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Clinical outcomes of zirconia-based implant- and tooth-supported single crowns

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Abstract

Objectives

Zirconia-based restorations have been increasingly used on implant and teeth abutments, but the evidence about clinical outcomes of these restorations is limited. The aim of this study was to assess up to 7-year clinical outcomes of implant- and tooth-supported zirconia-based single crowns.

Materials and methods

In this retrospective study, 261 patients with 556 single crowns supported by either teeth (324) or implants (232) were examined during 3- to 7-year follow-up (mean observation of 60.70 months for tooth and 59.20 months for implant-supported crowns). California Dental Association (CDA) quality evaluation system was used to evaluate the restorations. Soft tissue status was assessed using plaque and gingival index scores, bleeding on probing, and pocket depth. Patient and professional satisfaction were evaluated by visual analog scale (VAS).

Results

The 5-year Kaplan–Meier survival probability was 98.3 and 97.3 for implant- and tooth-supported crowns, respectively. In regard to CDA rating, most of the crowns were ranked as either excellent or acceptable (99.5 %). The recorded failures were replacement of the crown due to porcelain chipping (3), implant failure (1), and teeth extraction (5). Soft tissue parameters were not affected by the restorations compare to control teeth. The VAS was high for both patients and clinicians.

Conclusions

Zirconia-based single crowns on both tooth and implant abutments showed promising clinical performance in this up to 7-year follow-up.

Clinical relevance

The zirconia-based single crowns can be used clinically for tooth- and implant-supported restorations.

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References

  1. Walton TR (2002) An up to 15-year longitudinal study of 515 metal-ceramic FPDs: part 1. Outcome. Int J Prosthodont 15:439–445

    PubMed  Google Scholar 

  2. Burke FJ, Lucarotti PS (2009) Ten-year outcome of crowns placed within the general dental services in England and Wales. J Dent 37:12–24

    Article  PubMed  Google Scholar 

  3. Raigrodski AJ (2004) Contemporary materials and technologies for all-ceramic fixed partial dentures: a review of the literature. J Prosthet Dent 92:557–562

    Article  PubMed  Google Scholar 

  4. Jung RE, Holderegger C, Sailer I, Khraisat A, Suter A, Hammerle CH (2008) The effect of all-ceramic and porcelain-fused-to-metal restorations on marginal peri-implant soft tissue color: a randomized controlled clinical trial. Int J Periodontics Restorative Dent 28:357–365

    PubMed  Google Scholar 

  5. Denry I, Kelly JR (2008) State of the art of zirconia for dental applications. Dent Mater 24:299–307

    Article  PubMed  Google Scholar 

  6. Tinschert J, Natt G, Mautsch W, Augthun M, Spiekermann H (2001) Fracture resistance of lithium disilicate-, alumina-, and zirconia-based three-unit fixed partial dentures: a laboratory study. Int J Prosthodont 14:231–238

    PubMed  Google Scholar 

  7. Sundh A, Molin M, Sjogren G (2005) Fracture resistance of yttrium oxide partially-stabilized zirconia all-ceramic bridges after veneering and mechanical fatigue testing. Dent Mater 21:476–482

    Article  PubMed  Google Scholar 

  8. Ortorp A, Kihl ML, Carlsson GE (2012) A 5-year retrospective study of survival of zirconia single crowns fitted in a private clinical setting. J Dent 40:527–530

    Article  PubMed  Google Scholar 

  9. Cehreli MC, Kokat AM, Akca 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

    Article  PubMed  PubMed Central  Google Scholar 

  10. Beuer F, Stimmelmayr M, Gernet W, Edelhoff D, Guh JF, Naumann M (2010) Prospective study of zirconia-based restorations: 3-year clinical results. Quintessence Int 41:631–637

    PubMed  Google Scholar 

  11. Tartaglia GM, Sidoti E, Sforza C (2014) Seven-year prospective clinical study on zirconia-based single crowns and fixed dental prostheses. Clin Oral Investig

  12. Hosseini M, Worsaae N, Schiodt M, Gotfredsen K (2013) A 3-year prospective study of implant-supported, single-tooth restorations of all-ceramic and metal-ceramic materials in patients with tooth agenesis. Clin Oral Implants Res 24:1078–1087

