Cobalt Chromium Research Articles

Removable partial dentures: Part 2.

The provision of removable partial dentures (RPDs) is an important skill for practitioners. It can often be challenging to make a successful prosthesis which the patient finds satisfactory. This three-part series has been designed to provide an overview of the clinical management of patients requiring RPDs. This second part discusses three clinical scenarios that may be commonly faced in general dental practice: the use of immediate dentures for patients requiring extractions; the management of patients with lone-standing teeth using windowed dentures; and the incorporation of surveyed crowns into cobalt chromium RPDs. For each clinical technique, the advantages, disadvantages and indications are summarised.

Ti3C2Tx-UHMWPE Nanocomposites-Towards an Enhanced Wear-Resistance of Biomedical Implants.

There is an urgent need to enhance the mechanical and biotribological performance of polymeric materials utilized in biomedical devices such as load-bearing artificial joints, notably ultrahigh molecular weight polyethylene (UHMWPE). While two-dimensional (2D) materials like graphene, graphene oxide (GO), reduced GO, or hexagonal boron nitride (h-BN) have shown promise as reinforcement phases in polymer matrix composites (PMCs), the potential of MXenes, known for their chemical inertness, mechanical robustness, and wear-resistance, remains largely unexplored in biotribology. This study aims to address this gap by fabricating Ti3C2Tx-UHMWPE nanocomposites using compression molding. Primary objectives include enhancements in mechanical properties, biocompatibility, and biotribological performance, particularly in terms of friction and wear resistance in cobalt chromium alloy pin-on-UHMWPE disk experiments lubricated by artificial synovial fluid. Thereby, no substantial changes in the indentation hardness or the elastic modulus are observed, while the analysis of the resulting wettability and surface tension as well as indirect and direct invitro evaluation do not point towards cytotoxicity. Most importantly, Ti3C2Tx-reinforced PMCs substantially reduce friction and wear by up to 19% and 44%, respectively, which was attributed to the formation of an easy-to-shear transfer film.

Cytotoxicity of Orthodontic Archwires Used in Clinical Practice: In Vitro Study

This study investigates the cytotoxicity of various orthodontic archwires, which are essential in directing tooth movement through biomechanical forces. With advancements in material science, different archwire materials have been developed to balance mechanical performance with aesthetic and biological considerations. The study focuses on evaluating the biocompatibility and mechanical properties of stainless steel, nickel–titanium, and chromium–cobalt archwires, particularly their cytotoxic effects on oral cavity cells. In vitro cell culture experiments with fibroblasts, combined with scanning electron microscopy (SEM) analysis, were conducted to assess cell viability and morphology. The results revealed significant differences in cytotoxicity, with copper wires showing high toxicity and causing extensive cell death, while nickel–titanium and chromium–cobalt wires supported better cell viability and healthier cell morphology. These findings highlight the importance of selecting archwire materials that ensure mechanical efficiency without compromising cellular health, emphasizing the need for ongoing assessment of material biocompatibility in the oral environment.

Micro Drilling 3D Printed Cobalt Chromium Molybdenum for Biomedical Applications: An Experimental Study on the Tool Wear and Machinability

Micro Drilling 3D Printed Cobalt Chromium Molybdenum for Biomedical Applications: An Experimental Study on the Tool Wear and Machinability

Passive fit and time efficiency for prefabricated versus conventionally constructed cobalt chromium CAD\\CAM 3-unit implant supported frameworks in free end saddle models: a pilot invitro study

