DOI: 10.11607/ijp.8352, PubMed ID (PMID): 37227860October 30, 2023,Pages 1-27, Language: EnglishFurini, Giordana Picolo / Pecho, Oscar E. / Álvarez-Lloret, Pedro / Benetti, Paula
Glass-ceramic restorations often require adjustments using coarse diamond burs (D) which have the potential to introduce critical defects at the surface from which a crack can initiate and propagate until fracture. Surface finishing using fine and ultra-fine burs (F), polishing (P), or glazing (G) have the potential to reduce or eliminate these defects. Purpose. This study investigated the influence of finishing, polishing, and glazing on the roughness, flexural strength, and microstructure of a lithium disilicate glass-ceramic (LD). Materials and Methods. LD CAD-CAM blocks were cut into 96 discs (1.2 mm x 12 mm). After crystallization, a layer of glaze was applied to the discs surface. The specimens were randomly divided into eight groups (n=12) for different surface treatments: G- glaze (control), GD, GDG, GDP, GF GFG, GFP, and GDFP. Mean roughness (Ra), mean square height (Rq) and maximum roughness (Rz) were measured. The biaxial flexural strength test was performed in a universal testing machine at 0.5 mm/min. Microstructural analysis was performed using X-ray diffraction patterns (XRD). Differences on the roughness obtained in distinct groups was analyzed by Kruskal-Wallis and Bonferroni tests (α = 0.05). The flexural strength tests were compared by one-way ANOVA. Results. Glazed groups (G, GDG and GFG) presented the lowest surface roughness, lower crystallinity, and higher flexural strength than the other groups. Although polishing and glaze presented similar surface roughness, polishing protocol decreased the flexural strength compared to the control group G. Conclusion. clinically adjusted LD glass-ceramic restorations should be reglazed whenever possible to improve strength.