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Journal of Oral Science, Vol. 58, No. 1, 117-123, 2016

Original

Wear characteristics of polished and glazed lithium disilicate


ceramics opposed to three ceramic materials
Osamu Saiki1), Hiroyasu Koizumi1,2), Nobutaka Akazawa3), Akihisa Kodaira3),
Kentaro Okamura3), and Hideo Matsumura1,2)
1)Departmentof Fixed Prosthodontics, Nihon University School of Dentistry, Tokyo, Japan
2)Division of Advanced Dental Treatment, Dental Research Center, Nihon University School of Dentistry,
Tokyo, Japan
3)Division of Applied Oral Sciences, Nihon University Graduate School of Dentistry, Tokyo, Japan

(Received November 15, 2015; Accepted December 28, 2015)

Abstract: This study compared the wear charac- Keywords: glazing; lithium; polishing; wear; XRD;
teristics of a heat-pressed lithium disilicate ceramic zirconia.
material opposed to feldspathic porcelain, a lithium
disilicate glass ceramic, and zirconia materials.
Ceramic plate specimens were prepared from feld- Introduction
spathic porcelain (EX-3 nA1B), lithium disilicate New ceramic materials continue to be introduced for
glass ceramics (e.max CAD MO1/C14), and zirconia restorations and fixed dental prostheses (1,2), probably
(Katana KT 10) and then ground or polished. because of the improved mechanical strength, biocom-
Rounded rod specimens were fabricated from heat- patibility, and esthetics of these materials (3). Occlusal
pressed lithium disilicate glass ceramic (e.max press adjustment of ceramic restorations involves polishing
LT A3) and then glazed or polished. A sliding wear or glazing ceramic surfaces (4-6). Smoothed ceramic
testing apparatus was used for wear testing. Wear surfaces prevent excessive wear of opposing teeth and
of glazed rods was greater than that of polished minimize plaque accumulation (7). The surface rough-
rods when they were abraded with ground zirconia, ness of ceramic materials is a critical factor affecting
ground porcelain, polished porcelain, or polished wear (8-10). In addition, surface roughness of ceramic
lithium disilicate ceramics. For both glazed and materials strongly correlates with wear of opposing
polished rods, wear was greater when the rods were materials (11).
abraded with ground plates. The findings indicate Several studies reported that glazed and polished
that application of a polished surface rather than a ceramic materials do not significantly differ in surface
glazed surface is recommended for single restorations roughness (6). However, other studies found that wear
made of heat-pressed lithium disilicate material. In of ceramics was greater for materials opposed to glazed
addition, care must be taken when polishing opposing ceramics than for those opposed to polished ones
materials, especially those used in occlusal contact (12-16). Janyavula et al. reported that material and
areas. (J Oral Sci 58, 117-123, 2016) antagonist wear was greater for glazed zirconia than for
polished zirconia (13). Lawson et al. reported that wear
of opposing enamel was less for polished than for glazed
lithium disilicate glass (LDG) ceramics (15). Thus, wear
Correspondence to Dr. Hiroyasu Koizumi, Department of Fixed
Prosthodontics, Nihon University School of Dentistry, 1-8-13
of antagonists appears to be greater for glazed ceramic
Kanda-Surugadai, Chiyoda-ku, Tokyo 101-8310, Japan materials than for polished ceramic materials.
Fax: +81-3-3219-8351 E-mail: koizumi.hiroyasu@nihon-u.ac.jp Few studies have compared the wear characteristics
doi.org/10.2334/josnusd.58.117 of ceramic materials and zirconia. The purpose of the
DN/JST.JSTAGE/josnusd/58.117 present study was to evaluate wear of a heat-pressed
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Table 1 Materials assessed


