Zirconia ceramic fixed partial dentures after cyclic fatigue tests and clinical evaluation: a systematic review

Zirconia fixed prosthetic dentures are extensively used for replacing missing teeth. The primary objective of this systematic review was to gather and present the results of all in vitro studies and clinical trials conducted on zirconia fixed prosthetic dentures. This review concentrated exclusively on bilayered zirconia and monolithic fixed prosthetic dentures. As such this paper can act as a guideline for more comparable future experimental work on zirconia ceramics. Future studies must use a more systematic approach such as the uniform use of abutment material, material for simulating periodontal support, data about fracture strength before and after fatigue, number of cycles, information about position and size of the indenter. The new digital techniques with long-term follow-up are desirable in further clinical studies.