Objectives: To test the wear characteristics of an experimental high-strength fine-sized leucite glass-ceramic against human enamel.
Methods: A wear testing protocol was adapted on an MTS-Bionix-858 system. Human enamel pins were wear tested against disc samples (n=12) of a commercial control (Ceramco-3, Dentsply) and an experimental fine-grained leucite glass-ceramic. Specimens were loaded (13.5N) followed by a lateral excursion movement and a controlled cuspal contact time (0.25s) to complete a cycle for 300,000 simulated masticatory cycles at 2Hz under continuous flow of deionised water (37°C). Wear quantification (volume/ mean-height loss) was performed by superimposition of digitised test surfaces before and after wear testing by non-contact 3D profilometry (Proscan-2000, Scantron) and the dedicated software using a novel protocol. Glass-ceramic disc/ tooth specimen groups were statistically compared (Mann-Whitney, p<0.05). Wear tested specimens were examined using SEM and Profilometry. Indicative surface roughness (Ra)/ waviness measurements (500 x,y line scans/ specimen) were also performed on a glass-ceramic disc/ tooth pair per group.
Results: Volume and mean-height loss results are listed below. A patterned wear profile with distinct parallel grooves was identified for the Ceramco-3 group versus the non-oriented wear profile of the experimental group. All recorded Ra and wave-height values for the experimental disc/ tooth group were lower than the Ceramco-3 group.
Categories | Ceramco-3 glass-ceramic | Experimental glass-ceramic |
Volume loss(mm3) (Discs) | 0.164(0.158,0.217)a | 0.190(0.154,0.214)a |
Volume loss(mm3) (Teeth) | 0.208(0.127,0.252)a | 0.133(0.110,0.151)b |
Mean-Height loss(μm) (Discs) | 61.8(55.2,72.0)a | 67.9(60.0,72.5)a |
Mean-Height loss(μm) (Teeth) | 88.3(69.8,103.0)a | 65.7(56.0,77.5)b |
*Values represent medians (25%,75%percentiles).
Different superscript letters indicate significant (p<0.05) differences between groups within categories.
Conclusions: The experimental glass-ceramic exhibited significantly (p<0.05) lower antagonistic enamel wear when compared to a commercial control. Development of the fine-sized leucite material tested may support its use to achieve reduced rates of enamel loss.
(Medical Ethics REC: 06/Q0603/98, Funding: StBarts and The London Charitable foundation, RAB05/PJ/06, National Scholarships Foundation, IKY,Greece)