Research Assistant, Department of Restorative Dentistry, Faculty of Dentistry, Karadeniz Technical University, Trabzon, Turkey.
Assistant Professor, Department of Restorative Dentistry, Faculty of Dentistry, Karadeniz Technical University, Trabzon, Turkey.
J Prosthet Dent. 2022 Oct;128(4):803-813. doi: 10.1016/j.prosdent.2021.09.024. Epub 2021 Nov 22.
Studies on the friction and wear behavior of recently introduced chairside computer-aided design and computer-aided manufacture (CAD-CAM) restorative materials are lacking.
The purpose of this in vitro study was to evaluate the wear behavior of chairside CAD-CAM materials against different types of antagonists (human tooth enamel, composite resin, and feldspathic porcelain).
Specimens (14×14×2 mm) of different CAD-CAM materials (Brilliant Crios, Lava Ultimate, Vita Enamic, Vita Suprinity) were obtained by using a low-speed precision cutter (n=10). Wear tests were performed with a 20-N load, 2.5-mm/s sliding speed, 1-mm sliding distance, and 1500 cycles via a tribometer according to ASTM-G133. The coefficient of friction (CoF) of the material pairs was measured and recorded by using a special software program. Surface roughness (Ra), maximum wear depth, and mean maximum wear depth were measured with a profilometer, and values were analyzed by using 2-way ANOVA and the Bonferroni correction. Vickers hardness of CAD-CAM specimens was determined with a microhardness tester. Microhardness values were analyzed by using 1-way ANOVA and Tukey post hoc tests. Worn surfaces were observed by scanning electron microscopy and a 3D noncontact profilometer to determine the wear pattern and primary wear mechanisms.
Significant differences were found in the interactions between CAD-CAM materials and different types of antagonists (P<.001) for maximum wear depth, mean maximum wear depth, CoF, and Ra values.
Vita Suprinity exhibited superior wear resistance and Ra against all antagonists compared with other CAD-CAM materials. However, Vita Suprinity increased the destructive effects on antagonists. The safety of CAD-CAM materials is best determined when the wear behavior of materials and their effect on the antagonist are evaluated together.
最近推出的椅旁计算机辅助设计和计算机辅助制造(CAD-CAM)修复材料的摩擦和磨损行为研究较少。
本体外研究旨在评估椅旁 CAD-CAM 材料对不同类型的拮抗剂(人牙釉质、复合树脂和长石瓷)的磨损行为。
使用低速精密刀具(n=10)获得不同 CAD-CAM 材料(Brilliant Crios、Lava Ultimate、Vita Enamic、Vita Suprinity)的试件(14×14×2mm)。根据 ASTM-G133,通过摩擦磨损试验机以 20-N 载荷、2.5-mm/s 滑动速度、1-mm 滑动距离和 1500 个循环进行磨损试验。使用专用软件程序测量并记录材料对的摩擦系数(CoF)。使用轮廓仪测量表面粗糙度(Ra)、最大磨损深度和平均最大磨损深度,并通过 2 因素方差分析和 Bonferroni 校正分析值。使用显微硬度计测定 CAD-CAM 试件的维氏硬度。通过单因素方差分析和 Tukey 事后检验分析微硬度值。用扫描电子显微镜和 3D 非接触式轮廓仪观察磨损表面,以确定磨损模式和主要磨损机制。
在 CAD-CAM 材料与不同类型拮抗剂之间的相互作用中,最大磨损深度、平均最大磨损深度、CoF 和 Ra 值均存在显著差异(P<.001)。
与其他 CAD-CAM 材料相比,Vita Suprinity 对所有拮抗剂的耐磨性和 Ra 值均表现出优异的性能。然而,Vita Suprinity 增加了对拮抗剂的破坏性影响。当评估材料的磨损行为及其对拮抗剂的影响时,才能最好地确定 CAD-CAM 材料的安全性。