Advertisement

Current Oral Health Reports

, Volume 4, Issue 2, pp 112–123 | Cite as

Clinical Performance of All-Ceramic Dental Restorations

  • Julian ConejoEmail author
  • Reto Nueesch
  • Mariam Vonderheide
  • Markus B. Blatz
Digital and Esthetic Dentistry (P Stathopoulou and E Anadioti, Section Editors)
First Online:
Part of the following topical collections:
  1. Topical Collection on Digital and Esthetic Dentistry

Abstract

Purpose of Review

The study aims to assess the current scientific evidence on the clinical performance of all-ceramic dental restorations.

Recent Findings

Silica-based and oxide-based ceramics provide esthetic treatment alternatives but rely on proper case selection and handling. Clinical long-term success rates are generally high for both tooth-supported and implant-supported restorations. Due to limited flexural strength and high brittleness, silica-based ceramics are limited in respect to clinical indications and their success greatly depends on resin bonding for final insertion. High-strength oxide-based ceramics can be inserted with conventional cements and reveal high success rates. More recently developed materials, such as resin matrix ceramics, zirconia-reinforced silicate ceramics, and monolithic translucent zirconia, reveal promising properties in the laboratory. However, they lack scientific validation through long-term clinical trials.

Summary

Established silica-based and oxide-based ceramic materials demonstrate high long-term clinical survival rates; however, recently developed ceramics need further assessment.

Keywords

Dental ceramics Dental restorations Clinical longevity Clinical application 
This is a preview of subscription content, log in to check access.

