Int J Stomatol

Int J Stomatol ›› 2024, Vol. 51 ›› Issue (4): 441-449.doi: 10.7518/gjkq.2024056

• Materials • Previous Articles     Next Articles

Research progress on the application of machinable polymer-infiltrated ceramic network in prosthodontics

Cheng Wu1(),Yichen Xu2,Qianbing Wan2()   

  1. 1.State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & West China School of Stomatology, Sichuan University, Chengdu 610041, China
    2.State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Dept. of Prosthodontics Ⅰ, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2023-10-06 Revised:2024-03-22 Online:2024-07-01 Published:2024-06-24
  • Contact: Qianbing Wan E-mail:wucheng@alu.scu.edu.cn;champion@scu.edu.cn
  • Supported by:
    National Key Research and Development Program of China(2022YFC2410103)

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Abstract:

Polymer-infiltrated ceramic network (PICN) has emerged as a novel dental restoration material, attracting widespread attention due to its unique ceramic–resin dual interpenetrating network structure. This material blends the superior features of ceramics and resins, effectively resisting crack propagation, protecting abutment and opposing teeth, and exhibiting excellent adhesive properties. It has shown promising application potential and clinical outcomes in pros-thodontic treatments of single crowns, inlays, partial crowns, and veneers. This review elaborates on the composition, structure, mechanical properties, adhesive performance, wear resistance, optical characteristics, and clinical manifestations of PICN materials. Furthermore, it anticipates future development trends and application prospects.

Key words: polymer-infiltrated ceramic network, material property, machinable material, computer-aided design and computer-aided manufacturing

CLC Number: 

  • R783.1

TrendMD: 

Fig 1

The microstructure of PICN"

