Comparison of zirconia degradation in dental implants and femoral balls: an X-ray diffraction and nanoindentation study

Springer Science and Business Media LLC - Tập 7 - Trang 1-9 - 2021
Javier Gil1,2, José Angel Delgado-García-Menocal1,2, Eugenio Velasco-Ortega3, Begoña Bosch1, Luis Delgado1, Román Pérez-Antoñanzas1, Mariano Fernández-Fairén1
1Bioengineering Institute of Technology, Universitat Internacional de Catalunya, Barcelona, Spain
2School of Dentistry, Universitat Internacional de Catalunya, Barcelona, Spain
3Facultad de Odontología, Universidad de Sevilla, Sevilla, Spain

Tóm tắt

New tetragonal zirconia polycrystal dental implants stabilized with yttria (Y-TZP) have appeared in the implantology market in the form of single piece or two-piece zircona implant system. These new type of implants improve the aesthetical properties compared to conventional commercially pure (c.p.) titanium used for implants, although the long term mechanical behavior of these new implants is not yet well known. In orthopaedics, the application of zirconia as femoral balls presented an important controversial use due to the premature fracture once implanted. Y-TZP dental implants can be affected by hydrothermal degradation and its behavior should be analysed to avoid a premature fracture. The scientific question behind the study is to analyse if the degradation mechanism observed in orthopaedics applications of Y-TZP is similar to that of Y-TZP for dental applications. For this purpose, 30 original Y-TZP dental implants and 42 Y-TZP femoral balls fractured in vivo have been studied. Dental implants were submitted to an accelerated hydrothermal degradation to compare with the femoral balls fractured in vivo. Phase transformation as well as the mechanical behaviour of the degraded samples was studied by X ray diffraction and nanoindentation tests, respectively. Results have shown that the fracture mechanism of dental implants does not resemble the mechanism observed in orthopaedic samples, presenting a good long-term behaviour. The results ensure the good performance of zirconia dental implants, because the degradation of the ceramic is very limited and does not affect the mechanical properties.

