Evidence map›Paper›PMID 42434217›Full record

ReviewJournal of clinical and experimental dentistry2026

The effect of thickness and sintering mode on the impact strength of a graded Zirconia.

Beatriz Serralheiro da Cruz, Amanda M de Oliveira Dal Piva, João Paulo Mendes Tribst, Isabella Marian Lena, Arie Werner, Renata Marques de Melo, Cornelis Johannes Kleverlaan

Abstract readReview
In one paragraph

Review in Journal of clinical and experimental dentistry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Beatriz Serralheiro da CruzDepartment of Dental Materials and Prosthodontics, Institute of Science and Technology, Sao Paulo State University (UNESP), São José dos Campos, SP, Brazil.
Amanda M de Oliveira Dal PivaDepartment of Dental Materials, Academic Centre for Dentistry Amsterdam (ACTA), Universiteit van Amsterdam and Vrije Universiteit, Amsterdam, Netherlands.
João Paulo Mendes TribstDepartment of Reconstructive Oral Care, Academic Centre for Dentistry Amsterdam (ACTA), Universiteit van Amsterdam and Vrije Universiteit, Amsterdam, Netherlands.
Isabella Marian LenaPost-Graduate Program in Oral Science, Faculty of Odontology, Federal University of Santa Maria (UFSM), Santa Maria, RS, Brazil.
Arie WernerDepartment of Dental Materials, Academic Centre for Dentistry Amsterdam (ACTA), Universiteit van Amsterdam and Vrije Universiteit, Amsterdam, Netherlands.
Renata Marques de MeloDepartment of Dental Materials and Prosthodontics, Institute of Science and Technology, Sao Paulo State University (UNESP), São José dos Campos, SP, Brazil.
Cornelis Johannes KleverlaanDepartment of Dental Materials, Academic Centre for Dentistry Amsterdam (ACTA), Universiteit van Amsterdam and Vrije Universiteit, Amsterdam, Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Graded zirconia ceramics balance the high strength of 3Y-TZP with the translucency of 5Y-PSZ through their layered microstructure. However, the mechanical behavior of distinct compositional zones, particularly the transition zone, remains insufficiently characterized under dynamic loading conditions. This study aimed to evaluate the influence of different sintering protocols and thicknesses on the impact strength of graded zirconia. Material and Methods: Specimens were sectioned by layer (3Y-TZP, transition zone, 5Y-PSZ) under two thicknesses (1.0 and 1.5 mm) and two sintering protocols (conventional and speed). Impact strength testing, finite element analysis, and fractographic analysis were performed. A total of 180 bars were tested using the Dynstat method, with results analyzed via three-way ANOVA ( = 0.05). Results: The 3Y-TZP layer exhibited the highest impact strength (46.8-66.7 kJ/m²), followed by the transition zone (23.7-41.9 kJ/m²) and 5Y-PSZ (15.5-28.7 kJ/m²). A significant three-way interaction (F2,168 = 5.080, p = 0.007) was observed, with thicker 5Y-PSZ specimens showing ~45% less resistance under speed sintering. Fractographic analysis revealed intergranular fracture without delamination, confirming structural integrity. Conclusions: The 3Y-TZP layer provides superior impact resistance regardless of processing conditions, while conventional sintering is preferable for thicker 5Y-PSZ layers. These findings inform material selection and manufacturing processes for graded zirconia restorations in high-stress applications.

Identifiers

PMID42434217
PMCPMC13354039

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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.