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Three-year clinical prospective evaluation of zirconia-based posterior fixed dental prostheses (FDPs)

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Abstract

This clinical study evaluated posterior three-unit fixed dental prostheses (FDPs) made of zirconia substructures veneered with pressable glass–ceramic. Nineteen patients received 21 FDPs replacing either the second premolar, first molar, or second molar. The FDPs were cemented with glass ionomer. Recall examinations were performed every 12 months. The mean service time of the FDP was 40 months. At 30 months, one maxillary FDP exhibited zirconia framework fracture at a thinned occlusal area of the abutment. Loss of retention led to the removal of one FDP after 38 months. The Kaplan–Meier survival probability was 90.5% after 40 months for all types of failures and 95.2% concerning framework fractures. The overpressing technique appears to be reliable in terms of the veneering material. However, one framework fracture was observed in this study.

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References

  1. Aboushelib MN, de Jager N, Kleverlaan CJ, Feilzer AJ (2005) Microtensile bond strength of different components of core veneered all-ceramic restorations. Dent Mater 21:984–991

    Article  PubMed  Google Scholar 

  2. Aboushelib MN, Kleverlaan CJ, Feilzer AJ (2006) Microtensile bond strength of different components of core veneered all-ceramic restorations. Part II: zirconia veneering ceramics. Dent Mater 22:857–863

    Article  PubMed  Google Scholar 

  3. Barnfather KD, Brunton PA (2007) Restoration of the upper dental arch using Lava all-ceramic crown and bridgework. Br Dent J 202:731–735

    Article  PubMed  Google Scholar 

  4. Beuer F, Steff B, Naumann M, Sorensen J (2008) Load-bearing capacity of all-ceramic three-unit fixed partial dentures with different computer-aided design (CAD)/computer-aided manufacturing (CAM) fabricated materials. Eur J Oral Sci 116:381–386

    Article  PubMed  Google Scholar 

  5. Beuer F, Aggstaller H, Edelhoff D, Gernet W, Sorensen J (2009) Marginal and internal fits of fixed dental prostheses zirconia retainers. Dent Mater 25:94–102

    Article  PubMed  Google Scholar 

  6. Beuer F, Schweiger J, Eichberger M, Kappert HF, Gernet W, Edelhoff D (2009) High-strength CAD/CAM-fabricated veneering material sintered to zirconia copings—a new fabrication mode for all-ceramic restorations. Dent Mater 25:121–128

    Article  PubMed  Google Scholar 

  7. Creugers NH, Kayser AF, van 't Hof MA (1994) A meta-analysis of durability data on conventional fixed bridges. Community Dent Oral Epidemiol 22:448–452

    Article  PubMed  Google Scholar 

  8. Esquivel-Upshaw JF, Anusavice KJ, Young H, Jones J, Gibbs C (2004) Clinical performance of a lithia disilicate-based core ceramic for three-unit posterior FPDs. Int J Prosthodont 17:469–475

    PubMed  Google Scholar 

  9. Esquivel-Upshaw JF, Young H, Jones J, Yang M, Anusavice KJ (2008) Four-year clinical performance of a lithia disilicate-based core ceramic for posterior fixed partial dentures. Int J Prosthodont 21:155–160

    PubMed  Google Scholar 

  10. Herrero AA, Sierraalta M, Razzoog ME (2006) Flexural strength of several porcelain systems for zirconium ceramics. J Dent Res 85:abstract 1355

    Google Scholar 

  11. John MT, Zwijnenburg AJ (2001) Interobserver variability in assessment of signs of TMD. Int J Prosthodont 14:265–270

    PubMed  Google Scholar 

  12. John MT, Hirsch C, Reiber T, Dworkin S (2006) Translating the research diagnostic criteria for temporomandibular disorders into German: evaluation of content and process. J Orofac Pain 20:43–52

    PubMed  Google Scholar 

  13. Kohorst P, Herzog TJ, Borchers L, Stiesch-Scholz M (2007) Load-bearing capacity of all-ceramic posterior four-unit fixed partial dentures with different zirconia frameworks. Eur J Oral Sci 115:161–166

    Article  PubMed  Google Scholar 

  14. Loe H, Silness J (1963) Periodontal disease in pregnancy. I. Prevalence and severity. Acta Odontol Scand 21:533–551

    Article  PubMed  Google Scholar 

  15. Luthy H, Filser F, Loeffel O, Schumacher M, Gauckler L, Hammerle CH (2005) Strength and reliability of four unit all-ceramic posterior bridges. Dent Mater 21:930–937

    Article  PubMed  Google Scholar 

  16. Marquardt P, Strub JR (2006) Survival rates of IPS empress 2 all-ceramic crowns and fixed partial dentures: results of a 5-year prospective clinical study. Quintessence Int 37:253–259

    PubMed  Google Scholar 

  17. 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 

  18. Muehlemann HR, Schroeder HE (1964) Dynamics of supragingival calculus formation. Adv Oral Biol 1:175–203

    PubMed  Google Scholar 

  19. O'Leary T (1974) Indices for measurement of tooth mobility in clinical studies. J Periodontal Res Suppl 14:94–105

    Article  PubMed  Google Scholar 

  20. Olsson KG, Furst B, Andersson B, Carlsson GE (2003) A long-term retrospective and clinical follow-up study of In-Ceram Alumina FPDs. Int J Prosthodont 16:150–156