Material / Trade name Manufacturer Lot number Composition (mass%)
Plate specimen
Yttria partially stabilized
Zirconia
Katana KT10 Kuraray Noritake Dental Inc., Tokyo, Japan Z309849B ZrO2 (94.4), Y2O3 (5.4)
Feldspathic porcelain
EX-3 nA1B Kuraray Noritake Dental Inc. 27687 SiO2, K2O, Al2O3, Na2O, Ba2O, CaO
Lithium disilicate glass
ceramics (LDG ceramics)
e.max CAD MO1 / C14 Ivoclar Vivadent AG, Schaan, Liechtenstein N16387 SiO2, Li2O, K2O, P2O5, ZrO2, ZnO, Al2O3, MgO
Rod specimen
Heat-pressed lithium disilicate
glass ceramics (HP ceramics)
e.max Press LT A3 Ivockar Vivadent AG P41023 SiO2, Li2O, Na2O, K2O, MgO, Al2O3, CaO, ZrO2, P2O5

Step 1
Ground with SiC abrasive paper #170 - #2,000

Step 2 Vickers
Polished with a wet-felt and diamond suspension hardness
testing

Step 3 (ground surface)


Abraded with diamond rotary cutting instruments

Step 4 (polished surface)


A B C
D Wear testing

A: StarGloss blue, B: StarGloss pink, C: StarGloss


gray, D: Zircon-Brite

Fig. 1   Procedure for producing ceramic plate specimens.

(HP) lithium disilicate ceramic material, after glazing or cloth (TexMet 1500, Buehler, Lake Bluff, IL, USA) and
polishing, when specimens were abraded with zirconia, diamond suspension (1 μm, MetaDi, Buehler) (Fig. 1,
feldspathic porcelain, and LDG ceramic materials. Step 2).
The specimens were then divided into two surfaces,
Materials and Methods ground or polished. To prepare the ground surface, all plate
Ceramic plate specimens specimens were abraded with a coarse diamond rotary
The materials investigated are shown in Table 1. Ceramic cutting instrument (102R, Shofu Inc., Kyoto, Japan) with
plate specimens were prepared from three different a friction-grip handpiece (S 200MLX, Yoshida Dental
ceramics: yttria-partially-stabilized zirconia (Katana Mfg. Co. Ltd, Tokyo, Japan) under water coolant. The
KT10, Kuraray Noritake Dental Inc., Tokyo, Japan), handpiece was operated at 200,000 rpm at a constant
feldspathic porcelain (EX-3 nA1B, Kuraray Noritake pressure of 2.0 N (n = 7) (Fig. 1, Step 3). To prepare the
Dental), and LDG ceramics (e.max CAD MO1/C14, polished surface, ground specimens were abraded with a
Ivoclar Vivadent AG, Schaan, Liechtenstein). three-step polishing system consisting of diamond grain,
The ceramic specimens were fabricated into a plate corundum (Al2O3), rutile (TiO2), carborundum (SiC),
(18 × 18 × 2 mm). All specimens were ground with a and artificial rubber (StarGloss blue/pink/gray, Edenta
series of silicon carbide papers (#170 to #2000, Wetordry AG, Hauptstrasse, Switzerland) and then polished with
Tri-M-ite, 3M Corp., St. Paul, MN, USA), under running a brush made of horse bristles and soft sheep hair and
water (Fig. 1, Step 1), and then polished with a wet-felt polishing paste comprising diamond grain, corundum
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Stroke width (3.0 mm)

Rod specimen
5.9 N
Ceramic plate

Sliding area
Diameter of worn point (r)

Fig. 2   Illustration of wear testing procedure. Height loss of rod specimen (h)

Fig. 3   Formula for calculating height loss in a rod specimen.

