Rafiei Amirhossein, Fakhrzadeh Vahid, Moslehifard Elnaz, Ranjbar Ghazal
Department of Prosthodontics, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran.
Student Research Committee, Faculty of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
J Dent Res Dent Clin Dent Prospects. 2024 Spring;18(2):123-128. doi: 10.34172/joddd.40755. Epub 2024 Jun 24.
Multilayer zirconia has more optical and aesthetic features than regular zirconia. Therefore, its mechanical properties should be compared with monochromatic zirconia. Among the mechanical characteristics that can be checked are the wear of the opposite tooth and the bond to the porcelain. This study assessed the effect of zirconia type (multilayer versus monochromatic) on the shear bond strength (SBS) to feldspathic porcelain and the wear of the opposing teeth.
The present in vitro study was conducted in two phases. In the first phase, 15 multilayer and 15 monochromatic zirconia blocks measuring 10×5×5 mm were designed, milled, sintered, veneered with porcelain, and underwent thermocycling. Their SBS was then measured in a universal testing machine. In the second phase, 15 multilayer and 15 monochromatic zirconia blocks were placed in a chewing simulator, and 30 sound premolars served as antagonistic teeth. The magnitude of wear of the buccal cusp of premolars was quantified from a 4-mm reference point after 100000 cycles. Data were analyzed by independent test (α=0.05).
The mean SBS of monochromatic zirconia to porcelain (24.49±3.58 MP) was slightly higher than that of multilayer zirconia (22.98±2.98 MP), but the difference was not significant (>0.05). The mean wear of the opposing teeth was also slightly higher in the monochromatic group (284.1±66.53 µm) than in the multilayer group (263.2±58.69 µm), but this difference was not significant either (>0.05).
Monochromatic and multilayer zirconia showed comparable SBS to feldspathic porcelain and caused comparable wear of the opposing teeth in vitro. Thus, multilayer zirconia may serve as an alternative to monochromatic zirconia.
多层氧化锆比普通氧化锆具有更多的光学和美学特性。因此,应将其机械性能与单色氧化锆进行比较。可以检查的机械特性包括对颌牙的磨损以及与瓷的粘结。本研究评估了氧化锆类型(多层与单色)对与长石质瓷的剪切粘结强度(SBS)以及对颌牙磨损的影响。
本体外研究分两个阶段进行。在第一阶段,设计、研磨、烧结了15个尺寸为10×5×5mm的多层氧化锆块和15个单色氧化锆块,用瓷进行贴面处理,并进行热循环。然后在万能试验机上测量其SBS。在第二阶段,将15个多层氧化锆块和15个单色氧化锆块放入咀嚼模拟器中,30颗健康的前磨牙作为对颌牙。在100000次循环后,从4mm参考点对前磨牙颊尖的磨损程度进行量化。数据采用独立样本t检验进行分析(α=0.05)。
单色氧化锆与瓷的平均SBS(24.49±3.58MPa)略高于多层氧化锆(22.98±2.98MPa),但差异无统计学意义(P>0.05)。单色组对颌牙的平均磨损(284.1±66.53μm)也略高于多层组(263.2±58.69μm),但差异同样无统计学意义(P>0.05)。
单色和多层氧化锆在体外对长石质瓷的SBS相当,对颌牙的磨损也相当。因此,多层氧化锆可作为单色氧化锆的替代品。