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  1. Article ; Online: Reliability and lifetime of lithium disilicate, 3Y-TZP, and 5Y-TZP zirconia crowns with different occlusal thicknesses.

    Adabo, Gelson Luis / Longhini, Diogo / Baldochi, Mariana Ribeiro / Bergamo, Edmara Tatiely Pedroso / Bonfante, Estevam Augusto

    Clinical oral investigations

    2023  Volume 27, Issue 7, Page(s) 3827–3838

    Abstract: Objectives: To assess the probability of survival of crowns made with a 3Y-TZP, a 5Y-TZP, and a lithium disilicate.: Materials and methods: CAD-CAM premolar crowns with occlusal thicknesses of 1.0 mm or 1.5 mm and cemented on a metal dye. Step-stress ...

    Abstract Objectives: To assess the probability of survival of crowns made with a 3Y-TZP, a 5Y-TZP, and a lithium disilicate.
    Materials and methods: CAD-CAM premolar crowns with occlusal thicknesses of 1.0 mm or 1.5 mm and cemented on a metal dye. Step-stress accelerated life testing (SSALT) was performed to access the use level probability Weibull curves and reliability were calculated for the completion of a mission of 100,000 cycles at 300 to 1200 N.
    Results: All ceramics showed a high probability of survival (87-99%) at 300 N, irrespective of thickness. 3Y-TZP shows no significant decrease in the probability of survival up to 1200 N (83-96%). Lithium disilicate presented lower reliability than zirconia under the 600 N mission. 5Y-TZP showed lower reliability than 3Y-TZP at 1200 N. There was no significant difference in the Weibull modulus (3.23-7.12). 3Y-TZP had the highest characteristic strength (2483-2972 N), followed by 5Y-TZP (1512-1547 N) and lithium disilicate (971-1154 N).
    Conclusion: Zirconia ceramics have a high probability of survival (up to 900 N-load), while lithium disilicate survives up to 300 N load only, irrespective of the thickness (1.0 mm or 1.5 mm).
    Clinical relevance: The probability of survival of posterior crowns made with zirconia ceramics resists extreme loads while glass ceramics resist normal chewing loads. In addition, crowns with thinner occlusal face showed sufficient mechanical behavior.
    MeSH term(s) Reproducibility of Results ; Materials Testing ; Dental Porcelain ; Ceramics ; Crowns ; Zirconium ; Dental Stress Analysis ; Surface Properties
    Chemical Substances lithia disilicate ; zirconium oxide (S38N85C5G0) ; Dental Porcelain (12001-21-7) ; Zirconium (C6V6S92N3C)
    Language English
    Publishing date 2023-04-06
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1364490-7
    ISSN 1436-3771 ; 1432-6981
    ISSN (online) 1436-3771
    ISSN 1432-6981
    DOI 10.1007/s00784-023-05001-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Masticatory efficiency in complete denture and single implant-retained mandibular overdenture wearers with different occlusion schemes: A randomized clinical trial.

    Rocha, Cibele O M / Longhini, Diogo / Pereira, Rodrigo P / Lima, Amanda L O / Bonafé, Fernanda S S / Arioli Filho, João N

    The Journal of prosthetic dentistry

    2021  Volume 129, Issue 6, Page(s) 888–894

    Abstract: Statement of problem: How the masticatory function of complete denture wearers is influenced by the positioning and occlusion of posterior teeth or by the presence of a single mandibular implant is unclear.: Purpose: The purpose of this randomized ... ...

