Color Characteristic Alteration of Different Yttrium Oxide-Containing Multilayer Partially Stabilized Zirconia at...

Sintering influences the optical properties of zirconia. This study examined the effect of altering sintering rates on color characteristics of 3, 4, and 5 mol% yttria (Y)-containing multilayer zirconia.A total of 135 specimens (width × length × thickness = 11.2 × 20 × 1.5 mm) were prepared from multilayer (cervical [C], middle [M], and incisal [I]) 3Y, 4Y, and 5Y zirconia, and randomly sintered at regular (RS: 10 °C/min), fast (FS: 35 °C/min), and speed (SS: 70 °C/min) sintering (n = 15/group). Translucency parameter (TP₀₀), contrast ratio (CR), opalescence parameter (OP), and color difference (∆E₀₀) were evaluated with the CIEL*a*b* system. Microstructure, crystalline (monoclinic [m], tetragonal [t], and cubic [c]) phases, and surface roughness (Ra) were evaluated by scanning electron microscopy (SEM), X-ray diffraction (XRD), and 3D-digital topography.ANOVA and Bonferroni comparisons were determined for significant differences (p < 0.05).Significant differences in TP₀₀, CR, OP, and ∆E₀₀ of zirconia types, layers, sintering rates, and their interactions were indicated (p < 0.05). Significant increases in TP₀₀ and ∆E₀₀, but decreases in CR and OP, upon rising the amount of Y (5Y > 4Y > 3Y), region (I > M > C), and speed sintering (SS > FS > RS) (p < 0.05) were observed. Nevertheless, the color alteration was within an acceptable threshold (∆E₀₀ ≤ 1.8); Ra values: 3Y > 4Y > 5Y. SEM indicated a larger grain for 5Y > 4Y > 3Y. XRD indicated higher t-phase in 3Y, whereas higher c-phase in 5Y.Increasing translucency and color alteration, and decreasing contrast and opalescence were influenced by Y content (5Y > 4Y > 3Y), region (I > M > C), and sintering rate (SS > FS > RS). Nonetheless, color alterations were within acceptable limits, suggesting the speed sintering rate to produce better color characteristics of restoration.