Effect of Different Shading Techniques on the Color of Zirconia Ceramic Restoration (An In vivo Study)

Mohamed Elbadry; Cherif Mohsen; Raiessa Hashem

doi:10.3889/oamjms.2022.10237

Authors

Mohamed Elbadry Department of Fixed Prosthodontics, Faculty of Dentistry, Minia University, Minya, Egypt
Cherif Mohsen Department of Fixed Prosthodontics
Raiessa Hashem Department of Fixed Prosthodontics

DOI:

https://doi.org/10.3889/oamjms.2022.10237

Keywords:

Zirconia crowns, Shading techniques, CAD/CAM

Abstract

BACKGROUND: The color of all ceramic restorations has a significant effect on the final appearance of the restoration.

AIM: This study aimed to evaluate the effect of different shading techniques on the color stability of monolithic zirconia crowns cemented on the upper anterior teeth.

METHODS: In this study, there were nine patients. Each patient has undergone a reduction for the upper six anterior teeth. Fifty-four zirconia jacket crowns were constructed using CAD/CAM technique. According to the shading technique, the crowns were categorized into two groups (pre-shaded and liquid shaded), where the upper right reduced teeth received pre-shaded zirconia crowns while the upper left reduced teeth received liquid-shaded zirconia crowns according to the selected shade. The color was assessed using easy shade after cementation and 1 year follow-up period. Data were collected, tabulated, and statistically analyzed.

RESULTS: Color change (ΔE) of the cemented pre-shaded zirconia crowns on the upper right central incisors, lateral incisors, and canines was 2.37, 2.84, and 1.92, respectively, while color change (ΔE) of the cemented liquid-shaded zirconia crowns on the upper left central incisors, lateral incisors, and canines was 2.52, 2.88, and 2.77, respectively. Color change of both pre-shaded and liquid-shaded zirconia crowns after 1 year follow-up was within the clinically acceptable range 1>E>3.7, and there was no significant difference between them.

CONCLUSIONS: The aging and technique of shading had no significant effect on the color of zirconia ceramic.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

Montaser AG, Abd El-Aziz SA, El-Shrkawy ZR. Effect of material selection and different fabrication techniques on marginal and internal fit of metal ceramic and all ceramic crowns (In vivo and In vitro study). Al-Azhar Dent J. 2021;8(3):389-400. https://doi.org/10.21608/adjg.2021.30186.1260 DOI: https://doi.org/10.21608/adjg.2021.30186.1260

Nasr E, Makhlouf AC, Zebouni E, Makzoumé J. All-ceramic computer-aided design and computer-aided manufacturing restorations: Evolution of structures and criteria for clinical application. J Contemp Dent Pract. 2019;20(4):517-23. https://doi.org/10.5005/jp-journals-10024-2549 PMid:31309930 DOI: https://doi.org/10.5005/jp-journals-10024-2549

Orhun E. The effect of coloring liquid dipping time on the fracture load and color of zirconia ceramics. J Adv Prosthodont. 2017;9(1):67-73. https://doi.org/10.4047/jap.2017.9.1.67 PMid:28243394 DOI: https://doi.org/10.4047/jap.2017.9.1.67

Yu NK, Park MG. Effect of different coloring liquids on the flexural strength of multilayered zirconia. J Adv Prosthodont. 2019;11(4):209-14. https://doi.org/10.4047/jap.2019.11.4.209 PMid:31497268 DOI: https://doi.org/10.4047/jap.2019.11.4.209

Ali SA, Karthigeyan S, Deivanai M, Ma R. ZIRCONIA: Properties and applications: A review A. Pak Oral Dent J. 2014;34(1):178-85.