    Article  PubMed  Google Scholar 

  13. Zembic A, Bosch A, Jung RE, Hammerle CH, Sailer I (2013) Five-year results of a randomized controlled clinical trial comparing zirconia and titanium abutments supporting single-implant crowns in canine and posterior regions. Clin Oral Implants Res 24:384–390

    Article  PubMed  Google Scholar 

  14. Schley JS, Heussen N, Reich S, Fischer J, Haselhuhn K, Wolfart S (2010) Survival probability of zirconia-based fixed dental prostheses up to 5 yr: a systematic review of the literature. Eur J Oral Sci 118:443–450

    Article  PubMed  Google Scholar 

  15. 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

    Article  PubMed  Google Scholar 

  16. Schmitt J, Wichmann M, Holst S, Reich S (2010) Restoring severely compromised anterior teeth with zirconia crowns and feather-edged margin preparations: a 3-year follow-up of a prospective clinical trial. Int J Prosthodont 23:107–109

    PubMed  Google Scholar 

  17. Sax C, Hammerle CH, Sailer I (2011) 10-year clinical outcomes of fixed dental prostheses with zirconia frameworks. Int J Comput Dent 14:183–202

    PubMed  Google Scholar 

  18. Raigrodski AJ, Chiche GJ, Potiket N, Hochstedler JL, Mohamed SE, Billiot S et al (2006) The efficacy of posterior three-unit zirconium-oxide-based ceramic fixed partial dental prostheses: a prospective clinical pilot study. J Prosthet Dent 96:237–244

    Article  PubMed  Google Scholar 

  19. Larsson C, Wennerberg A (2014) The clinical success of zirconia-based crowns: a systematic review. Int J Prosthodont 27:33–43

    Article  PubMed  Google Scholar 

  20. 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

    Article  PubMed  Google Scholar 

  21. Heintze SD, Rousson V (2010) Survival of zirconia- and metal-supported fixed dental prostheses: a systematic review. Int J Prosthodont 23:493–502

    PubMed  Google Scholar 

  22. Jung RE, Zembic A, Pjetursson BE, Zwahlen M, Thoma DS (2012) Systematic review of the survival rate and the incidence of biological, technical, and aesthetic complications of single crowns on implants reported in longitudinal studies with a mean follow-up of 5 years. Clin Oral Implants Res 23(Suppl 6):2–21

    Article  PubMed  Google Scholar 

  23. Vigolo P, Mutinelli S (2012) Evaluation of zirconium-oxide-based ceramic single-unit posterior fixed dental prostheses (FDPs) generated with two CAD/CAM systems compared to porcelain-fused-to-metal single-unit posterior FDPs: a 5-year clinical prospective study. J Prosthodont 21:265–269

    Article  PubMed  Google Scholar 

  24. 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

    Article  PubMed  Google Scholar 

  25. Swain MV (2009) Unstable cracking (chipping) of veneering porcelain on all-ceramic dental crowns and fixed partial dentures. Acta Biomater 5:1668–1677

    Article  PubMed  Google Scholar 

  26. Christensen RP, Ploeger BJ (2010) A clinical comparison of zirconia, metal and alumina fixed-prosthesis frameworks veneered with layered or pressed ceramic: a three-year report. J Am Dent Assoc 141:1317–1329

    Article  PubMed  Google Scholar 

  27. California Dental Association (1977) Quality evaluation for dental care. Guidelines for assessment of clinical quality and professional performance. California Dental Association, Los Angeles

    Google Scholar 

  28. Loe H (1967) The gingival index, the plaque index and the retention index systems. J Periodontol 38(Suppl):610–616

    Article  PubMed  Google Scholar 

  29. Esposito M, Hirsch JM, Lekholm U, Thomsen P (1997) Failure patterns of four osseointegrated oral implant systems. J Mater Sci Mater Med 8:843–847

    Article  PubMed  Google Scholar 

  30. Groten M, Huttig F (2010) The performance of zirconium dioxide crowns: a clinical follow-up. Int J Prosthodont 23:429–431

    PubMed  Google Scholar 

  31. Rinke S, Schafer S, Roediger M (2011) Complication rate of molar crowns: a practice-based clinical evaluation. Int J Comput Dent 14:203–218

    PubMed  Google Scholar 

  32. Salinas T, Eckert S (2012) Implant-supported single crowns predictably survive to five years with limited complications. J Evid Based Dent Pract 12:213–214

