Lityum Disilikat Seramikler ve Güncellemeler
Özet
Lityum disilikat seramikler, yüksek translusensileri, doğal diş benzeri estetikleri ve yeterli mekanik dayanımları sayesinde günümüz sabit protetik tedavilerinde önemli bir yer edinmiştir. Cam-seramik yapısındaki ince ve birbirine kenetlenen lityum disilikat kristalleri, çatlak ilerlemesini engelleyerek malzemenin dayanıklılığını artırır. CAD-CAM teknolojileriyle hem laboratuvar hem de klinik ortamlarda hızlı ve öngörülebilir üretim imkânı sunarlar. Son yıllarda geliştirilen zirkonya ile güçlendirilmiş ve nano yapılı varyantlar, mekanik performans ve translusensi arasında daha iyi bir denge sağlamayı hedeflemiştir. Lityum disilikatlar veneer, inley, onley, tam kron ve kısa aralıklı köprülerde güvenle kullanılmaktadır. Uygun yüzey bitim protokolleri, glaze işlemi ve doğru simantasyon teknikleri uzun dönem başarı için kritik öneme sahiptir. Klinik veriler, tek üye kronlarda %90’ın üzerinde sağkalım oranları bildirmektedir. Lityum disilikat seramiklerin başarısı, doğru endikasyon, uygun yüzey işlemleri ve klinik protokollere uyumla daha da artmakta; bu da onları uzun dönem estetik ve fonksiyonel restorasyonlar için güvenilir bir seçenek haline getirmektedir.
Referanslar
Zarone F, Russo S, Sorrentino R. From porcelain-fused-to-metal to zirconia: clinical and experimental considerations. Dent Mater. 2011;27(1):83-96.
Giordano II R. Ceramics overview. Br Dent J. 2022;232(9):658-63.
McLaren EA, Cao PT. Ceramics in dentistry-part I: classes of materials. Inside Dentistry. 2009;5(9):94-103.
Denry I, Kelly JR. State of the art of zirconia for dental applications. Dent Mater. 2008;24(3):299-307.
da Silva LH, de Lima E, Hochman M, Özcan M, Cesar PF. Monolithic Zirconia for Prosthetic Reconstructions: Advantages and Limitations. Current Oral Health Reports. 2017;4(3):197-200.
Giordano R, McLaren EA. Ceramics overview: classification by microstructure and processing methods. Compendium of Continuing Education in Dentistry (15488578). 2010;31(9).
Conrad HJ, Seong W-J, Pesun IJ. Current ceramic materials and systems with clinical recommendations: A systematic review. J Prosthet Dent. 2007;98(5):389-404.
Gehrt M, Wolfart S, Rafai N, Reich S, Edelhoff D. Clinical results of lithium-disilicate crowns after up to 9 years of service. Clin Oral Investig. 2013;17(1):275-84.
Culp L, McLaren EA. Lithium disilicate: the restorative material of multiple options. Compendium of Continuing Education in Dentistry (15488578). 2010;31(9).
Talibi M, Kaur K, Patanwala HS, Parmar H. Do you know your ceramics? Part 1: classification. Br Dent J. 2022;232(1):27-32.
Gracis S, Thompson VP, Ferencz JL, Silva NR, Bonfante EA. A new classification system for all-ceramic and ceramic-like restorative materials. Int J Prosthodont. 2015;28(3).
Anusavice KJ, Shen C, Rawls HR. Phillips' science of dental materials: Elsevier Health Sciences; 2012.
Shenoy A, Shenoy N. Dental ceramics: An update. J Conserv Dent. 2010;13(4):195-203.
Cesar PF, Yoshimura HN, Júnior WGM, Okada CY. Correlation between fracture toughness and leucite content in dental porcelains. J Dent. 2005;33(9):721-9.
