Comparison between color stability of zirconia and lithium disilicate


  • Ali S. Alfaer Department of Prosthodontic, Rabigh General Hospital, Rabigh, Saudi Arabia
  • Bassam A. Hamdi College of Dentistry, Jazan University, Jazan, Saudi Arabia
  • Raghad T. Melibary Davinci Clinic, Riyadh, Saudi Arabia
  • Ryan H. Alfwais Hayat Alshimal Medical Center, Rafha, Saudi Arabia
  • Naif M. Asirri Suleiman Habter Dental Medical Center, Abha, Saudi Arabia
  • Rawa A. Darweesh College of Dentistry, Vision Colleges, Jeddah, Saudi Arabia
  • Lateefa M. Albazi Ministry of Health, Mecca, Saudi Arabia
  • Faten H. Alalawi Department of Dentistry, Al Alami Dental Clinic, Riyadh, Saudi Arabia
  • Abdulaziz M. Asiri Department of Dentistry, Armed Forces Hospital Southern Region, Abha, Saudi Arabia
  • Hassan A. Alshehri Armed Forces Hospital Southern Region, Khamis Mushait, Saudi Arabia
  • Asrar S. Albuqayli College of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia



Lithium disilicate, Zirconia, Color stability, Y-TZP ceramics, Fixed prosthesis coloring


The most widely used glass-ceramic is lithium disilicate (LD) because of its remarkable optical qualities, high strength, and simplicity of manufacture. Greater marginal strength, reduced porosity, and net-shaped manufacturing by pressing are further benefits of LD. The development of yttrium stabilized trigonal zirconia polycrystalline (Y-TZP) ceramics is the result of the pursuit for a material with both mechanical capabilities, like the resistance provided by metallic restoration, and the distinctive optical characteristics of glass-ceramic. The main drawback is the fragile veneering ceramics, which are prone to chipping, debonding, and breakage. There is evidence that extrinsic variables such beverages, mouthwashes, acid solutions, dental brushing, and increased temperatures might cause ceramic surfaces to deteriorate. The composition and surface shape of ceramic materials have an impact on the extrinsic pigment absorption or adsorption from the oral cavity. The main causes for the clinical replacement of anterior restorations, according to prior research, are poor color matching and color instabilities. Monolithic zirconia is more prone to staining from chlorhexidine, green tea, and coffee. In monolithic zirconia, the aging-related color changes are more pronounced. The color of the background substructure influences how zirconia restorations look overall. In terms of color stability and translucency, LD ceramic has also been proven to be more aesthetically pleasing. In comparison to monolithic zirconia, bilayer zirconia with feldspar veneering ceramic displayed reduced discoloration overall. It has been noted that monolithic zirconia is more susceptible to low-temperature degradation than the core Y-TZP. The use of current literature to infer outcomes has several limitations because in most vitro investigations, thermocycling has been carried out in water rather than oral cavity saliva and the influence of sunlight exposure, salivary proteins, food coloring, tobacco, different enzymes, and surface-related factors on the color stability is yet to be examined.


Gordan VV, Abu-Hanna A, Mjor I. Esthetic dentistry in North American dental schools. J-Canad Dent Assoc. 2004;70(4):230-2.

Chen Y-M, Smales RJ, Yip KH-K, Sung W-J. Translucency and biaxial flexural strength of four ceramic core materials. Dental Materials. 2008;24(11):1506-11.

Gorman CM, McDevitt W, Hill R. Comparison of two heat-pressed all-ceramic dental materials. Dental Materials. 2000;16(6):389-95.

Gozneli R, Kazazoglu E, Ozkan Y. Flexural properties of leucite and lithium disilicate ceramic materials after repeated firings. J Dent Sci. 2014;9(2):144-50.

Albakry M, Guazzato M, Swain MV. Influence of hot pressing on the microstructure and fracture toughness of two pressable dental glass–ceramics. J Biomed Materials Res. 2004;71(1):99-107.

Zhao K, Wei Y-R, Pan Y, Zhang X-P, Swain MV, Guess PC. Influence of veneer and cyclic loading on failure behavior of lithium disilicate glass-ceramic molar crowns. Dental Materials. 2014;30(2):164-71.

Fonzar RF, Carrabba M, Sedda M, Ferrari M, Goracci C, Vichi A. Flexural resistance of heat-pressed and CAD-CAM lithium disilicate with different translucencies. Dental Materials. 2017;33(1):63-70.

