Fabrication, microstructure and properties of advanced ceramic–reinforced composites for dental implants: a review
The growing field of dental implant research and development has emerged to rectify the problems associated with human dental health issues. Bio–ceramics are widely used in the medical field, particularly in dental implants, ortho implants, and medical and surgical tools. Various materials have been used in those applications to overcome the limitations and problems associated with their performance and its impact on dental implants. In this article we review and describe the fabrication methods employed for ceramic composites, the microstructure analyses used to identify significant effects on fracture behaviour, and various methods of enhancing mechanical properties. Further, the collective data show that the sintering technique improves the density, hardness, fracture toughness, and flexural strength of alumina– and zirconia–based composites compared with other methods. Future research aspects and suggestions are discussed systematically.
Below is the content of the Citations in the paper which has been de-formatted, however, the content stays consistent with the original.
1. Wójcik, N. A.; Tagiara, N. S.; Möncke, D.; Kamitsos, E. I.; Ali, S.; Ryl, J.; Barczyński, R. J. Mechanism of hopping conduction in Be–Fe–Al–Te–O semiconducting glasses and glass–ceramics. J Mater Sci. 2022, 57, 1633-1647.
2. Magnani, G.; Fabbri, P.; Leoni, E.; Salernitano, E.; Mazzanti, F. New perspectives on zirconia composites as biomaterials. J Compos Sci. 2021, 5, 244.
3. Taeh, A. S.; Othman, F. M.; Abdul-Hamead, A. A. Reviewing alumina-zirconia composite as a ceramic biomaterial. Hunan Daxue Xuebao. 2022, 49, 263-273.
4. Liu, C.; Sun, J.; Li, G.; Li, B.; Gong, F. Fabrication, mechanical properties and fracture behaviors of the laminated Al2O3–ZrB2–MgO / Al2O3–TiN–MgO ceramic composite. Ceram Int. 2020, 46, 857-865.
5. Williams, T.; Yeomans, J.; Smith, P.; Heaton, A.; Hampson, C. Effect of interfacial area on densification and microstructural evolution in silicon carbide–boron carbide particulate composites. J Mater Sci. 2016, 51, 353-361.
6. Alcudia-Ramos, M. A.; Fuentez-Torres, M. O.; Ortiz-Chi, F.; Espinosa-González, C. G.; Hernández‐Como, N.; García-Zaleta, D. S.; Kesarla, M. K.; Torres-Torres, J. G.; Collins-Martínez, V.; Godavarthi, S. Fabrication of g-C3N4/TiO2 heterojunction composite for enhanced photocatalytic hydrogen production. Ceram Int. 2020, 46, 38-45.
7. Pradhan, S.; Singh, S.; Prakash, C.; Królczyk, G.; Pramanik, A.; Pruncu, C. I. Investigation of machining characteristics of hard-to-machine Ti-6Al-4V-ELI alloy for biomedical applications. J Mater Res Technol. 2019, 8, 4849-4862.
8. Saeed, F.; Muhammad, N.; Khan, A. S.; Sharif, F.; Rahim, A.; Ahmad, P.; Irfan, M. Prosthodontics dental materials: From conventional to unconventional. Mater Sci Eng C Mater Biol Appl. 2020, 106, 110167.
9. Lin, C.; Zhao, Q.; Zhao, X.; Yang, Y. Cavitation erosion of metallic materials. Int J Georesources Environment. 2018, 4, 1-8.
10. Ramachandran, K.; Boopalan, V.; Bear, J. C.; Subramani, R. Multi-walled carbon nanotubes (MWCNTs)-reinforced ceramic nanocomposites for aerospace applications: a review. J Mater Sci. 2022, 57, 3923-3953.
11. Meena, K. L.; Vidyasagar, C. S.; Benny Karunakar, D. Mechanical and tribological properties of MgO/multiwalled carbon nanotube-reinforced zirconia-toughened alumina composites developed through spark plasma sintering and microwave sintering. J Mater Eng Perform. 2022, 31, 682-696.
12. Condi Mainardi, J.; Bonini Demarchi, C.; Mirdrikvand, M.; Karim, M. N.; Dreher, W.; Rezwan, K.; Maas, M. 3D bioprinting of hydrogel/ceramic composites with hierarchical porosity. J Mater Sci. 2022, 57, 3662-3677.
13. Bartoli, M.; Duraccio, D.; Faga, M. G.; Piatti, E.; Torsello, D.; Ghigo, G.; Malucelli, G. Mechanical, electrical, thermal and tribological behavior of epoxy resin composites reinforced with waste hemp-derived carbon fibers. J Mater Sci. 2022, 57, 14861-14876.
14. Osman, R. B.; Swain, M. V. A critical review of dental implant materials with an emphasis on titanium versus zirconia. Materials (Basel). 2015, 8, 932-958.
