Zirkonya Kronlarda Farklı Sinter Prosedürleri ve Veneer Pişirmeleri ile Birlikte Görülen Boyutsal ve Marjinal Aralık Değişimleri
Yıl 2021,
Cilt: 8 Sayı: 2, 522 - 529, 31.08.2021
Hasan Murat Aydoğdu
,
Murat Eskitaşçıoğlu
Öz
Amaç: Dental restorasyonların marjinal uyumu, uzun vadeli başarı için hayati bir faktördür. Yüksek sıcaklıklarda birden fazla sayıda fırınlamayı içeren zirkonyum veneerleme işleminin, zirkonya altyapıların marjinal uyumunu etkilediği gösterilmiştir. Bu çalışmanın amacı, farklı prosedürlerle sinterlenmiş zirkonya iskeletlerin veneerleme pişirimleri sırasındaki boyutsal ve marjinal boşluk değişimlerini gözlemlemektir.
Gereç ve Yöntemler: 30 Y-TZP ((inCoris ZI, Sirona, Bensheim, Almanya) kuron altyapısı 8 saat, 2 saat ve 10 dakikalık üç farklı süre ile sinterlendi. Ölçüm mikroskobu ile referans noktalarına dayalı oklüzal ve bukkal boyutsal ölçümler yapıldı. Pişirme işleminin etkisini gözlemlemek için porselen malzemesi uygulanmadan veneer pişirmeleri yapıldı. Tüm boyutsal ve marjinal boşluk ölçümleri tekrarlandı ve veneer fırınlamasından önce ve sonra alınan veriler tek yönlü ANOVA ve eşleştirilmiş t testi ile analiz edildi.
Bulgular: Üç grubun sinterleme büzülmesi arasında önemli bir farklılık gözlenmedi. Marjinal boşluklar tüm gruplarda veneer pişirmelerinden sonra azaldı ve azalma 2 saat ve 10 dakikalık sinterleme gruplarında anlamlıydı (p <.05). Oklüzal yüzey boyutsal değişiklikleri büzülmeyi gösterecek şekilde negatifti; bukkal yüzeylerde ise genişlemeyi gösterecek şekilde pozitifti,. Yüzeylerdeki boyutsal değişim açısından üç grup arasında istetistiksel olarak anlamlı bir farklılık tespit edilmedi.
Sonuç: Her üç sinterleme grubu için de veneer pişirimi zirkonyum yapılarda okluzal yüzeylerde küçülme ve bukkal yüzeylerde genişleme şeklinde distorsiyona neden olurken, tüm gruplarda pişirme sonrası marjinal boşluk değerleri azalmıştır.
Destekleyen Kurum
Yüzüncü Yıl Üniversitesi Bilimsel Araştırma Projeleri Başkanlığı
Proje Numarası
2014-SBE-D018
Teşekkür
İstatistiksel analiz için Dr. Öğretim Üyesi Barış Kaki, maddi destek için Yüzüncü Yıl Üniversitesi Bilimsel Araştırma Projeleri Başkanlığı
Kaynakça
- 1. Madfa AA, Al-Sanabani FA, Al-Qudami NH, Al-Sanabani JS, Amran AG. Use of zirconia in dentistry: An overview. Open Biomater J 2014; 5:1-9.
- 2. Beuer F, Stimmelmayr M, Gueth J-F, Edelhoff D, Naumann M. In vitro performance of full-contour zirconia single crowns. Dent Mater 2012; 28:449-56.
- 3. Demir N, Ozturk AN, Malkoc MA. Evaluation of the marginal fit of full ceramic crowns by the microcomputed tomography (micro-ct) technique. Eur J Dent 2014; 8:437-444.
- 4. Piconi C, Maccauro G. Zirconia as a ceramic biomaterial. Biomaterials 1999; 20:1-25.
- 5. Denry I, Kelly Jr. State of the art of zirconia for dental applications. Dent Mater 2008; 24:299-307.
- 6. Conrad Hj, Seong W-J, Pesun Ij. Current ceramic materials and systems with clinical recommendations: a systematic review. J Prosthet Dent 2007; 98:389-404.
- 7. Inokoshi M, Zhang F, De Munck J, Minakuchi S, Naert I, Vleugels J, Van Meerbeek B, Vanmeensel K. Influence of sintering conditions on low-temperature degradation of dental zirconia. Dent Mater 2014; 30:669-78.
