Evaluation of radiopacities of CAD/CAM restorative materials and resin cements by digital radiography. 2021

Zerrin Unal Erzurumlu, and Cennet Elcin Sagirkaya, and Kerem Erzurumlu
Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Ordu University, Ordu, Turkey. zerzurumlu@odu.edu.tr.

OBJECTIVE This study aims to compare the radiopacities of computer-aided design/computer-aided manufacture (CAD/CAM) blocks and the adhesive cements used for their bonding. METHODS 1 ± 0.2 mm thick specimens were obtained from six different CAD/CAM blocks (Incoris TZI, IPS e.max CAD, Vita Mark II, Cerasmart, Vita Enamic, and Vita Suprinity), four different adhesive resin cements (Panavia F2.0, Variolink Esthetic DC, RelyX Unicem Aplicap, G-CEM LinkAce), and a tooth. Radiographs of the specimens from each group, a tooth section, and an aluminum (Al) step-wedge were acquired. The radiopacity values of the materials were calculated as equivalents of Al thickness using the gray level values. The data were statistically analyzed using one-way ANOVA and Tukey HSD tests. RESULTS All the materials except Cerasmart and Vita Enamic had significantly higher radiopacity values than dentin (p < 0.05). Of the assessed blocks, the highest radiopacity value was observed in Incoris TZI, and the lowest radiopacity value was observed in Vita Enamic. Variolink Esthetic DC and RelyX Unicem Aplicap showed significantly higher radiopacity (p < 0.05) than the other adhesive cements, including enamel and dentin. CONCLUSIONS In this study, the majority of the CAD/CAM materials and all the adhesive resin cements were found to have sufficient radiopacity for prosthetic restorations according to the criteria set by the International Organization for Standardization (ISO). CONCLUSIONS From a clinical and biological point of view, materials should be chosen according to their radiopacity and other properties, such as biocompatibility and esthetics. If the selected restorative CAD/CAM blocks have a radiopacity value less than or equal to dentin, cements with higher radiopacity values are recommended to facilitate radiological diagnoses for periphery and interface of restorations.