Boyraz T. Thermal Properties and microstructural characterization of aluminium titanate (Al2TiO5)/La2O3 -stabilized zirconia (ZrO2) ceramics. Cumhuriyet Sci J. 2018;39(1):243-9. https://doi.org/10.17776/csj.383329 DOI: https://doi.org/10.17776/csj.383329

Park JH, Park S, Lee K, Yun KD, Lim HP. Antagonist wear of three CAD/CAM anatomic contour zirconia ceramics. J Prosthet Dent. 2014;111(1):20-9. https://doi.org/10.1016/j.prosdent.2013.06.002 PMid:24199603 DOI: https://doi.org/10.1016/j.prosdent.2013.06.002

Tuncel I, Eroglu E, Sari T, Usumez A. The effect of coloring liquids on the translucency of zirconia framework. J Adv Prosthodont. 2013;5(4):448-51. https://doi.org/10.4047/jap.2013.5.4.448 PMid:24353884 DOI: https://doi.org/10.4047/jap.2013.5.4.448

Oh SH, Kim SG. Effect of abutment shade, ceramic thickness and copying type on the final shade of zirconia all ceramic restorations: In vitro study of color masking ability. J Adv Prosthodont. 2015;7(5):368-74. https://doi.org/10.4047/jap.2015.7.5.368 PMid:26576252 DOI: https://doi.org/10.4047/jap.2015.7.5.368

Colombo M, Cavallo M, Miegge M, Dagna A, Beltrami R, Chiesa M, et al. Color stability of CAD/CAM Zirconia ceramics following exposure to acidic and staining drinks. J Clin Exp Dent. 2017;9(11):e1297-303. https://doi.org/10.4317/jced.54404 PMid:29302281 DOI: https://doi.org/10.4317/jced.54404

Geis-Gerstorfer J. In vitro corrosion measurements of dental alloys. J Dent. 1994;22(4):247-51. https://doi.org/10.1016/0300-5712(94)90124-4 PMid:7962901 DOI: https://doi.org/10.1016/0300-5712(94)90124-4

Haralur SB, Alqahtani NR, Mujayri FA. Effect of hydrothermal aging and beverages on color stability of lithium disilicate and zirconia-based ceramics. Medicina (Kaunas). 2019;55(11):749. https://doi.org/10.3390/medicina55110749 PMid:31752316 DOI: https://doi.org/10.3390/medicina55110749

Dahl BL, Oilo G. In vivo wear ranking of some restorative materials. Quintessence Int. 1994;25:561-5. PMid:7568705

Tuncdemir AR, Polat S, Ozturk C, Muncdemir MT. Color differences between maxillary and mandibular incisors. Eur J Gen Dent. 2012;3:170-7. https://doi.org/10.4103/2278-9626.105381 DOI: https://doi.org/10.4103/2278-9626.105381

Ayash GM, Ossman E, Segaan LG, Rayyan M, Joukhadar C. Influence of core color on final shade reproduction of zirconia crown in single central incisor situation: An in vivo study.J Clin Exp Dent. 2020;12(1):e46-51. https://doi.org/10.4317/medoral.56401 PMid:31976043 DOI: https://doi.org/10.4317/medoral.56401

Pustina KT, Pustina B. The Correlation of Color in the Maxillary Central Incisors. Digit Dent News; 2012. p. 6-11.

Goodkind RJ, Keenan K, Schwabacher WB. Use of fiber optic colorimeter for in vivo color measurement of 2830 anterior teeth. J Prosthet Dent. 1987;58(5):535-42. https://doi.org/10.1016/0022-3913(87)90380-5 PMid:3479551 DOI: https://doi.org/10.1016/0022-3913(87)90380-5

Hasegawa A, Likeda I, Kawaguchi S. Color and translucency of in vivo natural central incisors. J Prosthet Dent. 2000;83(4):418-23. https://doi.org/10.1016/s0022-3913(00)70036-9 PMid:10756291 DOI: https://doi.org/10.1016/S0022-3913(00)70036-9

Shi JY, Li X, Ni J, Zhu ZY. Clinical evaluation and patient satisfaction of single zirconia based and high noble alloy porcelain fused to metal crowns in the esthetic area: A retrospective cohort study. J Prosthodont. 2016;25(7):526-30. https://doi.org/10.1111/jopr.12344 PMid:26376100 DOI: https://doi.org/10.1111/jopr.12344

Moodley DS, Osman TI, Kotze T. Comparison of colour components between maxillary central incisors: An in vivo study. South Afr Dent J. 2015;70(1):4-8.