McLaren EA, Giordano II RA, Pober R, Abozenada B. Material Testing and Layering Techniques of a New Two-Phase All-Glass Veneering Porcelain for Bonded Porcelain and High-Alumina Frameworks. Quint Dent Technol (QDT). 2003;26.
Guess PC, Schultheis S, Bonfante EA, Coelho PG, Ferencz JL, Silva NRFA. All-Ceramic Systems: Laboratory and Clinical Performance. Dent Clin North Am. 2011;55(2):333-52.
Babu PJ, Alla RK, Alluri VR, Datla SR, Konakanchi A. Dental ceramics: Part I–An overview of composition, structure and properties. Am J Mater Eng Technol. 2015;3(1):13-8.
Fischer K, Bühler-Zemp P, Völkel T. Scientific Documentation IPS e. max CAD. Schaan, Liechtenstein: Ivoclar Vivadent. 2005;1(1):1-30.
Albakry M, Guazzato M, Swain MV. Influence of hot pressing on the microstructure and fracture toughness of two pressable dental glass-ceramics. J Biomed Mater Res B Appl Biomater. 2004;71(1):99-107.
Zarone F, Ferrari M, Mangano FG, Leone R, Sorrentino R. “Digitally oriented materials”: focus on lithium disilicate ceramics. Int J Dent. 2016;2016(1):9840594.
Denry I, Holloway JA. Ceramics for Dental Applications: A Review. Materials. 2010;3(1):351-68.
Phark JH, Duarte S, Jr. Microstructural considerations for novel lithium disilicate glass ceramics: A review. J Esthet Restor Dent. 2022;34(1):92-103.
Willard A, Chu T-MG. The science and application of IPS e. Max dental ceramic. Kaohsiung J Med Sci. 2018;34(4):238-42.
Saint-Jean SJ. Dental glasses and glass-ceramics. Advanced ceramics for dentistry: Elsevier; 2014. p. 255-77.
Hallmann L, Ulmer P, Kern M. Effect of microstructure on the mechanical properties of lithium disilicate glass-ceramics. J. Mech. Behav. Biomed. Mater. 2018;82:355-70.
Zhang Y, Vardhaman S, Rodrigues C, Lawn B. A critical review of dental lithia-based glass–ceramics. J Dent Res. 2023;102(3):245-53.
Aksoy G, Polat H, Polat M, Coskun G. Effect of various treatment and glazing (coating) techniques on the roughness and wettability of ceramic dental restorative surfaces. Colloids Surf B Biointerfaces. 2006;53(2):254-9.
Kurt M, Güngör MB, Nemli SK, Bal BT. Effects of glazing methods on the optical and surface properties of silicate ceramics. J Prosthodont Res 2020;64(2):202-9.
Ludovichetti FS, Trindade FZ, Adabo GL, Pezzato L, Fonseca RG. Effect of grinding and polishing on the roughness and fracture resistance of cemented CAD-CAM monolithic materials submitted to mechanical aging. J Prosthet Dent. 2019;121(5):866. e1-. e8.
Lubauer J, Belli R, Peterlik H, Hurle K, Lohbauer U. Grasping the Lithium hype: Insights into modern dental Lithium Silicate glass-ceramics. Dent Mater. 2022;38(2):318-32.
Denry IL, Holloway JA. Microstructural and crystallographic surface changes after grinding zirconia-based dental ceramics. J Biomed Mater Res B Appl Biomater. 2006;76(2):440-8.
Zhang Y, Kelly JR. Dental ceramics for restoration and metal-veneering. Dent Clin North Am. 2017;61(4):797.
Kaur K, Talibi M, Parmar H. Do you know your ceramics? Part 3: lithium disilicate. Br Dent J. 2022;232(3):147-50.
Simba BG, Ribeiro MV, Alves MFR, Amarante JEV, Strecker K, dos Santos C. Effect of the temperature on the mechanical properties and translucency of lithium silicate dental glass-ceramic. Ceram Int. 2021;47(7):9933-40.
