title: Attritional wear and abrasive surface alterations of composite resin materials in vitro.
abstract: OBJECTIVE
  A laboratory study was performed with 232 specimens and 72 human enamel, 24 gold, 24 ceramic and 12 composite antagonists in 22 groups to test attritional and abrasive wear behavior of composite materials compared to wear behavior of human enamel.
  
  
  METHODS
  Belleglass HP, Concept Inlay/Onlay, Targis and Targis Upgrade 99 composite resin for lab-made restorations was tested as well as Tetric Ceram and FHC Merz light as resins for direct restorations. Natural human enamel specimens served as control. All specimens were subjected to long-term thermo-mechanical loading in a computer-controlled masticator, chemical degradation and toothbrush/toothpaste abrasion. Wear of specimen in occlusal contact area (OCA), contact-free occlusal area and wear of natural enamel cusps as well as antagonists made of gold, ceramic and composite in identical form was measured after 120,000, 240,000, 640,000 and 1200,000 load cycles. A qualitative SEM analysis was performed to support quantitative data.
  
  
  RESULTS
  Belleglass HP and Targis Upgrade 99 restorative materials showed wear resistance comparable to human enamel when loaded with enamel cusps. Wear of Targis versus composite and gold antagonists was significantly higher (p<0.0001). Analysis of surface alterations showed hygroscopic expansion in all composite resins during the test.
  
  
  CONCLUSIONS
  As a consequence of this study, necessity to further improve physical properties of composites for long lasting restorations was obvious. Beside of attritional wear in OCA, attention must be given to stable filler-matrix interfaces and prevention of water sorption.
authors.affiliation: Department of Preventive Dentistry, Periodontology and Cariology, University of Zurich, Zürich, Switzerland. till.goehring@zzmk.unizh.ch
authors.forename: T N
authors.initials: TN
authors.lastname: Göhring
authors.forename: M J
authors.initials: MJ
authors.lastname: Besek
authors.forename: P R
authors.initials: PR
authors.lastname: Schmidlin
mesh_terms: D000704:Analysis of Variance; D003188:Composite Resins; D003743:Dental Enamel / Q000503:physiopathology; D003776:Dental Porcelain; D019554:Dental Restoration Wear; D005899:Glass Ionomer Cements; D006047:Gold Alloys; D006801:Humans; D007284:Inlays; D008422:Materials Testing; D008689:Methacrylates; D008855:Microscopy, Electron, Scanning; D012823:Silicate Cement; D014072:Tooth Abrasion; D019217:Tooth Attrition
chemical_list: D003188:Composite Resins; D005899:Glass Ionomer Cements; D006047:Gold Alloys; D008689:Methacrylates; C121818:Tetric ceram; C110370:belleGlass; C111282:dental polyglass; D003776:Dental Porcelain; D012823:Silicate Cement