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Dental ceramicsDental ceramics
Silicate ceramics and oxidceramicsSilicate ceramics and oxidceramics
INDIAN DENTAL ACADEMY
Leader in continuing Dental Education
www.indiandentalacademy.com
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Images from KaVo Everest CAD/CAM system
www.indiandentalacademy.com
Why use
ceramics
 Biocompatibility
 Aesthetics
 Durability
The biocompatability issue is essential to prevent adverse
reactions within the patients
The use of dentally coloured glasses can provide
replacement structures that can be made to imitate tooth
structure in both colour, translucency and response to
different lighting sources.
Improvements in fracture toughness, wear resistance,
machinability, solubility and flexural strength
www.indiandentalacademy.com
Ceramics used in dentistry
 Fillings
 Veneering metal frameworks
 All ceramic restorations
 Denture teeth
 Implants
 Orthodontic brackets
www.indiandentalacademy.com
Silicate ceramics
ESTHETICS
 Feldspathic porcelain
Veneering ceramics –
sintering
 Glass Ceramic
Castable glasses-Dicor
Pressed leucite system-
IPS Empress
Oxid ceramics
STRENGTH
 Glass infiltrated Alumina
system
In-ceram Alumina
In-Ceram Spinell
In –Ceram Zirconia
 Policrystal
ceramics:CAD/CAM
Cercon Base
DC-Zirkon
Lava Frame etc.www.indiandentalacademy.com
Glass matrix + Crystals
An overcooled
liquid
Not crystalline, but
still ordered structure
Silica tetrahedron
network
Glass modifiers
built in network
Most important crystals:
 Leucit
 Fluormica
 Aluminium
 Spinell
 Zirconia
They determin the
physicalphysical, chemicalchemical and opticaloptical
properties of the ceramics
(their composition varies in each type of ceramic)
Basic structure of dental ceramics
Two different phases built by metallic (Al,Ca, Mg, K etc) and non-metallic (Si, O,
B, F etc.) elements:
www.indiandentalacademy.com
First ceramic material in dentistry
Feldspathic Porcelain:
derived from the natural mineral feldspar
 75%feldspar,22-25% quartz, 0-3% kaolin
 Feldspar:
Provides for transparency and influences the flow characteristics of the
ceramics.
 Quartz (silicon oxide):
Provides for adequate strength and also for transparency.
 Kaolin:
Provides for the necessary opaque properties.
 Fritting:-cleaning and mixing raw materials, heating, melting, sudden
cooling and grinding to fine powder
 Sintering:powder mixing with liquid, firing, powder particles stick
together
 Shrinkage:appr. 30 vol%
 Structure: leucite crystals in silica glass matrix
 Disadvantage:brittle,hard,rigidwww.indiandentalacademy.com
Image from Bego Virtual Academy
Veneering metal frameworks
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Image from Bego Virtual Academywww.indiandentalacademy.com
Metal-ceramic restorations:
•Ceramic material is veneered (sintered) onto a metal
frame in several firing processes
Esthetic consideration
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Veneering ceramics
 Used for the porcelain-fused-to-metal technique
 Based on modified feldspathic porcelain
 Binding oxides for metal-ceramic bond
 Leucite content:thermal expansion coeff.
 Fusing temperature 200-250 C lower than metal framework (low fusing
ceramics)
Synthetic ceramics (metal –ceramics)
No natural raw materials
Made of high purity chemicals
Tempering:guided heating process, to
form certain type, size, amount and
dispersion of crystals (micro-leucite
crystals
Standard physical, chemical and optical
properties
Standard quality
Low or ultra-low fusing temperature
Hydrothermal ceramics
• tempering and fusing in high pressure
steam
• Hydroxil ions built in glassy matrix
• Compact and homogenous structure
• Better fracture toughness and lower
hardness
• Leucite content allows veneering
frameworks
• Ultra-low fusing temp. Can be achieved
• Pure glass can be used for dental
purposes (one and only among dental
ceramics)www.indiandentalacademy.com
The bonding of ceramic
materials to alloys
follows four principles:
 Shrinking the ceramic onto the metal frame -
coefficient of thermal expansion
 Chemical bond The bond is formed by means of
oxygen bridges between the silicon atoms of the
ceramic and the metal oxides of the alloy.
 Mechanical retention is created through finishing and
blasting of the frames-surface enlargement also takes
place.