Sartori N, Tostado G, Phark J, Takanashi K, Lin R, Duarte S. CAD/CAM High Strength Glass-Ceramics. Quintessence Dent Technol. 2015;38:39-54.
Al-Johani H, Haider, J., Satterthwaite, J., & Silikas, N. Lithium Silicate-Based Glass Ceramics in Dentistry: A Narrative Review. Prosthesis. 2024;6(3):478-505.
Hurle K, Lubauer J, Belli R, Lohbauer U. On the assignment of quartz-like LiAlSi2O6-SiO2 solid solutions in dental lithium silicate glass-ceramics: Virgilite, high quartz, low quartz or stuffed quartz derivatives? Dent Mater. 2022;38(9):1558-63.
Rinke S, Zuck T, Hausdörfer T, Leha A, Wassmann T, Ziebolz D. Prospective clinical evaluation of chairside-fabricated zirconia-reinforced lithium silicate ceramic partial crowns—5-year results. Clin Oral Investig. 2022;26(2):1593-603.
Zimmermann M, Koller C, Mehl A, Hickel R. Indirect zirconia-reinforced lithium silicate ceramic CAD/CAM restorations: Preliminary clinical results after 12 months. Quint Int. 2017;48(1).
Jurado CA, El-Gendy T, Hyer J, Tsujimoto A. Color stability of fully-and pre-crystalized chair-side CAD-CAM lithium disilicate restorations after required and additional sintering processes. J Adv Prosthodont. 2022;14(1):56.
Kern M, Sasse M, Wolfart S. Ten-year outcome of three-unit fixed dental prostheses made from monolithic lithium disilicate ceramic. J Am Dent Assoc. 2012;143(3):234-40.
Jurado CA, Afrashtehfar KI, Hyer J, Alhotan A. Effect of sintering on the translucency of CAD–CAM lithium disilicate restorations: A comparative in vitro study. J Prosthodont. 2023;32(9):861-6.
Kumchai H, Juntavee P, Sun AF, Nathanson D. Effect of glazing on flexural strength of full-contour zirconia. Int J Dent. 2018;2018.
Fouda AM, Atta O, Kassem AS, Desoky M, Bourauel C. Wear behavior and abrasiveness of monolithic CAD/CAM ceramics after simulated mastication. Clin Oral Investig. 2022;26(11):6593-605.
Fouda AM, Stawarczyk B, Özcan M, Singer L, Bourauel C. Impact of glazing on wear, fracture load, and optical properties of a new fully crystallized lithium disilicate ceramic material. J Mech Behav Biomed Mater. 2023;146:106102.
Lu Y, Dal Piva AMO, Nedeljkovic I, Tribst JPM, Feilzer AJ, Kleverlaan CJ. Effect of glazing technique and firing on surface roughness and flexural strength of an advanced lithium disilicate. Clin Oral Investig. 2023;27(7):3917-26.
Rizk A, Abdou A, Aboalazm E, Omar S. Effect of Thermocycling on Optical Properties and Surface Roughness of Different Heat-Pressed Glass. Ceramics. 2024.
Bollen CM, Papaioanno W, Van Eldere J, Schepers E, Quirynen M, Van Steenberghe D. The influence of abutment surface roughness on plaque accumulation and peri‐implant mucositis. Clin Oral Implants Res. 1996;7(3):201-11.
Jones C, Billington R, Pearson G. The in vivo perception of roughness of restorations. Br Dent J. 2004;196(1):42-5.
Mohammadibassir M, Rezvani MB, Golzari H, Moravej Salehi E, Fahimi MA, Kharazi Fard MJ. Effect of two polishing systems on surface roughness, topography, and flexural strength of a monolithic lithium disilicate ceramic. J Prosthodont. 2019;28(1):e172-e80.
