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Cyclic Loading Effect on Color Stability of Unshaded versus Shaded Zirconia
Author(s) -
Spyropoulou PanagiotaEirini,
Kamposiora Phophi,
Eliades George,
Papavasiliou George,
Razzoog Michael E.,
Bayne Stephen C.
Publication year - 2015
Publication title -
journal of esthetic and restorative dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.919
H-Index - 60
eISSN - 1708-8240
pISSN - 1496-4155
DOI - 10.1111/jerd.12176
Subject(s) - cubic zirconia , materials science , composite material , ceramic
Statement of Problem Shaded versions of dental zirconia may improve initial color matching to teeth, but might change color with cyclic mechanical loading. Purpose The purpose of this study was to measure the color of unshaded and shaded zirconia dental ceramic before and after cyclic mechanical loading and calculate color differences (ΔE). Material and Methods Disk‐shaped specimens ( N = 30, Nobel P rocera, 0.8 mm thick, 12 mm diameter) of unshaded or shaded zirconia (intrinsically shaded by small oxide modifications) were fabricated by the Nobel Biocare using standard CAD‐CAM processing. Milled surfaces were polished. CIE L*a*b* values were measured (Konica Minolta spectrophotometer) before and after mechanical cycling (custom modified Leinfelder test machine, biaxial flexure loading, load = 80 N × 500,000 cycles, dry), and L*a*b* individual differences and ΔE color differences were calculated and compared ( ANOVA , p < 0.05). Results Mean L*a*b* values for the unshaded group before (U1 = 86.165, −0.887, 0.372) and after (U2 = 84.860, −0.805, 0.097) cyclic loading were compared to the shaded group before (S1 = 75.281, −0.679, 23.251) and after (S2 = 74.961, −1.233, 22.439) cyclic loading. All color variables for both unshaded and shaded groups were significantly different between before and after cyclic loading (p < .004) except for the L* value of the shaded group. The ΔE for unshaded (1.441 ± 0.495) versus shaded (1.252 ± 0.363) were statistically different but clinically the change would not be detectable at this point. Conclusions The color of the unshaded and shaded zirconia specimens was influenced by cyclic loading (p < 0.05). Color changes were detectable but small at levels up to 500,000 cycles, and remained clinically acceptable at that point. Clinical Significance It is important to acknowledge any possible color changes that might occur in zirconia restorations, especially in the esthetic zone. Minor color changes that are individually imperceptible to the human eye within different restorative components may be compounded to produce clinically significant color change that is not aesthetically acceptable.