The Effect
Different Keeper Tray Materials Burn-out Incineration on Casting Investment
during Burn-out Procedures.
T.Kogiso, Y.Nakamura, Y.Ohno, R.Kanbara, K,Syoji,
T,Masuda K.Yoshihara, Y.Tanaka
Removable
Prosthodontics, School of Dentistry, Aichi-Gakuin University
Introduction
Fabrication
methods of the magnetic attachment keeper component for restorative placement
have included casting or cementation procedures.(1-4)
A cementation method, previously reported, utilizes a ready-made plastic pattern
for investment burn-out and casting in a dental alloy. This technique does not
subject the keeper surfaces to casting procedure roughness or deformations. The
keeper is then directly cemented to the cast coping holder and is not subjected
to casting procedure heat distortion and is thus a recommended method.Cast keeper coping housings require good casting
accuracy as errors will prevent accurate positioning and seating of the keeper
to the housing. Laboratory or chairside adjustment of
these castings may be occasionally required (Fig. 1).
A new
prototype keeper pattern using a keeper tray has been reported. The casting
precision of these prototype keeper patterns has been found to be superior to
available proprietary preformed keeper housing patterns (Fig. 2).
Fig.1 Adjustment of cast keeper
Fig.2 The influence of keeper tray
materials on casting precision
Objective
The
purpose of the present study was to compare investment material use and casting
surface roughness for different samples of cast keeper housings from burn-out
to casting, to elucidate the casting problems and error onset and to
investigate casting defects different coping patterns.
Materials and Methods
1. Materials
Commercially-available ready-made
pattern GIGAUSS C 600 KB (GC) was used. The chief component of GIGAUSS C 600 KB pattern is
acrylic resin.
The prototype pattern had the same shape
as GIGAUSS C 600 KB (Fig. 2), but the chief component was polyethylene resin.
2. Analysis
items
2.1 The influence of incineration time on casting investment
Casting investments at 10, 20, and 30
minutes after sample incineration were observed, and surface roughness was
measured.
2.2 The influence of wax application quantity on casting
investment burn-out procedures.
Four
samples with different quantity thickness of dental wax were fabricated. Each castinginvestment was qualitatively evaluated, and the
surface roughness was measured.
3. Methods
3.1Samples
The following 4 samples were fabricated
for prototype and commercially-available patterns, respectively (n=5) (Figure
3)
(1)
A plastic pattern without inlay wax (Wax
0)
(2)
A plastic pattern with 1 mm inlay wax
(Wax 1)
(3)
A plastic pattern with 2 mm inlay wax
(Wax 2)
(4)
A plastic pattern with 3 mm inlay wax
(Wax 3)
Fig.3 4
Samples
3.2Fabrication method
(1)
The influence of incineration time on
casting investment
The
ratio of a keeper tray and wax thickness was 1 : 2 in
the Wax 1. The sample was used to investigate the influence of incineration
time on casting investment.
(2)
The influence of wax application
quantity on casting investment
@Investing
procedure
The
four samples were sprued with ready casting wax R 15
(GC), and placed on the investing ring base, and invested following
manufacturer instructions using Cristobalite
investment material (Cristoquick II, GC) (Fig. 4).
ACasting
investment incineration
Four
samples were transferred to a furnace, and removed after 30 minutes.
B
Casting investment section
Casting
investment removed from the furnace was air cooled, and the base was trimmed to
expose the investment mold inner surface of the keeper tray mold(Fig.
5).
Fig.4 Investing procedure
Fig.5 Casting investment section
3.3Evaluation items
(1)
Qualitative evaluation of investment
casting mold surfaces using stereoscopic microscopy.
Casting
investment mold surface (Keeper tray) inner surface mold of each sample was
evaluated.
(2)
Surface roughness quantitative
evaluation of casting investment surface.
