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      Comparison of the effect of monolithic and layered zirconia on natural teeth wear: An in vitro study

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          Abstract

          Aim:

          The aim of this study is to compare wear of the natural teeth against monolithic zirconia and layered zirconia with different surface finishing procedures such as unpolished unglazed, polished unglazed, and polished glazed.

          Materials and Methods:

          The two-bodied wear test was carried out in a custom-made oral wear simulator with a sample size of 60 zirconia specimen opposing natural teeth. Zirconia specimen was divided into two groups layered and monolithic which further subdivided into unpolished unglazed, polished unglazed, and polished glazed groups ( n = 10). The amount of enamel wear occurred for 250,000 cycles when opposed by monolithic and layered zirconia with different surface finishing methods was measured by loss of height of each tooth using three-dimensional scanning and loss of weight using sensitive balance at specified time intervals of 50,000 cycles during masticatory test considering baseline measurement as control. The data were statistically analyzed to compare the enamel wear against layered and monolithic zirconia with different surface finishing protocols by repeated ANOVA test.

          Results:

          Monolithic polished unglazed zirconia showed least tooth wear followed by monolithic polished glazed zirconia, monolithic unpolished unglazed zirconia, and layered unpolished unglazed zirconia showed highest tooth wear in terms of both height loss and weight loss ( P < 0.01).

          Conclusion:

          Within the limitations of the study, monolithic polished unglazed zirconia is wear-friendly to the opposing natural teeth, and polished surfaces in both the groups showed less tooth wear compared to the glazed surface of zirconia specimen.

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          Most cited references28

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          The wear of polished and glazed zirconia against enamel.

          The wear of tooth structure opposing anatomically contoured zirconia crowns requires further investigation.
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            How to qualify and validate wear simulation devices and methods.

            The clinical significance of increased wear can mainly be attributed to impaired aesthetic appearance and/or functional restrictions. Little is known about the systemic effects of swallowed or inhaled worn particles that derive from restorations. As wear measurements in vivo are complicated and time-consuming, wear simulation devices and methods had been developed without, however, systematically looking at the factors that influence important wear parameters. Wear simulation devices shall simulate processes that occur in the oral cavity during mastication, namely force, force profile, contact time, sliding movement, clearance of worn material, etc. Different devices that use different force actuator principles are available. Those with the highest citation frequency in the literature are - in descending order - the Alabama, ACTA, OHSU, Zurich and MTS wear simulators. When following the FDA guidelines on good laboratory practice (GLP) only the expensive MTS wear simulator is a qualified machine to test wear in vitro; the force exerted by the hydraulic actuator is controlled and regulated during all movements of the stylus. All the other simulators lack control and regulation of force development during dynamic loading of the flat specimens. This may be an explanation for the high coefficient of variation of the results in some wear simulators (28-40%) and the poor reproducibility of wear results if dental databases are searched for wear results of specific dental materials (difference of 22-72% for the same material). As most of the machines are not qualifiable, wear methods applying the machine may have a sound concept but cannot be validated. Only with the MTS method have wear parameters and influencing factors been documented and verified. A good compromise with regard to costs, practicability and robustness is the Willytec chewing simulator, which uses weights as force actuator and step motors for vertical and lateral movements. The Ivoclar wear method run on the Willytec machine shows a mean coefficient of variation in vertical wear of 12%. Force measurements have revealed that in the beginning of the stylus/specimen contact phase the force impulse is 3-4 times higher during dynamic loading than during static loading. When correlating material properties to the wear results of 23 composite resins subjected to the Ivoclar method, some parameters could be identified and incorporated into a wear formula to predict wear with the Ivoclar method. A round robin test evaluating the wear of ten dental materials with five wear simulation methods showed that the results were not comparable, as all methods follow different wear testing concepts. All wear methods lack the evidence of their clinical relevance because prospective studies correlating in vitro with long-term in vivo results with identical materials are not available. For direct restorative materials, amalgam seems to be a realistic reference material. For indirect, namely crown and bridge materials, low strength ceramic is appropriate.
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              A study on the in-vitro wear of the natural tooth structure by opposing zirconia or dental porcelain

              PURPOSE This study was conducted to evaluate clinical validity of a zirconia full-coverage crown by comparing zirconia's wear capacity over antagonistic teeth with that of feldspathic dental porcelain. MATERIALS AND METHODS The subject groups were divided into three groups: the polished feldspathic dental porcelain group (Group 1), the polished zirconia group (Group 2), and the polished zirconia with glazing group (Group 3). Twenty specimens were prepared from each group. Each procedure such as plasticity, condensation, and glazing was conducted according to the manufacturer's manual. A wear test was conducted with 240,000 chewing cycles using a dual-axis chewing simulator. The degree of wear of the antagonistic teeth was calculated by measuring the volume loss using a three-dimensional profiling system and ANSUR 3D software. The statistical significance of the measured degree of wear was tested with a significant level of 5% using one-way ANOVA and the Tukey test. RESULTS The degrees of wear of the antagonistic teeth were 0.119 ± 0.059 mm3 in Group 1, 0.078 ± 0.063 mm3 in Group 3, and 0.031 ± 0.033 mm3 in Group 2. Statistical significance was found between Group 1 and Groups 2 and between Group 2 and 3, whereas no statistical significance was found between Group 1 and Group 3. CONCLUSION Despite the limitations of this study on the evaluation of antagonistic teeth wear, the degree of antagonistic tooth wear was less in zirconia than feldspathic dental porcelain, representing that the zirconia may be more beneficial in terms of antagonistic tooth wear.
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                Author and article information

                Journal
                J Indian Prosthodont Soc
                J Indian Prosthodont Soc
                JIPS
                The Journal of the Indian Prosthodontic Society
                Medknow Publications & Media Pvt Ltd (India )
                0972-4052
                1998-4057
                Oct-Dec 2018
                : 18
                : 4
                : 336-342
                Affiliations
                [1]Department of Prosthodontics, GITAM Dental College and Hospital, Visakhapatnam, Andhra Pradesh, India
                Author notes
                Address for correspondence: Dr. Ravi Shankar Yalavarthy, Department of Prosthodontics, GITAM Dental College and Hospital, Visakhapatnam, Andhra Pradesh, India. E-mail: raviys124@ 123456gmail.com
                Article
                JIPS-18-336
                10.4103/jips.jips_105_18
                6180733
                30449962
                cd577cd6-2f59-4d44-9544-3799a8c15230
                Copyright: © 2018 The Journal of Indian Prosthodontic Society

                This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

                History
                : 21 March 2018
                : 11 September 2018
                Categories
                Original Article

                monolithic and layered zirconia,polished glazed,polished unglazed,unpolished unglazed zirconia,wear

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