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1 – 10 of 244Shuai Yang, Wenjie Zhao, Yongzhen Ke, Jiaying Liu and Yongjiang Xue
Due to the inability to directly apply an intra-oral image with esthetic restoration to restore tooth shape in the computer-aided design system, this paper aims to propose a…
Abstract
Purpose
Due to the inability to directly apply an intra-oral image with esthetic restoration to restore tooth shape in the computer-aided design system, this paper aims to propose a method that can use two-dimensional contours obtained from the image for the three-dimensional dental mesh model restoration.
Design/methodology/approach
First, intra-oral image and smiling image are taken from the patient, then teeth shapes of the images are designed based on esthetic restoration concepts and the pixel coordinates of the teeth’s contours are converted into the vertex coordinates in the three-dimensional space. Second, the dental mesh model is divided into three parts – active part, passive part and fixed part – based on the teeth’s contours of the mesh model. Third, the vertices from the teeth’s contours of the dental model are matched with ones from the intra-oral image and with the help of matching operation, the target coordinates of each vertex in the active part can be calculated. Finally, the Laplacian-based deformation algorithm and mesh smoothing algorithm are performed.
Findings
Benefitting from the proposed method, the dental mesh model with esthetic restoration can be quickly obtained based on the intra-oral image that is the result of doctor-patient communication. Experimental results show that the quality of restoration meets clinical needs, and the typical time cost of the method is approximately one second. So the method is both time-saving and user-friendly.
Originality/value
The method provides the possibility to design personalized dental esthetic restoration solutions rapidly.
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Huang-Jan Hsu, Shyh-Yuan Lee, Cho-Pei Jiang and Richard Lin
This study aims to compare the marginal fit, flexural strength and hardness for a ceramic premolar that is constructed using dental computer aided machining (CAM) and…
Abstract
Purpose
This study aims to compare the marginal fit, flexural strength and hardness for a ceramic premolar that is constructed using dental computer aided machining (CAM) and three-dimensional slurry printing (3DSP).
Design/methodology/approach
Dental CAM and 3DSP are used to fabricate a premolar model. To reduce the fabrication time for 3DSP, a new composition of solvent-free slurry is proposed. Before it is fabricated, the dimensions of the green body for the premolar model are enlarged to account for the shrinkage ratio. A two-stage sintering process ensures accurate final dimensions for the premolar model. The surface morphology of the green body and the sintered premolars that are produced using the two methods is then determined using scanning electronic microscopy. The sintered premolars are seated on a stone model to determine the marginal gap using an optical microscope. The hardness and the flexural strength are also measured for the purpose of comparison.
Findings
The developed solvent-free slurry for 3DSP can be used to produce a premolar green body without micro-cracks or delamination. The maximal marginal gap for the sintered premolar parts that are constructed using the green bodies from dental CAM is 98.9 µm and that from 3DSP is 72 µm. Both methods produce a highly dense zirconia premolar using the same sintering conditions. The hardness value for the dental CAM group is 1238.8 HV, which is slightly higher than that for the 3DSP group (1189.4 HV) because there is a difference in the pre-processing of the initial ceramic materials. However, the flexural strength for 3DSP is 716.76 MPa, which is less than the requirement for clinical use.
Originality/value
This study verifies that 3DSP can be used to fabricate a zirconia dental restoration device that is as good as the one that is produced using the dental CAM system and which has a marginal gap that is smaller than the threshold value. The resulting premolar restoration devices that are produced by sintering the green bodies that are produced using 3DSP and dental CAM under the same conditions have a similar hardness value, which is four times greater than that of enamel. The flexural strength of 3DSP does not meet the requirement for clinical use.
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Xiaoxuan Li, Jiwen Wang, Leon L. Shaw and Thomas B. Cameron
Commercial dental porcelain powder was deposited via slurry extrusion and laser densified to fabricate dental restorations in a multi‐material laser densification (MMLD) process.
Abstract
Purpose
Commercial dental porcelain powder was deposited via slurry extrusion and laser densified to fabricate dental restorations in a multi‐material laser densification (MMLD) process.
Design/methodology/approach
A dental porcelain slurry was made from ball milled dental porcelain powders and extruded using the MMLD system. Extruded lines and rings were laser densified under different conditions in order to study how to build fully dense porcelain layers without warping and cracking during the MMLD process.
Findings
The geometric cross section of laser densified porcelain lines were dependent on laser processing parameters. Laser densified single ring showed no warping, and multiple layer body after laser densification showed cracks in the rings. The interface microstructure suggested good bonding between multiple layers. The mechanism to achieve single porcelain ring without warping and cracking is discussed. Alternate ways to build physical tooth layer by layer are proposed.
