Abstract
To investigate the sintering shrinkage behavior of multigeneration, multilayer zirconia materials using geometrical measurements. Seven zirconia CAD/CAM materials were analyzed, comprising two mono-generation zirconia (HTML: Katana Zr, HTML Plus, 3Y-TZP; UTML: Katana Zr, UTML, 5Y-TZP) and five strength-gradient multilayer zirconia (AIDI: optimill 3D PRO Zir; PRIT: Priti multidisc ZrO(2) multicolor; UPCE: Explore Esthetic; ZCPC: IPS e.max ZirCAD Prime; ZYML: Katana YML) materials. Cubes (10 × 10 × 10 mm(3)) were milled in varying positions within the disks. Geometrical measurements were applied before and after dense sintering using a micrometer screw gauge, light microscopy, as well as surface scans and shrinkages were calculated. Data were analyzed using Kolmogorov-Smirnov, five-way ANOVA followed by the Scheffé post hoc test, and partial eta squared, as well as the Kruskal-Wallis test, including Bonferroni correction (p < 0.05). The highest influence on the shrinkage was exerted by the zirconia material ((η)(P)(2) = 0.893, p < 0.001), followed by the test method ((η)(P)(2) = 0.175, p < 0.001), while the vertical and horizontal position and measurement point showed no impact on the shrinkage results (p = 0.195-0.763) in the global analysis. Depending on the test method, the pooled shrinkage values of all tested zirconia materials varied between 17.7 and 20.2% for micrometer screw gauge, 17.7 and 20.1% for light microscopy, and 17.8 and 21.1% for surface scan measurements. The shrinkage values measured in the upper, middle, and lower multilayered vertical direction did not differ significantly in the global analysis for the multilayer materials. Therefore, a uniform shrinkage of these strength-gradient multilayer zirconia materials within clinically relevant restorations can be assumed.