BackgroundThe passive fit of 3-unit implant supported prefabricated metal screw-retained prosthesis before implant placement might be difficult. Hence, we aim to evaluate the passive fit and time efficiency of CAD/CAM 3-unit implant supported fixed prostheses that were constructed based on virtual versus those based on actual implant positions in Kennedy Class I models.MethodsA sample of 5 Kennedy class I models with thin wiry ridges were restored by 20 frameworks bilaterally, 10 based on actual (group A) and 10 based on virtual (group V) implant positions. The models were imaged using cone beam computed tomography and scanned using an intraoral scanner. The STL (Standard Tessellation Language files) and the DICOM (Digital Imaging and Communications in Medicine) files were registered on a 3D planning software. A CAD/CAM surgical guide was planned, resin printed and used for installing 6 implants bilaterally. In group V, the framework was designed based on the virtual scan bodies and virtual multi-unit abutments, while in group A intra-oral scanning of the model after attaching the scan bodies was necessary. Frameworks of both groups were milled and tested for passive fit using 8 clinical tests. McNemar and Wilcoxon signed rank tests were used to study the effect of the group on passive fit and time efficiency, respectively. The significance level was set at P ≤ 0.05.ResultsNo statistically significant difference was found between group V and group A frameworks regarding passive fit (p-value = 1, OR = 0.5) and time efficiency (P = 0.179, Effect size = 0.948).ConclusionWithin the limitations of this study, it can be concluded that in free end saddle cases, prefabricated CAD\\CAM 3-unit implant-supported cobalt chromium screw retained prostheses can achieve an adequate passive fit. However, their fit might be negatively affected in thin ridges and they might require some adjustments.

Analysis of adolescent idiopathic scoliosis population for Surgical Site Infection Risk Factors

ObjectiveThe incidence of surgical site infection (SSI) in adolescent idiopathic scoliosis (AIS) patients undergoing surgical correction varies but is commonly reported between 0.5 and 6.7 %. The identification of modifiable risk factors is crucial to preventing these infections in the AIS population. Some potential modifiable risk factors include the use of stainless-steel implants, a larger volume of instrumentation and an increased volume of blood products transfused. However, evidence in support of these factors and others representing true risk for the development of SSI is limited and often varies. We aimed to determine the incidence of SSI in AIS undergoing primary scoliosis fusion at our hospital, and explore demographic and clinical variables in the development of SSI in AIS. MethodsThis was a case control retrospective study. Patients aged 10-19 year-old that underwent posterior spinal fusion for initial correction of AIS at our hospital between the years 2012–2020 were eligible. Patients with any previous spine surgery or spine fracture were excluded. A descriptive analysis was then performed on the data. ResultsOf the 334 patients on which data was collected, one SSI was identified resulting in an incidence of infection of 0.3 %. The largest ethnicity represented was Caucasian with 254 patients. The average age was 14.3 years with averaged follow-up of 6.6 years. The majority of patients (252) received implants composed of titanium and cobalt chrome. The average operation duration was 5 h and 7.7 min, and the average hospital stay was 4.2 days. The average amount of blood loss was 553 ml. Chlorhexidine wipes or some other antimicrobial preparation was used on 197 patients and betadine solution was used on 321.185 patients were recorded to have received either antibiotic-loaded allograft or antibiotic powder and 326 patients were recorded to have received intraoperative antibiotics. ConclusionsThe long term clinical follow up of our study and low incidence of infection provide additional evidence for the benefit of antimicrobial techniques and risk factor mitigation previously suggested in the literature for the prevention of SSI in AIS. Level of evidenceLevel III.

Significantly less wear of UHMWPE rubbing against pyrocarbon than against CoCr

The history of joint replacement can be framed as a battle to reduce wear. Pyrocarbon has been shown to be a low wear material, but can low wear against an ultra high molecular weight polyethylene (UHMWPE) counterface be achieved? To investigate this research question, a 50-station, clinically validated wear screening machine was used. Half the stations tested UHMWPE pins against pyrocarbon discs, and half the stations tested UHMWPE pins against cobalt chromium (CoCr) discs. The test rig ran at 1Hz, the nominal contact stress was 2.07 MPa, and testing ran to 5 million cycles. A biomimetic lubricant was used, it was replaced every 500,000 cycles. At the end of testing, the UHMWPE pins rubbing against pyrocarbon discs had a statistically significant reduced wear, compared with the UHMWPE pins rubbing against CoCr discs (p ≤ 0.01). Analysis of the discs at the end of testing showed greater adherence of phospholipids on the pyrocarbon discs than the CoCr discs. In turn, it was also seen that far less UHMWPE was attached to the pyrocarbon discs than to the CoCr discs. Based on this evidence, it is suggested that pyrocarbon surfaces are associated with reduced adhesive wear of UHMWPE compared with CoCr surfaces. In addition, at the end of testing, the CoCr discs were found to be significantly rougher than the pyrocarbon discs. Therefore, pyrocarbon maintained a smoother surface than CoCr, likely meaning that abrasive wear of UHMWPE was reduced compared with CoCr.

