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 - Zirconia -

The zirconium oxide







Foreword:

    The ceramic has always existed in modern dentistry (1900). Unit teeth without metal parts were made,  cooked on a sheet of platinum and stamped on a die. Inlays were already made in ceramics.

   In the sixties, porcelain and metal  replaced quickly these initial concepts because it allowed the infrastructure to achieve long ranges, including attachments, making elements at odds, and so on. This technology known since the fifties is still relevant today.  However, despite the progress made by these processes, they are no longer sufficient to meet the demands of patients in the area of aesthetics and biocompatibility.
    Gradually, new ceramics have emerged that allow us to get rid off metal frama in specific circumstances. The beginning of this new era was certainly  promising, but a lot of trial , error and precipitation gave us a lot of setbacks and mistrust.
     The zirconia enters into the
Dental World  in the early nineties.  Its implementation has evolved very quickly to the manufacturing process with computer's help.  Zircon is very efficient and is very useful for the futur of the ceramic industry in dentistry.





The material: 

The zirconia, the new bio-material, you can produce white or colored infrastructure, bridges or unit up to 12 elements in safety, as well as the realization of the pillars implants. Its excellent biocompatibility eliminates any risk of dropping ion Metal in the body. perfect Its tensile strength, 4 times higher than that of alumina is the material of choice for prosthetic reconstruction pillar on natural or implant.

A research for decades of a material offering resistance, biocompatibility and aesthetics, the industry has finally offered the dental product unmatched so far. Could ask for more?

As we have seen, the only reliable alternative to the problem of allergy, and carcinogenicity bimétallisme was until now the use of a single alloy rich in gold. "Its implementation will craft its longevity in the mouth, reliability,…, have proved their worth and has been amply demonstrated. But these alloys lose their glamour for some time. Economic factors have played against it, mainly because of too much fluctuation in the market price of precious metals. both dentists and patients and dental technicians have plunged heads lowered in the use of alloys good markets not offering guarantees requested. we saw then, here and there, an array of articles denouncing Intolerance of the body respond to these alloys non-precious and semi-precious same. research then mobilized to find a way to bypass metal alloy. Without knowing it, all the players have caused the emergence of this zirconia.

And yet, here we are a subject which certainly offers all guarantees desired, but which remain expensive, mainly because of its implementation and the enormous investment it entails. Despite a mad competition now raging in the industry, not will ever be a material "economic".

The zirconia, more precisely: Zirconium dioxide Tétragonal partially stabilized with Yttrium is a ceramic poly-crystalline pure high density.
Son mode de fabrication et de mise en oeuvre fait appel à la CFAO.  En effet,  elle ne peut être mise en forme par une technique artisanale (pressée, barbotine, fronde…).  C’est en 1993, que fut développée la zircone dite HIP qui résulte d’une opération isostatique de compactation à haute température (HIP : Hot Isostatic Pressure). His method of manufacture and implementation appealed to the CAM. Indeed, it can be shaped by a technique (pressed, slushies,… frond). In 1993, which was developed called zirconia HIP as a result of a transaction isostatic compaction of high temperature (HIP: Hot Isostatic Pressure). L’amélioration des caractéristiques des poudres (degré de pureté, aptitude au frittage, granulométrie…) a joué un rôle décisif pour son utilisation  médicale. The improved characteristics of powders (purity, sintering ability, size…) has played a decisive role in its medical use.

It should be noted that the machining of zirconia HIP requires powerful machines. System DCS (distributed control system), will serve as the technical solution predestined. It consists of a scanner and a machine tool. Le scanner permet, grâce à son logiciel 3D, l’enregistrement de données numérisées des préparations prothétiques et la conception virtuelle des infrastructures, qui sont transmises à l’unité de production pour leur réalisation. The scanner allows, thanks to its 3D software, the recording of digital data preparations prosthetic design and virtual infrastructure, which are transmitted to the production unit for their achievement. Cette unité de fabrication assistée par ordinateur assure une constance de qualité et une adaptation parfaite de l’ordre du 10 microns. This unit of computer-aided manufacturing ensures a consistent quality and a perfect match of the order of 10 microns.

However, these investments are not within the reach of small production units that are most dental laboratories. Then we see for some months, major corporations which opened a productive sector for the dental and offer, through the subcontracting, the possibility of achieving these armatures zirconia.

This trend will continue toward a material increasingly powerful; implementation increasingly automated, not to say robotic. In a certain future, will we get rid completely of the craftsman that we are?'s hand dental replaced, for a good part of the work, for digitization.

This is obviously the industry introducing this service which will reap the benefits. Once the ground prune in small productions eliminated, the few businesses that otherwise managed our small labs, which will remain on the surface with regard to agree pricing policy.

Here is a technological breakthrough that leads undoubtedly famous upheavals in the World Dental and in all its aspects.

Identity card: http://fr.wikipedia.org/

Zirconia is the common name of zirconium oxide (ZrO2).

This material is a ceramic technique.

Please do not confuse the Zirconia with Zircon:

zirconiumZirconia = zirconium oxide (ZrO2) polycrystalline, opaque appearance
 Zircon = Cubic Zirconium oxide Zr O2 or Zirconium oxide containing
la Silice ZrSiO Silicate the ZrSiO  4 quadratic transparent appearance  (synthetic diamond)

Zircone (zirconium oxide ZrO2): excellent mechanical properties at elevated temperatures, low thermal conductivity at room temperature, electrical conductor at T> 1000°C 1000 ° C ,, High hardness, high wear resistance, good chemical inertia, good resistance to the attacks of metals. There are two types: non-stabilized zirconia, which is used as an additive, paving material, abrasive powder  ... And yttria stabilised zirconia (ZrO2/Y2O3 = TZP) or magnesium (ZrO2/MgO = PSZ).

