Brittleness Index and Its Relationship with Materials Mechanical Properties: Influence on the Machinability of CAD/CAM Materials

Brittleness Index and Its Relationship with Materials Mechanical Properties: Influence on the Machinability of CAD/CAM Materials

ORIGINAL RESEARCH Dental Materials Brittleness index and its relationship with materials mechanical properties: Influence on the machinability of CAD/CAM materials Thiago Soares PORTO(a) Renato Cassio ROPERTO(a) Abstract:The aim of this study is to evaluate the machinability of Sorin Theodor TEICH(b) four CAD/CAM materials (n = 13) assessed by brittleness index, (a) Fady Fouad FADDOUL Vickers hardness, and fracture toughness and interaction among (a) Fabio Antonio Piolla RIZZANTE such mechanical properties. The materials selected in this in vitro Sizenando de Toledo PORTO-NETO(c) study are Feldspathic ceramic [FC], Lithium-disilicate glass ceramic Edson Alves de CAMPOS(c) [LD], leucite-reinforced glass ceramic [LR], and nanofilled resin material [RN]. Slices were made from the blocks following original dimensions 14 x 12 x 3 mm (L x W x H), using a precision slow-speed (a) Case Western Reserve University, saw device and then surfaces were regularized through a polishing School of Dental Medicine, Department of Comprehensive Care, Cleveland, device. Brittleness index and fracture toughness were calculated by Ohio, USA. the use of specific equations for each one of the properties. The Vickers (b) Medical University of South Carolina, hardness was calculated automated software in the microhardness College of Dental Medicine, Department device. One-way Anova and Pearson’s correlation were applied to of Oral Rehabilitation, Charleston, South data evaluation. LD obtained the highest values for brittleness index Carolina, USA. and was not significantly different from FC. LR presented statistically (c) Universidade do Estado de São Paulo – significant difference compared with RN, which had the lowest Unesp, Faculty of Dentistry, Department of Restorative Dentistry, Araraquara, São mean. Vickers hardness showed LD with the highest average, and no Paulo, Brazil. statistical difference was found between FC and LR. RN presented the lowest average. Fracture toughness showed FC and LR not statistically Declaration of Interests: The authors different from each other, likewise LD and RN. The brittleness index, certify that they have no commercial or considered also as the machinability of a material, showed within this associative interest that represents a conflict study as positively dependent on Vickers hardness, which leads to of interest in connection with the manuscript. conclusion that hardness of ceramics is related to its milling capacity. In addition, fracture toughness of pre-sintered ceramics is compared to polymer-based materials. Corresponding Author: Dr. Thiago S Porto E-mail: [email protected] Keywords: Dental Materials; Polymers; Prosthodontics; Hardness. https://doi.org/10.1590/1807-3107bor-2019.vol33.0026 Introduction The ongoing pursuit of excellence in aesthetic and prosthetic rehabilitation has resulted in the need to study numerous parameters. Among all factors that can influence rehabilitation; material’s mechanical Submitted: May 30, 2018 1,2,3,4,5 properties, restorations marginal fit and the cementing process Accepted for publication: February 16, 2019 Last revision: February 27, 2019 are important keys to achieving success. For a long time gold was the preferred material for indirect restorations due to adaptation characteristics, Braz. Oral Res. 2019;33:e026 1 Brittleness index and its relationship with materials mechanical properties: Influence on the machinability of CAD/CAM materials polishing and laboratory handling.6,7 According to materials. Although some of the materials reported evidence from the literature, however, after ten years, in the literature are no longer available, new materials ceramic restorations are very similar to gold in overall have been developed in recent years.20,21 Furthermore, performance.7 In addition, esthetic requirements are tests that predict the brittleness of a material before easier to achieve with ceramic restorations.7 milling can be more relevant for clinicians.22,23 The accuracy of how well the prosthetic crown The chemical composition of CAD/CAM fits the dental preparation is one of the important materials tested in previous in vitro studies19 led determinants of rehabilitation success. The computer- to the hypothesis that CAD/CAM polymer-based aided-design and computer-aided-manufacturer blocks may have a better clinical performance than (CAD/CAM) technology has enormous advantage in ceramics. It is necessary, however, to conduct a deep manufacturing precise restorations. This technology analysis of others aspects of mechanical properties. reduces the distortions caused by standard methods The purpose of our investigation is to satisfy this and eliminates