Acta Med. 2024, 67: 39-45

https://doi.org/10.14712/18059694.2024.18

Zirconia Ceramics

Bedirhan Savas Yigita, Marwan Al-Akkada, Radek Mounajjeda,b

aInstitute of Dentistry and Oral Sciences, Palacky University Olomouc, Olomouc, Czech Republic
bPrivate Clinician, DCM Clinic, Hradec Králové, Czech Republic

Received June 19, 2024
Accepted August 25, 2024

References

1. Mao L, Kaizer MR, Zhao M, Guo B, Song YF, Zhang Y. Graded Ultra-Translucent Zirconia (5Y-PSZ) for Strength and Functionalities. J Dent Res. 2018 Oct; 97(11): 1222–8. <https://doi.org/10.1177/0022034518771287> <PubMed>
2. Kumar M, Razdan S, Sharma A. An Overview of Zirconia and its Application in Dentistry. Dent J Adv Stud. 2016 Apr; 04(01): 001–7.
3. Pilathadka S, Vahalová D, Vosáhlo T. The Zirconia: a new dental ceramic material. An overview. Prague Med Rep. 2007; 108(1): 5–12.
4. Vagkopoulou T, Koutayas SO, Koidis P, Strub JR. Zirconia in dentistry: Part 1. Discovering the nature of an upcoming bioceramic. Eur J Esthet Dent. 2009; 4(2): 130–51.
5. Saridag S, Tak O, Alniacik G. Basic properties and types of zirconia: An overview. WJS. 2013; 2(3): 40. <https://doi.org/10.5321/wjs.v2.i3.40>
6. Alqutaibi AY, Ghulam O, Krsoum M, Binmahmoud S, Taher H, Elmalky W, et al. Revolution of Current Dental Zirconia: A Comprehensive Review. Molecules. 2022 Mar 4; 27(5): 1699. <https://doi.org/10.3390/molecules27051699> <PubMed>
7. Garvie RC, Hannink RH, Pascoe RT. Ceramic steel? Nature. 1975 Dec; 258(5537): 703–4. <https://doi.org/10.1038/258703a0>
8. Kelly J, Denry I. Stabilized zirconia as a structural ceramic: An overview. Dent Mater. 2008 Mar; 24(3): 289–98. <https://doi.org/10.1016/j.dental.2007.05.005>
9. Ali S, Karthigeyan S, Deivanai M, Mani R. Zirconia Properties and Application – A Review. Pak Oral Dental J. 2014 Jan 1; 34: 178–83.
10. Zhang Y, Lawn BR. Novel Zirconia Materials in Dentistry. J Dent Res. 2018 Feb; 97(2): 140–7. <https://doi.org/10.1177/0022034517737483> <PubMed>
11. Denry I, Kelly J. State of the art of zirconia for dental applications. Dent Mater. 2008 Mar; 24(3): 299–307. <https://doi.org/10.1016/j.dental.2007.05.007>
12. Piconi C, Maccauro G. Zirconia as a ceramic biomaterial. Biomaterials. 1999 Jan; 20(1): 1–25. <https://doi.org/10.1016/S0142-9612(98)00010-6>
13. Zarone F, Di Mauro MI, Ausiello P, Ruggiero G, Sorrentino R. Current status on lithium disilicate and zirconia: a narrative review. BMC Oral Health. 2019 Dec; 19(1): 134. <https://doi.org/10.1186/s12903-019-0838-x> <PubMed>
14. Passerini L. Isomorphism among oxides of different tetravalentmetals: CeO2-ThO2; CeO2-ZrO2; CeO2-HfO2. Gazzet Chim Ital. 1939; 60: 762–776.
