Dental Zirconia Overview

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Questions and Answers

What is the primary reason for using yttria in dental zirconia?

  • To improve the color of the zirconia restoration.
  • To increase the density of the zirconia.
  • To stabilize the tetragonal phase of zirconia at room temperature. (correct)
  • To enhance the milling properties of zirconia.

What does the term '3y-TZP' represent in the context of dental zirconia?

  • The specific alloy used to enhance the strength of zirconia.
  • The average lifespan of a zirconia crown in years.
  • The type of milling process used for zirconia restorations.
  • The presence of 3% yttria in tetragonal zirconia polycrystals. (correct)

Why is oversize milling required for zirconia restorations?

  • To create a more aesthetically pleasing shape.
  • To increase the surface area of the restoration for better bonding.
  • To allow for easier removal of the restoration from the milling machine.
  • To compensate for the shrinkage that occurs during the sintering process. (correct)

Which of the following is NOT a metal oxide used to provide shade to zirconia restorations?

<p>Titanium Oxide (B)</p> Signup and view all the answers

What is the purpose of sintering in the production of zirconia restorations?

<p>To increase the density of the zirconia and improve its strength. (A)</p> Signup and view all the answers

What is the primary difference between zirconia and zirconium oxide?

<p>Zirconia is a pure form of the element zirconium, while zirconium oxide is a compound. (A)</p> Signup and view all the answers

Which phase of zirconia do we need to be present at room temperature for dental restorations?

<p>Tetragonal (D)</p> Signup and view all the answers

What is the function of hafnium in dental zirconia?

<p>To bind the powder particles together during sintering. (A)</p> Signup and view all the answers

What is the primary reason Zirconia is considered a ceramic material despite lacking a glass phase?

<p>Its high translucency and physical properties. (C)</p> Signup and view all the answers

What is the primary difference between Partially Stabilized Zirconia (4y-PSZ) and Fully Stabilized Zirconia (5y-FSZ)?

<p>5y-FSZ has a higher translucency. (D)</p> Signup and view all the answers

What is the reason for the decreased mechanical strength of Partially Stabilized Zirconia (4y-PSZ) compared to Zirconia (monoclinic phase)?

<p>Presence of a cubic phase which lacks transformation toughening properties. (A)</p> Signup and view all the answers

Which type of Zirconia can be used for a full arch bridge?

<p>None of the above. (D)</p> Signup and view all the answers

Which material is typically used for anterior crowns and veneers due to its high esthetics?

<p>Feldspatic porcelain (B)</p> Signup and view all the answers

What is the primary purpose of adding Leucite crystals to Feldspatic porcelain?

<p>Improve its mechanical strength and durability. (C)</p> Signup and view all the answers

What is the main difference between a bridge and a pallor bridge?

<p>A bridge is used for replacing multiple teeth, while a pallor bridge is used for replacing a single tooth. (B)</p> Signup and view all the answers

Which of the following is a characteristic of Zirconia (monoclinic phase) that helps it withstand external loads?

<p>It undergoes a phase transformation when stressed. (A)</p> Signup and view all the answers

Which material is preferred for posterior crowns due to its higher translucency?

<p>Leucite reinforced glass ceramic (C)</p> Signup and view all the answers

What are the primary reasons why Zirconia is not suitable for intracoronal restorations like inlays or onlays?

<p>Its high modulus of elasticity can lead to tooth fracture. (C)</p> Signup and view all the answers

Select the material that is most suitable for a 3-unit bridge between the canine and the 5th tooth (replacing the missing 4th tooth).

<p>Lithium disilicate (Emax) (C)</p> Signup and view all the answers

Which of the following statements is TRUE about hybrid ceramics?

<p>They are a mix of resin and ceramics, offering a balance of resilience and esthetics. (D)</p> Signup and view all the answers

What is the primary reason why we use hybrid ceramics for intracoronal restorations?

<p>They offer a balance of resilience and esthetics, reducing the risk of tooth fracture. (D)</p> Signup and view all the answers

Why is it important to consider the patient's tooth shade when choosing a restorative material?

<p>A translucent material will be visible through the tooth, creating an unnatural appearance. (A)</p> Signup and view all the answers

Choose the correct order of materials from highest to lowest mechanical properties (strength).

<p>Emax (Lithium disilicate), leucite reinforced glass ceramic, Feldspathic porcelain (D)</p> Signup and view all the answers

Which material is most commonly used for veneers due to its excellent esthetics and translucency?

<p>Feldspathic porcelain (D)</p> Signup and view all the answers

Flashcards

Zirconium

A silver-colored mineral that is unstable and found in the periodic table.

Zirconium Oxide (Zirconia)

A stable compound formed when zirconium reacts with oxygen, used for dental restorations.