    Abstract Statement of problem: How the masticatory function of complete denture wearers is influenced by the positioning and occlusion of posterior teeth or by the presence of a single mandibular implant is unclear.
    Purpose: The purpose of this randomized crossover clinical trial was to evaluate the masticatory efficiency of wearers of bimaxillary complete dentures and of wearers of maxillary complete denture and single implant-retained mandibular overdentures, both with bilateral balanced occlusion and lingualized occlusion.
    Material and methods: Participants received 2 sets of complete dentures with interchangeable teeth in the mandibular prosthesis to allow a change in the occlusion scheme. Subsequently, 1 implant was placed in the mandibular symphysis region, and the mandibular complete dentures were converted to overdentures. The masticatory efficiency was measured by the sieve method for both occlusal schemes.
    Results: Repeated measures ANOVA showed no statistically significant difference in the masticatory efficiency with the 2 occlusal schemes for conventional complete dentures (P=.707) or overdentures (P=.407). When comparing the type of prosthesis, statistical differences were found for masticatory efficiency (P=.012), with improved mastication for the overdentures.
    Conclusions: A mandibular single implant improved the masticatory efficiency of patients with complete dentures, but the occlusal scheme did not influence this factor.
    MeSH term(s) Humans ; Denture, Overlay ; Patient Satisfaction ; Dental Implants ; Denture, Complete ; Mandible ; Mastication ; Dental Prosthesis, Implant-Supported
    Chemical Substances Dental Implants
    Language English
    Publishing date 2021-09-10
    Publishing country United States
    Document type Randomized Controlled Trial ; Journal Article
    ZDB-ID 218157-5
    ISSN 1097-6841 ; 0022-3913
    ISSN (online) 1097-6841
    ISSN 0022-3913
    DOI 10.1016/j.prosdent.2021.06.028
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: The effects of mechanical and hydrothermal aging on microstructure and biaxial flexural strength of an anterior and a posterior monolithic zirconia.

    Muñoz, Eduardo Mariscal / Longhini, Diogo / Antonio, Selma Gutierres / Adabo, Gelson Luis

    Journal of dentistry

    2017  Volume 63, Page(s) 94–102

    Abstract: Objectives: To evaluate the effect of hydrothermal aging (H), mechanical cycling (M), and the combination of hydrothermal plus mechanical cycling (H+M) on biaxial flexural strength (BFS) and microstructure of two monolithic zirconias, indicated for ... ...

    Abstract Objectives: To evaluate the effect of hydrothermal aging (H), mechanical cycling (M), and the combination of hydrothermal plus mechanical cycling (H+M) on biaxial flexural strength (BFS) and microstructure of two monolithic zirconias, indicated for anterior (AMZ) or posterior restorations (PMZ) and a conventional zirconia (IZr).
    Methods: Disc specimens of each material (n=12) were submitted to: i) H (8h in autoclave at 134°C); ii) M (10
    Results: XRD analysis showed AMZ was not susceptible to monoclinic transformation in any treatment. Conventional zirconia (IZr) and PMZ had monoclinic transformation only after H and H+M. BFS of AMZ was lower than PMZ and IZr. Cubic phase was found in all conditions for AMZ and IZr, while it was identified in PMZ only after H and H+M. BFS of AMZ was affected by M and H+M. For IZr and PMZ the unique difference detected in BFS was in the comparison of H to M. H treatment induced lower Weibull modulus, but characteristic strength was compatible with the BFS results. AMZ grain size (μm
    Conclusions: AMZ showed the largest mean grain size, had the lowest BFS values, and was affected when mechanical cycling was involved. Monoclinic transformation was not found in any treatment for AMZ, but was found in IZr and PMZ when hydrothermal aging was used alone or when combined with mechanical cycling. PMZ showed similar behavior to the IZr. H induced to higher fracture probability.
    Clinical significance: Translucent monolithic dental zirconia available on the market may behave differently under simulated oral aging. The relationship between composition and microstructure determines their properties presumably, and clinical performance.
    Language English
    Publishing date 2017-08
    Publishing country England
    Document type Journal Article
    ZDB-ID 186068-9
    ISSN 1879-176X ; 0300-5712
    ISSN (online) 1879-176X
    ISSN 0300-5712
    DOI 10.1016/j.jdent.2017.05.021
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Influence of Cusp Inclination and Type of Retention on Fracture Load of Implant-Supported Crowns.

    Rocha, Cibele Oliveira de Melo / Longhini, Diogo / Pereira, Rodrigo de Paula / Arioli, João Neudenir

    Brazilian dental journal

    2017  Volume 28, Issue 1, Page(s) 92–96

    Abstract: There are few informations about the influence of cusp inclination on the fracture strength of implant-supported crowns. The study aimed to evaluate the influence of cusp inclination and retention type on fracture load in implant-supported metal-ceramic ... ...