    Article  PubMed  Google Scholar 

  33. Pjetursson BE, Bragger U, Lang NP, Zwahlen M (2007) Comparison of survival and complication rates of tooth-supported fixed dental prostheses (FDPs) and implant-supported FDPs and single crowns (SCs). Clin Oral Implants Res 18(Suppl 3):97–113

    Article  PubMed  Google Scholar 

  34. Guess PC, Att W, Strub JR (2012) Zirconia in fixed implant prosthodontics. Clin Implant Dent Relat Res 14:633–645

    Article  PubMed  Google Scholar 

  35. Nothdurft F, Pospiech P (2010) Prefabricated zirconium dioxide implant abutments for single-tooth replacement in the posterior region: evaluation of peri-implant tissues and superstructures after 12 months of function. Clin Oral Implants Res 21:857–865

    PubMed  Google Scholar 

  36. Schwarz S, Schroder C, Hassel A, Bomicke W, Rammelsberg P (2012) Survival and chipping of zirconia-based and metal-ceramic implant-supported single crowns. Clin Implant Dent Relat Res 14(Suppl 1):e119–e125

    Article  PubMed  Google Scholar 

  37. Blatz MB, Bergler M, Ozer F, Holst S, Phark JH, Chiche GJ (2010) Bond strength of different veneering ceramics to zirconia and their susceptibility to thermocycling. Am J Dent 23:213–216

    PubMed  Google Scholar 

  38. Shahin R, Kern M (2010) Effect of air-abrasion on the retention of zirconia ceramic crowns luted with different cements before and after artificial aging. Dent Mater 26:922–928

    Article  PubMed  Google Scholar 

  39. 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

    Article  PubMed  Google Scholar 

  40. Nejatidanesh F, Savabi O, Jabbari E (2014) Effect of surface treatment on the retention of implant-supported zirconia restorations over short abutments. J Prosthet Dent 112:38–44

    Article  PubMed  Google Scholar 

  41. Pjetursson BE, Sailer I, Zwahlen M, Hammerle 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

    Article  PubMed  Google Scholar 

  42. Vult von Steyern P, Carlson P, Nilner K (2005) All-ceramic fixed partial dentures designed according to the DC-Zirkon technique. A 2-year clinical study. J Oral Rehabil 32:180–187

    Article  PubMed  Google Scholar 

  43. Tinschert J, Schulze KA, Natt G, Latzke P, Heussen N, Spiekermann H (2008) Clinical behavior of zirconia-based fixed partial dentures made of DC-Zirkon: 3-year results. Int J Prosthodont 21:217–222

    PubMed  Google Scholar 

  44. Molin MK, Karlsson SL (2008) Five-year clinical prospective evaluation of zirconia-based Denzir 3-unit FPDs. Int J Prosthodont 21:223–227

    PubMed  Google Scholar 

  45. Beuer F, Edelhoff D, Gernet W, Sorensen JA (2009) Three-year clinical prospective evaluation of zirconia-based posterior fixed dental prostheses (FDPs). Clin Oral Investig 13:445–451

    Article  PubMed  Google Scholar 

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Acknowledgments

This study was approved by the Ethics Committee of Isfahan University of Medical Sciences and supported by Isfahan University of Medical Sciences (research grant # 391045) and based on a thesis submitted to the postgraduate school of Isfahan University of Medical Sciences in partial fulfillment of the requirement for the Master of Science Degree.

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Authors and Affiliations

  1. Dental Materials Research Center, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran

    Farahnaz Nejatidanesh

  2. Department of Prosthodontics, Kermanshah University of Medical Sciences, Kermanshah, Iran

    Hedayat Moradpoor

  3. Torabinejad Dental Research Center, School of Dentistry, Isfahan University of Medical Sciences, #400-Sheikhsadoogh Shomali St. Sheikhsadoogh Cross Road, Isfahan, 81648-13315, Iran

    Omid Savabi

Authors
  1. Farahnaz Nejatidanesh
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  2. Hedayat Moradpoor
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  3. Omid Savabi
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Correspondence to Omid Savabi.

Additional information

This study was presented as a poster presentation in ITI World Symposium 2014 Geneva.

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Nejatidanesh, F., Moradpoor, H. & Savabi, O. Clinical outcomes of zirconia-based implant- and tooth-supported single crowns. Clin Oral Invest 20, 169–178 (2016). https://doi.org/10.1007/s00784-015-1479-3

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  • DOI: https://doi.org/10.1007/s00784-015-1479-3

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