DOI QR코드

DOI QR Code

The biocompatibility and mechanical properties of plasma sprayed zirconia coated abutment

  • Huang, Zhengfei (Shandong Provincial Key Laboratory of Oral Tissue Regeneration, School of Stomatology, Shandong University) ;
  • Wang, Zhifeng (Shandong Provincial Key Laboratory of Oral Tissue Regeneration, School of Stomatology, Shandong University) ;
  • Yin, Kaifeng (Department of Orthodontics, Herman Ostrow School of Dentistry, University of Southern California) ;
  • Li, Chuanhua (Department of Prosthodontics, School of Stomatology, Shandong University) ;
  • Guo, Meihua (Department of Prosthodontics, School of Stomatology, Shandong University) ;
  • Lan, Jing (Shandong Provincial Key Laboratory of Oral Tissue Regeneration, School of Stomatology, Shandong University)
  • Received : 2019.12.21
  • Accepted : 2020.04.29
  • Published : 2020.06.30

Abstract

PURPOSE. The aim of this study was to evaluate the clinical performance and reliability of plasma sprayed nanostructured zirconia (NSZ) coating. MATERIALS AND METHODS. This study consisted of three areas of analysis: (1) Mechanical property: surface roughness of NSZ coating and bond strength between NSZ coating and titanium specimens were measured, and the microstructure of bonding interface was also observed by scanning election microscope (SEM). (2) Biocompatibility: hemolysis tests, cell proliferation tests, and rat subcutaneous implant test were conducted to evaluate the biocompatibility of NSZ coating. (3) Mechanical compatibility: fracture and artificial aging tests were performed to measure the mechanical compatibility of NSZ-coated titanium abutments. RESULTS. In the mechanical study, 400 ㎛ thick NSZ coatings had the highest bond strength (71.22 ± 1.02 MPa), and a compact transition layer could be observed. In addition, NSZ coating showed excellent biocompatibility in both hemolysis tests and cell proliferation tests. In subcutaneous implant test, NSZ-coated plates showed similar inflammation elimination and fibrous tissue formation processes with that of titanium specimens. Regarding fatigue tests, all NSZ-coated abutments survived in the five-year fatigue test and showed sufficient fracture strength (407.65-663.7 N) for incisor teeth. CONCLUSION. In this study, the plasmasprayed NSZ-coated titanium abutments presented sufficient fracture strength and biocompatibility, and it was demonstrated that plasma spray was a reliable method to prepare high-quality zirconia coating.

