Brands Of Zirconia Research Articles

The Effect of in vitro Aging and Fatigue on the Flexural Strength of Monolithic High-translucency Zirconia Restorations

The aim of this in vitro study was to evaluate the effect of accelerated artificial aging (AAA) and fatigue on the biaxial flexural strength (BFS) of three types of monolithic high-translucency zirconia restorations compared with conventional low-translucency zirconia restorations. Four groups of 20 disc-shaped specimens (10 × 1.2 mm) were made from the following computer-aided design and computer-aided manufacturing (CAD/CAM) zirconia blocks: Low-translucency zirconia (Ceramill ZI-LT) as a control, and three brands of high-translucent zirconia (Lava Plus, Ceramill Zolid White, and Copran Monolithic HT). Ten discs from each group were subjected to the BFS test using the universal testing machine. The other 10 discs from each group were subjected to AAA (thermocycling, 3,500 cycles) and fatigue (250,000 cycles) before the fracture test. The definitive fracture load was recorded, and the BFS was calculated in accordance with International Organization for Standardization (ISO) 6872. The data were analyzed with one-way analysis of variance (ANOVA), Scheffe post hoc, and Mann-Whitney U test. Data analyses were evaluated at a significance level of p < 0.05. Significant differences were detected in the BFS among the four groups before AAA and fatigue. The mean BFS was highest with Ceramill ZI (935.3 ± 47.1 MPa), and least in Ceramill Zolid White (685.7 ± 32.6 MPa). After AAA and fatigue, significant differences were reported where the mean of BFS was highest with Copran Zr-i Monolithic HT (777.5 ± 21.2 MPa), and least in Ceramill Zolid White (576.0 ± 36.3 MPa). Furthermore, Mann-Whitney U test showed that AAA and fatigue significantly affect the BFS of each material individually. The AAA and fatigue significantly affected the BFS of the monolithic high-translucency zirconia restorations. Although monolithic high-translucency zirconia had significantly lower BFS than conventional zirconia tested in this study, they still have sufficient strength for clinical use.

Effect of coloring and sintering on the translucency and biaxial strength of monolithic zirconia

Statement of problemThe influences of coloring and sintering procedures on the optical and mechanical properties of monolithic zirconia have not been thoroughly investigated. PurposeThe purpose of this in vitro study was to investigate the effects of the coloring procedure and of varying final sintering temperatures on the translucency parameter (TP) and biaxial flexural strength (BFS) of monolithic zirconia. Material and methodsDisk-shaped specimens (N=210) of 2 different monolithic zirconia brands (Vita YZ HTWhite [VYZa]; Vita YZ HTColor A2 [VYZb]; Prettau Zirkonzahn [PZ]; Prettau Anterior Zirkonzahn [PZA]) with a diameter of 15 mm and a thickness of 1.0 ±0.05 mm were prepared. Half of the specimens prepared from noncolored blocks (VYZa, PZ, and PZA) received coloring liquid application. Then, the specimens were divided into 3 subgroups (n=10) according to the final sintering temperatures (1350°C, 1450°C, and 1600°C). The TP was determined by using a reflection spectrophotometer, and the BFS was tested with the piston-on-3-ball method in a universal testing machine. Data were statistically analyzed by multivariate multiple regression and Bonferroni tests (α=.05). ResultsSignificant differences were obtained among the groups based on the results of the TP and BFS (P<.05). The TP was affected by the changes in final sintering temperature. The varying final sintering temperatures demonstrated no significant effect on the BFS, except in group PZ (noncolored) that produced lower BFS when sintered at 1350°C than the subgroups sintered at 1450°C and 1600°C (P<.05). Coloring liquid application significantly decreased the TP of VYZa (sintered at 1350°C) but produced no significant effect on the groups PZ and PZA. Additionally, the coloring procedure had no significant effect on the BFS of tested materials (VYZa, PZ, and PZA) (P>.05). ConclusionsIncreased sintering temperature leads to increased translucency with minimal impact on the BFS. The coloring procedure should be considered at the time of material selection to avoid possible reduction in translucency.

Effect of cleaning agent, primer application and their combination on the bond strength of a resin cement to two yttrium-tetragonal zirconia polycrystal zirconia ceramics.

