Retrospective clinical evaluation of posterior monolithic zirconia restorations after 1 to 3.5 years of clinical service
Source abstract
Abstract
This retrospective study analyzed clinical outcomes of monolithic zirconia restorations (MZRs) and factors related to restoration success. Patient records were searched to identify those provided MZRs (Cercon ht) for premolars or molars between April 2012 and March 2016. All MZRs were placed according to a standardized protocol. Kaplan-Meier analysis was used to assess MZR performance and failure after recall appointments at 1 year or later. In total, 101 patients received 148 MZRs. Mean duration of follow-up was 25.0 ± 9.9 months. Six MZRs required replacement: three because of pulpal complications, one because of root fracture of an abutment tooth, one because of restoration fracture, and one because the tooth was used as an abutment tooth for a fixed partial denture after root fracture of an adjacent tooth. The cumulative MZR survival (success) rate at 3.5 years was 91.5% (95% confidence interval, 82.1% to 100%). The findings of this short-term retrospective study indicate that posterior MZRs are a therapeutic option for certain patients. In addition, several clinical procedures contribute to MZR success, including preparation design and occlusal and adhesive surface treatments.
Source: openalex_inverted_index · Quality: baseline
Research context
OpenAlex topics: Dental materials and restorations · Dental Implant Techniques and Outcomes · Dental Research and COVID-19
SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.
Affiliations
Section of Implant and Rehabilitative Dentistry, Division of Oral Rehabilitation, Faculty of Dental Science, Kyushu University
Section of Dental Education, Division of Oral Biological Sciences, Faculty of Dental Science, Kyushu University
References (39)
Show source-provided references
1. 1. Pjetursson BE, Sailer I, Zwahlen M, Hämmerle CH (2007) A systematic review of the survival and complication rates of all-ceramic and metal-ceramic reconstructions after an observation period of at least 3 years. Part I: single crowns. Clin Oral Implants Res 18, Suppl 3, 73-85.10.1111/j.1600-0501.2007.01467.x ↗
2. 2. Takeichi T, Katsoulis J, Blatz MB (2013) Clinical outcome of single porcelain-fused-to-zirconium dioxide crowns: a systematic review. J Prosthet Dent 110, 455-461.10.1016/j.prosdent.2013.09.015 ↗
3. 3. Sailer I, Makarov NA, Thoma DS, Zwahlen M, Pjetursson BE (2015) All-ceramic or metal-ceramic tooth-supported fixed dental prostheses (FDPs)? A systematic review of the survival and complication rates. Part I: single crowns (SCs). Dent Mater 31, 603-623.10.1016/j.dental.2015.02.011 ↗
4. 4. Segal BS (2001) Retrospective assessment of 546 all-ceramic anterior and posterior crowns in a general practice. J Prosthet Dent 85, 544-550.10.1067/mpr.2001.115180 ↗
5. 5. Fasbinder DJ, Dennison JB, Heys D, Neiva G (2010) A clinical evaluation of chairside lithium disilicate CAD/CAM crowns: a two-year report. J Am Dent Assoc 141, 10S-14S.10.14219/jada.archive.2010.0355 ↗
6. 6. Borba M, de Araújo MD, de Lima E, Yoshimura HN, Cesar PF, Griggs JA et al. (2011) Flexural strength and failure modes of layered ceramic structures. Dent Mater 27, 1259-1266.10.1016/j.dental.2011.09.008 ↗
7. 7. Borba M, Cesar PF, Griggs JA, Della Bona A (2013) Step-stress analysis for predicting dental ceramic reliability. Dent Mater 29, 913-918.10.1016/j.dental.2013.05.009 ↗
