The bonding of an experimental low-fusing porcelain to titanium and Ti-6Al-4V was evaluated by an x-ray spectrometric technique that measures the area that remains covered with porcelain following a controlled deformation of the metallic substrate. Oxide adherence strength values for titanium and Ti-6Al-4V oxidized at 750 degrees and 1000 degrees C were measured in tension with use of high-strength adhesives. The effect of further oxidation that would occur during porcelain firing was evaluated via simulated porcelain firings without actual porcelain application. Interface cross-sections of the titanium-porcelain and Ti-6Al-4V-porcelain bonds were examined in a scanning electron microscope (SEM). The porcelain was found to delaminate completely from the metal substrate, leaving less than 1% of the surface covered with porcelain. The oxide adherence of the specimens oxidized at 750 degrees C was good, but those oxidized at 1000 degrees C exhibited significantly lower oxide adherence (p = 0.001). The simulated porcelain-firing oxidation treatments also produced a significant decrease in oxide adherence (p = 0.004). The 750 degrees C oxidation treatments produced oxide films too thin to be visualized in the SEM, whereas the 1000 degrees C oxidation treatments produced oxide films approximately 1 micron thick. The lower oxide adherence of the 1-micron-thick oxide films is consistent with reports in the titanium literature of oxide delamination when the oxide film reaches 1 micron in thickness.

This review examines the question of whether adverse health effects are attributable to amalgam-derived mercury. The issue of absorbed dose of mercury from amalgam is addressed first. The use of intra-oral Hg vapor measurements to estimate daily uptake must take into account the differences between the collection volume and flow rate of the measuring instrument and the inspiratory volume and flow rate of air through the mouth during inhalation of a single breath. Failure to account for these differences will result in substantial overestimation of the absorbed dose. Other factors that must be considered when making estimates of Hg uptake from amalgam include the accurate measurement of baseline (unstimulated) mercury release rates and the greater stimulation of Hg release afforded by chewing gum relative to ordinary food. The measured levels of amalgam-derived mercury in brain, blood, and urine are shown to be consistent with low absorbed doses (1-3 pLg/day). Published relationships between the number of amalgam surfaces and urine levels are used to estimate the number of amalgam surfaces that would be required to produce the 30 plg/g creatinine urine mercury level stated by WHO to be associated with the most subtle, pre-clinical effects in the most sensitive individuals. From 450 to 530 amalgam surfaces would be required to produce the 30 pg/g creatinine urine mercury level for people without any excessive gum-chewing habits. The potential for adverse health effects and for improvement in health following amalgam removal is also addressed. Finally, the issue of whether any material can ever be completely exonerated of claims of producing adverse health effects is considered.

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The mechanism of formation of nodular material on the surface of a Pd-Ag-based alloy for porcelain during pre-porcelainization heat treatment was investigated using scanning electron microscopy, x-ray diffraction, quantitative metallography, and Auger electron spectroscopy. The nodules were found to form by a Nabarro-Herring creep mechanism driven by the internal oxidation of tin and indium. Implications of this process with regard to porcelain bonding and discoloration are discussed.

Dental porcelains rely on the high-thermal-expansion mineral leucite to elevate their bulk thermal expansion to levels compatible with dental PFM alloys. The microcracks that form around these leucite particles when cooled during porcelain manufacture are a potential source of change in bulk porcelain thermal expansion during fabrication of porcelain-fused-to-metal crowns and bridges. The purpose of the present study was to determine whether multiple firings of commercial dental porcelains could produce changes in microcrack density. Specimens of six commercial porcelains and the "Component No. 1" of the Weinstein patent were fabricated and subjected to 1, 2, 4, 8, and 16 firings. The microcrack densities were determined by quantitative stereology, whereby intersections of microcracks were counted with a test grid. The microcrack data were subjected to linear regression analysis and analysis of variance. The microcrack densities of four of the six porcelains and the Component No. 1 frit were not significantly affected by the number of firings (p > 0.05). One porcelain exhibited a weak but highly significant positive correlation between microcrack density and multiple firings (r2 = 0.24, p = 0.0003), while the remaining porcelain exhibited a weak but statistically significant negative correlation between microcrack density and multiple firings (r2 = 0.15, p = 0.006). The results of this study indicate that even for porcelains that exhibit a measurable change in microcrack density as a function of multiple firings, the magnitude of the increase or decrease in microcrack density after several firings is sufficiently small to cause only negligible shifts in porcelain bulk thermal expansion.