Department of Preventive and Restorative Sciences, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Restorative Dentistry Department, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.
J Dent Res. 2024 Jul;103(8):839-847. doi: 10.1177/00220345241256279. Epub 2024 Jun 14.
Computer-aided design (CAD)/computer-aided manufacturing (CAM) milling and handpiece grinding are critical procedures in the fabrication and adjustment of ceramic dental restorations. However, due to the formation of microfractures, these procedures are detrimental to the strength of ceramics. This study analyzes the damage associated with current brittle-regime grinding and presents a potential remedy in the application of a safer yet still efficient grinding regime known as "ductile-regime grinding." Disc-shaped specimens of a lithium disilicate glass-ceramic material (IPS e.max CAD) were obtained by cutting and crystallizing the lithium metasilicate CAD/CAM blanks (the so-called blue blocks) following the manufacturer's instructions. The discs were then polished to a 1 µm diamond suspension finish. Single-particle micro-scratch tests ( = 10) with a conical diamond indenter were conducted to reproduce basic modes of deformation and fracture. Key parameters such as coefficient of friction and penetration depth were recorded as a function of scratch load. Further, biaxial flexure strength tests ( = 6) were performed after applying various scratch loads to analyze their effects on ceramic strength. Scanning electron microscopy (SEM) and focused ion beam (FIB) were used to characterize surface and subsurface damage. Statistical analysis was performed using one-way analysis of variance and Tukey tests. While the SEM surface analysis of scratch tracks revealed the occurrence of both ductile and brittle removal modes, it failed to accurately determine the threshold load for the brittle-ductile transition. The threshold load for brittle-ductile transition was determined to be 70 mN based on FIB subsurface damage analyses in conjunction with strength degradation studies. Below 70 mN, the specimens exhibited neither strength degradation nor the formation of subsurface cracks. Determination of the brittle-ductile thresholds is significant because it sets a foundation for future research on the feasibility of implementing ductile-regime milling/grinding protocols for fabricating damage-free ceramic dental restorations.
计算机辅助设计(CAD)/计算机辅助制造(CAM)铣削和手持研磨是陶瓷牙科修复体制作和调整过程中的关键步骤。然而,由于微裂纹的形成,这些步骤会对陶瓷的强度造成损害。本研究分析了当前脆性加工相关的损伤,并提出了一种潜在的解决方案,即在更安全但仍有效的加工方法——“韧性加工”中应用。首先,按照制造商的说明,通过切割和结晶锂硅酸钠 CAD/CAM 坯料(所谓的蓝色块)获得具有锂二硅玻璃陶瓷材料(IPS e.max CAD)的圆盘形试样。然后,将圆盘抛光至 1 µm 金刚石悬浮剂。使用锥形金刚石压头进行单颗粒微划痕试验( = 10),以再现基本的变形和断裂模式。记录摩擦系数和穿透深度等关键参数作为划痕载荷的函数。进一步,在施加不同划痕载荷后进行双轴弯曲强度试验( = 6),以分析其对陶瓷强度的影响。使用扫描电子显微镜(SEM)和聚焦离子束(FIB)对表面和亚表面损伤进行了表征。使用单因素方差分析和 Tukey 检验进行了统计分析。尽管划痕轨迹的 SEM 表面分析显示出了韧性和脆性去除模式的同时存在,但它无法准确确定脆性-韧性转变的阈值载荷。基于 FIB 亚表面损伤分析和强度降解研究,确定脆性-韧性转变的阈值载荷为 70 mN。低于 70 mN,试样既没有强度降低,也没有亚表面裂纹的形成。脆性-韧性阈值的确定意义重大,因为它为未来研究实施韧性加工/研磨协议制造无损伤陶瓷牙科修复体的可行性奠定了基础。