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1

Zhang, Chang-yuan, Check Agingu, James Kit Hon Tsoi, and Hao Yu. "Effects of Aging on the Color and Translucency of Monolithic Translucent Y-TZP Ceramics: A Systematic Review and Meta-Analysis of In Vitro Studies." BioMed Research International 2021 (January 25, 2021): 1–10. http://dx.doi.org/10.1155/2021/8875023.

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Background. Monolithic restorations made of translucent yttria-stabilized tetragonal zirconia polycrystal (Y-TZP) have become popular over the past few decades. However, whether aging affects the color and translucency of monolithic translucent Y-TZP is unclear. Objective. The aim of this systematic review and meta-analysis of in vitro studies was to evaluate the effects of aging on the color and translucency of monolithic translucent Y-TZP ceramics. Materials and Methods. This systematic review/meta-analysis was reported according to the PRISMA statement and registered in the OSF registries (https://osf.io/5qjmu). Four databases including Medline via the PubMed, Embase, and Web of Science databases and the Cochrane Library were searched using no publication year and language limits. The last search was executed on November 20, 2020. In vitro studies comparing the translucency and/or color of monolithic translucent Y-TZP ceramics before and after simulated aging were selected. Meta-analyses were performed using Review Manager software (version 5.3, Cochrane Collaboration, Oxford, UK) with random-effects models at a significance level of 0.05. A risk-of-bias assessment was also performed for the included studies. Results. Of the 188 potentially relevant studies, 13 were included in the systematic review. The hydrothermal aging duration ranged from 1 to 100 h at relatively similar temperatures (~134°C). In the general meta-analyses, the aged Y-TZP ceramics exhibited similar translucency parameter (TP), L ∗ , and b ∗ values compared with the nonaged controls ( P = .73 , P = .49 , and P = .62 , respectively). Moreover, there was a significant difference between the aged and nonaged Y-TZP ceramics in the a ∗ value ( P = .03 ; MD = − 0.26 ; 95% CI = − 0.51 to − 0.02 ), favoring the nonaged Y-TZP ceramics. The subgroup analyses showed that the duration of aging contributed to changes in the translucency and color of the Y-TZP ceramics. Conclusions. The optical properties of monolithic translucent Y-TZP ceramics were stable after hydrothermal aging at 134°C and 0.2 MPa for ≤20 h. Moreover, clinically unacceptable changes in the translucency and color of monolithic translucent Y-TZP ceramics were found after hydrothermal aging for >20 h.
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2

Tholey, M. J., M. Keuper, B. A. Just, and J. Fischer. "Comparison of LTD between Y-TZP and high translucent Y-TZP." Dental Materials 31 (2015): e5. http://dx.doi.org/10.1016/j.dental.2015.08.012.

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3

Chin, Chuin Hao, Andanastuti Muchtar, Noor Faeizah Amat, Mariyam Jameelah Ghazali, and Norziha Yahaya. "Influence of Sintering Temperature on the Translucency of Sintered Zirconia by Cold Isostatic Pressing." Advanced Materials Research 896 (February 2014): 591–95. http://dx.doi.org/10.4028/www.scientific.net/amr.896.591.

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Zirconia-based ceramics exhibit excellent mechanical properties and biocompatibility in dental applications. However, the production of translucent zirconia that offers resemblance to real teeth remains a challenge. This study aims to fabricate zirconia compacts by cold isostatic pressing (CIP) and investigate the influence of sintering temperature on translucency, microstructure, hardness, and density of yttria-stabilized tetragonal zirconia polycrystals (Y-TZP). Zirconia stabilized with 3 mol% yttria (3Y-TZP) was pressed by uniaxial pressing and later by CIP to produce green bodies in pellet form. Subsequently, the green bodies were sintered at different temperatures (1100 °C to 1300 °C). The specimens were then investigated in terms of translucency, density, and hardness. X-ray diffraction was also performed and the microstructure of the specimens was observed under a scanning electron microscope (SEM). Density and light transmittance tests results showed that zirconia sintered at 1200 °C exhibits the highest density (5.957 g/cm3) and light transmittance intensity. Vickers hardness test showed that higher sintering temperatures result in higher hardness of the sintered zirconia. SEM micrographs illustrate the effect of microstructural changes on the translucency of zirconia. A temperature of 1200 °C is found to be the recommended sintering temperature at which zirconia exhibiting optimum translucency and mechanical properties is produced. CIP is found to be a suitable consolidation method to produce high-density translucent zirconia.
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4