numerous laboratorial phases that could necessity by considering the brittleness index as be complicating factors during the manufacturing an important aspect of aesthetics materials and its process.8,9,10 Dental ceramics and polymer-based possible interactions with other properties. materials can be easily fabricated with CAD/CAM The different compositions of ceramic materials technology, with desirable properties due to adequate affect their mechanical properties, such as flexural environment where it is produced.10,11,12 strength, fracture toughness, fracture resistance, CAD/CAM technology provides powerful hardness, and, the main property to be investigated restoration and conservative preparation; however, in this study, brittleness index. The CAD/CAM for best performance the materials should be chosen technology brings in new concepts and the necessity during the treatment planning.5,11,12,13 The digital of new methods to predict the longevity of restorations system allows preparations that are less complex that use machinable materials regarding susceptibility and also less invasive; in addition, it provides the to cracks, voids, and flaws. The aim of this study is same strength of other treatment options.14, 15 Studies to measure the brittleness index, Vickers hardness, have shown unexpected behavior like the higher and fracture toughness (KIc) of several CAD/CAM fatigue resistance of polymer-based materials when materials used with the digital system and to assess compared with that of ceramics. The flexural modulus their interactions in order to better understand the of polymer-based materials is very similar to that behavior of the materials. The null hypothesis is that of dentin, which creates a single body in regarding there is no correlation between the properties tested. mechanical behavior, and consequently polymer-based materials can be widely used.11,16,17 Methodology Missing is a clear gap between CAD/CAM interactions of materials’ machinability and Fifty-two specimens were prepared using a their characteristics like marginal fit after such CAD/CAM milling unit (CEREC MC XL Sirona, mechanical tests as static and dynamic loading. These Bensheim, Germany). The blocks used after milling interactions are indispensable to clinical performance the crowns were divided into four groups (n=13 conclusions.12,18 However, the influence of fatigue and each). The materials selected for the research were discrepancies on marginal integrity are reported for feldspathic ceramic (FC) as a control group, lithiuim all-ceramic and gold restorations, with acceptable disilicate glass ceramic (LD) in its intermediate phase, margins.5, 6,11,17,18 leucite-reinforced glass ceramic (LR), and nanofilled The first mention in literature for brittleness resin material (RN). The materials compositions, index19 combined the results with marginal chipping manufacturers, batch number, and flexural strength factor (CF), which can be calculated only after the provided by the manufacturer are in Table 1. The crowns have been milled. Ceramics have a higher blocks surface was regularized using a slow-speed brittleness index when compared with composite diamond saw (Isomet 4000, Buehler, Lake Bluff, 2 Braz. Oral Res. 2019;33:e026 Porto TS, Roperto RC, Teich ST, Faddoul FF, Rizzante FAP, Porto-Neto ST et al. USA), and all blocks had an approximate 3.0mm tester, two-lines markers visible on the lens were of ceramic thickness with length and width kept positioned on both ends of the crack. Measurements as original for each material block (approximately were made and calculated by equation one:24 14 mm and 12 mm, respectively). Their surface Equation (1) – B =γP-2/4(C/α)3/2 having been planned, with a grinding and polishing On the equation (1) above, B is the brittleness device (Metaserv 2000, Buehler, Lake Bluff, IL, index in μm-1/2; P is the indentation loading (N), γ is USA) equipped with sandpaper cooled by water the constant value equal to 2.39N1/4/μm1/2; C is the (3M ESPE, St. Paul, USA), the specimens were diagonal one and; α is the crack length diagonal sequentially polished with #180, #250, #360, #400, one in μm. #600, #800, #1200, and #1500. In order to create the Vickers hardness was calculated by measuring ideal smooth surface for proper data acquisition the diagonal one and two distances and analyzed by by the microhardness machine, specimens were the micro hardness software on the tester machine. additionally treated with a sequence of a 1μm and Twenty new specimens from each one of the 0.5μm polish diamond paste (Buehler, Lake Bluff, materials described in Table 1 were fabricated USA) in combination with the #1500 grit sandpaper. measuring 14 mm of length by 3 mm of height and Specimens were then cleaned by ultrasonic water 2.5 mm of width. To the specimens a notch with bath (Boekel Analog Model 139400, PA, USA) for a relationship

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