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Öğe Effect of different surface treatments on the biaxial flexural strength of zirconia ceramics(Mosby-Elsevier, 2023) Ozturk, Caner; Celik, Ersan; Gonuldas, FehmiStatement of problem. Different surface treatments have been applied to zirconia restorations in clinical practice to increase the bond strength between zirconia and cement, but their effect on flexural strength is unknown. Purpose. The purpose of this in vitro study was to evaluate the effect of different surface treatments before and after sintering on the flexural strength of zirconia. Material and methods. Sixty disk-shaped specimens with an initial diameter of 18.6 +/- 0.1 mm and thickness of 2 +/- 0.1 mm were prepared from preshaded presintered 3Y-TZP blocks. The specimens were randomly divided into 3 groups (n=20) according to surface treatments (Group Laser, Group APA, Group Rocatec), and the groups were then divided into 2 subgroups (n=10) according to surface treatment before and after sintering. The phase compositions of the groups were examined by using an X-ray diffractometer (XRD) with 3 randomly selected specimens from each group. Biaxial flexural strength testing was conducted using a universal testing machine to examine the flexural strength of the zirconia specimens. Two-way ANOVA and post hoc least significant difference tests were performed (a=.05). Results. According to the XRD analysis, no monoclinic phases were determined on the surface of the presintered laser-treated specimens, but tetragonal phases were observed on the surface of the postsintered specimens. Surface treatment type and application stage (presintering to postsintering) have a significant effect on the biaxial flexural strength of the specimens (P<.05). The lowest biaxial flexural values were observed in the Laser group, and postsintered specimens showed higher biaxial flexural strength than presintered specimens (P<.05). Conclusions. Postsintered specimens showed higher monoclinic content than presintered specimens. Laser-treated specimens showed the lowest biaxial flexural strength for both presintered and postsintered specimens. (J Prosthet Dent 2023;129:220.e1-e5)Öğe Evaluation of the fracture resistance of root filled thin walled teeth restored with different post systems(Elsevier Science Bv, 2019) Ozturk, Caner; Polat, Serdar; Tuncdemir, Makbule; Gonuldas, Fehmi; Sekar, EmreBackground: Restoration of the teeth with extensive root canals with different post systems is a challenge for clinicians. Evaluation of these systems is important for clinical success. The aim of this study was to compare the fracture resistance and fracture mode of endodontically treated thin-walled teeth which restored with different post systems. Methods: Eighty extracted and endodontically treated maxillary canines were divided into 4 groups (n = 20) and the thickness of the radicular dentin walls was reduced by using diamond burs. Each root was embedded in an autopolymerizing resin with a 0.25 mm layer of vinyl polysiloxane material to simulate the periodontal ligament. The subgroups were restored with one of the following post systems: only composite resin (Group 1), cast post (Group 2), glass-fiber post (Group 3), and I-TFC post (Group 4). The samples were subjected to a gradually increasing force (0,5 mm/min). The force required to fracture was recorded, and the data were analyzed with ANOVA, Tukey tests and Chi-Square test (p < 0.05). Results: The highest fracture resistance was recorded for Group 2, followed by the Group 3, Group 4, and Group 1. Differences in the fracture resistance of teeth were significant among the groups (p < 0.05). The fracture resistance of Group 4 was significantly different than the other tested post systems (p < 0.05). Conclusions: The lowest fracture resistance was recorded for Group 1, but among all post systems, Group 4 had the lowest fracture resistance. The fracture mode of the fiber posts (Radix and I-TFC posts) would permit repair of the tooth.Öğe Evaluation of the retention characteristics of various stud attachment systems for implant retained overdenture(Wroclaw Univ Technology, Fac Computer Science & Management, 2018) Gonuldas, Fehmi; Tokar, Emre; Ozturk, CanerThe purpose of the study was to analyze and compare retention characteristics of different stud attachments including a standard and two low profile attachments on two implant embedded test models. Methods: Three different stud attachment systems (Ball attachment and two different low profile stud attachments - Equator and Locator) were used in this study. Two dental implants were placed vertically into a custom-made acrylic resin block within a 22 mm distance. Strong and soft nylon inserts of each attachment system were tested using cyclic dislodgement test for 24 months simulation. Maximum forces during the test were recorded and 10 consecutive data at baseline, 1st to 24th months were analyzed. Repeated measures ANOVA and post-hoc Tukey' s test (p < 0.05) were used for statistical analysis. Results: Retentive forces of the tested attachments varied from 30.7 to 93.75 N at the baseline. The highest initial mean retention (93.75 N) was observed in Group LC (locator attachment with clear nylon inserts) and the lowest initial mean retention (30.7 N) was detected in both Group BO (ball attachment with orange nylon inserts) and Group EY (equator with yellow nylon inserts). After the 24 months simulation, locator groups illustrated more light retention than other tested attachment systems. Conclusions: All tested attachment systems showed a significant decrease in retention value at the end of the simulated period. The locator attachment had significantly higher reduction in retention values compared to other low profile stud attachment equator and ball attachment.