 Bonding through adhesion takes place via
intermolecular forces (VAN DER WAAL forces)www.indiandentalacademy.com
All ceramic restorations
www.indiandentalacademy.com
 driving forces for developments:
 Public perception that metal-free restorations are more
aesthetic
 Disadvantages of the metal ceramic systems include
radiopacity, some questions centring around metal
biocompatibility and lack of natural aesthetics
 Difference in reliability between metal-ceramic systems
and all-ceramic systems
www.indiandentalacademy.com
All ceramic restorations
Laboratory processing
 Silicate ceramics
o Sintering
o Casting
o Pressing
o CAD/CAM
 Oxidceramics
o infiltration and /or CAD/CAM technology
www.indiandentalacademy.com
SinteringSintering is a method for making objects from powder, by heating the
material (below its melting point) until its particles adhere to each other
The base-material for heating ceramic on:The base-material for heating ceramic on:
- platinum foilplatinum foil (removable heat-resistant cap
from the gypsum cast)
- Heat resistant investment material madeHeat resistant investment material made
castcast
- Hydrothermal glass/ Duceram LFCHydrothermal glass/ Duceram LFC
SinteringSintering
under vacuumvacuum to prevent
porositieswww.indiandentalacademy.com
 Casting (Dicor)
CastingCasting is a process by which a
material is introduced into a mold
while it is liquid, allowed to solidify in
the shape inside the mould, and then
removed producing a fabricated
object
Cast using lost-wax investment method
followed by heat-treatment to
precipitate a crystalline phase
 Pressing (Empress)
PressedPressed ceramic technology produces
consistently precise crowns by
eliminating shrinkage, porosity and
the inconsistency of brush build-upswww.indiandentalacademy.com
Glass Ceramic
 first a glassy matrix is produced
 precursors of crystals are in glassy matrix, crystals
produced by tempering (heating),
 “bonded” to the remaining tooth structure using a dental
BisGMA based composite resin
www.indiandentalacademy.com
Glass infiltration
Oxidceramics
 Glass infiltrated Alumina system
In-ceram Alumina
In-Ceram Spinell
In –Ceram Zirconia
Slip-cast slurry in porous mould-sintered
— infiltration by low viscosity glass —
veneered with more translucent
feldspathic frit
Slip-cast slurry: A fine particle ceramic dispersed in an
aqueous liquid medium is poured into a porous mould
which rapidly extracts the liquid causing the formation
of a close-packed but weak ceramic particle structure.www.indiandentalacademy.com
Polycrystal Oxid ceramics
 High strength underlying core to support veneering
porcelain which gives the final shape and aesthetic
attributes required for the restoration.
 Yttrium stabilized Zirconium -dioxide ceramics:
ZrO2 95%+ 5% Yttrium
More to come: lecture on CAD/CAM systems
www.indiandentalacademy.com
Thank You forThank You for
Your attentionYour attention
www.indiandentalacademy.com

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  • 1. Dental ceramicsDental ceramics Silicate ceramics and oxidceramicsSilicate ceramics and oxidceramics INDIAN DENTAL ACADEMY Leader in continuing Dental Education www.indiandentalacademy.com
  • 6. Images from KaVo Everest CAD/CAM system www.indiandentalacademy.com
  • 7. Why use ceramics  Biocompatibility  Aesthetics  Durability The biocompatability issue is essential to prevent adverse reactions within the patients The use of dentally coloured glasses can provide replacement structures that can be made to imitate tooth structure in both colour, translucency and response to different lighting sources. Improvements in fracture toughness, wear resistance, machinability, solubility and flexural strength www.indiandentalacademy.com
  • 8. Ceramics used in dentistry  Fillings  Veneering metal frameworks  All ceramic restorations  Denture teeth  Implants  Orthodontic brackets www.indiandentalacademy.com
  • 9. Silicate ceramics ESTHETICS  Feldspathic porcelain Veneering ceramics – sintering  Glass Ceramic Castable glasses-Dicor Pressed leucite system- IPS Empress Oxid ceramics STRENGTH  Glass infiltrated Alumina system In-ceram Alumina In-Ceram Spinell In –Ceram Zirconia  Policrystal ceramics:CAD/CAM Cercon Base DC-Zirkon Lava Frame etc.www.indiandentalacademy.com
  • 10. Glass matrix + Crystals An overcooled liquid Not crystalline, but still ordered structure Silica tetrahedron network Glass modifiers built in network Most important crystals:  Leucit  Fluormica  Aluminium  Spinell  Zirconia They determin the physicalphysical, chemicalchemical and opticaloptical properties of the ceramics (their composition varies in each type of ceramic) Basic structure of dental ceramics Two different phases built by metallic (Al,Ca, Mg, K etc) and non-metallic (Si, O, B, F etc.) elements: www.indiandentalacademy.com