Wahba, Mennatallah Mohie, Ashraf Hussien Sherif, Amr S. El-Etreby, and Tarek Salah Morsi. "The effect of different surface treatments on color and translucency of bilayered translucent nano-crystalline zirconia before and after accelerated aging." Brazilian Dental Science 22, no. 2 (April 30, 2019): 203–12. http://dx.doi.org/10.14295/bds.2019.v22i2.1622.

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Objective: Despite the higher translucency of nano-crystalline Y-TZP than the conventional Y-TZP, it couldn’t be used in the anterior region of the mouth in its fully anatomical form without veneering for better esthetics. This study evaluated the color change (ΔE) and translucency parameter (TP) of the bilayered nano-crystalline zirconia restorations after different treatments of the zirconia surface before and after accelerated aging. Material and Methods: Forty samples of inCoris TZI were cut in the form of discs 15 mm (diameter) and 1mm (thickness) so that after sintering each disc dimensions’ would be 12 mm (diameter) and 0.8 mm (thickness). All discs were colored by dipping in aqueous zirconia coloring solution of shade A2, then divided into four groups according to the type of surface treatment received before sintering; being tribochemical silica coating, zirconia powder deposition, glass grading, and a control untreated group. After sintering, all discs were veneered with a layer of porcelain 0.7 mm (thickness) and 12 mm (diameter). (ΔE) and TP were measured using VITA Easyshade Compact spectrophotometer before and after accelerated autoclave aging. Results: Different surface treatments applied had significant effect (P<0.05) over ΔE and TP. Glass graded group showed the highest ΔE value and the least TP value among both un-aged and aged sub-groups. Conclusion: Different surface treatments applied affected the color and translucency negatively where the control untreated group showed the highest TP and the least color deviation from the A2 color parameters. On the other hand, accelerated autoclave aging had no effect over translucency or color.KeywordsAging; Ceramic restoration; Color; Translucent.
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5

Monteiro, K. N., Y. P. Correia, L. A. Genova, and P. F. Cesar. "Effect of shade and ageing on strength of translucent Y-TZP." Dental Materials 32 (2016): e9-e10. http://dx.doi.org/10.1016/j.dental.2016.08.019.

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6

Lenz, Ulysses, Rodrigo Alessandretti, and Alvaro Della Bona. "The Influence of Surface Treatments on Resin Bond Strength to Zirconia." Current Dentistry 2, no. 1 (September 10, 2020): 29–35. http://dx.doi.org/10.2174/2542579x02666191218123853.

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Background: It’s shown that the clinical success of ceramic restorations much depends on the quality and durability of the bond to ceramic. For zirconia-based ceramics (Y-TZP), the surface treatment has a substantial impact on bond strength. Therefore, the bond strength evaluation of Y-TZP surface treatments is a requirement for predicting the clinical performance of such restorations. Objective: Evaluating the resin bond strength to Y-TZP after different surface treatments. Methods: Monolithic Y-TZP (Zenostar Zr Translucent, Wieland Dental, Rosbach vor der Höhe, Germany) blocks were bonded to resin composite blocks using a resin-based cement system after two Y-TZP surface treatments: APA- airborne particle abrasion with alumina particles; and CJ- silicatization (Cojet sand, 3M ESPE, St. Paul, MN, USA). A silane coupling agent and an adhesive system were applied to the treated Y-TZP surfaces and resin composite blocks were cemented (RelyX Ultimate, 3M ESPE, St. Paul, MN, USA) and light activated from all sides. These structures were cut to obtain bar-shaped specimens (n=30), which were stored in 37ºC distilled water for 7 days before microtensile testing. Specimens were loaded to failure under tension using a universal testing machine. Data was statistically analyzed using Students t test (α=0.05) and Weibull distribution. Failure modes were evaluated using optical (OM) and scanning electron microscopy (SEM). Results: Mean bond strength values (CJ= 25.7±8.2 MPa; APA= 22.0±6.3 MPa) were statistically similar (p>0.05). No difference was found for the characteristic strengths (σ0) and for Weibull moduli (m) since the confidence intervals (95% CI) overlapped. The bond strength values for a 5% failure probability (σ5%) were 12.4 (CJ) and 11.5 (APA). All fractures were due to cohesive failure within the adhesive cement system. Conclusion: Both Y-TZP surface treatments (CJ and APA) produced similar structural reliability and short-term bond strength to a resin cement system.
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7