Öğe Influence of bleaching agents on the color change and translucency of resin matrix ceramics(Wiley, 2020) Ozturk, Caner; Celik, Ersan; Ozden, Asiye NehirObjective The aim of this study was to investigate the color change, translucency, and whiteness index of three different resin matrix ceramics and a resin composite subjected to different bleaching agents. Materials and Methods Twenty disc-shaped specimens (A2 shaded) for three different resin matrix ceramic brands (Groups Ena, Ulti, and Cera) (totally 60) were prepared using the CAD/CAM technique and 20 nanofiller composite specimens (Group Comp) (A2 shaded) with the same dimensions were prepared as the control group. The color change ( increment E-00), relative translucency parameter (RTP), and whiteness index (WID) of the specimens initial and after different bleaching procedures (home-bleaching and office-bleaching) were calculated using increment E-00, TP00, and WI(D)formulas. Two-way analysis of variance (ANOVA) and multiple comparison test with Bonferroni correction (alpha= .05) at the significance level ofP < .05 were performed for the comparisons of increment E(00)values. The RTP and WI(D)values were evaluated by using repeated measures ANOVA and multiple-comparison test with Bonferroni corrections (alpha= .05) at the significance level ofP < .05. Results Bleaching procedure and material type were found to be significant regardless of bleaching type for RTP and WI(D)values. Material type has a significant effect on the increment E(00)values. The highest color change values were determined in Group Comp (P < .05). Conclusions Bleaching procedures significantly affected the RTP values of Groups Ulti and Cera (P < .05). increment E(00)values for the resin matrix ceramics after the bleaching procedures were below the clinically acceptable values, regardless of the bleaching agent. Clinical Significance Optically, materials such as resin matrix ceramics have properties different from not only enamel and dentin but also among themselves. The possible effect of bleaching agents on these materials should be considered carefully while choosing the restorative material.Öğe Influence of different surface finishing techniques on machinable feldspathic and leucite-reinforced ceramics(Japanese Soc Dental Materials Devices, 2019) Gonuldas, Fehmi; Ozturk, Caner; Atalay, Pelin; Oztas, DeryaThe effect of surface finishing techniques on machinable ceramics to obtain optimum smoothness is unclear. The aim of the study was to evaluate the effects of surface finishing techniques on machinable feldspathic and leucite-reinforced ceramics. Forty specimens were divided into four subgroups according to surface finishing techniques and ceramic structure. A profilometer was used to evaluate surface roughness. A spectrophotometer was used to obtain the CIE L*, a* and b* coordinates. All specimens were subjected to a threepoint bending test to determine flexural strength. All data were analyzed with two-way ANOVA and Tukey's HSD tests (p<0.05). Polishing techniques were found to be more effective than the glazing method to obtain smooth surfaces. Glazing technique increased the flexural strength of leucite-reinforced ceramics. Finishing procedures have different effects on the success of the restorations and must be considered by the clinicians.Öğe Influence of heating rate on the flexural strength of monolithic zirconia(Korean Acad Prosthodontics, 2019) Ozturk, Caner; Celik, ErsanPURPOSE. Fabrication of zirconia restorations with ideal mechanical properties in a short period is a great challenge for clinicians. The purpose of the study was to investigate the effect of heating rate on the mechanical and microstructural properties of monolithic zirconia. MATERIALS AND METHODS. Forty monolithic zirconia specimens were prepared from presintered monolithic zirconia blanks. All specimens were then assigned to 4 groups according to heating rate as Control, Group 15 degrees C, Group 20 degrees C, and Group 40 degrees C. All groups were sintered according to heating rates with the sintering temperature of 1500 degrees C, a holding time of 90 minutes and natural cooling. The phase composition was examined by XRD analysis, three-point bending test was conducted to examine the flexural strength, and Weibull analysis was conducted to determine weibull modulus and characteristic strength. Average grain sizes were determined by SEM analysis. One-way ANOVA test was performed at a significance level of 0.05. RESULTS. Only tetragonal phase characteristic peaks were determined on the surface of analyzed specimens. Differences among the average grain sizes of the groups were not statistically significant. The results of the three-point bending test revealed no significant differences among the flexural strength of the groups (P>.05). Weibull modulus of groups was ranging from 3.50 to 4.74. The highest and the lowest characteristic strength values were obtained in Group 20 degrees C and Control Group, respectively. CONCLUSION. Heating rate has no significant effect on the flexural strength of monolithic zirconia. Monolithic zirconia restorations can be produced in shorter sintering periods without affecting the flexural strength by modifying the heating rate.Öğe Repair bond strength of composite to Er,Cr:YSGG laser irradiated zirconia and porcelain surfaces(Elsevier, 2019) Tokar, Emre; Polat, Serdar; Ozturk, CanerBackground: Fracture or chipping are major concerning failures of an all-ceramic restoration. Repairing of the failure restoration using intra-oral technique is time saving and cost effective treatment modality. The present study was proposed to evaluate effect of Er,Cr:YSGG laser irradiation on shear bond strength between zirconia/porcelain and composite resin. Methods: Thirty zirconia and thirty zirconia based porcelain disc shape specimens were prepared. Three different surface treatment procedure were applied the specimens. For control groups (Group ZC and PC), instruction manual of an intra-oral porcelain repair system was followed. Different pulse rates of Er,Cr:YSGG laser irradiation (short and long pulses) were applied to zirconia and porcelain surfaces for other groups (Group ZS, ZL, PS, and PL). Porcelain repair kit was used to repair specimens using standard cylindrical teflon mold (2 x 2 mm). Repair bond strength of the repaired specimens was tested using a universal testing machine. Results: Highest mean bond strength value was observed at Group PC that was significantly higher than laser applied porcelain groups. Long pulse laser irradiation illustrated that increased mean bond strength compared to short pulse application on to the porcelain surface. Laser applied zirconia groups showed better mean bond strength than Group ZC, but differences between the groups were not statistically significant. Conclusion: Different modes of Er,Cr:YSGG laser irradiation enhanced repair bond strength of the composite resin to zirconia, but these were not significant. Following the instruction manual for surface treatment on the porcelain surface was better method than Er,Cr:YSGG laser surface conditioning.