15. Ruff O, Ebert F. Refractory ceramics: I. The forms of zirkonium dioxide. Z Anorg Allg Chem. 1929; 180: 19–41. <https://doi.org/10.1002/zaac.19291800104>
16. Lughi V, Sergo V. Low temperature degradation -aging- of zirconia: A critical review of the relevant aspects in dentistry. Dent Mater. 2010 Aug; 26(8): 807–20. <https://doi.org/10.1016/j.dental.2010.04.006>
17. Kovalský T, Voborná I, Míšová E, Rosa M, Polanská V, Hepová M, et al. Zirconia Ceramics: Properties and Classification. ČSPZL. 2022 Mar 1; 122(1): 11–6. <https://doi.org/10.51479/cspzl.2022.002>
18. Ban S. Classification and Properties of Dental Zirconia as Implant Fixtures and Superstructures. Materials. 2021 Aug 27; 14(17): 4879. <https://doi.org/10.3390/ma14174879> <PubMed>
19. Manicone PF, Rossi Iommetti P, Raffaelli L. An overview of zirconia ceramics: Basic properties and clinical applications. J Dent. 2007 Nov; 35(11): 819–26. <https://doi.org/10.1016/j.jdent.2007.07.008>
20. Lin H, Yin C, Mo A. Zirconia Based Dental Biomaterials: Structure, Mechanical Properties, Biocompatibility, Surface Modification, and Applications as Implant. Front Dent Med. 2021 Aug 3; 2: 689198. <https://doi.org/10.3389/fdmed.2021.689198>
21. Sharanraj V, Ramesha CM, Kavya K, Kumar V, Sadashiva M, Chandan BR, et al. Zirconia: as a biocompatible biomaterial used in dental implants. Adv Appl Ceram. 2021 Feb 17; 120(2): 63–8. <https://doi.org/10.1080/17436753.2020.1865094>
22. Gautam C, Joyner J, Gautam A, Rao J, Vajtai R. Zirconia based dental ceramics: structure, mechanical properties, biocompatibility and applications. Dalton Trans. 2016; 45(48): 19194–215. <https://doi.org/10.1039/C6DT03484E>
23. Bona A, Pecho O, Alessandretti R. Zirconia as a Dental Biomaterial. Materials. 2015 Aug 4; 8(8): 4978–91. <https://doi.org/10.3390/ma8084978> <PubMed>
24. Lohmann CH, Dean DD, Köster G, Casasola D, Buchhorn GH, Fink U, et al. Ceramic and PMMA particles differentially affect osteoblast phenotype. Biomaterials. 2002 Apr; 23(8): 1855–63. <https://doi.org/10.1016/S0142-9612(01)00312-X>
25. Raigrodski AJ, Hillstead MB, Meng GK, Chung KH. Survival and complications of zirconia-based fixed dental prostheses: A systematic review. J Prosthet Dent. 2012 Mar; 107(3): 170–7. <https://doi.org/10.1016/S0022-3913(12)60051-1>
26. Sorrentino R, Navarra CO, Di Lenarda R, Breschi L, Zarone F, Cadenaro M, et al. Effects of Finish Line Design and Fatigue Cyclic Loading on Phase Transformation of Zirconia Dental Ceramics: A Qualitative Micro-Raman Spectroscopic Analysis. Materials. 2019 Mar 14; 12(6): 863. <https://doi.org/10.3390/ma12060863> <PubMed>
27. Camposilvan E, Leone R, Gremillard L, Sorrentino R, Zarone F, Ferrari M, et al. Aging resistance, mechanical properties and translucency of different yttria-stabilized zirconia ceramics for monolithic dental crown applications. Dent Mater J. 2018 Jun; 34(6): 879–90. <https://doi.org/10.1016/j.dental.2018.03.006>
28. Mota YA, Cotes C, Carvalho RF, Machado JPB, Leite FPP, Souza ROA, et al. Monoclinic phase transformation and mechanical durability of zirconia ceramic after fatigue and autoclave aging: MECHANICAL DURABILITY OF ZIRCONIA AFTER AGING. J Biomed Mater Res. 2017 Oct; 105(7): 1972–7. <https://doi.org/10.1002/jbm.b.33720>
29. Ferrari M, Vichi A, Zarone F. Zirconia abutments and restorations: From laboratory to clinical investigations. Dent Mater J. 2015 Mar; 31(3): e63–76. <https://doi.org/10.1016/j.dental.2014.11.015>
30. Wille S, Zumstrull P, Kaidas V, Jessen LK, Kern M. Low temperature degradation of single layers of multilayered zirconia in comparison to conventional unshaded zirconia: Phase transformation and flexural strength. Journal of the Mechanical Behavior of Biomedical Materials. 2018 Jan; 77: 171–5. <https://doi.org/10.1016/j.jmbbm.2017.09.010>
31. Stawarczyk B, Keul C, Eichberger M, Figge D, Edelhoff D, Lümkemann N. Three generations of zirconia: From veneered to monolithic. Part I. Quintessence International. 2017 Apr 18; 48(5): 369–80.
