Cutting Efficiency of Diamond Grinders on Composite and Zirconia.

Abstract

This in vitro study was carried out to compare the cutting efficiency of diamond grinders on zirconia and resin-based composite materials. Grinders were employed with a special holder for the handpiece to apply a constant load (160 g) for resin-based composite (8 cuts, 40 s each) and zirconia materials (4 cuts, 5 min each; n = 10 for each material and grinder). To assess the efficiency of the grinders, weight measurements of the material were taken before and after the grinding process. Scanning electron micrographs were captured for instrument surfaces before and after testing and for the resulting surface of the materials. In the resin-based composite group, there were significant differences in weight removal between the burs for both the baseline (first cut; p = 0.009) and removal after the eighth cut (p = 0.049). Statistically significant decreases in weight removal compared to the baseline values were noted for the third, fourth, sixth, and seventh steps (p ≤ 0.046). For the zirconia group, significant differences existed in weight removal between the burs for the baseline (first cut; p < 0.001) and removal after the fourth cut (p < 0.001). A significant positive correlation was observed between removal and the number of cuts (Pearson: 0.673; p < 0.001). A statistically significant decrease in removal compared to the respective baseline value was found for the fourth step (p = 0.006). The initial wear removal and durability significantly differed between the grinders used on resin-based composite and zirconia. Achieving comparable weight removal took five times longer when grinding zirconia compared to the resin-based composite.