Publications by authors named "Niek de Jager"

This study aimed to investigate the effect of four retention systems for implant-supported posterior crowns under compressive loading using three-dimensional finite element analysis. A morse-taper dental implant (4.1 × 10 mm) was designed with Computer Aided Design software based on non-uniform rational B-spline surfaces.

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Objective: To explore the effect of resin cement viscosities on the shear bond strength under static and fatigue load of lithium disilicate and dentin substrates.

Methods: Bonded tri-layer samples (lithium disilicate ceramic cylinder, resin cement, and substrate - ceramic or dentin) was performed considering 2 factors (n = 15): "resin cement viscosity" (high, HV; or low, LV) and "loading mode" (static, s-SBS; or fatigue shear bond strength, f-SBS). The specimens were subjected to s-SBS (1 mm/min, 1 kN load cell) and f-SBS (cyclic fatigue, initial load: 10 N; step-size: 5 N; 10,000 cycles/step; underwater).

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This study compared the flexural strength under monotonic (static - sσ) and cyclic load application (fatigue - fσ), hardness (H) and fracture toughness (K) of different layers of a multi-layered zirconia (IPS e.max ZirCAD MT Multi, Ivoclar). Each layer was sectioned, classified into three groups according to yttria content (4-YSZ, 4/5-YSZ and 5-YSZ), and shaped on samples for flexural strength and fracture toughness tests (bars: 1.

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This study aimed to investigate the effect of surface roughness (polished vs. CAD/CAM milling simulation) on impact strength of five dental ceramics for manufacturing CAD/CAM monolithic restorations. Specimens of five ceramics (FC- feldspathic glass-ceramic; PICN- polymer-infiltrated ceramic-network; ZLS- zirconia-reinforced lithium silicate glass-ceramic; LD- lithium disilicate glass-ceramic; YZ- yttria-stabilized tetragonal zirconia polycrystal ceramic) to be tested under impact (15×10×2mm3; n= 15) were divided into two groups, according to surface treatment: polishing (pol) and grinding (gri) as CAD/CAM milling simulation.

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Aim: The aim of this study was to investigate whether there is a relation between impact strength and flexural strength of different composite and ceramic materials used in dental restorations.

Materials And Methods: The three-point-bending test was used to determine the flexural strength and flexural modulus, and the Dynstat impact test was used to determine the impact strength of different composite and ceramic dental materials. The relation between the flexural strength and impact strength was mathematically investigated and a three-dimensional finite element analysis model of the impact test set-up was created to verify these results.

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Purpose: To assess stress distribution in full-crowns with a composite buildup and endocrowns under axial or oblique loads, both with different ferrules (1 or 2 mm) and ceramic materials (glass ceramic or hybrid ceramic).

Materials And Methods: Sixteen models were analyzed with finite element analysis. No-separation contacts were considered between restoration/resin cement and resin cement/tooth.

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In the oral environment dental materials are subject to a wet condition what might in time change their elastic properties. In this article, we evaluated the influence of the storage condition (dry versus wet) on the Young's modulus and the Poisson ratio in compression of three composite materials. The data of the Young's modulus and Poisson ratio published of dental composite materials are not always comparable, due to different test methods and sample dimensions influencing the results.

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Objectives: This study aimed to evaluate the effect of different materials and undercut on the removal force and stress distribution in the supporting tooth and in the circumferential clasp used in removable partial prosthesis.

Methods: Upper molars prepared for Akers circumferential clasp with retention and opposing arm were modeled, scanned, elaborated with CAD software and the geometries imported in FEA and analyzed. Six different materials were selected for the clasp (Polyamide, Polyoxymethylene, Polyetheretherketone - PEEK, Gold alloy, Titanium and CoCr) and 3 different undercuts (0.

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Background: In 2001, a 27-year-old man was diagnosed with a meningioma with skull bone involvement. A craniectomy was performed and a CMW-3 poly(methyl methacrylate) cranioplasty was manually manufactured to reconstruct the remaining cranial defect. In 2016, he complained about progressive neurologic impairment.

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Purpose: To evaluate the effect of different luting strategies on the fatigue failure load (FFL) and stress distribution of Y-TZP disks luted to epoxy resin substrate.

Materials And Methods: Y-TZP disks (diameter = 10 mm; thickness = 0.7 mm) were assigned to five groups according to the luting strategy (n = 15): CC: no zirconia surface treatment, composite cement; G_CC: application of a thin glaze layer on zirconia followed by hydrofluoric acid etching and silanization, composite cement; Al_CC: air abrasion of the zirconia surface with 125-µm Al2O3 particles, composite cement; Si_CC: tribochemical silica coating (30-µm SiO2 particles), composite cement; ZP: air abrasion of the zirconia surface with 125-µm Al2O3 particles, zinc-phosphate cement.

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Objective: To evaluate the effect of internal roughness and bonding on the load to failure and structural reliability (Weibull analysis) of a lithium disilicate-based glass ceramic under different testing scenarios.

Methods: IPS e.max CAD blocks (Ivoclar Vivadent AG) were shaped into cylinders (N=100), crystalized according to the manufacturer's instructions, and randomly assigned into two surface conditions: (1) polished surface (600-grit SiC polish papers), and (2) a roughened surface (air-abrasion with 50μm AlO).