Kulshrestha RS, Tandon R, Chandra P. Canine retraction: A systematic review of different methods used. J Orthod Sci. 2015;4(1):1-8. https://doi.org/10.4103/2278-0203.149608 PMid:25657985 DOI: https://doi.org/10.4103/2278-0203.149608

Dozic A, Kleverlaan CJ, Aartman IH, Feilzer AJ. Relation in color of three regions of vital human incisors. Dent Mater. 2004;20(9):832-8. https://doi.org/10.1016/j.dental.2003.10.013 PMid:15451238 DOI: https://doi.org/10.1016/j.dental.2003.10.013

Yang H, Zhang SX, Xie YB, Wu ZP, Zhu XF, Xu YB. A study on the color of natural tooth and porcelain fused to metal crown. Shanghai Kou Qiang Yi Xue. 2001;10(1):83-4. PMid:14994094

Li R, Ma X, Liang S, Sa Y, Jiang T, Wang Y. Optical properties of translucent of enamel and translucent composites by diffuse reflectance measurements. J Dent. 2012;40(Suppl 1):e40-7. https://doi.org/10.1016/j.jdent.2012.04.016 PMid:22546264 DOI: https://doi.org/10.1016/j.jdent.2012.04.016

Fondriest J. Shade matching in restorative dentistry: The science and stratiges. Int J Periodont Restor Dent. 2003;23(5):467-79. PMid:14620121

Juszcyyk AS, Clark RK, Radford DR. Do dentists communicate well with dental technicians? Vital. 2009;6:32-4. https://doi.org/10.1038/vital993 DOI: https://doi.org/10.1038/vital993

Tuncel I, Turp I, Usumez A. Evaluation of translucency of monolithic zirconia and framework zirconia materials. J Adv Prosthodont. 2016;8(3):181-6. https://doi.org/10.4047/jap.2016.8.3.181 PMid:27350851 DOI: https://doi.org/10.4047/jap.2016.8.3.181

Yilmaz KS, Ulusoy M. Comparison of the translucency of shaded zirconia all ceramic systems. J Adv Prosthodont. 2014;6(5):415-22. https://doi.org/10.4047/jap.2014.6.5.415 PMid:25352964 DOI: https://doi.org/10.4047/jap.2014.6.5.415

Abdulazeez MI, Majeed MA. Fracture strength of monolithic zirconia crowns with modified vertical preparation: A comparative in vitro study. Eur J Dent. 2022;16(1):209-14. https://doi.org/10.1055/s-0041-1735427 PMid:34847612 DOI: https://doi.org/10.1055/s-0041-1735427

Al-Zubaidi ZA, Al-Shamma AM. The effect of different finishing lines on the marginal fitness of full contour zirconia and glass ceramic CAD/CAM crowns: An in vitro study. J Dent Mater Tech. 2015;4(3):127-36. https://doi.org/10.22207/jpam.12.2.46 DOI: https://doi.org/10.22207/JPAM.12.2.46

31.Layton DM, Clarke M. A systematic review and meta-analysis of the survival of non feldspathic porcelain veneers over 5 and 10 years. Int J Prosthodont. 2013;26(2):111-24. https://doi.org/10.11607/ijp.3202.PMid:23476903 DOI: https://doi.org/10.11607/ijp.3202

Sabet H, Wahsh M, Sherif WA, Salah T. Effect of different immersion times and sintering temperatures on translucency of monolithic nanocrystalline zirconia. Future Dent J. 2018;4(1):84-9. https://doi.org/10.1016/j.fdj.2017.09.003 DOI: https://doi.org/10.1016/j.fdj.2017.09.003

Ayash G, Osman E, Segaan L, Rayyan M, Joukhadar C. Influence of resin cement shade on the color and translucency of zirconia crowns. J Clin Exp Dent. 2020;12(3):e257-63. https://doi.org/10.4317/jced.56425 PMid:32190196 DOI: https://doi.org/10.4317/jced.56425

Heboyan A, Marya A, Syed AU, Khurshid Z, Zafar MS, Rokaya D, et al. In vitro microscopic evaluation of metal and zirconium oxide-based crowns marginal fit. Pesqui Bras Odontopediatr Clín Integr. 2022;22:1-9. https://doi.org/10.1590/pboci.2022.010 DOI: https://doi.org/10.1590/pboci.2022.010

