Wear simulation of resin composites and the relationship to clinical wear.

This study used a new generalized wear model to examine the relationship between wear simulation and the clinical wear of two resin composites. Ten specimens each of P50 and Z100, were subjected to 100,000, 400,000 and 800,000 cycles in a spring-loaded piston-type wear simulator. Wear was generated using flat, cylindrically-shaped stainless steel antagonists on the resin composites, which were placed in custom stainless steel fixtures. A slurry of polymethyl methacrylate beads was used as the abrasive media. Wear was determined using profilometry, and the parameters examined included volume loss (mm3), maximum depth (microm), mean maximum depth (microm) and mean depth (microm). Statistical analysis of the laboratory wear data using ANOVA and Tukey's post hoc test showed a significant difference (p<0.05) for wear between the two materials and the number of cycles. Mean maximum wear (microm) values (100K--P50--11.5 +/- 1.8; Z100--4.9 +/- 1.0; 400K--P50--17.2 +/- 2.7; Z100--6.0 +/- 1.7; 800K--P50--20.5 +/- 4.6; Z100--9.6 +/- 2.5) were used for comparisons with clinical data. Previous clinical studies of P50 and Z100 were used to examine the relationship between laboratory and clinical wear. Linear regression analysis was used to predict laboratory and clinical wear rates. The laboratory wear rate for P50 was 1.3 microm/100K cycles and the rate for Z100 was 0.7 microm/100K cycles. The clinical wear rates for P50 and Z100 were 8.3 microm/year and 4.0 microm/year, respectively. The ratio of wear rates of P50 to Z100 for wear simulation was 1.9 and the ratio of P50 to Z100 for clinical rates was 2.1. These ratios showed good agreement between the relative wear rates of laboratory and clinical wear. For the two composite materials examined, this new simulation model appears to be effective for evaluating the relative wear of resin composites.