国际口腔医学杂志

国际口腔医学杂志 ›› 2022, Vol. 49 ›› Issue (2): 233-238.doi: 10.7518/gjkq.2022035

• 综述 • 上一篇    下一篇

全锆冠美学修复效果的影响因素

曾芳(),王剑()   

  1. 口腔疾病研究国家重点实验室 国家口腔疾病临床医学研究中心 四川大学华西口腔医院修复科 成都 610041
  • 收稿日期:2021-05-03 修回日期:2021-10-18 出版日期:2022-03-01 发布日期:2022-03-15
  • 通讯作者: 王剑
  • 作者简介:曾芳,博士,Email： 1546119784@qq.com

Influencing factors of aesthetic prosthesis performance of monolithic zirconia crowns

Zeng Fang(),Wang Jian()   

  1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Prosthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2021-05-03 Revised:2021-10-18 Online:2022-03-01 Published:2022-03-15
  • Contact: Jian Wang

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摘要：

基于计算机辅助设计/计算机辅助制作技术制作的全解剖式氧化锆冠具有出色的机械性能和生物学性能。相比传统氧化锆冠,它无需上饰瓷,降低了崩瓷的风险,且所需的牙体预备量更小。早期使用的全锆冠半透性低,外观呈白色,美观性能不足。随着透明氧化锆的发明以及氧化锆染色技术的发展,全锆冠的美观性得到很大提高,使其在美学修复中得到更广泛的应用。但这种美观性能提高以后的全锆冠最终呈现的修复效果往往还受多种临床因素影响,如低温老化、基牙颜色、全锆冠的厚度、全锆冠表面抛光、黏固材料的类型和颜色等。本文就影响全锆冠美学修复效果的因素作一综述。

关键词: 全解剖式氧化锆冠, 全锆冠, 美学修复, 半透性, 颜色, 临床因素

Abstract:

Monolithic zirconia crowns fabricated by computer-aided design/computer-assisted manufacturing equipment possess extraordinary mechanical properties and excellent biocompatibility. Unlike traditional zirconia crowns, monolithic zirconia crowns eliminate the veneering ceramic layer’s need, which reduces the risk of veneering ceramic chipping and the required tooth reduction. Traditional zirconia is poor in aesthetic performance because of its inherent whitish color and high opacity. Recently, improved translucency and various coloring technologies have dramatically improved the aesthetic performance of monolithic zirconia crowns and vastly broadened the range of its applications in prosthetic dentistry. However, the final prosthesis performance of monolithic zirconia crowns is often affected by various clinical parameters, such as dental background, dental crown thickness, cement, surface finishing protocols and low-temperature degradation. This paper reviewed the factors influencing the aesthetics of monolithic zirconia crowns to assist the selection of monolithic zirconia crowns for dentists.

Key words: full-contour monolithic zirconia crown, monolithic zirconia crowns, esthetic prosthesis, translucency, color, clinical factors

中图分类号: 