Notes

Compliance with Ethical Standards

Conflict of Interest

All authors declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. 1.
    Zarone F, Russo S, Sorrentino R. From porcelain-fused-to-metal to zirconia: clinical and experimental considerations. Dent.Mater. 2011;27:83–96. doi: 10.1016/j.dental.2010.10.024.CrossRefPubMedGoogle Scholar
  2. 2.
    Rohr N, Fischer C, Fischer J. Werkstoffkunde – nein danke! Zahnmedizin up2date. 2015:357–77. doi: 10.1055/s-0033-1358160.
  3. 3.
    Rohr N, Coldea A, Zitzmann NU, Fischer J. Loading capacity of zirconia implant supported hybrid ceramic crowns. DentMater. 2015;31:e279–88. doi: 10.1016/j.dental.2015.09.012.Google Scholar
  4. 4.
    Awada A, Nathanson D. Mechanical properties of resin-ceramic CAD/CAM restorative materials. J.Prosthet.Dent. 2015;114:587–93. doi: 10.1016/j.prosdent.2015.04.016.CrossRefPubMedGoogle Scholar
  5. 5.
    Bindl A, Mormann WH. Survival rate of mono-ceramic and ceramic-core CAD/CAM-generated anterior crowns over 2-5 years. Eur J Oral Sci. 2004;112:197–204. doi: 10.1111/j.1600-0722.2004.00119.x.CrossRefPubMedGoogle Scholar
  6. 6.
    Gracis S, Thompson VP, Ferencz JL, Silva NR, Bonfante EA. A new classification system for all-ceramic and ceramic-like restorative materials. Int J Prosthodont. 2015;28:227–35. doi: 10.11607/ijp.4244.CrossRefPubMedGoogle Scholar
  7. 7.
    Sorrentino R, Triulzio C, Tricarico MG, Bonadeo G, Gherlone EF, Ferrari M. In vitro analysis of the fracture resistance of CAD-CAM monolithic zirconia molar crowns with different occlusal thickness. J Mech Behav BiomedMater. 2016;61:328–33. doi: 10.1016/j.jmbbm.2016.04.014.CrossRefGoogle Scholar
  8. 8.
    Blatz MB, Alvarez M, Sawyer K, Brindis M. How to bond zirconia: the APC concept. Compend Contin EducDent. 2016;37:611–7. quiz 618 Google Scholar
  9. 9.
    Ohlmann B, Bermejo JL, Rammelsberg P, Schmitter M, Zenthofer A, Stober T. Comparison of incidence of complications and aesthetic performance for posterior metal-free polymer crowns and metal-ceramic crowns: results from a randomized clinical trial; 2014Google Scholar
  10. 10.
    Beier US, Dumfahrt H. Longevity of silicate ceramic restorations. Quintessence Int. 2014;45:637–44. doi: 10.3290/j.qi.a32234.PubMedGoogle Scholar
  11. 11.
    Fabbri G, Zarone F, Dellificorelli G, Cannistraro G, de Lorenzi M, Mosca A, Sorrentino R. Clinical evaluation of 860 anterior and posterior lithium disilicate restorations: retrospective study with a mean follow-up of 3 years and a maximum observational period of 6 years. Int J Periodontics Restorative Dent. 2014;34:165–77. doi: 10.11607/prd.1769.CrossRefPubMedGoogle Scholar
  12. 12.
    Otto T, Mormann WH. Clinical performance of chairside CAD/CAM feldspathic ceramic posterior shoulder crowns and endocrowns up to 12 years. Int J Comput Dent. 2015;18:147–61.PubMedGoogle Scholar
  13. 13.
    Dierens M, de Bruyn H, Kisch J, Nilner K, Cosyn J, Vandeweghe S. Prosthetic survival and complication rate of single implant treatment in the periodontally healthy patient after 16 to 22 years of follow-up. Clin Implant Dent Relat Res. 2016;18:117–28. doi: 10.1111/cid.12266.CrossRefPubMedGoogle Scholar
  14. 14.
    Morimoto S, Albanesi RB, Sesma N, Agra CM, Braga MM, et al. Int J Prosthodont. 2016;29:38–49. doi: 10.11607/ijp.4315.CrossRefPubMedGoogle Scholar
  15. 15.
    Santos MJ, Freitas MC, Azevedo LM, Santos GC, Navarro MF, Francischone CE, Mondelli RF. Clinical evaluation of ceramic inlays and onlays fabricated with two systems: 12-year follow-up. Clin. Oral Investig. 2016;20:1683–90. doi: 10.1007/s00784-015-1669-z.CrossRefPubMedGoogle Scholar
  16. 16.