32. Ioannidis A, Park J, Hüsler J, Bomze D, Mühlemann S, Özcan M. An in vitro comparison of the marginal and internal adaptation of ultrathin occlusal veneers made of 3D-printed zirconia, milled zirconia, and heat-pressed lithium disilicate. J Prosthet Dent. 2022 Oct; 128(4): 709–15. <https://doi.org/10.1016/j.prosdent.2020.09.053>
33. Jockusch J, Özcan M. Additive manufacturing of dental polymers: An overview on processes, materials and applications. Dent Mater J. 2020 May 27; 39(3): 345–54. <https://doi.org/10.4012/dmj.2019-123>
34. Dewan H. Clinical Effectiveness of 3D-Milled and 3D-Printed Zirconia Prosthesis—A Systematic Review and Meta-Analysis. Biomimetics. 2023 Aug 27; 8(5): 394. <https://doi.org/10.3390/biomimetics8050394> <PubMed>
35. Khanlar L, Barmak A, Oh Y, Mendha U, Yared S, Zandinejad A. Marginal and internal discrepancies associated with carbon digital light synthesis additively manufactured interim crowns. J Prosthet Dent. 2023 Jul; 130(1): 108.e1–108.e6. <https://doi.org/10.1016/j.prosdent.2023.04.007>
36. Pang Z, Chughtai A, Sailer I, Zhang Y. A fractographic study of clinically retrieved zirconia-ceramic and metal-ceramic fixed dental prostheses. Dent Mater J. 2015 Oct; 31(10): 1198–206. <https://doi.org/10.1016/j.dental.2015.07.003> <PubMed>
37. Kongkiatkamon S, Rokaya D, Kengtanyakich S, Peampring C. Current classification of zirconia in dentistry: an updated review. Peer J. 2023 Jul 14; 11: e15669. <https://doi.org/10.7717/peerj.15669> <PubMed>
38. Tong H, Tanaka CB, Kaizer MR, Zhang Y. Characterization of three commercial Y-TZP ceramics produced for their High-Translucency, High-Strength and High-Surface Area. Ceram Int. 2016 Jan; 42(1): 1077–85. <https://doi.org/10.1016/j.ceramint.2015.09.033> <PubMed>
39. Arellano Moncayo AM, Peñate L, Arregui M, Giner-Tarrida L, Cedeño R. State of the Art of Different Zirconia Materials and Their Indications According to Evidence-Based Clinical Performance: A Narrative Review. Dent J. 2023 Jan 4; 11(1): 18. <https://doi.org/10.3390/dj11010018> <PubMed>
40. Vardhaman S, Borba M, Kaizer MR, Kim D, Zhang Y. Wear behavior and microstructural characterization of translucent multilayer zirconia. Dent Mater J. 2020 Nov; 36(11): 1407–17. <https://doi.org/10.1016/j.dental.2020.08.015> <PubMed>
41. Kolakarnprasert N, Kaizer MR, Kim DK, Zhang Y. New multi-layered zirconias: Composition, microstructure and translucency. Dent Mater J. 2019 May; 35(5): 797–806. <https://doi.org/10.1016/j.dental.2019.02.017> <PubMed>
42. Alves MFRP, Abreu LG, Klippel GGP, Santos C dos, Strecker K. Mechanical properties and translucency of a multi-layered zirconia with color gradient for dental applications. Ceram Int. 2021; 47: 301–9. <https://doi.org/10.1016/j.ceramint.2020.08.134>
43. 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 Jan; 127(1): 141–5. <https://doi.org/10.1016/j.prosdent.2020.11.009>
44. Comino-Garayoa R, Peláez J, Tobar C, Rodríguez V, Suárez MJ. Adhesion to Zirconia: A Systematic Review of Surface Pretreatments and Resin Cements. Materials. 2021 May 22; 14(11): 2751. <https://doi.org/10.3390/ma14112751> <PubMed>
45. Scaminaci Russo D, Cinelli F, Sarti C, Giachetti L. Adhesion to Zirconia: A Systematic Review of Current Conditioning Methods and Bonding Materials. Dent J. 2019 Aug 1; 7(3): 74. <https://doi.org/10.3390/dj7030074> <PubMed>
46. Sulaiman TA, Altak A, Abdulmajeed A, Rodgers B, Lawson N. Cleaning Zirconia Surface Prior To Bonding: A Comparative Study of Different Methods and Solutions. J Prosthodont. 2022 Mar; 31(3): 239–44. <https://doi.org/10.1111/jopr.13389>
47. Hajjaj MS, Alzahrani SJ. Effect of Different Cleaning Methods on Shear Bond Strength of Resin Cement to Contaminated Zirconia. Materials. 2022 Jul 21; 15(14): 5068. <https://doi.org/10.3390/ma15145068> <PubMed>
48. Noronha MDS, Fronza BM, André CB, De Castro EF, Soto‐Montero J, Price RB, et al. Effect of zirconia decontamination protocols on bond strength and surface wettability. J Esthet Restor Dent. 2020 Jul; 32(5): 521–9. <https://doi.org/10.1111/jerd.12615>
