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Noor A Nawafleh,Muhanad M Hatamleh,Andreas Öchsner,Florian Mack 대한치과보철학회 2017 The Journal of Advanced Prosthodontics Vol.9 No.6
PURPOSE. To investigate the effect of reducing tooth preparation and ceramic thickness on fracture resistance of lithium disilicate crowns. MATERIALS AND METHODS. Specimen preparation included a standard complete crown preparation of a typodont mandibular left first molar with an occlusal reduction of 2 mm, proximal/axial wall reduction of 1.5 mm, and 1.0 mm deep chamfer (Group A). Another typodont mandibular first molar was prepared with less tooth reduction: 1 mm occlusal and proximal/axial wall reduction and 0.8 mm chamfer (Group B). Twenty crowns were milled from each preparation corresponding to control group (n=5) and conditioned group of simultaneous thermal and mechanical loading in aqueous environment (n=15). All crowns were then loaded until fracture to determine the fracture load. RESULTS. The mean (SD) fracture load values (in Newton) for Group A were 2340 (83) and 2149 (649), and for Group B, 1752 (134) and 1054 (249) without and with fatigue, respectively. Reducing tooth preparation thickness significantly decreased fracture load of the crowns at baseline and after fatigue application. After fatigue, the mean fracture load statistically significantly decreased (P<.001) in Group B; however, it was not affected (P>.05) in Group A. CONCLUSION. Reducing the amount of tooth preparation by 0.5 mm on the occlusal and proximal/axial wall with a 0.8 mm chamfer significantly reduced fracture load of the restoration. Tooth reduction required for lithium disilicate crowns is a crucial factor for a long-term successful application of this all-ceramic system.
Elshiyab, Shareen H,Nawafleh, Noor,Ochsner, Andreas,George, Roy The Korean Academy of Prosthodonitics 2018 The Journal of Advanced Prosthodontics Vol.10 No.1
PURPOSE. The aim of this in vitro study was to investigate the fracture resistance under chewing simulation of implant-supported posterior restorations (crowns cemented to hybrid-abutments) made of different all-ceramic materials. MATERIALS AND METHODS. Monolithic zirconia (MZr) and monolithic lithium disilicate (MLD) crowns for mandibular first molar were fabricated using computer-aided design/computer-aided manufacturing technology and then cemented to zirconia hybrid-abutments (Ti-based). Each group was divided into two subgroups (n=10): (A) control group, crowns were subjected to single load to fracture; (B) test group, crowns underwent chewing simulation using multiple loads for 1.2 million cycles at 1.2 Hz with simultaneous thermocycling between $5^{\circ}C$ and $55^{\circ}C$. Data was statistically analyzed with one-way ANOVA and a Post-Hoc test. RESULTS. All tested crowns survived chewing simulation resulting in 100% survival rate. However, wear facets were observed on all the crowns at the occlusal contact point. Fracture load of monolithic lithium disilicate crowns was statistically significantly lower than that of monolithic zirconia crowns. Also, fracture load was significantly reduced in both of the all-ceramic materials after exposure to chewing simulation and thermocycling. Crowns of all test groups exhibited cohesive fracture within the monolithic crown structure only, and no abutment fractures or screw loosening were observed. CONCLUSION. When supported by implants, monolithic zirconia restorations cemented to hybrid abutments withstand masticatory forces. Also, fatigue loading accompanied by simultaneous thermocycling significantly reduces the strength of both of the all-ceramic materials. Moreover, further research is needed to define potentials, limits, and long-term serviceability of the materials and hybrid abutments.
Abdullah Wesam,Ramli Ramzun M.,Khazaalah Thair Hussein,Azman Nurul Zahirah Noor,Nawafleh Tasnim M.,Salem Farah 한국원자력학회 2024 Nuclear Engineering and Technology Vol.56 No.9
This study introduces a lead-free alternative for enhanced radiation protection. While lead aprons effectively attenuate ionizing radiation, concerns regarding flexibility, weight, and environmental hazards persist. In response, the present research is focused on producing an innovative sheet shielding comprised of carefully selected dense metal oxide microparticles (DMOs-MPs) and liquid silicone rubber (LSR). To evaluate the efficacy of the LSR samples, the current study uses rigorous testing procedures, such as microstructure characterization using EDX and FESEM. Furthermore, the study investigated key attenuation parameters within the LSR samples. Radiation protection was greatly and effectively supplied using DMOs-MPs filler (Bi-1 to Bi-7) in LSR samples; this protection reached 99.9% in the X-ray energy range. Due to the unique characteristics of the Bi-7, the results demonstrated that the samples’ shielding efficiency improved with the addition of high atomic number and high-density fillers. It had the greatest attenuation coefficient and density. At 60 keV, Bi-7’s density was 2.980 gcm−3, and its LAC and MAC were 19.2621 cm−1 and 6.4638 cm2/g, respectively. It also had the lowest half-value layer values in the energy range of 60–120 keV. The LSR samples showed effective radiation absorption for different energy levels, indicating that LSR can enhance the flexibility and comfort of the apron while providing adequate radiation protection. The incorporation of the DMOs-MPs with LSR represents an effective contribution and a noteworthy stride to enhance the safety and well-being of medical professionals routinely exposed to ionizing radiation