Extra-fine Diamond Burs Research Articles

Effect of Clinically Relevant Smear Layers and pH of Universal Adhesives on Dentin Bond Strength and Durability.

To evaluate the effects of different smear layers on the microtensile bond strength (µTBS) of a reference two-step self-etch adhesive and two universal adhesives. Mid-coronal dentin of 90 teeth was exposed and divided into three bur groups (coarse diamond, fine diamond, or tungsten carbide). Each bur-prepared group was further divided into three adhesive groups: Clearfil SE Bond (SE, Kuraray Noritake), Single Bond Universal (SB; 3M Oral Care), and G-Premio Bond (GP, GC). After adhesive application, 4-mm-thick resin composites were built up. Half of the teeth in each bur-adhesive group were used in immediate µTBS testing, and the others were tested after thermal aging (n = 5). Rectangular sticks were prepared using a low-speed diamond saw. For each tooth, 6 central sticks were used in the µTBS test. Statistical analysis was performed using three-way ANOVA and Bonferroni tests (α = 0.05). SE presented higher µTBS than universal adhesives and SB presented higher µTBS than GP regardless of dentin surface preparation and thermal aging (p ˂ 0.05). For SE and SB, the tungsten carbide bur demonstrated higher immediate and aged µTBS than did the extra-fine diamond bur (p ˂ 0.05). The immediate µTBS was similar for GP with all bur types (p ˃ 0.05); the tungsten carbide and extra-fine diamond burs presented higher µTBS than did the coarse-diamond bur after thermal aging (p ˂ 0.05). Dentin surface preparation and adhesive type had significant effects on µTBS. The smear layer created with an extra-fine diamond or tungsten carbide bur is favorable when mild and ultra-mild self-etch adhesives are used.

Grinding and polishing of the inner surface of monolithic simplified restorations made of zirconia polycrystals and lithium disilicate glass-ceramic: Effects on the load-bearing capacity under fatigue of the bonded restorations

This study evaluated the effect of grinding and polishing the inner surface of monolithic discs made of zirconia polycrystals (ZR) and lithium disilicate glass-ceramic (LD) on the load-bearing capacity under fatigue of the restorations bonded onto a dentin analogue material (epoxy resin). ZR and LD ceramic discs (10 mm in diameter, 1 mm in thickness) were produced and randomly allocated into 10 groups considering the internal adjustment approach: Ctrl – No adjustment; F – Grinding with fine diamond bur (46 μm); F + Pol – Grinding with fine diamond bur followed by polishing with 2 tips (finisher and polisher); FF – Grinding with extrafine diamond bur (30 μm); FF + Pol – Grinding with extrafine diamond bur followed by polishing. In addition, discs (10 mm in diameter, 2.5 mm in thickness) of fiber reinforced epoxy resin were produced. Afterwards, the intaglio surface of the ZR discs were air-abraded with 45 μm alumina particles for 10 s, the LD and resin epoxy discs were etched with hydrofluoric acid (5%/20 s and 10%/60 s, respectively), and the treated discs were primed as recommended. Each ceramic disc was luted onto the epoxy resin disc with resin cement. Then, the samples were tested under a step-stress fatigue test (20 Hz, 10,000 cycles/step, step-size of 100 N starting at 200 N, and proceeding until failure detection). Fractographic, topographic and surface roughness analysis were also performed. The adjustments (grinding with or without polishing) (ZR: 733–880 N; LD: 1040–1106 N) triggered a detrimental effect on the fatigue behavior in both ceramics compared with the absence of treatment (control group; ZR: 973 N; LD: 1406 N). The polishing step had no effect on fatigue findings. Thus, grinding the inner surface of the tested ceramics should be avoided wherever possible to prevent introducing damage and its detrimental effects on the fatigue behavior.

