Dental ceramics Silicate ceramics Judit Borbély 2015 Images from KaVo Everest CAD/CAM system Why use ceramics Biocompatibility Aesthetics Durability The biocompatability issue is essential to prevent adverse reactions within the patients The use of dentally coloured glasses can provide replacement structures that can be made to imitate tooth structure in both colour, translucency and response to different lighting sources. Improvements in fracture toughness, wear resistance, machinability, solubility and flexural strength Ceramics used in dentistry Fillings Veneering metal frameworks All ceramic restorations Denture teeth Implants Orthodontic brackets Silicate ceramics Oxid ceramics ESTHETICS STRENGTH Feldspathic porcelain Veneering ceramics – sintering Glass Ceramic Castable glasses-Dicor Pressed leucite systemIPS Empress Glass infiltrated Alumina system In-ceram Alumina In-Ceram Spinell In –Ceram Zirconia Policrystal ceramics:CAD/CAM Cercon Base DC-Zirkon Lava Frame etc. Basic structure of dental ceramics Two different phases built by metallic (Al,Ca, Mg, K etc) and non-metallic (Si, O, B, F etc.) elements: (their composition varies in each type of ceramic) Glass matrix + Crystals An overcooled liquid Not crystalline, but still ordered structure Silica tetrahedron network Glass modifiers built in network Most important crystals: Leucit Fluormica Aluminium Spinell Zirconia They determin the physical, chemical and optical properties of the ceramics Feldspathic Porcelain: First used in dentistry 75%feldspar,22-25% quartz, 0-3% kaolin First ceramic material in dentistry Feldspathic Porcelain: derived from the natural mineral feldspar 75%feldspar,22-25% quartz, 0-3% kaolin Feldspar: Provides for transparency and influences the flow characteristics of the ceramics. Quartz (silicon oxide): Provides for adequate strength and also for transparency. Kaolin: Provides for the necessary opaque properties. Fritting:-cleaning and mixing raw materials, heating, melting, sudden cooling and grinding to fine powder Sintering:powder mixing with liquid, firing, powder particles stick together Shrinkage:appr. 30 vol% Structure: leucite crystals in silica glass matrix Disadvantage:brittle,hard,rigid Veneering metal frameworks Image from Bego Virtual Academy Image from Bego Virtual Academy Esthetic consideration Metal-ceramic restorations: •Ceramic material is veneered (sintered) onto a metal frame in several firing processes Veneering ceramics Used for the porcelain-fused-to-metal technique Based on modified feldspathic porcelain Binding oxides for metal-ceramic bond Leucite content:thermal expansion coeff. Fusing temperature 200-250 C lower than metal framework (low fusing ceramics) Synthetic ceramics (metal –ceramics) No natural raw materials Made of high purity chemicals Tempering:guided heating process, to form certain type, size, amount and dispersion of crystals (micro-leucite crystals Standard physical, chemical and optical properties Standard quality Low or ultra-low fusing temperature Hydrothermal ceramics • tempering and fusing in high pressure steam • Hydroxil ions built in glassy matrix • Compact and homogenous structure • Better fracture toughness and lower hardness • Leucite content allows veneering frameworks • Ultra-low fusing temp. Can be achieved • Pure glass can be used for dental purposes (one and only among dental ceramics) The bonding of ceramic materials to alloys follows four principles: Shrinking the ceramic onto the metal frame - coefficient of thermal expansion Chemical bond The bond is formed by means of oxygen bridges between the silicon atoms of the ceramic and the metal oxides of the alloy. Mechanical retention is created through finishing and blasting of the frames-surface enlargement also takes place. Bonding through adhesion takes place via intermolecular forces (VAN DER WAAL forces) All ceramic restorations All ceramic systems ? Esthetics Biocompability No corrosion No allergy Optical properties (metal free restorations can reproduce natural aesthetics ) Driving force for developments has been the immense difference in reliability between metal-ceramic systems and all-ceramic systems and a public perception that metal-free restorations are more aesthetic driving forces for developments: Public perception that metal-free restorations are more aesthetic Disadvantages of the metal ceramic systems include radiopacity, some questions centring around metal biocompatibility and lack of natural aesthetics Difference in reliability between metal-ceramic systems and all-ceramic systems advances in industrial ceramics have included improvements: fracture toughness, wear resistance, machinability, solubility, hardness and flexural strength A2-OM A1-OL B2-OD Charisma Diamond 2M2 2L1,5 2M2 71 Hajdu Zoltán ftm All ceramic restorations Laboratory processing Silicate ceramics o o o o Sintering Casting Pressing CAD/CAM Oxidceramics o infiltration and /or CAD/CAM technology Sintering Sintering is a method for making objects from powder, by heating the material (below its melting point) until its particles adhere to each other The base-material for heating ceramic on: - platinum foil (removable heat-resistant cap from the gypsum cast) - Heat resistant investment material made cast - Hydrothermal glass/ Duceram LFC under vacuum to prevent porosities opaque Base dentin opaque dentin dentin clear fluorescence enamel Casting (Dicor) Casting is a process by which a material is introduced into a mould while it is liquid, allowed to solidify in the shape inside the mould, and then removed producing a fabricated object Cast using lost-wax investment method followed by heat-treatment to precipitate a crystalline phase Pressing (Empress) Pressed ceramic technology produces consistently precise crowns by eliminating shrinkage, porosity and the inconsistency of brush build-ups Tooth prep guidelines Wax pattern Investing Preheating procedure Ingots Pressing Préselő kályha Glass Ceramic first a glassy matrix is produced precursors of crystals are in glassy matrix, crystals produced by tempering (heating), “bonded” to the remaining tooth structure using a dental BisGMA based composite resin http://www.ivoclarvivadent.us/emaxchangeseverything/system/index.php Oxid ceramics Glass infiltrated Alumina system In-ceram Alumina In-Ceram Spinell In –Ceram Zirconia Polycrystal oxid-ceramics Thank You for Your attention
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