含钇氧化锆材料在口腔临床应用中的研究进展

doi:10.12337/zgkqzzxzz.2024.04.014

中国口腔种植学杂志 ›› 2024, Vol. 29 ›› Issue (2): 184-189.DOI: 10.12337/zgkqzzxzz.2024.04.014

含钇氧化锆材料在口腔临床应用中的研究进展

解海林, 郭雪琪, 王丽萍

广州医科大学附属口腔医院种植科广东省口腔组织修复与重建工程技术研究中心广州市口腔再生医学基础与应用研究重点实验室 510182

收稿日期:2023-10-10 出版日期:2024-04-30 发布日期:2024-05-08
通讯作者: 王丽萍,Email：wangliplj@126.com,电话：020-81261560
作者简介:解海林,医师、硕士研究生,研究方向：口腔种植学;王丽萍,主任医师、教授、博士研究生导师,研究方向：种植软硬组织再生材料与机理;口腔微生物与全身系统性疾病的临床与基础研究;数字化精准种植与口腔颅颌面修复重建

Advances of yttrium-containing zirconia materials in dental clinical applications

Xie Hailin, Guo Xueqi, Wang Liping

Department of Implantology, Affiliated Stomatology Hospital of Guangzhou Medical University, Guangdong Engineering Research Center of Oral Restoration and Reconstruction, Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Guangzhou 510182, Guangdong, China

Received:2023-10-10 Online:2024-04-30 Published:2024-05-08
Contact: Wang Liping, Email: wangliplj@126.com, Tel: 0086-20-81261560

摘要/Abstract

摘要： 与其他稳定类型的氧化锆陶瓷相比,含钇氧化锆陶瓷具有良好的机械和生物学性能,现已广泛应用于口腔种植、修复领域。目前临床上使用的氧化锆陶瓷种类繁多,氧化钇稳定氧化锆陶瓷（yttrium-stabilized tetragonal zirconia polycrystal,Y-TZP）机械性能突出,氧化钇部分稳定氧化锆陶瓷（yttrium-partially stabilized zirconia,Y-PSZ）则具有更优的美学性能,了解不同含钇氧化锆陶瓷的理化性质,有助于医生在临床应用中作出正确选择。本文就不同含钇氧化锆陶瓷的理化性质和临床适应证进行综述,拟为含钇氧化锆陶瓷的研究和开发应用提供参考。

关键词: 氧化钇稳定氧化锆, 氧化钇部分稳定氧化锆陶瓷, 机械性能, 临床应用

Abstract: Yttrium-containing zirconia ceramic (YCZC) has been widely used in field of implant and restorative dentistry. It has good mechanical and biological properties when compared with other types of zirconia ceramics. Different types of zirconia ceramics have been used in clinical application, such as Yttrium-stabilized tetragonal zirconia polycrystal (Y-TZP)with high mechanical properties, and Yttrium-partially stabilized zirconia (Y-PSZ)with high aesthetic properties. Therefore, understanding the physical and chemical properties of different YCZC can improve the clinical success of dental restorations. This article summarizes the available literature concerning the physical and chemical properties of YCZC and their clinical applications in the field of dentistry.

Key words: Yttrium-stabilized tetragonal zirconia polycrystal, Yttrium-partially stabilized zirconia, Mechanical properties, Clinical application

解海林,等郭雪琪,等王丽萍. 含钇氧化锆材料在口腔临床应用中的研究进展[J]. 中国口腔种植学杂志, 2024, 29(2): 184-189. DOI: 10.12337/zgkqzzxzz.2024.04.014

Xie Hailin, Guo Xueqi, Wang Liping. Advances of yttrium-containing zirconia materials in dental clinical applications[J].Chinese Journal of Oral Implantology, 2024, 29(2): 184-189.DOI: 10.12337/zgkqzzxzz.2024.04.014.

