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http://dx.doi.org/10.4047/jap.2012.4.2.76

Clinical performance and failures of zirconia-based fixed partial dentures: a review literature  

Triwatana, Premwara (Department of Prosthodontics, Faculty of Dentistry, Mahidol University)
Nagaviroj, Noppavan (Department of Prosthodontics, Faculty of Dentistry, Mahidol University)
Tulapornchai, Chantana (Department of Prosthodontics, Faculty of Dentistry, Mahidol University)
Publication Information
The Journal of Advanced Prosthodontics / v.4, no.2, 2012 , pp. 76-83 More about this Journal
Abstract
PURPOSE. Zirconia has been used in clinical dentistry for approximately a decade, and there have been several reports regarding the clinical performance and survival rates of zirconia-based restorations. The aim of this article was to review the literatures published from 2000 to 2010 regarding the clinical performance and the causes of failure of zirconia fixed partial dentures (FPDs). MATERIALS AND METHODS. An electronic search of English peer-reviewed dental literatures was performed through PubMed to obtain all the clinical studies focused on the performance of the zirconia FPDs. The electronic search was supplemented by manual searching through the references of the selected articles for possible inclusion of some articles. Randomized controlled clinical trials, longitudinal prospective and retrospective cohort studies were the focuses of this review. Articles that did not focus on the restoration of teeth using zirconia-based restorations were excluded from this review. RESULTS. There have been three studies for the study of zirconia single crowns. The clinical outcome was satisfactory (acceptable) according to the CDA evaluation. There have been 14 studies for the study of zirconia FPDs. The survival rates of zirconia anterior and posterior FPDs ranged between 73.9% - 100% after 2 - 5 years. The causes of failure were veneer fracture, ceramic core fracture, abutment tooth fracture, secondary caries, and restoration dislodgment. CONCLUSION. The overall performance of zirconia FPDs was satisfactory according to either USPHS criteria or CDA evaluations. Fracture resistance of core and veneering ceramics, bonding between core and veneering materials, and marginal discrepancy of zirconia-based restorations were discussed as the causes of failure. Because of its repeated occurrence in many studies, future researches are essentially required to clarify this problem and to reduce the fracture incident.
Keywords
Zirconia fixed partial denture; Clinical performance; Failure; Cause of failure;
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1 Reich S, Wichmann M, Nkenke E, Proeschel P. Clinical fit of all-ceramic three-unit fixed partial dentures, generated with three different CAD/CAM systems. Eur J Oral Sci 2005;113: 174-9.   DOI   ScienceOn
2 Bindl A, Mo¨rmann WH. Fit of all-ceramic posterior fixed partial denture frameworks in vitro. Int J Periodontics Restorative Dent 2007;27:567-75.
3 Gonzalo E, Sua′rez MJ, Serrano B, Lozano JF. Marginal fit of zirconia posterior fixed partial dentures. Int J Prosthodont 2008;21:398-9.
4 Reich S, Kappe K, Teschner H, Schmitt J. Clinical fit of fourunit zirconia posterior fixed dental prostheses. Eur J Oral Sci 2008;116:579-84.   DOI   ScienceOn
5 Vigolo P, Fonzi F. An in vitro evaluation of fit of zirconium-oxide- based ceramic four-unit fixed partial dentures, generated with three different CAD/CAM systems, before and after porcelain firing cycles and after glaze cycles. J Prosthodont 2008;17: 621-6.   DOI   ScienceOn
6 Att W, Komine F, Gerds T, Strub JR. Marginal adaptation of three different zirconium dioxide three-unit fixed dental prostheses. J Prosthet Dent 2009;101:239-47.   DOI   ScienceOn
7 Beuer F, Aggstaller H, Edelhoff D, Gernet W, Sorensen J. Marginal and internal fits of fixed dental prostheses zirconia retainers. Dent Mater 2009;25:94-102.   DOI   ScienceOn
8 Beuer F, Naumann M, Gernet W, Sorensen JA. Precision of fit: zirconia three-unit fixed dental prostheses. Clin Oral Investig 2009;13:343-9.   DOI   ScienceOn
9 Dittmer MP, Borchers L, Stiesch M, Kohorst P. Stresses and distortions within zirconia-fixed dental prostheses due to the veneering process. Acta Biomater 2009;5:3231-9.   DOI   ScienceOn
10 Gonzalo E, Suarez MJ, Serrano B, Lozano JF. A comparison of the marginal vertical discrepancies of zirconium and metal ceramic posterior fixed dental prostheses before and after cementation. J Prosthet Dent 2009;102:378-84.   DOI   ScienceOn
11 Kohorst P, Brinkmann H, Li J, Borchers L, Stiesch M. Marginal accuracy of four-unit zirconia fixed dental prostheses fabricated using different computer-aided design/computer-aided manufacturing systems. Eur J Oral Sci 2009;117:319-25.   DOI   ScienceOn
12 Kohorst P, Brinkmann H, Dittmer MP, Borchers L, Stiesch M. Influence of the veneering process on the marginal fit of zirconia fixed dental prostheses. J Oral Rehabil 2010;37:283-91.   DOI   ScienceOn
13 Schmitter M, Mussotter K, Rammelsberg P, Stober T, Ohlmann B, Gabbert O. Clinical performance of extended zirconia frameworks for fixed dental prostheses: two-year results. J Oral Rehabil 2009;36:610-5.   DOI   ScienceOn
14 Roediger M, Gersdorff N, Huels A, Rinke S. Prospective evaluation of zirconia posterior fixed partial dentures: four-year clinical results. Int J Prosthodont 2010;23:141-8.
