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Effect of beverage solutions and toothbrushing on CAD-CAM lithium disilicate ceramic

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Proper mechanical polishing can produce a surface with desirable properties. Computer-aided design and computer-aided manufacturing (CAD-CAM) has enhanced the physicomechanical stability of ceramics. However, various factors in the oral cavity… Click to show full abstract

Proper mechanical polishing can produce a surface with desirable properties. Computer-aided design and computer-aided manufacturing (CAD-CAM) has enhanced the physicomechanical stability of ceramics. However, various factors in the oral cavity may impair the longevity of restorations by negatively affecting their properties. Appropriate surface treatments such as glaze application or mechanical polishing are necessary to diminish these effects. This in vitro study evaluated the influence of common beverages and toothbrushing on the surface roughness, microhardness, and colour stainability of a vitreous CAD-CAM lithium disilicate ceramic with a glazed or mechanically polished surface. Specimens (N = 160) were divided into two groups according to the surface treatment method: polishing with abrasive disks or glaze application. Each group was subdivided (n = 8) according to the immersion solution and toothbrushing: distilled water and distilled water plus brushing; coffee and coffee plus brushing; black tea and black tea plus brushing; red wine and red wine plus brushing; and cola and cola plus brushing. Before and after simulating a five-year period of immersion and toothbrushing, a contact profilometer and a Vickers microhardness tester were used to measure the surface roughness and microhardness. CIELab parameters were assessed by using a portable spectrophotometer, and colour differences were calculated by using the CIEDE2000 formula (ΔE00). Surface roughness increased irrespective of the solution, being influenced by surface treatment, with the glazed groups presenting higher values. Microhardness decrease was influenced by solutions and surface treatment and glazing was associated with lower values. Irrespective of the surface treatment, colour stainability was influenced by solutions, with ΔE00 values for red wine being above the perceptibility threshold. No influence of toothbrushing was found for any parameter. Despite its excellent mechanical properties, CAD-CAM lithium disilicate ceramic degraded after exposure to commonly consumed beverages. Irrespective of surface treatment, beverages decreased microhardness and caused colour changes. Surface roughness increased, showing higher variation for glazed groups. Toothbrushing was unable to potentiate or diminish the observed effects. In general, the results showed that proper mechanical polishing can produce a surface with desirable properties.

Keywords: surface treatment; disilicate ceramic; surface; lithium disilicate; cad cam; cam lithium

Journal Title: British Dental Journal
Year Published: 2019

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