Zhang, Fei, Masanao Inokoshi, Maria Batuk, Joke Hadermann, Ignace Naert, Bart Van Meerbeek, and Jef Vleugels. "Strength, toughness and aging stability of highly-translucent Y-TZP ceramics for dental restorations." Dental Materials 32, no. 12 (December 2016): e327-e337. http://dx.doi.org/10.1016/j.dental.2016.09.025.

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8

Alessandretti, Rodrigo, Raissa Ribeiro, Marcia Borba, and Alvaro Della Bona. "Fracture Load and Failure Mode of CAD-on Ceramic Structures." Brazilian Dental Journal 30, no. 4 (July 2019): 380–84. http://dx.doi.org/10.1590/0103-6440201902574.

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Abstract This study evaluated the fracture load (Lf) and the failure mode of CAD-on (Ivoclar Vivadent) ceramic structures, testing the hypotheses that Lf of multilayer structures is governed by the veneering ceramic strength and that chipping is more frequent in multilayer than monolithic structures. Disc-shaped specimens were fabricated as follows: CAD-on- trilayer structure composed of Y-TZP (yttria stabilized tetragonal zirconia polycrystal- IPS e.max ZirCAD) infrastructure, fusion glass-ceramic (IPS e.max CAD Crystall/Connect) and lithium disilicate-based glass-ceramic (IPS e.max CAD); YLD- bilayer structure composed of Y-TZP infrastructure and fluorapatite layering ceramic (IPS e.max Ceram); LDC- monolithic lithium-disilicate glass-ceramic (IPS e.max CAD); and YZW- monolithic Y-TZP (Zenostar Zr Translucent). The specimens were loaded in compression until failure and fracture surfaces were evaluated using fractographic principles. Lf values were statistically analyzed using the Weibull statistics, Kruskal-Wallis and Dunn tests (a= 0.05). YZW (1329 N) and CAD-on (1085 N) showed the greatest Lf median values, followed by YLD (832 N) and LDC (421 N). All monolithic structures (LDC and YZW) fractured catastrophically and all YLD structures failed by chipping. The CAD-on technique seems to be a very promising fabrication process because it showed high Lf, similar to monolithic zirconia, and small chipping rate.
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9

Cho, Young-Eun, Young-Jun Lim, Jung-Suk Han, In-Sung Luke Yeo, and Hyung-In Yoon. "Effect of Yttria Content on the Translucency and Masking Ability of Yttria-Stabilized Tetragonal Zirconia Polycrystal." Materials 13, no. 21 (October 22, 2020): 4726. http://dx.doi.org/10.3390/ma13214726.

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Translucent zirconia, manufactured by increasing the yttria content, offers improved translucency, but may have a negative effect on esthetic outcomes under clinical conditions such as discolored abutment because of the reflection of the underlying color. The purpose of this in vitro study was to compare the translucency parameter and masking ability of 3 mol % yttria-stabilized tetragonal zirconia polycrystal (3Y-TZP (Katana HT)), 4Y-ZP (Katana STML), and 5Y-ZP (Katana UTML) with those of lithium disilicate (Rosetta SM). Zirconia and lithium disilicate specimens of 10 mm diameters and 0.8 and 1.5 mm thicknesses were fabricated. Their CIE L*a*b* values (L*, brightness; a*, red-green value; b*, yellow-blue value) were measured at the center of the specimens against black and white backgrounds using a spectrophotometer, and translucency parameter (TP) values were determined. The microstructure of the specimens was observed using scanning electron microscopy. Four cylindrical backgrounds of different shades were prepared. The zirconia and lithium disilicate specimens were placed on the backgrounds without any intervening medium. CIE L*a*b* values were obtained, and the color difference value (ΔE) was calculated. Thresholds for acceptability and perceptibility were assumed as ΔE = 5.5 and ΔE = 2.6, respectively, to evaluate masking ability. Data were compared using one-way analysis of variance and post-hoc was performed using Scheffe’s test (α = 0.05). In zirconia specimens, the TP value increased as the yttria content increased from 3 mol %, through 4 mol % to 5 mol %, and all zirconia specimens showed lower TP values than lithium disilicate specimens did. All zirconia specimens showed optimal masking ability against a normal dentin shade (ND3) and acceptable masking ability against titanium at a minimum thickness of 1.5 mm. However, no zirconia specimen could mask severely discolored dentin (ND9), regardless of thickness. The decrease in zirconia thickness from 1.5 to 0.8 mm significantly increased translucency. Monolithic Y-TZP ceramics could mask a normal dentin background but could not mask severely discolored dentin at either 0.8 or 1.5 mm thicknesses.
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10

