Durabilidade da caracterização extrínseca aplicadas em cerâmicas monolíticas:
revisão de Literatura
DOI:
https://doi.org/10.22456/2177-0018.145136Palavras-chave:
Pigmentação em Prótese, Prótese Dentária, CerâmicaResumo
Objetivo: Avaliar a durabilidade da caracterização extrínseca em cerâmicas monolíticas odontológicas diante de desafios orais de curto e longo prazo, com base em uma revisão bibliográfica. Revisão de Literatura: Foram realizadas buscas nas bases PubMed, SCIELO e Google Acadêmico, utilizando as palavras-chave “Stain durability, dental ceramics, extrinsic staining, monolithic zirconia, monolithic lithium disilicate”. Incluíram-se artigos em inglês, publicados em periódicos internacionais, disponíveis para leitura completa e relacionados ao tema. Após análise, oito artigos foram selecionados para revisão integral. Discussão: O envelhecimento acelerado dos materiais mostrou-se o principal fator de desgaste das pigmentações extrínsecas. Testes de escovação simulada demonstraram remoção mais severa da pigmentação com dentifrícios de alta abrasividade. No entanto, as alterações de cor após escovação com escovas macias e dentifrícios menos abrasivos foram clinicamente aceitáveis, tanto a curto quanto a longo prazo. Conclusão: Apesar das diferenças nas técnicas laboratoriais, a durabilidade da pigmentação extrínseca em cerâmicas monolíticas vítreas e cristalinas foi promissora frente à escovação com dentifrícios de até 70 RDA, uso de substâncias clareadoras e movimentos mastigatórios. No entanto, estudos clínicos adicionais são necessários para uma melhor compreensão do tema.
Downloads
Referências
1. Tomita S, Shin-Ya A, Gomi H, Matsuda T, Katagiri S, Shin-Ya A et al. Machining accuracy of CAD/CAM ceramic crowns fabricated with repeated machining using the same diamond bur. Dent Mater J. 2005 Mar;24(1):123-33.
2. Tomita S, Shin-ya A, Gomi H, Shin-ya A, Yokoyama D. Machining accuracy of crowns by CAD/CAM system using TCP/IP: influence of restorative material and scanning condition. Dent Mater J. 2007 Jul;26(4):549-60.
3. Odman P, Andersson B. Procera AllCeram crowns followed for 5 to 10.5 years: a prospective clinical study. Int J Prosthodont. 2001 Nov-Dec;14(6):504-09.
4. Sjögren G, Lantto R, Granberg A, Sundström BO, Tillberg A. Clinical examination of leucite-reinforced glass-ceramic crowns (Empress) in general practice: a retrospective study. Int J Prosthodont. 1999 Mar-Apr;12(2):122-28.
5. Herrguth M, Wichmann M, Reich S. The aesthetics of all-ceramic veneered and monolithic CAD/CAM crowns. J Oral Rehabil. 2005 Oct;32(10):747-52.
6. Johansson C, Kmet G, Rivera J, Larsson C, Vult Von Steyern P. Fracture strength of monolithic all-ceramic crowns made of high translucent yttrium oxide-stabilized zirconium dioxide compared to porcelain-veneered crowns and lithium disilicate crowns. Acta Odontol Scand. 2014 Feb;72(2):145-53.
7. Zhang Y, Lee JJ, Srikanth R, Lawn BR. Edge chipping and flexural resistance of monolithic ceramics. Dent Mater. 2013 Dec;29(12):1201-08.
8. Silva LHD, Lima E, Miranda RBP, Favero SS, Lohbauer U, Cesar PF. Dental ceramics: a review of new materials and processing methods. Braz Oral Res. 2017 Aug 28;31(suppl 1):e58.
9. Junior WS, et al. Restaurações cerâmicas multicamadas e monolíticas: uma revisão de literatura. Rev Fac Odontol UPF. 2018 Dec 18;23(3):353-60.
10. Sulaiman TA, Delgado AJ, Donovan TE. Survival rate of lithium disilicate restorations at 4 years: A retrospective study. J Prosthet Dent. 2015 Sep;114(3):364-6.
