Influence of different surface treatments on two-body wear and fracture load of monolithic CAD/CAM ceramics

Objectives To investigate two-body wear (2BW) and fracture load (FL) of monolithic ceramics after different surface pretreatments. Materials and methods Zirconia (MOZ), lithium-disilicate (LIT), and leucite-reinforced (LEU) specimens ( n  = 60/group) were manufactured with CAD/CAM-technology and und...

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Veröffentlicht in:Clinical oral investigations 2020-09, Vol.24 (9), p.3049-3060
Hauptverfasser: Wiedenmann, Felicitas, Böhm, Denise, Eichberger, Marlis, Edelhoff, Daniel, Stawarczyk, Bogna
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container_issue 9
container_start_page 3049
container_title Clinical oral investigations
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creator Wiedenmann, Felicitas
Böhm, Denise
Eichberger, Marlis
Edelhoff, Daniel
Stawarczyk, Bogna
description Objectives To investigate two-body wear (2BW) and fracture load (FL) of monolithic ceramics after different surface pretreatments. Materials and methods Zirconia (MOZ), lithium-disilicate (LIT), and leucite-reinforced (LEU) specimens ( n  = 60/group) were manufactured with CAD/CAM-technology and underwent ( n  = 15/subgroup): 1) grinding + polishing (GrPo), 2) grinding + glazing (GrGz), 3) grinding (Gr), or 4) glazing (Gz). Scanning electron microscope ( n  = 3/subgroup) and 3D measurements of the ceramic crowns and antagonists ( N  = 180) were performed to determine 2BW before and after 120,000/1,200,000 masticatory cycles. FL was examined for all specimens ( N  = 180). Data were analyzed using Kolmogorov-Smirnov, one-way ANOVA, Scheffé post hoc, Kruskal-Wallis, Mann-Whitney-U, and Wilcoxon ( p  
doi_str_mv 10.1007/s00784-019-03173-8
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Materials and methods Zirconia (MOZ), lithium-disilicate (LIT), and leucite-reinforced (LEU) specimens ( n  = 60/group) were manufactured with CAD/CAM-technology and underwent ( n  = 15/subgroup): 1) grinding + polishing (GrPo), 2) grinding + glazing (GrGz), 3) grinding (Gr), or 4) glazing (Gz). Scanning electron microscope ( n  = 3/subgroup) and 3D measurements of the ceramic crowns and antagonists ( N  = 180) were performed to determine 2BW before and after 120,000/1,200,000 masticatory cycles. FL was examined for all specimens ( N  = 180). Data were analyzed using Kolmogorov-Smirnov, one-way ANOVA, Scheffé post hoc, Kruskal-Wallis, Mann-Whitney-U, and Wilcoxon ( p  < 0.05). Results MOZ presented the highest FL independent on pretreatment (6960–9250 N), while LEU (1405–2320 N) showed the lowest ( p  < 0.001). Ceramic and antagonist wear increased between 120,000 and 1,200,000 masticatory cycles ( p  < 0.001). For pretreatments GrPo, GrGz, and Gz, MOZ showed the lowest wear of the ceramic, while causing the highest antagonist wear ( p  < 0.001). GrPo resulted in the lowest wear for MOZ ( p  < 0.001), with Gr leading to the highest antagonist wear ( p  = 0.008). LIT specimens presented the highest wear of the ceramic and antagonist after Gz ( p  < 0.001), while GrPo resulted in the lowest antagonist wear ( p  < 0.001). GrGz led to the highest antagonist wear for LEU ( p  < 0.001). Conclusions With FL exceeding maximum masticatory forces, the three tested ceramics can be recommended for restorations, even in posterior regions. While glazing resulted in higher wear and impaired FL, polishing improved mechanical properties while largely preserving the antagonist. Clinical relevance While surface pretreatment after grinding is vital to ensure a ceramic’s optimal mechanical properties, glazing and polishing varies with regard to material properties, costs, and time.]]