Fischer K, Bühler-Zemp P, Völkel T. IPS e. max CAD. Scientific Documentation, Ivoclar Vivadent, Schaan, Liechtenstein. 2005.

Pires-de FdCP, Casemiro LA, Garcia LdFR, Cruvinel DR. Color stability of dental ceramics submitted to artificial accelerated aging after repeated firings. J Prosthet Dent. 2009;101(1):13-8.

Derafshi R, Khorshidi H, Kalantari M, Ghaffarlou I. Effect of mouthrinses on color stability of monolithic zirconia and feldspathic ceramic: an in vitro study. BMC Oral Health. 2017;17(1):1-8.

Jain C, Bhargava A, Gupta S, Rath R, Nagpal A, Kumar P. Spectrophotometric evaluation of the color changes of different feldspathic porcelains after exposure to commonly consumed beverages. Eur J Dent. 2013;7(02):172-80.

Garza LA, Thompson G, Cho S-H, Berzins DW. Effect of toothbrushing on shade and surface roughness of extrinsically stained pressable ceramics. J Prosthet Dent. 2016;115(4):489-94.

Kukiattrakoon B, Junpoom P, Hengtrakool C. Vicker's microhardness and energy dispersive x-ray analysis of fluorapatite-leucite and fluorapatite ceramics cyclically immersed in acidic agents. J Oral Sci. 2009;51(3):443-50.

Sarıkaya I, Yerliyurt K, Hayran Y. Effect of surface finishing on the colour stability and translucency of dental ceramics. BMC Oral Health. 2018;18(1):1-8.

Esquivel-Upshaw J, Dieng F, Clark A, Neal D, Anusavice K. Surface degradation of dental ceramics as a function of environmental pH. J Dent Res. 2013;92(5):467-71.

Falkensammer F, Arnetzl GV, Wildburger A, Freudenthaler J. Color stability of different composite resin materials. J Prosthet Dent. 2013;109(6):378-83.

Sakaue Y, Takenaka S, Ohsumi T, Domon H, Terao Y, Noiri Y. The effect of chlorhexidine on dental calculus formation: an in vitro study. BMC Oral Health. 2018;18(1):1-7.

Al-Zarea BK. Satisfaction with appearance and the desired treatment to improve aesthetics. Int J Dent. 2013;912368.

Raptis NV, Michalakis KX, Hirayama H. Optical behavior of current ceramic systems. Int J Periodont Restorat Dent. 2006;26(1).

Nogueira AD, Della Bona A. The effect of a coupling medium on color and translucency of CAD–CAM ceramics. J Dent. 2013;41:e18-23.

Amaya‐Pajares SP, Ritter AV, Vera Resendiz C, Henson BR, Culp L, Donovan TE. Effect of finishing and polishing on the surface roughness of four ceramic materials after occlusal adjustment. J Esthetic Restorative Dentistry. 2016;28(6):382-96.

Palla E-S, Kontonasaki E, Kantiranis N, Papadopoulou L, Zorba T, Paraskevopoulos KM, et al. Color stability of lithium disilicate ceramics after aging and immersion in common beverages. J Prosthetic Dentistry. 2018;119(4):632-42.

Gawriołek M, Sikorska E, Ferreira LF, Costa AI, Khmelinskii I, Krawczyk A, et al. Color and luminescence stability of selected dental materials in vitro. J Prosthodont. 2012;21(2):112-22.

Alencar-Silva FJ, Barreto JO, Negreiros WA, Silva PG, Pinto-Fiamengui LMS, Regis RR. Effect of beverage solutions and toothbrushing on the surface roughness, microhardness, and color stainability of a vitreous CAD-CAM lithium disilicate ceramic. J Prosthetic Dentistry. 2019;121(4):711.

Cotes C, Arata A, Melo RM, Bottino MA, Machado JP, Souza RO. Effects of aging procedures on the topographic surface, structural stability, and mechanical strength of a ZrO2-based dental ceramic. Dental Materials. 2014;30(12):e396-404.

Chevalier J, Cales B, Drouin JM. Low‐temperature aging of Y‐TZP ceramics. J Am Ceramic Soc. 1999;82(8):2150-4.

Volpato CÂM, Cesar PF, Bottıno MA. Influence of accelerated aging on the color stability of dental zirconia. J Esthetic Restorat Dent. 2016;28(5):304-12.

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 Materials Res. 2005;72(2):239-45.