Objective:The objective of this study is to evaluate the effect of a cleaning agent and priming on the bond strength (BS) of a resin cement (RC) to zirconia ceramics after 24 h and 1 year of water-storage.Materials and Methods:Fifty-six Katana and 56 ZirCAD zirconia ceramic plates were prepared and each zirconia brand was divided into four groups (n = 14): (1) untreated; (2) treated with Ivoclean cleaning agent; (3) treated with Monobond Plus coupling agent; (4) treated with Ivoclean + Monobond Plus. Cleaning and coupling agents were applied to zirconia following the manufacturers' instructions. The RC was manipulated, inserted into tubes (0.75 mm diameter/1 mm height) that were positioned on the zirconia surfaces and light activated. Specimens were tested after 24 h and 1 year of water storage. A shear load was applied to the base of the RC cylinders (until failure. Data were analyzed by three-way ANOVA and Tukey tests (α = 5%).Results:No significant difference in BS was noted between zirconia ceramics, except when the combination of cleaning and coupling agents was used. This combination increased the BS for Katana zirconia. One year of water storage leads to a decrease in BS for all experimental groups.Conclusion:The combination of cleaning agent and priming can yield higher BS for Katana at 24 h. BS to zirconia ceramics reduced approximately 50% after 1 year.

The effect of extended aging on the optical properties of different zirconia materials

PurposeThe purpose of this study was to determine if the optical properties of zirconia and glass–ceramic (e.max) were affected by low-temperature degradation (aging). MethodsExperiment samples were fabricated with seven zirconia brands (n=10): Zenostar, Zirlux, Katana, Bruxzir, DD-BioZX2, DD-cubeX2, NexxZr; and e.max were used as a control. This resulted in a total of 80 samples in the experiment. The L*, a* and b* were measured for each sample, and then the optical properties including translucency parameter (TP), contrast ratio (CR), and opalescence parameter (OP) were calculated. The samples were aged (20, 40, 60, 80, 100h), and the optical properties were calculated after each interval. ResultsMost zirconia brands had lower L*, higher a*, higher b* with increased aging, which visually corresponds to darker, redder, and more yellow. Aging also increased CR, lowered TP, and lowered OP. e.max was also affected by aging but still had the highest TP (23.9±2.8), L* (81.7±3.4), and lowest CR (0.41±0.05) compared to any zirconia. The Zenostar had the closest TP (24.1±0.4), and L* (90.2±0.5) values to e.max before aging. However, after 100h of aging, the DD-cubeX2 was least effected and had the highest TP (22.2±0.6) and lowest CR (0.43±0.01) compared with other zirconia samples and highest OP (11.3±0.2) of all ceramic samples. ConclusionsThe optical properties of zirconia and e.max materials were affected by aging with the effects increasing with time. The magnitude of change was affected by seven brands of dental zirconia.

Effect of accelerated aging on dental zirconia-based materials

ObjectiveTo investigate the effect of aging on phase transformation and mechanical properties of yttria-tetragonal zirconia polycrystal (Y-TZP). Materials and methodsFully-sintered Y-TZP slabs, IPS E-max ZirCAD (ZC – Ivoclar) and Z-5 ceramic (Z5 – C5 Medical Werks), were artificially aged in autoclave for: 0, 30, 60 or 90min. Flexural strength (FS), crystalline changes (X-ray diffraction analysis – XRD) and surface topography were analyzed. 0 and 90min-aged samples were evaluated by nanoindentation to measure hardness and modulus, and results were compared using Wilcoxan Mann Whitney rank sum test (p≤0.05). FS results were compared using two-way ANOVA and Tukey HSD (α=0.05). ResultsMaterial factor had significant effect (p=0.001) on flexural strength (Z5=966.95MPa; ZC=847.82MPa), but aging did not. Nanoindentation showed incidence of typical load/depth curves combined with some exhibiting features compatible with cracking. When typical curves were considered, aging had no effect on the modulus and hardness, but hardness was dependent on material type. A steady increase in the m phase related to aging time was observed for ZC samples. The maximum incidence of m phase was 6.56% for Z5/60min. SignificanceFlexural strength is not affected by surface transformation in dental Y-TZP. Hydrothermal aging has an effect on m content and surface topography of different zirconia brands, but mechanical tests that can precisely characterize surface changes in aged Y-TZP are still missing.