></description><identifier>ISSN: 1432-6981</identifier><identifier>EISSN: 1436-3771</identifier><identifier>DOI: 10.1007/s00784-019-03173-8</identifier><identifier>PMID: 31836916</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Antagonists ; Ceramics ; Computer-Aided Design ; Dental Porcelain ; Dentistry ; Kruskal-Wallis test ; Lithium ; Mastication ; Materials Testing ; Mechanical properties ; Medicine ; Original Article ; Scanning electron microscopy ; Surface Properties ; Zirconia ; Zirconium</subject><ispartof>Clinical oral investigations, 2020-09, Vol.24 (9), p.3049-3060</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2019</rights><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2019.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-p213t-2c2c73b850b1401e33c46ef0457bf767a376db114efe06ba88ddfab2d5e52dc83</cites><orcidid>0000-0003-0089-9995</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00784-019-03173-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00784-019-03173-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31836916$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wiedenmann, Felicitas</creatorcontrib><creatorcontrib>Böhm, Denise</creatorcontrib><creatorcontrib>Eichberger, Marlis</creatorcontrib><creatorcontrib>Edelhoff, Daniel</creatorcontrib><creatorcontrib>Stawarczyk, Bogna</creatorcontrib><title>Influence of different surface treatments on two-body wear and fracture load of monolithic CAD/CAM ceramics</title><title>Clinical oral investigations</title><addtitle>Clin Oral Invest</addtitle><addtitle>Clin Oral Investig</addtitle><description><![CDATA[Objectives To investigate two-body wear (2BW) and fracture load (FL) of monolithic ceramics after different surface pretreatments. Materials and methods Zirconia (MOZ), lithium-disilicate (LIT), and leucite-reinforced (LEU) specimens ( n  = 60/group) were manufactured with CAD/CAM-technology and underwent ( n  = 15/subgroup): 1) grinding + polishing (GrPo), 2) grinding + glazing (GrGz), 3) grinding (Gr), or 4) glazing (Gz). Scanning electron microscope ( n  = 3/subgroup) and 3D measurements of the ceramic crowns and antagonists ( N  = 180) were performed to determine 2BW before and after 120,000/1,200,000 masticatory cycles. FL was examined for all specimens ( N  = 180). Data were analyzed using Kolmogorov-Smirnov, one-way ANOVA, Scheffé post hoc, Kruskal-Wallis, Mann-Whitney-U, and Wilcoxon ( p  < 0.05). Results MOZ presented the highest FL independent on pretreatment (6960–9250 N), while LEU (1405–2320 N) showed the lowest ( p  < 0.001). Ceramic and antagonist wear increased between 120,000 and 1,200,000 masticatory cycles ( p  < 0.001). For pretreatments GrPo, GrGz, and Gz, MOZ showed the lowest wear of the ceramic, while causing the highest antagonist wear ( p  < 0.001). GrPo resulted in the lowest wear for MOZ ( p  < 0.001), with Gr leading to the highest antagonist wear ( p  = 0.008). LIT specimens presented the highest wear of the ceramic and antagonist after Gz ( p  < 0.001), while GrPo resulted in the lowest antagonist wear ( p  < 0.001). GrGz led to the highest antagonist wear for LEU ( p  < 0.001). Conclusions With FL exceeding maximum masticatory forces, the three tested ceramics can be recommended for restorations, even in posterior regions. While glazing resulted in higher wear and impaired FL, polishing improved mechanical properties while largely preserving the antagonist. Clinical relevance While surface pretreatment after grinding is vital to ensure a ceramic’s optimal mechanical properties, glazing and polishing varies with regard to material properties, costs, and time.]]