|Year : 2017 | Volume
| Issue : 2 | Page : 40-44
CAD-CAM and all ceramic restorations, current trends and emerging technologies: A review
S Venu Gopal
Department of Prosthodontics and Crown and Bridge, Guardian College of Dental Sciences and Research Centre, Jambhul, Ambernath, Maharashtra, India
|Date of Web Publication||1-Feb-2018|
S Venu Gopal
Former Dean and Professor and Head of Department, Department of Prosthodontics and Crown and Bridge, Guardian College of Dental Sciences and Research Centre, Jambhul, Ambernath, Maharashtra
Source of Support: None, Conflict of Interest: None
All-ceramic restorations have revolutionized the concept of esthetics in the practice of dentistry. The increasing use of polycrystalline alumina and zirconia as framework materials and the increasing popularity and variety of CAD-CAM systems seem to be mutually accelerating trends. In fact, CAD-CAM technology opens-up new vistas for increased esthetics. With ever emerging developments, it becomes more versatile and convenient. However, this comes at the expense of making the application more complicated. The present review gives an overview on the different materials available in ceramics used in dental CAD/CAM technology.
Keywords: All ceramic restorations, CAD-CAM technology, esthetics, polycrystalline alumina and zirconia
|How to cite this article:|
Gopal S V. CAD-CAM and all ceramic restorations, current trends and emerging technologies: A review. Int J Orofac Res 2017;2:40-4
|How to cite this URL:|
Gopal S V. CAD-CAM and all ceramic restorations, current trends and emerging technologies: A review. Int J Orofac Res [serial online] 2017 [cited 2018 Nov 18];2:40-4. Available from: http://www.ijofr.org/text.asp?2017/2/2/40/224498
| Introduction|| |
The word ceramic is derived from the Greek word “keramos” which literally means “burnt stuff” but which has come to mean more specifically as a material produced by burning or firing. Since the first use of porcelain to make a complete denture by Alexis Duchateau in 1774, numerous dental porcelain compositions have been developed. French Dentist De Chemant patented the first porcelain tooth material in 1789. Dr. Charles Land patented the first Ceramic crowns in 1903. The use of all-ceramic prosthesis in restorative treatments has become popular and many of these restorations can be fabricated by both traditional laboratory methods and computer-aided design and computer-aided manufacturing (CAD/CAM) machination [Table 1]., The traditional methods of ceramic fabrication have been described to be time-consuming, technique sensitive, and rather unpredictable due to the many variables present which affect the outcome. CAD/CAM might be a good alternative. The advances in CAD/CAM technology are instrumental in the research and for the development of high-strength polycrystalline ceramics such as stabilized zirconium dioxide which could not have been practically processed by traditional laboratory methods. These materials have made possible the use of all-ceramic crowns and short span bridges in the posterior load-bearing regions of the jaws.,, The present review gives an overview on the different materials available in ceramics used in dental CAD/CAM technology.
|Table 1: Brands, composition, and manufacturers of ceramic materials with recommended clinical indications|
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| Glass Ceramics|| |
Mica-Based Ceramics: The mica minerals are a group of sheet silicate (so-called phyllosilicate) minerals consisting of varying highly complexly configured compounds of Si, K, Na, Ca, F, O, Fe, and Al. Dicor was launched in 1984. It was developed from a formulation of low thermal expansion ceramic used for cookware by Corning Glass Works and marketed by DENTSPLY International. Further development of this material resulted in the introduction of Dicor MGC, a machinable glass ceramic. This was a higher quality product containing 70% by volume tetrasilicicfluormica which was crystallized by the manufacturers and provided as CAD/CAM blanks or ingot. The mechanical properties of MGC were similar to Dicor glass ceramic although it exhibited reduced translucency. Although both Dicor™ and Dicor™ MGC were very well studied, the materials are no longer in the market.