Marginal bone loss and soft tissue health around two-implant mandibular overdenture retained with milled versus selective laser melted cobalt chromium bar: a randomized clinical trial

BackgroundTo assess marginal bone loss and soft tissue health around two-implant mandibular overdenture retained with milled versus selective laser-melted cobalt chromium (Co-Cr) bars.MethodThis research was set to be a parallel, triple-blinded, randomised controlled trial. Twenty completely edentulous patients received new conventional complete dentures according to conventional techniques. Two implants were placed at mandibular canine areas bilaterally, and patients were randomly allocated into two equal groups: the milled Co-Cr bar group and the selective laser melted (SLM) Co-Cr bar group. Marginal bone loss (MBL), modified plaque index (mPI), modified gingival index (mGI), and probing depth (PD) were evaluated at 0-month (baseline), 6-month, and 12-month follow-up visits. Repeated measures ANOVA test and Bonferroni’s post-hoc test were used for parametric data as PD, while for non-parametric data as MBL, mGI, and mPI, Mann-Whitney U test and Friedman’s test were used. A P-value ≤ 0.05 was set as the statistical level of significance. The study protocol was approved by the Faculty Research Ethics Committee at Minia University (636 4/10/2022). Registration for the clinical trial was made retrospectively on clinicaltrials.gov with ID NCT06401200 at 04/30/2024.ResultsThe follow-up period (one year) was completed without a dropout. Regarding MBL, no statistically significant difference was found between the two groups throughout the study. However, the milled group showed significantly increased MBL from 0- to 6-month follow up period. In both groups, mPI increased significantly from 0- to 6-months post-loading. On the other hand, no statistically significant difference between the two groups was found regarding mPI and mGI throughout the study follow-up periods. The PD was significantly lower in the milled compared to the SLM group at the 6- and 12-month follow up period.ConclusionTwo-implant mandibular overdenture retained with milled or SLM Co-Cr bar can provide an acceptable treatment option for completely edentulous patients regarding marginal bone loss and soft tissue outcomes.

Effect of Implant Analog Design and Additively Manufactured Casts' Printing Layer Thickness on the Linear and Angular Accuracy of Analogs for Direct Digital Workflow: An In Vitro Study.

To evaluate how implant analog design and printing layer thickness affect the linear and angular accuracy of implant analogs in additively manufactured casts, comparing with conventional implant analogs in stone casts. A reference cobalt chromium mandibular model with a single implant was digitized with an industrial optical scanner and scan bodies compatible with a pressure/friction fit (S) or a screw-retained (N) implant analog for direct digital workflow. These scans were used to fabricate casts with 50 μm (S-50 and N-50) and 100 μm (S-100 and N-100) layer thickness (n=10). Ten stone casts were made after single-step closed-tray polyvinylsiloxane impressions of the model (CNV). All casts were digitized with the same metal scan body and scanner used to digitize the master model, and these scans were superimposed over the scan of the master model to measure the linear (x, y, and z-axes) and angular (XY and YZ planes) deviations (Geomagic Control X). The precision of measured deviations was defined with the average deviation values. Generalized linear model analysis was used to compare the deviations within implant analogs for direct digital workflow, while 1-way analysis of variance and Dunnett's test were used to compare these analogs and conventional analogs (α = .05) Results. The analog design affected the linear deviations (y-axis), while the interaction between the analog design and the layer thickness, and the analog design affected the angular deviations (XY plane, P ≤ .030). S analogs had lower linear and angular deviations than N analogs, and S-50 led to lower angular deviations than N-50 (P ≤ .030). CNV led to higher linear accuracy (y-axis) than N-50, N-100, and S-100 and led to lower angular deviations than all test groups (XY plane) (P ≤ .025). The analogs in S-50 casts had positional trueness similar to or higher than those in other test groups and their accuracy was mostly similar to those in CNV casts. Implant analogs for direct digital workflow deviated more towards lingual and gingival, and conventional analogs deviated more towards buccal, occlusal, and distal. All analogs had a tendency to tilt towards lingual and distal.

