Comparison of wear between occlusal splint materials and resin composite materials.

Abstract

Tooth wear in bruxing patients often results in a need for treatment with composite restorations. In some cases, bruxing patients receive an occlusal splint as a protective means as well. However, the wear between these opposing materials has not been investigated yet. The aim of this in vitro study was to assess the wear of different splint materials against resin composite materials. A two-body wear test was conducted using the ACTA wear machine. The materials selected for this study were three composites used for direct restorations (Filtek Z250, CLEARFIL AP-X, and Filtek Supreme XT) and four occlusal splints materials, viz. a polyamide resin (ThermoSens) an conventional (hand-processed), milled and printed polymethylmethacrylate (PMMA). As antagonistic materials, stainless steel, Filtek Supreme XT and CLEARFIL AP-X were used. The wear rate of the seven materials was determined after 200000 cycles, using a profilometry. The rates were analysed using two-way ANOVA and post hoc Tukey's tests. The wear rates were significantly higher for the conventional and milled PMMA materials than for all other materials (P<.001). The wear rates of printed PMMA and the polyamide resin were comparable to composite wear rates. The antagonist materials have minor or no influence on the amount of wear of the various splint materials (P<.001). In conclusion, different splint materials yielded different wear rates for all antagonist materials tested. Keeping in mind that this study is an experimental in vitro study, this finding enables practitioners to choose the splint material necessary according to their patients' needs.