Effect of Cement and Abutment Colors on Esthetic Outcomes of Highly Translucent Multilayered Monolithic Zirconia crowns
Keywords:
Abutment color, Cement color, Color difference, Esthetics, Masking abilityAbstract
Objective: To identify appropriate abutment–cement combinations for color matching of 1.2 mm-thick, A2 shade, highly translucent multilayered monolithic zirconia (HTMMZ) crowns. Material and Methods: Abutments of A2 composite resin, A4 composite resin, and metal were fabricated along with seven 1.2 mm-thick, A2 shade HTMMZ crowns. Three try-in pastes (clear, universal, and opaque) were used as luting agents. Abutment-cement combination specimens were prepared by luting each crown on each abutment type using one of each luting agents. All specimens were assessed using spectrophotometry and then compared with the Katana A2 shade tab (control) to establish the color difference. A color difference of < 2.7 was necessary to be considered clinically acceptable. The data obtained were statistically analyzed using two-way ANOVA followed by post hoc Tukey’s test (α = 0.05). Results: Abutment and cement colors and their interaction affected ΔEab (p < 0.05). The A2 abutment-clear cement, A2 abutment-universal cement, A4 abutment-clear cement, and A4 abutment-universal cement groups showed the lowest values almost reached an acceptable color match. Unacceptable color matches were observed in all the cement and abutment groups. Conclusions: For the A2 and A4 abutment, crowns luted with universal cement almost reached a clinically acceptable color match. And for the silver-palladium metal abutment, crowns luted with opaque cement showed lower ΔEab value compared to clear and universal cement.Downloads
References
Piconi C, Maccauro G. Zirconia as a ceramic biomaterial. Biomaterials. 1999;20(1):1-25.
Christensen GJ: Choosing an all-ceramic restorative material: porcelain-fused-to-metal or zirconia-based?. J Am Dent Assoc. 2007;138(5):662-5.
Zhang Y, Lee JJ, Srikanth R, Lawn BR. Edge chipping and flexural resistance of monolithic ceramics. Dent Mater. 2013;29(12):1201-8.
Sailer I, Fehér A, Filser F, Gauckler LJ, Lüthy H, Hämmerle CH. Five-year clinical results of zirconia frameworks for posterior fixed partial dentures. Int J Prosthodont. 2007;20(4):383-8.
Raigrodski AJ, Chiche GJ, Potiket N, Hochstedler JL, Mohamed SE, Billiot S, Mercante DE. The efficacy of posterior three-unit zirconiumoxide-based ceramic fixed partial dental prostheses: a prospective clinical pilot study. J Prosthet Dent. 2006;96(4):237-44.
Ghodsi S, Jafarian Z. A review on translucent zirconia. Eur J Prosthodont Restor Dent. 2018;26(2):62-74.
Erdelt K, Pinheiro Dias Engler ML, Beuer F, Güth JF, Liebermann A, Schweiger J. Computable translucency as a function of thickness in a multi-layered zirconia. J Prosthet Dent. 2019;121(4):683-9.
Kontonasaki E, Rigos AE, Ilia C, Istantsos T. Monolithic zirconia: an update to current knowledge. optical properties, wear, and clinical performance. Dent J. 2019;7:90. doi:10.3390/dj7030090.
Agustín-Panadero R, Román-Rodríguez JL, Ferreiroa A, Solá-Ruíz MF, Fons-Font A. Zirconia in fixed prosthesis. A literature review. J Clin Exp Dent. 2014;6(1):e66-73. doi: 10.4317/jced.51304.
Chu FC, Chow TW, Chai J. Contrast ratios and masking ability of three types of ceramic veneers. J Prosthet Dent. 2007;98(5):359-64.
Kürklü D, Azer SS, Yilmaz B, Johnston WM. Porcelain thickness and cement shade effects on the colour and translucency of porcelain veneering materials. J Dent. 2013;41(11):1043-50.