    PubMed  Google Scholar 

  21. Raigrodski AJ, Chiche GJ (2002) All-ceramic fixed partial dentures, Part I: in vitro studies. J Esthet Restor Dent 14:188–191

    Article  PubMed  Google Scholar 

  22. Raigrodski AJ, Chiche GJ, Swift EJ Jr. (2002) All-ceramic fixed partial dentures, Part III: clinical studies. J Esthet Restor Dent 14:313–319

    Article  PubMed  Google Scholar 

  23. 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 

  24. Ries S, Wolz J, Richter EJ (2006) Effect of design of all-ceramic resin-bonded fixed partial dentures on clinical survival rate. Int J Periodontics Restorative Dent 26:143–149

    PubMed  Google Scholar 

  25. Sailer I, Feher A, Filser F, Luthy H, Gauckler LJ, Scharer P et al (2006) Prospective clinical study of zirconia posterior fixed partial dentures: 3-year follow-up. Quintessence Int 37:685–693

    PubMed  Google Scholar 

  26. Sailer I, Feher A, Filser F, Gauckler LJ, Luthy H, Hammerle CH (2007) Five-year clinical results of zirconia frameworks for posterior fixed partial dentures. Int J Prosthodont 20:383–388

    PubMed  Google Scholar 

  27. Sailer I, Holderegger C, Jung RE, Suter A, Thievent B, Pietrobon N et al (2007) Clinical study of the color stability of veneering ceramics for zirconia frameworks. Int J Prosthodont 20:263–269

    PubMed  Google Scholar 

  28. Sailer I, Pjetursson BE, 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 II: fixed dental prostheses. Clin Oral Implants Res 18(Suppl 3):86–96

    Article  PubMed  Google Scholar 

  29. Schmitter M, Ohlmann B, John MT, Hirsch C, Rammelsberg P (2005) Research diagnostic criteria for temporomandibular disorders: a calibration and reliability study. Cranio 23:212–218

    PubMed  Google Scholar 

  30. Scurria MS, Bader JD, Shugars DA (1998) Meta-analysis of fixed partial denture survival: prostheses and abutments. J Prosthet Dent 79:459–464

    Article  PubMed  Google Scholar 

  31. Silness J, Loe H (1964) Periodontal disease in pregnancy. Ii. Correlation between oral hygiene and periodontal condition. Acta Odontol Scand 22:121–135

    Article  PubMed  Google Scholar 

  32. Sulaiman F, Chai J, Jameson LM, Wozniak WT (1997) A comparison of the marginal fit of In-Ceram, IPS Empress, and Procera crowns. Int J Prosthodont 10:478–484

    PubMed  Google Scholar 

  33. Taskonak B, Mecholsky JJ Jr, Anusavice KJ (2006) Fracture surface analysis of clinically failed fixed partial dentures. J Dent Res 85:277–281

    Article  PubMed  Google Scholar 

  34. Taskonak B, Sertgoz A (2006) Two-year clinical evaluation of lithia-disilicate-based all-ceramic crowns and fixed partial dentures. Dent Mater 22:1008–1013

    Article  PubMed  Google Scholar 

  35. Tinschert J, Zwez D, Marx R, Anusavice KJ (2000) Structural reliability of alumina-, feldspar-, leucite-, mica- and zirconia-based ceramics. J Dent 28:529–535

    Article  PubMed  Google Scholar 

  36. 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 

  37. Tinschert J, Natt G, Mohrbotter N, Spiekermann H, Schulze KA (2007) Lifetime of alumina- and zirconia ceramics used for crown and bridge restorations. J Biomed Mater Res B Appl Biomater 80:317–321

    PubMed  Google Scholar 

  38. 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 

  39. Tsalouchou E, Cattell MJ, Knowles JC, Pittayachawan P, McDonald A (2008) Fatigue and fracture properties of yttria partially stabilized zirconia crown systems. Dent Mater 24:308–318

    Article  PubMed  Google Scholar 

  40. Vult von Steyern P, Jonsson O, Nilner K (2001) Five-year evaluation of posterior all-ceramic three-unit (In-Ceram) FPDs. Int J Prosthodont 14:379–384

    PubMed  Google Scholar 

  41. 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 

  42. Walter M, Reppel PD, Boning K, Freesmeyer WB (1999) Six-year follow-up of titanium and high-gold porcelain-fused-to-metal fixed partial dentures. J Oral Rehabil 26:91–96

    Article  PubMed  Google Scholar 

  43. Witkowski S, Komine F, Gerds T (2006) Marginal accuracy of titanium copings fabricated by casting and CAD/CAM techniques. J Prosthet Dent 96:47–52

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

This study was funded by DeguDent. The authors wish to sincerely thank Josef Schweiger, Marlis Eichberger, and John Meinen for fabricating the restorations at the laboratory of Munich Dental School.

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The authors declare that they have no conflict of interest.

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Correspondence to Florian Beuer.

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Beuer, F., Edelhoff, D., Gernet, W. et al. Three-year clinical prospective evaluation of zirconia-based posterior fixed dental prostheses (FDPs). Clin Oral Invest 13, 445–451 (2009). https://doi.org/10.1007/s00784-009-0249-5

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  • DOI: https://doi.org/10.1007/s00784-009-0249-5

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