15 Tsumita M, Kokubo Y, Ohkubo C, Sakurai S, Fukushima S. Clinical evaluation of posterior all-ceramic FPDs (Cercon): a prospective clinical pilot study. J Prosthodont Res 2010;54: 102-5.   DOI   ScienceOn
16 Hertzberg RW. Deformation and fracture mechanics of engineering materials. 4th ed. NewYork; USA; John Wiley & Sons Inc; 1995. p. 326-7.
17 Tinschert J, Natt G, Mohrbotter N, Spiekermann H, Schulze KA. Lifetime of alumina- and zirconia ceramics used for crown and bridge restorations. J Biomed Mater Res B Appl Biomater 2007;80:317-21.
18 Wang H, Pallav P, Isgro G, Feilzer AJ. Fracture toughness comparison of three test methods with four dental porcelains. Dent Mater 2007;23:905-10.   DOI   ScienceOn
19 Cesar PF, Yoshimura HN, Miranda Ju′nior WG, Okada CY. Correlation between fracture toughness and leucite content in dental porcelains. J Dent 2005;33:721-9.   DOI   ScienceOn
20 Suputtamongkol K, Tulapornchai C, Teanchai C. Composition and properties of three dental porcelains. Mahidol Dent J 2008;28:1-8.
21 Ong JL, Farley DW, Norling BK. Quantification of leucite concentration using X-ray diffraction. Dent Mater 2000;16:20-5.   DOI   ScienceOn
22 Taskonak B, Borges GA, Mecholsky JJ Jr, Anusavice KJ, Moore BK, Yan J. The effects of viscoelastic parameters on residual stress development in a zirconia/glass bilayer dental ceramic. Dent Mater 2008;24:1149-55.   DOI   ScienceOn
23 DeHoff PH, Anusavice KJ. Viscoelastic finite element stress analysis of the thermal compatibility of dental bilayer ceramic systems. Int J Prosthodont 2009;22:56-61.
24 Fischer J, Stawarczyk B, Tomic M, Strub JR, Ha¨mmerle CH. Effect of thermal misfit between different veneering ceramics and zirconia frameworks on in vitro fracture load of single crowns. Dent Mater J 2007;26:766-72.   DOI   ScienceOn
25 Aboushelib MN, Kleverlaan CJ, Feilzer AJ. Microtensile bond strength of different components of core veneered all-ceramic restorations. Part II: Zirconia veneering ceramics. Dent Mater 2006;22:857-63.   DOI   ScienceOn
26 Aboushelib MN, Kleverlaan CJ, Feilzer AJ. Effect of zirconia type on its bond strength with different veneer ceramics. J Prosthodont 2008;17:401-8.   DOI   ScienceOn
27 Aboushelib MN, de Jager N, Kleverlaan CJ, Feilzer AJ. Microtensile bond strength of different components of core veneered all-ceramic restorations. Dent Mater 2005;21:984- 91.   DOI   ScienceOn
28 Denry I, Kelly JR. State of the art of zirconia for dental applications. Dent Mater 2008;24:299-307.   DOI   ScienceOn
29 Gostemeyer G, Jendras M, Dittmer MP, Bach FW, Stiesch M, Kohorst P. Influence of cooling rate on zirconia/veneer interfacial adhesion. Acta Biomater 2010;6:4532-8.   DOI   ScienceOn
30 Felton DA, Kanoy BE, Bayne SC, Wirthman GP. Effect of in vivo crown margin discrepancies on periodontal health. J Prosthet Dent 1991;65:357-64.   DOI   ScienceOn
31 Guazzato M, Albakry M, Ringer SP, Swain MV. Strength, fracture toughness and microstructure of a selection of all-ceramic materials. Part II. Zirconia-based dental ceramics. Dent Mater 2004;20:449-56.   DOI   ScienceOn
32 Ortorp A, Kihl ML, Carlsson GE. A 3-year retrospective and clinical follow-up study of zirconia single crowns performed in a private practice. J Dent 2009;37:731-6.   DOI   ScienceOn
33 Cehreli MC, Kokat AM, Akca K. 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 2009;17:49-55.   DOI   ScienceOn
34 Beuer F, Stimmelmayr M, Gernet W, Edelhoff D, Guh JF, Naumann M. Prospective study of zirconia-based restorations: 3-year clinical results. Quintessence Int 2010;41:631-7.