Tài liệu tham khảo

Mohan P, Yuan B, Patterson T, Desai VH, Sohn YH. Degradation of yttria-stabilized zirconia thermal barrier coatings by vanadium pentoxide, phosphorous pentoxide, and sodium sulfate. J Am Ceram Soc. 2007;90(11):3601–7. Lin J-D, Duh J-G. Fracture toughness and hardness of ceria- and yttria-doped tetragonal zirconia ceramics. Mater Chem Phys. 2002;78:253–61. Piconi C, Maccauro G. Zirconia as a ceramic biomaterial. Biomaterials. 1999;20:1–25. Wenz HJ, Bartsch J, Wolfart S, Kern M. Osseointegration and clinical success of zirconia dental implants: a systematic review. Int J Prosthodont. 2008;21:27–36. Sevilla P, Sandino C, Arciniegas M, Martínez-Gomis J, Peraire M, Gil FJ. Evaluating mechanical properties and degradation of YTZP dental implants. Mater Sci Eng C. 2010;30(1):14–9. ISO 14801: Dentistry—implants—dynamic fatigue test for endosseous dental implants; 2007. Chevalier J. What future for zirconia as a biomaterial? Biomaterials. 2006;27:535–43. Camposilvan E, Leone R, Gremillarda L, Sorrentino R, Zarone F, Ferrari M, Chevalier J. Aging resistance, mechanical properties and translucency of different yttria-stabilized zirconia ceramics for monolithic dental crown applications. Dent Mater. 2018;34:879–90. Pereira GKR, Guilardi LF, Dapieve KS, Kleverlaan CJ, Rippe M, Valandro LF. Mechanical reliability, fatigue strength and survival analysis of new polycrystalline translucent zirconia ceramics for monolithic restorations. J Mech Behav Biomed Mater. 2018;85:57–65. Chevalier J, Gremillard L, Virkar A, Clarke D. The tetragonal-monoclinic transformation in zirconia: lessons learned and future trends. J Am Ceram Soc. 2009;92:1901–20. Molin MK, Karlsson SL. Five-year clinical prospective evaluation of zirconia-based Denzir 3-unit FPDs. Int J Prosthodont. 2008;2:223–7. Nakamura K, Kanno T, Milleding P, Ortengren U. Zirconia as a dental implant abutment material: a systematic review. Int J Prosthodont. 2010;23:299–309. Deville S, Gremillard L, Chevalier J, Fantozzi G. A critical comparison of methods for the determination of the aging sensitivity in biomedical grade yttria-stabilized zirconia. J Biomed Mater Res. 2005;72B(2):239–45. Garvie RC, Nicholson PS. Phase analysis in zirconia systems. J Am Ceram Soc. 1972;55:303–5. Pharr GM. Measurement of mechanical properties by ultra-low load indentation. Mater Sci Eng A. 1998;253(Issues 1–2):151–9. Bec S, Tonck A, Georges J-M, Georges E, Loubet J-L. Improvements in the indentation method with a surface force apparatus. Philos Mag A. 1996;74(5):1061–72. Tada H, Paris PC, Irwin GR. The stress analysis of cracks handbook. 3rd ed. New York: ASME Press; 2018. Deville S, Chevalier J, Gremillard L. Influence of surface finish and residual stresses on the ageing sensitivity of biomedical grade zirconia. Biomaterials. 2006;27:2186–92. Allen Kimel R, Adair JH. Aqueous degradation and chemical passivation of yttria-tetragonally-stabilized zirconia at 25°C. J Am Ceram Soc. 2002;85(6):1403–8. Gremillard L, Chevalier J, Epicier T, Deville S, Fantozzi G. Modeling the aging kinetics of zirconia ceramics. J Eur Ceram Soc. 2004;24:3483–9. Feder A, Anglada M. Low-temperature ageing degradation of 2.5Y-TZP heat-treated at 1650 °C. J Eur Ceram Soc. 2005;25:3117–24. Cotes C, Arataa A, Melo RM, Bottino MA, Machado J, Souzac R. Effects of aging procedures on the topographic surface, structural stability, and mechanical strength of a ZrO2-based dental ceramic. Dent Mater. 2014;30:396–404. Osman RB, Swain MV. A critical review of dental implant materials with an emphasis on titanium versus zirconia. Materials. 2015;8:932–58. Hisbergues M, Vendeville S, Vendeville P. Review: zirconia:established facts and perspectives for a biomedical in dental implantology. J Biomed Mater Res Part B: Appl Biomater. 2009;88B:519–29. Denry I, Kelly JR. State of the art of zirconia for dental applications. Dent Mater. 2008;24:299–307. Fernández-Fairén M, Sala P, Gil FJ. Failures of Yttria stabilised tetragonal zirconia: 52 retrieved ceramic femoral heads of total hip prostheses. Biomed Mater Eng. 2006;16:415–22. Glassman AH, Bobyn JD, Tanzer M. New femoral designs—do they influence stress shielding? Clin Orthop Rel Res. 2006;453:64–74. Gefen A. Computational simulations of stress shielding and bone resorption around existing and computer-designed orthopaedic screws. Med Biol Eng Comput. 2002;40(3):311–22. Casellas D, Llanes L, Anglada M. Fatigue resistance of Yttria-stabilised zirconia ceramics: Influence of microstructure. Fatigue ’99. Proceedings of the seventh international fatigue congress. 1999; 3: 303–305. Zhu P, Zhongqin L, Guanlong C, Kiyohiko I. The predictions and applications of fatigue lifetime in alumina and zirconia ceramics. Int J Fatigue. 2004;26:1109–14. Liu S-Y, Chen I-W. Fatigue of yttria-stabilized zirconia: I, fatigue damage, fracture origins, and lifetime prediction. J Am Ceram Soc. 1991;74(6):1197–205. Liu S-Y, Chen I-W. Fatigue of yttria-stabilized zirconia: II, crack propagation, fatigue striations, and short-crack behavior. J Am Ceram Soc. 1991;74(6):1206–16. Kulmer S, Ruzicka A, Niederwanger A, Moschen I. Incline and length of guiding elements in untreated naturally grown dentition. J Oral Rehabil. 1999;26:650–60. Kohal RJ, Att W, Bachle M, Butz F. Ceramic abutments and ceramic oral implants. Periodontol. 2008;47:224–43. Zhang Y, Sailer I, Lawn BR. Fatigue of dental ceramics. J Dent. 2013;41:1135–47. Osman RB, Swain MV, Atieh M, Ma S, Duncan W. Ceramic implants (Y-TZP). Are they a viable alternative to titanium implants for the support of overdentures? A randomized clinical trial. Clin Oral Implants Res. 2014;25:1366–77. Manero JM, Gil FJ, Padros E, Planell JA. Applications of environmental scanning electron microscopy (ESEM) in biomaterials field. Microsc Res Tech. 2003;61(5):469–80. Fernandez-Fairen M, Blanco A, Murcia P, Sevilla P, Gil FJ. Aging of retrieved zirconia femoral heads. Clin Orthop Rel Res. 2007;462:122–9. Fernández-Fairén M, Sala P, Gil FJ. Failures of yttria-stabilised tetragonal zirconia: 52 retrieved ceramic femoral heads of total hip prostheses. Bio-med Mater Eng. 2006;16(6):415–22.