Surface
roughness of casting investment was measured using a digital microscope VHX 500
(KEYENCE), and then observed three-dimensionally. Vertical interval of the
surface was defined as surface roughness. One-way analysis of variance and
Results
1. The influence
of incineration time on casting investment
1.1Evaluation using a stereoscopic microscopy
Corner
casting investment demonstrated surface degradations at 10, 20, and 30 minutes periods after incineration in the acrylic resin. In
contrast, no surface degradations were seen for all post incineration time
periods for the polyethylene resin samples (Fig. 6).
Fig.6 Evaluation using a stereoscopic
microscopy
1.2Surface roughness measurement
There was
a significant difference in measured surface roughness between acrylic samples
tested and the polyethylene resin samples at the 10, 20, and 30 minutes
periods. No significant difference was observed between 10 and 30 minutes for
the acrylic resin samples (Fig. 7).
Fig.7 Surface roughness
measurement
2. The influence
of wax amount on casting investment
2.1Observations of casting investment using a stereoscopic
microscope
Distortions
and degradations of the corner casting investment was
observed for all samples with additive wax in the acrylic resin. In contrast,
no destruction of the casting investment was observed for in the polyethylene
resin/wax samples. There was no degradations of the
casting investment both in the acrylic and polyethylene resins without additive
wax (Wax 0) (Fig. 8)
Fig.8 Evaluation using a stereoscopic
microscopy
2.2Surface roughness measurement
A
significant difference was observed between acrylic and polyethylene resins of
Wax 1 and 3. There was a significant difference between Wax 1, 2, and 3 in the
acrylic resin. No significant difference was found both in the acrylic and
polyethylene resins of Wax 1, 2, and 3. (Fig. 9)
Fig.9 Surface roughness
measurement
Discussion
1. Keeper tray
The
magnetic attachment keeper coping fabrication methods and the magnetic
attachment keeper abutment fixation technique was developed by Toyota et al.
The original recommended method proposed was a casting technique. A ready-made
keeper pattern was incorporated into the wax pattern, and cast. This method has
been widely adopted in the clinical setting due to ease and availability.
However, several problems with this technique have been pointed out in clinical
and basic experimental evaluations. The problems include the excess formation
of an oxide film on the mirror-polished keeper surface due to casting
investment exposure and high temperatures required. Also, other problems
associated with high casting burn-out heat exposure are casting shrinkage
keeper deformation, and alteration of magnetic properties and decreased
corrosion resistance5,6,7). These problems
may result in a overall decrease in the actual and
potential attractive force of a magnetic attachment and therefore cannot be
ignored.
Tanaka
et al. developed a cementing technique method. In this technique, a separate
coping housing excluding the actual keeper was cast, to be followed by the
cementing of an unaltered keeper to the cast coping housing1)-4).
Keeper space is required on a coping surface. A ready-made plastic pattern
(Keeper Tray@) was developed to facilitate wax build-up procedures.
The plastic pattern is made of castable acrylic resin
with 0.3 mm thickness, leaving a space for the cement after casting. The cast
coping holder used to fix a keeper to the casting investment is not necessary
in this method. Therefore, the mirror-polished adsorption face can be used
without removing a holder7).
2. Prototype
plastic pattern
Acrylic
resin is readily used due to its thermal plasticity. This resin can be
compression molded above 150 °C, and offers a greater cost performance8).
It is used for commercially-available ready-made patterns. However, casting
defects caused by the combined use with other materials has been pointed out.
The general properties of acrylic resin, the major component of this
proprietary ready-made pattern, include resistance to deformation, insulation
properties, and water resistance, but poor chemical resistance. 9)
It was speculated that chemical interaction may occur when acrylic resin is
incinerated with dental wax. To avoid such problems, a preliminary experiment
was performed to evaluate substitute plastic materials for the acrylic
resin. Polyethylene (PE),
polypropylene (PP), polyacetal (POM), and ABS resin
were used as samples. PE presented the highest surface accuracy after casting.
General properties of PE include milky-white translucency, lighter than water,
physical properties similar to dissolved paraffin wax at incineration with a
low melting temperature of 130 °C, and acid and alkali resistance related to higher molecule structure8).
