Biocompatibility of dental casting alloys.
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Most cast dental restorations are made from alloys or commercially pure titanium (cpTi). Many orthodontic appliances are also fabricated from metallic materials. It has been documented in vitro and in vivo that metallic dental devices release metal ions, mainly due to corrosion. Those metallic components may be locally and systemically distributed and could play a role in the etiology of oral and systemic pathological conditions. The quality and quantity of the released cations depend upon the type of alloy and various corrosion parameters. No general correlation has been observed between alloy nobility and corrosion. However, it has been documented that some Ni-based alloys, such as beryllium-containing Ni alloys, exhibit increased corrosion, specifically at low pH. Further, microparticles are abraded from metallic restorations due to wear. In sufficient quantities, released metal ions-particularly Cu, Ni, Be, and abraded microparticles-can also induce inflammation of the adjacent periodontal tissues and the oral mucosa. While there is also some in vitro evidence that the immune response can be altered by various metal ions, the role of these ions in oral inflammatory diseases such as gingivitis and periodontitis is unknown. Allergic reactions due to metallic dental restorations have been documented. Ni has especially been identified as being highly allergenic. Interestingly, from 34% to 65.5% of the patients who are allergic to Ni are also allergic to Pd. Further, Pd allergy always occurrs with Ni sensitivity. In contrast, no study has been published which supports the hypothesis that dental metallic materials are mutagenic/genotoxic or might be a carcinogenic hazard to man. Taken together, very contradictory data have been documented regarding the local and systemic effects of dental casting alloys and metallic ions released from them. Therefore, it is of critical importance to elucidate the release of cations from metallic dental restorations in the oral environment and to determine the biological interactions of released metal components with oral and systemic tissues. (+info)
Unilateral distalization of a maxillary molar with sliding mechanics: a case report.
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INTRODUCTION: A unilateral Class II relationship could arise due to early loss of an upper second deciduous molar on one side during the mixed dentition period. This would allow the mesial drift of the molars, which may block the eruption of the second premolar. METHODS AND RESULTS: A 15-year 8-month-old male patient presented with a Class II molar relationship on the right, and Class I canine and molar relationship on the left side. His E was extracted when he was 5 years old. The 54 were impacted and the 3 was ectopically positioned due to the space loss from the mesial migration of the 76. In addition 21 1 were in cross-bite. Skeletally he had Class III tendency with low MMPA. He presented with a straight profile and retruded upper lip. For maxillary molar distalization, a newly developed 'Keles Slider' was used. The appliance was composed of one premolar and two molar bands, and the anchorage unit was composed of a wide Nance button. 46 were connected to the Nance button and, therefore, included into the anchorage unit. The point of distal force application was close to the centre of resistance of the 6 and parallel to the occlusal plane. Ni-Ti coil springs were used and 200 g of distal force was applied. Seven months later the space required for eruption of the permanent premolars and canine was regained, and the anterior cross-bite corrected. The appliance was removed and final alignment of the teeth was achieved with fixed appliances. CONCLUSION: At the end of the second phase treatment Class I molar and canine relationship was achieved on the both sides, the anterior cross-bite was corrected, inter-incisal angle was improved, and ideal overbite and overjet relationship was achieved. The active treatment time was 27 months. (+info)
Experimental tooth movement under light orthodontic forces: rates of tooth movement and changes of the periodontium.
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AIM: To investigate light forces for experimental tooth movement. METHOD: Light orthodontic forces of 1.2, 3.6, 6.5, and 10 g force (gf) were applied for 14 days to move rat molars, and the effects of the forces on the rate of tooth movement and changes of the periodontium were examined. RESULTS: In the early period, despite the different levels of force used in each group, there were no significant differences in tooth displacement. From hour 56 to day 14, the tooth displacement in the 1.2 gf group was significantly smaller than that in the other groups and the rate was nearly constant. The rates of tooth displacement in the 3.6, 6.5, and 10 gf groups fluctuated repeatedly, while the orthodontic forces gradually decreased. CONCLUSION: Experimental tooth movement in rats, tipping without friction under light forces, were either constant or fluctuated in cycles of several days' duration. This is in contradiction to the three-phases-theory of tooth movement described in previous investigations using heavy forces. (+info)
Crowns and other extra-coronal restorations: resin-bonded metal restorations.