(Al2O3), pumice (SiO2), and wax (Zircon-Brite, Dental Surface roughness (Ra)
Ventures of America, Corona, CA, USA) (n = 7) (Fig. 1, The surface roughness (Ra) of the three ceramic plates
Step 4) (17). was determined by using a hybrid measuring instrument
for surface roughness and contour measurement (Surfcom
Rounded rod specimens 1400A, Tokyo Seimitsu Co. Ltd., Tokyo, Japan). Five
Rounded rod specimens were fabricated with HP LDG measurements of each specimen were performed parallel
ceramics (HP ceramics; e.max Press LT A3, Ivoclar to the movement of the wear testing device (n = 7).
Vivadent). The rod specimens were then divided into
two surfaces, glazed or polished. Rod patterns were Wear testing
fabricated with acrylic rods and globular particles (11). A three-body wear test was performed using a plate
The rod patterns were invested into a mold material. HP specimen, a rod specimen, and slurry composed of
ceramics were then heat-pressed into the mold, and the equivalent weights of reagent grade glycerol (99%,
glazed rods were then coated with glaze paste (IPS e.max Wako Pure Chemical Industries, Ltd., Osaka, Japan) and
Ceram Glaze Paste Fluo, Ivoclar Vivadent) and sintered poly(methyl methacrylate) (PMMA) spherical particles
according to the manufacturer’s specifications. The (Acron, GC Corp., Tokyo, Japan). The specimen was
polished rods were prepared by abrading and polishing mounted to the sliding wear testing apparatus (K-317,
with the three-step StarGloss system and Zircon-Brite Tokyo Giken Inc., Tokyo, Japan). As shown in Fig. 2,
polishing system. Seven glazed and seven polished rod each rod specimen moved back and forth on the plate
specimens were prepared. specimen over a distance of 3 mm for 5,000 cycles at a
cycle of 1 Hz and with a vertical load of 5.9 N (12,18,19).
Vickers hardness testing After 5000 cycles, the diameter (in µm) of the worn
Three ceramic plate specimens and two HP ceramic spec- point was measured using a scanning laser microscope
imens (18 × 18 × 2 mm) were used to determine Vickers (1LM21W, Lasertec, Yokohama, Japan), and the height
hardness number (Hv, VHN) (n = 7). The specimens for loss of the rod specimen was calculated (Fig. 3). Selected
hardness testing were polished in the same manner as specimens were sputter-coated with osmium under
the plate specimens (Fig. 1, Step 2). Glazed HP ceramic reduced pressure (HPC-1SW Osmium Coater, Vacuum
specimens were coated with glazing paste and sintered Device Co. Ltd., Mito, Japan). The worn surface of the
according to the manufacturer’s specifications. An rods was observed with a scanning electron microscope
optical microhardness tester (HMV-1, Shimadzu Corp., (S-4300, Hitachi High-Technologies Corp., Tokyo,
Kyoto, Japan) was used for Vickers hardness testing. The Japan) with an accelerating voltage of 15 kV.
indenter was used to press six areas of each specimen for
15 s at a microforce load of 9.8 N (as specified in ISO X-ray diffraction (XRD) analysis
6507:2005). The mean of six replications was recorded HP ceramic specimens were manufactured into a plate
as the Hv value of the individual specimen. for XRD analysis. The specimens for XRD analysis
120

(µm)
i
(A) (µm) (B) (µm) (C)
60 60 60
Mean (SD) Mean (SD) Mean (SD)
Median, IQR Median, IQR Median, IQR
40 40 40 m
k m
j l
20 20 20
42.0 (10.5) 20.7 (2.5) 24.4 (4.3) 19.5 (3.7) 27.2 (6.8) 23.9 (5.4)
36.3, 21.6 21.1, 4.5 22.6, 8.6 20.7, 5.2 25.7, 11.6 21.1, 10.7
glazed polished glazed polished glazed polished

(µm)
Mean (SD) (D) (µm)
o
Mean (SD) (E) (µm)
q
Mean (SD) (F)
Median, IQR Median, IQR Median, IQR
12 n 12 p 12
r
n
8 8 8

4 4 4
7.9 (2.0) 6.1 (1.5) 11.6 (1.2) 8.5 (1.5) 11.2 (1.8) 8.3 (1.7)
7.5, 3.2 5.3, 2.1 11.1, 2.5 8.9, 2.5 11.4, 3.9 8.2, 2.3
glazed polished glazed polished glazed polished

Fig. 4   Height loss for glazed and polished rod specimens abraded with (A) ground
zirconia, (B) ground porcelain, (C) ground LDG ceramics, (D) polished zirconia, (E)
polished porcelain, and (F) polished LDG ceramics.