Hemdan, Soad, sahar abd el-aziz, and Zienb El-Sharkwy. "Comparative Study Between Monolithic Translucent Zirconia (Y-TZP) and IPS Empress 2 in Marginal Fit and Fracture Strength." Al-Azhar Dental Journal for Girls 6, no. 4 (October 1, 2019): 391–99. http://dx.doi.org/10.21608/adjg.2019.7627.1085.

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11

Manziuc, Manuela-Maria, Cristina Gasparik, Marius Negucioiu, Mariana Constantiniuc, Alexandru Burde, Ioana Vlas, and Diana Dudea. "Optical properties of translucent zirconia: A review of the literature." EuroBiotech Journal 3, no. 1 (January 1, 2019): 45–51. http://dx.doi.org/10.2478/ebtj-2019-0005.

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Abstract Translucent monolithic zirconia is the newest option of zirconia-based ceramics, which aimed to substitute the opaque classic yttria-stabilized tetragonal zirconia polycrystal (Y-TZPs) in more demanding esthetic cases. The aim of this review was to assess the available literature regarding the optical, chemical and mechanical properties of translucent zirconia ceramics. This systematic review was developed according to the PRISMA (Preferred Reporting Items for Systematic Review and Meta-analysis) guidelines. An electronic literature search was undertaken through Medline (National Library of Medicine) via PubMed to identify relevant articles, published in the interval 2010-2018. The search was limited to the English language publications, in vitro studies of color and microstructure of translucent zirconia material. Yttria-stabilized tetragonal zirconia polycrystals (Y-TZPs) has excellent mechanical properties, but its intense white color and high opacity represent an esthetic limit. Cubic zirconia represents a new generation of dental ceramics with molecular structure and physical properties different from the conventional zirconia. Dental manufacturers created new formulations of this restorative material, introducing new cubic varieties of zirconia with improved optical properties. Translucent monolithic zirconia provides a new restorative option that combines strength with improved esthetics, due to its increased translucency. Translucent zirconia is indicated for anterior and posterior restorations but should be used carefully for discolored teeth, because the background color can affect the final esthetic appearance of the restoration.
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12

Pekkan, Gürel, Mutlu Özcan, and Meryem Gülce Subaşı. "Clinical factors affecting the translucency of monolithic Y-TZP ceramics." Odontology 108, no. 4 (August 10, 2019): 526–31. http://dx.doi.org/10.1007/s10266-019-00446-2.

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13

Luo, Xiao Ping, and Lei Zhang. "Effect of Veneering Techniques on Color and Translucency of Y-TZP." Journal of Prosthodontics 19, no. 6 (June 8, 2010): 465–70. http://dx.doi.org/10.1111/j.1532-849x.2010.00610.x.

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14

Chin, Chuin Hao, Andanastuti Muchtar, Masfueh Razali, and C. H. Azhari. "The Translucency of Yttria-Stabilized Zirconia in Dental Crowns: A Review." Applied Mechanics and Materials 761 (May 2015): 436–40. http://dx.doi.org/10.4028/www.scientific.net/amm.761.436.