8. 8. Fabian Fonzar R, Carrabba M, Sedda M, Ferrari M, Goracci C, Vichi A (2017) Flexural resistance of heat-pressed and CAD-CAM lithium disilicate with different translucencies. Dent Mater 33, 63-70.10.1016/j.dental.2016.10.005 ↗
9. 9. Zarone F, Russo S, Sorrentino R (2011) From porcelain-fused-to-metal to zirconia: clinical and experimental considerations. Dent Mater 27, 83-96.10.1016/j.dental.2010.10.024 ↗
10. 10. Rinke S, Gersdorff N, Lange K, Roediger M (2013) Prospective evaluation of zirconia posterior fixed partial dentures: 7-year clinical results. Int J Prosthodont 26, 164-171.10.11607/ijp.3229 ↗
11. 11. Rosentritt M, Steiger D, Behr M, Handel G, Kolbeck C (2009) Influence of substructure design and spacer settings on the in vitro performance of molar zirconia crowns. J Dent 37, 978-983.10.1016/j.jdent.2009.08.003 ↗
12. 12. Tan JP, Sederstrom D, Polansky JR, McLaren EA, White SN (2012) The use of slow heating and slow cooling regimens to strengthen porcelain fused to zirconia. J Prosthet Dent 107, 163-169.10.1016/S0022-3913(12)60050-X ↗
13. 13. Raigrodski AJ, Hillstead MB, Meng GK, Chung KH (2012) Survival and complications of zirconia-based fixed dental prostheses: a systematic review. J Prosthet Dent 107, 170-177.10.1016/S0022-3913(12)60051-1 ↗
14. 14. Heintze SD, Rousson V (2010) Survival of zirconia- and metal-supported fixed dental prostheses: a systematic review. Int J Prosthodont 23, 493-502.
15. 15. Augstin-Panadero R, Fons-Font A, Roman-Rodriguez JL, Granell-Ruiz M, del Rio-Highsmith J, Sola-Ruiz MF (2012) Zirconia versus metal: a preliminary comparative analysis of ceramic veneer behavior. Int J Prosthodont 25, 294-300.
16. 16. Guess PC, Schultheis S, Bonfante EA, Coelho PG, Ferencz JL, Silva NR (2011) All-ceramic systems: laboratory and clinical performance. Dent Clin North Am 55, 333-352.10.1016/j.cden.2011.01.005 ↗
17. 17. Kim MJ, Oh SH, Kim JH, Ju SW, Seo DG, Jun SH et al. (2012) Wear evaluation of the human enamel opposing different Y-TZP dental ceramics and other porcelains. J Dent 40, 979-988.10.1016/j.jdent.2012.08.004 ↗
18. 18. Nejatidanesh F, Savabi O, Shahtoosi M (2013) Retention of implant-supported zirconium oxide ceramic restorations using different luting agents. Clin Oral Implants Res 24, Suppl A100, 20-24.10.1111/j.1600-0501.2011.02358.x ↗
19. 19. Sun T, Zhou S, Lai R, Liu R, Ma S, Zhou Z et al (2014) Load-bearing capacity and the recommended thickness of dental monolithic zirconia single crowns. J Mech Behav Biomed Mater 35, 93-101.10.1016/j.jmbbm.2014.03.014 ↗
20. 20. Amer R, Kürklü D, Kateeb E, Seghi RR (2014) Three-body wear potential of dental yttrium-stabilized zirconia ceramic after grinding, polishing, and glazing treatments. J Prosthet Dent 112, 1151-1155.10.1016/j.prosdent.2013.12.021 ↗
21. 21. Inokoshi M, Poitevin A, De Munck J, Minakuchi S, Van Meerbeek B (2014) Bonding effectiveness to different chemically pre-treated dental zirconia. Clin Oral Investig 18, 1803-1812.10.1007/s00784-013-1152-7 ↗
22. 22. Nakamura K, Harada A, Inagaki R, Kanno T, Niwano Y, Milleding P et al. (2015) Fracture resistance of monolithic zirconia molar crowns with reduced thickness. Acta Odontol Scand 73, 602-608.10.3109/00016357.2015.1007479 ↗
23. 23. Nordahl N, Vult von Steyern P, Larsson C (2015) Fracture strength of ceramic monolithic crown systems of different thickness. J Oral Sci 57, 255-261.10.2334/josnusd.57.255 ↗
