J Adv Prosthodont.  2019 Feb;11(1):23-31. 10.4047/jap.2019.11.1.23.

Two-body wear behavior of human enamel versus monolithic zirconia, lithium disilicate, ceramometal and composite resin

Affiliations
  • 1Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia. rashidhabib@hotmail.com
  • 2College of Dentistry, King Saud University, Riyadh, Saudi Arabia.

Abstract

PURPOSE
To investigate and compare the surface roughness (SR), weight and height of monolithic zirconia (MZ), ceramometal (CM), lithium disilicate glass ceramic (LD), composite resin (CR), and their antagonistic human teeth enamel.
MATERIALS AND METHODS
32 disc shaped specimens for the four test materials (n=8) and 32 premolars were prepared and randomly divided. SR, weight and height of the materials and the antagonist enamel were recorded before and after subjecting the specimens to 240,000 wear-cycles (49 N/0.8 Hz/5℃/50℃). SR, height, weight, and digital microscopic qualitative evaluation were measured.
RESULTS
CM (0.23 + 0.08 µm) and LD (0.68 + 0.16 µm) exhibited the least and highest mean difference in the SR, respectively. ANOVA revealed significance (P=.001) between the materials for the SR. Paired T-Test showed significance (P < .05) for the pre- and post-SR for all the materials. For the antagonistic enamel, no significance (P=.987) was found between the groups. However, the pre- and post-SR values of all the enamel groups were significant (P < .05). Wear cycles had significant effect on enamel weight loss against all the materials (P < .05). CR and MZ showed the lowest and highest height loss of 0.14 mm and 0.46 mm, respectively.
CONCLUSION
MZ and CM are more resistant to SR against the enamel than LD and CR. Enamel worn against test materials showed similar SR. Significant variations in SR values for the tested materials (MZ, LD, CM, and CR) against the enamel were found. Wear simulation significantly affected the enamel weight loss against all the materials, and enamel antagonist against MZ and CM showed more height loss.

Keyword

Dental wear; Monolithic zirconia; Enamel wear; Ceramic wear; Wear behavior; Surface roughness

MeSH Terms

Bicuspid
Ceramics
Dental Enamel*
Evaluation Studies as Topic
Glass
Humans*
Lithium*
Tooth
Tooth Wear
Weight Loss
Lithium

Figure

  • Fig. 1 (A) Mounted tooth specimen in resin block, (B) Disc shaped material specimen embedded in resin block.

  • Fig. 2 (A) Specimens of one group locked in chewing simulation machine, (B) Close up picture of a material specimen along with antagonistic tooth enamel specimen.

  • Fig. 3 Samples of pre and post 3D profilometer images for the tested materials; monolithic zirconia (MZ); lithium disilicate glass ceramic (LD); ceramometal (CM); composite resin (CR) and their antagonist enamel specimens.

  • Fig. 4 Samples of pre and post digital microscopic images for the tested materials; monolithic zirconia (MZ); lithium disilicate glass ceramic (LD); ceramometal (CM); composite resin (CR) and their antagonist enamel specimens.

  • Fig. 5 Graphical comparison of Pre and Post height of teeth specimens against tested materials.


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