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      Contemporary Dental Ceramic Materials, A Review: Chemical Composition, Physical and Mechanical Properties, Indications for Use

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          Abstract

          BACKGROUND:

          The high esthetic expectations from the prosthodontic restorations have directed the qualitative development of the materials towards the all-ceramic materials that are capable of replacing porcelain-fused-to-metal systems.

          AIM:

          This article reviews the literature covering the contemporary all-ceramic materials and systems with a focus on the chemical composition and materials’ properties; also it provides clinical recommendations for their use.

          RESULTS:

          The glass-matrix ceramics and polycrystalline ceramics are presented, as well as recently introduced machinable materials, all-zirconia and resin-matrix ceramics. The specific properties of zirconia, such as transformation toughening, stabilisation of the crystallographic structure, low-temperature degradation and factors affecting the zirconia’s ageing, are emphasised.

          CONCLUSION:

          The favourable properties of the resin-matrix ceramics, such as modulus of elasticity similar to dentin, shock-absorbing characteristics and high resilience and fracture resistance, are also covered in this article.

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          Most cited references90

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          Stabilized zirconia as a structural ceramic: an overview.

          This review introduces concepts and background from the ceramics engineering literature regarding metastable zirconia ceramics to establish a context for understanding current and emerging zirconia-based dental ceramics.
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            Current ceramic materials and systems with clinical recommendations: a systematic review.

            Developments in ceramic core materials such as lithium disilicate, aluminum oxide, and zirconium oxide have allowed more widespread application of all-ceramic restorations over the past 10 years. With a plethora of ceramic materials and systems currently available for use, an overview of the scientific literature on the efficacy of this treatment therapy is indicated. This article reviews the current literature covering all-ceramic materials and systems, with respect to survival, material properties, marginal and internal fit, cementation and bonding, and color and esthetics, and provides clinical recommendations for their use. A comprehensive review of the literature was completed seeking evidence for the treatment of teeth with all-ceramic restorations. A search of English language peer-reviewed literature was undertaken using MEDLINE and PubMed with a focus on evidence-based research articles published between 1996 and 2006. A hand search of relevant dental journals was also completed. Randomized controlled trials, nonrandomized controlled studies, longitudinal experimental clinical studies, longitudinal prospective studies, and longitudinal retrospective studies were reviewed. The last search was conducted on June 12, 2007. Data supporting the clinical application of all-ceramic materials and systems was sought. The literature demonstrates that multiple all-ceramic materials and systems are currently available for clinical use, and there is not a single universal material or system for all clinical situations. The successful application is dependent upon the clinician to match the materials, manufacturing techniques, and cementation or bonding procedures, with the individual clinical situation. Within the scope of this systematic review, there is no evidence to support the universal application of a single ceramic material and system for all clinical situations. Additional longitudinal clinical studies are required to advance the development of ceramic materials and systems.
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              Towards high-performance bioinspired composites.

              Biological composites have evolved elaborate hierarchical structures to achieve outstanding mechanical properties using weak but readily available building blocks. Combining the underlying design principles of such biological materials with the rich chemistry accessible in synthetic systems may enable the creation of artificial composites with unprecedented properties and functionalities. This bioinspired approach requires identification, understanding, and quantification of natural design principles and their replication in synthetic materials, taking into account the intrinsic properties of the stronger artificial building blocks and the boundary conditions of engineering applications. In this progress report, the scientific and technological questions that have to be addressed to achieve this goal are highlighted, and examples of recent research efforts to tackle them are presented. These include the local characterization of the heterogeneous architecture of biological materials, the investigation of structure-function relationships to help unveil natural design principles, and the development of synthetic processing routes that can potentially be used to implement some of these principles in synthetic materials. The importance of replicating the design principles of biological materials rather than their structure per se is highlighted, and possible directions for further progress in this fascinating, interdisciplinary field are discussed. Copyright © 2012 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.
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                Author and article information

                Journal
                Open Access Maced J Med Sci
                Open Access Maced J Med Sci
                Open Access Macedonian Journal of Medical Sciences
                Republic of Macedonia (ID Design 2012/DOOEL Skopje )
                1857-9655
                25 September 2018
                24 September 2018
                : 6
                : 9
                : 1742-1755
                Affiliations
                [1 ] Faculty for Dental Medicine, Ss Cyril and Methodius University of Skopje, Skopje, Republic of Macedonia
                [2 ] Faculty of Technology and Metallurgy, Ss Cyril and Methodius University of Skopje, Skopje, Republic of Macedonia
                Author notes
                [* ] Correspondence: Emilija Bajraktarova-Valjakova. Faculty for Dental Medicine, Ss “Cyril and Methodius University” of Skopje, Skopje, Republic of Macedonia. E-mail: emibaj@ 123456yahoo.com
                Article
                OAMJMS-6-1773
                10.3889/oamjms.2018.378
                6182519
                30338002
                d9fe5864-9c31-4702-a5f4-805623e4beca
                Copyright: © 2018 Emilija Bajraktarova-Valjakova, Vesna Korunoska-Stevkovska, Biljana Kapusevska, Nikola Gigovski, Cvetanka Bajraktarova-Misevska, Anita Grozdanov.

                This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0).

                History
                : 12 August 2018
                : 08 September 2018
                : 09 September 2018
                Categories
                Dental Science - Review

                cad/cam,chemical composition,glass-ceramics,mechanical properties,resin-matrix ceramic,zirconia

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