参考文献

[1] Bona AD, Pecho OE, Alessandretti R.Zirconia as a Dental Biomaterial[J]. Materials (Basel), 2015, 8(8): 4978-4991.DOI: 10.3390/ma8084978.
[2] Stawarczyk B, Keul C, Eichberger M, et al.Three generations of zirconia: from veneered to monolithic. Part II[J]. Quintessence Int, 2017, 48(6): 441-450.DOI: 10.3290/j.qi.a38157.
[3] Zhang Y, Lawn BR.Novel zirconia materials in dentistry[J]. J Dent Res, 2018,97(2):140-147. DOI: 10.1177/0022034517737483.
[4] Ban S.Classification and properties of dental zirconia as implant fixtures and superstructures[J]. Materials (Basel), 2021, 14(17): 4879.DOI:10.3390/ma14174879.
[5] Ban S.Development and characterization of ultra-high translucent zirconia using new manufacturing technology[J]. Dent Mater J, 2023,42(1):1-10. DOI: 10.4012/dmj.2022-243.
[6] Tanweer N, Qazi FU, Das G, et al.effect of erosive agents on surface characteristics of nano-fluorapatite ceramic: an in-vitro study[J]. Molecules, 2022,27(15):4691. DOI: 10.3390/molecules27154691.
[7] Pereira G, Amaral M, Cesar PF, et al.Effect of low-temperature aging on the mechanical behavior of ground Y-TZP[J]. J Mech Behav Biomed Mater, 2015,45:183-192. DOI: 10.1016/j.jmbbm.2014.12.009.
[8] Zhang F, Inokoshi M, Vanmeensel K, et al.Lifetime estimation of zirconia ceramics by linear ageing kinetics[J]. Acta Materialia, 2015, 92(15): 290-298.DOI:10.1016/j.actamat.2015.04.001.
[9] Ban S.Chemical durability of high translucent dental zirconia[J]. Dent Mater J, 2020, 39(1): 12-23.DOI:10.4012/dmj.2019-109.
[10] Monzavi M, Noumbissi S, nowzari h. the impact of in vitro accelerated aging, approximating 30 and 60 years in vivo, on commercially available zirconia dental implants[J]. Clin Implant Dent Relat Res, 2017,19(2):245-252. DOI: 10.1111/cid.12462.
[11] Alfrisany NM, De Souza GM.Surface and bulk properties of zirconia as a function of composition and aging[J]. J Mech Behav Biomed Mater, 2022,126:104994. DOI: 10.1016/j.jmbbm.2021.104994.
[12] Toma FR, Bîrdeanu MI, Uțu ID, et al.Surface characteristics of high translucent multilayered dental zirconia related to aging[J]. Materials (Basel), 2022, 15(10): 3606.DOI:10.3390/ma15103606.
[13] Camposilvan E, Leone R, Gremillard L, et al.Aging resistance, mechanical properties and translucency of different yttria-stabilized zirconia ceramics for monolithic dental crown applications[J]. Dent Mater, 2018,34(6):879-890. DOI: 10.1016/j.dental.2018.03.006.
[14] Harada A, Shishido S, Barkarmo S, et al.Mechanical and microstructural properties of ultra-translucent dental zirconia ceramic stabilized with 5 mol% yttria[J]. J Mech Behav Biomed Mater, 2020,111:103974. DOI: 10.1016/j.jmbbm.2020.103974.
[15] Cho YE, Lim YJ, Han JS, et al.effect of yttria content on the translucency and masking ability of yttria-stabilized tetragonal zirconia polycrystal[J]. Materials (Basel), 2020, 13(21): 4726.DOI:10.3390/ma13214726.
[16] Liao Y, Gruber M, Lukic H, et al.Survey of the mechanical and physical behaviors of yttria-stabilized zirconia from multiple dental laboratories[J].JADA Foundational Science, 2023, 2(c): 100018.DOI:10.1016/j.jfscie.2022.100018.
[17] Heidari N, Amawi R, Seweryniak P, et al.Fracture resistance and fracture behaviour of monolithic multi-layered translucent zirconia fixed dental prostheses with different placing strategies of connector: an in vitro study[J]. Clin Cosmet Investig Dent, 2022,14:61-69. DOI: 10.2147/CCIDE.S344941.
