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STATEMENT OF PROBLEM: How occlusal adjustments and finishing of high-translucent monolithic zirconia restorations affect their mechanical behavior is unclear. PURPOSE: The purpose of this in vitro study was to investigate the effect of grinding, finishing, and hydrothermal degradation on the roughness, flexural strength, and reliability of fully stabilized zirconia (FSZ) and partially stabilized zirconia (PSZ) for monolithic restorations. MATERIAL AND METHODS: Specimens of PSZ and FSZ were divided into 5 groups: control (Ctrl); those ground by using coarse diamond rotary instrument (Gr); those that underwent grinding, polishing (diamond rubber), and glazing (GrPolGl); those that underwent grinding and glazing (GrGl); and those that underwent grinding and polishing (GrPol). These groups were subdivided into nonaged and hydrothermally aged in autoclave (134 °C, 200 kPa). Three-point bend tests (flexural strength [FS]) were performed (n=30), and roughness (Ra) was measured by using a contact profilometer (n=30). The Weibull moduli were obtained from the FS data. The intergroup FS was analyzed by the Kruskal-Wallis test and Student-Newman-Keuls method, and the intragroup FS, Mann-Whitney tests (α=.05). RESULTS: The median FS for PSZ (MPa) for the aforementioned groups is as follows: Gr (1147.8)=GrPol (1210.3)>GrPolGl (815.6)>GrGl (569.7)=Ctrl (583.0). The FS for FSZ (MPa) for the aforementioned groups is as follows: GrPolGl (404.2)=GrGl (427.0)

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RESUMO

This study evaluated the effect of grinding and regeneration firing on the flexural fatigue limit and surface characterization of Lava™ Y-TZP ceramic. Forty bar-shaped specimens with 20 × 4.0 × 1.2 mm constituted the as-sintered group (AS = control group), and 80 specimens with 20 × 4.0 × 1.5 mm were ground with cylindrical laboratory stone under water-cooling (WG) or in a dry condition (G) to reach 1.2 mm in thickness. Half of specimens were submitted to regeneration firing (1000 °C, 30 min), forming the groups AS/R, WG/R and G/R. Fatigue limit (500,000 cycles, 10 Hz) was determined by staircase method in a 4-point flexural fixture. Data were analyzed by 2-way ANOVA and Tukey HSD tests (α = 0.05). The surface topography (n = 3) and fracture area (n = 3) were evaluated by SEM. Samples were also analyzed by Rietveld refinement from X-ray diffraction data. ANOVA revealed significant differences (P < .001) for grinding protocol, regeneration firing and their interaction. In the groups not submitted to regeneration firing, the mean flexural fatigue limit of WG was higher (P < .05) than that of G and AS, with no statistical difference between each other (P > .05). After regeneration firing the inequality WG>AS>G (P < .05) was observed. The regeneration firing increased the fatigue limit of AS group and decreased those of G and WG groups (P < .05). Grinding protocols created evident grooves on zirconia surface. Failures initiated on tensile side of all specimens. The percentages (wt%) of monoclinic phase before cyclic loading were: AS (7.4), AS/R (6.5), G (2.8), G/R (0.0), WG (4.4), WG/R (0.0); and after cyclic loading: AS (8.6), AS/R (1.2), G (2.4), G/R (5.7), WG (6.3), WG/R (0.0). Wet grinding did not compromise the fatigue limit of zirconia, increasing its mechanical strength. Regeneration firing reduced the fatigue limit of ground samples, despite reducing the amount of monoclinic phase in all experimental conditions.

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RESUMO

This study evaluated the effect of grinding protocols and resintering on flexural fatigue limit and surface characterization of LavaTM Y-TZP. Bar-shaped specimens (20×4.0×1.2 mm, n=40; 20×4.0×1.5 mm, n=80) were obtained. Half of the thinner specimens (1.2 mm) constituted the as-sintered group (AS), while the thicker ones (1.5 mm) were ground with diamond burs under irrigation (WG) or not (G). The other half of thinner and half of ground specimens were resintered (1000 ºC, 30 min), forming the groups ASR, WGR and GR. Fatigue limit (500,000 cycles, 10 Hz) was evaluated by staircase method in a 4-point flexural fixture. Data were analyzed by 2-way ANOVA and Tukey's test (α=0.05). Surface topography (n=3) and fracture area (n=3) were evaluated by SEM. X-ray diffraction data (n=1) was analyzed by Rietveld refinement. ANOVA revealed significant differences (p<0.001) for the grinding protocol, resintering and their interaction. Grinding increased the fatigue limit of non-resintered groups. There was no significant difference among the resintered groups. Resintering significantly increased the fatigue limit of the AS group only. Both protocols created evident grooves on zirconia surface. The failures initiated at the tensile side of all specimens. The percentages (wt%) of monoclinic phase were AS (8.6), ASR (1.2), G (1.8), GR (0.0), WG (8.2), WGR (0.0) before, and AS (7.4), ASR (6.5), G (3.2), GR (0.2), WG (4.6), WGR (1.1) after cyclic loading. Grinding increased the fatigue limit of non-resintered Y-TZP and formed evident grooves on its surface. Resintering provided significant increase in the fatigue limit of as-sintered specimens. In general, grinding and resintering decreased or zeroed the monoclinic phase.