- 8. Bajraktarova-Valjakova E, Korunoska-Stevkovska V, Kapusevska B, Gigovski N, Bajraktarova-Misevska C, Grozdanov A. Contemporary dental ceramic materials, a review: chemical composition, physical and mechanical properties, indications for use. Maced J Med Sci 2018; 6:1742-1755.
- 9. Nakamura K, Adolfsson E, Milleding P, Kanno T, Ortengren U. Influence of grain size and veneer firing process on the flexural strength of zirconia ceramics. Eur J Oral Sci 2012; 120:249-54.
- 10. Stawarczyk B, Ozcan M, Hallmann L, Ender A, Mehl A, Hammerlet CH. The effect of zirconia sintering temperature on flexural strength, grain size, and contrast ratio. Clin Oral Investig 2013; 17:269-74.
- 11. 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; 14:10999-1005.
- 12. 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; 1:43-50.
- 13. Ahmed WM, Troczynski T, Mccullagh AP, Wyatt CC, Carvalho R. The influence of altering sintering protocols on the optical and mechanical properties of zirconia: a review. J Esthet Restor Dent 2019; 31:423-30.
- 14. Beuer F, Schweiger J, Eichberger M, Kappert HF, Gernet W, Edelhoff D. High-strength cad/cam-fabricated veneering material sintered to zirconia copings—a new fabrication mode for all-ceramic restorations. Dent Mater 2009; 25:121-8.
- 15. Valderhaug J, Heløe LA. Oral hygiene in a group of supervised patients with fixed prostheses. J Periodontol 1977; 48:221-4.
- 16. Holmes JR, Bayne SC, Holland GA, Sulik WD. Considerations in measurement of marginal fit. J Prosthet Dent 1989; 62:405-8.
- 17. Jacobs MS, Windeler AS. An investigation of dental luting cement solubility as a function of the marginal gap. J Prosthet Dent 1991; 65:436-42.
- 18. Della Bona A, Kelly JR. The clinical success of all-ceramic restorations. J Am Dent Assoc 2008; 139:S8-S13.
- 19. Dittmer MP, Borchers L, Stiesch M, Kohorst P. Stresses and distortions within zirconia-fixed dental prostheses due to the veneering process. Acta Biomater 2009; 5:3231-9.
- 20. Pak HH, Han JS, Lee JB, Kim SH, Yang JH. Influence of porcelain veneering on the marginal fit of digident and lava cad/cam zirconia ceramic crowns. J Adv Prosthodont 2010; 2:33-8.
- 21. Cho S-H, Nagy WW, Goodman JT, Solomon E, Koike M. The effect of multiple firings on the marginal integrity of pressable ceramic single crowns. J Prosthet Dent 2012; 107:17-23.
- 22. Miura S, Inagaki R, Kasahara S, Yoda M. Fit of zirconia all-ceramic crowns with different cervical margin designs, before and after porcelain firing and glazing. Dent Mater J 2014; 33:484-9.
- 23. Bugurman BB, Turker SB. Clinical gap changes after porcelain firing cycles of zirconia fixed dentures. J Adv Prosthodont 2014; 6:177-84.
- 24. Groten M, Axmann D, Probster L, Weber H. Determination of the minimum number of marginal gap measurements required for practical in-vitro testing. J Prosthet Dent 2000; 83:40-9.
- 25. Hunter A, Hunter A. Gingival margins for crowns: a review and discussion. Part II: discrepancies and configurations. J Prosthet Dent 1990; 64:636-42.
- 26. Felton D, Kanoy B, Bayne SA, Wirthman G. Effect of in vivo crown margin discrepancies on periodontal health. J Prosthet Dent 1991; 65:357-64.
- 27. Belser U, Macentee M, Richter W. Fit of three porcelain-fused-to-metal marginal designs in vivo: A scanning electron microscope study. J Prosthet Dent 1985; 53:24-9.
- 28. Suárez MJ, Villaumbrosia D, González P, Pradíes G, Lozano JF. Comparison of the marginal fit of procera allceram crowns with two finish lines. Int J Prosthodont 2003; 16:229.
- 29. Mclean J. The estimation of cement film thickness by an in vivo technique. Br Dent J 1971; 131:107-11.