| Feldspathic Ceramics|| |
The traditional type of dental porcelain is based on feldspar and comprises of a tectosilicate mineral feldspar (KAlSi3O8), quartz (SiO2), and kaolin (Al2O3·2SiO2·2H2O). The first CAD/CAM-produced inlay was fabricated in 1985 using a ceramic block comprising of fine grain feldspathic ceramic (Vita™ Mark I, Vita Zahnfabrik, Bad Sackingen, Germany). Vita™ Mark II (Vita Zahnfabrik, Bad Sackingen, Germany) introduced specifically for CEREC (Cerec™ 1-Siemens GmbH, Bensheim, Germany) in 1991 exhibited better mechanical properties with a reported flexural strength from about 100 MPa-160 MPa when glazed., Vita™ Mark II blocks are made of materials similar to the conventional feldspathic ceramics but produced in a different process known as extrusion molding. Vita™ Mark II is monochromatic but available in multiple shades. The newer Vitablocs™ TriLuxe™, Triluxe™ Forte, and RealLife™ blocks (Vita Zahnfabrik, Bad Sackingen, Germany) contain multishade layers and offer a gradient of color and translucency. These feldspathic ceramic materials have excellent esthetic properties and have been recommended for use in fabricating veneers, inlays/onlays,, and single anterior restorations. The material, however, is not considered to be strong enough for posterior load-bearing areas.
| Leucite-Reinforced Ceramics|| |
Leucite-reinforced feldspathic porcelain contains 45% by volume tetragonal leucite which acts as a reinforcing phase. The thermal contraction mismatch between leucite (22-25 × 10-6.°C-1) and the glassy matrix (8 × 10–6.°C-1) results in the development of tangential compressive stresses in the glass around the leucite crystals which can act as crack deflectors with increased resistance to crack propagation. ProCAD™ (Ivoclar Vivadent, Schaan, Liechtenstein) was introduced in 1998 to be used with the CEREC™ in LAB (Sirona Dental Systems, Bensheim, Germany). It is a leucite-reinforced ceramic similar in structure to the heat-pressed ceramic Empress™ (Ivoclar Vivadent). Empress™ CAD (Ivoclar Vivadent), introduced in 2006, is the successor to Empress™ ProCAD. Its main difference is in the optimizing manufacturing procedure, and it has about 45% leucite with a finer particle size of about 1–5 μm that helps resist machining damages. It was developed for chairside single unit restorations and has a flexural strength of about 160 MPa. Clinically, it is recommended for single tooth restorations and is available in high translucency (Empress™ CAD HT), low translucency (Empress™ CAD LT), and polychromatic (Empress™ CAD Multi) blocks. The milled restorations, can, in the next step, be stained and glazed. Another example in this category is Paradigm™ C (3M ESPE, Seefeld, Germany).
| Lithium Disilicate Reinforced Ceramics|| |
A lithium disilicate CAD/CAM ceramic IPS™ e. max CAD (Ivoclar Vivadent) was introduced in 2006 and is a chairside monolithic restorative material. Lithium disilicate (Li2SiO5) ceramics have their flexural strength between 350 MPa-450 MPa. This is higher than that of leucite-reinforced dental ceramics. The blocks are manufactured in a process based on the so-called pressure-casting procedure used in glass industry. They are available in A-D and Bleach shades as well as in 3 translucencies (one of which is of medium opacity) and are supplied in a precrystallized, so-called, blue state., The material has been recommended for use in fabricating inlays, onlays, veneers, anterior and posterior crowns, and implant-supported crowns.
Alumina-Based Ceramics: The In-Ceram Alumina system (Vita Zahnfabrik, Bad Sackingen Germany) was developed by Sadoun in 1984 and uses the addition of alumina to feldspathic glass to create high temperature-sintered alumina glass-infiltrated copings. InCeram Alumina has a flexural strength of 236–600 MPa.,, Clinically, InCeram Alumina can be used to fabricate anterior and posterior crowns. The materials can, also, be fabricated by CAD/CAM machination since 1993. CAD/CAM InCeram™ Alumina has been recommended for single anterior and posterior crowns. In-Ceram Spinel, a magnesium aluminate (MgAl04) spinel, replaces alumina as the major crystalline phase with traces of alumina improving the translucency of the final restoration because of the crystalline structure of the spinel and a relatively lower index of refraction compared with alumina. In-Ceram Spinell, therefore, has superior esthetics over InCeram Alumina; however, it is not as strong as the alumina-based material. The flexural strength is lower at 377 MPa, and the clinical indications are for inlays only. In-Ceram Zirconia (VITA Zahnfabrik) is, also, a modification of the original In-Ceram Alumina system with an addition of 35% partially stabilized zirconia (PSZ) oxide to the slip composition to strengthen the ceramic. It exhibits a flexural strength of 421–800 MPa.,, It has been successfully used for posterior three-unit-fixed bridges., With the advent of technology, newer polycrystalline ceramics have been developed such as alumina and zirconia which have no intervening etchable glassy matrix and all the crystals are densely packed into regular arrays and then sintered improving the mechanical properties., Procera/AllCeram (Nobel Biocare, Goteborg, Sweden) was first described by Andersson and Odén. The Procera AllCeram crown is composed of densely sintered, high-purity aluminum oxide core combined with compatible AllCeram veneering porcelain. This ceramic material contains 99.9% alumina, and its hardness is one of the highest among the ceramics used in dentistry. Procera AllCeram can be used for anterior and posterior crowns, veneers, onlays, and inlays. A unique feature of the Procera system is the ability of the Procera scanner to scan the surface of the prepared tooth and transmit the data to a milling unit to produce an enlarged die through a CAD/CAM process, thus, compensating for the sintering shrinkage. Some studies confirm that Procera restorations have high strength and excellent longevity. The mean flexural strength for Procera alumina and zirconia is 639 and 1158 MPa, respectively. A similar CAD/CAM ceramic is the Vita™ InCeram AL cubes (Vita Zahnfabrik, Bad Sackingen, Germany) introduced in 2005. However, it should be differentiated from InCeram™ Classic Alumina which has, also, been referred to as InCeram™ or InCeram™ Alumina in that this is glass-free polycrystalline in structure and manufactured by a different process.