Grinding of composite cores using diamond burs with different grit sizes

Aim: To evaluate the retention of Y-TZP crowns cemented in aged composite cores ground with burs of different grit sizes. Methods: Sixty composite resin simplified full-crown preparations were scanned, while 60 Y-TZP crowns with occlusal retentions were milled. The composite preparations were stored for 120 days (wet environment-37°C) and randomly distributed into three groups (n=20) according to the type of composite core surface treatment. The groups were defined as: CTRL (control: No treatment), EFB (extra-fine diamond bur [25μm]), and CB (coarse diamond bur [107μm]). The grinding was performed with an adapted surveyor standardizing the speed and pressure of the grinding. The intaglio surfaces on the crowns were air-abraded with silica-coated alumina particles (30 μm) and then a silane was applied. The crowns were cemented with self-adhesive resin cement, thermocycled (12,000 cycles; 5/55°C), stored (120 days) and submitted to aretention test (0.5mm/min). The retentive strength data (MPa) were analyzed using one-way analysis of variance and Tukey test, as well as Weibull analysis. Failures were classified as 50C (above 50% of cement in the crown), 50S (above 50% of cement in the substrate) and COE (composite core cohesive failure). Results: No statistical difference was observed among the retention values (p=0.975). However, a higher Weibull modulus was observed in the CTRL group. The predominant type of failure was 50S (above 50% of cement in the substrate composite). Conclusion: The retention of zirconia crowns was not affected by grinding using diamond burs with different grit sizes (coarse/extra-fine) or when no grinding was performed.

Internal adjustments decrease the fatigue failure load of bonded simplified lithium disilicate restorations

ObjectiveTo investigate the effect of intaglio surface adjustment of simplified lithium disilicate ceramic restorations adhesively cemented to a dentin-like material on its fatigue behavior. MethodsCeramic discs (IPS e.max CAD) were prepared and an in-Lab simulation of machining roughness was performed by grinding with SiC paper (#60). Ceramic discs were divided into 4 groups according to the internal adjustment of the cementation surface: no adjustments (CTRL); adjustment with a medium (M), fine (F), or extra fine (FF) diamond bur. Dentin-like material discs were also produced. Ceramic disc intaglio surfaces were etched (5% hydrofluoric acid; 20s) and received a silane coating. Dentin-like material discs were etched (10% hydrofluoric acid; 1min) and received a primer coating. Pairs of ceramic/dentin-like material were adhesively cemented (Multilink Automix), and fatigue failure load tests were performed using the Staircase approach (250,000 cycles; 20Hz). Roughness, topographic and fractographic analyses were performed. Statistical analyses were carried out through ANOVA tests. ResultsAll ground groups (M=521.3 N; F=536.9 N; FF=676.2 N) presented lower fatigue failure load values than the control (1241.6 N). M diamond bur created a rougher surface than F (Ra and Rz parameters). However, FF was similar to F and M for Ra, and similar to F for Rz. SignificanceBur adjustments on the intaglio surface of simplified lithium disilicate ceramic restorations greatly decreased the fatigue failure load even using an extra-fine diamond bur. Care should be taken when internal adjustments are needed.

Grinding With Diamond Burs and Hydrothermal Aging of a Y-TZP Material: Effect on the Material Surface Characteristics and Bacterial Adhesion.

The aim of this study was to evaluate the effect of grinding with diamond burs and low-temperature aging on the material surface characteristics and bacteria adhesion on a yttrium-stabilized tetragonal zirconia polycrystalline (Y-TZP) surface. Y-TZP specimens were made from presintered blocks, sintered as recommended by the manufacturer, and assigned into six groups according to two factors-grinding (three levels: as sintered, grinding with extra-fine diamond bur [25-μm grit], and grinding with coarse diamond bur [181-μm grit]) and hydrothermal aging-to promote low-temperature degradation (two levels: presence/absence). Phase transformation (X-ray diffractometer), surface roughness, micromorphological patterns (atomic force microscopy), and contact angle (goniometer) were analyzed. Bacterial adhesion (colony-forming units [CFU]/biofilm) was quantified using an in vitro polymicrobial biofilm model. Both the surface treatment and hydrothermal aging promoted an increase in m-phase content. Roughness values increased as a function of increasing bur grit sizes. Grinding with a coarse diamond bur resulted in significantly lower values of contact angle (p<0.05) when compared with the extra-fine and control groups, while there were no differences (p<0.05) after hydrothermal aging simulation. The CFU/biofilm results showed that neither the surface treatment nor hydrothermal aging simulation significantly affected the bacteria adherence (p>0.05). Grinding with diamond burs and hydrothermal aging modified the Y-TZP surface properties; however, these properties had no effect on the amount of bacteria adhesion on the material surface.