Bergamo ETP, da Silva W, Cesar PF, Del Bel Cury A. Fracture load and phase transformation of monolithic zirconia crowns submitted to different aging protocols. Operat Dent. 2016;41(5):E118-30.

Fathy SM, El-Fallal AA, El-Negoly SA, El Bedawy AB. Translucency of monolithic and core zirconia after hydrothermal aging. Acta Biomaterialia Odontologica Scandinavica. 2015;1(2-4):86-92.

Baldissara P, Llukacej A, Ciocca L, Valandro FL, Scotti R. Translucency of zirconia copings made with different CAD/CAM systems. J Prosthet Dent. 2010;104(1):6-12.

Harada K, Raigrodski AJ, Chung K-H, Flinn BD, Dogan S, Mancl LA. A comparative evaluation of the translucency of zirconias and lithium disilicate for monolithic restorations. J Prosthetic Dentistry. 2016;116(2):257-63.

Dikicier S, Ayyildiz S, Ozen J, Sipahi C. Effect of varying core thicknesses and artificial aging on the color difference of different all-ceramic materials. Acta Odontologica Scandinavica. 2014;72(8):623-9.

Heffernan MJ, Aquilino SA, Diaz-Arnold AM, Haselton DR, Stanford CM, Vargas MA. Relative translucency of six all-ceramic systems. Part I: core materials. J Prosthet Dent. 2002;88(1):4-9.

Liu MC, Aquilino SA, Lund PS, Vargas MA, Diaz-Arnold AM, Gratton DG, et al. Human perception of dental porcelain translucency correlated to spectrophotometric measurements. J Prosthodontics: Implant Esthetic Reconstruct Dent. 2010;19(3):187-93.

Lee Y-K. Criteria for clinical translucency evaluation of direct esthetic restorative materials. Restorative Dentistry Endodont. 2016;41(3):159-66.

Harianawala HH, Kheur MG, Apte SK, Kale BB, Sethi TS, Kheur SM. Comparative analysis of transmittance for different types of commercially available zirconia and lithium disilicate materials. J Adv Prosthodont. 2014;6(6):456-61.

Zhang Y. Making yttria-stabilized tetragonal zirconia translucent. Dental Materials. 2014;30(10):1195-203.

Beuer F, Stimmelmayr M, Gueth J-F, Edelhoff D, Naumann M. In vitro performance of full-contour zirconia single crowns. Dental Materials. 2012;28(4):449-56.

Lee W-F, Feng S-W, Lu Y-J, Wu H-J, Peng P-W. Effects of two surface finishes on the color of cemented and colored anatomic-contour zirconia crowns. J Prosthet Dent. 2016;116(2):264-8.

da Silva TM, Salvia ACRD, de Carvalho RF, Pagani C, da Rocha DM, da Silva EG. Polishing for glass ceramics: which protocol? J Prosthodont Res. 2014;58(3):160-70.

Sarac D, Sarac YS, Yuzbasioglu E, Bal S. The effects of porcelain polishing systems on the color and surface texture of feldspathic porcelain. J Prosthet Dent. 2006;96(2):122-8.

Paul A, Vaidhyanathan B, Binner JG. Hydrothermal aging behavior of nanocrystalline Y‐TZP ceramics. J Am Ceramic Soc. 2011;94(7):2146-52.

Keuper M, Eder K, Berthold C, Nickel KG. Direct evidence for continuous linear kinetics in the low-temperature degradation of Y-TZP. Acta Biomaterialia. 2013;9(1):4826-35.

Suputtamongkol K, Tulapornchai C, Mamani J, Kamchatphai W, Thongpun N. Effect of the shades of background substructures on the overall color of zirconia-based all-ceramic crowns. J Adv Prosthodont. 2013;5(3):319-25.

Camposilvan E, Leone R, Gremillard L. Aging resistance, mechanical properties and translucency of different yttria-stabilized zirconia ceramics for monolithic dental crown applications. Dental Materials. 2018;34(6):879-90.

Motro PFK, Kursoglu P, Kazazoglu E. Effects of different surface treatments on stainability of ceramics. J Prosthet Dent. 2012;108(4):231-7.




How to Cite

Alfaer, A. S., Hamdi, B. A., Melibary, R. T., Alfwais, R. H., Asirri, N. M., Darweesh, R. A., Albazi, L. M., Alalawi, F. H., Asiri, A. M., Alshehri, H. A., & Albuqayli, A. S. (2022). Comparison between color stability of zirconia and lithium disilicate. International Journal Of Community Medicine And Public Health, 10(1), 320–325.



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