J Adv Prosthodont.  2020 Feb;12(1):1-8. 10.4047/jap.2020.12.1.1.

Influence of zirconia and lithium disilicate tooth- or implant-supported crowns on wear of antagonistic and adjacent teeth

• Rosentritt M
• Schumann F
• Krifka S
• Preis V

• KMID: 2470791
• DOI: http://doi.org/10.4047/jap.2020.12.1.1

Abstract

PURPOSE
To investigate the influence of crown material (lithium-disilicate, 3Y-TZP zirconia) and abutment type (rigid implant, resin tooth with artificial periodontium) on wear performance of their antagonist teeth and adjacent teeth.
MATERIALS AND METHODS
A mandibular left first molar (#36) with adjacent human teeth (mandibular left second premolar: #35, mandibular left second molar: #37) and antagonistic human teeth (maxillary left second premolar: #25, maxillary left first molar: #26, maxillary left second molar: #27) was prepared simulating a section of the jaw. Samples were made with extracted human molars (Reference), crowned implants (Implant), or crowned resin tooth analogues (Tooth). Crowns (tooth #36; n = 16/material) were milled from lithium-disilicate (Li, IPS e.max CAD) or 3Y-TZP zirconia (Zr, IPS e.max ZirCAD, both Ivoclar Vivadent). Thermal cycling and mechanical loading (TCML) in the chewing simulator were applied simulating 15 years of clinical service. Wear traces were analyzed (frequency [n], depth [µm]) and evaluated using scanning electron pictures. Wear results were compared by one-way-ANOVA and post-hoc-Bonferroni (α = 0.05).
RESULTS
After TCML, no visible wear traces were found on Zr. Li showed more wear traces (n = 30-31) than the reference (n = 21). Antagonistic teeth #26 showed more wear traces in contact to both ceramics (n = 27-29) than to the reference (n = 21). Strong wear traces (> 350 µm) on antagonists and their adjacent teeth were found only in crowned groups. Abutment type influenced number and depth of wear facets on the antagonistic and adjacent teeth.
CONCLUSION
The clinically relevant model with human antagonistic and adjacent teeth allowed for a limited comparison of the wear situation. The total number of wear traces and strong wear on crowns, antagonistic and adjacent teeth were influenced by crown material.

Keyword

Zirconia; Ceramics; Crowns; Implant; Wear

MeSH Terms

Bicuspid
Ceramics
Crowns*
Humans
Jaw
Lithium*
Mastication
Molar
Tooth*
Lithium

Figure

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  Fig. 1 Overview of total number of wear traces on crown 36, antagonist 26, and adjacent teeth (25, 27, 35, 37) in the different groups.

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  Fig. 2 Exemplary SEM pictures of worn crown surfaces and corresponding antagonistic enamel wear facets: (A) Occlusal surface of Li crown (30× magnification), (B) Wear facet of tooth antagonist of Li crown (100× magnification), (C) Occlusal surface of Zr crown (30× magnification), (D) Wear facet of tooth antagonist of Zr crown (100× magnification).

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