Lepe X, Streiff KR, Johnson GH. Longterm retention of zirconia crowns cemented with current automixed cements. J Prosthet Dent. 2021;125(5):788-94.
Vaz EC, Vaz MM, de Torres ÉM, de Souza JB, Barata TJE, Lopes LG. Resin cement: correspondence with try-in paste and influence on the immediate final color of veneers. J Prosthodont. 2019;28(1):e74-e81. doi: 10.1111/jopr.12728.
Daneshpooy M, Pournaghi Azar F, Alizade Oskoee P, Bahari M, Asdagh S, Khosravani SR. Color agreement between try-in paste and resin cement: Effect of thickness and regions of ultra-translucent multilayered zirconia veneers. J Dent Res Dent Clin Dent Prospects. 2019;13(1):61-7.
Dozić A, Kleverlaan CJ, El-Zohairy A, Feilzer AJ, Khashayar G. Performance of five commercially available tooth color-measuring devices. J Prosthodont. 2007;16(2):93-100.
Paul S, Peter A, Pietrobon N, Hämmerle CH. Visual and spectrophotometric shade analysis of human teeth. J Dent Res. 2002;81(8):578-82.
Johnston WM: Color measurement in dentistry. J Dent. 2009:37(Suppl 1):e2-6. doi: 10.1016/j.jdent.2009.03.011.
Paravina RD, Pérez MM, Ghinea R. Acceptability and perceptibility thresholds in dentistry: A comprehensive review of clinical and research applications. J Esthet Restor Dent. 2019;31(2):103-112.
Bayindir F, Koseoglu M. The effect of restoration thickness and resin cement shade on the color and translucency of a high-translucency monolithic zirconia. J Prosthet Dent. 2020;123(1):149-54.
Tabatabaian F, Motamedi E, Sahabi M, Torabzadeh H, Namdari M. Effect of thickness of monolithic zirconia ceramic on final color. J Prosthet Dent. 2018;120(2):257-62.
Kim HK, Kim SH, Lee JB, Han JS, Yeo IS, Ha SR. Effect of the amount of thickness reduction on color and translucency of dental monolithic zirconia ceramics. J Adv Prosthodont. 2016;8(1):37-42.
Kang CM, Peng TY, Huang HH. Effects of thickness of different types of high-translucency monolithic multilayer precolored zirconia on color accuracy: An in vitro study. J Prosthet Dent. 2021;126(4):587.e1-587.e8. doi: 10.1016/j.prosdent. 2021.07.011.
Tabatabaian F, Karimi M, Namdari M. Color match of high translucency monolithic zirconia restorations with different thicknesses and backgrounds. J Esthet Restor Dent. 2020;32(6):615-21.
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-e263. doi: 10.4317/jced.56425.
Miura S, Tsukada S, Fujita T, Isogai T, Teshigawara D, Saito-Murakami K, et al. Effects of abutment tooth and luting agent colors on final color of high-translucent zirconia crowns. J Prosthodont Res. 2022;66(2):243-9.
Paravina RD, Ghinea R, Herrera LJ, Bona AD, Igiel C, Linninger M, et al. Color difference thresholds in dentistry. J Esthet Restor Dent. 2015;27(Suppl 1):S1-9. doi: 10.1111/jerd.12149.
Juntavee N, Kornrum S. Effect of marginal designs on fracture strength of high translucency monolithic zirconia crowns. Int J Dent. 2020(1):1-10. doi:10.1155/2020/8875609.
Prott LS, Spitznagel FA, Bonfante EA, Malassa MA, Gierthmuehlen PC. Monolithic zirconia crowns: effect of thickness reduction on fatigue behavior and failure load. J Adv Prosthodont. 2021;13(5):269-80.
Zhang Y, Lawn BR. Novel zirconia materials in dentistry. J Dent Res 2018;97(2):140–47.
Skjold A, Schriwer C, Gjerdet NR, Oilo M. Effect of artificial aging on high translucent dental zirconia: simulation of early failure. Eur J Oral Sci. 2020;128(6):526-34.