Originality/value
In the MMLD process, dental porcelain slurry was extruded from a human tooth computer file and laser densified to manufacture dental restorations based on solid freeform fabrication (SFF) principles. The understanding developed will pave the way for fabricating a physical dental restoration unit in the near future.
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Wahyudin P. Syam, Huda A. Al‐Shehri, A.M. Al‐Ahmari, Khalid A. Al‐Wazzan and M.A. Mannan
The purpose of this paper is to investigate the potential application of electron beam melting, as a layered manufacturing process, to fabricate dental coping of metal‐ceramic…
Abstract
Purpose
The purpose of this paper is to investigate the potential application of electron beam melting, as a layered manufacturing process, to fabricate dental coping of metal‐ceramic crown restoration using Ti6Al4V powder.
Design/methodology/approach
This experiment was conducted in two steps: shrinkage study to determine scale up factor for shrinkage compensation and parameter selection study, based on thickness, hardness, and surface roughness, to select process parameter of electron beam melting.
Findings
A promising result of fabricating metal coping of Ti6Al4V via electron beam melting was shown. Ti6Al4V coping was successfully fabricated, with an average thickness of 0.52 mm required for dental coping. Total average hardness of 333.35 HV that is comparable to casted Ti6Al4V with considerably high roughness of RSm of 382 μm.
Originality/value
The paper presents a novel application of electron beam melting to fabricate metal coping for metal‐ceramic crown restoration.
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In recent years, relatively little has appeared in print about Skills Analysis Training (SAT). Although there have been passing references in training periodicals and references…
Abstract
In recent years, relatively little has appeared in print about Skills Analysis Training (SAT). Although there have been passing references in training periodicals and references to some of the principles incorporated in analytical training there has been almost no discussion of the topic. In the current decade three books have been published on analytical skills training, but these are based on experience gained in the 1960's. Yet, as recently as 1973 a survey of the use of instructional techniques in industrial training carried out by Middlesex Polytechnic showed that SAT was more widely used in skills training than any other method.
Frank Alifui‐Segbaya, Paul Foley and R.J. Williams
Rapid manufacture‐produced cobalt chromium alloys are beginning to be used in dentistry but there are few published results relating to their properties. The purpose of this paper…
Abstract
Purpose
Rapid manufacture‐produced cobalt chromium alloys are beginning to be used in dentistry but there are few published results relating to their properties. The purpose of this paper is to determine the corrosion resistance of a rapid manufacture‐produced dental alloy and compare it to a standard dental casting alloy.
Design/methodology/approach
In accordance with ISO 22674, ten samples of each alloy were fabricated in approximately 45 mm×10 mm×2 mm rectangular prisms, a sample number in excess of the standard requirements. The groups were further divided into those with highly polished surfaces and those with electrobrightened surfaces. Each sample was immersed in artificial saliva, suspended by a nylon thread for 42 days at 37°C. Readings for cobalt, chromium and molybdenum ions released into solutions were obtained using an atomic absorption spectrometer at 1, 4, 7, 14, 21, 28, 35, and 42 day intervals at a detection limit of one part per million.
Findings
Ion release of cobalt, chromium and molybdenum was well within the threshold prescribed by the standard. The alloys were safe for use as dental devices with respect to the above metals. The rapid manufacture alloy however performed better. In addition the data indicated that for both alloys, there was no discernable difference between a polished and an electrobrightened surface.
Originality/value
The rapid manufacture alloy studied shows a safe level of corrosion resistance with respect to cobalt, chromium and molybdenum according to ISO definitions. Further biocompatibility tests are recommended.
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Frank Alifui-Segbaya, Jeffrey Lewis, Dominic Eggbeer and Robert John Williams
The purpose of this research paper is to compare corrosion data obtained from additive-manufactured heat-treated (HRx) and non-heat-treated (NHRx) cobalt-chromium (Co–Cr) alloys…
Abstract
Purpose
The purpose of this research paper is to compare corrosion data obtained from additive-manufactured heat-treated (HRx) and non-heat-treated (NHRx) cobalt-chromium (Co–Cr) alloys. Heat treatments are indicated as necessary in complex intra-oral framework production by additive manufacturing to remove accumulated thermal stresses. However, heat treatments have been linked to corrosion in cast dental alloys. Currently, there are few publications on this subject for laser-sintered dental alloys required for academic review.
Design/methodology/approach
Five rectangular specimens (n = 5), each with a total surface area of 10.27 cm2, were fabricated for the two groups. Specimens were immersed in an artificial saliva solution suspended by a nylon thread for 42 days at 37°C. Readings for Co, Cr and molybdenum ions released into the solution were obtained using an atomic absorption spectrometer at 1-, 4-, 7-, 14-, 21-, 28-, 35- and 42-day intervals at a detection limit of one part per million. Test methods are in accordance with ISO 10271.
