KADEMELİ ÇOK-TABAKALI/ÇOK RENKLİ ANATOMİK KONTUR ZİRKONYA SERAMİK SİSTEMLERİ İLE SABİT DENTAL PROTEZ UYGULANMASI

Year 2019, Volume: 29 Issue: 1, 112 - 116, 15.01.2019

Gonca Deste Rukiye Durkan

https://doi.org/10.17567/ataunidfd.523017

Abstract

Kademeli çok-tabakalı (gradational
multilayered)/çok renkli (multicoloured) anatomik kontür (anatomic contour) zirkonya seramik
sistemleri yeni jenerasyon son teknoloji ürünü ve bilgisayar destekli tasarım/ bilgisayar
destekli üretim ile sabit protezlerin yapıldığı materyallerdir. Doğal diş
yapısına benzer şekilde servikal, orta üçlü ve insizal bölge renklerinin
birlikte bulunduğu mine ve dentin tabakalarından oluşan zirkonya bloklar ile
eksternal renklendirme yapılmasına gereklilik olmadan özellikle anterior bölge
estetik sabit protezler yapılabilmektedir. Işık geçirgenliğinin yüksek olması,
translusent özelliği, yüksek estetik perfor- mansı, sertlik, dayanıklılık gibi
mekanik özelliklerinin yüksek olması nedeni ile hem anterior hem de poste- rior
bölgede kullanımları bulunmaktadır.

Bu vaka raporunda, maksiler anterior
bölgede iki sant- ral dişe yapılan tek kron olarak hazırlanan çok-tabakalı anatomik
kontür zirkonya kronlar sunulmaktadır. 1 yıllık kullanım sonunda hastamız,
yapılan protezin es- tetik, renk uyumu, dişeti sağlığı, kolay temizlene- bilmesi
ve dayanıklılığı yönünden bir probleminin olmadığını belirtmiştir. 

Anahtar
kelimeler: anatomik kontür zirkonya, translusent seramik, çok tabakalı zirkonya

GRADATIONAL
MULTILAYERED/MULTICOLOURED ANATOMIC CONTOUR ZIRCONIA CERAMIC DENTAL
PROSTHESES  IMPLIFICATION

ABSTRACT 

Fixed dental prostheses are produced from
gradational multilayered/ multicoloured anatomic contour and zirconia ceramic
systems with CAD/CAM. Anterior region aesthetic fixed prostheses can be
produced with zirconia blocks which consisting of natural tooth similar
cervical, middle triple and incisal region colors. Because of  its high mechanical properties such as high
light transmittance, translucent property, high aesthetic performance,
hardness,durability, it is used in anterior and posterior regions both.

In this case report maxillary anterior
anatomical contours prepared as a single multi-layered crowns made of zirconia
crowns in two central incisors are offered. At the end of our 1-year patient
use, the prosthesis, aesthetic, color harmony, gingival health, easy to clean
and in terms of durability stated that there is no problem.

Key
words: anatomic countour zirconia,
translucent ceramic, multi-layer zirconia

 