    Nejatidanesh F, Amjadi M, Akouchekian M, Savabi O. Clinical performance of CEREC AC Bluecam conservative ceramic restorations after five years—a retrospective study. J Dent. 2015;43:1076–82. doi: 10.1016/j.jdent.2015.07.006.CrossRefPubMedGoogle Scholar
  17. 17.
    Sailer I, Bonani T, Brodbeck U, Hammerle CH. Retrospective clinical study of single-retainer cantilever anterior and posterior glass-ceramic resin-bonded fixed dental prostheses at a mean follow-up of 6 years. Int. J.Prosthodont. 2013;26:443–50. doi: 10.11607/ijp. 3368.CrossRefPubMedGoogle Scholar
  18. 18.
    Guess PC, Selz CF, Voulgarakis A, Stampf S, Stappert CF. Prospective clinical study of press-ceramic overlap and full veneer restorations: 7-year results. Int. J.Prosthodont. 2014;27:355–8. doi: 10.11607/ijp.3679.CrossRefPubMedGoogle Scholar
  19. 19.
    Granell-Ruiz M, Agustin-Panadero R, Fons-Font A, Roman-Rodriguez JL, Sola-Ruiz MF. Influence of bruxism on survival of porcelain laminate veneers. Med Oral Patol Oral Cir Bucal. 2014;19:e426–32.CrossRefPubMedGoogle Scholar
  20. 20.
    Zahn T, Zahn B, Janko S, Weigl P, Gerhardt-Szep S, Lauer HC. Long-term behavior of double crown retained dentures with metal and metal-free secondary crowns and frameworks made of Vectris((c)) on all-ceramic primary crowns: a prospective, randomized clinical trial up to 14 years. Clin. Oral Investig. 2016;20:1087–100. doi: 10.1007/s00784-015-1597-y.CrossRefPubMedGoogle Scholar
  21. 21.
    Toman M, Toksavul S. Clinical evaluation of 121 lithium disilicate all-ceramic crowns up to 9 years. Quintessence Int. 2015;46:189–97. doi: 10.3290/j.qi.a33267.PubMedGoogle Scholar
  22. 22.
    Simeone P, Gracis S. Eleven-year retrospective survival study of 275 veneered lithium disilicate single crowns. Int J Periodontics Restorative Dent. 2015;35:685–94. doi: 10.11607/prd.2150.PubMedGoogle Scholar
  23. 23.
    Yang Y, Yu J, Gao J, Guo J, Li L, Zhao Y, Zhang S. Clinical outcomes of different types of tooth-supported bilayer lithium disilicate all-ceramic restorations after functioning up to 5 years: a retrospective study. J Dent. 2016;51:56–61. doi: 10.1016/j.jdent.2016.05.013.CrossRefPubMedGoogle Scholar
  24. 24.
    Huettig F, Gehrke UP. Early complications and performance of 327 heat-pressed lithium disilicate crowns up to five years. J. Adv. Prosthodont. 2016;8:194–200. doi: 10.4047/jap.2016.8.3.194.CrossRefPubMedPubMedCentralGoogle Scholar
  25. 25.
    Valenti M, Valenti A. Retrospective survival analysis of 110 lithium disilicate crowns with feather-edge marginal preparation. Int J Esthet Dent. 2015;10:246–57.PubMedGoogle Scholar
  26. 26.
    Selz CF, Strub JR, Vach K, Guess PC. Long-term performance of posterior InCeram Alumina crowns cemented with different luting agents: a prospective, randomized clinical split-mouth study over 5 years. Clin. Oral Investig. 2014;18:1695–703. doi: 10.1007/s00784-013-1137-6.CrossRefPubMedGoogle Scholar
  27. 27.
    Dhima M, Paulusova V, Carr AB, Rieck KL, Lohse C, Salinas TJ. Practice-based clinical evaluation of ceramic single crowns after at least five years. J.Prosthet.Dent. 2014;111:124–30. doi: 10.1016/j.prosdent.2013.06.015.CrossRefPubMedGoogle Scholar
  28. 28.
    Galiatsatos AA, Bergou D. Clinical evaluation of anterior all-ceramic resin-bonded fixed dental prostheses. Quintessence Int. 2014;45:9–14. doi: 10.3290/j.qi.a30766.PubMedGoogle Scholar
  29. 29.
    Saker S, El-Fallal A, Abo-Madina M, Ghazy M, Ozcan M. Clinical survival of anterior metal-ceramic and all-ceramic cantilever resin-bonded fixed dental prostheses over a period of 60 months. Int. J.Prosthodont. 2014;27:422–4. doi: 10.11607/ijp.3776.CrossRefPubMedGoogle Scholar
