The clinical success of tooth- and implant-supported zirconia-based fixed dental prostheses : a systematic review

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The clinical success of tooth- and implant-supported zirconia-based fixed dental prostheses : a systematic review

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dc.contributor.author Le, Minh en_US
dc.contributor.author Papia, Evaggelia en_US
dc.contributor.author Larsson, Christel en_US
dc.date.accessioned 2015-03-06T11:20:37Z
dc.date.available 2015-03-06T11:20:37Z
dc.date.issued 2015 en_US
dc.identifier.issn 0305-182X en_US
dc.identifier.uri http://hdl.handle.net/2043/18632
dc.description.abstract The aim was to make an inventory of the current literature on the clinical performance of tooth- or implant-supported zirconia-based FDPs and analyse and discuss any complications. Electronic databases, PubMed.gov, Cochrane Library, and Science Direct, were searched for original studies reporting on the clinical performance of tooth- or implant-supported zirconia-based FDPs. The electronic search was complemented by manual searches of the bibliographies of all retrieved full-text articles and reviews, as well as a hand search of the following journals: International Journal of Prosthodontics, Journal of Oral Rehabilitation, International Journal of Oral & Maxillofacial Implants, and Clinical Oral Implants Research. The search yielded 4,253 titles. Sixty-eight potentially relevant full-text articles were retrieved. After applying pre-established criteria 27 studies were included. Twenty-three studies reported on tooth-supported and 4 on implant-supported FDPs. Five of the studies were randomized; comparing Y-TZP based restorations with metal-ceramic or other all-ceramic restorations. Most tooth-supported FDPs were FDPs of 3-5units, whereas most implant-supported FDPs were full-arch. The majority of the studies reported on 3-5 year follow-up. Life table analysis revealed cumulative 5-year survival rates of 93.5% for tooth-supported and 100% for implant-supported FDPs. For tooth-supported FDPs the most common reasons for failure were; veneering material fractures, framework fractures and caries. Cumulative 5-year complication rates were 27.6% and 30.5% for tooth- and implant-supported FDPs respectively. The most common complications were veneering material fractures for tooth- as well as implant-supported FDPs. Loss of retention occurred more frequently in FDPs luted with zinc-phosphate or glass ionomer cement compared to those luted with resin cements. The results suggest that the 5-year survival rate is excellent for implant-supported zirconia-based FDPs, despite the incidence of complications, and acceptable for tooth- supported zirconia-based FDPs. These results are, however, based on a relatively small number of studies, especially for the implant-supported FDPs. The vast majority of the studies are not controlled clinical trials and have limited follow-up. Thus interpretation of the results should be made with caution. Well-designed studies with large patient groups and long follow-up times are needed before general recommendations for the use of zirconia-based restorations can be provided. en_US
dc.format.extent 14
dc.language.iso eng en_US
dc.publisher Wiley en_US
dc.subject ceramics en_US
dc.subject dental implants en_US
dc.subject denture en_US
dc.subject partial en_US
dc.subject fixed en_US
dc.subject dental restoration failure en_US
dc.subject systematic review en_US
dc.subject yttria stabilized tetragonal zirconia en_US
dc.subject.classification Medicine en_US
dc.title The clinical success of tooth- and implant-supported zirconia-based fixed dental prostheses : a systematic review en_US
dc.type Article, review peer-reviewed scientific en_US
dc.contributor.department Malmö University. Faculty of Odontology
dc.identifier.doi 10.1111/joor.12272 en_US
dc.subject.srsc Research Subject Categories::ODONTOLOGY en_US
dc.relation.ispartofpublication Journal of Oral Rehabilitation;6
dc.relation.ispartofpublicationvolume 42
dc.format.ePage 480
dc.format.sPage 467
mahlocal.rights.oaType green
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