[18] Kaizer MR, Kolakarnprasert N, Rodrigues C, et al.Probing the interfacial strength of novel multi-layer zirconias[J]. Dent Mater, 2020, 36(1): 60-67.DOI: 10.1016/j.dental.2019.10.008.
[19] McLaren EA, Maharishi A, White SN. Influence of yttria content and surface treatment on the strength of translucent zirconia materials[J]. J Prosthet Dent, 2023,129(4):638-643. DOI: 10.1016/j.prosdent.2021.07.001.
[20] Abdulmajeed A, Sulaiman TA, Abdulmajeed AA, et al. Strength and phase transformation of different zirconia types after chairside adjustment[J]. J Prosthet Dent, 2022:S0022-3913(22)00422-00422-X . DOI: 10.1016/j.prosdent.2022.06.015.
[21] Lawson NC, Jurado CA, Huang CT, et al.effect of surface treatment and cement on fracture load of traditional zirconia (3Y), translucent zirconia (5Y), and lithium disilicate crowns[J]. J Prosthodont, 2019, 28(6): 659-665.DOI:10.1111/jopr.13088.
[22] Arcila L, Ramos NC, Campos T, et al.Mechanical behavior and microstructural characterization of different zirconia polycrystals in different thicknesses[J]. J Adv Prosthodont, 2021,13(6):385-395. DOI: 10.4047/jap.2021.13.6.385.
[23] Thoma DS, Benic GI, Muñoz F, et al.Histological analysis of loaded zirconia and titanium dental implants: an experimental study in the dog mandible[J]. J Clin Periodontol, 2015,42(10):967-975. DOI: 10.1111/jcpe.12453.
[24] Kazi GAS, Yamagiwa R.Cytotoxicity and biocompatibility of high mol% yttria containing zirconia[J]. Restor Dent Endod, 2020, 45(4): e52.DOI: 10.5395/rde.2020.45.e52.
[25] Vichi A, Sedda M, Fabian Fonzar R, et al.Comparison of contrast ratio, translucency parameter, and flexural strength of traditional and "augmented translucency" zirconia for CEREC CAD/CAM system[J]. J Esthet Restor Dent, 2016,28(Suppl 1):S32-S39. DOI: 10.1111/jerd.12172.
[26] Kongkiatkamon S, Peampring C.Effect of speed sintering on low temperature degradation and biaxial flexural strength of 5Y-TZP zirconia[J]. Molecules, 2022,27(16):5272. DOI: 10.3390/molecules27165272.
[27] Heboyan A, Vardanyan A, Karobari MI, et al.dental luting cements: an updated comprehensive review[J]. Molecules, 2023, 28(4): 1619. DOI: 10.3390/molecules28041619.
[28] Nejatidanesh F, Abbasi M, Savabi G, et al.Five year clinical outcomes of metal ceramic and zirconia-based implant-supported dental prostheses: a retrospective study[J]. J Dent, 2020,100:103420. DOI: 10.1016/j.jdent.2020.103420.
[29] Schmidt MB, Rosentritt M, Hahnel S, et al.Fracture behavior of cantilever fixed dental prostheses fabricated from different zirconia generations[J]. Quintessence Int, 2022,53(5):414-422. DOI: 10.3290/j.qi.b2793243.
[30] Jerman E, Lümkemann N, Eichberger M, et al.Evaluation of translucency, Marten's hardness, biaxial flexural strength and fracture toughness of 3Y-TZP, 4Y-TZP and 5Y-TZP materials[J]. Dent Mater, 2021, 37(2): 212-222. DOI: 10.1016/j.dental.2020.11.007.
[31] Lee JH.Fabricating a custom zirconia post-and-core without a post-and-core pattern or a scan post[J]. J Prosthet Dent, 2018,120(2):186-189. DOI: 10.1016/j.prosdent.2017.10.004.
[32] Iketani Y, Kobayashi M, Niizuma Y, et al.Effect of various resin cements and immediate dentin sealing on tooth fracture resistance of zirconia inlay restorations[J]. Am J Dent, 2021,34(4):179-185.