Translucency of dental zirconia ceramics sintered in conventional and microwave ovens

To evaluate the effect of microwave sintering on the translucency of zirconia and to compare these effect with those of conventional sintering. The relationship between the microstructure of specimens and translucency was investigated. A total of 10 disc-shaped specimens were fabricated from 2 commercial brands of zirconia, namely, Zenostar and Lava. Each group included 5 discs. Conventional sintering was performed according to the manufacturers' specifications. The maximum temperature for Zenostar was 1,490 °C, whereas that for Lava was 1,500 °C. The dwelling time was 2 h. The sintering temperature for microwave sintering was 1,420 °C, heating rate was 15 °C · min⁻¹, and dwelling time was 30 min. After sintering, the translucency parameter (TP) of the specimens were measured with ShadeEye NCC. The sintered density of the specimens was determined by Archimedes' method. The grain size and microstructure of the specimens were investigated by scanning electron microscopy. Density and translucency slightly increased by microwave sintering, but no significant difference was found between microwave and conventional sintering (P > 0.05). Small and uniform microstructure were obtained from microwave sintering. The mean TP of Lava was significantly higher than that of Zenostar (P < 0.001). The translucency of zirconia sintered by microwave sintering is similar to that of the zirconia sintered by conventional sintering.

Correlation of flexural strength of coupons versus strength of crowns fabricated with different zirconia materials with and without aging

BackgroundThe purpose of this study was to determine the presence of a correlation between flexural strength and simulated crown strength; a correlation between crown strength and mode of fracture; an effect of aging on the flexural strength; and an effect of aging on the crown strength. MethodsTwo hundred forty zirconia specimens were fabricated with 2 different designs, fully contoured crown shape specimens (n = 120) and rectangular coupons (n = 120), to provide 10 specimens each of 6 brands of zirconia (Lava Plus High Translucency [3M ESPE], Argen HT [Argen Corp], Zirlux [Ardent], BruxZir [Glidewell Laboratories], ZenoStar [Wieland Dental], and DDBioZX2 [Dental Direkt]). One-half of each sample type was given a severe, simulated low-temperature aging treatment. The coupons were tested by 3-point flexural strength, and crowns were tested after luting to metallic abutments using resin cement. Statistical significance was evaluated by 2-factor analysis of variance (P = .05). ResultsAging increased the mean (standard deviation [SD]) flexural strength for the following groups: Argen HT (995 [140] megapascals versus 677 [121] MPa before aging), Zirlux (939 [101] MPa versus 826 [169] MPa before aging), and ZenoStar (954 [81] MPa versus 764 [77] MPa before aging). There were statistical differences for the mean (SD) crown strengths for the following aged crowns: DDBioZX2 had higher magnitudes (9,755 [1,095] MPa) than ZenoStar (8,864 [976] MPa), whereas Lava Plus High Translucency crowns had higher magnitudes (9,871 [942] MPa) than ZenoStar (8,864 [976] MPa). There was no effect of aging on the crown strength. There were statistical differences in the mode of fracture for the zirconia crowns between the following groups: nonaged and aged BruxZir (P = .014), nonaged and aged ZenoStar (P = .0226), and nonaged and aged Lava Plus High Translucency (P < .0001). There was no correlation between flexural strength and crown strength. ConclusionsThere was no direct correlation between ranking of flexural strength and crown strength in the range of properties exhibited by these dental zirconias. Practical ImplicationsFlexural strength does not predict simulated clinical strengths for crowns.

Optical properties and light irradiance of monolithic zirconia at variable thicknesses

ObjectivesThe aims of this study were to: (1) estimate the effect of polishing on the surface gloss of monolithic zirconia, (2) measure and compare the translucency of monolithic zirconia at variable thicknesses, and (3) determine the effect of zirconia thickness on irradiance and total irradiant energy. MethodsFour monolithic partially stabilized zirconia (PSZ) brands; Prettau® (PRT, Zirkonzahn), Bruxzir® (BRX, Glidewell), Zenostar® (ZEN, Wieland), Katana® (KAT, Noritake), and one fully stabilized zirconia (FSZ); Prettau Anterior® (PRTA, Zirkonzahn) were used to fabricate specimens (n=5/subgroup) with different thicknesses (0.5, 0.7, 1.0, 1.2, 1.5, and 2.0mm). Zirconia core material ICE® Zircon (ICE, Zirkonzahn) was used as a control. Surface gloss and translucency were evaluated using a reflection spectrophotometer. Irradiance and total irradiant energy transmitted through each specimen was quantified using MARC® Resin Calibrator. All specimens were then subjected to a standardized polishing method and the surface gloss, translucency, irradiance, and total irradiant energy measurements were repeated. Statistical analysis was performed using two-way ANOVA and post-hoc Tukey's tests (p<0.05). ResultsSurface gloss was significantly affected by polishing (p<0.05), regardless of brand and thickness. Translucency values ranged from 5.65 to 20.40 before polishing and 5.10 to 19.95 after polishing. The ranking from least to highest translucent (after polish) was: BRX=ICE=PRT<ZEN<KAT<PRTA (p<0.05). The ranking from least to highest total irradiant energy was: BRX<PRT<ICE=ZEN<KAT=PRTA (p<0.05). There was an inverse relationship between translucency, irradiant energy, and thickness of zirconia and the amount was brand dependent (p<0.05). SignificanceBrand selection, thickness, and polishing of monolithic zirconia can affect the ultimate clinical outcome of the optical properties of zirconia restorations. FSZ is relatively more polishable and translucent than PSZ.

