate monomer. Conclusion A durable bond strength to YPSZ was achieved only by using resin composites containing a special adhesive monomer.

Long-term resin bond strength to zirconia ceramic.

Resin bonding to a glass-infiltrated aluminum oxide ceramic (In-Ceram) cannot be achieved by the methods commonly used for conventional silica-based dental caramics. This study evaluated the durability of alternative methods of adhesive bonding to In-Ceram ceramic. The tensile bond strength of six bonding systems to In-Ceram ceramic was tested after up to 150 days of storage in isotonic artificial saliva solution and theramal cycling. Sandblasting alone or additional use of a silane did not result in a durable bond of a conventional BIS-GMA composite resin to In-Ceram ceramic. A durable bond to In-Ceram ceramic was achieved with a combination of tribochemical silica coating and conventional BIS-GMA composite resin or with the combination of sandblasting and a composite resin modified with a phosphate monomer. These two chemomechanical bonding methods appeared suitable for clinical bonding of In-Ceram ceramic restorations. A delayed degradation in bond strength was recorded for the combination of thermal silica coating and a conventional BIS-GMA composite resin; no reduction was found after 30 days, but there was a pronounced decrease after 150 days. This degradation indicated that extended storage in a wet environment was needed in laboratory tests to evaluate the durability of chemical bonds.

Matthias Kern

Papers

Resin-ceramic bonding: a review of the literature.

Bonding to zirconia ceramic: adhesion methods and their durability

Durability of the resin bond strength to zirconia ceramic after using different surface conditioning methods.

Long-term resin bond strength to zirconia ceramic.

Bonding to glass infiltrated alumina ceramic: Adhesive methods and their durability