  • 11. First ceramic material in dentistry Feldspathic Porcelain: derived from the natural mineral feldspar  75%feldspar,22-25% quartz, 0-3% kaolin  Feldspar: Provides for transparency and influences the flow characteristics of the ceramics.  Quartz (silicon oxide): Provides for adequate strength and also for transparency.  Kaolin: Provides for the necessary opaque properties.  Fritting:-cleaning and mixing raw materials, heating, melting, sudden cooling and grinding to fine powder  Sintering:powder mixing with liquid, firing, powder particles stick together  Shrinkage:appr. 30 vol%  Structure: leucite crystals in silica glass matrix  Disadvantage:brittle,hard,rigidwww.indiandentalacademy.com
  • 12. Image from Bego Virtual Academy Veneering metal frameworks www.indiandentalacademy.com
  • 14. Image from Bego Virtual Academywww.indiandentalacademy.com
  • 15. Metal-ceramic restorations: •Ceramic material is veneered (sintered) onto a metal frame in several firing processes Esthetic consideration www.indiandentalacademy.com
  • 19. Veneering ceramics  Used for the porcelain-fused-to-metal technique  Based on modified feldspathic porcelain  Binding oxides for metal-ceramic bond  Leucite content:thermal expansion coeff.  Fusing temperature 200-250 C lower than metal framework (low fusing ceramics) Synthetic ceramics (metal –ceramics) No natural raw materials Made of high purity chemicals Tempering:guided heating process, to form certain type, size, amount and dispersion of crystals (micro-leucite crystals Standard physical, chemical and optical properties Standard quality Low or ultra-low fusing temperature Hydrothermal ceramics • tempering and fusing in high pressure steam • Hydroxil ions built in glassy matrix • Compact and homogenous structure • Better fracture toughness and lower hardness • Leucite content allows veneering frameworks • Ultra-low fusing temp. Can be achieved • Pure glass can be used for dental purposes (one and only among dental ceramics)www.indiandentalacademy.com
  • 20. The bonding of ceramic materials to alloys follows four principles:  Shrinking the ceramic onto the metal frame - coefficient of thermal expansion  Chemical bond The bond is formed by means of oxygen bridges between the silicon atoms of the ceramic and the metal oxides of the alloy.  Mechanical retention is created through finishing and blasting of the frames-surface enlargement also takes place.  Bonding through adhesion takes place via intermolecular forces (VAN DER WAAL forces)www.indiandentalacademy.com
  • 22.  driving forces for developments:  Public perception that metal-free restorations are more aesthetic  Disadvantages of the metal ceramic systems include radiopacity, some questions centring around metal biocompatibility and lack of natural aesthetics  Difference in reliability between metal-ceramic systems and all-ceramic systems www.indiandentalacademy.com
  • 23. All ceramic restorations Laboratory processing  Silicate ceramics o Sintering o Casting o Pressing o CAD/CAM  Oxidceramics o infiltration and /or CAD/CAM technology www.indiandentalacademy.com
  • 24. SinteringSintering is a method for making objects from powder, by heating the material (below its melting point) until its particles adhere to each other The base-material for heating ceramic on:The base-material for heating ceramic on: - platinum foilplatinum foil (removable heat-resistant cap from the gypsum cast) - Heat resistant investment material madeHeat resistant investment material made castcast - Hydrothermal glass/ Duceram LFCHydrothermal glass/ Duceram LFC SinteringSintering under vacuumvacuum to prevent porositieswww.indiandentalacademy.com
  • 25.  Casting (Dicor) CastingCasting is a process by which a material is introduced into a mold while it is liquid, allowed to solidify in the shape inside the mould, and then removed producing a fabricated object Cast using lost-wax investment method followed by heat-treatment to precipitate a crystalline phase  Pressing (Empress) PressedPressed ceramic technology produces consistently precise crowns by eliminating shrinkage, porosity and the inconsistency of brush build-upswww.indiandentalacademy.com
  • 26. Glass Ceramic  first a glassy matrix is produced  precursors of crystals are in glassy matrix, crystals produced by tempering (heating),  “bonded” to the remaining tooth structure using a dental BisGMA based composite resin www.indiandentalacademy.com
  • 27. Glass infiltration Oxidceramics  Glass infiltrated Alumina system In-ceram Alumina In-Ceram Spinell In –Ceram Zirconia Slip-cast slurry in porous mould-sintered — infiltration by low viscosity glass — veneered with more translucent feldspathic frit Slip-cast slurry: A fine particle ceramic dispersed in an aqueous liquid medium is poured into a porous mould which rapidly extracts the liquid causing the formation of a close-packed but weak ceramic particle structure.www.indiandentalacademy.com
  • 28. Polycrystal Oxid ceramics  High strength underlying core to support veneering porcelain which gives the final shape and aesthetic attributes required for the restoration.  Yttrium stabilized Zirconium -dioxide ceramics: ZrO2 95%+ 5% Yttrium More to come: lecture on CAD/CAM systems www.indiandentalacademy.com
  • 29. Thank You forThank You for Your attentionYour attention www.indiandentalacademy.com