Degree of conversion of dual-polymerizing cements light polymerized through monolithic zirconia of different thicknesses and types

Statement of problemMonolithic zirconia restorations are increasingly common. Dual-polymerizing cements have been advocated for cementation. The opacious nature of zirconia restoration can attenuate light, compromising optimal resin polymerization and eventually restoration debonding. PurposeThe purpose of this in vitro study was to evaluate the influence of material thickness on light irradiance, radiant exposure, and the degree of monomer conversion (DC) of 2 dual-polymerizing resin cements light-polymerized through different brands of monolithic zirconia. Material and methodsDual-polymerizing resin cements (RelyX Ultimate; 3M-ESPE, and Variolink II; Ivoclar, Vivadent) were mixed according to the manufacturers’ instructions with a film thickness of 40 μm, placed under a 10×10 mm specimen of monolithic zirconia (Prettau Anterior by Zirkonzahn, Katana by Noritake, BruxZir by Glidewell, and Zenostar by Wieland) and a zirconia core control (ICE zirkon by Zirkonzahn) at various thicknesses (0.50, 1.00, 1.50, and 2.00 mm, n=5 of each thickness). Each specimen was irradiated for 20 seconds (RelyX Ultimate) and 40 seconds (Variolink II) with Elipar S10 (3M-ESPE, 1200 mW/cm2). The amount of irradiance and radiant exposure was quantified for each specimen. Fourier transform infrared spectroscopy was used to measure the DC from the bottom surface of the resin. Statistical analysis was performed with 2-way ANOVA and post hoc Tukey honest significant difference (HSD) tests (α=.05). ResultsLight irradiance and radiant exposure decreased as the thickness of the specimen increased (P<.05) regardless of the brand. The ranking from least to highest was BruxZir<ICE zirkon=Wieland<Katana=Prettau Anterior. The zirconia brand, thickness, and cement type had a significant effect on the DC (P<.001). The DC decreased significantly as the thickness of the zirconia increased (P<.001). Katana and Prettau Anterior showed the highest DC and BruxZir showed the lowest. ConclusionThe thickness of zirconia affects the DC of resin-based cements. The DC of the resin cements differed significantly between cements and among zirconia brands. More polymerizing time may be needed to deliver sufficient energy through some brands of zirconia.

Efficacy of surface treatments on the bond strength of resin cements to two brands of zirconia ceramic.

To compare the shear bond strengths (SBS) of two cements to two Y-TZP ceramics subjected to different surface treatments. Zirconia specimens were made from Lava (n = 36) and IPS e.max ZirCAD (n = 36), and their surfaces were treated as follows: no treatment (control), silica coating with 30-µm silica-modified alumina (Al2O3) particles (CoJet Sand), or coating with liners Lava Ceram for Lava and Intensive ZirLiner for IPS e.max ZirCAD. Composite resin cylinders were bonded to zirconia with Panavia F or RelyX Unicem resin cements. All specimens were thermocycled (6000 cycles at 5°C/55°C) and subjected to SBS testing. Data were analyzed by three-way ANOVA and Tukey's (HSD) post-hoc test (α = 0.05). Failure mode was analyzed by stereomicroscope and SEM. CoJet Sand and liners promoted significantly higher SBS than their control groups, but had similar results to one another. Panavia F provided significantly higher SBS values than RelyX Unicem (p < 0.01) for nontreated zirconia specimens of both brands. When Lava and IPS e.max ZirCAD were abraded with CoJet Sand, RelyX Unicem promoted significantly higher SBS values than Panavia F (p < 0.001). There was no significant difference between the two cements when the zirconia specimens were treated with their respective liners. The nontreated specimens and those treated with CoJet Sand exhibited a high percentage of adhesive and mixed A failures, while the specimens treated with liners presented an increase in mixed A and mixed C failures as well as some cohesive failure in the bulk of Lava Ceram for both cements. CoJet Sand and liners provided the best surface treatment for Lava and IPS e.max ZirCAD. The best surface treatment/cement combinations were CoJet Sand/RelyX Unicem and liner/Panavia F. SBS of Panavia F and RelyX Unicem was not influenced by the zirconia brand.

