Effectiveness of Different Polishing Kits for Chairside CAD/CAM Provisional Restorative Materials
To investigate the efficacy of three specially designed polishing kits for provisional restorations made from three chairside computer-aided design and computer-aided manufacturing (CAD/CAM) provisional resin blocks. Ninety-six chairside CAD/CAM provisional restorations were milled out of three chairside CAD/CAM provisional resin blocks: (1) ArtBloc Temp (Merz Dental); (2) Telio CAD (Ivoclar Vivadent); and (3) Vita CAD-Temp (VITA Zahnfabrik). The provisional restorations for each material were allocated into the following groups: (1) milled restorations (no polish); (2) polished with CADMaster CAD/CAM Adjustment & Polishing Kit (CM, Shofu); (3) polished with KUT Ultimate Bisacryl (Temporaries) Polishing Kit (KU, Dental Savings Club); and (4) polished with K0330 PMMA Adjusting, Finishing & Polishing (KP, Brasseler USA). Optical profilometry and atomic force microscopy (AFM) were used to assess the surface roughness (Ra) of each provisional restoration at the microscale and nanoscale, respectively, and obtain topographical images. In addition, the milled and polished restorations were visually evaluated by 16 dentists. There was a strong positive correlation with Ra values between optical profilometry and AFM. Only KP significantly improved the surface roughness of CAD/CAM provisional restorations compared to the milled equivalent, regardless of material type or measurement modality (ie, lateral length scale). Although surface topography imaging with AFM revealed some shallow scratches, even for KP polished specimens, all KP polished restorations were categorized as clinically acceptable for provisional restorations in visual inspections from dentists. Specially designed polishing kits for provisional restorations did not all improve the surface roughness of chairside CAD/CAM provisional restorations, regardless of the measurement method. KP was more consistently effective in polishing milled chairside CAD/CAM provisional restorations than CM and KU.SUMMARY
Objective
Method
Results
Conclusion
Atomic force microscopy images of milled and polished chairside CAD/CAM provisional restorations. (a) milled restorations of artBloc Temp; (b) milled restorations of Telio CAD; (c) milled restorations of Vita CAD-Temp; (d) CA polished restorations of artBloc Temp; (e) CA polished restorations of Telio CAD; (f) CA polished restorations of Vita CAD-Temp; (g) KU polished restorations of artBloc Temp; (h) KU polished restorations of Telio CAD; (i) KU polished restorations of Vita CAD-Temp; (j) KP polished restorations of artBloc Temp; (k) KP polished restorations of Telio CAD; (l) KP polished restorations of Vita CAD-Temp.
Contributor Notes
Clinical Relevance
Polishing kits specially designed for provisional restorations do not always improve the surface characteristics of chairside CAD/CAM provisional restorations, and so clinicians should take care in the selection of an appropriate polishing system.