1. Introduction
Non-noble dental alloys are ubiquitous in dentistry and have gained usage in fixed and removable prosthodontics worldwide. These dental alloys consist of a Co-Cr-Mo basis. Co-Cr alloys have been available since 1929 [
1]. A detailed knowledge of their structure is provided by Uriciuc et al. (2015) [
2]. Biofilm formation, corrosion and surface roughness are connected and determine the lifespan of dental alloys in dentistry. The surface roughness of dental alloys is an important measure of biofilm adhesion and formation [
3]. The oral biofilm is an intricately organized network of microorganisms and an extracellular matrix that strongly adhere to surfaces in the oral cavity [
4]. This network ensures safety from harmful external influences such as host defenses or antibiotics, enabling deleterious bacterial growth under certain conditions [
5,
6]. Furthermore, secondary caries is a common reason for the replacement of restorations [
7,
8]. Hence, the metallic surface of dental alloys must be as smooth as possible to keep bacteria from adhering and hence limit biofilm formation [
9]. A threshold surface roughness of about 0.2 µm has been proposed for optimum biofilm containment [
10]. A typical bacterium in the oral cavity is Streptococcus mutans, which has a mean radius of 0.3 µm and is of comparable length [
11].
Conventional mechanical polishing by a dental technician is the current standard method of preparing dental alloys [
12]. In the literature, various efforts have been made to investigate the surface morphology and surface roughness of mechanically polished dental alloys [
2,
13,
14]. Plasma electrolytic polishing is a novel and eco-friendly method of polishing alloys with reduced treatment time and required equipment [
15,
16]. The plasma electrolytic polishing system is equipped with a bath filled with an aqueous electrolyte like ammonium sulfate and a cathode. In general, a workpiece is anodically polarized and immersed. Through a combination of electrochemical reactions, a plasma layer surrounds the workpiece and removes surface peaks [
17]. Zeidler et al. (2016) [
17] showed a polishing effect of dental Co-Cr crowns and a partial denture framework achieved by plasma electrolytic polishing using macrophotography. Comparative studies using various microscopic methods with respect to the analysis of the surface roughness using atomic force microscopy are largely lacking to date. The aim of the present pilot study was to compare sandblasted, plasma electrolytic and conventional mechanically polished Co-Cr-Mo alloys from the micro- to nanoscale. The originality of this study lies in the fact that we systematically compared polishing methods using stereozoom microscopy, atomic force microscopy (AFM), scanning electron microscopy (SEM) and energy-dispersive X-ray spectroscopy (EDX).
2. Materials and Methods
2.1. Metal Alloy Specimens
Specimens of two commercially available non-noble cobalt-chromium-based dental alloys were selected for the comparison (see
Table 1).
Twenty specimens were polished by conventional mechanical polishing (n = 10 Heraenium® Sun, n = 10 Wironit®), and another twenty specimens (n = 10 Heraenium® Sun, n = 10 Wironit®) were prepared with plasma electrolytic polishing. Therefore, the excess material left from the metal casting of dental crowns or partial denture frameworks was used as the substrate for comparing the conventional and plasma electrolytic polishing.
For the Wironit® specimen production, a casting wax (Berg Dental, Engen, Germany) for modulation and a precision dental casting investment (Micro, Siladent, Goslar, Germany) for the dental model, prepared with a mixing liquid (Expansion Liquid Type 100, Siladent, Goslar, Germany), were used. For the Heraenium® Sun specimen, another dental casting investment (Cehacast Speed, Hafner, Wimsheim, Germany) was prepared with a specific mixing liquid (Cehacast FS, Hafner, Wimsheim, Germany). The dental model was preheated to 950 °C–1050 °C and cast with the respective metal alloy at approximately 1500 °C in the same dental furnace (MIHM-VOGT, Stutensee-Blankenloch, Germany). After cooling, the dental models were extracted with a hammer, sandblasted (KaVo Dental GmbH, Biberach/Riss, Germany) and alu-blasted (grain size of 250 µm, HS-Edelkorund, Henry Schein, Langen, Germany). The Heraenium® Sun specimens were also bead-blasted (glass bead size 50 µm, Henry Schein, Langen, Germany). Afterward, the specimens were steam-cleaned at up to 6 bar at a high temperature of up to 164° with a steam cleaner Wasi-Steam 2 (Wassermann Dental-Maschinen, Hamburg, Germany). The specimens were split into halves with a dental laboratory handpiece (Kavo K9, Biberach, Germany) with a cutting disc (HS-Trennscheibe für Metalle, Henry Schein, Langen, Germany).
Figure 1 illustrates the macroscopic morphology of the samples.
