Summary
The purpose of this study was to evaluate enamel wear caused by monolithic zirconia crowns and to compare this with enamel wear caused by contralateral natural antagonists. Twenty monolithic ...zirconia crowns were placed in 20 patients requiring full molar crowns. For measurement of wear, impressions of both jaws were made at baseline after crown cementation and at 6‐month follow‐up. Mean and maximum wear of the occlusal contact areas of the crowns, of their natural antagonists and of the two contralateral natural antagonists were measured by the use of plaster replicas and 3D laser scanning methods. Wear differences were investigated by the use of two‐sided paired Student's t‐tests and by linear regression analysis. Mean vertical loss (maximum vertical loss in parentheses) was 10 (43) μm for the zirconia crowns, 33 (112) μm for the opposing enamel, 10 (58) μm for the contralateral teeth and 10 (46) μm for the contralateral antagonists. Both mean and maximum enamel wear were significantly different between the antagonists of the zirconia crowns and the contralateral antagonists. Gender and activity of the masseter muscle at night (bruxism) were identified as possible confounders which significantly affected wear. Under clinical conditions, monolithic zirconia crowns seem to be associated with more wear of opposed enamel than are natural teeth. With regard to wear behaviour, clinical application of monolithic zirconia crowns is justifiable because the amount of antagonistic enamel wear after 6 months is comparable with, or even lower than, that caused by other ceramic materials in previous studies.
Summary
The purpose of this study was to measure enamel wear caused by antagonistic monolithic zirconia crowns and to compare this with enamel wear caused by contralateral natural antagonists. Twenty ...monolithic zirconia full molar crowns were placed in 20 patients. Patients with high activity of the masseter muscle at night (bruxism) were excluded. For analysis of wear, vinylpolysiloxane impressions were prepared after crown incorporation and at 6‐, 12‐, and 24‐month follow‐up. Wear of the occlusal contact areas of the crowns, of their natural antagonists, and of two contralateral natural antagonists (control teeth) was measured by use of plaster replicas and a 3D laser‐scanning device. Differences of wear between the zirconia crown antagonists and the control teeth were investigated by means of two‐sided paired Student's t‐tests and linear regression analysis. After 2 years, mean vertical loss was 46 μm for enamel opposed to zirconia, 19–26 μm for contralateral control teeth and 14 μm for zirconia crowns. Maximum vertical loss was 151 μm for enamel opposed to zirconia, 75–115 μm for control teeth and 60 μm for zirconia crowns. Statistical analysis revealed significant differences between wear of enamel by zirconia‐opposed teeth and by control teeth. Gender, which significantly affected wear, was identified as a possible confounder. Monolithic zirconia crowns generated more wear of opposed enamel than did natural teeth. Because of the greater wear caused by other dental ceramics, the use of monolithic zirconia crowns may be justified.
Pervasive computing technology can provide valuable health monitoring and assistance technology to help individuals live independent lives in their own homes. As a critical part of this technology, ...our objective is to design software algorithms that recognize and assess the consistency of activities of daily living that individuals perform in their own homes.
We have designed algorithms that automatically learn Markov models for each class of activity. These models are used to recognize activities that are performed in a smart home and to identify errors and inconsistencies in the performed activity.
We validate our approach using data collected from 60 volunteers who performed a series of activities in our smart apartment testbed. The results indicate that the algorithms correctly label the activities and successfully assess the completeness and consistency of the performed task.
Our results indicate that activity recognition and assessment can be automated using machine learning algorithms and smart home technology. These algorithms will be useful for automating remote health monitoring and interventions.
Abstract Objectives The aim of this in vitro study was to assess the ultimate load to failure of zirconia based crowns veneered with CAD/CAM manufactured ceramic. Methods 32 identical, anatoform ...zirconia (Sirona inCoris ZI, mono L F1) frameworks (thickness 0.6 mm) were constructed (Sirona inLab 3.80). Afterwards, 16 crowns were completed using a CAD/CAM manufactured lithium disilicate ceramic veneer (IPS e.max CAD, Ivoclar Vivadent). The remaining 16 frames were veneered using conventional manual layering technique. For the CAD/CAM manufactured veneers, the connection between framework and veneer was accomplished via a glass fusion ceramics. Before fracture tests, half of the specimens underwent thermocycling and chewing simulation (1.2 million chewing cycles, force magnitude Fmax = 108 N). To further investigate the new technique, finite element computations were carried out on the basis of the original geometry. Results Nearly all (87.5%) conventionally veneered crowns failed already during chewing simulation, whereas crowns with CAD/CAM manufactured veneers were non-sensitive to artificial ageing. Crowns veneered with lithium disilicate ceramic displayed ultimate loads to failure of about 1600 N. Conclusion The CAD/CAM production of veneers for restorations with zirconia framework is a promising way to reduce failures originating from material fatigue.
Abstract Objectives This in vitro study should assess the fracture resistance of veneered zirconia-based crowns with either luted or fused veneer. Methods Thirty-two identical zirconia frameworks ...(IPS e.max ZirCAD; Ivoclar/Vivadent), were constructed (inLab 3.80; Sirona Dental Systems). All frameworks were veneered with CAD/CAM-fabricated lithium disilicate ceramic (IPS e.max CAD; Ivoclar/Vivadent). For half the crowns ( n = 16) the veneer was luted to the framework (Multilink Implant; Ivoclar/Vivadent); for the other it was fused (IPS e.max Crystall./Connect; Ivoclar/Vivadent). Half of the specimens were then loaded until failure without artificial aging; the other half underwent artificial aging before assessment of the ultimate load. To compare the two techniques further, finite element analysis (FEA) and fractographic assessment using SEM and EDX analysis were conducted. Statistical assessment was performed by use of non-parametric tests. Results Initial fracture forces were higher in the fusion group (mean: 1388 ± 190 N versus 1211 ± 158 N). All specimens were insensitive to artificial aging. FEA showed that tensile stresses in the veneer at the frame–veneer interface were much higher for crowns with luted veneer; this may be the reason for their lower fracture resistance. Fractographic analysis revealed that both fused and luted specimens had cohesive and adhesive fracture patterns which resulted in partial delamination of the veneer. Significance Fused crowns are superior to luted crowns. Comparison of fracture resistance with the maximum loads which may occur clinically ( Fmax = 600 N on one tooth) suggests both techniques might be used clinically, however.
Highlights • Effect of extensive adjustment on both ISO specimens and realistic crowns was assessed. • Profilometric & Weibull analysis, REM, and finite element analysis were used. • The results ...emphasize the necessity to avoid extensive intraoral adjustment in veneered (max. thickness 2 mm) zirconia restorations.
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