Fatigue behavior of bonded lithium disilicate glass-ceramic simplified restorations is not damaged by the finishing/grinding of the bonding surface of dentin analogue material

摘要

Fiber-reinforced epoxy resin has been utilized as dentin-analogue material in fatigue tests, owing to their similar resin adhesion and biomechanical behavior. The procedures for finishing the dental surface change the surface topography, promoting variable roughness in the prepared substrate, which influences the interaction between the resin cement and the bonding surface. This study evaluated the influence of finishing by grinding the bonding surface of dentin analogue material (epoxy resin) on the fatigue behavior of adhesively cemented lithium disilicate glass-ceramic simplified restorations. Epoxy resin discs (0 = 10 mm, thickness = 2 mm) were allocated into four groups considering the ?grinding? factor: CTRL ? no grinding; G ? grinding with coarse grit diamond bur; G + F ? grinding with coarse grit diamond bur followed by fine grit diamond bur; G + F + FF ? grinding with coarse grit diamond bur followed by fine and extra fine grit diamond burs. After grinding, the discs were cleaned, etched (10% hydrofluoric acid; 1 min) and received a primer coating. Lithium disilicate discs (0 = 10 mm, thickness = 1 mm) were also etched (5% hydrofluoric acid; 20 s) and received a silane agent, and then were adhesively cemented onto epoxy resin discs and subjected to a step-stress fatigue tests at 20 Hz, 10,000 cycles/ step with a step-size of 100 N. Fractography, surface topography, roughness and fractal dimension analyses were performed. The CTRL group showed the lowest fatigue performance, roughness and surface area values. No statistical difference for fatigue performance and surface area was observed among the ?grinding? groups, having a decreasing roughness relationship (G > G + F > G + F + FF). Therefore, the grinding the preparation surface with distinct diamond bur sequence has no effect on the fatigue behavior of lithium disilicate restorations, as well as, grinding promotes improved results over a non-ground surface. Thus, it is important to pay attention to managing the dentin analogue surface considering that the epoxy resin with unground surfaces induces lower fatigue behavior.