15. Tartsch, J.; Blatz, M. B. Ceramic dental implants: an overview of materials, characteristics, and application concepts. Compend Contin Educ Dent. 2022, 43, 482-488; quiz 489.
16. Thanigachalam, M.; Muthusamy Subramanian, A. V. Evaluation of PEEK-TiO2-SiO2 nanocomposite as biomedical implants with regard to in-vitro biocompatibility and material characterization. J Biomater Sci Polym Ed. 2022, 33, 727-746.
17. Muthusamy Subramanian, A. V.; Thanigachalam, M. Mechanical performances, in-vitro antibacterial study and bone stress prediction of ceramic particulates filled polyether ether ketone nanocomposites for medical applications. J Polym Res. 2022, 29, 318.
18. Thanigachalam, M.; Muthusamy Subramanian, A. V. In-vitro cytotoxicity assessment and cell adhesion study of functionalized nTiO2 reinforced PEEK biocompatible polymer composite. Polym Plasts Technol Mater. 2022, 61, 566-576.
19. Mugilan, T.; Aezhisai Vallavi, M. S.; Sugumar, D. Materialistic characterization, thermal properties, and cytocompatibility investigations on acrylic acid-functionalized nSiO2-reinforced PEEK polymeric nanocomposite. Colloid Polym Sci. 2022, 300, 1155-1168.
20. Zhai, X.; Zhang, X.; Ma, Y.; Liu, J. Influence of Bi2O3, TiO2 additives and sintering process on the performance of ITO target based on normal pressure sintering method. Trans Indian Ceramic Soc. 2019, 78, 83-88.
21. Smirnov, A.; Peretyagin, P.; Bartolomé, J. F. Processing and mechanical properties of new hierarchical metal-graphene flakes reinforced ceramic matrix composites. J Eur Ceram Soc. 2019, 39, 3491-3497.
22. Qian, K.; Yao, Z.; Lin, H.; Zhou, J.; Haidry, A. A.; Qi, T.; Chen, W.; Guo, X. The influence of Nd substitution in Ni–Zn ferrites for the improved microwave absorption properties. Ceram Int. 2020, 46, 227-235.
23. Ghosh, R.; Sarkar, R. Comparative analysis of novel calcium phosphate based machinable bioceramic composites. Trans Indian Ceramic Soc. 2020, 79, 131-138.
24. Raghavendra, C. R.; Basavarajappa, S.; Sogalad, I.; Naik, K. Study on wear mechanism and contact temperature against dry sliding wear of Ni-Al2O3 nanocomposite coating. Trans Indian Ceramic Soc. 2020, 79, 139-143.
25. Yadav, P.; Rattan, S.; Tripathi, A.; Kumar, S. Tailoring of complex permittivity, permeability, and microwave-absorbing properties of CoFe2O4/NG/PMMA nanocomposites through swift heavy ions irradiation. Ceram Int. 2020, 46, 317-324.
26. Liu, C.; Li, X.; Wu, Y.; Zhang, L.; Chang, X.; Yuan, X.; Wang, X. Fabrication of multilayer porous structured TiO2–ZrTiO4–SiO2 heterostructure towards enhanced photo-degradation activities. Ceram Int. 2020, 46, 476-486.
27. Avcıoğlu, S.; Buldu, M.; Kaya, F.; Üstündağ, C. B.; Kam, E.; Menceloğlu, Y. Z.; Kaptan, H. Y.; Kaya, C. Processing and properties of boron carbide (B4C) reinforced LDPE composites for radiation shielding. Ceram Int. 2020, 46, 343-352.
28. Zhang, H.; Li, M.; Zhu, C.; Tang, Q.; Kang, P.; Cao, J. Preparation of magnetic α-Fe2O3/ZnFe2O4@Ti3C2 MXene with excellent photocatalytic performance. Ceram Int. 2020, 46, 81-88.
29. Zhang, Z.; Lin, T.; Shao, H.; Peng, J.; Wang, A.; Zhang, Y.; Yu, X.; Liu, S.; Wang, L.; Zhao, M. Effect of different dopants on porous calcium silicate composite bone scaffolds by 3D gel-printing. Ceram Int. 2020, 46, 325-330.
30. Song, S.; Gao, Z.; Lu, B.; Bao, C.; Zheng, B.; Wang, L. Performance optimization of complicated structural SiC/Si composite ceramics prepared by selective laser sintering. Ceram Int. 2020, 46, 568-575.
31. Su, N. K.; Rejab, N. A.; Ahmad, Z. A.; Abdullah, N. S. Densification of zirconia toughened alumina added CeO2 ceramics via hot isostatic press sintering technique. Key Eng Mater. 2022, 908, 228-233.