- 30. Euán R, Figueras-Álvarez O, Cabratosa-Termes J, Oliver-Parra R. Marginal adaptation of zirconium dioxide copings: influence of the cad/cam system and the finish line design. J Prosthet Dent 2014; 112:155-62.
- 31. Khaledi AAR, Vojdani M, Farzin M, Pirouzi S, Orandi S. The effect of sintering time on the marginal fit of zirconia copings. J Prosthodont 2018; 28:E285-E289.
- 32. Li L, Zhao C, Du Z, Qiu Y, Si W. Rapid‐sintered dental zirconia for chair‐side one‐visit application. Int J Appl Ceram Technol 2019; 16:1830-35.
- 33. Abduo J, Lyons K, Swain M. Fit of zirconia fixed partial denture: a systematic review. J Oral Rehabil 2010; 11:866-76.
- 34. Bindl A, Mörmann W. Marginal and internal fit of all‐ceramic cad/cam crown‐copings on chamfer preparations. J Oral Rehabil 2005; 32:441-7.
- 35. Kokubo Y, Tsumita M, Kano T, Sakurai S, Fukushima S. Clinical marginal and internal gaps of zirconia all-ceramic crowns. J Prosthodont Res 2011; 55:40-3.
- 36. Martínez-Rus F, Suárez MJ, Rivera B, Pradíes G. Evaluation of the absolute marginal discrepancy of zirconia-based ceramic copings. J Prosthet Dent 2011; 105:108-14.
- 37. Alghazzawi TF, Liu PR, Essig ME. The effect of different fabrication steps on the marginal adaptation of two types of glass‐infiltrated ceramic crown copings fabricated by cad/cam technology. J Prosthodontics 2012; 21:167-72.
- 38. Hjerppe J, Fröberg K, Lassila LVJ, Vallittu PK. The effect of heat treatment and feldspathic glazing on some mechanical properties of zirconia. Silicon 2010; 2:171-8.
- 39. Al‐Amleh B, Lyons K, Swain M. Clinical trials in zirconia: a systematic review. J Oral Rehabil 2010; 37:641-52.
- 40. Fischer J, Grohmann P, Stawarczyk B. Effect of zirconia surface treatments on the shear strength of zirconia/veneering ceramic composites. Dent Mater J 2008; 27:448-54.
- 41. Silva NR, Sailer I, Zhang Y, Coelho PG, Guess PC, Zembic A, Kohal RJ. Performance of zirconia for dental healthcare. Materials 2010; 3:863-96.
- 42. Aboushelib MN, Feilzer AJ, De Jager N, Kleverlaan CJ. Prestresses in bilayered all‐ceramic restorations. J Biomed Mater Res, Part B 2008; 87b:139-45.
- 43. Taskonak B, Mecholsky Jr JJ, Anusavice KJ. Residual stresses in bilayer dental ceramics. Biomaterials 2005; 16:3235-41.
A Study on Dimensional and Marginal Gap Changes Through Application of Different Sintering Methods and Veneer Firings on Zirconia Crowns
Yıl 2021,
Cilt: 8 Sayı: 2, 522 - 529, 31.08.2021
Hasan Murat Aydoğdu
,
Murat Eskitaşçıoğlu
Öz
Background: The marginal fit of dental restorations is a vital factor for long-term success. The veneering process of zirconia, which involves multiple firings at high temperatures, has shown to affect the marginal fit of zirconia cores. The aim of this study is to observe dimensional and marginal gap changes during veneer firing of zirconia frameworks sintered with different procedures.
Methods: 30 Y-TZP ((inCoris ZI, Sirona, Bensheim, Germany) crown frameworks sintered with three different durations of 8 hours, 2 hours and 10 minutes. Occlusal and buccal dimensional measurements based on reference points measured with toolmaker’s microscope. Frameworks subjected to veneer firings without application of veneering material to observe the effect of firing process only. All dimensional and marginal gap measurements were repeated and after veneer firings. Data were analysed with one-way ANOVA and paired t test.
Results: No significant differences observed between the sintering shrinkage of three groups. Marginal gaps decreased after veneer firings for all groups and the decrease was significant for 2 hour and 10-minute sintering groups (p <.05). The occlusal surface dimensional changes were negative which indicates shrinkage; again, buccal surface was positive which indicates enlargement. No significant differences between the three groups regarding surface dimensions were detected.
