Hatanaka Akihiko, Sawada Tomofumi, Sen Kazuyo, Saito Takahiro, Sasaki Kaori, Someya Tomoko, Hattori Masayuki, Takemoto Shinji
Department of Biomedical Engineering, Iwate Medical University, 1-1-1 Idaidori, Yahaba-cho, Shiwa-gun 028-3694, Iwate, Japan.
School of Dentistry, Iwate Medical University, 19-1 Uchimaru, Morioka-shi 020-8505, Iwate, Japan.
Materials (Basel). 2022 Jul 28;15(15):5234. doi: 10.3390/ma15155234.
Tooth enamel wear occurs because of daily mastication and occlusion. This study investigated the wear behavior of bovine teeth against aesthetic restorative materials in vitro. Abrader specimens were fabricated using four tooth-colored restorative materials (zirconia, lithium disilicate glass ceramic, dental porcelain, and resin composite), with bovine tooth enamel as a control. Flattened bovine tooth enamel was used as the substrate specimen. These materials were characterized by Vickers hardness tests and surface roughness measurements. Two-body wear tests between the abrader and substrate specimens were performed, and the worn topographies were evaluated using a contour-measuring instrument and 3D laser microscope. The restorative materials and bovine tooth enamel had similar surface roughness but different hardness and wear behaviors. Bovine teeth showed the largest wear in tooth-tooth contact as the abrader and substrate specimens. Compared to bovine teeth, zirconia, lithium disilicate glass ceramic, and dental porcelain showed greater hardness and less wear on their surfaces, and less substrate wear of the opposite tooth enamel. The lowest hardness resin composite showed intermediate wear on its surface, resulting in the lowest substrate wear. Accordingly, dentists should pay attention to the selection of restorative materials to reconstruct their morphologies owing to different wear behaviors.
牙釉质磨损是由于日常咀嚼和咬合所致。本研究在体外研究了牛牙与美学修复材料的磨损行为。使用四种牙齿颜色的修复材料(氧化锆、二硅酸锂玻璃陶瓷、牙科陶瓷和树脂复合材料)制作磨耗试样,并以牛牙釉质作为对照。将磨平的牛牙釉质用作基底试样。通过维氏硬度测试和表面粗糙度测量对这些材料进行表征。在磨耗试样和基底试样之间进行双体磨损试验,并使用轮廓测量仪和三维激光显微镜评估磨损形貌。修复材料和牛牙釉质具有相似的表面粗糙度,但硬度和磨损行为不同。作为磨耗试样和基底试样,牛牙在牙齿与牙齿接触中显示出最大的磨损。与牛牙相比,氧化锆、二硅酸锂玻璃陶瓷和牙科陶瓷表现出更高的硬度,其表面磨损更少,对相对的牙釉质的基底磨损也更少。硬度最低的树脂复合材料在其表面显示出中等程度的磨损,导致最低的基底磨损。因此,由于磨损行为不同,牙医在重建牙齿形态时应注意修复材料的选择。