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Polishing for glass ceramics: Which protocol?
Institution:1. Department of Restorative Dentistry, São José dos Campos School of Dentistry, UNESP – Univ Estadual Paulista, São Paulo, Brazil;2. Department of Restorative Dentistry, Dental Prosthesis Area, São José dos Campos School of Dentistry, UNESP – Univ Estadual Paulista, São Paulo, Brazil;3. Department of Restorative Dentistry, Universidade Federal de Sergipe, Brazil;1. Associate Professor, Department of Prosthodontics, Faculty of Dentistry, Yeditepe University, Goztepe, Istanbul, Turkey;2. PhD student, Department of Prosthodontics, Faculty of Dentistry, Yeditepe University, Goztepe, Istanbul, Turkey;3. Professor, Department of Prosthodontics, Faculty of Dentistry, Yeditepe University, Goztepe, Istanbul, Turkey;1. Associate Professor, Ege University, Atatürk Medical Technology Vocational Training School, Izmir, Turkey;2. Associate Professor, Dumlupinar University, Faculty of Dentistry, Kutahya, Turkey;3. Professor, Ege University, Faculty of Dentistry, Department of Prosthodontics, Izmir, Turkey;4. Professor, Yuzuncu Yil University, Faculty of Dentistry, Department of Prosthodontics, Van, Turkey;5. Professor, University of Zurich, Center for Dental and Oral Medicine, Dental Materials Unit, Clinic for Fixed and Removable Prosthodontics and Dental Materials Science, Zurich, Switzerland;1. University of Alabama at Birmingham School of Dentistry, Clinical and Community Sciences, Division of Biomaterials, 1919 7th Avenue South, Birmingham, AL 35205, USA;2. University of California Los Angeles School of Dentistry, Center for Esthetic Dentistry, CHS 23-010, Los Angeles, CA 90095-1668, USA;1. Research Assistant, Department of Prosthodontics, Faculty of Dentistry, Istanbul University, Istanbul, Turkey;2. Associate Professor, Department of Prosthodontics, Faculty of Dentistry, Istanbul University, Istanbul, Turkey;3. Professor, Department of Prosthodontics, Faculty of Dentistry, Istanbul University, Istanbul, Turkey;1. Dental Science Post Graduate Program, Federal University of Santa Maria, Santa Maria, RS, Brazil;2. Department of Restorative Dentistry, Federal University of Santa Maria, Santa Maria, RS, Brazil;3. Department of Dental Materials and Prosthodontics, São Paulo State University, São José dos Campos, SP, Brazil;1. PhD student, Department of Dental Materials and Prosthodontics, Institute of Science and Technology, São Paulo State University - UNESP, São José dos Campos, SP, Brazil;2. Visiting Researcher, Department of Restorative Dentistry, Institute of Science and Technology, São Paulo State University - UNESP, São José dos Campos, SP, Brazil;1. Assistant Professor, School of Dentistry, São Francisco University (USF), Bragança Paulista, SP, Brazil;3. Undergraduate Researcher, Department of Restorative Dentistry, Institute of Science and Technology, São Paulo State University – UNESP, São José dos Campos, SP, Brazil;4. Professor, Department of Restorative Dentistry, Institute of Science and Technology, São Paulo State University – UNESP, São José dos Campos, SP, Brazil;5. Associate Professor, Department of Dental Materials and Prosthodontics, Institute of Science and Technology, São Paulo State University – UNESP, São José dos Campos, SP, Brazil;6. Associate Professor, Department of Restorative Dentistry, Institute of Science and Technology, São Paulo State University – UNESP, São José dos Campos, SP, Brazil
Abstract:PurposeThe execution of adjustments on ceramic restorations is sometimes necessary for either correction of occlusion and/or inadequate contours or esthetical improvements. Clinically, the surfaces undergo weariness through fine grinding diamond burs which remove the superficial glazing layer. Several materials for ceramic polishing have been used in an attempt to reach a satisfactory surface smoothness. The aim of this study was to perform a literature review on different polishing protocols of several dental ceramics.Study selectionThis is a literature review performed through scientific articles published between 2004 and 2012, indexed in MEDLINE, PubMed and Scielo databases. The study selected and analyzed a total of 20 relevant articles that evaluated different types of ceramics, polishing treatment and surface roughness.ResultsAfter an extensive literature review, this study observed: 1 – after the rupture of the glazing layer due to the adjustments of the restorations, the best choice for the polishing of the surface will depend on the type of ceramics used; 2 – glazing procedure provide excellent results regarding to the superficial smoothness; however, if reglazing is impossible, either abrasive rubber cups/points or sandpaper discs followed by the use of diamond polishing pastes results in a satisfactory superficial smoothness; 3 – clinical studies that take into account the behavior of the protocols polishing are scarce and should be encouraged; 4 – the large number of variables influence the final outcome of polishing should be considered.ConclusionsThe necessity in standardization of methodologies to enable a comparison among researches.
Keywords:Dental ceramics  Polishing methods  Superficial roughness
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