Rosentritt M, Preis V, Behr M, Strasser T. Fatigue and wear behaviour of zirconia materials. J Mech Behav Biomed Mater. 2020:110:103970. doi: 10.1016/j.jmbbm.2020.103970.
Sunico-Segarra M, Segarra A. A Practical Clinical Guide to Resin Cements. Berlin, Heidelberg: Springer-Verlag; 2015.
Vichi A, Ferrari M, Davidson CL. Influence of ceramic and cement thickness on the masking of various types of opaque posts. J Prosthet Dent. 2000;83(4):412-7.
Heffernan MJ, Aquilino SA, Diaz-Arnold AM, Haselton DR, Stanford CM, Vargas MA. Relative translucency of six all-ceramic systems. Part I: core materials. J Prosthet Dent. 2002;88(1):4-9.
Kang CM, Peng TY, Shimoe S. Color accuracy of different types of monolithic multilayer precolored zirconia ceramics. J Prosthet Dent. 2020;124(6):789.e1-789.e7. doi: 10.1016/j.prosdent.2020.04.026.
Zenthöfer A, Wiesberg S, Hildenbrandt A, Reinelt G, Rammelsberg P, Hassel AJ. Selecting VITA classical shades with the VITA 3D-master shade guide. Int J Prosthodont. 2014;27(4):376-82.
Rosentritt M, Preis V, Schmid A, Strasser T. Multilayer zirconia: Influence of positioning within blank and sintering conditions on the in vitro performance of 3-unit fixed partial dentures. J Prosthet Dent. 2022;127(1):141-5.
Dai S, Chen C, Tang M, Chen Y, Yang L, He F, et al. Choice of resin cement shades for a high-translucency zirconia product to mask dark, discolored or metal substrates. J Adv Prosthodont. 2019;11(5):286-96.
Khashayar G, Bain PA, Salari S, Dozic A, Kleverlaan CJ, Feilzer AJ. Perceptibility and acceptability thresholds for colour differences in dentistry. J Dent. 2014;42(6):637-44.
Douglas RD, Steinhauer TJ, Wee AG. Intraoral determination of the tolerance of dentists for perceptibility and acceptability of shade mismatch. J Prosthet Dent. 2007;97(4):200-8.
Tabatabaian F, Bakhshaei D, Namdari M. Effect of resin cement brand on the color of zirconia-based restorations. J Prosthodont. 2020;29(4):350-5.
Bacchi A, Boccardi S, Alessandretti R, Pereira GKR. Substrate masking ability of bilayer and monolithic ceramics used for complete crowns and the effect of association with an opaque resin-based luting agent. J Prosthodont Res 2019;63(3):321-6.
Tabatabaian F, Khaledi Z, Namdari M. Effect of ceramic thickness and cement type on the color match of high-translucency monolithic zirconia restorations. Int J Prosthodont. 2021;34(3):334–40.
Zhang F, Vanmeensel K, Batuk M, Hadermann J, Inokoshi M, Van Meerbeek B, et al. Highly-translucent, strong and aging-resistant 3Y-TZP ceramics for dental restoration by grain
boundary segregation. Acta Biomater. 2015;16:215-22.
Zhang Y. Making yttria-stabilized tetragonal zirconia translucent. Dent Mater. 2014;30(10):1195-203.
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เจ้าของบทความต้องมอบลิขสิทธิ์ในการตีพิมพ์แก่วิทยาสาร โดยเขียนเป็นลายลักษณ์อักษรแนบมาพร้อมบทความที่ส่งมาตีพิมพ์ ตามแบบฟอร์ม "The cover letter format" รวมทั้งต้องมีลายมือชื่อของผู้เขียนทุกท่านรับรองว่าบทความดังกล่าวส่งมาตีพิมพ์ที่วิทยาสารนี้แห่งเดียวเท่านั้น
