Intraoral low-temperature degradation of monolithic zirconia dental prostheses: Results of a prospective clinical study with ex vivo monitoring

KOENIG, Vinciane; BEKAERT, Sandrine; DUPONT, Nathalie; VANHEUSDEN, Alain; Le Goff, Stéphane; Douillard, Thierry; Chevalier, Jérôme; Djaker, Nadia; Lamy de la Chapelle, Marc; Amiard, Frédéric; Dardenne, Nadia; Wulfman, Claudine; MAINJOT, Amélie

doi:10.1016/j.dental.2021.03.008

Article (Scientific journals)

Intraoral low-temperature degradation of monolithic zirconia dental prostheses: Results of a prospective clinical study with ex vivo monitoring

KOENIG, Vinciane; BEKAERT, Sandrine; DUPONT, Nathalie et al.

2021 • In Dental Materials

Peer Reviewed verified by ORBi

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https://hdl.handle.net/2268/259541

DOI
10.1016/j.dental.2021.03.008

PubMed
33858665

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Keywords :

3Y-TZP; computer-aided design/computer-aided manufacturing; Raman spectroscopy; t-m transformation; aging; biomaterials

Abstract :

[en] Objectives: To investigate the intraoral development and kinetics of low-temperature degradation (LTD) in second-generation 3 mol.% yttria-doped tetragonal zirconia polycrystal (3Y-TZP) monolithic prostheses, as well as the influence of masticatory mechanical stress and glaze layer on it. Methods: A total of 101 posterior tooth elements were included in a prospective clinical study, which included ex vivo LTD monitoring (at baseline, 6 months, 1 year, and 2 years) using Raman spectroscopy (n=2640 monoclinic phase measurement points per evaluation time) and SEM. Four types of areas (1–2 mm2 surface, 6 on molars, and 4 on premolars) were analyzed on each element surface: occlusal, axial, glazed, or unglazed. Raman depth mapping and high-resolution SEM were performed on the selected samples. Results: LTD developed in 3Y-TZP monolithic restorations 6 months after intraoral placement and progressed with time. After two years, the tetragonal-to-monoclinic transformation was non-uniform, with the presence of localized clusters of transformed grains. In axial areas, the grain aspect was typical of the classical nucleation-growth process reported for LTD, which progresses from the surface to a depth of several tens of microns. However, in occlusal areas, tribological stress generated surface crushing and grain pull-out from the clusters, which induced an underestimation of the aging process when the evaluation was limited to monoclinic phase quantification. Glazing cannot be considered a protection against LTD. Significance: If LTD occurs in dental prostheses in the same way as in orthopedic prostheses, its clinical impact is unknown and needs to be further studied.

Research Center/Unit :

d‐BRU - Dental Biomaterials Research Unit - ULiège

Disciplines :

Dentistry & oral medicine

Author, co-author :

KOENIG, Vinciane ; Centre Hospitalier Universitaire de Liège - CHU > Département de dentisterie > Service prothèse fixée

BEKAERT, Sandrine ; Centre Hospitalier Universitaire de Liège - CHU > Département de dentisterie > Service prothèse fixée

DUPONT, Nathalie ; Centre Hospitalier Universitaire de Liège - CHU > Département de dentisterie > Service prothèse fixée

VANHEUSDEN, Alain ; Centre Hospitalier Universitaire de Liège - CHU > Département de dentisterie > Service prothèse fixée

Le Goff, Stéphane

Douillard, Thierry

Chevalier, Jérôme

Djaker, Nadia

Lamy de la Chapelle, Marc

Amiard, Frédéric

More authors (3 more)

Language :

English

Title :

Intraoral low-temperature degradation of monolithic zirconia dental prostheses: Results of a prospective clinical study with ex vivo monitoring

Publication date :

April 2021

Journal title :

Dental Materials

ISSN :

0109-5641

eISSN :

1879-0097

Publisher :

Elsevier, Netherlands

Peer reviewed :

Peer Reviewed verified by ORBi

Available on ORBi :

since 03 May 2021

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