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RESUMO

Abstract This study evaluated the effect of grinding protocols and resintering on flexural fatigue limit and surface characterization of LavaTM Y-TZP. Bar-shaped specimens (20×4.0×1.2 mm, n=40; 20×4.0×1.5 mm, n=80) were obtained. Half of the thinner specimens (1.2 mm) constituted the as-sintered group (AS), while the thicker ones (1.5 mm) were ground with diamond burs under irrigation (WG) or not (G). The other half of thinner and half of ground specimens were resintered (1000 ºC, 30 min), forming the groups ASR, WGR and GR. Fatigue limit (500,000 cycles, 10 Hz) was evaluated by staircase method in a 4-point flexural fixture. Data were analyzed by 2-way ANOVA and Tukey's test (α=0.05). Surface topography (n=3) and fracture area (n=3) were evaluated by SEM. X-ray diffraction data (n=1) was analyzed by Rietveld refinement. ANOVA revealed significant differences (p<0.001) for the grinding protocol, resintering and their interaction. Grinding increased the fatigue limit of non-resintered groups. There was no significant difference among the resintered groups. Resintering significantly increased the fatigue limit of the AS group only. Both protocols created evident grooves on zirconia surface. The failures initiated at the tensile side of all specimens. The percentages (wt%) of monoclinic phase were AS (8.6), ASR (1.2), G (1.8), GR (0.0), WG (8.2), WGR (0.0) before, and AS (7.4), ASR (6.5), G (3.2), GR (0.2), WG (4.6), WGR (1.1) after cyclic loading. Grinding increased the fatigue limit of non-resintered Y-TZP and formed evident grooves on its surface. Resintering provided significant increase in the fatigue limit of as-sintered specimens. In general, grinding and resintering decreased or zeroed the monoclinic phase.

Resumo Este estudo avaliou o efeito de protocolos de desgaste e ressinterização no limite de fadiga flexural e na caracterização da superfície da zircônia LavaTM. Corpos-de-prova em forma de barra (20×4,0×1,2 mm, n=40; 20×4,0×1,5 mm, n=80) foram obtidos. Metade das barras com menor altura (1,2 mm) constituiu o grupo controle (AS), enquanto as de maior altura (1,5 mm) foram desgastadas com fresas diamantadas com (WG) ou sem (G) irrigação. A outra metade dos corpos-de-prova de menor altura e metade dos desgastados foram ressinterizadas (1000 °C, 30 min), obtendo-se os grupos ASR, WGR e GR. O limite de fadiga (500.000 ciclos, 10 Hz) foi avaliado pelo método de escada em dispositivo de flexão em 4 pontos. Os dados foram analisados pelos testes ANOVA a dois fatores e Tukey (α=0,05). A topografia de superfície (n=3) e área de fratura (n=3) foram avaliadas por MEV. Os dados de difração de raios-X (n=1) foram analisados pelo refinamento de Rietveld. ANOVA revelou diferenças significantes (p<0,001) para desgaste, ressinterização e interação entre os fatores. O desgaste aumentou o limite de fadiga para os grupos não ressinterizados. Não houve diferença significante entre os grupos ressinterizados. A ressinterização aumentou o limite de fadiga somente para o grupo AS. Ambos os protocolos criaram riscos evidentes na superfície da zircônia. As falhas iniciaram sempre no lado de tração. A porcentagem de fase monoclínica foi: AS (8.6), ASR (1.2), G (1.8), GR (0.0), WG (8.2), WGR (0.0) antes e AS (7.4), ASR (6.5), G (3.2), GR (0.2), WG (4.6), WGR (1.1) após a ciclagem. O desgaste aumentou o limite de fadiga da zircônia não ressinterizada e formou ranhuras evidentes na sua superfície. A ressinterização promoveu aumento significativo no limite de fadiga somente para o grupo controle. Em geral, o desgaste e a ressinterização diminuíram ou anularam o conteúdo de fase monoclínica.

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