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Purpose: To determine the elastic properties of five ceramic systems with different compositions (lithium disilicate vs. feldspathic ceramics) and processing methods and compare the stress distribution in premolars in the interface with inlays made with these systems loaded with the maximum normal bite force (665 N) using 3D finite element analysis (FEA).

Materials And Methods: The elastic properties of five ceramic restoration materials (IPS e.

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Statement Of Problem: With the increasing use of minimally invasive restorations, effective adhesion becomes more important. Applying mechanical retention to a flat dentin surface might improve the adhesion of ceramic and composite resin restorations.

Purpose: The purpose of this in vitro study was to evaluate the effect of a groove in a flat dentin surface on the bond strength of various restorative materials.

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Statement Of Problem: The fracture of implant-supported restorations, especially of the veneering layer, is a common problem in dentistry. Monolithic ceramic or resin restorations might help solve this problem.

Purpose: The purpose of this in vitro study was to obtain additional insight into the risk of fracture of implant-supported restorations.

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Objective: The aim of this in vitro study was to determine the load and deflection at failure of different lingual retainers bonded with composite to enamel in a standardized three-point bending test. The results were rationalized with finite element analysis (FEA) models.

Materials And Methods: Four types of multistranded wires, Dead Soft Respond, Twisted ligature, Penta-One, Gold-plated Penta-One, and two glass fibre-reinforced composite retainers, Fibre 07 and Fibre 09, were bonded to enamel with composite and submitted to a three-point bending test.

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Objectives: This study aimed to investigate the influence of restoration thickness to the fracture resistance of adhesively bonded Lava™ Ultimate CAD/CAM, a Resin Nano Ceramic (RNC), and IPS e.max CAD ceramic.

Methods: Polished Lava™ Ultimate CAD/CAM (Group L), sandblasted Lava™ Ultimate CAD/CAM (Group LS), and sandblasted IPS e.

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Objective: A high-viscosity consistency of the glass-ionomer cement (GIC) may lead to poor adaptation into the cavity. The use of a flowable GIC layer seemed to improve its adaptation in approximal restorations in vitro. In this study we assessed the flexural strength of a two-layered GIC, using a flowable GIC as a liner (two-layer technique).

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Objectives: To determine the shear bond strength to bovine dentin of dual-cured resin cements cured in different circumstances, the contraction stress and volumetric shrinkage in both polymerization modes, and to review the failure stress distribution at the cement-tooth interface with finite element analysis.

Methods: The volumetric shrinkage of RelyX Unicem, Panavia F 2.0 and DC Core Automix was determined by mercury dilatometry.

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Objectives: Partially yttria stabilized zirconium oxide was introduced as core material for core-veneered full ceramic dental restorations, because of its biological inertness, high mechanical strength, and toughness. In order to improve the esthetical possibilities pigments in the core are introduced, that might influence the stabilization by yttrium.

Methods: Double torsion tests were performed to study the influence of the pigments in the core ceramics on its fracture toughness.

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Objectives: To evaluate the effect of cyclic loading on the bond strength of resin composite to zirconia framework material.

Methods: Bar shaped zirconia/composite specimens (2 mm x 2 mm x 25 mm) were prepared using three different resin cements and placed in a four-point bending test setup. The flexure strength (F(s)) was calculated by placing the bars (n=10) fixed between the four supports (at 10 and 20 mm) with the interface centered between the inner rollers and subsequently loaded (1 mm/min crosshead speed) until fracture.

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Purpose: The aim of this study was to evaluate in vitro the influence of retainer design on the strength of two-unit cantilever resin-bonded glass fiber-reinforced composite (FRC) fixed dental prostheses (FDP).

Materials And Methods: Four retainer designs were tested: a proximal box, a step-box, a dual wing, and a step-box-wing. Of each design on 8 human mandibular molars, FRC-FDPs of a premolar size were produced.

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Introduction: A general trend in all ceramic systems is to use veneering ceramics of slightly lower thermal expansion coefficients compared with that of the framework resulting in a positive mismatch in thermal expansion coefficient (+DeltaTEC). The concept behind this TEC mismatch is to generate compressive stresses in the weaker veneering ceramic and thus enhance the overall strength of the restoration. This technique had excellent results with porcelain fused to metal restorations (PFM).

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Objective: The aim of this research was to evaluate both the fracture and impact strength of two core veneered all-ceramic systems and to reveal whether the speed of loading affects fracture mechanism.

Methods: The absorbed energy by (IPS)Empress-Eris crowns and Cercon-Ceram S crowns in a fracture strength test was compared by the energy absorbed in an impact strength test. The principles of fractography were used to identify fracture origin and dimensions and to calculate the stress at failure.

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Objectives: All ceramic restorations without metal have great advantages in their biocompatibility and aesthetic aspects. With the introduction of new core materials, the cores are sufficiently strong to produce long lasting all-ceramic restorations; however, the stresses in the veneering porcelain could still determine the longevity. The objective of this study was to evaluate, by finite element analysis (FEA), the influence of different core materials on the stress distribution in dental crowns.

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Objectives: The present study aims to evaluate the core-veneer bond strength and the cohesive strength of the components of three commercial layered all-ceramic systems. Two surface treatments for the core surface finish and different veneering ceramics with different thermal expansion coefficients (TEC) were applied. The selected systems were two CAD-CAM ceramics; Cercon and Vita Mark II and one pressable system; (IPS)Empress 2 for layering technique.

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