| Zirconia-Based Ceramics|| |
Zirconia was first discovered by a Chemist Martin Klaproth in 1789. Zirconia does not occur in nature in a pure state. It can be found in conjunction with silicate oxide with the mineral name Zircon (ZrO2 × SiO2) or as a free oxide (ZrO2) with the mineral name Baddeleyite. ZrO2 is a polymorphic material and occurs in three forms: monoclinic, tetragonal, and cubic. The monoclinic phase is stable at room temperatures up to 1170°C, tetragonal at temperatures of 1170°C–2370°C, and the cubic at over 2370°C. With the addition of stabilizing oxides such as ceria (CeO2), magnesia (MgO), or yttria (Y2O3), a multiphase material known as PSZ is formed at room temperature with cubic crystals as the major phase and monoclinic and tetragonal crystals as the minor phases. However, when zirconium oxide is heated, noticeable changes in volume occur due to transformation of zirconium oxide from monoclinic to tetragonal phase with this transformation leading to 5% decrease in the volume; conversely, a 3%–4% increase in the volume is observed during the cooling process. This mechanism is known as transformation toughening.
Yttria-Partially Stabilized Tetragonal Zirconia Polycrystal (3Y-TZP): Yttria-Partially Stabilized Tetragonal Zirconia Polycrystal (3Y-TZP) consists of an array of PSZ with a 2–4 mol% yttria oxide. In 1977, it was reported that ZrO2 fine grain (usually ≤0.05 mm) with small concentrations of Y2O3 stabilizers could contain up to 98% of the metastable tetragonal phase after sintering. The main feature of this microstructure is to be formed by tetragonal grains of uniform diameter in the order of nanometers, sometimes, combined with a small fraction of the cubic phase. Yttria-Partially Stabilized Tetragonal Zirconia Polycrystal was first applied in the medical field of orthopedics with significant success due to its good mechanical properties and biocompatibility. In dental applications, it is fabricated with microstructures containing small grains (0.2–0.5 mm in diameter) depending on the sintering temperature which avoids the phenomenon of structural deterioration or destabilization in the presence of saliva slowing the growth of subcritical cracks.
| Magnesium Partially Stabilized Zirconia|| |
The microstructure of Mg-PSZ consists of an array of cubic zirconia partially stabilized by 8–10 mol% of magnesium oxide. Due to difficulty in obtaining free silica Mg-PSZ precursors (SiO2), magnesium silicates can form a low content of magnesia favoring the transformation from tetragonal to monoclinic phase resulting in lower mechanical properties and stability of the material. The material has not been widely used and an example is the Denzir-M™ (Dentronic, Skellefteå, Sweden) for hard machining.
