For differences among materials to be easily detected, low variation in in
vitro wear tests is desirable. The working hypothesis of this paper was tha
t antagonists standardized for shape and size and according to materials wo
uld show mean values similar to those found in natural, non-standardized cu
sps, and that standardization would lead to a reduction in mean variation.
First, the shapes and sizes of palatal cusps of non-erupted human upper thi
rd molars were measured. The cusp cupola was best described by the formula
y = 0.001 x(2) and was symmetrical around the axis of rotation. Up to 200 m
u m of the y-axis, this parabola corresponded best to a ball radius of 0.6
mm. Based on this information, standardized antagonists were fabricated fro
m both human enamel and steatite. Wear in the occlusal contact area and the
wear of opposing conventional ceramic and fine hybrid composite, respectiv
ely, were quantified in a computerized chewing simulator. As a control, nat
ural human enamel cusps were used. Standardization of enamel cusps did not
reduce the variation of the resulting wear compared with that of non-standa
rdized enamel antagonists. Furthermore, standardization led to significantl
y different results both in the antagonists and in the opposing restorative
materials. Thus, natural enamel antagonists are preferable for the simulat
ion of wear in the occlusal contact area.