were polished in the same manner as the plate specimens 2. Zirconia had the highest median Vickers hardness
(Fig. 1, Step 2). Glazed HP ceramic specimens were number (Hv) (1,496.0, category a), followed by LDG
coated with a glazing paste and sintered according to the ceramics and polished HP ceramics (622.0 and 607.0,
manufacturer’s specifications. The chemical composi- category b) and by glazed HP ceramics and porcelain
tion and crystalline phases of each HP ceramic specimen (574.0 and 556.0, category c).
were identified by an XRD instrument (MiniFlex II,
Rigaku, Tokyo, Japan) operated at 15 A and 30 kV with Surface roughness (Ra)
Cu Kα radiation. Diffraction data were collected in a 2θ Surface roughness (Ra) values are shown in Table 3.
range (3-110°) at 0.02°/min. Data were collected using Among the ground plates, LDG ceramics exhibited
a scintillation counter and a graphite diffracted-beam the greatest median Ra values (2.55 μm; category d),
monochromator. followed by porcelain (1.92 μm, category e) and zirconia
(1.25 μm; category f). Among the polished plates, Ra was
Statistical analysis lower for zirconia (0.25 μm, category h) than for LDG
The results were analyzed by statistical software (SPSS ceramics and porcelain (0.44 and 0.40 μm, respectively,
Ver. 19, IBM, Somers, NY, USA). When the results exhib- category g).
ited a normal distribution, the results were analyzed using
the Levene test for equality of variances afterward. When Wear testing
the Levene test results did not exhibit equality of vari- Height loss after wear testing of glazed and polished HP
ances for at least one category, the results were analyzed ceramic rods is shown in Fig. 4. Height loss of glazed
with the non-parametric Kruskal-Wallis test. On the basis HP ceramic rods was greater than that of polished rods
of the Kruskal-Wallis test results, the Steel-Dwass test when they were abraded with ground zirconia (Fig. 4A),
for multiple comparisons (Kyplot 5.0, KyensLab Inc., ground porcelain (Fig. 4B), polished porcelain (Fig.
Tokyo, Japan) was used to compare differences between 4E), or polished LDG ceramics (Fig. 4F). Height loss of
the Vickers hardness number and surface roughness of the glazed and polished HP ceramic rods did not significantly
plate. The difference in height loss between the polished differ, however, when they were abraded with ground
rod and glazed rod on each surface texture ceramic plate LDG ceramics (Fig. 4C) or polished zirconia (Fig. 4D).
was analyzed with the Mann-Whitney U test (SPSS). The For both glazed and polished HP ceramic rods, height
significance level was set at α = 0.05. loss significantly differed when they were abraded with
ground plates.
Results
Vickers hardness (Hv) Scanning electron microscopic observation
The results of Vickers hardness testing are shown in Table Worn surfaces of HP ceramic rod specimens abraded with
121

A B C A B C

D E F D E F

Fig. 5   Worn surfaces of polished HP ceramic rods abraded with Fig. 6   Worn surfaces of polished HP ceramic rods abraded
(A) ground zirconia, (B) ground LDG ceramics, and (C) ground with (A) polished zirconia, (B) polished LDG ceramics, and (C)
porcelain, and glazed HP ceramic rods abraded with (D) ground polished porcelain, and glazed HP ceramic rods abraded with (D)
zirconia, (E) ground LDG ceramics, and (F) ground porcelain polished zirconia, (E) polished LDG ceramics, and (F) polished
(original magnification, ×50). porcelain (original magnification, ×50).

4000

A B 3500
polished
3000

2500
: Lithium silicate
W 2000
: Silicon dioxide
1500

W 1000
Intensity (CPS)

500

0
750

glazed : Lithium silicate


Fig. 7   Representative worn surfaces of (A) glazed and (B) 500 : Silicon dioxide
polished HP ceramic rods abraded with ground LDG ceramics
(original magnification, ×400). W: worn surface. 250

The white arrow shows a pore.