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Ceramics are increasingly popular in dental restoration after metal restoration has been found to be less esthetic. One such example is yttria-stabilized tetragonal zirconia polycrystalline (Y-TZP). However, one of the challenges of this application is its insufficient translucency to ensure high esthetic restoration. This study reviews the effect of sintering parameters, primary particle size, microstructure homogeneity, and thickness of zirconia on its translucency. Several studies remarked that the thickness of the framework had the greatest effect on zirconia translucency. Thus, a rigorous thickness control is necessary. The consideration for optimal sintering parameters (sintering temperature and holding time) and the use of smaller particle sizes help in the densification and elimination of porosity in zirconia, which, consequently, improve its translucency. Finally, a homogeneous microstructure can reduce the light scattering effect in zirconia and increase its translucency. Identifying the factors that influence zirconia translucency can contribute to future research in improving the esthetic dental restoration.
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15

Monteiro, K. N., R. P. Nigro, and P. F. Cesar. "Effect of surface finishing on flexural strength of translucent y-tzps." Dental Materials 35 (2019): e8. http://dx.doi.org/10.1016/j.dental.2019.08.016.

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16

Tostes, Bhenya Ottoni, Renato Bastos Guimarães, Jaime Dutra Noronha-Filho, Glauco dos Santos Botelho, José Guilherme Antunes Guimarães, and Eduardo Moreira da Silva. "Characterization of Conventional and High-Translucency Y-TZP Dental Ceramics Submitted to Air Abrasion." Brazilian Dental Journal 28, no. 1 (February 2017): 97–104. http://dx.doi.org/10.1590/0103-6440201701035.

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Abstract This study evaluated the effect of air-abrasion on t®m phase transformation, roughness, topography and the elemental composition of three Y-TZP (Yttria-stabilized tetragonal zirconia polycrystal) dental ceramics: two conventional (Lava Frame and IPS ZirCad) and one with high-translucency (Lava Plus). Plates obtained from sintered blocks of each ceramic were divided into four groups: AS (as-sintered); 30 (air-abrasion with 30 mm Si-coated Al2O3 particles); 50 (air-abrasion with 50 mm Al2O3 particles) and 150 (air-abrasion with 150 mm Al2O3 particles). After the treatments, the plates were submitted to X-ray diffractometry; 3-D profilometry and SEM/EDS. The AS surfaces were composed of Zr and t phases. All treatments produced t®m phase transformation in the ceramics. The diameter of air-abrasion particles influenced the roughness (150>50>30>AS) and the topography. SEM analysis showed that the three treatments produced groove-shaped microretentions on the ceramic surfaces, which increased with the diameter of air-abrasion particles. EDS showed a decrease in Zr content along with the emergence of O and Al elements after air-abrasion. Presence of Si was also detected on the plates air-abraded with 30 mm Si-coated Al2O3 particles. It was concluded that irrespective of the type and diameter of the particles, air-abrasion produced t®m phase transformation, increased the roughness and changed the elemental composition of the three Y-TZP dental ceramics. Lava Plus also behaved similarly to the conventional Y-TZP ceramics, indicating that this high translucency ceramic could be more suitable to build monolithic ceramic restorations in the aesthetic restorative dentistry field.
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17

Zhang, Y., and B. R. Lawn. "Novel Zirconia Materials in Dentistry." Journal of Dental Research 97, no. 2 (October 16, 2017): 140–47. http://dx.doi.org/10.1177/0022034517737483.

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Zirconias, the strongest of the dental ceramics, are increasingly being fabricated in monolithic form for a range of clinical applications. Y-TZP (yttria-stabilized tetragonal zirconia polycrystal) is the most widely used variant. However, current Y-TZP ceramics on the market lack the aesthetics of competitive glass-ceramics and are therefore somewhat restricted in the anterior region. This article reviews the progressive development of currently available and next-generation zirconias, representing a concerted drive toward greater translucency while preserving adequate strength and toughness. Limitations of efforts directed toward this end are examined, such as reducing the content of light-scattering alumina sintering aid or incorporating a component of optically isotropic cubic phase into the tetragonal structure. The latest fabrication routes based on refined starting powders and dopants, with innovative sintering protocols and associated surface treatments, are described. The need to understand the several, often complex, mechanisms of long-term failure in relation to routine laboratory test data is presented as a vital step in bridging the gaps among material scientist, dental manufacturer, and clinical provider.
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18

Kumagai, Naota, Hiroshi Hirayama, Matthew D. Finkelman, and Shigemi Ishikawa-Nagai. "The effect of translucency of Y-TZP based all-ceramic crowns fabricated with different substructure designs." Journal of Dentistry 41 (August 2013): e87-e92. http://dx.doi.org/10.1016/j.jdent.2012.10.005.

