Evidence map›Paper›PMID 38923252›Full record

ArticleJournal of prosthodontics : official journal of the American College of Prosthodontists2026

Color stability of precolored and extrinsically colored monolithic multilayered polychromatic zirconia: Effects of surface finishing and aging.

Feras M Abounassif, Amal Alfaraj, Thuraya Gadah, Chao-Chieh Yang, Tien-Min G Chu, Wei-Shao Lin

Abstract read
In one paragraph

Article in Journal of prosthodontics : official journal of the American College of Prosthodontists, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Color Stability of Multi-Layered Zirconia Versus Lithium Disilicate Glass Ceramic: An in Vitro Study.Journal of dental research, dental clinics, dental prospects · 2026
    Article
  3. Optical stability of 3D-printed and milled zirconia after artificial aging and immersion in liquids: An in vitro study.Journal of prosthodontics : official journal of the American College of Prosthodontists · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Feras M AbounassifDental Department, Al Imam Abdulrahman Bin Faisal Hospital, National Guard Health Affairs, Dammam, Saudi Arabia.
Amal AlfarajDepartment of Prosthodontics, College of Dentistry, King Faisal University, Al Ahsa, Saudi Arabia.ORCID https://orcid.org/0000-0002-9892-2358
Thuraya GadahDepartment of Prosthodontics, College of Dentistry, King Khalid University, Abha, Saudi Arabia.
Chao-Chieh YangAdvanced Education Program in Prosthodontics, Department of Prosthodontics, Indiana University School of Dentistry, Indianapolis, Indiana, USA.ORCID https://orcid.org/0000-0002-6008-0650
Tien-Min G ChuDepartment of Biomedical Sciences and Comprehensive Care, Indiana University School of Dentistry, Indianapolis, Indiana, USA.ORCID https://orcid.org/0000-0002-7190-837X
Wei-Shao LinDepartment of Prosthodontics, Indiana University School of Dentistry, Indianapolis, Indiana, USA.ORCID https://orcid.org/0000-0002-4881-0569

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo explore the impact of zirconia types, coloring methods, and surface finishing on the color stability of monolithic multilayered polychromatic zirconia after artificial aging, including thermocycling and simulated toothbrushing. MATERIALS AND

methodsEighty square-shaped zirconia samples were divided into 2 types (M3Y-TZP and M6Y-PSZ), further categorized based on coloring methods (precolored and extrinsically colored) and surface finishing techniques (mechanical polishing or glazing). The color stability was assessed using the CIEDE2000 formula. Artificial aging was simulated via thermocycling and toothbrushing. All samples were analyzed with a spectrophotometer to determine the post-aging color changes (ΔE

resultsThe study results indicated significant impacts of zirconia type, coloring method, and surface finishing on color stability. The M6Y groups experienced significantly greater color changes (6.61 ± 1.63) compared to the M3Y groups (3.40 ± 2.24), p < 0.0001. For both types of zirconia, extrinsically colored samples exhibited significantly higher ΔE

conclusionsThe color stability of multilayered polychromatic zirconia is influenced by the type of material, extrinsic coloring, and the chosen surface treatment post-artificial aging. The translucent 6Y-PSZ exhibited lower color stability, especially with only mechanical polishing. For the fabrication of M3Y-TZP and 6Y-PSZ monolithic multilayered polychromatic zirconia restorations, extrinsic coloring should be paired with glazing to maintain color stability. Conversely, in the absence of extrinsic coloring, both glazing and mechanical polishing are effective in preserving color stability.

Indexed as

Dental MaterialsProsthesis ColoringZirconiumColorDental PolishingMaterials TestingSpectrophotometrySurface PropertiesDental MaterialsZirconiumzirconium oxideartificial agingcolor stabilitymultilayered polychromatic zirconiasurface finishingzirconia formulations

Identifiers

PMID38923252
PMCPMC12906326

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.