49. Ivoclar Vivadent A. Ivoclean: Scientific Documentation. 2011.
50. Tian F, Londono J, Villalobos V, Pan Y, Ho HX, Eshera R, et al. Effectiveness of different cleaning measures on the bonding of resin cement to saliva-contaminated or blood-contaminated zirconia. J Dent. 2022 May; 120: 104084. <https://doi.org/10.1016/j.jdent.2022.104084>
51. Yenisey M, Dede DÖ, Rona N. Effect of surface treatments on the bond strength between resin cement and differently sintered zirconium-oxide ceramics. J Prosthodont Res. 2016 Jan; 60(1): 36–46. <https://doi.org/10.1016/j.jpor.2015.09.001>
52. Zhang Y, Lawn BR, Rekow ED, Thompson VP. Effect of sandblasting on the long‐term performance of dental ceramics. J Biomed Mater Res. 2004 Nov 15; 71B(2): 381–6. <https://doi.org/10.1002/jbm.b.30097>
53. Alammar A, Blatz MB. The resin bond to high‐translucent zirconia – A systematic review. J Esthet Restor Dent. 2022 Jan; 34(1): 117–35. <https://doi.org/10.1111/jerd.12876>
54. Ozcan M. Air Abrasion of Zirconia Resin-bonded Fixed Dental Prostheses Prior to Adhesive Cementation: Why and How? J Adhes Dent. 2013 Aug 7; 15(4): 394–394.
55. Blatz MB, Alvarez M, Sawyer K, Brindis M. How to Bond Zirconia: The APC Concept. Compend Contin Educ Dent. 2016 Oct; 37(9): 611–7; quiz 618.
56. Khanlar LN, Takagaki T, Abdou A, Inokoshi M, Ikeda M, Takahashi A, et al. Effect of Air‐Particle Abrasion Protocol and Primer on The Topography and Bond Strength of a High‐Translucent Zirconia Ceramic. J Prosthodont. 2022 Mar; 31(3): 228–38. <https://doi.org/10.1111/jopr.13372>
57. Mehari K, Parke AS, Gallardo FF, Vandewalle KS. Assessing the Effects of Air Abrasion with Aluminum Oxide or Glass Beads to Zirconia on the Bond Strength of Cement. J Contemp Dent Pract. 2020 Jul 1; 21(7): 713–7.
58. Khan AA, Mohamed BA, Mirza EH, Syed J, Divakar DD, Vallittu PK. Surface wettability and nano roughness at different grit blasting operational pressures and their effects on resin cement to zirconia adhesion. Dent Mater J. 2019 May 29; 38(3): 388–95. <https://doi.org/10.4012/dmj.2018-137>
59. Nagaoka N, Yoshihara K, Tamada Y, Yoshida Y, Meerbeek BV. Ultrastructure and bonding properties of tribochemical silica-coated zirconia. Dent Mater J. 2019 Jan 28; 38(1): 107–13. <https://doi.org/10.4012/dmj.2017-397>
60. Sciasci P, Abi-Rached FO, Adabo GL, Baldissara P, Fonseca RG. Effect of surface treatments on the shear bond strength of luting cements to Y-TZP ceramic. J Prosthet Dent. 2015 Mar; 113(3): 212–9. <https://doi.org/10.1016/j.prosdent.2014.09.012>
61. Aboushelib MN. Fusion Sputtering for Bonding to Zirconia-based Materials. J Adhes Dent. 2012 Aug 15; 14(4): 323–8.
62. Ali N, Safwat A, Aboushelib M. The effect of fusion sputtering surface treatment on microshear bond strength of zirconia and MDP-containing resin cement. Dent Mater J. 2019 Jun; 35(6): e107–12. <https://doi.org/10.1016/j.dental.2019.02.013>
63. Ma G. Bonding to Zirconia (A Systematic Review). OAJDS [Internet]. 2016 [cited 2023 Dec 3]; 1(1). Available from: https://medwinpublishers.com/OAJDS/OAJDS16000102.php?id=14.