35 Suarez MJ, Lozano JF, Paz Salido M, Martinez F. Three-year clinical evaluation of In-Ceram Zirconia posterior FPDs. Int J Prosthodont 2004;17:35-8.
36 Vult von Steyern P, Carlson P, Nilner K. All-ceramic fixed partial dentures designed according to the DC-Zirkon technique. A 2-year clinical study. J Oral Rehabil 2005;32:180-7.   DOI   ScienceOn
37 Edelhoff D, Florian B, Florian W, Johnen C. HIP zirconia fixed partial dentures-clinical results after 3 years of clinical service. Quintessence Int 2008;39:459-71.
38 Raigrodski AJ, Chiche GJ, Potiket N, Hochstedler JL, Mohamed SE, Billiot S, Mercante DE. The efficacy of posterior three-unit zirconium-oxide-based ceramic fixed partial dental prostheses: a prospective clinical pilot study. J Prosthet Dent 2006;96:237- 44.   DOI   ScienceOn
39 Sailer I, Feher A, Filser F, Luthy H, Gauckler LJ, Scharer P, Franz Hammerle CH. Prospective clinical study of zirconia posterior fixed partial dentures: 3-year follow-up. Quintessence Int 2006;37:685-93.
40 Sailer I, Feher A, Filser F, Gauckler LJ, Luthy H, Hammerle CH. Five-year clinical results of zirconia frameworks for posterior fixed partial dentures. Int J Prosthodont 2007;20:383-8.
41 Molin MK, Karlsson SL. Five-year clinical prospective evaluation of zirconia-based Denzir 3-unit FPDs. Int J Prosthodont 2008;21:223-7.
42 Tinschert J, Schulze KA, Natt G, Latzke P, Heussen N, Spiekermann H. Clinical behavior of zirconia-based fixed partial dentures made of DC-Zirkon: 3-year results. Int J Prosthodont 2008;21:217-22.
43 Beuer F, Edelhoff D, Gernet W, Sorensen JA. Three-year clinical prospective evaluation of zirconia-based posterior fixed dental prostheses (FDPs). Clin Oral Investig 2009;13:445-51.   DOI   ScienceOn
44 Sailer I, Gottnerb J, Kanelb S, Hammerle CH. Randomized controlled clinical trial of zirconia-ceramic and metal-ceramic posterior fixed dental prostheses: a 3-year follow-up. Int J Prosthodont 2009;22:553-60.
45 Schmitt J, Holst S, Wichmann M, Reich S, Gollner M, Hamel J. Zirconia posterior fixed partial dentures: a prospective clinical 3-year follow-up. Int J Prosthodont 2009;22:597-603.
46 Komine F, Gerds T, Witkowski S, Strub JR. Influence of framework configuration on the marginal adaptation of zirconium dioxide ceramic anterior four-unit frameworks. Acta Odontol Scand 2005;63:361-6.   DOI   ScienceOn
47 Olsson KG, Furst B, Andersson B, Carlsson GE. A long-term retrospective and clinical follow-up study of In-ceram alumina FPDs. Int J Prosthodont 2003;16:150-6.
48 Haselton DR, Diaz-Arnold AM, Hillis SL. Clinical assessment of high-strength all-ceramic crowns. J Prosthet Dent 2000;83:396-401.   DOI   ScienceOn
49 Tinschert J, Natt G, Mautsch W, Spiekermann H, Anusavice KJ. Marginal fit of alumina-and zirconia-based fixed partial dentures produced by a CAD/CAM system. Oper Dent 2001;26:367-74.
50 Bindl A, Mormann WH. Marginal and internal fit of all-ceramic CAD/CAM crown-copings on chamfer preparations. J Oral Rehabil 2005;32:441-7.   DOI   ScienceOn