To achieve an exact color match for a single anterior ceramic restoration is one of the most challenging tasks in fixed prosthodontics. Many methods have been described in the literature to facilitate this process. The most promising solution utilizes an organic liquid binder with a specific index of refraction(1.49 to 1.51) which matches that of dental porcelain. When mixed with un-dyed pre-sintered dental porcelain, the binder allows immediate, direct visualization of the post-sintered porcelain color. More than a custom shade-tab, this technique provides the laboratory ceramist with precise information on the color, location, and thickness of all the porcelain layers that produced the verifies, desirable esthetic effects. A drawback is that the organic liquid binder-porcelain powder mixture remains in a liquid state, which makes transport difficult. In our approach, a mixture of visible light-cured(VLC) polymers with the proper refractive index is being considered as possible replacement or addition to the organic binder. Earlier results, using only polymers such as bisphenol-glycidyl methacrylate, urethane dimethacrylate, and triethylene glycol- demethacrylate, demonstrated that the molar volume of porcelain powder in the polymer-ceramic mixture is critical. A 5% variation can result in significant optical differences. This renders the technique unpractical because one would need to make precise measurements for each of the dental porcelain systems. Some porcelain systems, such as the Vita Omega, have over 70 powders. Furthermore, the required molar volume often produced excessively viscous mixtures with poor handling characteristics. My recent work suggests that powder molar volume is less critical when a VLC polymer-organic binder mixture is used. However, color stability is questionable due to possible chemical degradation of the polymers by the organic components. Chemically compatible polymer- organic liquid combinations are being considered for the proper optical properties. Shade tabs of post-sintered ceramics have been fabricated for comparison with the polymer-organic liquid-powder mixtures. Keywords: refractive index, dental porcelains, polymers, color

Agency
National Institute of Health (NIH)
Institute
National Institute of Dental & Craniofacial Research (NIDCR)
Type
Unknown (K16)
Project #
5K16DE000275-04
Application #
3775637
Study Section
Project Start
Project End
Budget Start
Budget End
Support Year
4
Fiscal Year
1993
Total Cost
Indirect Cost
Name
Harvard University
Department
Type
DUNS #
082359691
City
Boston
State
MA
Country
United States
Zip Code
02115
McDermott, Nancy E; Chuang, Sung-Kiang; Woo, Valerie V et al. (2006) Maxillary sinus augmentation as a risk factor for implant failure. Int J Oral Maxillofac Implants 21:366-74
Chuang, S K; Cai, T; Douglass, C W et al. (2005) Frailty approach for the analysis of clustered failure time observations in dental research. J Dent Res 84:54-8
Chuang, S-K; Hatch, J P; Rugh, J et al. (2005) Multi-center randomized clinical trials in oral and maxillofacial surgery: modeling of fixed and random effects. Int J Oral Maxillofac Surg 34:341-4
Treister, Nathaniel S; Woo, Sook-Bin; O'Holleran, Eileen W et al. (2005) Oral chronic graft-versus-host disease in pediatric patients after hematopoietic stem cell transplantation. Biol Blood Marrow Transplant 11:721-31
Woo, Valerie V; Chuang, Sung-Kiang; Daher, Shadi et al. (2004) Dentoalveolar reconstructive procedures as a risk factor for implant failure. J Oral Maxillofac Surg 62:773-80
Halpern, Leslie R; Carter, Jeffrey B; Chuang, Sung-Kiang et al. (2003) A comparison of 2 consultation and treatment strategies to manage impacted third molars. J Oral Maxillofac Surg 61:779-84
Basile, John R; Eichten, Alexandra; Zacny, Valerie et al. (2003) NF-kappaB-mediated induction of p21(Cip1/Waf1) by tumor necrosis factor alpha induces growth arrest and cytoprotection in normal human keratinocytes. Mol Cancer Res 1:262-70
McDermott, Nancy E; Chuang, Sung-Kiang; Woo, Valerie V et al. (2003) Complications of dental implants: identification, frequency, and associated risk factors. Int J Oral Maxillofac Implants 18:848-55
Chuang, S K; Tian, L; Wei, L J et al. (2002) Predicting dental implant survival by use of the marginal approach of the semi-parametric survival methods for clustered observations. J Dent Res 81:851-5
Chuang, S K; Wei, L J; Douglass, C W et al. (2002) Risk factors for dental implant failure: a strategy for the analysis of clustered failure-time observations. J Dent Res 81:572-7

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