Indiana University-Purdue University Indianapolis (IUPUI) / The use of yttria-stabilized tetragonal zirconia polycrystal (Y-TZP), normally employed as a framework for all-ceramic restorations, has now started to be used without any veneering ceramics in patients with parafunctional activities. The aims of this study were to evaluate the influence of Y-TZP surface roughness on the wear behavior (volume/height loss) against glass-based ceramics (i.e., IPS Empress CAD and IPS e.max CAD, Ivoclar-Vivadent). Thirty-two Y-TZP full-contour zirconia (Ardent®) sliders (ϕ=2 mm, 1.5 mm in height) were milled in a CAD/CAM unit and sintered according to the manufacturer instructions. Sliders were embedded in brass holders using acrylic resin and then randomly allocated into 2 groups according to the surface treatment (n=16): G1-as-machined and G2-glazed (Diazir®). Empress and e.max antagonists were cut into tabs (13×13×2 mm) wet-finished and also embedded in brass holders. Two-body pin-on-disc wear testing was performed at 1.2 Hz for 25,000 cycles under a 3-kg load. Non-contact profilometry was used to measure antagonist height (μm) and volume loss (mm3). Qualitative data of the testing surfaces and wear tracks were obtained using SEM. Statistics were performed using one- and two-way ANOVAs (α=0.05). The results indicated that G1 yielded significantly higher mean roughness values (Ra=0.83 μm, Rq=1.09 μm) than G2 (Ra=0.53 μm, Rq=0.78 μm). Regarding antagonist loss, G1 caused significantly less antagonist mean height and volume loss (68.4 μm, 7.6 mm3) for Empress than G2 (84.9 μm, 9.9 mm3) while no significant differences were found for e.max. Moreover, Empress significantly showed lower mean height and volume loss than e.max (p<0.0001). SEM data revealed morphological differences on wear characteristics between the two ceramics against Y-TZP. Within the limitations of this study, e.max wear was not affected by Y-TZP surface roughness. However, Empress wear was greater when opposing glazed Y-TZP. Overall, based on our findings, surface glazing on full-contour Y-TZP did not minimize glass-ceramic antagonist wear when compared with as-machined group.

Indiana University-Purdue University Indianapolis (IUPUI) / THE EFFECT OF FULL-CONTOUR Y-TZP CERAMIC SURFACE ROUGHNESS ON THE WEAR OF BOVINE ENAMEL AND SYNTHETIC HYDROXYAPATITE: AN IN-VITRO STUDY by Alaa Hussein Aref Sabrah Indiana University School of Dentistry Indianapolis, Indiana Full-contour yttrium-stabilized tetragonal zirconia polycrystal (Y-TZP) restorations have been advocated recently in clinical situations where occlusal/palatal space is limited, or to withstand parafunctional activities. The objectives of this in-vitro study were to investigate the effects of different polishing techniques on the surface roughness of Y-TZP (Ardent Dental, Inc.) and to investigate the effects of different polishing techniques on the wear behavior of synthetic hydroxyapatite (HA) and bovine enamel. An in-vitro study was conducted by fabrication of 48 Y-TZP sliders (diameter = 2 mm × 1.5 mm in height) using CAD/CAM technique; then the samples were embedded in acrylic resin using brass holders. Samples were then randomly allocated into four groups according to the finishing/polishing procedure: G1-as-machined (n = 8), G2- glazed (n = 16), G3-diamond bur-finishing (Brasseler, USA) (n = 8) and G4- G3+OptraFine polishing kit (Ivoclar-Vivadent) (n = 16). Thirty-two sintered HA disks (diameter = 11 mm × 2.9 mm in height) and 16 bovine enamel samples with a minimum surface area of 64 mm2 were mounted in brass holders. Baseline surface roughness (Ra and Rq, in μm) were recorded using a non-contact profilometer (Proscan 2000) for all the samples. A two-body pin-on-disk wear test was performed for 25,000 cycles at 1.2 Hz in which the four zirconia groups were tested against HA, and only G2-glazed and G4- G3+OptraFine polishing kit (Ivoclar-Vivadent) were tested against bovine enamel. Vertical substance loss (μm) and volume loss (mm3) of HA were measured (Proscan). Zirconia height loss was measured using a digital micrometer. One-way ANOVA was used for statistical analysis. The results indicated that surface roughness measurements showed significant differences among