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Resin-bonded metal restorations is the final part of the series. Cast metal restorations which rely on adhesion for attachment to teeth are attractive because of their potential to be much more conservative of tooth structure than conventional crowns which rely on preparation features providing macromechanical resistance and retention. (+info)
Surface treatment agent for dental metals using a thiirane monomer and a phosphoric acid monomer.
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To develop a new surface treatment agent which improves the bond strength of adhesive resin to both non-precious and precious metals, experimental treatment agents containing both an adhesive bonding promoter for precious metals and one for non-precious metals were prepared by dissolving epithioalkyl methacrylate (EP3MA or EP8MA) and 10-methacryloyloxydecyl dihydrogen phosphate (MDP) in acetone. The surfaces of dental metals were treated by the treatment agents and metal specimens were butt-jointed together with MMA-PMMA resins. After 2,000 thermal cyclings in water at temperatures of 4 and 60 degrees C, tensile bond strengths were measured. The effectiveness of surface treatments was evaluated by tensile bond strengths and microscopic failure mode analysis after the tensile test. The combined treatment of EP3MA-MDP or EP8MA-MDP was used effectively for non-precious metals as well as precious metals, and was shown to be extremely effective compared with the single treatment of EP3MA, EP8MA, or MDP. (+info)
Development of metal-resin composite restorative material. Part 4. Flexural strength and flexural modulus of metal-resin composite using Ag-In alloy particles as filler.
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The flexural strength and flexural modulus of an experimental metal-resin composite, which used Ag-In alloy particle as the filler, were evaluated. The effect of acid treatment and heat treatment on the Ag-In alloy particle was investigated. The flexural strength of the experimental metal-resin composites ranged from 65.5 MPa to 91.0 MPa. The flexural strength of the metal-resin composite increased with the temperature of the heat treatment until 350 degrees C, but its effect varied with the concentrations of HCl of the acid treatment. A metal-resin composite, which used acid-treated and 350 degrees C heat-treated Ag-In alloy fillers, matched the requirement of strength of ISO 4049. The average of flexural modulus of the experimental metal-resin composite was 9.1 GPa. The flexural modulus of the metal-resin composite did not vary with the treatment conditions of the metal filler. The flexural modulus of a metal-resin composite, which used Ag-In alloy particle as the filler, was lower than that of Ag-Sn alloy metal-resin composite, which was reported previously. However, the flexural strength of the Ag-In alloy metal-resin composite was similar to that of Ag-Sn alloy metal-resin composite. We can control a flexural modulus of a metal-resin composite without decreasing flexural strength by choosing filler materials. (+info)
Effects of fluoride and dissolved oxygen concentrations on the corrosion behavior of pure titanium and titanium alloys.
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The effects of dissolved-oxygen concentration and fluoride concentration on the corrosion behaviors of commercial pure titanium, Ti-6Al-4V and Ti-6Al-7Nb alloys and experimentally produced Ti-0.2Pd and Ti-0.5Pt alloys were examined using the corrosion potential measurements. The amount of dissolved Ti was analyzed by inductively coupled plasma mass spectroscopy. A decrease in the dissolved-oxygen concentration tended to reduce the corrosion resistance of Ti and Ti alloys. If there was no fluoride, however, corrosion did not occur. Under low dissolved-oxygen conditions, the corrosion of pure Ti and Ti-6Al-4V and Ti-6Al-7Nb alloys might easily take place in the presence of small amounts of fluoride. They were corroded by half or less of the fluoride concentrations in commercial dentifrices. The Ti-0.2Pd and Ti-0.5Pt alloys did not corrode more, even under the low dissolved-oxygen conditions and a fluoride-containing environment, than pure Ti and Ti-6Al-4V and Ti-6Al-7Nb alloys. These alloys are expected to be useful as new Ti alloys with high corrosion resistance in dental use. (+info)
Mechanical properties and microstructures of dental cast Ti-Ag and Ti-Cu alloys.
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In this study, experimental Ti-Ag alloys (5, 10, and 20 mass% Ag) and Ti-Cu alloys (2, 5, and 10 mass% Cu) were made in an argon-arc melting furnace. The alloys were cast into magnesia molds using an argon gas-pressure dental casting machine, and the mechanical properties and microstructures of the castings were investigated. As the concentration of silver or copper in the alloys increased, the tensile strength, yield strength, and hardness of the alloys became higher than those of CP Ti, and the elongation of the alloys became lower than that of CP Ti. Changes in the mechanical properties by alloying were considered to be caused by solid-solution strengthening of the a-phases and by precipitation of intermetallic compounds. (+info)