32. Thankachan, T.; Soorya Prakash, K.; Malini, R.; Ramu, S.; Sundararaj, P.; Rajandran, S.; Rammasamy, D.; Jothi, S. Prediction of surface roughness and material removal rate in wire electrical discharge machining on aluminum based alloys/composites using Taguchi coupled Grey Relational Analysis and Artificial Neural Networks. Appl Surf Sci. 2019, 472, 22-35.
33. Adibpur, F.; Tayebifard, S. A.; Zakeri, M.; Shahedi Asl, M. Spark plasma sintering of quadruplet ZrB2–SiC–ZrC–Cf composites. Ceram Int. 2020, 46, 156-164.
34. Gil-Flores, L.; Salvador, M. D.; Penaranda-Foix, F. L.; Dalmau, A.; Fernández, A.; Borrell, A. Tribological and wear behaviour of alumina toughened zirconia nanocomposites obtained by pressureless rapid microwave sintering. J Mech Behav Biomed Mater. 2020, 101, 103415.
35. Xia, Y.; Mou, J.; Deng, G.; Wan, S.; Tieu, K.; Zhu, H.; Xue, Q. Sintered ZrO2–TiO2 ceramic composite and its mechanical appraisal. Ceram Int. 2020, 46, 775-785.
36. Yan, X.; Jin, X.; Li, P.; Hou, C.; Hao, X.; Li, Z.; Fan, X. Microstructures and mechanical properties of ZrB2–SiC–Ni ceramic composites prepared by spark plasma sintering. Ceram Int. 2019, 45, 16707-16712.
37. Cui, E.; Zhao, J.; Wang, X. Determination of microstructure and mechanical properties of graphene reinforced Al2O3-Ti(C, N) ceramic composites. Ceram Int. 2019, 45, 20593-20599.
38. Turon-Vinas, M.; Anglada, M. Strength and fracture toughness of zirconia dental ceramics. Dent Mater. 2018, 34, 365-375.
39. Smirnov, A.; Peretyagin, P.; Bartolomé, J. F. Wire electrical discharge machining of 3Y-TZP/Ta ceramic-metal composites. J Alloys Compd. 2018, 739, 62-68.
40. Prajzler, V.; Salamon, D.; Maca, K. Pressure-less rapid rate sintering of pre-sintered alumina and zirconia ceramics. Ceram Int. 2018, 44, 10840-10846.
41. Ke, D.; Pan, Y.; Wu, R.; Xu, Y.; Wang, P.; Wu, T. Effect of initial Co content on the microstructure, mechanical properties and high-temperature oxidation resistance of WCoB-TiC ceramic composites. Ceram Int. 2018, 44, 1213-1219.
42. Rakshit, R.; Das, A. K. A review on cutting of industrial ceramic materials. Precis Eng. 2019, 59, 90-109.
43. Cheng, Z.; Ye, F.; Liu, Y.; Qiao, T.; Li, J.; Qin, H.; Cheng, L.; Zhang, L. Mechanical and dielectric properties of porous and wave-transparent Si3N4-Si3N4 composite ceramics fabricated by 3D printing combined with chemical vapor infiltration. J Adv Ceram. 2019, 8, 399-407.
44. Srinivasan, V. P.; Palani, P. K.; Selvarajan, L. Experimental investigation on electrical discharge machining of ceramic composites (Si3N4-TiN) using RSM. Int J Comput Mater Sci Surf Eng. 2018, 7, 104-115.
45. Kuntz, M.; Krüger, R. The effect of microstructure and chromia content on the properties of zirconia toughened alumina. Ceram Int. 2018, 44, 2011-2020.
46. Monzavi, M.; Zhang, F.; Meille, S.; Douillard, T.; Adrien, J.; Noumbissi, S.; Nowzari, H.; Chevalier, J. Influence of artificial aging on mechanical properties of commercially and non-commercially available zirconia dental implants. J Mech Behav Biomed Mater. 2020, 101, 103423.
47. Gao, P. Z.; Cheng, L.; Yuan, Z.; Liu, X.-p.; Xiao, H.-n. High temperature mechanical retention characteristics and oxidation behaviors of the MoSi2(Cr5Si3)—RSiC composites prepared via a PIP—AAMI combined process. J Adv Ceram. 2019, 8, 196-208.
48. Machaka, R.; Derry, T. E.; Sigalas, I.; Herrmann, M. Analysis of the Indentation Size Effect in the Microhardness Measurements in B6O. Adv Mater Sci Eng. 2011, 2011, 539252.
49. Singaravel Chidambara Nathan, A.; Tah, R.; Balasubramanium, M. K. Evaluation of fracture toughness of zirconia silica nano-fibres reinforced feldespathic ceramic. J Oral Biol Craniofac Res. 2018, 8, 221-224.