Evaluation of marginal fit of conventional, milled, and direct metal laser sintered cobalt chromium crowns: A comparative study

Evaluation of marginal fit of conventional, milled, and direct metal laser sintered cobalt chromium crowns: A comparative study

Evaluation of Numerical and Analytical Methods to Accurately Measure Elastic Modulus of the Cobalt Chromium Alloy Fabricated by Laser Direct Energy Deposition Process

Evaluation of Numerical and Analytical Methods to Accurately Measure Elastic Modulus of the Cobalt Chromium Alloy Fabricated by Laser Direct Energy Deposition Process

Shear Bond Strength of Five Different Repair Systems to Three Different Ceramic Materials.

The purpose of the current study was to investigate the shear bond strength of composite resin in five different ceramic repair systems for three different ceramic materials. 225 monolithic zirconia (Zr) and lithium disilicate (LDS) and cobalt chromium (CoCr) specimens with feldspathic porcelain (FP) veneer were fabricated (N=75 per material). The specimens underwent thermo-cycling and were randomly divided into five groups for the following intra-oral repair systems (n=15): 1) Clearfil Ceramic Primer Plus, Kuraray Noritake, Japan; 2) Ibond Intraoral Repair Kit, Kulzer, Germany; 3) VOCO Cimara, VOCO GmbH Germany; 4) Ivoclar Vivadent, Ceramic Repair System Kit, IvoclarVivadent, Liechtenstein; 5) Ultradent Porcelain Repair Kit, Ultradent Products Inc, USA. After surface conditioning, composite was applied using a cylindrical mold and a second round of thermocycling was performed. Each specimen was then subjected to shear load until failure. Microshear bond strength was compared using analysis of variance (one-way ANOVA, Tukey's test, a <0.05). Type of porcelain repair kit significantly affected the shear bond strength. For Zr, the repair systems from Kulzer and VOCO had significantly higher shear bond strength than the other systems (p<0.001) without significant difference between Kulzer and VOCO. For the LDS and CoCr with FP, hydrofluoric acid had the highest shear bond strength (p<0.001). For zirconia, a 10-Methacryloyloxydecyl dihydrogen phosphate (10-MDP) system should be used. The results also suggest that a cleaning bur may be beneficial. For glass-based ceramics and feldspathic porcelain, etching with hydrofluoric acid remains the product of choice.

Peri-implant stress distribution in maxillary All-on-4 prosthesis fabricated on multi-unit angled abutment with cobalt chromium framework versus those with titanium framework: A 3D Finite Element Analysis

Peri-implant stress distribution in maxillary All-on-4 prosthesis fabricated on multi-unit angled abutment with cobalt chromium framework versus those with titanium framework: A 3D Finite Element Analysis

Peri-implant stress distribution in mandibular All-on-4 prostheses fabricated on multi-unit abutments with cobalt chromium framework versus those with zirconia framework: A 3D Finite Element Analysis

Peri-implant stress distribution in mandibular All-on-4 prostheses fabricated on multi-unit abutments with cobalt chromium framework versus those with zirconia framework: A 3D Finite Element Analysis

Polyethylene wear and cup migration of cemented total hip arthroplasty with femoral heads made of oxidized zirconium, steel, or cobalt chromium: a 10-year secondary analysis from a randomized trial using radiostereometry.

