Fracture toughness and hardness of in-office, 3D-printed ceramic brackets

Three-dimensional (3D) printing technology is a promising manufacturing technique for fabricating ceramic brackets. The aim of this research was to assess fundamental mechanical properties of in-office, 3D printed ceramic brackets.

3D-printed zirconia brackets, commercially available polycrystalline alumina ceramic brackets (Clarity, 3 M St. Paul, MN) and 3D-printed customized polycrystalline alumina ceramic ones (LightForce™, Burlington, Massachusetts) were included in this study. Seven 3D printed zirconia brackets and equal number of ceramic ones from each manufacturer underwent metallographic grinding and polishing followed by Vickers indentation testing. Hardness (HV) and fracture toughness (K1c) were estimated by measuring impression average diagonal length and crack length, respectively. After descriptive statistics calculation, group differences were analysed with 1 Way ANOVA and Holm Sidak post hoc multiple comparison test at significance level α = .05.

Statistically significant differences were found among the materials tested with respect to hardness and fracture toughness. The 3D-printed zirconia proved to be less hard (1261 ± 39 vs 2000 ± 49 vs 1840 ± 38) but more resistant to crack propagation (K1c = 6.62 ± 0.61 vs 5.30 ± 0.48 vs 4.44 ± 0.30 MPa m^1/2 ) than the alumina brackets (Clarity and Light Force respectivelty). Significant differences were observed between the 3D printed and the commercially available polycrystalline alumina ceramic brackets but to a lesser extent.

Under the limitations of this study, the 3D printed zirconia bracket tested is characterized by mechanical properties associated with advantageous orthodontic fixed appliances traits regarding clinically relevant parameters.