    Abstract There are few informations about the influence of cusp inclination on the fracture strength of implant-supported crowns. The study aimed to evaluate the influence of cusp inclination and retention type on fracture load in implant-supported metal-ceramic single crowns. Sixty crowns were made, classified as cemented and screw-retained with screw access hole (SAH) sealed or not. Standard (33°) and reduced (20°) cusp inclinations were tested for each group (n=10). To support crowns of a mandibular second molar, analogs of external hexagon implants 5.0 were used. The fracture load was measured in a universal testing machine EMIC DL2000 (10 kN load cell; 0.5 mm/min). Two-way ANOVA (retention and cusp inclination) followed by post hoc Tukey's honest significant difference test was used for the statistical analyses (a=0.05). Crowns with reduced cusp inclination exhibited significantly higher fracture load (p<0.01) than crowns with standard cusp inclination. Cemented crowns showed significantly higher fracture load (p<0.01) than screw-retained crowns. The interaction among these factors was not significant (p>0.05) for the fracture load. The sealing of SAH did not influence the fracture load of screw-retained crowns (p>0.05). In conclusion, fracture load of implant-supported metal-ceramic crowns was influenced by retention and cusp inclination, and there was no influence of the sealing of SAH.
    Language English
    Publishing date 2017-01
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 1089484-6
    ISSN 1806-4760 ; 0103-6440
    ISSN (online) 1806-4760
    ISSN 0103-6440
    DOI 10.1590/0103-6440201701342
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Effect of Glaze Cooling Rate on Mechanical Properties of Conventional and Pressed Porcelain on Zirconia.

    Longhini, Diogo / Rocha, Cibele Oliveira de Melo / Medeiros, Igor Studart / Fonseca, Renata Garcia / Adabo, Gelson Luis

    Brazilian dental journal

    2016  Volume 27, Issue 5, Page(s) 524–531

    Abstract: The aim of this study was to characterize a conventional and a pressed porcelain for zirconia core as to biaxial flexural strength (BFS), apparent fracture toughness (FT) and microstructure composition, and to investigate the effect of glaze cooling rate ...

    Abstract The aim of this study was to characterize a conventional and a pressed porcelain for zirconia core as to biaxial flexural strength (BFS), apparent fracture toughness (FT) and microstructure composition, and to investigate the effect of glaze cooling rate on the BFS of the zirconia/porcelain bilayers. Monolayers of conventional porcelain Vita VM9 and pressed porcelain Vita PM9 (n=15) (12 mm diameter x 1.2 mm thick) were prepared for the BFS test (MPa). Apparent fracture toughness (MPa.m1/2) was measured by indentation technique (n=15). t-Student test was performed for statistical analysis. Scanning electron microscopy and x-ray diffraction were used to analyze the porcelain's microstructure. For the BFS of bilayers, zirconia discs (12 mm diameter x 1 mm thick) (Vita In-Ceram YZ) were veneered with the two porcelains (1 mm thick). After the glaze firing simulation, the specimens were submitted to fast or slow cooling (n=15). Apparent fracture toughness (MPa.m1/2) was measured on the porcelain surface of bilayers (n=15) and residual stress was calculated. Two-way ANOVA (porcelain and cooling method) was used for the bilayer analysis (a=0.05). Vita PM9 monolayer exhibited significantly higher BFS (p<0.01), but there was no significant difference (p=0.41) in the FT between the porcelains. For bilayer specimens, the two-way ANOVA for BFS was significant for the porcelain variable only (p<0.01) better for Vita PM9/zirconia. Two-way ANOVA for the FT for the bilayers was not significant for any variable. All groups showed compressive residual stresses. The pressed porcelain seems to be mechanically more effective for zirconia veneering.
    MeSH term(s) Dental Porcelain/chemistry ; Materials Testing ; Temperature ; Zirconium/chemistry
    Chemical Substances Dental Porcelain (12001-21-7) ; Zirconium (C6V6S92N3C) ; zirconium oxide (S38N85C5G0)
    Language English
    Publishing date 2016-09
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 1089484-6
    ISSN 1806-4760 ; 0103-6440
    ISSN (online) 1806-4760
    ISSN 0103-6440
    DOI 10.1590/0103-6440201600709
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Implant-supported double-bar overdenture to reestablish lip support in an atrophic maxilla: a case report.