Effects of the sintering conditions of dental zirconia ceramics on the grain size and translucency

PURPOSEThis study aimed to identify the effects of the sintering conditions of dental zirconia on the grain size and translucency.MATERIALS AND METHODSTen specimens of each of two commercial brands of zirconia (Lava and KaVo) were made and sintered under five different conditions. Microwave sintering (MS) and conventional sintering (CS) methods were used to fabricate zirconia specimens. The dwelling time was 20 minutes for MS and 20 minutes, 2, 10, and 40 hours for CS. The density and the grain size of the sintered zirconia blocks were measured. Total transmission measurements were taken using a spectrophotometer. Two-way analysis of variance model was used for the analysis and performed at a type-one error rate of 0.05.RESULTSThere was no significant difference in density between brands and sintering conditions. The mean grain size increased according to sintering conditions as follows: MS-20 min, CS-20 min, CS-2 hr, CS-10 hr, and CS-40 hr for both brands. The mean grain size ranged from 347-1,512 nm for Lava and 373-1,481 nm for KaVo. The mean light transmittance values of Lava and KaVo were 28.39-34.48% and 28.09-30.50%, respectively.CONCLUSIONDifferent sintering conditions resulted in differences in grain size and light transmittance. To obtain more translucent dental zirconia restorations, shorter sintering times should be considered.

Metastable Nature of Zirconia Femoral Heads From a 20-Year Perspective Of Clinical and Simulator Wear Studies

Clinical reports for zirconia–polyethylene total-hip replacements have been contradictory, and only a handful of retrieval studies have been performed. We review zirconia’s mechanical properties, relevant clinical and retrieval studies, and discuss the “metastable” nature of the articular and taper-bore surfaces. Current limitations of wear-simulator studies are detailed. While some known parameters of phase transformation have been described, we lack understanding of how the different zirconia brand names, era of manufacture, ball diameters, clinical parameters, and exposure times in vivo will contribute to more or less phase transformation. As noted in recent clinical studies, patients with zirconia/polyethylene hip joint replacements may have to be monitored closely for adverse changes that have potential to occur 10 to 15 years post-operatively.

HIGH TEMPERATURE LOAD AND FUSION TESTS OF FIRE BRICK FROM THE PACIFIC NORTHWEST IN COMPARISON WITH OTHER WELL-KNOWN FIRE BRICK1

Seventeen samples of fire-clay brick from the Pacific Northwest have been tested with twenty-seven other commercial brands of fire clay, silica, magnesia, chromite, zirconia, diaspore, silicon carbide and crystalline alumina, as well as china clay and crystalline sillimanite products made at the University of Washington. The tests show that the fire-clay brick of the Pacific Northwest vary considerably in quality. According to the high temperature load test, the majority of the local brick are among the upper grades, some are to be classed with the best fire-clay brick and one equal to the best diaspore brick. The brick tested is not the best which can be made from Pacific Northwest materials, for the kaolins in eastern Washington and northwestern Idaho give opportunity for the production of an all-kaolin fire brick. A method is suggested for testing super-refractory materials under load at high temperatures similar to the standard load test for fire clay and silica brick except that the temperatures are measured by cones, and are raised until 10% linear deformation of the brick is obtained. The rate of heating and soaking varies with the brick under test, and the principles learned from the cone fusion test are used in the application of heat. A numerical value, expressing the area under the cone-shrinkage curve, affords an easy method for comparing the high temperature load resistance of various refractories. The brick which are best able to resist deformation at high temperatures are composed of crystalline materials which have developed a recrystallized bond of the same composition. These are crystalline silica, silicon carbide, corundum and sillimanite, and they resist deformation at temperatures close to their melting points. Amorphous materials like fire clay, diaspore, bauxite or even the very refractory crystalline materials lie chromite and periclase, which depend on amorphous silicates for a bond or are contaminated with silicate impurities. will fail with the softening of the bond of the amorphous impurities. The cone fusion of the brick as a whole can not be depended upon to indicate the resistance to load at high temperatures.