Assistant Professor and Assistant Program Director AEGD, College of Dentistry, Texas A&M University, Dallas, Texas; Affiliate Faculty, Graduate Prosthodontics, University of Washington, Seattle, Wash; Researcher at Revilla Research Center, Madrid, Spain.
Specialization Candidate, Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland.
J Prosthet Dent. 2021 May;125(5):825-831. doi: 10.1016/j.prosdent.2020.03.012. Epub 2020 May 25.
Selective laser melting (SLM) additive manufacturing (AM) technology is a current option to fabricate cobalt-chromium (Co-Cr) metal frameworks for dental prostheses. However, the Co-Cr alloy composition, surface roughness, and ceramic bond strength values that SLM metals can obtain are not well-defined.
The purpose of this in vitro study was to compare the chemical composition, surface roughness, and ceramic shear bond strength of the milled and SLM Co-Cr dental alloys.
A total of 50 disks of 5 mm in diameter and 1 mm in thickness were fabricated by using subtractive (control group) and AM with each of following SLM providers: SLM-1 (EOS), SLM-2 (3D systems), and SLM-3 (Concept Laser). The milled disks were airborne-particle abraded with 100-μm aluminum oxide particles. All the specimens were cleaned before surface roughness (Ra), weight (Wt%), and atomic (At%) percentages were analyzed. Three-dimensional profilometry was used to analyze the topographical properties of the surface parameters Ra (mean surface roughness). The chemical composition of Co-Cr alloy specimens was determined by using energy dispersive X-ray (EDAX) elemental analysis in a scanning electron microscope (SEM). Thereafter, the specimens were bonded to a ceramic (Dentine A3 and Enamel S-59; Creation CC) interface. Specimens were stored for 24 hours at 23 °C. The bond strength of the SLM-ceramic interface was measured by using the macroshear test (SBT) method (n=10). Adhesion tests were performed in a universal testing machine (1 mm/min). The Shapiro-Wilk test revealed that the chemical composition data were not normally distributed. Therefore, the atomic (At%) and weight percentages (Wt%) were analyzed by using the Kruskal-Wallis test, followed by pairwise Mann-Whitney U tests between the control and AM groups (AM-1 to AM-4). However, the Shapiro-Wilk test revealed that the surface roughness (Ra) and ceramic bond strength data were normally distributed. Therefore, data were analyzed by using 1-way ANOVA, followed by the post hoc Sidak test (α=.05).
Significant differences were obtained in Wt%, At%, and Ra values among the Co-Cr alloys evaluated (P<.05). Furthermore, the control group revealed significantly lower mean ±standard deviation Ra values (0.79 ±0.11 μm), followed by AM-3 (1.57 ±0.15 μm), AM-2 (1.80 ±0.43 μm), AM-1 (2.43 ±0.34 μm), and AM-4 (2.84 ±0.27 μm). However, no significant differences were obtained in the metal-ceramic shear bond strength among the different groups evaluated, ranging from mean ±standard deviation 75.77 ±11.92 MPa to 83.65 ±12.21 MPa.
Co-Cr dental alloys demonstrated a significant difference in their chemical compositions. Subtractive and additive manufacturing procedures demonstrated a significant influence on the surface roughness of the Co-Cr alloy specimens. However, the metal-ceramic shear bond strength of Co-Cr alloys was found to be independent of the manufacturing process.
选择性激光熔化(SLM)增材制造(AM)技术是当前制造牙科修复体钴铬(Co-Cr)金属框架的一种选择。然而,SLM 金属可以获得的 Co-Cr 合金成分、表面粗糙度和陶瓷结合强度值尚不清楚。
本体外研究的目的是比较铣削和 SLM Co-Cr 牙科合金的化学成分、表面粗糙度和陶瓷剪切结合强度。
共制备了 50 个直径为 5 毫米、厚度为 1 毫米的圆盘,使用减法(对照组)和以下每个 AM 供应商的 AM:SLM-1(EOS)、SLM-2(3D 系统)和 SLM-3(Concept Laser)。铣削圆盘用 100-μm 氧化铝颗粒进行气载颗粒喷砂处理。所有样品均在进行表面粗糙度(Ra)、重量(Wt%)和原子(At%)百分比分析之前进行清洗。三维轮廓仪用于分析表面参数 Ra(平均表面粗糙度)的形貌特性。采用扫描电子显微镜(SEM)中的能谱仪(EDAX)元素分析来确定 Co-Cr 合金试样的化学成分。此后,将样品粘结到陶瓷(Dentine A3 和 Enamel S-59;Creation CC)界面上。将样品在 23°C 下储存 24 小时。通过宏观剪切试验(SBT)方法(n=10)测量 SLM-陶瓷界面的结合强度。在万能试验机上以 1mm/min 的速度进行粘附测试。Shapiro-Wilk 检验表明化学成分数据不符合正态分布。因此,使用 Kruskal-Wallis 检验分析原子(At%)和重量百分比(Wt%),然后对对照组和 AM 组(AM-1 至 AM-4)进行 AM 组之间的两两 Mann-Whitney U 检验。然而,Shapiro-Wilk 检验表明表面粗糙度(Ra)和陶瓷结合强度数据符合正态分布。因此,使用单因素方差分析(ANOVA)进行数据分析,然后使用事后 Sidak 检验(α=.05)。
评估的 Co-Cr 合金的 Wt%、At%和 Ra 值存在显著差异(P<.05)。此外,对照组显示出明显较低的平均±标准偏差 Ra 值(0.79±0.11μm),其次是 AM-3(1.57±0.15μm)、AM-2(1.80±0.43μm)、AM-1(2.43±0.34μm)和 AM-4(2.84±0.27μm)。然而,不同组之间的金属-陶瓷剪切结合强度没有显著差异,范围从平均±标准偏差 75.77±11.92 MPa 到 83.65±12.21 MPa。
钴铬牙科合金的化学成分存在显著差异。减法和加法制造程序对 Co-Cr 合金试样的表面粗糙度有显著影响。然而,Co-Cr 合金的金属-陶瓷剪切结合强度与制造工艺无关。