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Influence of simulated gastric juice on surface characteristics of CAD-CAM monolithic materials

2020, Journal of Prosthetic Dentistry

https://doi.org/10.1016/J.PROSDENT.2019.04.018
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Abstract

In the recent years, various computer-aided design and computer-aided manufacturing (CAD-CAM) esthetic materials have been introduced, enabling the fabrication of monolithic restorations in a single patient visit. Among the materials are zirconia-reinforced lithium silicate ceramic, polymerinfiltrated ceramic, and nanofilled composite resin. Many of the aspects involving these materials have been reported. 1-10 However, little is known about how their surface behaves in the presence of extrinsic (dietary) and intrinsic (gastric juice) acidic substances. Regardless of its origin, the acid attacks the surface of the tooth, changing its structure over time. The gastric juice produced a more severe degradation of dental structures than dietary acids. Gastric juice can reach the oral cavity as a result of bulimia nervosa, gastroesophageal reflux disease (GERD), or prolonged severe nausea during pregnancy. Although the information regarding the prevalence of bulimia nervosa is limited, eating disorders have the greatest prevalence in women in adolescence or early adulthood. The prevalence of GERD has been reported to be between 10% and 20% in Western countries and less than 5% in Supported by Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) (grant 2016/09628-0).