1. Optical behaviors, surface treatment, adhesion, and clinical indications of zirconia-reinforced lithium silicate (ZLS): A narrative review
- Author
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Lorenzo Breschi, Fernando Zarone, Gennaro Ruggiero, Roberto Sorrentino, Stefania Leuci, Maria Irene Di Mauro, Sorrentino, Roberto, Ruggiero, Gennaro, Di Mauro, Maria Irene, Breschi, Lorenzo, Leuci, Stefania, Zarone, Fernando, Sorrentino R., Ruggiero G., Di Mauro M.I., Breschi L., Leuci S., and Zarone F.
- Subjects
Ceramics ,Surface Properties ,zirconia-reinforced lithium silicate ,Surface Propertie ,ceramic ,Machinability ,Dentistry ,Lithium ,CAD/CAM ,03 medical and health sciences ,0302 clinical medicine ,Materials Testing ,Medicine ,Cubic zirconia ,dental material ,030212 general & internal medicine ,ZLS ,General Dentistry ,Acid etching ,business.industry ,Silicates ,Silicate ,030206 dentistry ,Adhesion ,Increased translucency ,Dental Porcelain ,Color changes ,Posterior teeth ,Computer-Aided Design ,Narrative review ,Zirconium ,business ,zirconia - Abstract
Objectives The present narrative review was focused on the optical properties, surface treatment, adhesion, and clinical indications of zirconia-reinforced lithium silicate ceramics (ZLS) for Computer-aided design / Computer-aided manufacturing (CAD/CAM) technologies. Data/Sources A literature search was performed by 3 calibrated independent researchers on PubMed, Scopus, Embase, Google Scholar, Dynamed, and Open Grey. The criteria for inclusion were: 1) papers addressing at least one of the following variables about ZLS: optical properties, surface treatment, adhesion, and clinical indications; 2) in vitro, in silico, or in vivo studies; 3) case reports; 4) systematic reviews. The exclusion criteria were: 1) animal studies; 2) non-dental studies; 3) studies only focusing on ZLS used in the heat-pressed process. Study Selection 98 records among in vitro studies and case reports were included. Conclusions Despite the promising microstructure characteristics of ZLS, increased translucency compared to lithium disilicate ceramics (LS2) was not proven, but acceptable color changes and stability were reported. Mechanical polishing was the most effective method to reduce surface roughness. Moreover, machinability and handling of ZLS resulted harder than LS2. Conventional acid etching procedures seemed effective in conditioning ZLS surface, but no protocol has been established yet. Besides, silane-coupling and dual-curing resin cements were recommended. Clinical Significance ZLSs can be used for anterior and posterior fixed single-unit CAD/CAM restorations onto both natural teeth and implants, but do not seem to represent a viable treatment option for endocrowns onto posterior teeth or fixed dental prostheses.
- Published
- 2021
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