Conclusions: For all three sintering groups, veneer firing caused distortion on zirconia structures in the form of shrinkage in occlusal surfaces and enlargement in buccal surfaces, whereas marginal gap values decreased after firing in all groups.
Proje Numarası
2014-SBE-D018
Kaynakça
- 1. Madfa AA, Al-Sanabani FA, Al-Qudami NH, Al-Sanabani JS, Amran AG. Use of zirconia in dentistry: An overview. Open Biomater J 2014; 5:1-9.
- 2. Beuer F, Stimmelmayr M, Gueth J-F, Edelhoff D, Naumann M. In vitro performance of full-contour zirconia single crowns. Dent Mater 2012; 28:449-56.
- 3. Demir N, Ozturk AN, Malkoc MA. Evaluation of the marginal fit of full ceramic crowns by the microcomputed tomography (micro-ct) technique. Eur J Dent 2014; 8:437-444.
- 4. Piconi C, Maccauro G. Zirconia as a ceramic biomaterial. Biomaterials 1999; 20:1-25.
- 5. Denry I, Kelly Jr. State of the art of zirconia for dental applications. Dent Mater 2008; 24:299-307.
- 6. Conrad Hj, Seong W-J, Pesun Ij. Current ceramic materials and systems with clinical recommendations: a systematic review. J Prosthet Dent 2007; 98:389-404.
- 7. Inokoshi M, Zhang F, De Munck J, Minakuchi S, Naert I, Vleugels J, Van Meerbeek B, Vanmeensel K. Influence of sintering conditions on low-temperature degradation of dental zirconia. Dent Mater 2014; 30:669-78.
- 8. Bajraktarova-Valjakova E, Korunoska-Stevkovska V, Kapusevska B, Gigovski N, Bajraktarova-Misevska C, Grozdanov A. Contemporary dental ceramic materials, a review: chemical composition, physical and mechanical properties, indications for use. Maced J Med Sci 2018; 6:1742-1755.
- 9. Nakamura K, Adolfsson E, Milleding P, Kanno T, Ortengren U. Influence of grain size and veneer firing process on the flexural strength of zirconia ceramics. Eur J Oral Sci 2012; 120:249-54.
- 10. Stawarczyk B, Ozcan M, Hallmann L, Ender A, Mehl A, Hammerlet CH. The effect of zirconia sintering temperature on flexural strength, grain size, and contrast ratio. Clin Oral Investig 2013; 17:269-74.
- 11. 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; 14:10999-1005.
- 12. 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; 1:43-50.
- 13. Ahmed WM, Troczynski T, Mccullagh AP, Wyatt CC, Carvalho R. The influence of altering sintering protocols on the optical and mechanical properties of zirconia: a review. J Esthet Restor Dent 2019; 31:423-30.
- 14. Beuer F, Schweiger J, Eichberger M, Kappert HF, Gernet W, Edelhoff D. High-strength cad/cam-fabricated veneering material sintered to zirconia copings—a new fabrication mode for all-ceramic restorations. Dent Mater 2009; 25:121-8.
- 15. Valderhaug J, Heløe LA. Oral hygiene in a group of supervised patients with fixed prostheses. J Periodontol 1977; 48:221-4.
- 16. Holmes JR, Bayne SC, Holland GA, Sulik WD. Considerations in measurement of marginal fit. J Prosthet Dent 1989; 62:405-8.
- 17. Jacobs MS, Windeler AS. An investigation of dental luting cement solubility as a function of the marginal gap. J Prosthet Dent 1991; 65:436-42.
- 18. Della Bona A, Kelly JR. The clinical success of all-ceramic restorations. J Am Dent Assoc 2008; 139:S8-S13.
- 19. Dittmer MP, Borchers L, Stiesch M, Kohorst P. Stresses and distortions within zirconia-fixed dental prostheses due to the veneering process. Acta Biomater 2009; 5:3231-9.
- 20. Pak HH, Han JS, Lee JB, Kim SH, Yang JH. Influence of porcelain veneering on the marginal fit of digident and lava cad/cam zirconia ceramic crowns. J Adv Prosthodont 2010; 2:33-8.
- 21. Cho S-H, Nagy WW, Goodman JT, Solomon E, Koike M. The effect of multiple firings on the marginal integrity of pressable ceramic single crowns. J Prosthet Dent 2012; 107:17-23.