Effect of Finishing Techniques on the Junction Between the Composite Restoration and the Dental Enamel

The aim of this in vitro study was to to evaluate the impact of finishing procedures on the enamel adjacent to composite restorations and to assess if the resistance of the enamel-resin junction to leakage is affected by the use of these instruments. The surfaces of enamel at the joint with composite were observed by scanning electron microscopy, then the microleakages at the enamel margin was assessed using an optical microscope. Finishing with extra-/ ultra-fine carbide burs and extra-fine diamond burs produced a superficial abrasion to the adjacent enamel and did not seem to have a significant influence on the sealing ability of composite resin.

SEM Evaluation of Surrounding Enamel after Finishing of Composite Restorations– Preliminary Results

The purpose of this study was to analyze the surface characteristics of the enamel adjacent to composite resin after finishing the restoration with different diamond and tungsten carbide burs. The topography of enamel was observed by using a scanning electron microscope. Finishing with extra-/ultra-fine carbide burs, and extra-fine diamond burs resulted in smooth surfaces. In few areas some superficial scratches with no clinical relevance were observed. Deep grooves were observed on the surface of enamel when fine diamond burs were used. Finishing of composite restorations with coarse burs should be avoided when there is a high risk of touching and scratching adjacent enamel during the procedure.

CAD/CAM machining Vs pre-sintering in-lab fabrication techniques of Y-TZP ceramic specimens: Effects on their mechanical fatigue behavior

This study evaluated the effects of different pre-sintering fabrication processing techniques of Y-TZP ceramic (CAD/CAM Vs. in-lab), considering surface characteristics and mechanical performance outcomes. Pre-sintered discs of Y-TZP ceramic (IPS e.max ZirCAD, Ivoclar Vivadent) were produced using different pre-sintering fabrication processing techniques: Machined- milling with a CAD/CAM system; Polished- fabrication using a cutting device followed by polishing (600 and 1200 SiC papers); Xfine- fabrication using a cutting machine followed by grinding with extra-fine diamond bur (grit size 30 μm); Fine- fabrication using a cutting machine followed by grinding with fine diamond bur (grit size 46 μm); SiC- fabrication using a cutting machine followed by grinding with 220 SiC paper. Afterwards, the discs were sintered and submitted to roughness (n=35), surface topography (n=2), phase transformation (n=2), biaxial flexural strength (n=20), and biaxial flexural fatigue strength (fatigue limit) (n=15) analyses. No monoclinic-phase content was observed in all processing techniques. It can be observed that obtaining a surface with similar characteristics to CAD/CAM milling is essential for the observation of similar mechanical performance. On this sense, grinding with fine diamond bur before sintering (Fine group) was the best mimic protocol in comparison to the CAD/CAM milling.

Surface micro-morphology, phase transformation, and mechanical reliability of ground and aged monolithic zirconia ceramic

This study aimed to determine the effects of grinding and low temperature aging on the biaxial flexural strength, structural reliability (Weibull analysis), surface topography, roughness analysis, and phase transformation (t→m) of an yttrium-stabilized tetragonal zirconia polycrystalline ceramic. Ceramic discs (15.0×1.2±0.2mm, VITA In-Ceram YZ) were prepared and randomly assigned into six groups according to 2 factors (n=30): ‘grinding’ (Ctrl – without treatment, as-sintered; Xfine – grinding with extra fine diamond bur – 30µm; Coarse – grinding by coarse diamond bur – 151µm), and ‘aging’ (without or with aging: CtrlLTD; XfineLTD; CoarseLTD). Grinding was performed in an oscillatory motion with a contra-angle handpiece under constant water-cooling. Low temperature degradation (LTD) was simulated in an autoclave at 134°C, under 2bar pressure, for 20h. The roughness (Ra and Rz parameters) significantly increased after grinding in accordance with bur grit-size (Coarse>Xfine>Ctrl), and aging promoted distinct effects (Ctrl=CtrlLTD; Xfine>XfineLTD; Coarse=CoarseLTD). Grinding increased the m-phase, and aging led to an increase in the m-phase in all groups. However, different susceptibilities to LTD were observed. Weibull analysis showed a significant increase in the characteristic strength after grinding (Coarse=Xfine>Ctrl), while aging did not lead to any deleterious impact. Neither grinding nor aging resulted in any deleterious impact on material reliability (no statistical decrease in the Weibull moduli). Thus, neither grinding nor aging led to a deleterious effect on the mechanical properties of the evaluated Y-TZP ceramic although a high m-phase content and roughness were observed.