  30. 30.
    • Fenner N, Hammerle CH, Sailer I, Jung RE. Long-term clinical, technical, and esthetic outcomes of all-ceramic vs. titanium abutments on implant supporting single-tooth reconstructions after at least 5 years. Clin. Oral Implants Res. 2016;27:716–23. doi: 10.1111/clr.12654. This manuscript represents an important and comprehensive study on long-term performance of zirconia abutments. CrossRefGoogle Scholar
  31. 31.
    •• Ozer F, Mante FK, Chiche G, Saleh N, Takeichi T, Blatz MB. A retrospective survey on long-term survival of posterior zirconia and porcelain-fused-to-metal crowns in private practice. Quintessence Int. 2014;45:31–8. doi: 10.3290/j.qi.a30768. This manuscript represents the first comparative study on the long-term clinical performance of veneered zirconia crowns in private practice with a large sample size. PubMedGoogle Scholar
  32. 32.
    Rinke S, Kramer K, Burgers R, Roediger M. A practice-based clinical evaluation of the survival and success of metal-ceramic and zirconia molar crowns: 5-year results. J Oral Rehabil. 2016;43:136–44. doi: 10.1111/joor.12348.CrossRefPubMedGoogle Scholar
  33. 33.
    Napankangas R, Pihlaja J, Raustia A. Outcome of zirconia single crowns made by predoctoral dental students: a clinical retrospective study after 2 to 6 years of clinical service. J.Prosthet.Dent. 2015;113:289–94. doi: 10.1016/j.prosdent.2014.09.025.CrossRefPubMedGoogle Scholar
  34. 34.
    Passia N, Stampf S, Strub JR. Five-year results of a prospective randomised controlled clinical trial of posterior computer-aided design-computer-aided manufacturing ZrSiO4-ceramic crowns; 2013.Google Scholar
  35. 35.
    Bateli M, Kern M, Wolkewitz M, Strub JR, Att W. A retrospective evaluation of teeth restored with zirconia ceramic posts: 10-year results. Clin. Oral Investig. 2014;18:1181–7. doi: 10.1007/s00784-013-1065-5.CrossRefPubMedGoogle Scholar
  36. 36.
    Guncu MB, Cakan U, Muhtarogullari M, Canay S. Zirconia-based crowns up to 5 years in function: a retrospective clinical study and evaluation of prosthetic restorations and failures. Int. J.Prosthodont. 2015;28:152–7. doi: 10.11607/ijp.4168.CrossRefPubMedGoogle Scholar
  37. 37.
    Monaco C, Caldari M, Scotti R, Group ACR. Clinical evaluation of tooth-supported zirconia-based fixed dental prostheses: a retrospective cohort study from the AIOP clinical research group. Int. J.Prosthodont. 2015;28:236–8. doi: 10.11607/ijp.4023.CrossRefPubMedGoogle Scholar
  38. 38.
    Burke FJ, Crisp RJ, Cowan AJ, Lamb J, Thompson O, Tulloch N. Five-year clinical evaluation of zirconia-based bridges in patients in UK general dental practices. J Dent. 2013;41:992–9. doi: 10.1016/j.jdent.2013.08.007.CrossRefPubMedGoogle Scholar
  39. 39.
    Pihlaja J, Napankangas R, Raustia A. Outcome of zirconia partial fixed dental prostheses made by predoctoral dental students: a clinical retrospective study after 3 to 7 years of clinical service. J.Prosthet.Dent. 2016;116:40–6. doi: 10.1016/j.prosdent.2015.10.026.CrossRefPubMedGoogle Scholar
  40. 40.
    Sulaiman TA, Abdulmajeed AA, Donovan TE, Cooper LF, Walter R. Fracture rate of monolithic zirconia restorations up to 5 years: a dental laboratory survey. JProsthetDent. 2016;116:436–9. doi: 10.1016/j.prosdent.2016.01.033.Google Scholar
  41. 41.
    Sasse M, Kern M. CAD/CAM single retainer zirconia-ceramic resin-bonded fixed dental prostheses: clinical outcome after 5 years; 2013.Google Scholar
  42. 42.
    • Sasse M, Kern M. Survival of anterior cantilevered all-ceramic resin-bonded fixed dental prostheses made from zirconia ceramic. J Dent. 2014;42:660–3. doi: 10.1016/j.jdent.2014.02.021. This manuscript represents the most significant clinical study on zirconia resin-bonded fixed dental prostheses. CrossRefPubMedGoogle Scholar