1 Spitznagel FA, Boldt J, Gierthmuehlen PC. CAD/CAM ceramic restorative materials for natural teeth[J]. J Dent Res, 2018, 97(10): 1082-1091.
2 Venturini AB, Prochnow C, Pereira GKR, et al. Fatigue performance of adhesively cemented glass‑, hybrid- and resin-ceramic materials for CAD/CAM monolithic restorations[J]. Dent Mater, 2019, 35(4): 534-542.
3 Ionescu AC, Hahnel S, König A, et al. Resin composite blocks for dental CAD/CAM applications reduce biofilm formation in vitro [J]. Dent Mater, 2020, 36(5): 603-616.
4 Mainjot AK, Dupont NM, Oudkerk JC, et al. From artisanal to CAD-CAM blocks: state of the art of indirect composites[J]. J Dent Res, 2016, 95(5): 487-495.
5 Hampe R, Theelke B, Lümkemann N, et al. Fracture toughness analysis of ceramic and resin composite CAD/CAM material[J]. Oper Dent, 2019, 44(4): E190-E201.
6 Lima EL, Vieira WF Jr, do Amaral FLB, et al. In-fluence of universal adhesive system application strategies on the long-term bond strength to dentin of CAD-CAM restorative materials[J]. J Adhes Sci Technol, 2019, 33(24): 2696-2706.
7 Zhi L, Bortolotto T, Krejci I. Comparative in vitro wear resistance of CAD/CAM composite resin and ceramic materials[J]. J Prosthet Dent, 2016, 115(2): 199-202.
8 Cui BC, Li J, Wang HN, et al. Mechanical properties of polymer-infiltrated-ceramic (sodium aluminum silicate) composites for dental restoration[J]. J Dent, 2017, 62: 91-97.
9 Kang LZ, Zhou Y, Lan JL, et al. Effect of resin composition on performance of polymer-infiltrated feldspar-network composites for dental restoration[J]. Dent Mater J, 2020, 39(5): 900-908.
10 Li J, Cui BC, Lin YH, et al. High strength and toughness in chromatic polymer-infiltrated zirconia ceramics[J]. Dent Mater, 2016, 32(12): 1555-1563.
11 Mironov RA, Georgiu IF, Solovev AА, et al. The effect of polymer concentration on thermophysical, structural and mechanical properties of siloxane-infiltrated silica ceramics[J]. Ceram Int, 2021, 47(7): 9888-9895.
12 Wang F, Guo JS, Li K, et al. High strength polymer/silicon nitride composites for dental restorations[J]. Dent Mater, 2019, 35(9): 1254-1263.
13 Wang YH, Luo SH, Dou YX, et al. Preparation and mechanical properties of polymer infiltrated feldspar ceramic for dental restoration materials[J]. J Polym Res, 2022, 29(11): 464.
14 He LH, Swain M. A novel polymer infiltrated ceramic dental material[J]. Dent Mater, 2011, 27(6): 527-534.
15 Coldea A, Swain MV, Thiel N. Mechanical properties of polymer-infiltrated-ceramic-network materials [J]. Dent Mater, 2013, 29(4): 419-426.
16 Albero A, Pascual A, Camps I, et al. Comparative characterization of a novel CAD-CAM polymer-infiltrated-ceramic-network[J]. J Clin Exp Dent, 2015, 7(4): e495-e500.
17 Facenda JC, Borba M, Corazza PH. A literature review on the new polymer-infiltrated ceramic-network material (PICN) [J]. J Esthet Restor Dent, 2018, 30(4): 281-286.
18 Lauvahutanon S, Takahashi H, Shiozawa M, et al. Mechanical properties of composite resin blocks for CAD/CAM[J]. Dent Mater J, 2014, 33(5): 705-710.
19 Ramos NDEC, Campos TM, Paz IS, et al. Microstructure characterization and SCG of newly engineered dental ceramics[J]. Dent Mater, 2016, 32(7): 870-878.
20 Awada A, Nathanson D. Mechanical properties of resin-ceramic CAD/CAM restorative materials[J]. J Prosthet Dent, 2015, 114(4): 587-593.
21 Della Bona A, Corazza PH, Zhang Y. Characterization of a polymer-infiltrated ceramic-network material[J]. Dent Mater, 2014, 30(5): 564-569.
22 Coldea A, Swain MV, Thiel N. In-vitro strength de-gradation of dental ceramics and novel PICN mate-rial by sharp indentation[J]. J Mech Behav Biomed Mater, 2013, 26: 34-42.
23 Silva CS, Henriques B, Novaes de Oliveira AP, et al. Micro-scale abrasion and sliding wear of zirco-nium-lithium silicate glass-ceramic and polymer-infiltrated ceramic network used in dentistry[J]. Wear, 2020, 448/449: 203214.
24 Borrero-Lopez O, Guiberteau F, Zhang Y, et al. Wear of ceramic-based dental materials[J]. J Mech Behav Biomed Mater, 2019, 92: 144-151.
25 Homaei E, Farhangdoost K, Tsoi JKH, et al. Static and fatigue mechanical behavior of three dental CAD/CAM ceramics[J]. J Mech Behav Biomed Mater, 2016, 59: 304-313.
26 Lf G, Soares P, Werner A, et al. Fatigue performance of distinct CAD/CAM dental ceramics[J]. J Mech Behav Biomed Mater, 2020, 103: 103540.