Findings
Results showed a higher ion release in the HRx sample, statistically significant at 99 per cent confidence level (p < 0.01). A two-way ANOVA test conducted showed that there was a main effect of day and a main effect of finish, and there was also a significant interaction between these factors.
Originality/value
The study concludes that, although ion release in both samples was within the safe level recommended by ISO for the three major alloying elements, heat treatment, indeed, contributed extensively to the reduced corrosion resistance in the laser-sintered Co–Cr alloy. Further biocompatibility tests are recommended.
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Ashish Kaushik and Ramesh Kumar Garg
This study aims to cover the overall gamut of rapid prototyping processes and biomaterials used for the fabrication of occlusal splints in a comprehensive manner and elucidate the…
Abstract
Purpose
This study aims to cover the overall gamut of rapid prototyping processes and biomaterials used for the fabrication of occlusal splints in a comprehensive manner and elucidate the characteristics of the materials, which are essential in determining their clinical efficacy when exposed to oral surroundings.
Design/methodology/approach
A collective analysis of published articles covering the use of rapid prototyping technologies in the fabrication of occlusal splints, including manufacturing workflow description and essential properties (mechanical- and thermal-based) evaluation of biocompatible splinting materials, was performed.
Findings
Without advances in rapid prototyping processes and materials engineering, occlusal splints would tend to underperform clinically due to biomechanical limitations.
Social implications
Three-dimensional printing can improve the process capabilities for commercial customization of biomechanically efficient occlusal splints.
Originality/value
Rapid technological advancement in dentistry with the extensive utilization of rapid prototyping processes, intra-oral scanners and novel biomaterial seems to be the potential breakthrough in the fabrication of customized occlusal splints which have endorsed occlusal splint therapy (OST) as a cornerstone of orthodontic treatment.
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Jean L. Freeman, Robert B. Fetter, Robert C. Newbold, Jean‐Marie Rodrigues and Daniel Gautier
Concern over the rising cost of medical care has caused many countries to investigate and implement different methods of cost containment, particularly for hospital services. In…
Abstract
Concern over the rising cost of medical care has caused many countries to investigate and implement different methods of cost containment, particularly for hospital services. In the United States, Medicare replaced its ‘cost‐based’ reimbursement system, in which hospital payments were based on the actual costs incurred in treating patients, with a system that pays hospitals a fixed price per case. Under this new system, all hospital discharges are classified into 467 Diagnosis Related Groups (DRGs) or types of cases based on the patient's age, sex, principal diagnosis, additional diagnoses (comorbidities and complications), surgical procedures performed, and the discharge status. During the first three years of the programme, the payment rate for each DRG is a function of a DRG weight (reflecting relative resource consumption), the hospital's historic costs of treating patients in that DRG, and a federally established rate adjusted for urban/rural differences and census region. In the fourth year the price will be based only on the DRG weight and the federally established rate.
Jie Liu, Biao Zhang, Chunze Yan and Yusheng Shi
The purpose of this paper is to report a study about the rapid prototyping method of dental glass‐ceramic restoration.
Abstract
Purpose
The purpose of this paper is to report a study about the rapid prototyping method of dental glass‐ceramic restoration.
Design/methodology/approach
Dental glass‐ceramic restoration materials have excellent physical and chemical, mechanical, aesthetic and biocompatibility characteristics. However, casting methods adopted at present have complicated procedures and high costs; the forming qualities are especially difficult to control. These problems greatly restrict their clinical application and promotion. Therefore, a new forming process based on selective laser sintering (SLS) technology is proposed. First, dental glass‐ceramic is processed into fine powder through a special heat treatment process. Then, the dental restoration parts are manufactured using SLS without any moulds. In this paper, the effects of processing parameters including laser power, scan speed, scan spacing and preheating temperature on the relative density and mechanical properties of the sintered parts are studied.
Findings
The experimental results have shown that for the composite powder of epoxy resin binder E‐12 and K2O‐Al2O3‐SiO2 series of dental glass‐ceramics, when preheating temperature, layer thickness, laser power, scan speed and scan spacing are, respectively, 30∼35°C, 0.08 mm, 21 W, 1,800 mm/s and 0.10 mm/s, the relative densities of dental glass‐ceramic parts are relatively high; the mechanical properties and forming effect are excellent. The relative density and bending strength of SLS parts under the optimized processing parameters are 37.40 per cent and 2.08 MPa, respectively.
Research limitations/implications
This study only concerns the preparation and SLS of the dental glass‐ceramic powders. Further investigations are planned to be conducted on post processing, such as binder decomposition, isostatic press and high temperature sintering.
Originality/value
This study will provide a theoretical and technical basis for dental glass‐ceramic restorations of SLS.
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