24. 24. Sulaiman TA, Abdulmajeed AA, Donovan TE, Ritter AV, Vallittu PK, Närhi TO et al. (2015) Optical properties and light irradiance of monolithic zirconia at variable thicknesses. Dent Mater 31, 1180-1187.10.1016/j.dental.2015.06.016 ↗
25. 25. Mitov G, Anastassova-Yoshida Y, Nothdurft FP, von See C, Pospiech P (2016) Influence of the preparation design and artificial aging on the fracture resistance of monolithic zirconia crowns. J Adv Prosthodont 8, 30-36.10.4047/jap.2016.8.1.30 ↗
26. 26. Sorrentino R, Triulzio C, Tricarico MG, Bonadeo G, Gherlone EF, Ferrari M (2016) In vitro analysis of the fracture resistance of CAD-CAM monolithic zirconia molar crowns with different occlusal thickness. J Mech Behav Biomed Mater 61, 328-333.10.1016/j.jmbbm.2016.04.014 ↗
27. 27. Kim HK, Kim SH, Lee JB, Ha SR (2016) Effects of surface treatments on the translucency, opalescence, and surface texture of dental monolithic zirconia ceramics. J Prosthet Dent 115, 773-779.10.1016/j.prosdent.2015.11.020 ↗
28. 28. Xie H, Li Q, Zhang F, Lu Y, Tay FR, Qian M et al. (2016) Comparison of resin bonding improvements to zirconia between one-bottle universal adhesives and tribochemical silica coating, which is better? Dent Mater 32, 403-411.10.1016/j.dental.2015.12.014 ↗
29. 29. Limmer B, Sanders AE, Reside G, Cooper LF (2014) Complications and patient-centered outcomes with an implant-supported monolithic zirconia fixed dental prosthesis: 1 year results. J Prosthodont 23, 267-275.10.1111/jopr.12110 ↗
30. 30. Mundhe K, Jain V, Pruthi G, Shah N (2015) Clinical study to evaluate the wear of natural enamel antagonist to zirconia and metal ceramic crowns. J Prosthet Dent 114, 358-363.10.1016/j.prosdent.2015.03.001 ↗
31. 31. Stober T, Bermejo JL, Schwindling FS, Schmitter M (2016) Clinical assessment of enamel wear caused by monolithic zirconia crowns. J Oral Rehabil 43, 621-629.10.1111/joor.12409 ↗
32. 32. Cehreli MC, Kökat AM, Akça K (2009) CAD/CAM Zirconia vs. slip-cast glass-infiltrated Alumina/Zirconia all-ceramic crowns: 2-year results of a randomized controlled clinical trial. J Appl Oral Sci 17, 49-55.10.1590/S1678-77572009000100010 ↗
33. 33. Ortorp A, Kihl ML, Carlsson GE (2009) A 3-year retrospective and clinical follow-up study of zirconia single crowns performed in a private practice. J Dent 37, 731-736.10.1016/j.jdent.2009.06.002 ↗
34. 34. Goodacre CJ, Bernal G, Rungcharassaeng K, Kan JY (2003) Clinical complications in fixed prosthodontics. J Prosthet Dent 90, 31-41.10.1016/S0022-3913(03)00214-2 ↗
35. 35. Price RB, Rueggeberg FA, Labrie D, Felix CM (2010) Irradiance uniformity and distribution from dental light curing units. J Esthet Restor Dent 22, 86-101.10.1111/j.1708-8240.2010.00318.x ↗
36. 36. Ilie N, Stawarczyk B (2015) Quantification of the amount of blue light passing through monolithic zirconia with respect to thickness and polymerization conditions. J Prosthet Dent 113, 114-121.10.1016/j.prosdent.2014.08.013 ↗
37. 37. Chen L, Suh BI, Brown D, Chen X (2012) Bonding of primed zirconia ceramics: evidence of chemical bonding and improved bond strengths. Am J Dent 25, 103-108.
38. 38. Amaral M, Belli R, Cesar PF, Valandro LF, Petschelt A, Lohbauer U (2014) The potential of novel primers and universal adhesives to bond to zirconia. J Dent 42, 90-98.10.1016/j.jdent.2013.11.004 ↗
39. 39. Inokoshi M, De Munck J, Minakuchi S, Van Meerbeek B (2014) Meta-analysis of bonding effectiveness to zirconia ceramics. J Dent Res 93, 329-334.10.1177/0022034514524228 ↗