0
3 9 15 21 27 33 39 45 51 57 63 69 75 81 87 93 99 105

Diffraction angle, 2θ

Fig. 8   XRD patterns for polished and glazed HP ceramics.

ground ceramic plates are shown in Fig. 5, and worn rod shows a widely distributed “hump”, which represents the
surfaces abraded with polished ceramic plates are shown amorphous phase (20).
in Fig. 6. Wear of rod specimens abraded with ground
ceramic materials was distinct (Fig. 5). Scratches on the Discussion
worn surfaces were not remarkable for rod specimens Polished and glazed ceramic surfaces are smooth, prevent
abraded with polished plates (Fig. 6). Figure 7 shows excessive wear of opposing teeth, and minimize plaque
representative worn surfaces for glazed and polished rods retention (7). Previous studies found that the texture
abraded with ground LDG ceramics. Multiple spherical of ceramic surfaces affects wear of opposing materials
voids were present in the worn surface of glazed rods (13-16). The present study compared wear of standard-
(Fig. 7A). ized polished and glazed rod specimens.
Vickers hardness was measured for three ceramic
XRD analysis plates and two rod specimens. Zirconia had the highest
Figure 8 shows the X-ray diffractograms for polished value, and polished HP ceramics were significantly
HP and glazed HP ceramics. Lithium silicate and harder than glazed HP ceramics (Table 2), as was the
silicon dioxide were detected in both materials. Lithium case in previous studies (4,11). In 1998, al-Wahadni and
silicate was observed as the main crystalline phase for Martin reported that the mechanical strength of polished
the polished HP ceramics. The intensities of the three ceramics was greater than that of glazed ceramics (4).
highest peaks (23.8°, 24.4°, and 24.9°) represent the The glazing procedure produces multiple voids, which
crystallographic planes of lithium silicate. The glazed HP are believed to negatively affect the physical properties
ceramics, in which the 2θ scale ranges from 13° to 38°, of ceramic materials.
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Table 2 Vickers hardness number (Hv) of the ceramic specimens


Vickers hardness number (Hv)
Mean (SD) Median IQR Statistical category
Zirconia 1,458.1 (32.0) 1,496.0 63.0 a
LDG ceramics 628.1 (31.0) 622.0 43.0 b
Polished HP ceramics 608.3 (7.7) 607.0 11.0 b
Glazed HP ceramics 572.4 (6.5) 574.0 11.0 c
Porcelain 560.9 (15.9) 556.0 26.0 c
n = 7; SD, Standard deviation; IQR, Interquartile range; Statistical category, Identical letters indicate that
the values are not statistically different (P > 0.05).

Table 3 Surface roughness (Ra)


Surface roughness (Ra) (μm)
Mean (SD) Median IQR Statistical category
Ground surface
LDG ceramics 2.61 (0.20) 2.55 0.28 d
Porcelain 1.93 (0.07) 1.92 0.09 e
Zirconia 1.36 (0.25) 1.25 0.44 f

Polished surface
LDG ceramics 0.45 (0.05) 0.44 0.11 g
Porcelain 0.40 (0.06) 0.40 0.13 g
Zirconia 0.26 (0.03) 0.25 0.05 h
n = 7; SD, Standard deviation; IQR, Interquartile range; Statistical category, Identical letters indicate that
the values are not statistically different (P > 0.05).

Surface roughness was determined for ground and Acknowledgments


polished ceramic plates. For both surfaces, zirconia had This study was supported in part by a grant from the Dental
the smoothest surface (Table 3), probably because of Research Center, Nihon University School of Dentistry (2015).
its high hardness number (Table 2) and the difficulty of
cutting zirconia with diamond rotary instruments. Conflict of interest
Wear was greater for glazed HP ceramics than for None of the authors has any conflict of interest regarding this
polished HP ceramics in four groups (Fig. 4A, B, E, and F). article.
XRD revealed a glassy structure for glazed HP ceramics
and a crystalline structure for polished HP ceramics (Fig. References
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