Boaventura JMC, Nishida R, Elossais AA, Lima DM, Reis JMSN, Campos EA, et al. Effect finishing and polishing procedures on the surface roughness of IPS Empress 2 ceramic. Acta Odontol Scand. 2013;71(3-4):438-43.
Mores RT, Borba M, Corazza PH, Della Bona Á, Benetti P. Influence of surface finishing on fracture load and failure mode of glass ceramic crowns. J Prosthet Dent. 2017;118(4):511-6.
Freitas JS, Souza LFB, Dellazzana FZ, da Silva TMR, Ribeiro L, Pereira GKR, et al. Advanced lithium disilicate: A comparative evaluation of translucency and fatigue failure load to other ceramics for monolithic restorations. J Mech Behav Biomed Mater 2023;148:106192.
Della Bona A, Nogueira AD, Pecho OE. Optical properties of CAD-CAM ceramic systems. J Dent. 2014;42(9):1202-9.
Dede DO, Sahin O, Ozdemir OS, Yilmaz B, Celik E, Koroglu A. Influence of the color of composite resin foundation and luting cement on the final color of lithium disilicate ceramic systems. J Prosthet Dent. 2017;117(1):138-43.
Shen C, Rawls HR, Esquivel-Upshaw JF. Phillips' Science of Dental Materials E-Book: Phillips' Science of Dental Materials E-Book: Elsevier Health Sciences; 2021.
Vichi A, Carrabba M, Paravina R, Ferrari M. Translucency of ceramic materials for CEREC CAD/CAM system. J Esthet Restor Dent. 2014;26(4):224-31.
Acar O, Yilmaz B, Altintas SH, Chandrasekaran I, Johnston WM. Color stainability of CAD/CAM and nanocomposite resin materials. J Prosthet Dent. 2016;115(1):71-5.
Alp G, Subasi MG, Johnston WM, Yilmaz B. Effect of surface treatments and coffee thermocycling on the color and translucency of CAD-CAM monolithic glass-ceramic. J Prosthet Dent. 2018;120(2):263-8.
Marchesi G, Camurri Piloni A, Nicolin V, Turco G, Di Lenarda R. Chairside CAD/CAM materials: current trends of clinical uses. Biology. 2021;10(11):1170.
Turp V, Turkoglu P, Sen D. Influence of monolithic lithium disilicate and zirconia thickness on polymerization efficiency of dual‐cure resin cements. J Esthet Restor Dent. 2018;30(4):360-8.
Arif R, Yilmaz B, Johnston WM. In vitro color stainability and relative translucency of CAD-CAM restorative materials used for laminate veneers and complete crowns. J Prosthet Dent. 2019;122(2):160-6.
Demirel M, Diken Turksayar AA, Donmez MB. Translucency, color stability, and biaxial flexural strength of advanced lithium disilicate ceramic after coffee thermocycling. J Esthet Restor Dent. 2023;35(2):390-6.
Donmez MB, Olcay EO, Demirel M. Load-to-Failure Resistance and Optical Characteristics of Nano-Lithium Disilicate Ceramic after Different Aging Processes. Materials (Basel). 2022;15(11).
Diken Turksayar AA, Demirel M, Donmez MB. Optical properties, biaxial flexural strength, and reliability of new-generation lithium disilicate glass-ceramics after thermal cycling. J Prosthodont. 2023;32(9):815-20.
Supornpun N, Oster M, Phasuk K, Chu T-MG. Effects of shade and thickness on the translucency parameter of anatomic-contour zirconia, transmitted light intensity, and degree of conversion of the resin cement. J Prosthet Dent. 2021.
Aurelio IL, Dorneles LS, May LG. Extended glaze firing on ceramics for hard machining: Crack healing, residual stresses, optical and microstructural aspects. Dent Mater. 2017;33(2):226-40.
Ilie N, Hickel R. Correlation between ceramics translucency and polymerization efficiency through ceramics. Dent Mater. 2008;24(7):908-14.