We aimed to evaluate polyethylene (PE) wear, cup migration, and clinical outcome over 10 years in total hip arthroplasties (THA) using different articulations. This is a secondary analysis of 150 patients randomized into 5 groups, using different articulations: Charnley/Charnley Ogee for steel and conventional polyethylene (CPE), or Spectron EF/Reflection with either CPE or highly cross linked polyethylene (XLPE) cups, paired with heads made of either cobalt-chromium (CoCr) or oxidized zirconium (OxZr). All cups were cemented. Patients underwent repeated radiostereometric analysis (RSA) measurements for up to 10 years to assess wear and migration. Clinical outcome was assessed using Harris Hip Score (HHS). After 10 years, the XLPE cups demonstrated low wear rates: 0.08 mm (95% confidence interval [CI] -0.11 to 0.26 mm) with CoCr heads and 0.06 mm (CI -0.14 to 0.26 mm) with OxZr heads, with a mean difference of 0.01 mm (CI -0.26 to 0.29 mm). In contrast, CPE cups exhibited significantly more wear: 1.35 mm (CI 1.16 to 1.55 mm) with CoCr heads and 1.68 mm (CI 1.44 to 1.92 mm) with OxZr heads, with a mean difference of 0.33 mm (CI 0.02 to 0.64 mm). The Charnley/Ogee group (CPE) showed PE wear of 0.34 mm (CI 0.12 to 0.56 mm). The CPE groups with OxZr and CoCr heads had 0.67 mm (CI 0.38 to 0.96 mm) and 0.35 mm (CI 0.09 to 0.61 mm) greater proximal migration respectively than the corresponding XLPE groups. HHS was similar across all groups. We found no significant advantage of OxZr over CoCr heads in reducing wear or migration. XLPE demonstrated a major reduction in wear as well as a reduction in cup migration compared with CPE. Charnley performed better than the other CPE cups in terms of PE wear and cup migration. No differences in clinical outcome were found.

Comparison of Retention of Clasps Fabricated with Cast Cobalt Chromium and Acetal Resin in Maxillary Obturator Prosthesis: An In Vitro Study

Comparison of Retention of Clasps Fabricated with Cast Cobalt Chromium and Acetal Resin in Maxillary Obturator Prosthesis: An In Vitro Study

Batch and column studies for the removal of basic red-46 dye and textile by using magnesium oxide (MgO), strontium titanium trioxide (SrTiO3), cobalt- and iron-doped lanthanum chromium trioxide (Co.Fe.LaCrO3), and cadmium sulfide (CdS)-doped graphene oxide nanocomposites.