11. Ozturk O, Uludag B, Usumez A, Sahin V, Celik G. The effect of ceramic thickness and number of firings on the color of two all-ceramic systems. J Prosthet Dent. 2008 Aug;100(2):99-106.
12. Pecho Yataco OE, Ghinea RI, Della Bona A. Color management and communication in dentistry. In: Della Bona A, editor. Color and appearance in dentistry. Cham: Springer; 2020. p. 99-114.
13. Kim MJ, Oh SH, Kim JH, Ju SW, Seo DG, Jun SH, Ahn JS, Ryu JJ. Wear evaluation of the human enamel opposing different Y-TZP dental ceramics and other porcelains. J Dent. 2012 Nov;40(11):979-88.
14. Preis V, Weiser F, Handel G, Rosentritt M. Wear performance of monolithic dental ceramics with different surface treatments. Quintessence Int. 2013 May;44(5):393-405.
15. Rosentritt M, Preis V, Behr M, Hahnel S, Handel G, Kolbeck C. Two-body wear of dental porcelain and substructure oxide ceramics. Clin Oral Investig. 2012 Jun;16(3):935-43.
16. Aker DA, Aker JR, Sorensen SE. Toothbrush abrasion of color-corrective porcelain stains applied to porcelain-fused-to-metal restorations. J Prosthet Dent. 1980 Aug;44(2):161-63.
17. Anil N, Bolay S. Effect of toothbrushing on the material loss, roughness, and color of intrinsically and extrinsically stained porcelain used in metal-ceramic restorations: an in vitro study. Int J Prosthodont. 2002 Sep-Oct;15(5):483-7.
18. Dal Piva AMO, Tribst JPM, Werner A, Anami LC, Bottino MA, Kleverlaan CJ. Three-body wear effect on different CAD/CAM ceramics staining durability. J Mech Behav Biomed Mater. 2020 Mar;103:103579.
19. Habib AW, Aboushelib MN, Habib NA. Effect of chemical aging on color stability and surface properties of stained all-ceramic restorations. J Esthet Restor Dent. 2021 Jun;33(4):636-47.
20. Sasany R, Yilmaz B. Effect of stain brand and shade on color stability of stains applied on a CAD-CAM feldspathic ceramic. Odontology. 2022 Jul;110(3):452-59.
21. Sulaiman TA, Camino RN, Cook R, Delgado AJ, Roulet JF, Clark WA. Time-lasting ceramic stains and glaze: A toothbrush simulation study. J Esthet Restor Dent. 2020 Sep;32(6):581-85.
22. Garza LA, Thompson G, Cho SH, Berzins DW. Effect of toothbrushing on shade and surface roughness of extrinsically stained pressable ceramics. J Prosthet Dent. 2016 Apr;115(4):489-94.
23. da Silva AO, Fiorin L, Faria ACL, Ribeiro RF, Rodrigues RCS. Translucency and mechanical behavior of partially stabilized monolithic zirconia after staining, finishing procedures and artificial aging. Sci Rep. 2022 Sep 27;12(1):16094.
24. Lee WF, Iwasaki N, Peng PW, Takahashi H. Effect of toothbrushing on the optical properties and surface roughness of extrinsically stained high-translucency zirconia. Clin Oral Investig. 2022 Mar;26(3):3041-48.
25. Tavangar MS, Mousavipour E, Ansarifard E. The effect of bleaching on the optical and physical properties of externally stained monolithic zirconia. Clin Exp Dent Res. 2021 Oct;7(5):861-67.
26. Gomes EA, Assunção WG, Rocha EP, Santos PH. Cerâmicas odontológicas: o estado atual. Cerâmica. 2008 Set;54:319-25.
27. Kang SH, Chang J, Son HH. Flexural strength and microstructure of two lithium disilicate glass ceramics for CAD/CAM restoration in the dental clinic. Restor Dent Endod. 2013 Aug;38(3):134-40.
28. Schwartzman A, Zweig AE. Improved communication with the laboratory for the fabrication of labial veneers. J Calif Dent Assoc. 2015 Apr;43(4):203-08.
29. Zhang F, Inokoshi M, Batuk M, Hadermann J, Naert I, Van Meerbeek B, Vleugels J. Strength, toughness and aging stability of highly-translucent Y-TZP ceramics for dental restorations. Dent Mater. 2016 Dec;32(12):e327-e337.