2.2. Conventional Mechanical Polishing
First, universal polishers (Ref. 652900303533220, Hager & Meisinger, Neuss, Germany; LOT 2202, Voss Dental, Salzhausen, Germany) and an Al2O3 corundum abrasive (Ref. 625104107523065, Hager & Meisinger, Neuss, Germany) for the aforementioned dental laboratory handpiece were used for the initial polishing. Afterward, the specimens were rubber-polished (in order) with an abrasive polisher for Co-Cr-Mo alloys (ChromoPol UM, Edenta, Au, Switzerland), rubber polishing wheel (Ref. 43370, Bego, Bremen, Germany), universal polisher (Ref. 652900303533220, Hager & Meisinger, Neuss, Germany) and a rubber polishing tip (Ref. 43370, Bego, Bremen, Germany). The high-luster finish was obtained using a mechanical polishing unit (Typ WP-EX 2000, Wassermann Dental Maschinen, Hamburg, Germany), which first used a high-luster polishing brush (Polirapid Germany, Singen, Germany) and a gold polishing paste (Hera GPP 99, Kulzer, Hanau, Germany). After that, another high-luster polishing brush and a universal polishing paste (Ivoclar Vivadent, Eilwangen, Germany) were used. The speed varied from 5000 to 35,000 rpm, according to the manufacturer’s recommendation. The directions of the polishing constantly varied. After polishing, the specimens were put in an ultrasonic cleaning device (Stammopur RD5, Dr. H. Stamm GmbH, Berlin, Germany) and steam-cleaned with a Wasi-Steam 2.
2.3. Plasma Electrolytic Polishing
The specimens were treated using an in-house developed plasma electrolytic polishing system. The polishing system was operated with a bath of ammonium sulfate solution (5%w/v, el. conductivity of 110 mS/cm), applied voltage of 320 V and direct current at 70 °C. Each specimen was placed with a gripper, acting as an anode. The stainless steel tub was the cathode. The control software for data recording was LabView-based (National Instruments Germany, Munich, Germany). The specimens were treated for 5 min. The electric current acts as a heat source such that the electrolyte bath develops a steam layer near the specimen surface which drives the etching process (anode attracts hydrogen ions). After treatment, the deposited salts at the specimen surface were cleaned with a cotton cloth. In addition, a treatment time series (5, 10, 20, 30 min) was recorded in an exemplary manner for 4 Heraenium® Sun and Wironit® specimens.
2.4. Stereo, Scanning Electron (SEM) and Atomic Force (AFM) Microscopy
The surface structure of the specimens, before and after polishing, was documented with a Stereozoom SZX 10 with KL1500LCD (Olympus, Hamburg, Germany). For SEM, high-resolution images (20× to 5000× magnification) of the specimens were obtained with a Quanta FEG 250 SEM (FEI Company, Eindhoven, The Netherlands). It was operated in high vacuum mode (HighVac-SEM), 10 kV–20 kV acceleration voltage and machine-specific spot size Spot 3. Each specimen was placed on an SEM plate with a carbon adhesive disc, Leit-Tab, and copper adhesive tape (Piano, Wetzlar, Germany). Dust particles were cleared off the specimen surface with pressurized air (Druckluft 67; CRC Industries Europe BVBA, Zele, Belgium). For AFM, the specimen surface morphology and roughness were ascertained with a NanoWizard 1 AFM, NanoWizard Control Software v.5.0.97, and Data Processing v.5.0.97 (JPK instruments, Berlin, Germany). The AFM cantilever was an Ultrasharp CSC37/no Al (MikroMasch, Tallinn, Estonia) with a total tip height of 12 µm. Samples were obtained in contact mode. Operating parameters were a cutoff frequency of 150 Hz, a gain factor of 0.05, an operating point of 0.3 V at Vsum = 1.3 V–1.5 V, a scan size of 100 × 100 µm2 and 30 × 30 µm2, a line speed of 0.3 Hz and a resolution of 512 × 512. The AFM software has a corresponding highpass filter reliant on the scanline length. Thus, complex form and waviness do not affect the calculation of the surface roughness values. All surface roughness values were calculated from 10 cross-sectional height profiles within the 100 × 100 µm2 scan fields.
2.5. Energy-Dispersive X-ray Spectroscopy (EDX)
For the determination of surface homogeneity of the polished samples, an EDAX TEAM detector system (EDAX/AMETEK, Berwyn, PA, USA) was used in conjunction with a Quanta FEG 250 (FEI Company, Eindhoven, The Netherlands). EDX was performed along a predefined line with a line scan of 1 µm width and 400 measurement points per line scan averaged over 8 scans. The accelerating voltage was 20 kV. The element selection was restricted to Mo, Cr, Co, Fe and W.
2.6. Statistical Analysis
Statistical analysis was performed using the IBM SPSS Statistics Software Version 29.0.1.0 (IBM, Chicago, IL, USA). All mean surface roughness values Ra (average of 10 line measurements) were checked for normality with a Shapiro–Wilk test. Pairwise comparisons of Ra values for different methods were analyzed with an independent-sample Kruskal–Wallis test. The significance level is 0.05.