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19

Tong, Hui, Carina B. Tanaka, Marina R. Kaizer, and Yu Zhang. "Characterization of three commercial Y-TZP ceramics produced for their High-Translucency, High-Strength and High-Surface Area." Ceramics International 42, no. 1 (January 2016): 1077–85. http://dx.doi.org/10.1016/j.ceramint.2015.09.033.

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20

Sgura, R., MC dos Reis, MC Salvadori, AC Hernandes, PF Cesar, and IS Medeiros. "CO2 Laser Glazing Treatment of a Veneering Porcelain: Effects on Porosity, Translucency, and Mechanical Properties." Operative Dentistry 40, no. 3 (May 1, 2015): 247–54. http://dx.doi.org/10.2341/14-079-l.

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SUMMARY This work tested CO2 laser as a glazing agent and investigated the effects of irradiation on the porosity, translucency, and mechanical properties of veneering porcelain. Sixty discs (diameter 3.5 × 2.0 mm) of veneering porcelain for Y-TZP frameworks (VM9, VITA Zahnfabrik) were sintered and had one of their faces mirror polished. The specimens were divided into six groups (n=10/group) according to surface treatment, as follows: no treatment–control; auto-glaze in furnace following manufacturer's instructions (G); and CO2 laser (45 or 50 W/cm2) applied for four or five minutes (L45/4, L45/5, L50/4, L50/5). Optical microscopy (Shimadzu, 100×) was conducted and the images were analyzed with Image J software for the determination of the following porosity parameters: area fraction, average size, and Feret diameter. The translucency parameter studied was masking ability, determined by color difference (ΔE) over black and white backgrounds (CM3370d, Konica Minolta). Microhardness and fracture toughness (indentation fracture) were measured with a Vickers indenter (HMV, Shimadzu). Contact atomic force microscopy (AFM) (50 × 50 μm2, Nanoscope IIIA, Veeco) was performed at the center of one sample from each group, except in the case of L45/5. With regard to porosity and translucency parameters, auto-glazed and laser-irradiated specimens presented statistical similarity. The area fraction of the surface pores ranged between 2.4% and 5.4% for irradiated specimens. Group L50/5 presented higher microhardness when compared to the G group. The higher (1.1) and lower (0.8) values for fracture toughness (MPa.m1/2) were found in laser-irradiated groups (L50/4 and L45/4, respectively). AFM performed after laser treatment revealed changes in porcelain surface profile at a submicrometric scale, with the presence of elongated peaks and deep valleys.
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21

Li, Ke, Jiancun Rao, and Congqin Ning. "Optimized sintering and mechanical properties of Y-TZP ceramics for dental restorations by adding lithium disilicate glass ceramics." Journal of Advanced Ceramics, September 18, 2021. http://dx.doi.org/10.1007/s40145-021-0507-9.

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AbstractThe novel dental ceramics can be fabricated at lower temperatures when sol-gel derived lithium disilicate glass ceramics (LDGC) was used as an additive for yttria stabilized tetragonal zirconia polycrystalline (Y-TZP) ceramics. The effect of LDGC on the sintering, mechanical, and translucent properties of Y-TZP ceramics was investigated in the present study. The results showed that the LDGC additive effectively improved the densification of Y-TZP at 1100 °C, which was much lower than the sintering temperature for pure Y-TZP. When sintered at 1100 °C, the Y-TZP with 1 wt% LDGC reached a relative density of 95.45%, and prossessed a flexural strength of 482.4 MPa and a fracture toughness of 5.94 MPa·m1/2. Moreover, its translucency was also improved. While, the addition of LDGC could result in an escape of yttrium atoms from the grain lattice of zirconia, which induced the tetragonal-monoclinic transformation of zirconia and abnormal growth of monoclinic grains. The escaped yttrium atoms diffused into the intergranular glass phase. The results indicated that the novel Y-TZP-LDGC ceramics has a great potential to be used for all-ceramic restorations.
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