Color Stability of Prefabricated Pediatric Zirconia Crowns: A Comprehensive Analysis of the Impact of Multiple Autoclave Cycles

Abstract:
When sterilizing dental
restorative materials, autoclaving is essential because it guarantees the
removal of potentially hazardous germs and upholds aseptic conditions. This is especially
important for pediatric dentistry, where prefabricated zirconia crowns are
often used because of their long-lasting and attractive qualities. Autoclaving
affects the chemical and physical properties of dental materials in addition to
helping to control infections. The aim of the present study is to evaluate
effect of repeated autoclave cycles on the color stability of pre-fabricated
pediatric zirconia crowns. A total of 30 mandibular molar crowns were used in
the in-vitro study. The crowns were divided into two groups according to the
brands. Group 1 (Nu-Smile), Group 2 (Kids E Crown). The color stability was
measured using a spectrophotometer. Initial color readings are taken for all
the 30 samples. After each cycle of sterilization color stability was measured
using a spectrophotometer. The color changes in the crowns obtained from the
spectrophotometer was analyzed by CEILAB method. It showed the L, A, B
values of NU Smile and KIDS E zirconia material crowns during initial, after 1st
and 2nd cycle of Autoclave. NU Smile value showed increase in value
which indicates lightness of material and KIDS E value showed decrease in value
which indicated darkness of material. There was no significant difference in
the color stability of the crowns after each cycle of autoclave sterilization
in both the brands. Additionally, further clinical studies with
longer follow-up periods are needed.
References:
[1].
jaya
Kumar, L. P., Chowdhary, N., Reddy, V. R., Chowdhary, R., Use of Restorative
Full Crowns Made with Zirconia in Children: A Systematic Review. Int J Clin
Pediatr Dent 2020; 13:551–8.
[2].
Frencken,
J. E., Sharma, P., Stenhouse, L., Green, D., Laverty, D., Dietrich, T., Global
epidemiology of dental caries and severe periodontitis - a comprehensive
review. J Clin Periodontal 2017;44 Suppl 18: S94–105.
[3].
Peres,
M. A., Macpherson, L. M. D., Weyant, R. J., Daly, B., Venturelli, R., Mathur, M.
R., et al., Oral diseases: a global public health challenge. Lancet
2019; 394:249–60.
[4].
Mosaddad,
S. A., Peláez, J., Panadero, R. A., Ghodsi, S., Akhlaghian, M., Suárez, M. J.,
Do 3D-printed and milled tooth-supported complete monolithic zirconia crowns
differ in accuracy and fit? A systematic review and meta-analysis of in vitro
studies. J Prosthet Dent 2024. https://doi.org/10.1016/j.prosdent.2024.04.010
[5].
Pandurangan,
K. K., Veeraiyan, D. N., Nesappan, T., evaluation of fracture resistance and
cyclic fatigue resistance of computer-aided design-on and hand-layered zirconia
crowns following cementation on epoxy dies. J Indian Prosthodont Soc
2020; 20:90–6.
[6].
Holsinger,
D. M., Wells, M. H., Scarbecz, M., Donaldson, M., Clinical Evaluation and
Parental Satisfaction with Pediatric Zirconia Anterior Crowns. Pediatr Dent
2016; 38:192–7.
[7].
Heboyan,
A., Marya, A., Syed, A. U. Y., Khurshid, Z., Zafar, M. S., Rokaya. D., et al., In Vitro Microscopic Evaluation of
Metal- And Zirconium-Oxide-Based Crowns’ Marginal Fit. Pesqui Bras
Odontopediatria Clin Integr 2022;22: e210144.
[8].
Piconi,
C., Maccauro, G., Zirconia as a ceramic biomaterial. Biomaterials 1999;
20:1–25.
[9].
Babaji,
P., Crowns in Pediatric Dentistry. Jaypee Brothers Medical Publishers Pvt.
Limited; 2015.
[10].
Podgórska,
M., Jakimiak, B., Röhm-Rodowald, E., Chojecka, A., [Assessment of disinfection
and sterilization processes in dental practice as an important factor in
prevention of infections]. Przegl Epidemiol 2009; 63:545–50.
[11].
Effect
of Sterilization on Bond Strength and Mechanical Properties of Fiber Posts.