UI MeSH Term Description Entries
D008422 Materials Testing The testing of materials and devices, especially those used for PROSTHESES AND IMPLANTS; SUTURES; TISSUE ADHESIVES; etc., for hardness, strength, durability, safety, efficacy, and biocompatibility. Biocompatibility Testing,Biocompatible Materials Testing,Hemocompatibility Testing,Testing, Biocompatible Materials,Testing, Hemocompatible Materials,Hemocompatibility Testings,Hemocompatible Materials Testing,Materials Testing, Biocompatible,Materials Testing, Hemocompatible,Testing, Biocompatibility,Testing, Hemocompatibility,Testing, Materials,Testings, Biocompatibility
D002516 Ceramics Products made by baking or firing nonmetallic minerals (clay and similar materials). In making dental restorations or parts of restorations the material is fused porcelain. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed & Boucher's Clinical Dental Terminology, 4th ed) Ceramic
D003776 Dental Porcelain A type of porcelain used in dental restorations, either jacket crowns or inlays, artificial teeth, or metal-ceramic crowns. It is essentially a mixture of particles of feldspar and quartz, the feldspar melting first and providing a glass matrix for the quartz. Dental porcelain is produced by mixing ceramic powder (a mixture of quartz, kaolin, pigments, opacifiers, a suitable flux, and other substances) with distilled water. (From Jablonski's Dictionary of Dentistry, 1992) Porcelain,Porcelain, Dental,Dental Porcelains,Porcelains,Porcelains, Dental
D004955 Esthetics, Dental Skills, techniques, standards, and principles used to improve the art and symmetry of the teeth and face to improve the appearance as well as the function of the teeth, mouth, and face. (From Boucher's Clinical Dental Terminology, 4th ed, p108) Cosmetic Dentistry,Aesthetics, Dental,Dental Esthetic,Dental Esthetics,Esthetic, Dental,Cosmetic Dentistries,Dentistries, Cosmetic,Dentistry, Cosmetic
D013499 Surface Properties Characteristics or attributes of the outer boundaries of objects, including molecules. Properties, Surface,Property, Surface,Surface Property
D017076 Computer-Aided Design The use of computers for designing and/or manufacturing of anything, including drugs, surgical procedures, orthotics, and prosthetics. CAD-CAM,Computer-Aided Manufacturing,Computer-Assisted Design,Computer-Assisted Manufacturing,Computer Aided Design,Computer Aided Manufacturing,Computer Assisted Design,Computer Assisted Manufacturing,Computer-Aided Designs,Computer-Assisted Designs,Design, Computer-Aided,Design, Computer-Assisted,Designs, Computer-Aided,Designs, Computer-Assisted,Manufacturing, Computer-Aided,Manufacturing, Computer-Assisted
D019252 Radiography, Dental, Digital A rapid, low-dose, digital imaging system using a small intraoral sensor instead of radiographic film, an intensifying screen, and a charge-coupled device. It presents the possibility of reduced patient exposure and minimal distortion, although resolution and latitude are inferior to standard dental radiography. A receiver is placed in the mouth, routing signals to a computer which images the signals on a screen or in print. It includes digitizing from x-ray film or any other detector. (From MEDLINE abstracts; personal communication from Dr. Charles Berthold, NIDR) Dental Digital Radiography,Digital Dental Radiography, Direct,Digital Radiography, Dental,Dental Radiovisiography,Digora,Radiovisiography, Dental,Scanora,Sens-A-Ray,Visualix,Digoras,Radiography, Dental Digital,Scanoras,Sens A Ray,SensARay,Visualices
D019279 Resin Cements Dental cements composed either of polymethyl methacrylate or dimethacrylate, produced by mixing an acrylic monomer liquid with acrylic polymers and mineral fillers. The cement is insoluble in water and is thus resistant to fluids in the mouth, but is also irritating to the dental pulp. It is used chiefly as a luting agent for fabricated and temporary restorations. (Jablonski's Dictionary of Dentistry, 1992, p159) Resin Cement,Cement, Resin,Cements, Resin

Related Publications

Zerrin Unal Erzurumlu, and Cennet Elcin Sagirkaya, and Kerem Erzurumlu
October 2015, The Journal of prosthetic dentistry,
Zerrin Unal Erzurumlu, and Cennet Elcin Sagirkaya, and Kerem Erzurumlu
October 2018, The Journal of prosthetic dentistry,
Zerrin Unal Erzurumlu, and Cennet Elcin Sagirkaya, and Kerem Erzurumlu
January 2019, Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.],
Zerrin Unal Erzurumlu, and Cennet Elcin Sagirkaya, and Kerem Erzurumlu
January 2022, Polymers,
Zerrin Unal Erzurumlu, and Cennet Elcin Sagirkaya, and Kerem Erzurumlu
October 2023, Oral radiology,
Zerrin Unal Erzurumlu, and Cennet Elcin Sagirkaya, and Kerem Erzurumlu
February 2022, Journal of the mechanical behavior of biomedical materials,
Zerrin Unal Erzurumlu, and Cennet Elcin Sagirkaya, and Kerem Erzurumlu
February 2012, Shanghai kou qiang yi xue = Shanghai journal of stomatology,
Zerrin Unal Erzurumlu, and Cennet Elcin Sagirkaya, and Kerem Erzurumlu
December 2021, Polymers,
Zerrin Unal Erzurumlu, and Cennet Elcin Sagirkaya, and Kerem Erzurumlu
August 2020, The journal of advanced prosthodontics,
Zerrin Unal Erzurumlu, and Cennet Elcin Sagirkaya, and Kerem Erzurumlu
September 2018, Journal of dental research,
Copied contents to your clipboard!