64. Abdelnaby M, El-Etreby A, Aboushelib M, Abdelghany O. Effect of Different Surface Treatments on Bond Strength to Tetragonal and Cubic Zirconia. Futur Dent J. 2020 Jul 1; 6.
65. Çakırbay Tanış M, Akay C, Şen M. Effect of selective infiltration etching on the bond strength between zirconia and resin luting agents. J Esthet Restor Dent. 2019 May; 31(3): 257–62. <https://doi.org/10.1111/jerd.12441>
66. Aboushelib MN, Kleverlaan CJ, Feilzer AJ. Selective infiltration-etching technique for a strong and durable bond of resin cements to zirconia-based materials. J Prosthet Dent. 2007 Nov; 98(5): 379–88. <https://doi.org/10.1016/S0022-3913(07)60123-1>
67. Saade J, Skienhe H, Ounsi H, Matinlinna JP, Salameh Z. Evaluation of The Effect of Different Surface Treatments, Aging and Enzymatic Degradation on Zirconia-Resin Micro-Shear Bond Strength. CCIDE. 2020 Jan; Volume 12: 1–8.
68. Salem R, Naggar GE, Aboushelib M, Selim D. Microtensile Bond Strength of Resin-bonded Hightranslucency Zirconia Using Different Surface Treatments. J Adhes Dent. 2016 Jun 23; 18(3): 191–6.
69. Esteves-Oliveira M, Jansen P, Wehner M, et al. Surface Characterization and Short-term Adhesion to Zirconia after Ultra-short Pulsed Laser Irradiation. J Adhes Dent. 2017 Jan 3; 18(6): 483–92.
70. Tzanakakis EGC, Beketova A, Papadopoulou L, Kontonasaki E, Tzoutzas IG. Novel Femto Laser Patterning of High Translucent Zirconia as an Alternative to Conventional Particle Abrasion. Dent J. 2021 Feb 8; 9(2): 20. <https://doi.org/10.3390/dj9020020> <PubMed>
71. Ghoveizi R, Parsirad R, Tavakolizadeh S, Beyabanaki E. Effect of Different Nd: YAG Laser Power Outputs on Bond Strength of Resin Cement to Zirconia in Comparison to Sandblasting. J Lasers Med Sci. 2021 Feb 16; 12: e6. <https://doi.org/10.34172/jlms.2021.06> <PubMed>
72. Saleh N, Guven M, Yildirim G, Erol F. Effect of different surface treatments and ceramic primers on shear bond strength of self-adhesive resin cement to zirconia ceramic. Niger J Clin Pract. 2019; 22(3): 335.
73. Yoshida K. Influence of cleaning methods on resin bonding to saliva‐contaminated zirconia. J Esthet Restor Dent. 2018 May; 30(3): 259–64. <https://doi.org/10.1111/jerd.12369>
74. Lee Y, Oh KC, Kim NH, Moon HS. Evaluation of Zirconia Surfaces after Strong-Acid Etching and Its Effects on the Shear Bond Strength of Dental Resin Cement. Int J Dent. 2019 Jul 1; 2019: 1–8. <https://doi.org/10.1155/2019/3564275> <PubMed>
75. Mavroudakis E, Cuccato D, Moscatelli D. Determination of Reaction Rate Coefficients in Free-Radical Polymerization Using Density Functional Theory. In: Computational Quantum Chemistry [Internet]. Elsevier; 2019 [cited 2023 Apr 12]: p. 47–98.
76. Carrilho E, Cardoso M, Marques Ferreira M, Marto C, Paula A, Coelho A. 10-MDP Based Dental Adhesives: Adhesive Interface Characterization and Adhesive Stability – A Systematic Review. Materials. 2019 Mar 7; 12(5): 790. <https://doi.org/10.3390/ma12050790> <PubMed>
77. Güth JF, Stawarczyk B, Edelhoff D, Liebermann A. Zirconia and its novel compositions: What do clinicians need to know? Quintessence Int. 2019 Jun 14; 50(7): 512–20.
78. Ghodsi S, Arzani S, Shekarian M, Aghamohseni M. Cement selection criteria for full coverage restorations: A comprehensive review of literature. J Clin Exp Dent. 2021; e1154–61. <https://doi.org/10.4317/jced.58671> <PubMed>
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