></description><subject>Antagonists</subject><subject>Ceramics</subject><subject>Computer-Aided Design</subject><subject>Dental Porcelain</subject><subject>Dentistry</subject><subject>Kruskal-Wallis test</subject><subject>Lithium</subject><subject>Mastication</subject><subject>Materials Testing</subject><subject>Mechanical properties</subject><subject>Medicine</subject><subject>Original Article</subject><subject>Scanning electron microscopy</subject><subject>Surface Properties</subject><subject>Zirconia</subject><subject>Zirconium</subject><issn>1432-6981</issn><issn>1436-3771</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNpdkU1vFDEMhiNERUvhD3BAkbhwCU3G2SRzXG35qNSKS3uOMokDU2aSJZlR1X9PtluExMW27EevbL-EvBP8k-BcX9QWjGRc9IyD0MDMC3ImJCgGWouXT3XHVG_EKXld6z3nQioNr8gpCAOqF-qM_LpKcVoxeaQ50jDGiAXTQutaomvNpaBb5tapNCe6PGQ25PBIH9AV6lKgsTi_rAXplF04SMw55Wlcfo6e7raXF7vtDfVY3Dz6-oacRDdVfPucz8ndl8-3u2_s-vvXq932mu07AQvrfOc1DGbDByG5QAAvFUYuN3qIWmkHWoVBCIkRuRqcMSFEN3Rhg5sueAPn5ONRd1_y7xXrYuexepwmlzCv1XbQju_bX6ChH_5D7_NaUtvOdhKkkKbvD4Lvn6l1mDHYfRlnVx7t3zc2AI5AbaP0A8s_GcHtwSx7NMs2s-yTWdbAH3DXhK8</recordid><startdate>20200901</startdate><enddate>20200901</enddate><creator>Wiedenmann, Felicitas</creator><creator>Böhm, Denise</creator><creator>Eichberger, Marlis</creator><creator>Edelhoff, Daniel</creator><creator>Stawarczyk, Bogna</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0089-9995</orcidid></search><sort><creationdate>20200901</creationdate><title>Influence of different surface treatments on two-body wear and fracture load of monolithic CAD/CAM ceramics</title><author>Wiedenmann, Felicitas ; 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Materials and methods Zirconia (MOZ), lithium-disilicate (LIT), and leucite-reinforced (LEU) specimens ( n  = 60/group) were manufactured with CAD/CAM-technology and underwent ( n  = 15/subgroup): 1) grinding + polishing (GrPo), 2) grinding + glazing (GrGz), 3) grinding (Gr), or 4) glazing (Gz). Scanning electron microscope ( n  = 3/subgroup) and 3D measurements of the ceramic crowns and antagonists ( N  = 180) were performed to determine 2BW before and after 120,000/1,200,000 masticatory cycles. FL was examined for all specimens ( N  = 180). Data were analyzed using Kolmogorov-Smirnov, one-way ANOVA, Scheffé post hoc, Kruskal-Wallis, Mann-Whitney-U, and Wilcoxon ( p  < 0.05). Results MOZ presented the highest FL independent on pretreatment (6960–9250 N), while LEU (1405–2320 N) showed the lowest ( p  < 0.001). Ceramic and antagonist wear increased between 120,000 and 1,200,000 masticatory cycles ( p  < 0.001). For pretreatments GrPo, GrGz, and Gz, MOZ showed the lowest wear of the ceramic, while causing the highest antagonist wear ( p  < 0.001). GrPo resulted in the lowest wear for MOZ ( p  < 0.001), with Gr leading to the highest antagonist wear ( p  = 0.008). LIT specimens presented the highest wear of the ceramic and antagonist after Gz ( p  < 0.001), while GrPo resulted in the lowest antagonist wear ( p  < 0.001). GrGz led to the highest antagonist wear for LEU ( p  < 0.001). Conclusions With FL exceeding maximum masticatory forces, the three tested ceramics can be recommended for restorations, even in posterior regions. While glazing resulted in higher wear and impaired FL, polishing improved mechanical properties while largely preserving the antagonist. Clinical relevance While surface pretreatment after grinding is vital to ensure a ceramic’s optimal mechanical properties, glazing and polishing varies with regard to material properties, costs, and time.]]></abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>31836916</pmid><doi>10.1007/s00784-019-03173-8</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0003-0089-9995</orcidid></addata></record>
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subjects Antagonists
Ceramics
Computer-Aided Design
Dental Porcelain
Dentistry
Kruskal-Wallis test
Lithium
Mastication
Materials Testing
Mechanical properties
Medicine
Original Article
Scanning electron microscopy
Surface Properties
Zirconia
Zirconium
title Influence of different surface treatments on two-body wear and fracture load of monolithic CAD/CAM ceramics
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