Effects of repeated processing on the strength and microstructure of a heat-pressed dental ceramic.

Statement Of Problem: The excess material produced after heat pressing a lithium disilicate glass ceramic restoration can be either discarded or reused. The reuse of this material requires that any degradation of the material quality be investigated.

Purpose: The purpose of this study was to investigate the number of times that leftover lithium disilicate material can be re-pressed and to determine the effect that repeated use has on material properties.

Material And Methods: A large (6.1 g) lithium disilicate ingot (A3.5) was heat pressed to yield a ceramic disk (15 × 1.5 mm) for testing. The leftover material was reused to produce a further 3 disks, with the number of pressings increasing for each specimen. An additional unpressed group was included to investigate the properties before pressing so that, in total, 5 groups were established. Specimens were tested for biaxial flexural strength, Vickers hardness, and fracture toughness. X-ray diffraction was used to characterize the crystalline phase, scanning electron microscopy for the microstructure, and differential scanning calorimetry for the thermal properties.

Results: No significant difference was found in the biaxial flexural strength of the groups. The hardness of the material decreased, and no significant difference was seen in fracture toughness with repeated pressings. An increase in grain size was observed with increased pressings. By using x-ray diffraction analysis, lithium disilicate was identified as the main crystal phase, and no difference in crystalline composition was found with repeated processing.

Conclusion: This material can be reused while maintaining good mechanical properties and without significantly altering the chemical or crystalline composition in an adverse manner.