Fiber-matrix integrity, micromorphology and flexural strength of glass fiber posts: Evaluation of the impact of rotary instruments

Several rotary instruments have been daily employed on clinic to promote cut aiming to adjust the length of fiber posts to the radicular conduct, but there is no information on the literature about the effects of the different rotary instruments and its impact on the micromorphology of surface and mechanical properties of the glass fiber post. This study aimed the impact of rotary instruments upon fiber-matrix integrity, micromorphology and flexural-strength of glass-fiber posts (GFP). GFP (N=110) were divided into 5 groups: Ctrl: as-received posts, DBc: coarse diamond-bur, DBff: extra-fine diamond-bur, CB: carbide-bur, DD: diamond-disc. Cutting procedures were performed under abundant irrigation. Posts exposed to rotary instruments were then subjected to 2-point inclined loading test (compression 45°) (n=10/group) and 3-point flexural-strength test (n=10/group). Fiber-matrix integrity and micromorphology at the cut surface were analyzed using a SEM (n=2/group). Cutting procedures did not significantly affect the 2-point (51.7±4.3–56.7±5.1MPa) (p=0.0233) and 3-point flexural-strength (671.5±35.3–709.1±33.1MPa) (p=0.0968) of the posts (One-way ANOVA and Tukey׳s test). Fiber detachment was observed only at the end point of the cut at the margins of the post. Cut surfaces of the CB group were smoother than those of the other groups. After 3-point flexural strength test, fiber-matrix separation was evident at the tensile side of the post. Rotary instruments tested with simultaneous water-cooling did not affect the resistance of the tested fiber posts but caused disintegration of the fibers from the matrix at the end of the cut, located at the margins.

Effect of low-temperature aging on the mechanical behavior of ground Y-TZP

This study evaluated the effects of low-temperature aging on the surface topography, phase transformation, biaxial flexural strength, and structural reliability of a ground Y-TZP ceramic. Disc-shaped specimens were manufactured and divided according to two factors: “grinding” – without grinding (as-sintered, Ctrl), grinding with an extra-fine diamond bur (25 µm Xfine) and coarse diamond bur (181 µm Coarse); and “low-temperature-aging” (absence or presence). Grinding was performed using a contra-angle handpiece under water-cooling. Aging was performed in an autoclave at 134 °C, under 2 bar, over a period of 20 h. Surface topography analysis showed an increase in roughness based on grit-size (Coarse>Xfine>Ctrl), and aging promoted different effects on roughness (Ctrl Ag<Ctrl; Xfine Ag<Xfine; Coarse Ag>Coarse). Grinding and aging promoted an increase in the amount of m-phase, although different susceptibilities to degradation were observed. Weibull analysis showed an increase in characteristic strength after grinding (Coarse=Xfine>Ctrl); however, distinct effects were observed for aging (Ctrl<Ctrl Ag; Xfine=Xfine Ag; Coarse>Coarse Ag). Weibull moduli were statistically similar. Grinding promoted an increase in characteristic strength as a result of an increase in m-phase content; when the Y-TZP surface was ground by coarse diamond burs followed by aging, characteristic strength was reduced, meaning the low-temperature degradation appeared to intensify for rougher Y-TZP surfaces.