50. Liao, Y.; Wang, Y.; Chen, Z.; Wang, X.; Li, J.; Guo, R.; Liu, C.; Gan, G.; Wang, G.; Li, Y.; Zhang, H. Microstructure and enhanced magnetic properties of low-temperature sintered LiZnTiMn ferrite ceramics with Bi2O3-Al2O3 additive. Ceram Int. 2020, 46, 487-492.
51. Talimian, A.; Galusek, D. Aqueous slip casting of translucent magnesium aluminate spinel: Effects of dispersant concentration and solid loading. Ceram Int. 2019, 45, 10646-10653.
52. Hou, P. J.; Guo, Y. F.; Sun, L. X.; Deng, G. Q. Simulation of temperature and thermal stress field during reciprocating traveling WEDM of insulating ceramics. Procedia CIRP. 2013, 6, 410-415.
53. Caravaca, C. F.; Flamant, Q.; Anglada, M.; Gremillard, L.; Chevalier, J. Impact of sandblasting on the mechanical properties and aging resistance of alumina and zirconia based ceramics. J Eur Ceram Soc. 2018, 38, 915-925.
54. Jindal, P. C. A new method for evaluating the indentation toughness of hardmetals. Crystals. 2018, 8, 197.
55. Ahmad, I.; Islam, M.; Al Habis, N.; Parvez, S. Hot-pressed graphene nanoplatelets or/and zirconia reinforced hybrid alumina nanocomposites with improved toughness and mechanical characteristics. J Mater Sci Technol. 2020, 40, 135-145.
56. Chen, X.; Liu, C.; Zheng, W.; Han, J.; Zhang, L.; Liu, C. High strength silica-based ceramics material for investment casting applications: Effects of adding nanosized alumina coatings. Ceram Int. 2020, 46, 196-203.
57. Yu, H.; Hou, Z.; Guo, X.; Chen, Y.; Li, J.; Luo, L.; Li, J.; Yang, T. Finite element analysis on flexural strength of Al2O3-ZrO2 composite ceramics with different proportions. Mater Sci Eng A. 2018, 738, 213-218.
58. Rao, P. K.; Jana, P.; Ahmad, M. I.; Roy, P. K. Synthesis and characterization of zirconia toughened alumina ceramics prepared by co-precipitation method. Ceram Int. 2019, 45, 16054-16061.
59. Tovar-Vargas, D.; Roitero, E.; Anglada, M.; Jiménez-Piqué, E.; Reveron, H. Mechanical properties of ceria-calcia stabilized zirconia ceramics with alumina additions. J Eur Ceram Soc. 2021, 41, 5602-5612.
60. Liu, J.; Huo, W.; Zhang, X.; Ren, B.; Li, Y.; Zhang, Z.; Yang, J. Optimal design on the high-temperature mechanical properties of porous alumina ceramics based on fractal dimension analysis. J Adv Ceram. 2018, 7, 89-98.
61. Manshor, H.; Azhar, A. Z. A.; Rashid, R. A.; Sulaiman, S.; Abdullah, E. C.; Ahmad, Z. A. Effects of Cr2O3 addition on the phase, mechanical properties, and microstructure of zirconia-toughened alumina added with TiO2 (ZTA–TiO2) ceramic composite. Int J Refract Met Hard Mater. 2016, 61, 40-45.
62. Zhu, X.; Kong, F.; Ma, X. Sintering behavior and properties of MgTiO3/CaO-B2O3-SiO2 ceramic composites for LTCC applications. Ceram Int. 2019, 45, 1940-1945.
63. Wang, X.; Zhao, J.; Cui, E.; Song, S.; Liu, H.; Song, W. Microstructure, mechanical properties and toughening mechanisms of graphene reinforced Al2O3-WC-TiC composite ceramic tool material. Ceram Int. 2019, 45, 10321-10329.
64. Zhang, L.; Liu, X.; Li, M.; Xu, E.; Zhao, F.; Yuan, H.; Sun, X.; Zhang, C.; Gao, L.; Gao, J. Feasibility of SiAlON–Si3N4 composite ceramic as a potential bone repairing material. Ceram Int. 2020, 46, 1760-1765.
65. Zhao, H.; Li, Z.; Zhang, M.; Li, J.; Wu, M.; Li, X.; Chen, J.; Xie, M.; Li, J.; Sun, X. High-performance Al2O3–YAG:Ce composite ceramic phosphors for miniaturization of high-brightness white light-emitting diodes. Ceram Int. 2020, 46, 653-662.
66. Li, B.; Li, G.; Chen, H.; Chen, J.; Hou, X.; Li, Y. Physical and mechanical properties of hot-press sintering ternary CM2A8 (CaMg2Al16O27) and C2 M2A14 (Ca2Mg2Al28O46) ceramics. J Adv Ceram. 2018, 7, 229-236.