    Longhini, Diogo / Rocha, Cibele Oliveira de Melo / Oliveira, Norberto Martins de / Compagnoni, Marco Antonio / Adabo, Gelson Luis / Arioli Filho, João Neudenir

    General dentistry

    2018  Volume 66, Issue 6, Page(s) 71–75

    Abstract: Prosthodontic treatment for edentulous maxillae with severe bone loss is a challenge to clinicians. Although implant-supported, fixed maxillary complete dentures are increasingly common, they are not always able to provide adequate lip support without a ... ...

    Abstract Prosthodontic treatment for edentulous maxillae with severe bone loss is a challenge to clinicians. Although implant-supported, fixed maxillary complete dentures are increasingly common, they are not always able to provide adequate lip support without a buccal overextension in patients with bone loss. The overextended buccal flange makes it difficult for patients to clean under the prosthesis. This case report describes rehabilitation of an atrophic maxilla through an implant-supported double-bar overdenture designed to resolve difficulties in oral hygiene maintenance that were caused by the buccal overextension of the prosthetic flange in a previous implant-supported fixed complete denture. In addition to reestablishing lip support, overdentures with a double-bar system provide retention and stability, because the prosthesis is only removed for cleaning by the patient with the help of a specific key. Implant-supported double-bar overdentures represent a viable and versatile option for rehabilitation of atrophic maxillae.
    MeSH term(s) Alveolar Bone Loss/surgery ; Dental Prosthesis, Implant-Supported/microbiology ; Denture Design ; Denture, Overlay ; Female ; Humans ; Lip ; Maxilla ; Middle Aged
    Language English
    Publishing date 2018-11-15
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 603650-8
    ISSN 0363-6771
    ISSN 0363-6771
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Effects of extreme cooling methods on mechanical properties and shear bond strength of bilayered porcelain/3Y-TZP specimens.

    Almeida, Antonio A / Longhini, Diogo / Domingues, Natália B / Santos, Claudinei / Adabo, Gelson L

    Journal of dentistry

    2013  Volume 41, Issue 4, Page(s) 356–362

    Abstract: Objectives: This study investigated the effect of extreme cooling methods on the flexural strength, reliability and shear bond strength of veneer porcelain for zirconia.: Methods: Vita VM9 porcelain was sintered on zirconia bar specimens and cooled ... ...

    Abstract Objectives: This study investigated the effect of extreme cooling methods on the flexural strength, reliability and shear bond strength of veneer porcelain for zirconia.
    Methods: Vita VM9 porcelain was sintered on zirconia bar specimens and cooled by one of the following methods: inside a switched-off furnace (slow), at room temperature (normal) or immediately by compressed air (fast). Three-point flexural strength tests (FS) were performed on specimens with porcelain under tension (PT, n=30) and zirconia under tension (ZT, n=30). Shear bond strength tests (SBS, n=15) were performed on cylindrical blocks of porcelain, which were applied on zirconia plates. Data were submitted to one-way ANOVA and Tukey's post hoc tests (p<0.05). Weibull analysis was performed on the PT and ZT configurations.
    Results: One-way ANOVA for the PT configuration was significant, and Tukey's test revealed that fast cooling leads to significantly higher values (p<0.01) than the other cooling methods. One-way ANOVA for the ZT configuration was not significant (p=0.06). Weibull analysis showed that normal cooling had slightly higher reliability for both the PT and ZT configurations. Statistical tests showed that slow cooling decreased the SBS value (p<0.01) and showed less adhesive fracture modes than the other cooling methods.
    Clinical significance: Slow cooling seems to affect the veneer resistance and adhesion to the zirconia core; however, the reliability of fast cooling was slightly lower than that of the other methods.
    MeSH term(s) Analysis of Variance ; Cold Temperature ; Dental Bonding ; Dental Porcelain ; Dental Stress Analysis ; Dental Veneers ; Materials Testing ; Mechanical Phenomena ; Pliability ; Shear Strength ; Statistics, Nonparametric ; Survival Analysis ; Yttrium ; Zirconium
    Chemical Substances yttria stabilized tetragonal zirconia ; Dental Porcelain (12001-21-7) ; Yttrium (58784XQC3Y) ; Zirconium (C6V6S92N3C)
    Language English
    Publishing date 2013-04
    Publishing country England
    Document type Journal Article
    ZDB-ID 186068-9
    ISSN 1879-176X ; 0300-5712
    ISSN (online) 1879-176X
    ISSN 0300-5712
    DOI 10.1016/j.jdent.2013.01.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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