[33] Alqutaibi AY, Ghulam O, Krsoum M, et al.revolution of current dental zirconia: a comprehensive review[J]. Molecules, 2022, 27(5): 1699.DOI:10.3390/molecules27051699.
[34] Pate JD, Wells MH, Morrow BR, et al.Color stability of prefabricated pediatric zirconia crowns following sterilization[J]. Pediatr Dent, 2021,43(1):50-56.
[35] Kist S, Stawarczyk B, Kollmuss M, et al.Fracture load and chewing simulation of zirconia and stainless-steel crowns for primary molars[J]. Eur J Oral Sci, 2019,127(4):369-375. DOI: 10.1111/eos.12645.
[36] Hanafi L, Altinawi M, Comisi JC.Evaluation and comparison two types of prefabricated zirconia crowns in mixed and primary dentition: a randomized clinical trial[J]. Heliyon, 2021, 7(2): e06240.DOI:10.1016/j.heliyon.2021.e06240.
[37] Kohal RJ, Klaus G, Strub JR.Zirconia-implant-supported all-ceramic crowns withstand long-term load: a pilot investigation[J]. Clin Oral Implants Res, 2006,17(5):565-571. DOI: 10.1111/j.1600-0501.2006.01252.x.
[38] Balmer M, Spies BC, Vach K, et al.Three-year analysis of zirconia implants used for single-tooth replacement and three-unit fixed dental prostheses: a prospective multicenter study[J]. Clin Oral Implants Res, 2018,29(3):290-299. DOI: 10.1111/clr.13115.
[39] Esposito M, Grusovin MG, Chew YS, et al.One-stage versus two-stage implant placement. a cochrane systematic review of randomised controlled clinical trials[J]. Eur J Oral Implantol, 2009, 2(2): 91-99.
[40] Kohal RJ, Finke HC, Klaus G.Stability of prototype two-piece zirconia and titanium implants after artificial aging: an in vitro pilot study[J]. Clin Implant Dent Relat Res, 2009,11(4):323-329. DOI: 10.1111/j.1708-8208.2008.00116.x.
[41] Haro Adánez M, Nishihara H, Att W.A systematic review and meta-analysis on the clinical outcome of zirconia implant-restoration complex[J]. J Prosthodont Res, 2018,62(4):397-406. DOI: 10.1016/j.jpor.2018.04.007.
[42] Pirker W, Wiedemann D, Lidauer A, et al.Immediate, single stage, truly anatomic zirconia implant in lower molar replacement: a case report with 2.5 years follow-up[J]. Int J Oral Maxillofac Surg, 2011, 40(2): 212-216.DOI: 10.1016/j.ijom.2010.08.003.
[43] Fenner N, Hämmerle CH, Sailer I, et al.Long-term clinical, technical, and esthetic outcomes of all-ceramic vs. titanium abutments on implant supporting single-tooth reconstructions after at least 5 years[J].Clin Oral Implants Res, 2016, 27(6): 716-723.DOI:10.1111/clr.12654.
[44] Rohr N, Märtin S, Fischer J.Correlations between fracture load of zirconia implant supported single crowns and mechanical properties of restorative material and cement[J]. Dent Mater J, 2018,37(2):222-228. DOI: 10.4012/dmj.2017-111.
[45] Alsayed HD.Misfit of implant-supported zirconia (Y-TZP) CAD-CAM framework compared to non-zirconia frameworks: a systematic review[J]. Medicina (Kaunas), 2022,58(10):1347. DOI: 10.3390/medicina58101347.

含钇氧化锆材料在口腔临床应用中的研究进展

Advances of yttrium-containing zirconia materials in dental clinical applications

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 2

编辑推荐

Metrics

[1]	吕凌峰, 吴东. 钛阳极氧化表面性能的研究进展[J]. 中国口腔种植学杂志, 2021, 26(3): 202-205.
[2]	张捷, 夏传初, 李小平. 富血小板纤维蛋白(PRF)联合人工骨粉在口腔种植引导性骨再生中的临床应用[J]. 中国口腔种植学杂志, 2020, 25(4): 165-168.