Despite efforts to reduce the risk of toxic chemicals, colors, and dyes being released into the environment from urban and industrial areas, there is still cause for concern. Colored water must be filtered and sterilized before it can be used for irrigation. The utilization of metal oxide and nanocomposite materials in wastewater treatment procedures appears to be a viable option for the future. Therefore, different compounds were doped with graphene oxide to identify the best material for dye removal by the adsorption process. According to recent studies, the ideal conditions for graphene oxide-doped magnesium oxide (GO/MgO) are as follows: pH 10 showed the highest adsorption capacity (qe) at 49.4mg/g; an adsorbent dosage of 0.01g/50mL showed 48.3mg/g qe; a shaking time of 30min resulted in 44.2mg/g qe; an initial dye concentration of 100mg/L yielded 53.6mg/g qe; and a temperature of 35°C gave 49.5mg/g qe. For graphene oxide-doped strontium titanate (GO/SrTiO3), the optimum conditions were as follows: pH 10 with 45.8mg/g qe; an adsorbent dose of 0.01g/50mL with 40.5mg/g qe; a shaking time of 30min with 75mg/g qe; and a temperature of 35°C with 44.7mg/g qe. Graphene oxide-doped cobalt and iron-doped lanthanum chromium titanate (GO/Co.Fe.LaCrO3) showed optimum conditions of pH 9 with 34.2mg/g qe; an adsorbent dose of 0.01g/50mL with 27.5mg/g qe; a shaking time of 45min with 33.2mg/g qe; an initial dye concentration of 100mg/L with 37.6mg/g qe; and a temperature of 35°C with 42.5mg/g qe. Graphene oxide-doped cadmium sulfide (GO/CdS) showed the following optimum conditions: pH 8 with 23.1mg/g qe; an adsorbent dose of 0.01g/50mL with 25.5mg/g qe; an initial dye concentration of 75mg/L with 28.3mg/g qe; and a temperature of 35°C with 33.5mg/g qe. The pseudo-first-order model was the best fit only for graphene oxide-doped magnesium oxide (GO/MgO) with an R2 value of 0.966, while the pseudo-second-order adsorption isotherm was the best fit for all four products, with R2 values ranging from 0.991 to 0.998. Additionally, the Langmuir adsorption isotherms provided good results for all four products, with R2 values ranging from 0.957 to 0.985. The Freundlich adsorption kinetics showed satisfactory fit only for graphene oxide-doped magnesium oxide (GO/MgO) and graphene oxide-doped cadmium sulfide (GO/CdS), with R2 values of 0.951 and 0.982, respectively. To examine the characteristics and practicality of the adsorption process, certain thermodynamic variables were calculated. The adsorption capability of the most efficient nanocomposites for the degradation of basic red-46 was significantly affected by various concentrations of heavy metal ions and electrolytes. In dye solutions containing surfactants/detergents, the adsorption efficiency of several effective photocatalysts for basic dyes was significantly reduced. A 0.5M HCl solution was found to be the most effective for desorption. In column investigations, the optimal bed height, flow velocity, and dye intake levels were determined to be 3cm, 1.8mL/min, and 70mg/L, respectively, for maximal adsorption of basic red-46. The adsorption investigation of genuine textile waste products has also been carried out to facilitate the practical deployment of this approach. The methods used in this study were cost-effective, easy to handle, and eco-friendly and involved no hazardous materials in the synthesis, making the resulting materials non-hazardous. All these methods were part of green chemistry.

Estimation of Dose Perturbation Due to the Presence of Metal Hip Prostheses in Radiotherapy with Electron and Photon Beams: A Monte Carlo Study

Purpose: The impact of various hip prosthesis materials on the amount of dose perturbation generated by 9 MeV electron and 18 MV photon beams during pelvic radiation therapy is analyzed in this research. Materials and Methods: The Varian 2100 C/D LINAC head for the electron (9 MeV) and photon (18 MV) modes and a water phantom with a realistic hip prosthesis were modeled using the Monte Carlo (MC) code; MCNPX (Ver. 2.6.0) and were benchmarked for measurement. Four different materials, including Cobalt–Chromium–Molybdenum-alloy (CCM), Stainless Steel (SS), Titanium, and Titanium-alloy (Ti-alloy) were evaluated. The changes in electron and photon fluences and dose perturbations due to the presence of the hip prostheses were investigated. Results: An increased dose of 13.29%, 13.77%, 6.16%, and 5.93% for 9 MeV and 30.43%, 33.05%, 10.89%, and 11.27% for 18 MV was calculated for Ti-alloy, Ti, CCM, and SS prosthesis, respectively. At 0.5 mm distance from the prosthesis, the Electron Backscatter Factor (EBF) of 1.31, 1.33, 1.15, and 1.14 for 9 MeV and 1.32, 1.34, 1.11, and 1.12 for 18 MV was calculated for Ti-alloy, Ti, CCM, and SS prosthesis, respectively. Dose perturbation is higher at a near distance from the prosthesis; by reducing the distance from the Ti-alloy prosthesis (1.5 to 0.5 mm), an increased dose of 7.70% and 5.54% resulted in 18 MV and 9 MeV, respectively. The dose decreases of up to 21% behind the hip prosthesis were calculated for 18 MV. Conclusion: It is essential to consider the dose perturbation due to the presence of a hip prosthesis to achieve the optimal treatment planning in radiotherapy.

Biocompatibility and Haemocompatibility Assessments of RBC with Polymeric Coated Cardiac Stent.