Bond strength of self-etch adhesives to dentin prepared with three different diamond burs

Objectives To evaluate the micro-tensile bond strength (μTBS) of a control etch-and-rinse and three self-etch (strong, mild, ultra-mild) adhesive systems to dentin prepared with three different grit size of diamond burs. Methods Dentin surfaces were created from mid-coronal sound dentin in extracted, human third molars. The teeth were ground with high-speed medium grit (100 μm), fine grit (30 μm), or extra-fine grit (15 μm) diamond bur. Resin composite (Z100) was bonded to the surfaces using Optibond FL, Adper Prompt L-Pop, Clearfil SE Bond, or Clearfil S3 Bond. Rectangular micro-specimens were prepared using the slow-speed diamond saw and tested in tensile to determine the μTBS. Failure analysis was performed using a stereo-microscope and Fe-SEM. Data were analyzed by two-way analysis of variance and Tukey's HSD test ( p < 0.05). Results The etch-and-rinse adhesive yielded high micro-tensile values (58–69 MPa), irrespective of the diamond burs used. The bond strength values were comparable for Adper Prompt L-Pop and Clearfil SE Bond irrespective of the burs used. The μTBS values were significantly higher as the particle size of diamond burs is smaller for Clearfil S3 Bond. Most failures were recorded as interfacial failure when the fine and extra-fine diamond burs were used. Significance Overall, different grit-sized diamond burs did not affect the mechanical properties of the interface, except for the ultra-mild one step self-etch adhesive. This adhesive performed significantly better when a smaller grit size was used to prepare dentin surface.

Effects of various finishing systems on the surface roughness and staining susceptibility of packable composite resins

Objectives: The purpose of the present study was to investigate the influence of various finishing systems on the surface roughness and staining of three packable resin composites and a conventional microhybrid one. Methods: Three packable composites (Solitaire—Heraeus-Kulzer, ALERT—Jeneric-Pentron, SureFil—Dentsply) and a conventional microhybrid (Z250—3M-ESPE) were used. Composite specimens were prepared and polished with Poli I and Poli II aluminum oxide pastes, Ultralap diamond paste, Enhance finishing points, Politip rubber polishers, fine and extra fine diamond burs, and 30-blade tungsten carbide burs according to the manufacturers' instructions. The polished surfaces were evaluated with a profilometer, and then immersed in 2% methylene blue for 24 h. Afterwards, the specimens were prepared for the spectrophotometric analysis. Results were statistically analyzed by ANOVA and Tukey test. Results: Significant differences were found for the surface roughness and staining recorded, with interaction among composite resins and the finishing systems used. No correlation was found between surface roughness and staining susceptibility ( p=0.5657). Significance: For most of the polishing agents used, Z250 presented the smoothest surfaces and the least dye uptake. ALERT presented the roughest surfaces, and Solitaire, the highest dye concentration. The smoothest surfaces were not necessarily the most stain resistant. Staining is highly influenced by each composite monomer and filler composition.

Efficacy of a porcelain refinishing system in restoring surface finish after grinding with fine and extra-fine diamond burs

Commercial porcelain refinishing kits are claimed to restore the surface finish on porcelain after adjustments in circumstances that preclude reglazing. This study investigates the efficacy of one such kit in restoring a Vitadur N porcelain surface finish after grinding with fine (30 μm grit-red band) and extra-fine (15 μm grityellow band) high-speed diamond burs. The production of the porcelain test samples, the refinishing procedures, and the refinishing times were standardized throughout. Techniques were selected to simulate clinical practice. Randomly selected examples of surfaces created during refinishing were subjected to scanning electron microscopy, using standard kV and tilt angle settings, and to surface profilometry tracings. Roughness average (Ra) readings were recorded for each test specimen for every surface finish. Ra readings were analyzed statistically using a two-way unbalanced model for analysis of variance. Although refinishing after grinding with a 15 μm grit bur produced surfaces significantly smoother than on specimens previously ground with the 30 μm grit burs, the surfaces remained significantly rougher than when originally glazed. It is concluded that, using the type of kit tested, burs of a grade finer than the existing 15 μm grit yellow band types would be appropriate for porcelain adjustments to permit subsequent refinishing to a surface smoothness comparable to the original glaze.