journal of the mechanical behavior of biomedical materials 109 (2020) 103856
Available online 16 May 2020
1751-6161/© 2020 Elsevier Ltd. All rights reserved.
Durability of staining and glazing on a hybrid ceramics after the
three-body wear
Jo~ ao P.M. Tribst
a, b, *
, Amanda M.O. Dal Piva
a, b
, Arie Werner
b
, Lilian C. Anami
c
, Marco
A. Bottino
a
, Cornelis J. Kleverlaan
b
a
Post-Graduate Program in Restorative Dentistry (Prosthodontic), Department of Dental Materials and Prosthodontics, S~ ao Paulo State University (Unesp/SJC), Institute
of Science and Technology, Engenheiro Francisco Jos� e Longo Avenue 777, 12245-000, S~ ao Jos� e dos Campos/SP, Brazil
b
Department of Dental Materials Science, Academic Centre for Dentistry Amsterdam (ACTA), Universiteit van Amsterdam and Vrije Universiteit, Gustav Mahlerlaan
#3004, 1081 LA Amsterdam, Noord-Holland, the Netherlands
c
Department of Dentistry, Santo Amaro University (UNISA), S~ ao Paulo, R. Prof. En� eas de Siqueira Neto 340, 04829-300, S~ ao Paulo/SP, Brazil
A R T I C L E INFO
Keywords:
Hybrid ceramic
Surface treatments
ACTA wear Machine
Wear facet
Wear depth and wear volume
ABSTRACT
Hybrid ceramic is a promising material for monolithic restorations that could require an individualization
through the extrinsic staining to improve aesthetics. Due to the possibilities to treat this ceramic prior to staining,
this study evaluated the wear resistance of surface treatments prior to staining and glazing a hybrid ceramic.
Thirty-two specimens (Vita Enamic) were divided into 8 groups according to the surface treatment prior to the
staining (Polishing: Pol, Acid etching: Ac, Sandblasting with Al
2
O
3
: Sd or Self-etching silane: Ses) and glaze
application (with: gl or without: gl). The specimens were submitted to the ACTA wear machine simulating the
presence of food bolus and antagonist. The wear rate of the stain was determined after 7 intervals of 20,000
cycles, using a proflometer. The surface before and after staining, and after wear were inspected using Scanning
Electron Microscopy (SEM). The rates were analyzed using three-way ANOVA and Tukey test. The wear was
affected by surface treatment, glaze application and number of cycles (p < 0.001). 100% of the staining was
removed after 20,000 cycles for Pol, 40,000 for Pol þ gl, 60,000 for Ses þ gl, 80,000 for Ac, 100,000 for Sd and
Ses, 120,000 for Ac þ gl and 140,000 for Sd þ gl. SEM showed similar worn surfaces. Sandblasting followed by
glaze application was the most durable treatment to maintain the external staining on the hybrid ceramic surface
when subjected to three-body wear.
1. Introduction
Staining materials for restorative material are used for esthetic
improvement, giving a more natural appearance to the patient’s resto-
ration, increasing the success and satisfaction with the treatment. The
glaze application is recommended to protect the staining layer,
improving the staining longevity during function (Chi et al., 2017). The
presence of the staining and glaze layer, infuences the surface rough-
ness, mechanical resistance and esthetics in different materials (Sulai-
man et al., 2015; Garza et al., 2016; Chi et al., 2017). Therefore, this
layer should be preserved over the restoration for a prolonged clinical
success, especially esthetically.
For reinforced glass ceramics or pure polycrystalline ceramics, the
inorganic components of the staining are fxed to the restoration by
fring the staining at high temperatures. The stains are applied before or
after crystallization/sintering fring, depending on the ceramic material
(Sulaiman et al., 2015; Willard, Chu, 2018). However, for the hybrid
ceramics, which contains a polymer infltrated matrix (Bottino et al.,
2015; Ramos et al., 2016; A Dal Piva et al., 2018, 2020), there is a new
approach for the staining procedure (Dal Piva et al., 2020). Stain and
glaze of these hybrid ceramics are Methyl MethAcrylate (MMA) light
cured composites. This staining technique is reported by the manufac-
turer as simple to apply, improving the practicality of the dental offce
and achieving proper esthetic. Prior to staining, the ceramic surface
must be treated with hydrofuoric acid etching or sandblasting with
aluminum oxide particles followed by silane application, as recom-
mended by the manufacturer. In order to reduce the number of clinical
steps and to promote durable bond strength data, a self-etching silane
* Corresponding author. Francisco Jos� e Longo, 777. S~ ao Jos� e dos Campos, 12245-000, SP, Brazil.
E-mail addresses: joao.tribst@unesp.br (J.P.M. Tribst), amodalpiva@gmail.com (A.M.O. Dal Piva), a.werner@acta.nl (A. Werner), lianami@gmail.com
(L.C. Anami), mmbottino@uol.com.br (M.A. Bottino), c.kleverlaan@acta.nl (C.J. Kleverlaan).
Contents lists available at ScienceDirect
Journal of the Mechanical Behavior of Biomedical Materials
journal homepage: http://www.elsevier.com/locate/jmbbm
https://doi.org/10.1016/j.jmbbm.2020.103856
Received 9 April 2020; Received in revised form 8 May 2020; Accepted 10 May 2020