Keywords

anatomik kontür zirkonya, translusent seramik

References

• 1.Sulaiman TA 1, Abdulmajeed AA, Donovan TE, Ritter AV, Vallittu PK, Närhi TO, Lassila LV. Optical properties and light irradiance of monolithic zirconia at variable thicknesses. Dent Mater 2015;31:1180-7.
• 2.Zhang F, Vanmeensel K, Batuk M, Hadermann J, Inokoshi M, Van Meerbeek B, Naert I, Vleugels J. Highly-translucent, strong and aging-resistant 3Y-TZP ceramics for dental restoration by grain boun- dary segregation. Acta Biomater 2015; 16: 215-22.
• 3.Ueda K, Güth JF, Erdelt K, Stimmelmayr M, Kappert H, Beuer F. Light transmittance by a multi-coloured zirconia material. Dent Mater J 2015;34:310-4.
• 4.KATANA multilayered zirconia now available in new shades [VIDEO] February 06, 2015. www. dentalproductsreport.com. Erişim tarihi: 4.08.2016.
• 5.Sulaiman TA 2, Abdulmajeed AA, Donovan TE, Ritter AV, Lassila LV, Vallittu PK, Närhi TO. Degree of conversion of dual-polymerizing cements light polymerized through monolithic zirconia of different thicknesses and types. J Prosthet Dent 2015;114:103-8.
• 6.Rasetto FH, Driscoll CF, Prestipino V, Masri R, von Fraunhofer JA. Light transmission through all-ceramic dental materials: a pilot study. J Prosthet Dent 2004;91:441-6.
• 7.Ilie N, Stawarczyk B. Quantification of the amount of blue light passing through monolithic zirconia with respect to thickness and polymerization conditions. J Prosthet Dent 2015;113:114-21.
• 8.Wang F, Takahashi H, Iwasaki N. Translucency of dental ceramics with different thicknesses. J Prosthet Dent 2013;110:14-20.
• 9.Fischer J, Stawarzcyk B, Trottmann A, Hammerle CH. Impact of thermal misfit on shear strength of veneering ceramic/ zirconia composites. Dent Mater 2009;25:419-23.
• 10.Raigrodski AJ, Chiche GJ, Potiket N, Hochstedler JL, Mohamed SE, Billiot S, Mercante DE.The efficacy of posterior three-unit zirconium-oxide-based ceramic fixed partial dental prostheses:a prospective cli- nical pilot study. J Prosthet Dent 2006;96:237-44.
• 11.Guess PC, Schulthesis S, Bonfante EA, Coelho PG, Ferencz JL, Silva NR. All ceramic systems: laboratory and clinical performance. Dent Clin N Am 2011;55:333-52.
• 12.Mundhe K, Jain V, Pruthi G, Shah N. Clinical study to evaluate the wear of natural enamel antagonist to zirconia and metal ceramic crowns. J Prosthet Dent 2015;114:358-63.
• 13.Batson ER, Cooper LF, Duqum I, Mendonça G. Clinical outcomes of three different crown systems with CAD/CAM technology. J Prosthet Dent 2014; 112: 770-7.
• 14.Kohorst P, Junghanns J, Dittmer MP, Borchers L, Stiesch M. Different CAD/CAM processing routes for zirconia restorations: influence on fitting accuracy. Clin Oral Investig 2011;15:527-36.
• 15.Conrad HJ, Seong WJ, Pesun IJ. Current ceramic materials and systems with clinical recommendations: a systematic review. J Prosthet Dent 2007;98:389-404.
• 16.Larsson C, Vult von Steyern P, Nilner K. A prospective study of implant supported full-arch yttrium-stabilized tetragonal zirconia polycrystal mandibular fixed dental prostheses: three-year results. Int J Prosthodont 2010;23:364-9.
• 17.Harianawala HH, Kheur MG, Apte SK, Kale BB, Sethi TS, Kheur SM. Comparative analysis of transmittance for different types of commercially available zirconia and lithium disilicate materials. J Adv Prosthodont 2014;6:456-61.
• 18.Rinke S, Fischer C. Range of indications for translucent zirconia modifications: clinical and technical aspects. Quint Int 2013;44:557-566.
• 19.Beuer F, Stımmelmayr M, Gueth J F, Edelhoff D, Naumann M. In vitro performance of full-contour zirconia single crowns. Dent Mater 2012;28:449-56.
• 20.Villarroel M, Fahl N, Sousa A M, Olıveıra O B. Direct esthetic restorations based on translucency and opacity of composite resins. J Esthet Restor Dent 2011;23: 73-88.
• 21.Koçak A, Türker Ş B. Diş hekimliğinde zirkonyum. Atatürk Üniv Diş Hek Fak Derg 2006;16:41-45.
• 22.Zhang Y, Mai Z, Barani A, Bush M, Lawn B. Fracture-resistant monolithic dental crowns. Dent Mater 2016;32:442-9.