Keywords

References

  1. Long M, Rack HJ. Titanium alloys in total joint replacement-a materials science perspective. Biomaterials 1998;19:1621-39. https://doi.org/10.1016/S0142-9612(97)00146-4
  2. Wadhwani CP, O'Brien R, Kattadiyil MT, Chung KH. Laboratory technique for coloring titanium abutments to improve esthetics. J Prosthet Dent 2016;115:409-11. https://doi.org/10.1016/j.prosdent.2015.09.024
  3. Lee JJ, Song KY, Ahn SG, Choi JY, Seo JM, Park JM. Evaluation of effect of galvanic corrosion between nickel-chromium metal and titanium on ion release and cell toxicity. J Adv Prosthodont 2015;7:172-7. https://doi.org/10.4047/jap.2015.7.2.172
  4. Guo H, Zhang J, Hao S, Jin Q. Adenovirus-mediated small interfering RNA targeting tumor necrosis factor-${\alpha}$ inhibits titanium particle-induced osteoclastogenesis and bone resorption. Int J Mol Med 2013;32:296-306. https://doi.org/10.3892/ijmm.2013.1416
  5. Zhu W, Sugano N, Pezzotti G. Nondestructive inspection of phase transformation in zirconia-containing hip joints by confocal Raman spectroscopy. J Biomed Opt 2013;18:127002. https://doi.org/10.1117/1.JBO.18.12.127002
  6. Brunot-Gohin C, Duval JL, Verbeke S, Belanger K, Pezron I, Kugel G, Laurent-Maquin D, Gangloff S, Egles C. Biocompatibility study of lithium disilicate and zirconium oxide ceramics for esthetic dental abutments. J Periodontal Implant Sci 2016;46:362-71. https://doi.org/10.5051/jpis.2016.46.6.362
  7. Kuo C, Shen Y, Yen F, Cheng H, Hung I, Wen S, Wang M, Stacke M. Phase transformation behavior of 3mol% yttria partially-stabilized ZrO2 (3Y-PSZ) precursor powder by an isothermal method. Ceramics International 2014;40:3243-51. https://doi.org/10.1016/j.ceramint.2013.09.112
  8. Muhlemann S, Truninger TC, Stawarczyk B, Hammerle CH, Sailer I. Bending moments of zirconia and titanium implant abutments supporting all-ceramic crowns after aging. Clin Oral Implants Res 2014;25:74-81.
  9. D'Ercole S, Tripodi D, Marzo G, Bernardi S, Continenza MA, Piattelli A, Iaculli F, Mummolo S. Microleakage of bacteria in different implant-abutment assemblies: an in vitro study. J Appl Biomater Funct Mater 2015;13:e174-80.
  10. Marcelli E, Costantino ML, Villa T, Bagnoli P, Zannoli R, Corazza I, Cercenelli L. Effect of intermediate ZrO2-CaO coatings deposited by cold thermal spraying on the titaniumporcelain bond in dental restorations. J Prosthet Dent 2014;112:1201-11. https://doi.org/10.1016/j.prosdent.2014.05.005
  11. Vardelle A, Moreau C, Themelis N, Chazelas C. A perspective on plasma spray technology. Plasma Chem Plasma Process 2015;35:491-509. https://doi.org/10.1007/s11090-014-9600-y
  12. Prasauskas T, Matulevicius J, Kliucininkas L, Krugly E, Valincius V, Martuzevicius D. Filter media properties of mineral fibres produced by plasma spray. Environ Technol 2016;37:1315-24. https://doi.org/10.1080/09593330.2015.1114028
  13. Guo M, Wang Z, Fan X, Bian Y, Wang T, Zhu L, Lan J. Kgp, rgpA, and rgpB DNA vaccines induce antibody responses in experimental peri-implantitis. J Periodontol 2014;85:1575-81. https://doi.org/10.1902/jop.2014.140240
  14. Reill MI, Rosentritt M, Naumann M, Handel G. Influence of core material on fracture resistance and marginal adaptation of restored root filled teeth. Int Endod J 2008;41:424-30. https://doi.org/10.1111/j.1365-2591.2008.01385.x
  15. Kohal RJ, Finke HC, Klaus G. Stability of prototype twopiece zirconia and titanium implants after artificial aging: an in vitro pilot study. Clin Implant Dent Relat Res 2009;11:323-9. https://doi.org/10.1111/j.1708-8208.2008.00116.x
  16. Amarnath LP, Srinivas A, Ramamurthi A. In vitro hemocompatibility testing of UV-modified hyaluronan hydrogels. Biomaterials 2006;27:1416-24. https://doi.org/10.1016/j.biomaterials.2005.08.008
  17. Khor KA, Gu YW, Pan D, Cheang P. Microstructure and mechanical properties of plasma sprayed HA/YSZ/Ti-6Al-4V composite coatings. Biomaterials 2004;25:4009-17. https://doi.org/10.1016/j.biomaterials.2003.10.089
  18. Zhang Y, Chen L, Shi M, Zhai D, Zhu H, Chang J, Wu C, Zheng X, Yin J. Mesoporous bioactive glass nanolayer-modified zirconia coatings on Ti-6Al-4V with improved in vitro bioactivity. Int J Appl Glass Sci 2016;7:216-28. https://doi.org/10.1111/ijag.12210
  19. Jemata A, Ghazali MJ, Razali M, Otsuka Y, Rajabi A. Effects of TiO2 on microstructural, mechanical properties and in-vitro bioactivity of plasma sprayed yttria stabilised zirconia coatings for dental application. Ceram Int 2018;44:4271-81. https://doi.org/10.1016/j.ceramint.2017.12.008
  20. Wongkamhaeng K, Dawson DV, Holloway JA, Denry I. Effect of surface modification on in-depth transformations and flexural strength of zirconia ceramics. J Prosthodont 2019;28:e364-75. https://doi.org/10.1111/jopr.12908
  21. Guan SH, Zhang XJ, Liu ZP. Energy landscape of zirconia phase transitions. J Am Chem Soc 2015;137:8010-3. https://doi.org/10.1021/jacs.5b04528
  22. Pittayachawan P, McDonald A, Young A, Knowles JC. Flexural strength, fatigue life, and stress-induced phase transformation study of Y-TZP dental ceramic. J Biomed Mater Res B Appl Biomater 2009;88:366-77. https://doi.org/10.1002/jbm.b.31064
  23. Tortopidis D, Lyons MF, Baxendale RH, Gilmour WH. The variability of bite force measurement between sessions, in different positions within the dental arch. J Oral Rehabil 1998;25:681-6. https://doi.org/10.1046/j.1365-2842.1998.00293.x
  24. Gehrke P, Johannson D, Fischer C, Stawarczyk B, Beuer F. In vitro fatigue and fracture resistance of one- and two-piece CAD/CAM zirconia implant abutments. Int J Oral Maxillofac Implants 2015;30:546-54. https://doi.org/10.11607/jomi.3942
  25. Alsahhaf A, Spies BC, Vach K, Kohal RJ. Fracture resistance of zirconia-based implant abutments after artificial long-term aging. J Mech Behav Biomed Mater 2017;66:224-32. https://doi.org/10.1016/j.jmbbm.2016.11.018
  26. Xing R, Lyngstadaas SP, Ellingsen JE, Taxt-Lamolle S, Haugen HJ. The influence of surface nanoroughness, texture and chemistry of TiZr implant abutment on oral biofilm accumulation. Clin Oral Implants Res 2015;26:649-56. https://doi.org/10.1111/clr.12354
  27. Herbst D, Dullabh H, Sykes L, Vorster C. Evaluation of surface characteristics of titanium and cobalt chromium implant abutment materials. SADJ 2013;68:350, 352-6.