PE is thus considered to have the least potential adverse influence on casting
precision when in combination with dental wax. Polyethylene was therefore
selected as the test sample material for use in this preliminary study.
3. Cast
observation
Observation using a magnifying
microscope demonstrated burnout degradation of the corner casting investment of
acrylic resin at 10, 20, and 30 minutes after incineration. In contrast, no
burnout degradation in the casting investment was observed. The surface
roughness became coarser with time, demonstrating a significant difference
between acrylic resin and PE.
There was no surface roughness influence
caused by the wax quantity used with acrylic resin and PE samples.
The results suggested that casting
defects found in the fabrication of a keeper coping using a conventional
acrylic plastic pattern are not likely caused by the casting process itself,
but by casting investment degradation during burnout incineration. The wax
amount is not relevant to the casting surface degradations seen. Plastic
patterns are incinerated completely at 10 minutes, and the investment mold surfaces becomes coarser with greater burnout time.
The single use of acrylic resin and PE
presents great heat plasticity, and high casting precision can be expected.
A casting burr is caused by a crack of a
mold. In a single wax-pattern casting, a crack of a mold is formed by an impact
to the mold, and rapid and overheating after investment9). However,
rapid heating casting investment is used in the present study, and there were
no such casting defects found as described above. Therefore, it is considered
that the cast defect is caused by the simultaneous incineration of wax-pattern
and plastic materials.
PE has great acid and alkali resistance,
and melts at 130°C, lower than acrylic resin. PE is incinerated and permeated
to the casting investment at wax boiling temperature, suggesting no blocking of
airflow. On the other hand, acrylic resin demonstrates heat plasticity at
150°C. It was suggested that acrylic resin softened around wax boiling point
blocks the airflow, and evaporated wax destructed the mold.
Conclusion
The casting investment procedures of a prototype keeper
mold and commercially-available keeper trays mold at burn-out incineration
process were compared. The following conclusions were drawn:
1. The
observation of a casting investment using a stereoscopic microscope showed
corner degradations inside the keeper tray surfaces of the acrylic resin mold
samples tested. No destruction of the casting investment was observed in PE
samples molds.
2. The
surface showed more surface irregularities with increased time of burn-out.
3. There
was no difference in the observed surface roughness for both the acrylic resin
and PE samples with amounts of additive wax.
4. Surface
roughness was decreased and lower for the PE samples
than acrylic resin samples for all conditions.
The
results suggested that the use of a polyethylene mold pattern results in a
superior result compared to acrylic resin patterns use for attachment keeper
castings.
References
1) Tanaka Y: Dental Magnetic Attachment,
Ishiyaku Publishers,Inc.(
2) Tanaka.Y.:Challenging Advanced Clinical Application of
Magnetic Attachment – How to use it as an extracoronal
attachment -,J J Mag Dent,15(1):1-13,2006.
3) Tanaka,Y.: Dental Magnetic Attachment,Q&A,Ishiyaku
Publishers,Inc.(
4) Tanaka.Y:The
Status Quo and Outlook in the Near Future for Magnetic Attachments –Some
proposals for its advanced clinical applications-,J J Mag
Dent,10(1):31-44,2001.
5) Takada Y and Okuno
O:Effect of heat history on the corrosion of ferritic stainless Steels used for dental magnetic attachments.Dent Mater J 24:391-397,2005.
7) Mizutani N:
Fundamental Studies on Discoloration of Magnetic Stainless Steel,Aichi-Gakuin J.Dent.Sci,38:1-17,2000.
8) Desaki Y:
Experiments on Corrosion of the Magnetic Stainless Steel used for the Certain
Magnetic Attachments: J J Mag
Dent,5(1):67-73,1996.
9) Kurata M:The Skill Book of Plastic Materials,Nikkan
Kougyo.Inc:170-175,1989.
10) Phillips,R.W.:Skinner science of dental materials,9th
ed.,W.B.Saunders Co.,393-412,1991.