Della Bona A, Pecho OE, Ghinea R, Cardona JC, Perez MM. Colour parameters and shade correspondence of CAD-CAM ceramic systems. J Dent. 2015;43(6):726-34.
Bacchi A, Boccardi S, Alessandretti R, Pereira GKR. Substrate masking ability of bilayer and monolithic ceramics used for complete crowns and the effect of association with an opaque resin-based luting agent. J Prosthodont Res. 2019;63(3):321-6.
Seyidaliyeva A, Rues S, Evagorou Z, Hassel AJ, Rammelsberg P, Zenthofer A. Color stability of polymer-infiltrated-ceramics compared with lithium disilicate ceramics and composite. J Esthet Restor Dent. 2020;32(1):43-50.
Tabatabaei MH, Matinfard F, Ahmadi E, Omrani LR, Mahounak FS. Color stability of ceramic veneers cemented with self-adhesive cements after accelerated aging. Front Dent. 2019;16(5):393.
Alayad AS, Alqhatani A, Alkatheeri MS, Alshehri M, AlQahtani MA, Osseil AEB, et al. Effects of CAD/CAM ceramics and thicknesses on translucency and color masking of substrates. Saudi Dent J. 2021;33(7):761-8.
Simeone P, Gracis S. Eleven-year retrospective survival study of 275 veneered lithium disilicate single crowns. Int J Periodontics Restorative Dent. 2015;35:685-94.
Christensen G. Zirconia: most durable tooth-colored crown material in practice-based clinical study. Clin Rep. 2018;11(11):1-3.
Lu Y, van Steenoven A, Dal Piva AMdO, Tribst JPM, Wang L, Kleverlaan CJ, et al. Additive-manufactured ceramics for dental restorations: a systematic review on mechanical perspective. Front Dent Med. 2025;6:1512887.
Marsico C, Carpenter I, Kutsch J, Fehrenbacher L, Arola D. Additive manufacturing of lithium disilicate glass-ceramic by vat polymerization for dental appliances. Dent Mater. 2022;38(12):2030-40.
Zhou X, Yao Y, Tong X, Ye Z, Yu J, Huang Y, et al. Additively manufactured lithium disilicate glass-ceramics for dental applications: Role of heat treatment on densification, microstructural evolution, and strengthening-toughening. J Eur Ceram Soc. 2025;45(6):117187.
Yousry M, Hammad I, Halawani ME, Aboushelib M. Translucency of recent zirconia materials and material-related variables affecting their translucency: a systematic review and meta-analysis. BMC Oral Health. 2024;24(1):309.
Aydoğdu HM, Yıldız P, Ünlü DG. A comparative study of translucency and color perception in monolithic zirconia and lithium disilicate veneers. Heliyon. 2024;10(1).
Huang B, Chen M, Wang J, Zhang X. Advances in zirconia-based dental materials: Properties, classification, applications, and future prospects. J Dent. 2024;147:105111.
Toksoy D, Önöral Ö. Optical Behavior of Zirconia Generations. Cyprus J Med Sci. 2024.
Montazerian M, Shearer A, Mauro JC. Perspectives on the impact of crystallization in bioactive glasses and glass‐ceramics. Int J Ceram Eng Sci. 2024;6(1):e10194.
Wang J, Zhang L, Wang K. Bioactive ceramic-based materials: beneficial properties and potential applications in dental repair and regeneration. Regen Med. 2024;19(5):257-78.
Piatti E, Miola M, Verné E. Tailoring of bioactive glass and glass-ceramics properties for in vitro and in vivo response optimization: a review. Biomater Sci. 2024.
Teichmann M, Göckler F, Weber V, Yildirim M, Wolfart S, Edelhoff D. Ten-year survival and complication rates of lithium-disilicate (Empress 2) tooth-supported crowns, implant-supported crowns, and fixed dental prostheses. J Dent. 2017;56:65-77.