  • R783.2
[1] Stawarczyk B, Keul C, Eichberger M, et al. Three generations of zirconia: from veneered to monolithic. PartⅠ[J]. Quintessence Int, 2017, 48(5): 369-380.
doi: 10.3290/j.qi.a38057 pmid: 28396886
[2] Ioannidis A, Bindl A. Clinical prospective evaluation of zirconia-based three-unit posterior fixed dental prostheses: up-to ten-year results[J]. J Dent, 2016, 47: 80-85.
doi: 10.1016/j.jdent.2016.01.014 pmid: 26844399
[3] Vichi A, Sedda M, Fabian Fonzar R, et al. Comparison of contrast ratio, translucency parameter, and flexural strength of traditional and “augmented translucency” zirconia for CEREC CAD/CAM system[J]. J Esthet Restor Dent, 2016, 28(Suppl 1): S32-S39.
doi: 10.1111/jerd.12172
[4] Zhang Y, Lawn BR. Novel zirconia materials in dentistry[J]. J Dent Res, 2018, 97(2): 140-147.
doi: 10.1177/0022034517737483 pmid: 29035694
[5] Pekkan G, Özcan M, Subaşı MG. Clinical factors affecting the translucency of monolithic Y-TZP cera-mics[J]. Odontology, 2020, 108(4): 526-531.
doi: 10.1007/s10266-019-00446-2 pmid: 31401706
[6] Zhang Y. Making yttria-stabilized tetragonal zirconia translucent[J]. Dent Mater, 2014, 30(10): 1195-1203.
doi: 10.1016/j.dental.2014.08.375 pmid: 25193781
[7] Ghodsi S, Jafarian Z. A review on translucent zirconia[J]. Eur J Prosthodont Restor Dent, 2018, 26(2): 62-74.
doi: 10.1922/EJPRD_01759Ghodsi13 pmid: 29797847
[8] Carrabba M, Keeling AJ, Aziz A, et al. Translucent zirconia in the ceramic scenario for monolithic restorations: a flexural strength and translucency comparison test[J]. J Dent, 2017, 60: 70-76.
doi: S0300-5712(17)30059-3 pmid: 28274651
[9] Zhang F, Inokoshi M, Batuk M, et al. Strength, toughness and aging stability of highly-translucent Y-TZP ceramics for dental restorations[J]. Dent Mater, 2016, 32(12): e327-e337.
doi: 10.1016/j.dental.2016.09.025
[10] Elsaka SE. Optical and mechanical properties of newly developed monolithic multilayer zirconia[J]. J Prosthodont, 2019, 28(1): e279-e284.
doi: 10.1111/jopr.12730
[11] O’Keefe KL, Pease PL, Herrin HK. Variables affec-ting the spectral transmittance of light through porcelain veneer samples[J]. J Prosthet Dent, 1991, 66(4): 434-438.
doi: 10.1016/0022-3913(91)90501-M
[12] Kim HK, Kim SH. Optical properties of pre-colored dental monolithic zirconia ceramics[J]. J Dent, 2016, 55: 75-81.
doi: 10.1016/j.jdent.2016.10.001
[13] Shah K, Holloway JA, Denry IL. Effect of coloring with various metal oxides on the microstructure, co-lor, and flexural strength of 3Y-TZP[J]. J Biomed Mater Res B Appl Biomater, 2008, 87(2): 329-337.
[14] 林勇钊, 王晨, 伊元夫, 等. 牙科用氧化锆陶瓷材料的着色研究[J]. 稀有金属材料与工程, 2009, 38(S2): 859-862.
Lin YZ, Wang C, Yi YF, et al. Research on the colo-ration of dental zirconia[J]. Rare Metal Mater Eng, 2009, 38(S2): 859-862.
[15] Nam JY, Park MG. Effects of treatment with aqueous and acid-based coloring liquid on the color of zirconia[J]. J Prosthet Dent, 2019, 121(2): 363.e1-363.e5.
doi: 10.1016/j.prosdent.2018.09.015
[16] Kim HK, Kim SH. Effect of the number of coloring liquid applications on the optical properties of monolithic zirconia[J]. Dent Mater, 2014, 30(9): e229-e237.
doi: 10.1016/j.dental.2014.04.008
[17] Kolakarnprasert N, Kaizer MR, Kim DK, et al. New multi-layered zirconias: composition, microstructure and translucency[J]. Dent Mater, 2019, 35(5): 797-806.
doi: S0109-5641(18)31479-9 pmid: 30853208
[18] Pereira GKR, Venturini AB, Silvestri T, et al. Low-temperature degradation of Y-TZP ceramics: a systematic review and Meta-analysis[J]. J Mech Behav Biomed Mater, 2015, 55: 151-163.
doi: S1751-6161(15)00390-2 pmid: 26590908
[19] Kim HK, Kim SH. Effect of hydrothermal aging on the optical properties of precolored dental monoli-thic zirconia ceramics[J]. J Prosthet Dent, 2019, 121(4): 676-682.
doi: 10.1016/j.prosdent.2018.06.021
[20] Porojan L, Vasiliu RD, Bîrdeanu MI, et al. Surface characterization and optical properties of reinforced dental glass-ceramics related to artificial aging[J]. Molecules, 2020, 25(15): E3407.
[21] Subaşı MG, Alp G, Johnston WM, et al. Effects of fabrication and shading technique on the color and translucency of new-generation translucent zirconia after coffee thermocycling[J]. J Prosthet Dent, 2018, 120(4): 603-608.
doi: 10.1016/j.prosdent.2018.01.018
[22] Ângela Mazıero Volpato C, Francısco Cesar P, An-tônıo Bottıno M. Influence of accelerated aging on the color stability of dental zirconia[J]. J Esthet Restor Dent, 2016, 28(5): 304-312.