Ceria Stabilized Zirconia/Alumina Nano-Composite (Ce-TZP/A): Recently, a tough and strong material, Ce-TZP/A, has been developed. This material has an interpenetrated intragranular nanostructure in which either nanometer-sized Ce-TZP or Al2O3 particles are located within the submicron-sized Al2O3 or Ce-TZP grains, respectively. Several studies have reported that the Ce-TZP/A has shown significantly higher mechanical strength than Y-TZP ,,,, and has complete resistance to low-temperature aging degradation in water-based conditions such as the oral environment.
| Conclusion|| |
Advances in digital dentistry and CAD/CAM technology have catalyzed the development of esthetic all ceramic restorations with superior biomechanical properties. Although none of these materials exhibit ideal clinical properties, intense research is under way to promote the strength, esthetics, dimensional accuracy and the ability of these restorations to reliably bond to varying dental substrates
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Conflicts of interest
There are no conflicts of interest.
| References|| |
Touati B, Miara P, Nathanson D. Esthetic Dentistry and Ceramic Restorations. London, United Kingdom: Martin Dunitz Ltd; 1999:291.
Deany IL. Recent advances in ceramics for dentistry. Crit Rev Oral Biol Med 1996;7:134-43.
Liu PR, Essig ME. Panorama of dental CAD/CAM restorative systems. Compend Contin Educ Dent 2008;29:482, 484, 486-8.
Miyazaki T, Nakamura T, Matsumura H, Ban S, Kobayashi T. Current status of zirconia restoration. J Prosthodont Res 2013;57:236-61.
Kelly JR, Benetti P. Ceramic materials in dentistry: Historical evolution and current practice. Aust Dent J 2011;56 Suppl 1:84-96.
Denry I, Kelly JR. Emerging ceramic-based materials for dentistry. J Dent Res 2014;93:1235-42.
Beuer F, Stimmelmayr M, Gernet W, Edelhoff D, Güh JF, Naumann M, et al.
Prospective study of zirconia-based restorations: 3-year clinical results. Quintessence Int 2010;41:631-7.
Matinlinna JP, Vallittu PK. Bonding of resin composites to etchable ceramic surfaces - an insight review of the chemical aspects on surface conditioning. J Oral Rehabil 2007;34:622-30.
Kelly JR, Nishimura I, Campbell SD. Ceramics in dentistry: Historical roots and current perspectives. J Prosthet Dent 1996;75:18-32.
Fairhurst CW. Dental ceramics: The state of the science. Adv Dent Res 1992;6:78-81.
Mörmann WH, Bindl A. All-ceramic, chair-side computer-aided design/computer-aided machining restorations. Dent Clin North Am 2002;46:405-26, viii.
Santos GC Jr., Santos MJ Jr., Rizkalla AS, Madani DA, El-Mowafy O. Overview of CEREC CAD/CAM chairside system. Gen Dent 2013;61:36-40.
Kassem AS, Atta O, El-Mowafy O. Fatigue resistance and microleakage of CAD/CAM ceramic and composite molar crowns. J Prosthodont 2012;21:28-32.
Giordano R. Materials for chairside CAD/CAM-produced restorations. J Am Dent Assoc 2006;137 Suppl:14S-21S.
Otto T, De Nisco S. Computer-aided direct ceramic restorations: A 10-year prospective clinical study of cerec CAD/CAM inlays and onlays. Int J Prosthodont 2002;15:122-8.
Bindl A, Mörmann WH. Survival rate of mono-ceramic and ceramic-core CAD/CAM-generated anterior crowns over 2-5 years. Eur J Oral Sci 2004;112:197-204.
Noort RV. Introduction to Dental Materials. 3rd
ed. Edinburgh, New York: Mosby; 2007. p. 308.
Craig RG, Powers JM. Restorative Dental Materials. 11th
ed. St. Louis, Mo., London: Mosby; 2002. p. 704. xvi.
Keshvad A, Hooshmand T, Asefzadeh F, Khalilinejad F, Alihemmati M, Van Noort R, et al.
Marginal gap, internal fit, and fracture load of leucite-reinforced ceramic inlays fabricated by CEREC inLab and hot-pressed techniques. J Prosthodont 2011;20:535-40.
Giordano R, McLaren EA. Ceramics overview: Classification by microstructure and processing methods. Compend Contin Educ Dent 2010;31:682-4, 686, 688.
Culp L, McLaren EA. Lithium disilicate: The restorative material of multiple options. Compend Contin Educ Dent 2010;31:716-20, 722, 724-5.
Asai T, Kazama R, Fukushima M, Okiji T. Effect of overglazed and polished surface finishes on the compressive fracture strength of machinable ceramic materials. Dent Mater J 2010;29:661-7.
Tysowsky GW. The science behind lithium disilicate: A metal-free alternative. Dent Today 2009;28:112-3.
Giordano RA 2nd
, Pelletier L, Campbell S, Pober R. Flexural strength of an infused ceramic, glass ceramic, and feldspathic porcelain. J Prosthet Dent 1995;73:411-8.