Elsantawi AM, Elgabarouny MA, Saad D, Shebl A. Evaluation of the shear bond strength of two types of adhesive cements to zirconia after surface treatment using silica coating. Dent Sci. 2020;1(1):23-30. htttps://doi.org/10.21608/DSU.2020.14819.1005 DOI: https://doi.org/10.21608/dsu.2020.14819.1005

Papia E, Larsson C, Toit M, Steyern PV. Bonding between oxide ceramics and adhesive systems: A systematic review. J Biomed Mater Res B Appl Biomater. 2013;102(2):395-413. https://doi.org/10.1002/jbm.b.33013 PMid:24123837 DOI: https://doi.org/10.1002/jbm.b.33013

Tabatabaian F, Khodaei MH, Namdari M, Mahshid M. Effect of cement type on the color attributes of a zirconia ceramic. J Adv Prosthodont. 2016;8(6):449-56. https://doi.org/10.4047/jap.2016.8.6.449 PMid:28018562 DOI: https://doi.org/10.4047/jap.2016.8.6.449

Pugal N, Rajesh P, Preethe PM, Padhmaraj SN, Chakravarthy D. Surface conditioning and silanization for ceramic adhesion. J Sci Dent. 2018;8(2):32-7. DOI: https://doi.org/10.5005/jsd-8-2-32

Miyajiwala JS, Kheur MG, Patankar AH, Lakha TA. Comparison of photographic and conventional methods for tooth shade selection: A clinical evaluation. J Indian Prosthodont Soc. 2017;17(3):273-81. https://doi.org/10.4103/jips.jips_342_16 PMid:28936042 DOI: https://doi.org/10.4103/jips.jips_342_16

Zhang C, Agingu C, Tsoi JK, Yu H. Effects of aging on the color and translucency of monolithic translucent Y-TZP ceramics: A systematic review and meta-analysis of in vitro studies. Biomed Res Int. 2021;2021:1-10. https://doi.org/10.1155/2021/8875023 DOI: https://doi.org/10.1155/2021/8875023

Ashy L M, Al-Mutairi A, Al-Otaibi T, Al-Turki L. The effect of thermocyclic aging on color stability of high translucency monolithic lithium disilicate and zirconia ceramics luted with different resin cements: An in vitro study. BMC Oral Health. 2021;21(1):1-12. https://doi.org/10.1186/s12903-021-01963-9 PMid:34798878 DOI: https://doi.org/10.1186/s12903-021-01963-9

Volpato CA, Cesar PF, Bottıno MA. Influence of accelerated aging on the color stability of dental zirconia. J Esthet Restor Dent. 2016;28(5):304-12. https:///doi.org/10.1111/jerd.12239 PMid:27531753 DOI: https://doi.org/10.1111/jerd.12239

James P, Worthington HV, Parnell C, Harding M, Lamont T, Cheung A, et al. Chlorhexidine mouthrinse as an adjunctive treatment for gingival health. Cochrane Database Syst Rev. 2017;31(3):CD008676. https://doi.org/10.1002/14651858.CD008676.pub2 PMid:28362061 DOI: https://doi.org/10.1002/14651858.CD008676.pub2

Coelho AS, Paula AB, Carrilho TM, Da Silva MJ, Botelho MF, Carrilho EV. Chlorhexidine mouthwash as an anticaries agent: A systematic review. Quintessence Int. 2017;48(7):585-91. https://doi.org/10.3290/j.qi.a38353 PMid:28555200

Artopoulou II, Powers JM, Chambers MS. In vitro staining effects of stannous fluoride and sodium fluoride on ceramic material. J Prosthet Dent. 2010;103(3):163-9. https://doi.org/10.1016/S0022-3913(10)60023-6 PMid:20188238 DOI: https://doi.org/10.1016/S0022-3913(10)60023-6

Guignone BC, Silva LK, Soares RV, Akaki E, Goiato MC, Pithon MM, et al. Color stability of ceramic brackets immersed in potentially staining solutions. Dental Press J Orthod. 2015;20(4):32-8. https://doi.org/10.1590/2176-9451.20.4.032-038.oar PMid:26352842 DOI: https://doi.org/10.1590/2176-9451.20.4.032-038.oar