1.UNRAVELLING THE ROLE OF RESIDUAL STRESS DISTRIBUTION IN THE PERFORMANCE OF BILAYERED ZIRCONIA RESTORATIONS – A NARRATIVE REVIEW
Wen Sheng Teng ; Hsu Zenn Yew ; Nashrah Hani Jamadon ; Jasmina Qamaruz Zaman ; Meor Iqram Meor Ahmad ; Andanastuti Muchtar
Journal of University of Malaya Medical Centre 2024;27(Special Issue):178-186
UNRAVELLING THE ROLE OF RESIDUAL STRESS DISTRIBUTION IN THE PERFORMANCE OF BILAYERED ZIRCONIA RESTORATIONS – A NARRATIVE REVIEW
Bilayered zirconia restorations have gained significant popularity in modern dentistry due to their ability to combine the strength of zirconia with the natural aesthetics provided by porcelain veneers. However, the longevity and performance of these restorations can be influenced by the distribution of residual stresses within the material. This narrative review aims to explore the impact of residual stress distribution on the longevity of bilayered zirconia restorations, focusing on factors affecting stress levels, and potential failure modes and mechanisms. A Boolean search of the PubMed database was done which yielded 40 articles, of which 26 articles were included in this review. The narrative review begins with an introduction to bilayered zirconia restorations, highlighting their composition and advantages in dental applications as well as the different veneering techniques used. Subsequently, the analysis delves into stress distribution within the restoration, emphasizing its importance in determining the restoration's mechanical behaviour. Factors influencing residual stress in bilayered zirconia are explored, material properties, sintering parameters and veneering methods. Understanding these factors is crucial for optimizing stress management during restoration fabrication. In light of the influence of residual stress on restoration durability, mitigation strategies for reducing stress levels are discussed.

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