Jang Yong-Seok, Nguyen Thuy-Duong Thi, Ko Young-Han, Lee Dae-Woo, Baik Byeong Ju, Lee Min-Ho, Bae Tae-Sung
Department of Dental Biomaterials, Institute of Oral Bioscience and Institute of Biodegradable Material, BK21 Plus Project, School of Dentistry, Chonbuk National University, Jeonju, Republic of Korea.
Odonto-stomatology Faculty, Hue University of Medicine and Pharmacy, Hue University, Hue City, Vietnam.
J Adv Prosthodont. 2019 Feb;11(1):7-15. doi: 10.4047/jap.2019.11.1.7. Epub 2019 Feb 26.
The aim of this study was to identify the effects of three aesthetic restorative materials on the wear between tooth and restoration by a pin-on-disk manner.
Six aesthetic restorative materials were used to prepare disk specimens for wear test, which were Lava Zirconia as zirconia group, Vintage MP and Cerabien ZR as veneering porcelain group, Gradia Direct microhybrid composite containing prepolymerized fillers, Filtek Z250 microhybrid composite containing zirconia glass and colloidal silica particles, and Filtek Z350 nanocomposite as composite resin group. Vertical loss of the worn cusp, change of the surface roughness of the restoration materials, and the surface topography were investigated after wear test under 9.8-N contact load.
The porcelain groups (Vintage MP and Cerabien ZR) caused the largest vertical loss of teeth when compared with those of the composite resin and zirconia groups, and Filtek Z250 microhybrid composite results in the second-largest vertical loss of teeth. The surface of Filtek Z350 nanocomposite was deeply worn out, but visible wear on the surface of the zirconia and Gradia Direct microhybrid composite was not observed. When the zirconia surface was roughened by sand-blasting, vertical loss of teeth considerably increased when compared with that in the case of fine polished zirconia.
It was identified that microhybrid composite resin containing a prepolymerized filler and zirconia with reduced surface roughness by polishing were the most desirable restorative materials among the tested materials to prevent the two-body wear between aesthetic restorative material and tooth.
本研究旨在通过销盘法确定三种美学修复材料对牙齿与修复体之间磨损的影响。
使用六种美学修复材料制备用于磨损测试的圆盘试样,其中Lava氧化锆作为氧化锆组,Vintage MP和Cerabien ZR作为饰面瓷组,含预聚合填料的Gradia Direct微混合复合树脂、含氧化锆玻璃和胶体二氧化硅颗粒的Filtek Z250微混合复合树脂以及Filtek Z350纳米复合树脂作为复合树脂组。在9.8 N接触载荷下进行磨损测试后,研究磨损牙尖的垂直磨损量、修复材料表面粗糙度的变化以及表面形貌。
与复合树脂组和氧化锆组相比,瓷组(Vintage MP和Cerabien ZR)导致牙齿的垂直磨损量最大,Filtek Z250微混合复合树脂导致的牙齿垂直磨损量次之。Filtek Z350纳米复合树脂的表面磨损严重,但未观察到氧化锆和Gradia Direct微混合复合树脂表面有明显磨损。当氧化锆表面经喷砂处理变得粗糙时,与精细抛光的氧化锆相比,牙齿的垂直磨损量显著增加。
研究发现,含预聚合填料的微混合复合树脂以及经抛光降低表面粗糙度的氧化锆是测试材料中预防美学修复材料与牙齿之间两体磨损最理想的修复材料。