Raigrodski AJ. Contemporary materials and technologies for all-ceramic fixed partial dentures: A review of the literature. J Prosthet Dent 2004;92:557-62.
Wagner WC, Chu TM. Biaxial flexural strength and indentation fracture toughness of three new dental core ceramics. J Prosthet Dent 1996;76:140-4.
Albakry M, Guazzato M, Swain MV. Fracture toughness and hardness evaluation of three pressable all-ceramic dental materials. J Dent 2003;31:181-8.
Hwang JW, Yang JH. Fracture strength of copy-milled and conventional in-ceram crowns. J Oral Rehabil 2001;28:678-83.
Seghi RR, Sorensen JA. Relative flexural strength of six new ceramic materials. Int J Prosthodont 1995;8:239-46.
Della Bona A, Donassollo TA, Demarco FF, Barrett AA, Mecholsky JJ Jr. Characterization and surface treatment effects on topography of a glass-infiltrated alumina/zirconia-reinforced ceramic. Dent Mater 2007;23:769-75.
Tinschert J, Zwez D, Marx R, Anusavice KJ. Structural reliability of alumina-, feldspar-, leucite-, mica- and zirconia-based ceramics. J Dent 2000;28:529-35.
Guazzato M, Albakry M, Quach L, Swain MV. Influence of surface and heat treatments on the flexural strength of a glass-infiltrated alumina/zirconia-reinforced dental ceramic. Dent Mater 2005;21:454-63.
Andersson M, Odén A. A new all-ceramic crown. A dense-sintered, high-purity alumina coping with porcelain. Acta Odontol Scand 1993;51:59-64.
Zeng K, Odén A, Rowcliffe D. Flexure tests on dental ceramics. Int J Prosthodont 1996;9:434-9.
Anusavice KJ, Phillips RW, Shen C, Rawls HR. Clinical key Australia flex. Phillips' Science of Dental Materials. St. Louis, Mo.: Elsevier/Saunders; 2013.
Odén A, Andersson M, Krystek-Ondracek I, Magnusson D. Five-year clinical evaluation of Procera AllCeram crowns. J Prosthet Dent 1998;80:450-6.
Itinoche KM, Ozcan M, Bottino MA, Oyafuso D. Effect of mechanical cycling on the flexural strength of densely sintered ceramics. Dent Mater 2006;22:1029-34.
Borba M, de Araújo MD, Fukushima KA, Yoshimura HN, Cesar PF, Griggs JA, et al.
Effect of the microstructure on the lifetime of dental ceramics. Dent Mater 2011;27:710-21.
Denry I, Kelly JR. State of the art of zirconia for dental applications. Dent Mater 2008;24:299-307.
Piconi C, Maccauro G. Zirconia as a ceramic biomaterial. Biomaterials 1999;20:1-25.
Allahkarami M, Hanan JC. Mapping the tetragonal to monoclinic phase transformation in zirconia core dental crowns. Dent Mater 2011;27:1279-84.
Hjerppe J, Vallittu PK, Fröberg K, Lassila LV. Effect of sintering time on biaxial strength of zirconium dioxide. Dent Mater 2009;25:166-71.
Tanaka K, Tamura J, Kawanabe K, Nawa M, Oka M, Uchida M, et al.
Ce-TZP/Al2O3 nanocomposite as a bearing material in total joint replacement. J Biomed Mater Res 2002;63:262-70.
Lüthy H, Filser F, Loeffel O, Schumacher M, Gauckler LJ, Hammerle CH, et al.
Strength and reliability of four-unit all-ceramic posterior bridges. Dent Mater 2005;21:930-7.
Studart AR, Filser F, Kocher P, Gauckler LJ.In vitro
lifetime of dental ceramics under cyclic loading in water. Biomaterials 2007;28:2695-705.
Benzaid R, Chevalier J, Saâdaoui M, Fantozzi G, Nawa M, Diaz LA, et al.
Fracture toughness, strength and slow crack growth in a ceria stabilized zirconia-alumina nanocomposite for medical applications. Biomaterials 2008;29:3636-41.
Philipp A, Fischer J, Hämmerle CH, Sailer I. Novel ceria-stabilized tetragonal zirconia/alumina nanocomposite as framework material for posterior fixed dental prostheses: Preliminary results of a prospective case series at 1 year of function. Quintessence Int 2010;41:313-9.