title: Wear of enamel opposing zirconia and lithium disilicate after adjustment, polishing and glazing.
abstract: OBJECTIVE
  To compare the wear and opposing enamel wear of adjusted (A); adjusted and polished (AP); and adjusted and glazed (AG) zirconia and lithium disilicate.
  
  
  METHODS
  Specimens (n=8) were prepared of lithium disilicate (A, AP, and AG), zirconia (A, AP, and AG), veneering porcelain, and enamel (control). Surface roughness was measured for each ceramic. In vitro wear was conducted in the UAB-chewing simulator (10 N vertical load/2mm slide/20 cycles/min) with lubricant (33% glycerin) for 400,000 cycles. Isolated cusps of extracted molars were used as antagonists. Scans of the cusps and ceramics were taken at baseline and 400,000 cycles with a non-contact profilometer and super-imposed to determine wear. Data were analyzed with ANOVA and Tukey-Kramer post hoc tests (alpha=0.05).
  
  
  RESULTS
  A and AP zirconia showed no detectable signs of wear, and the veneering porcelain demonstrated the most wear. All other ceramics showed significantly less volumetric loss than the veneering porcelain, comparable to enamel-enamel wear. Veneering porcelain produced the most opposing enamel wear (2.15 ± 0.58 mm(3)). AP lithium disilicate and zirconia showed the least amount of enamel wear (0.36 ± 0.09 mm(3) and 0.33 ± 0.11 mm(3) respectively). AG lithium disilicate had statistically similar enamel wear as AP lithium disilicate, but A lithium disilicate had more enamel wear. A and AG zirconia had more enamel wear than AP zirconia. No statistically significant difference was seen between the enamel-enamel group and any other group except the veneering porcelain.
  
  
  CONCLUSIONS
  Zirconia has less wear than lithium disilicate. Wear of enamel opposing adjusted lithium disilicate and zirconia decreased following polishing.
  
  
  CONCLUSIONS
  Zirconia experiences less and lithium disilicate experiences equivalent occlusal wear as natural enamel. It is preferable to polish zirconia and lithium disilicate after adjustment to make them wear compatible with enamel. Veneering of zirconia and lithium disilicate should be avoided in areas of occlusal contact to prevent enamel wear.
authors.affiliation: University of Alabama at Birmingham School of Dentistry, Clinical and Community Sciences, Division of Biomaterials, 1919 7th Avenue South, Birmingham, AL 35205, USA. Electronic address: nlawson@uab.edu.
authors.forename: Nathaniel C
authors.initials: NC
authors.lastname: Lawson
authors.affiliation: University of Alabama at Birmingham School of Dentistry, Clinical and Community Sciences, Division of Biomaterials, 1919 7th Avenue South, Birmingham, AL 35205, USA.
authors.forename: Sridhar
authors.initials: S
authors.lastname: Janyavula
authors.affiliation: University of Alabama at Birmingham School of Dentistry, Clinical and Community Sciences, Division of Biomaterials, 1919 7th Avenue South, Birmingham, AL 35205, USA.
authors.forename: Sarah
authors.initials: S
authors.lastname: Syklawer
authors.affiliation: University of California Los Angeles School of Dentistry, Center for Esthetic Dentistry, CHS 23-010, Los Angeles, CA 90095-1668, USA.
authors.forename: Edward A
authors.initials: EA
authors.lastname: McLaren
authors.affiliation: University of Alabama at Birmingham School of Dentistry, Clinical and Community Sciences, Division of Biomaterials, 1919 7th Avenue South, Birmingham, AL 35205, USA.
authors.forename: John O
authors.initials: JO
authors.lastname: Burgess
mesh_terms: D003743:Dental Enamel / Q000473:pathology*; D003764:Dental Materials / Q000737:chemistry*; D003775:Dental Polishing / Q000379:methods*; D003776:Dental Porcelain / Q000737:chemistry*; D019554:Dental Restoration Wear; D003801:Dental Veneers; D006801:Humans; D008422:Materials Testing; D019558:Occlusal Adjustment; D013314:Stress, Mechanical; D013499:Surface Properties; D057085:Tooth Wear / Q000209:etiology*; D015040:Zirconium / Q000737:chemistry*
chemical_list: D003764:Dental Materials; C493120:lithia disilicate; D003776:Dental Porcelain; D015040:Zirconium
keywords: Enamel; Glaze; Lithium disilicate; Porcelain; Wear; Zirconia