the surface treatments with G1 (Ra = 0.84, Rq = 1.13 μm) and G3 (Ra = 0.89, Rq = 1.2 μm) being the roughest, and G2 (Ra = 0.42, Rq = 0.63 μm) the smoothest. The glazed group showed the highest vertical loss (35.39 μm) suggesting wear of the glaze layer, while the polished group showed the least vertical loss (6.61 μm). HA antagonist volume loss and vertical height loss for groups (G1, G2 and G3) were similar, while polished group (1.3 mm3, 14.7 μm) showed significant lower (p = 0.0001) values. Antagonist height loss and antagonist volume loss were significantly higher for bovine antagonist than for HA antagonist (197.6 μm/116.2 μm, and 28.5 mm3/17.7 mm3 for bovine against glazed/polished zirconia sliders, respectively) (p < 0.0001). From the results it can be concluded that glazed zirconia provided an initially smooth surface, but a significant increased antagonist wear compared with the polished surface was seen. Bovine enamel showed higher wear compared with HA, which suggested that more studies should be performed to validate the use of bovine enamel as a substitute for human enamel in wear studies.

Solid Oxide Fuel Cells (SOFCs) are emerging as a potential breakthrough energy conversion technology for clean and efficient production of electricity and heat from hydrogen and hydrocarbon fuels. Sc0.1Ce0.01ZrO2 electrolytes for Solid Oxide Fuel Cells are very promising materials because their high ionic conductivity in the intermediate temperature range 700°C-800°C. The vibration response of cubic and rhombohedral (β) 10 mol%Sc2O3 - 1 mol%CeO2 - ZrO2(Sc0.1Ce0.01ZrO2 ) both at room and high-temperatures is reported. The in-situ heating experiments and ex-situ indentation experiments were performed to characterize the vibrational behavior of these important materials. A temperature and stress-assisted phase transition from cubic to rhombohedral phase was detected during in-situ Raman spectroscopy experiments. While heating and indentation experiments performed separately did not cause the transition of the cubic phase into the rhombohedral structure under the performed experimental conditions and only broadened or strained peaks of the cubic phase could be detected, the heating of the indented (strained) surface leaded to the formation of the rhombohedral Sc0.1Ce0.01ZrO2. Both temperature range and strained zone were estimated by in situ heating and 2D mapping, where a formation of rhombohedral or retention of cubic phase has been promoted. The mechanical properties, such as Young’s modulus, Vickers hardness, indentation fracture resistance, room and high temperature four point bending strength and SEVNB fracture toughness along with the stress – strain deformation behavior in compression, of 10 mol% Sc2O3 – 1 mol % CeO2 - ZrO2 (ScCeZrO2) ceramics have been studied. The chosen composition of the ScCeZrO2 has very high ionic conductivity and, therefore, is very promising oxygen ion conducting electrolyte for the intermediate temperature Solid Oxide Fuel Cells. Therefore, its mechanical behavior is of importance and is presented in this study.

Background: The influence of typical manufacturing regimes for producing fixed dental prostheses (FDPs) from yttria partly-stabilized zirconia polycrystals (3Y/4Y/5Y-TZP) on the phase composition is quantified. Methods: Fixed dental prostheses (FDPs) were designed using a CAD process and machined from different Y-TZP blanks from two manufacturers differing in yttria contents. Subsequent to sintering, the FDPs were glaze fired and air-blasted using alumina particles. Phase composition was determined with X-ray diffraction and quantified with Rietveld refinement. Results: The blanks from VITA Zahnfabrik (VITA YZ HT, VITA YZ ST, VITA YZ XT) and Dental Direct (DD Bio ZX2, DD cube ONE, DD cube X2) featured a rhombohedral portion with rather small crystallites and a small monoclinic portion for 3Y/4Y-TZPs, which increased after machining and disappeared after sintering. Glaze firing and air-blasting with alumina particles had no significant influence on the phase composition. Conclusion: The phase history of dental zirconia is revealed, which may have implications on further processing and aging of the FDP (e.g. low temperature degradation) in mouth.