27 Aboushelib MN, Elsafi MH. Survival of resin infiltrated ceramics under influence of fatigue[J]. Dent Mater, 2016, 32(4): 529-534.
28 Elraggal A, Afifi RR, Alamoush RA, et al. Effect of acidic media on flexural strength and fatigue of CAD-CAM dental materials[J]. Dent Mater, 2023, 39(1): 57-69.
29 Leung BT, Tsoi JK, Matinlinna JP, et al. Comparison of mechanical properties of three machinable ceramics with an experimental fluorophlogopite glass ceramic[J]. J Prosthet Dent, 2015, 114(3): 440-446.
30 Takeshige F, Kawakami Y, Hayashi M, et al. Fatigue behavior of resin composites in aqueous environments[J]. Dent Mater, 2007, 23(7): 893-899.
31 Coldea A, Fischer J, Swain MV, et al. Damage tole-rance of indirect restorative materials (including PICN) after simulated bur adjustments[J]. Dent Mater, 2015, 31(6): 684-694.
32 Carvalho AO, Bruzi G, Giannini M, et al. Fatigue resistance of CAD/CAM complete crowns with a simplified cementation process[J]. J Prosthet Dent, 2014, 111(4): 310-317.
33 Belli R, Geinzer E, Muschweck A, et al. Mechanical fatigue degradation of ceramics versus resin composites for dental restorations[J]. Dent Mater, 2014, 30(4): 424-432.
34 Elsaka SE. Bond strength of novel CAD/CAM restorative materials to self-adhesive resin cement: the effect of surface treatments[J]. J Adhes Dent, 2014, 16(6): 531-540.
35 Flury S, Schmidt SZ, Peutzfeldt A, et al. Dentin bond strength of two resin-ceramic computer-aided design/computer-aided manufacturing (CAD/CAM) materials and five cements after six months storage[J]. Dent Mater J, 2016, 35(5): 728-735.
36 Ustun S, Ayaz EA. Effect of different cement systems and aging on the bond strength of chairside CAD-CAM ceramics[J]. J Prosthet Dent, 2021, 125(2): 334-339.
37 Schwenter J, Schmidli F, Weiger R, et al. Adhesive bonding to polymer infiltrated ceramic[J]. Dent Mater J, 2016, 35(5): 796-802.
38 董林林. 不同酸蚀处理对CAD/CAM可切削陶瓷表面形貌及内部微观结构的影响[D]. 长春: 吉林大学, 2019.
Dong LL. Effect of different etching treatments on surface morphology and internal microstructure of CAD/CAM etchable ceramics[D]. Changchun: Jilin University, 2019.
39 Barutcigil K, Barutcigil Ç, Kul E, et al. Effect of different surface treatments on bond strength of resin cement to a CAD/CAM restorative material[J]. J Prosthodont, 2019, 28(1): 71-78.
40 Campos F, Almeida CS, Rippe MP, et al. Resin bonding to a hybrid ceramic: effects of surface treatments and aging[J]. Oper Dent, 2016, 41(2): 171-178.
41 Chuenjit P, Suzuki M, Shinkai K. Effect of various surface treatments on the bond strength of resin lu-ting agent and the surface roughness and surface energy of CAD/CAM materials[J]. Dent Mater J, 2021, 40(1): 16-25.
42 Lise DP, van Ende A, De Munck J, et al. Microtensile bond strength of composite cement to novel CAD/CAM materials as a function of surface treatment and aging[J]. Oper Dent, 2017, 42(1): 73-81.
43 Maawadh AM, Almohareb T, Al-Hamdan RS, et al. Repair strength and surface topography of lithium disilicate and hybrid resin ceramics with LLLT and photodynamic therapy in comparison to hydrofluo-ric acid[J]. J Appl Biomater Funct Mater, 2020, 18: 2280800020966938.
44 Peumans M, Valjakova EB, De Munck J, et al. Bonding effectiveness of luting composites to diffe-rent CAD/CAM materials[J]. J Adhes Dent, 2016, 18(4): 289-302.
45 Silva PNFD, Martinelli-Lobo CM, Bottino MA, et al. Bond strength between a polymer-infiltrated ceramic network and a composite for repair: effect of several ceramic surface treatments[J]. Braz Oral Res, 2018, 32: e28.
46 Bello YD, di Domenico MB, Magro LD, et al. Bond strength between composite repair and polymer-infiltrated ceramic-network material: effect of diffe-rent surface treatments[J]. J Esthet Restor Dent, 2019, 31(3): 275-279.
47 Lee Y, Kim JH, Woo JS, et al. Analysis of self-adhesive resin cement microshear bond strength on leucite-reinforced glass-ceramic with/without pure silane primer or universal adhesive surface treatment[J]. Biomed Res Int, 2015, 2015: 361893.
48 Stawarczyk B, Awad D, Ilie N. Blue-light transmittance of esthetic monolithic CAD/CAM materials with respect to their composition, thickness, and cu-ring conditions[J]. Oper Dent, 2016, 41(5): 531-540.
49 Pulgar R, Lucena C, Espinar C, et al. Optical and colorimetric evaluation of a multi-color polymer-infiltrated ceramic-network material[J]. Dent Mater, 2019, 35(7): e131-e139.