The current investigation was conducted to evaluate the biocompatibility and hemocompatibility of polymeric-coated cardiac stents. Coronary stents are typically small wire mesh tubes that are used to open arteries that are obstructed over time as a result of the buildup of fat, cholesterol, or other materials. A 10 milliliter isolated blood red blood cell was obtained using the Prozeta cobalt chromium coronary stent, which had the following specifications: stent length = 18 mm, strut thickness = 0.065 mm, expansion range = 2.25 mm to 4.00 mm, and burst pressure = 6ATM. Using an R&amp;D coating equipment, polyethylene glycol (PEG) polymers were applied to the coronary stent. Assessments of the polymeric-coated cardiac stent’s biocompatibility and hemocompatibility were conducted using various evaluation criteria. CAD software has been used to help with the stent’s modeling. According to the supplied catalog, the strut’s thickness and width are calculated to be 0.065 mm and its length is 18 mm. The histology of RBC in an isolated sample (polymer coated on stent) found at 2000 Rx was examined using a motic microscope. Using a UV-visible spectrophotometer set to 414 wave length, a 10µg/ml solution of RBC in distilled water was scanned at 200–500 nm to measure the UV absorption maximum. The absorbance was found to be 0.8312 nm. An FTIR analysis of RBC reveals absorptions that include bending and stretching vibrations. Peak Position was discovered at wave numbers 3661.76, 1684.62, 1547.98, 1472.07, 1278.06, and 841.98. Using SEM the surface morphology of RBC was study and it was found the measurements 6.1, 4.2, 3.3, 3.2, 3.1, and 2.2 µm in diameter with standard error 0.548584. It has been determined that PEG-coated material demonstrated significant outcomes that resulted in coronary stent that was both biocompatible and hemocompatible of polymeric-coated cardiac stent, which is a step towards altering the treatment regimen.

Comparison of surface micro‐roughness and adaptation of titanium and cobalt chrome implant abutment fabricated by selective laser melting and conventional techniques

AbstractPurposeThe objective of this study was to assess the surface micro‐roughness and abutment adaptation of selective laser melting (SLM) implant abutments in comparison to cast and machined implant abutments.MethodsForty abutment specimens were divided equally into four groups according to the fabrication technique as follows (n = 10), Machined Ti alloy abutments (Control), Cast CoCr abutments, SLM‐CoCr abutments, and SLM‐Ti alloy abutments. Forty internal connection implants (Ø 4.0 ×10 mm, Superline™, Dentium Co., Seoul, Korea) were mounted in clear acrylic resin. Fabricated abutments were assessed for surface micro‐roughness using a 3D optical noncontact surface microscope. Vertical and horizontal adaptation of the abutment with implant interface was assessed by using Bruker micro‐CT. Data was assessed using analysis of variance and Tukey post hoc comparison tests for all the variables except vertical misfit was assessed using Kruskal–Wallis test. Pearson correlation was used to assess dependence between independent variable (surface roughness) and dependent variables (Horizontal misfit and vertical misfit).ResultsSLM‐Ti abutments showed significantly rougher surface (p &lt; 0.05) among the study groups. While SLM‐CoCr abutments were smoother than Cast abutments with mean Ra of 1.30 ± 0.11 and 1.58 ± 0.17 μm, respectively (p &lt; 0.05). For abutment adaptation, SLM‐Ti abutments showed the highest horizontal misfit among the groups (p &lt; 0.05). While, SLM‐CoCr abutments (29.24 ± 11.11 μm) showed comparable (p &gt; 0.05) horizontal misfit results with Cast (26.08 ± 3.93 μm) and machined (26.45 ± 7.33 μm) abutments. Comparable (p &gt; 0.05) vertical misfit values between Cast CoCr (487.01 ± 40.34 μm), SLM‐CoCr (358.38 ± 114.93 μm) and SLM‐Ti (299.85 ± 172.88 μm) abutments were observed. A positive correlation was found between the surface roughness of the mating surfaces and abutment adaptation.ConclusionSLM CoCr abutments exhibited low roughness and comparable abutment adaptation (vertically and horizontally) than cast (control) abutments. Therefore, SLM CoCr abutments should be clinically investigated as potential implant abutments for clinical use.