Clinical Assistant Professor, Department of Prosthodontics, Tufts University School of Dental Medicine, Boston, Mass.
Senior Research and Teaching Assistant, Division of Gerodontology and Removable Prosthodontics, University of Geneva, Geneva, Switzerland.
J Prosthet Dent. 2018 Apr;119(4):626-631. doi: 10.1016/j.prosdent.2017.04.003. Epub 2017 Jul 8.
The clinical applications of high-translucency monolithic zirconia restorations have increased. Chairside and laboratory adjustments of these restorations are inevitable, which may lead to increased roughness and reduced strength. The influence of grinding and polishing on high-translucency zirconia has not been investigated.
The purpose of this in vitro study was to compare the roughness averages (Ra) of ground and polished zirconia and investigate whether roughness influenced strength after aging.
High-translucency zirconia disks were milled, sintered, and glazed according to the manufacturer's recommendations. Specimens were randomized to 4 equal groups. Group G received only grinding; groups GPB and GPK received grinding and polishing with different polishing systems; and group C was the (unground) control group. All specimens were subjected to hydrothermal aging in an autoclave at 134°C at 200 kPa for 3 hours. Roughness average was measured using a 3-dimensional (3D) optical interferometer at baseline (Ra1), after grinding and polishing (Ra2), and after aging (Ra3). A biaxial flexural strength test was performed at a rate of 0.5 mm/min. Statistical analyses were performed using commercial software (α=.05).
Group G showed a significantly higher mean value of Ra3 (1.96 ±0.32 μm) than polished and glazed groups (P<.001), which showed no statistically significant difference among them (GPB, 1.12 ±0.31 µm; GPK, 0.88 ±0.31 µm; C: 0.87 ±0.25 μm) (P>.05). Compared with baseline, the roughness of groups G and GPB increased significantly after surface treatments and after aging, whereas aging did not significantly influence the roughness of groups GPK or C. Group G showed the lowest mean value of biaxial flexural strength (879.01 ±157.99 MPa), and the highest value was achieved by group C (962.40 ±113.84 MPa); no statistically significant differences were found among groups (P>.05). Additionally, no significant correlation was detected between the Ra and flexural strength of zirconia.
Grinding increased the roughness of zirconia restorations, whereas proper polishing resulted in smoothness comparable with glazed surfaces. The results provide no evidence that grinding and polishing affect the flexural strength of zirconia after aging.
高透明度整体氧化锆修复体的临床应用有所增加。对这些修复体进行椅旁和实验室调整是不可避免的,这可能会导致粗糙度增加和强度降低。研磨和抛光对高透明度氧化锆的影响尚未得到研究。
本体外研究的目的是比较研磨和抛光后的氧化锆的平均粗糙度(Ra),并探讨老化后粗糙度是否会影响强度。
根据制造商的建议,用高透明度氧化锆片进行铣削、烧结和上釉。将样本随机分为 4 组。组 G 仅接受研磨;组 GPB 和 GPK 接受不同抛光系统的研磨和抛光;组 C 为(未研磨)对照组。所有样本均在 134°C 和 200 kPa 的高压釜中进行 3 小时的湿热老化。使用三维(3D)光学干涉仪在基线(Ra1)、研磨和抛光后(Ra2)以及老化后(Ra3)测量平均粗糙度。以 0.5mm/min 的速率进行双轴弯曲强度测试。使用商业软件进行统计分析(α=.05)。
组 G 的 Ra3 平均值(1.96 ±0.32μm)明显高于抛光和上釉组(P<.001),而抛光和上釉组之间无统计学差异(GPB,1.12 ±0.31μm;GPK,0.88 ±0.31μm;C:0.87 ±0.25μm)(P>.05)。与基线相比,组 G 和 GPB 经表面处理后和老化后粗糙度显著增加,而 GPK 组或 C 组的粗糙度在老化后无显著变化。组 G 的双轴弯曲强度平均值最低(879.01 ±157.99 MPa),C 组最高(962.40 ±113.84 MPa);各组间无统计学差异(P>.05)。此外,氧化锆的 Ra 与弯曲强度之间未检测到显著相关性。
研磨会增加氧化锆修复体的粗糙度,而适当的抛光可使表面光滑度与上釉表面相当。结果表明,研磨和抛光不会影响老化后氧化锆的弯曲强度。