Dilara DOĞAY, Duygu SARAÇ

23322

Farklı Sinterleme Protokolleri Uygulanmasının Monolitik Zirkonyanın Renk Stabilitesine Etkisinin İncelenmesi

Amaç: Çalışmanın amacı farklı sinterleme protokolü uygulanmasının, bünyesinde farklı zirkonya tiplerini içeren çok katmanlı monolitik zirkonya restorasyonların renk stabilitesineetkisinin incelenmesidir
Anahtar Kelimeler:

Hızlı sinterleme, Monolitik zirkonya, Renk değişimi, Speed sintering, Monolithic zirconia, Color difference

Effects of Different Sintering Protocols on Color Stability of Monolithic Zirconia

Aim: The aim of the study is to examine the effects of applying different sintering protocols on the color stability of multilayer monolithic zirconia restorations containing different zirconia types. Material and Method: The samples used in our study were produced from pressinterized A2 colored multilayer monolithic zirconia block(IPS e.max ZirCAD Prime,Ivoclar Vivadent,Schaan,Liechtenstein) using CAD/CAM technology. The samples were divided into three groups(n=15) and sintered in three different protocols as standard, speed and high speed (Programat S2, Ivoclar Vivadent, Schaan, Liechtenstein) in accordance with the manufacturer's instructions. Glaze as a surface finishing process was applied to samples. L, a, b values were determined by measuring the color of the samples and the color A2 in VITA Classical color scale (VITA Zahnfabrik,Bad Säckingen,Germany) with a spectrophotometer(SpektroShade,MHT Optic Research,Niederhasli,Switzerland). L1, a1, b1 values are fixed and the color A2 in the color scale, L2, a2, ∆E00 values of each group were calculated according to the CIEDE2000 system, provided that b2 values represent standard, speed and high speed sintering protocols, respectively. Statistical analysis of the study was made with One-Way Analysis of Variance and multiple comparisons were made with Tukey HSD Test (significance level was taken as p<0,05). Results: When the detectable limit of ΔE00 was determined as ΔE00≤1.30 and the acceptability limit as ΔE00>2.25, it was determined that all groups formed according to different sintering protocols created a clinically significant color difference when compared with the color scale. While the lowest ∆E00 value was observed in the group in which the standard sintering protocol was applied (∆E00=5.77) (p<0,001), the highest ∆E00 value was observed in the group in which the speed sintering protocol was applied(∆E00=7.54)(p<0,001). However, there was a difference in L2, a2, b2 values for all groups depending on the change in the sintering protocol. Conclusion: Since increase in sintering temperature and waiting times affects grain structure and phase transformations of Zirconia and therefore optical properties of the material such as light scattering and light transmission, it is recommended to use the standard protocol in cases where time is limitless, and to prefer high-speed sintering protocol over speed protocol in cases with time limitations.
Keywords:

Speed sintering, Monolithic zirconia, Color difference,

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  • 1. Guess PC, Schultheis S, Bonfante EA, Coelho PG, Ferencz JL, Silva NRFA. All-ceramic systems: Laboratory and clinical performance. Dent Clin North Am. 2011;55(2):333-352.
  • 2. Mesbahi EL, Moussaoui H, Bennani A 4. The Use of Monolithic Zirconia Restorations for Patients with Bruxism. Int J Med Sci and Dent Res. 2021;4(6):7-12.
  • 3. Hatanaka GR, Polli GS, Adabo GL. The mechanical behavior of high-translucent monolithic zirconia after adjustment and finishing procedures and artificial aging. J Prosthet Dent. 2020;123(2):330-337.
  • 4. Sun T, Zhou S, Lai R, et al. Load-bearing capacity and the recommended thickness of dental monolithic zirconia single crowns. J Mech Behav Biomed Mater. 2014; 35:93-101.
  • 5. Camposilvan E, Leone R, Gremillard L, et al. Aging resistance, mechanical properties and translucency of different yttria-stabilized zirconia ceramics for monolithic dental crown applications. Dental Materials. 2018;34(6):879-890.
  • 6. Stawarczyk B, Keul C, Eichberger M, Figge D, Edelhoff D, Lümkemann N. Three generations of zirconia: From veneered to monolithic. Part I. Quintessence Int. 2017;48(5):369-380.
  • 7. Kaizer MR, Kolakarnprasert N, Rodrigues C, Chai H, Zhang Y. Probing the interfacial strength of novel multi-layer zirconias. Dental Materials. 2020;36(1):60-67.
  • 8. Schönhoff LM, Lümkemann N, Buser R, Hampe R, Stawarczyk B. Fatigue resistance of monolithic strength-gradient zirconia materials. J Mech Behav Biomed Mater. 2021;119(104504):1-7.
  • 9. Michailova M, Elsayed A, Fabel G, Edelhoff D, Zylla IM, Stawarczyk B. Comparison between novel strength-gradient and color-gradient multilayered zirconia using conventional and high-speed sintering. J Mech Behav Biomed Mater. 2020;111(103977):1-8.
  • 10. Lawson NC, Maharishi A. Strength and translucency of zirconia after high-speed sintering. J Esthetic and Restorative Dentistry. 2020;32(2):219-225.
  • 11. Tabatabaian F, Beyabanaki E, Alirezaei P, Epakchi S. Visual and digital tooth shade selection methods, related effective factors and conditions, and their accuracy and precision: A literature review. J Esthetic and Restorative Dentistry. 2021;33(8):1084-1104.
  • 12. Chu SJ, Trushkowsky RD, Paravina RD. Dental color matching instruments and systems. Review of clinical and research aspects. J Dent. 2010;38:e2-e16.
  • 13. Zhang F, Inokoshi M, Batuk M, et al. Strength, toughness and aging stability of highly-translucent Y-TZP ceramics for dental restorations. Dental Materials. 2016;32(12):e327-e337.
  • 14. Ahmed WM, Troczynski T, McCullagh AP, Wyatt CCL, Carvalho RM. The influence of altering sintering protocols on the optical and mechanical properties of zirconia: A review. J Esthetic and Restorative Dentistry. 2019;31(5):423-430.
  • 15. Ghinea R, Pérez MM, Herrera LJ, Rivas MJ, Yebra A, Paravina RD. Color difference thresholds in dental ceramics. J Dent. 2010;38: e57-e64.
  • 16. Ersoy NM, Aydoğdu HM, Değirmenci BÜ, Çökük N, Sevimay M. The effects of sintering temperature and duration on the flexural strength and grain size of zirconia. Acta Biomater Odontol Scand. 2015;1(2-4):43-50.
  • 17. Kaizer MR, Gierthmuehlen PC, dos Santos MB, Cava SS, Zhang Y. Speed sintering translucent zirconia for chairside one-visit dental restorations: Optical, mechanical, and wear characteristics. Ceram Int. 2017;43(14):10999-11005.
  • 18. Wiedenmann F, Pfefferle R, Reichert A, Jerman E, Stawarczyk B. Impact of high-speed sintering, layer thickness and artificial aging on the fracture load and two-body wear of zirconia crowns. Dental Materials. 2020;36(7):846-853. Doğay, Saraç 112
  • 19. Salas M, Lucena C, Herrera LJ, Yebra A, della Bona A, Pérez MM. Translucency thresholds for dental materials. Dental Materials. 2018;34(8):1168-1174.
  • 20. Zhang F, Inokoshi M, Batuk M, et al. Strength, toughness and aging stability of highly-translucent Y-TZP ceramics for dental restorations. Dental Materials. 2016;32(12):e327-e337.
  • 21. Kaizer MR, Gierthmuehlen PC, dos Santos MB, Cava SS, Zhang Y. Speed sintering translucent zirconia for chairside one-visit dental restorations: Optical, mechanical, and wear characteristics. Ceram Int. 2017;43(14):10999-11005.
  • 22. Kim MJ, Ahn JS, Kim JH, Kim HY, Kim WC. Effects of the sintering conditions of dental zirconia ceramics on the grain size and translucency. J Adv Prosthodont. 2013;5(2):161-166.
  • 23. Zhang Y. Making yttria-stabilized tetragonal zirconia translucent. Dental Materials. 2014;30(10):1195-1203.
  • 24. Kilinc H, Sanal FA. Effect of sintering and aging processes on the mechanical and optical properties of translucent zirconia. J Prosthet Dent. 2021;126(1): 129.e1-129.e7.
  • 25. Ebeid K, Wille S, Hamdy A, Salah T, El-Etreby A, Kern M. Effect of changes in sintering parameters on monolithic translucent zirconia. Dental Materials. 2014;30(12): e419-e424.
  • 26. Durkan R, Şimşek H, Deste Gökay G, Yilmaz B. Effects of sintering time on translucency and color of translucent zirconia ceramics. J Esthetic and Restorative Dentistry. 2021;33(4):654-659.
  • 27. Vieira Cardoso K, Luis Adabo G, Mariscal-Muñoz E, Gutierres Antonio S, Eng C, Neudenir Arioli Filho J. Effect of sintering temperature on microstructure, flexural strength, and optical properties of a fully stabilized monolithic zirconia. J Prosthet Dent. 2020;124(5):594-598.
  • 28. Paravina RD, Kimura M, Powers JM. Evaluation of polymerization-dependent changes in color and translucency of resin composites using two formulae. Odontology. 2005;93(1):46-51.
  • 29. Perez M del M, Saleh A, Yebra A, Pulgar R. Study of the Variation between CIELAB ΔE* and CIEDE2000 Color-differences of Resin Composites. Dent Mater J. 2007;26(1):21-28.
Türk Diş Hekimliği Araştırma Dergisi-Cover
  • Başlangıç: 2022
  • Yayıncı: Ondokuz Mayıs Üniversitesi
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