Total hip joint prostheses made of CoCrMo heads versus ultra high molecular weight polyethylene (UHMWPE) cups have a limited lifetime, mainly due to the wear of the UHMWPE cups as a result of high friction between the articulating surfaces leading to osteolysis and implant loosening with revision surgery becoming inevitable in more active patients. Tribology plays an important role in developing the design, minimizing wear and reducing friction of hip joint prostheses in order to improve their long-term performance, with good lubricating properties. Metal-on-metal hip resurfacing prostheses have shown significantly lower wear rates compared with conventional metal-on-polyethylene implants and thus osteolysis is potentially reduced leading to increased lifetime of the prosthesis. Nevertheless, excessive wear of metal-on-metal joints leads to metal ion release, causing pseudo-tumours and osteolysis. An alternative approach to such bearings is the use of newly developed carbon fiber-reinforced poly-ether-ether-ketone (CFR PEEK) acetabular cups articulating against ceramic femoral heads due to their better wear resistance compared to UHMWPE. In this study, therefore, friction and lubrication properties of large diameter, as cast, Co-Cr-Mo metal-on-metal hip resurfacing implants with various diameters and clearances have been investigated and compared to those of the newly developed zirconia toughened alumina (ZTA) ceramic femoral heads articulating against carbon fiber reinforced poly-ether-ether-ketone (CFR PEEK) acetabular cups with different diameters and clearances. Friction hip simulator was used to measure frictional torque and then friction factors were calculated along with Sommerfeld numbers leading to Stribeck analysis and hence the lubricating mode was also investigated. This involved using lubricants based on pure bovine serum (BS) and diluted bovine serum (25 vol. %BS+75 vol. %distilled water) with and without carboxymethyl cellulose (CMC) (as gelling agent). Standard Rheometer was used to measure lubricant viscosity ranged from 0.0014 to 0.236 Pas at a shear rate of 3000 . Pure bovine serum, diluted bovine serum without CMC and with CMC (25BS+75DW+0.5gCMC and +1gCMC) showed pseudoplastic flow behaviour up to shear rate of ¿139 above which a Newtonian flow with significant increase in shear stress was observed. The viscosity flow curves for the 25BS+75DW+2gCMC, +3.5gCMC and +5gCMC showed only shear thinning up to a shear rate of 3000 . The shear rate application modified the flow behaviour of bovine serum from a pseudoplastic to a Newtonian flow depending on its purity and CMC content. This will cause a different frictional behaviour depending on joint diameter and clearance, as seen in this work. The experimental data were compared with theoretical iv predictions of the lubricating regimes by calculating theoretical film thickness and lambda ratio. The metal-on-metal Biomet ReCaps showed similar trends of Stribeck curves, i.e. friction factors decreased from ~0.12 to ~0.05 as Sommerfeld numbers increased in the range of viscosities ~0.001-0.04Pas indicating mixed lubrication regimes above which the friction factor increased to ~0.13 at a viscosity of 0.236Pas. The Stribeck analyses suggested mixed lubrication as the dominant mode with the lowest friction factor in the range ~0.09 - ~0.05 at the physiological viscosities of ~0.01 to ~0.04 Pas and that such joints can be used for more active patients as compared to the conventional total hip replacement joints with 28mm diameter. The Stribeck curves for all ZTA ceramic-on-CFR PEEK components illustrated a similar trend with BS fluids showing higher friction factors (in the range 0.22-0.13) than the diluted BS+CMC fluids (in the range 0.24-0.05). The friction tests revealed boundary-mixed lubrication regimes for the ZTA ceramic-on-CFR-PEEK joints. The results, so far, are promising and suggest clearly that the newly developed ZTA ceramic femoral heads articulating against CFR PEEK cups have similar friction and lubrication behaviour at optimum clearances to those of currently used metal-onmetal hip resurfacing implants at the range of viscosities 0.00612 to 0.155Pas. These results clearly suggest that the ZTA ceramic-on-CFR-PEEK joints showed low friction at the physiological viscosities of ~0.01Pas in the range ~0.1-0.05, suggesting that these novel joints may be used as an alternative material choice for the reduction of osteolysis. The result of this investigation has suggested that the optimum clearance for the 52mm diameter MOM Biomet ReCaps could be ~170¿m. However, 48 and 54mm joints showed lower friction due to clearances to be >200¿m. For the 52mm ZTA ceramic-on-CFR-PEEK joints the optimum clearance seems to be ¿ 630¿m radial clearance. These results suggested that increased clearance bearings have the potential to generate low friction and hence no risk of micro- or even macro-motion for the ceramic-on-CFR-PEEK joints. This study found no correlation between theoretical predictions and experimental data for all metal-onmetal and ZTA ceramic-on-CFR PEEK bearings at the physiological viscosity (0.0127Pas). However, at lubricant viscosity of 0.00157Pas, the theoretical prediction of lubrication regime correlated well with the experimental data, both illustrating boundary lubrication. As expected, a decrease in viscosity resulted decrease in the film thickness.

The natural hip joint in healthy people has a very low friction with very little (or no) wear. It works as a dynamically loaded bearing and is subjected to about 1-2 million cycles of loading per year. The applied load is the body weight which is tripled when walking and even higher during other activities such as running and jumping. Unfortunately these joints are not always healthy due to various causes such as fractures or disease leading to severe pain which necessitates joint replacement. Currently, the orthopaedic industries are working towards developing an ideal artificial hip joint with low wear, low friction, good lubrication, better fixation/stability and biocompatibility. Many different designs and materials have been investigated with some promising new implants which can be used depending on patients¿ individual need (large or small joint), activity and age. In this work, two types of artificial hip joints were tested for friction and lubrication studies: Metal-on-Metal (MoM) Biomet hip resurfacing ReCaps with large diameters (>35-60 mm) and different diametral clearances (~ 60-350 µm), and Zirconia Toughened Alumina (ZTA) heads against carbon-fibre-reinforced poly-ether-ether ketone (CFR PEEK) cups with different diameters (>35-60 mm) and diametral clearances (60-1860 µm). Seven serum-based lubricants with different viscosities were used with and without carboxy methyl cellulose (CMC) additions as gelling agent to increase viscosity depending on the CMC content. The maximum load applied was 2000 N for the stance phase with a minimum load of 100 N for the swing phase. A Pro-Sim friction hip simulator was used to investigate the frictional torque generated between the articulating surfaces so as the friction factor can be calculated. Stribeck analysis was then employed to assess the mode of lubrication. For the metal-on-metal hip resurfacing joints, the friction factors were in the range 0.03-0.151 and those for the ZTA ceramic heads versus CFR PEEK cups were in the range 0.006-0.32. Stribeck analyses showed mainly mixed lubrication for both MoM and ZTA ceramic-on-CFR PEEK joints. The experimental results were in agreement with most of the theoretical calculations suggesting mixed lubricating regimes at low viscosities and moving on to fluid film lubrication at higher viscosities. Joints with larger-diameters, lower clearances and lower surface roughness exhibited a higher lambda ratio suggesting improved lubrication. Viscosity flow curves for the serum-based lubricants having viscosity ¿ 0.00524 Pas showed non-linear relationship between viscosity and shear rate indicating non-Newtonian flow with pseudoplastic or shear-thinning characteristic, i.e. viscosity decreased as shear rate increased up to shear rates of ~ 1000 s-1. However, at shear rates greater than 1000 s-1 Newtonian flow became dominant with almost constant viscosity, i.e. a linear relationship between shear stress and shear rate. On the other hand, viscosity flow curves for the lubricants with viscosity ¿ 0.0128 Pas showed non-Newtonian behaviour up to a shear rate of 3000 s-1 with shear-thinning characteristic. / Ministry of Higher Education, Libya

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