50 Duran İ, Kaleli N, Ural Ç, et al. Evaluation of the light transmission of chairside polymer infiltrated hybrid ceramics in different shades and thicknesses[J]. J Appl Biomater Funct Mater, 2019, 17(1): 22808-00018807109.
51 Barutcigil K, Büyükkaplan UŞ. The effect of thickness and translucency of polymer-infiltrated cera-mic-network material on degree of conversion of resin cements[J]. J Adv Prosthodont, 2020, 12(2): 61-66.
52 Alp G, Subaşı MG, Seghi RR, et al. Effect of sha-ding technique and thickness on color stability and translucency of new generation translucent zirconia[J]. J Dent, 2018, 73: 19-23.
53 An JS, Son HH, Qadeer S, et al. The influence of a continuous increase in thickness of opaque-shade composite resin on masking ability and translucency[J]. Acta Odontol Scand, 2013, 71(1): 120-129.
54 Bilgin MS, Erdem A, Tanrıver M. CAD/CAM endocrown fabrication from a polymer-infiltrated cera-mic network block for primary molar: a case report[J]. J Clin Pediatr Dent, 2016, 40(4): 264-268.
55 Pop-Ciutrila IS, Ghinea R, Dudea D, et al. The effects of thickness and shade on translucency para-meters of contemporary, esthetic dental ceramics[J]. J Esthet Restor Dent, 2021, 33(5): 795-806.
56 Shiraishi T, Watanabe I. Thickness dependence of light transmittance, translucency and opalescence of a ceria-stabilized zirconia/alumina nanocomposite for dental applications[J]. Dent Mater, 2016, 32(5): 660-667.
57 Passos SP, Kimpara ET, Bottino MA, et al. Effect of ceramic shade on the degree of conversion of a dual-cure resin cement analyzed by FTIR[J]. Dent Mater, 2013, 29(3): 317-323.
58 Alharbi N, Teerakanok S, Satterthwaite JD, et al. Quantitative nano-mechanical mapping AFM-based method for elastic modulus and surface roughness measurements of model polymer infiltrated ceramics[J]. Dent Mater, 2022, 38(6): 935-945.
59 Egilmez F, Ergun G, Cekic-Nagas I, et al. Comparative color and surface parameters of current esthetic restorative CAD/CAM materials[J]. J Adv Prosthodont, 2018, 10(1): 32-42.
60 Alharbi A, Ardu S, Bortolotto T, et al. In-office bleaching efficacy on stain removal from CAD/CAM and direct resin composite materials[J]. J Esthet Restor Dent, 2018, 30(1): 51-58.
61 Karakaya İ, Cengiz E. Effect of 2 bleaching agents with a content of high concentrated hydrogen pero-xide on stained 2 CAD/CAM blocks and a nanohybrid composite resin: an AFM evaluation[J]. Biomed Res Int, 2017, 2017: 6347145.
62 Seyidaliyeva A, Rues S, Evagorou Z, et al. Color stability of polymer-infiltrated-ceramics compared with lithium disilicate ceramics and composite[J]. J Esthet Restor Dent, 2020, 32(1): 43-50.
63 Karaokutan I, Yilmaz Savas T, Aykent F, et al. Color stability of CAD/CAM fabricated inlays after acce-lerated artificial aging[J]. J Prosthodont, 2016, 25(6): 472-477.
64 Sasany R, Eyüboğlu TF, Özcan M. Long-term effect of nanosized boric acid powder on optical properties of polymer infiltrated ceramic CAD-CAM material[J]. Coatings, 2023, 13(3): 483.
65 Spitznagel FA, Scholz KJ, Vach K, et al. Monolithic polymer-infiltrated ceramic network CAD/CAM single crowns: three-year mid-term results of a prospective clinical study[J]. Int J Prosthodont, 2020, 33(2): 160-168.
66 Chirumamilla G, Goldstein CE, Lawson NC. A 2-year retrospective clinical study of enamic crowns performed in a private practice setting[J]. J Esthet Restor Dent, 2016, 28(4): 231-237.
67 Spitznagel FA, Scholz KJ, Strub JR, et al. Polymer-infiltrated ceramic CAD/CAM inlays and partial coverage restorations: 3-year results of a prospective clinical study over 5 years[J]. Clin Oral Investig, 2018, 22(5): 1973-1983.
68 Lu T, Peng L, Xiong F, et al. A 3-year clinical eva-luation of endodontically treated posterior teeth restored with two different materials using the CEREC AC chair-side system[J]. J Prosthet Dent, 2018, 119(3): 363-368.
69 Attia YS, Sherif RM, Zaghloul HH. Survival of Hybrid Laminate Veneers using two different tooth preparation techniques: randomized clinical trial[J]. Braz Dent J, 2021, 32(6): 36-53.
70 Oudkerk J, Eldafrawy M, Bekaert S, et al. The one-step no-prep approach for full-mouth rehabilitation of worn dentition using PICN CAD-CAM restorations: 2-yr results of a prospective clinical study[J]. J Dent, 2020, 92: 103245.
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