4. Discussion
This study is novel regarding the systematic and detailed comparison of dental Co-Cr alloys prepared by sandblasting, conventional mechanical polishing and plasma electrolytical polishing. A combination of various microscopic examination methods (including stereozoom microscopy, AFM and SEM), surface roughness measurements and EDX analyses were used. Such systematic comparative studies are largely lacking to date, particularly related to plasma electrolytically polished dental Co-Cr alloys. To our knowledge, this is the first study to compare conventional mechanical polishing and plasma electrolytic polishing of dental Co-Co alloys by using various examination methods mentioned above.
The surface of dental alloys must be as smooth as possible to limit biofilm formation [
9]. As reported by Bollen et al. (1997) [
10], some in vivo studies suggest a threshold surface roughness R
a of 0.2 µm. A surface roughness below 0.2 µm induces no more reduction in biofilm formation. Our study has shown that the surface roughness of the sandblasted specimens is in the micron range for both Heraenium
® Sun and Wironit
®. They had the highest observed roughness (Heraenium
® Sun 991 ± 288 nm; Wironit
® 1187 ± 331 nm). Our observation that sandblasted dental alloys show a rough surface with ridges, edges and deeper porosities is in agreement with the literature [
13].
In the literature, microscopic observation revealed a typical dendritic/interdendritic microstructure of dental Co-Cr alloys [
14]. After conventional mechanical polishing and plasma electrolytical polishing, it was possible in our study to see the alloy’s microstructure on the polished surfaces. Our results are consistent with other studies which have shown that the Co-Cr alloys consist of smooth dendritic regions and interdendritic regions containing clusters of nanocrystallites forming outstanding islands [
18]. The islands’ surface size ranged from 4 to 80 µm
2, and the islands’ height ranged from 90 to 160 nm [
14]. Our study is in agreement because we can confirm the described sizes of the islands.
Conventional mechanically polished specimens have a smooth surface with numerous polishing marks [
14]. This is in good agreement with our results. A reduction in surface roughness is found for both plasma electrolytic polishing (Heraenium
® Sun 288 ± 94 nm; Wironit
® 261 ± 49 nm) and conventional mechanical polishing (Heraenium
® Sun 134 ± 23 nm; Wironit
® 114 ± 11). Studies using AFM with respect to the surface roughness analysis of plasma-polished dental alloys are largely lacking to date. Only one study, to our knowledge, has investigated mechanically polished Co-Cr dental alloys using AFM [
12]. Unfortunately, the surface roughness values are not comparable because, in the literature, the surface roughness values (S
a) were measured from rectangular areas. In contrast, our study used surface roughness values (R
a) from line scans.
Plasma polishing is not as effective at clearing the surface inhomogeneities, likely due to the different alloy compositions. Plasma electrolytic polishing reduces the R
a, treatment time and required equipment of the examined dental alloys, Wironit
® and Heraenium
® Sun. Residues from polishing pastes and scratches from the polishing, common to conventional mechanical polishing, are not found due to the chemical nature of the process, yielding a clean and smooth surface. Plasma electrolytic polishing is less effective in reducing Ra than conventional mechanical polishing. The obtained R
a with conventional mechanical polishing is sufficient to contain biofilm formation. The obtained R
a with plasma electrolytical polishing is slightly above the published threshold surface roughness of about 0.2 µm for biofilm formation [
10,
19]. It stands to reason that with improvements in the pre-processing of the alloy samples, a comparable surface quality, below the surface roughness threshold for biofilm formation of 0.2 µm, is within reach of this method. Additional microbiological and in vivo experiments would be favorable to explicitly demonstrate biofilm formation inhibition.
Some reports in the literature [
18,
20,
21] are of the opinion that dendritic and interdendritic areas differed in structure but only slightly in composition. Dendritic regions are described as cubic close-packed crystal lattice structures, while interdendritic regions are described as hexagonal-packed lattice structures. In contrast to the literature, we show a major difference in the composition between the islands and the smoother surroundings. This was illustrated with the EDX analysis (
Figure 6). In the EDX profiles of the polished specimen, the relative intensity of Co decreased on an island, while the relative intensity of Cr and Mo increased. Because this tendency is similar for both polishing methods (mechanical, plasma), it is very unlikely an artifact is induced by the surface morphology. Even in the EDX profile of the sandblasted specimen, Co, Cr and Mo fluctuations in the element composition show a similar tendency.
The main limitation of the experimental result is the number of specimens (surface roughness n = 10; EDX n = 1). In addition, we did not explore the polishing load during conventional polishing. The main clinical implication of our experimental result is that conventional mechanical polishing provided lower surface roughness values compared to plasma electrolytic polishing and is considered the gold standard.