Polycrystalline Material

A material made of many small crystals, like zirconia, with no glass phase.

Yttria

An oxide used to stabilize zirconia in the tetragonal phase at room temperature.

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Tetragonal Phase

The desired stable crystal form of zirconia at room temperature, maintained by yttria.

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Enlargement Factor

The ratio by which zirconia is milled larger before sintering to compensate for shrinkage.

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Metal Oxides in Zirconia

Compounds like cerium or iron oxide used to achieve different shades in zirconia restorations.

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Partially Stabilized Zirconia (3y-TZP)

Zirconia with 3% yttria, maintaining the tetragonal phase for full anatomical restorations.

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Leucite Crystals

Crystals that control translucency in porcelain materials.

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Leucite Reinforced Glass Ceramic

A type of porcelain that includes leucite crystals, used for dental applications.

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Emax

A glass ceramic alternative to leucite, often used for dental restorations.

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Translucency in Dental Restorations

The quality of materials to allow light to pass through, influencing the appearance.

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Hybrid Ceramics

A combination of resin and ceramics, providing resilience for dental restorations.

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Feldspathic Porcelain

A highly aesthetic ceramic used in dental restorations with the highest translucency.

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Mechanical Properties of Ceramics

The strength comparison of ceramic materials in dental applications.

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Zirconia Transformation

Zirconia absorbs load and transforms from monoclinic to tetragonal phase to absorb stress.

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Ceramic Properties of Zirconia

Although chemically a metal oxide, Zirconia is treated as a ceramic for its physical properties and translucency.

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Partially Stabilized Zirconia (4y-PSZ)

Contains 4% yttria and has both tetragonal and weak cubic phases; used for esthetics but weaker in strength.

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Fully Stabilized Zirconia (5y-FSZ)

Contains 5% yttria, only a cubic phase, with high esthetics but no transformation toughening.

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Zirconia Bridge Limitations

A bridge can support only two pontics with two abutments, except in rare cases.

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Cubic Phase Properties

The cubic phase in zirconia is weak and lacks transformation toughening but offers translucency.

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Study Notes

Dental Zirconia

  • Zirconium is a silvery-colored, unstable mineral found on the Periodic Table.
  • Zirconium oxide (zirconia) is created when zirconium reacts with oxygen. It's used to make restoration discs milled from blocks or blanks.
  • Zirconia restorations are made using CAD-CAM design and milling machines.
  • Zirconia is a polycrystalline material, primarily 99% zirconia.
  • It has high strength. Other elements such as yttria, alumina, hafnium, and metal oxides might be added.
  • Zirconia exists in different crystal forms: monoclinic (1170°C), tetragonal (2370°C), and cubic (2680°C liquid).
  • For optimal use, zirconia should be in the tetragonal phase at room temperature.

Additional Notes on Zirconia

  • Yttria is used as a stabilizing agent to keep zirconia in the tetragonal phase. This is critical to maintaining shape stability.
  • During the milling process, zirconia restorations are initially oversized to account for shrinkage after the sintering (heating) process.
  • An enlarging factor is used to calculate the initial milling size according to the final restoration size after sintering.
  • Metal oxides are used to create different shades for zirconia restorations.
  • Examples of metal oxides include cerium oxide, iron oxide, copper oxide, and bismuth oxide.

Partially Stabilized Zirconia (3y-TZP)

  • 3y refers to the percentage of yttria.
  • This type of zirconia has a cubic phase, which is translucent but weaker, which helps increase aesthetic properties but decrease mechanical properties.
  • The cubic phase does not change properties under stress. The remaining tetragonal phase does undergo transformation toughening.
  • Partially stabilized zirconia is, therefore, not suited for full arch bridges but is suitable for single crowns and anterior three-unit bridges.

Fully Stabilized Zirconia (5y-FSZ)

  • 5y refers to the percentage of yttria.
  • This zirconia is mainly in the cubic phase.
  • It lacks transformation toughening, which results in lower mechanical properties.
  • It is highly esthetic due to translucency, and it's suitable for single crowns and anterior three-unit bridges but not for use in posterior bridges.

Feldspathic Porcelain

  • It is a glassy phase with low mechanical properties and high esthetics.
  • It can be used in anterior crowns and veneers but is not strong enough for posterior crowns and bridges.
  • Adding leucite crystals greatly strengthens it but reduces translucency.
  • Alternative materials like lithium disilicate are used in feldspathic porcelains to improve esthetics and strength.

Hybrid Ceramics

  • Hybrid ceramics blend resin and ceramic materials to give resilience and elasticity.
  • These materials can be used for inlays, onlays, crowns, veneers, and inlays.
  • The ratio between resin and ceramic is flexible and depends on the intended use.

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