  43. 43.
    Chaar MS, Kern M. Five-year clinical outcome of posterior zirconia ceramic inlay-retained FDPs with a modified design. J Dent. 2015;43:1411–5. doi: 10.1016/j.jdent.2015.11.001.CrossRefPubMedGoogle Scholar
  44. 44.
    Kolgeci L, Mericske E, Worni A, Walker P, Katsoulis J, Mericske-Stern R. Technical complications and failures of zirconia-based prostheses supported by implants followed up to 7 years: a case series. Int. J.Prosthodont. 2014;27:544–52. doi: 10.11607/ijp.3807.CrossRefPubMedGoogle Scholar
  45. 45.
    Monaco C, Caldari M, Scotti R, Group ACR. Clinical evaluation of zirconia-based restorations on implants: a retrospective cohort study from the AIOP clinical research group. Int JProsthodont. 2015;28:239–42. doi: 10.11607/ijp.4038.CrossRefGoogle Scholar
  46. 46.
    Worni A, Kolgeci L, Rentsch-Kollar A, Katsoulis J, Mericske-Stern R. Zirconia-based screw-retained prostheses supported by implants: a retrospective study on technical complications and failures. Clin Implant Dent Relat Res. 2015;17:1073–81. doi: 10.1111/cid.12214.CrossRefPubMedGoogle Scholar
  47. 47.
    Larsson C, von Vult Steyern P. Ten-year follow-up of implant-supported all-ceramic fixed dental prostheses: a randomized, prospective clinical trial. Int J Prosthodont. 2016;29:31–4. doi: 10.11607/ijp.4328.CrossRefPubMedGoogle Scholar
  48. 48.
    Shi JY, Zhang XM, Qiao SC, Qian SJ, Mo JJ, Lai HC. Hardware complications and failure of three-unit zirconia-based and porcelain-fused-metal implant-supported fixed dental prostheses: a retrospective cohort study with up to 8 years. Clin Oral Implants Res. 2016; doi: 10.1111/clr.12836.Google Scholar
  49. 49.
    Mikeli A, Walter MH. Impact of bruxism on ceramic defects in implant-borne fixed dental prostheses: a retrospective study. Int J Prosthodont. 2016;29:296–8. doi: 10.11607/ijp.4610.CrossRefPubMedGoogle Scholar
  50. 50.
    Rojas VF. Retrospective 2- to 7-year follow-up study of 20 double full-arch implant-supported monolithic zirconia fixed prostheses: measurements and recommendations for optimal design. J Prosthodont. 2016; doi: 10.1111/jopr.12528.PubMedGoogle Scholar
  51. 51.
    Pozzi A, Holst S, Fabbri G, Tallarico M. Clinical reliability of CAD/CAM cross-arch zirconia bridges on immediately loaded implants placed with computer-assisted/template-guided surgery: a retrospective study with a follow-up between 3 and 5 years. Clin Implant Dent Relat Res. 2015;17(Suppl 1):e86–96. doi: 10.1111/cid.12132.CrossRefPubMedGoogle Scholar
  52. 52.
    Pozzi A, Tallarico M, Barlattani A. Monolithic lithium disilicate full-contour crowns bonded on CAD/CAM zirconia complete-arch implant bridges with 3 to 5 years of follow-up. J Oral Implantol. 2015;41:450–8. doi: 10.1563/AAID-JOI-D-13-00133.CrossRefPubMedGoogle Scholar
  53. 53.
    Rinke S, Lattke A, Eickholz P, Kramer K, Ziebolz D. Practice-based clinical evaluation of zirconia abutments for anterior single-tooth restorations. Quintessence Int. 2015;46:19–29. doi: 10.3290/j.qi.a32818.PubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • Julian Conejo
    • 1
    Email author
  • Reto Nueesch
    • 2
  • Mariam Vonderheide
    • 3
  • Markus B. Blatz
    • 1
  1. 1.Department of Preventive and Restorative Sciences, Robert Schattner CenterUniversity of Pennsylvania School of Dental MedicinePhiladelphiaUSA
  2. 2.University of Zurich School of Dental MedicineZurichSwitzerland
  3. 3.University of Pennsylvania School of Dental MedicinePhiladelphiaUSA

Personalised recommendations

Cite article

Buy options