30. Alghazzawi TF, Lemons J, Liu PR, Essig ME, Janowski GM. Evaluation of the optical properties of CAD-CAM generated yttria-stabilized zirconia and glass-ceramic laminate veneers. J Prosthet Dent. 2012 May;107(5):300-08.
31. Tabatabaian F, Javadi Sharif M, Massoumi F, Namdari M. The color masking ability of a zirconia ceramic on the substrates with different values. J Dent Res Dent Clin Dent Prospects. 2017 Winter;11(1):7-13.
32. Daneshpooy M, Pournaghi Azar F, Alizade Oskoee P, Bahari M, Asdagh S, Khosravani SR. Color agreement between try-in paste and resin cement: Effect of thickness and regions of ultra-translucent multilayered zirconia veneers. J Dent Res Dent Clin Dent Prospects. 2019 Winter;13(1):61-67.
33. de Pinho Barcellos AS, Marinho CC, Miranda JS, Amaral M, Shiino MY, Kimpara ET. Effect of fatigue protocols on flexural strength of lithium disilicate bars with clamped-ends. J Mech Behav Biomed Mater. 2018 May;81:173-177.
34. Jakovac M, Živko-Babić J, Ćurković L, Aurer A. Measurement of ion elution from dental ceramics. J Eur Ceram Soc. 2006 Jan;26(9):1695-700.
35. Kuroda S, Shinya A, Yokoyama D, Gomi H, Shinya A. Effects of coloring agents applied during sintering on bending strength and hardness of zirconia ceramics. Dent Mater J. 2013;32(5):793-800.
36. Cho SH, Nagy WW, Goodman JT, Solomon E, Koike M. The effect of multiple firings on the marginal integrity of pressable ceramic single crowns. J Prosthet Dent. 2012 Jan;107(1):17-23.
37. Fraga S, Valandro LF, Bottino MA, May LG. Hard machining, glaze firing and hydrofluoric acid etching: Do these procedures affect the flexural strength of a leucite glass-ceramic? Dent Mater. 2015 Jul;31(7):e131-40.
38. Arai T, Kinoshita S. A comparison of plaque removal by different toothbrushes and toothbrushing methods. Bull Tokyo Med Dent Univ. 1977 Jun;24(2):177-88
39. McCracken GI, Janssen J, Swan M, Steen N, de Jager M, Heasman PA. Effect of brushing force and time on plaque removal using a powered toothbrush. J Clin Periodontol. 2003 May;30(5):409-13
40. Van der Weijden GA, Timmerman MF, Danser MM, Van der Velden U. Relationship between the plaque removal efficacy of a manual toothbrush and brushing force. J Clin Periodontol. 1998 May;25(5):413-16.
41. Bourbia M, Ma D, Cvitkovitch DG, Santerre JP, Finer Y. Cariogenic bacteria degrade dental resin composites and adhesives. J Dent Res. 2013 Nov;92(11):989-94.
42. Fúcio SB, Carvalho FG, Sobrinho LC, Sinhoreti MA, Puppin-Rontani RM. The influence of 30-day-old Streptococcus mutans biofilm on the surface of esthetic restorative materials--an in vitro study. J Dent. 2008 Oct;36(10):833-39.
43. Quirynen M, Bollen CM. The influence of surface roughness and surface-free energy on supra- and subgingival plaque formation in man. A review of the literature. J Clin Periodontol. 1995 Jan;22(1):1-14.
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 2026 Caio Vinicius Lourenço Debortoli, Ricardo Alexandre Zavanelli, José Vitor Quinelli Mazaro, Adriana Cristina Zavanelli
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Todos os trabalhos publicados nesta revista adotam uma Licença Creative Commons Atribuição 4.0 (CC BY 4.0), e seu uso deve ser feito sob essas condições de licenciamento. Os autores concedem à revista o direito de primeira publicação e têm autorização para assumir contratos adicionais separadamente, para distribuição não exclusiva da versão do trabalho publicado nesta revista, como publicar em repositório institucional, com reconhecimento de autoria e publicação inicial.