Quintessenz Verlags-GmbH n.d. https://www.quintessence-publishing.com/deu/de/article/843465/the-journal-of-adhesive-dentistry/2019/02/effect-of-sterilization-on-bond-strength-and-mechanical-properties-of-fiber-posts
(accessed January 10, 2024).
[12].
Tamimi,
F., Hirayama, H., Digital Restorative Dentistry: A Guide to Materials,
Equipment, and Clinical Procedures. Springer; 2020.
[13].
de Sousa-Lima, R. X., de Sousa Santos, K., de Azevedo
Silva, L. J., de Freitas Chaves, L. V., Alonso RCB, Borges BCD. Can sterilization methods influence surface properties of
resin composites? A purpose for previewing bias in laboratory bacterial
adhesion tests. Microsc Res Tech 2022; 85:1101–7.
[14].
Kupietzky,
A., Waggoner, W. F., Galea, J., The clinical and radiographic success of bonded
resin composite strip crowns for primary incisors. Pediatr Dent 2003;
25:577–81.
[15].
Ragain,
J. C., A Review of Color Science in Dentistry: Colorimetry and Color Space. Journal
of Dentistry, Oral Disorders & Therapy 2016;4. https://doi.org/10.15226/jdodt.2016.00148
[16].
Pate,
J. D., Wells, M. H., Morrow, B. R., Ragain, J. C., Garcia-Godoy, F., Color
Stability of Prefabricated Pediatric Zirconia Crowns Following Sterilization. Pediatr
Dent 2021; 43:50–6.
[17].
Delikan,
E., Çaliskan, S., Çalışkan, A., Özdemir, C., Does repeated autoclave
sterilization cause changes in the color and fragility of fiberglass reinforced
resin crowns? BMC Oral Health 2023; 23:533.
[18].
Vichi,
A., Ferrari, M., Davidson, C. L., Color and opacity variations in three
different resin-based composite products after water aging. Dent Mater
2004; 20:530–4.
[19].
Salli,
K. M., Ouwehand, A. C., The use of in vitro model systems to study dental
biofilms associated with caries: a short review. J Oral Microbiol 2015;
7:26149.
[20].
Website
n.d. https://www.researchgate.net/publication/353737215_Comparison_of_Amount_of_Tooth_Reduction_in_Primary_first_Molar_for_Stainless_Steel_Zirconia_and_Fibre-glass_Crowns_-_In-Vitro_Study
[21].
Walia,
T., Brigi, C., KhirAllah, A. R. M. M., Comparative evaluation of surface
roughness of posterior primary zirconia crowns. Eur Arch Paediatr Dent
2019; 20:33–40.
[22].
Abhay,
S. S., Ganapathy, D., Veeraiyan, D. N., Ariga, P., Heboyan, A., Amornvit, P.,
et al., Wear Resistance, Color Stability and Displacement Resistance of Milled
PEEK Crowns Compared to Zirconia Crowns under Stimulated Chewing and
High-Performance Aging. Polymers 2021;13. https://doi.org/10.3390/polym13213761
[23].
Journal
of advanced medical and dental sciences research. Marwah Infotech; 2016. https://doi.org/10.21276/jamdsr
[24].
Tuncel,
İ., Turp, I., Üşümez, A., Evaluation of translucency of monolithic zirconia and
framework zirconia materials. J Adv Prosthodont 2016; 8:181–6.
[25].
Giti,
R., Jebal, R., How could mouthwashes affect the color stability and
translucency of various types of monolithic zirconia? An in-vitro study. PLoS
One 2023;18: e0295420.
[26].
Rupawat,
D., Nallaswamy, D., Somasundaram, J., Ganapathy, D., S. N., Sekaran, S., An
Invitro Chewing Simulation Study Comparing the Wear Resistance Behavior of
Polyetheretherketone-Layered Composite Crown and Ceramic-Layered Zirconia Crown.
Cureus 2023;15: e46439.
[27].
Choi,
S-H, Shim H-W, Lee H-H, Ahn J-S, Kim Y-J, Shin S-Y, et al., Effects of
ultraviolet weathering aging on the color stability and biocompatibility of
various computer-aided design and computer-aided manufacturing glass-ceramic
materials. J Dent 2023; 139:104746.
[28].
Effect
of shading technique and thickness on color stability and translucency of new
generation translucent zirconia. J Dent 2018; 73:19–23.
[29]. Gill, A., Comparison of Three Esthetic Full-coverage Restorations in Primary Maxillary Incisors. 2019.