Applications: crucibles, buses casting, heating elements, anti-thermal co


ting, ionic conductors. Dentures.
dental prosthesis.

Ceramics zircones stabilized are characterized by:

  • - The purity: zirconium oxide is purified by a chemical process of dissolution-precipitation. The ideal proportion of yttrium oxide is 5.15 wt%
  •  - The density must be as close as possible to 100%, which corresponds to 6.1 g/cm3.
  •  - The porosity must be approached zero, grain size must be less than 0.6 mm.
  •  - The mechanical properties are a bending resistance above 1500 MPa and a torsional strength greater than 800 MPa. Compaction When the grains are tablets in 1000 bars.  Sintering is done between 1400 and 1500 ° C, and during this phase, the part of zirconia reduced by 20 to 30%.  The laundering is done by heating the air. 

Radioactivity:

Some powders zirconium oxide containing radioactive impurities which have been feared in the early 90 radioactivity important. Les fabricants actuels utilisent des poudres très pures et la radioactivité de la zircone est extrêmement faible (100nGy/h). Manufacturers today are using powders very pure and radioactivity of the zirconia is extremely low (100nGy / h).

The DIN EN ISO 6872 defines the tests and tests to be performed; which relate to the consistency of the material, the possible presence of foreign matter, the physico-chemical properties, biocompatibility and radioactivity.

For dental ceramics The standard prescribes that the radioactivity should not exceed 1.00 Bq / g of uranium-238 (1 ((becquerel per gram) Gy) / Planck constant = 1.50919067 × 1036 kg-2 s - 2).

The material tested thus fulfilling the required criteria.

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The preparation of the tooth:

There are no special prerequisites..

The coning of the preparation must be at least 6 °.

All edges must be rounded.

At the seam, the minimum wall thickness of the frame zirconia is 0.4mm, the minimum thickness of 0.6mm cosmetic material, we thus imposes a marginal reduction of 1.0 mm circular.

The suitable forms for marginal preparations are :

  • Leave rounded pronounced (90 °)
  • A shoulder with a rounded internal
dental preparation

The use of rotary instruments of a particle size of 30 μ m is recommended for the completion of the preparation.

It is imperative to use tongs whose jaws are covered with plastic or rubber to manipulate infrastructure.

It is advisable to take the third gingival tint to harmonize the tint of the frame zirconia with the natural teeth, taking a general hue of the prosthesis occurring in the usual manner.

As far as sealing the collage are suitable for the placement of this product. Nevertheless, we should not use cement to seal eugenol for a provisional one.

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The technique :

The practitioner takes an impression of the dental individual situation as usual.

From this footprint, the dental technician  make a positive model wich represent fauthfully the patient's mouth situation..

This model is recorded by a scanner. Either a laser or a feeler that scans the total surface of the model.

Then, one uses named technology CAD/CAM.

CAD (computer-aided digital): of the basic of the scanned data,  thedental software computer establishes  numerical file of the model in three dimensions. CAM (computer-aided manufactoring): when the model was digitized, two solutions are offered to the dental  technician. Either he uses computer software to achieve virtually the chassis. Either he makes wax in the form of the frame he wants. Wax This will be scanned up "ur be transformed into data numériqu es.
The data are then transmitted to the machine. If the production unit is not in the ladental machineBu, data file is sent to my production site. Machine tool f raise, with a diamond, the gross weight of zirconium oxide to reach the form at designed chassis. Different stages of frittages are still required to finalise the individual frame with an accuracy of 10 microns.

In the end, the dental technician will prove himself creative in covering this ceramic framework by giving it the required natural shape which gives a dental harmony in the patient's mouth.
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Advantages:

The zirconium oxide is a product of high strength and durability.
It combines the highest aesthetic with high biocompatibility.
Allergic reactions are not known, people sensitive to metal can be rehabilitated without fear.
Because of low conduction of heat, the unpleasant temperature  sensitivities are virtually excluded.
The visible edges  and the grey metal-ceramic crowns belong to the past.
The zirconium oxide can be coloured in the mass (A2, A3,…) since its manufacture.
The amount of an estimate is steady and definitive  and no longer influences by the weight of the alloy used in the manufacture of the prosthesis.

Disadvantages:

A possible correction by grinding is always difficult (microfissure risk). It will be done by using a diamond cutter under water and without pressure.
This material is more opaque than headdresses alumineuses although there is no comparison with a metal skeleton. Which may be a drawback when considering the movement of light, but proves to be an advantage in the case of strongly colored subs or on  inlay core.
No welding is permitted. In case of problems, it would have redone.

Scope:

Crown unit.
Bridge until 6 elements and a maximum of two consecutive intermediaries.
Bridge Maryland.
Bridge to inlay.
Glides to compensating for a difference of pillars.
Pillar implant.
Crown trundle.

Contraindications:

Moignons under axial height of 4mm.
Supra structure of  individual reaming implants .
Keep Broadleaf individual cut.

The manufacture of glue bridges or extension bridges is certainly a potential technique, but has not yet been sufficiently tested clinically.

Short lexicon: :
Zirconium : white metal (Zr) with atomic number 40, density 6.51.
Zirconia : zirconium oxide (ZrO2)
Ceramics : polycrystalline compound obtained by sintering.
Sintering : sintering powders by heating.
Yttrium : metal (Y) with atomic number 39 from the group of rare earths.

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- Dental laboratory Marc FERY  -  Esneux - Belgique - January 2008 - contact -