doi: 10.1111/jerd.12239
[23] Walczak K, Meißner H, Range U, et al. Translucency of zirconia ceramics before and after artificial aging[J]. J Prosthodont, 2019, 28(1): e319-e324.
doi: 10.1111/jopr.12771
[24] Zhang F, Vanmeensel K, Batuk M, et al. Highly-translucent, strong and aging-resistant 3Y-TZP ceramics for dental restoration by grain boundary segregation[J]. Acta Biomater, 2015, 16: 215-222.
doi: 10.1016/j.actbio.2015.01.037 pmid: 25662163
[25] 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[J]. Dent Mater, 2018, 34(6): 879-890.
doi: S0109-5641(17)30712-1 pmid: 29598882
[26] Oh SH, Kim SG. Effect of abutment shade, ceramic thickness, and coping type on the final shade of zirconia all-ceramic restorations: in vitro study of co-lor masking ability[J]. J Adv Prosthodont, 2015, 7(5): 368-374.
doi: 10.4047/jap.2015.7.5.368
[27] Cho YE, Lim YJ, Han JS, et al. Effect of yttria content on the translucency and masking ability of yttria-stabilized tetragonal zirconia polycrystal[J]. Materials (Basel), 2020, 13(21): E4726.
[28] Al Hamad KQ, Obaidat II, Baba NZ. The effect of ceramic type and background color on shade reproducibility of all-ceramic restorations[J]. J Prosthodont, 2020, 29(6): 511-517.
doi: 10.1111/jopr.v29.6
[29] Tabatabaian F. Color aspect of monolithic zirconia restorations: a review of the literature[J]. J Prosthodont, 2019, 28(3): 276-287.
doi: 10.1111/jopr.12906 pmid: 29801196
[30] Tabatabaian F, Taghizade F, Namdari M. Effect of coping thickness and background type on the mas-king ability of a zirconia ceramic[J]. J Prosthet Dent, 2018, 119(1): 159-165.
doi: S0022-3913(17)30216-0 pmid: 28478989
[31] Jirajariyavej B, Wanapirom P, Anunmana C. Influen-ce of implant abutment material and ceramic thickness on optical properties[J]. J Prosthet Dent, 2018, 119(5): 819-825.
doi: S0022-3913(17)30371-2 pmid: 28923546
[32] Kim HK, Kim SH, Lee JB, et al. Effect of the amount of thickness reduction on color and translucency of dental monolithic zirconia ceramics[J]. J Adv Prosthodont, 2016, 8(1): 37-42.
doi: 10.4047/jap.2016.8.1.37
[33] Giti R, Hojati SA. Effect of varying thickness and number of coloring liquid applications on the color of anatomic contour monolithic zirconia ceramics[J]. J Dent (Shiraz), 2018, 19(4): 311-319.
[34] Oh SH, Kim SG. Effect of abutment shade, ceramic thickness, and coping type on the final shade of zirconia all-ceramic restorations: in vitro study of co-lor masking ability[J]. J Adv Prosthodont, 2015, 7(5): 368-374.
doi: 10.4047/jap.2015.7.5.368
[35] Malkondu O, Tinastepe N, Kazazoglu E. Influence of type of cement on the color and translucency of monolithic zirconia[J]. J Prosthet Dent, 2016, 116(6): 902-908.
doi: S0022-3913(16)30127-5 pmid: 27422235
[36] Capa N, Tuncel I, Tak O, et al. The effect of luting cement and titanium base on the final color of zirconium oxide core material[J]. J Prosthodont, 2017, 26(2): 136-140.
doi: 10.1111/jopr.2017.26.issue-2
[37] Chang J, Da Silva J D, Sakai M, et al. The optical effect of composite luting cement on all ceramic crowns[J]. J Dent, 2009, 37(12): 937-943.
doi: 10.1016/j.jdent.2009.07.009 pmid: 19660518
[38] Kilinc E, Antonson SA, Hardigan PC, et al. Resin cement color stability and its influence on the final shade of all-ceramics[J]. J Dent, 2011, 39(Suppl 1): e30-e36.
doi: 10.1016/j.jdent.2011.01.005
[39] Tabatabaian F, Dalirani S, Namdari M. Effect of thickness of zirconia ceramic on its masking ability: an in vitro study[J]. J Prosthodont, 2019, 28(6): 666-671.
doi: 10.1111/jopr.12625 pmid: 28452411
[40] Deville S, Chevalier J, Gremillard L. Influence of surface finish and residual stresses on the ageing sensitivity of biomedical grade zirconia[J]. Biomaterials, 2006, 27(10): 2186-2192.
doi: 10.1016/j.biomaterials.2005.11.021
[41] Kim HK, Kim SH, Lee JB, et al. Effects of surface treatments on the translucency, opalescence, and surface texture of dental monolithic zirconia ceramics[J]. J Prosthet Dent, 2016, 115(6): 773-779.
doi: 10.1016/j.prosdent.2015.11.020
[42] Kim HK, Kim SH, Lee JB, et al. Effect of polishing and glazing on the color and spectral distribution of monolithic zirconia[J]. J Adv Prosthodont, 2013, 5(3): 296-304.
doi: 10.4047/jap.2013.5.3.296
[43] Motro PF, Kursoglu P, Kazazoglu E. Effects of different surface treatments on stainability of ceramics[J]. J Prosthet Dent, 2012, 108(4): 231-237.
doi: 10.1016/S0022-3913(12)60168-1
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