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Engineering long term clinical success of advanced ceramic prostheses

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Abstract

Biocompatability and, in some applications, esthetics make all-ceramic prostheses compelling choices but despite significant improvements in materials properties and toughening mechanisms, these still have significant failure rates. Factors that contribute to the degradation in strength and survival include material selection and prosthesis design which set the upper limit for performance. However, fabrication operations introduce damage that can be exacerbated by environmental conditions and clinical function. Using all-ceramic dental crowns as an example, experimentally derived models provide insight into the relationships between materials properties and initial critical loads to failure. Analysis of fabrication operations suggests strategies to minimize damage. Environmental conditions can create viscoplastic flow of supporting components which can contribute additional stress within the prosthesis. Fatigue is a particularly challenging problem, not only providing the energy to propagate existing damage but, when combined with the wet environment, can create new damage modes. While much is known, the influence of these new damage modes has not been completely elucidated. The role of complex prosthesis geometry and its interaction with other factors on damage initiation and propagation has yet to be well characterized.

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Authors and Affiliations

  1. Director of Translational Research, NYU College of Dentistry, 345 East 24th Street, New York, NY, 10010

    Dianne Rekow

  2. Chair, Department of Biomaterials and Biomimetics, NYU College of Dentistry, 345 East 24th Street, New York, NY, 10010

    Van P. Thompson

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  1. Dianne Rekow
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  2. Van P. Thompson
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Correspondence to Dianne Rekow.

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Rekow, D., Thompson, V.P. Engineering long term clinical success of advanced ceramic prostheses. J Mater Sci: Mater Med 18, 47–56 (2007). https://doi.org/10.1007/s10856-006-0661-1

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  • DOI: https://doi.org/10.1007/s10856-006-0661-1

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