- 22. Miura S, Inagaki R, Kasahara S, Yoda M. Fit of zirconia all-ceramic crowns with different cervical margin designs, before and after porcelain firing and glazing. Dent Mater J 2014; 33:484-9.
- 23. Bugurman BB, Turker SB. Clinical gap changes after porcelain firing cycles of zirconia fixed dentures. J Adv Prosthodont 2014; 6:177-84.
- 24. Groten M, Axmann D, Probster L, Weber H. Determination of the minimum number of marginal gap measurements required for practical in-vitro testing. J Prosthet Dent 2000; 83:40-9.
- 25. Hunter A, Hunter A. Gingival margins for crowns: a review and discussion. Part II: discrepancies and configurations. J Prosthet Dent 1990; 64:636-42.
- 26. Felton D, Kanoy B, Bayne SA, Wirthman G. Effect of in vivo crown margin discrepancies on periodontal health. J Prosthet Dent 1991; 65:357-64.
- 27. Belser U, Macentee M, Richter W. Fit of three porcelain-fused-to-metal marginal designs in vivo: A scanning electron microscope study. J Prosthet Dent 1985; 53:24-9.
- 28. Suárez MJ, Villaumbrosia D, González P, Pradíes G, Lozano JF. Comparison of the marginal fit of procera allceram crowns with two finish lines. Int J Prosthodont 2003; 16:229.
- 29. Mclean J. The estimation of cement film thickness by an in vivo technique. Br Dent J 1971; 131:107-11.
- 30. Euán R, Figueras-Álvarez O, Cabratosa-Termes J, Oliver-Parra R. Marginal adaptation of zirconium dioxide copings: influence of the cad/cam system and the finish line design. J Prosthet Dent 2014; 112:155-62.
- 31. Khaledi AAR, Vojdani M, Farzin M, Pirouzi S, Orandi S. The effect of sintering time on the marginal fit of zirconia copings. J Prosthodont 2018; 28:E285-E289.
- 32. Li L, Zhao C, Du Z, Qiu Y, Si W. Rapid‐sintered dental zirconia for chair‐side one‐visit application. Int J Appl Ceram Technol 2019; 16:1830-35.
- 33. Abduo J, Lyons K, Swain M. Fit of zirconia fixed partial denture: a systematic review. J Oral Rehabil 2010; 11:866-76.
- 34. Bindl A, Mörmann W. Marginal and internal fit of all‐ceramic cad/cam crown‐copings on chamfer preparations. J Oral Rehabil 2005; 32:441-7.
- 35. Kokubo Y, Tsumita M, Kano T, Sakurai S, Fukushima S. Clinical marginal and internal gaps of zirconia all-ceramic crowns. J Prosthodont Res 2011; 55:40-3.
- 36. Martínez-Rus F, Suárez MJ, Rivera B, Pradíes G. Evaluation of the absolute marginal discrepancy of zirconia-based ceramic copings. J Prosthet Dent 2011; 105:108-14.
- 37. Alghazzawi TF, Liu PR, Essig ME. The effect of different fabrication steps on the marginal adaptation of two types of glass‐infiltrated ceramic crown copings fabricated by cad/cam technology. J Prosthodontics 2012; 21:167-72.
- 38. Hjerppe J, Fröberg K, Lassila LVJ, Vallittu PK. The effect of heat treatment and feldspathic glazing on some mechanical properties of zirconia. Silicon 2010; 2:171-8.
- 39. Al‐Amleh B, Lyons K, Swain M. Clinical trials in zirconia: a systematic review. J Oral Rehabil 2010; 37:641-52.
- 40. Fischer J, Grohmann P, Stawarczyk B. Effect of zirconia surface treatments on the shear strength of zirconia/veneering ceramic composites. Dent Mater J 2008; 27:448-54.
- 41. Silva NR, Sailer I, Zhang Y, Coelho PG, Guess PC, Zembic A, Kohal RJ. Performance of zirconia for dental healthcare. Materials 2010; 3:863-96.
- 42. Aboushelib MN, Feilzer AJ, De Jager N, Kleverlaan CJ. Prestresses in bilayered all‐ceramic restorations. J Biomed Mater Res, Part B 2008; 87b:139-45.
- 43. Taskonak B, Mecholsky Jr JJ, Anusavice KJ. Residual stresses in bilayer dental ceramics. Biomaterials 2005; 16:3235-41.