Clinical behavior of second-generation zirconia monolithic posterior restorations: Two-year results of a prospective study with Ex vivo analyses including patients with clinical signs of bruxism.
[en] OBJECTIVES: This study aimed to investigate (1) clinical outcomes of second-generation zirconia restorations, including patients with bruxism clinical signs, and (2) the material wear process. METHODS: A total of 95 posterior monolithic zirconia tooth-elements in 45 patients were evaluated, 85 on implants and 10 on natural teeth, and 20.3% of restorations being fixed partial dentures (FPDs). Occlusal contact point areas were determined and half of those areas were left unglazed and just polished. Restorations were clinically evaluated following criteria of the World Dental Federation and antagonistic teeth were examined at each evaluation time. Wear ex vivo analyses using SEM and 3D laser profilometry were performed at baseline and after 6 months, 1year, and 2 years respectively, temporarily removing the prostheses. RESULTS: The Kaplan-Meier survival rate of restorations was 93.3% (100% for FPDs) and the success rate was 81.8%, with 4 abutment debondings, 3 tooth-supported crown debondings (provisional cement use), 1 restoration fracture, 1minor chipping, 1 core fracture, 1 root fracture, and 2 implant losses. 80% of catastrophic failures occurred in patients with clinical signs of bruxism (61.7% of patients). Complications were also observed on antagonistic teeth (3 catastrophic failures). Clinical evaluation of the restorations showed good results from the aesthetic, functional, and biological perspective. Zirconia wear was inferior to 15mum, while glaze wear was observed on all occlusal contact areas after 1year. CONCLUSIONS: Monolithic zirconia FPDs are promising but the failure rate of single-unit restorations was not as high as expected in this sample including patients with bruxism clinical signs. CLINICAL SIGNIFICANCE: Within study limitations, FPDs showed excellent short-term results but further research is needed for single-unit restorations considering samples, which do not exclude bruxers. The weak link is the restoration support or the antagonist tooth, one hypothesis being that zirconia stiffness and lack of resilience do not promote occlusal stress damping.
Research Center/Unit :
d‐BRU - Dental Biomaterials Research Unit - ULiège [BE]
Disciplines :
Dentistry & oral medicine
Author, co-author :
KOENIG, Vinciane ; Centre Hospitalier Universitaire de Liège - CHU > Département de dentisterie > Service prothèse fixée
Wulfman, Claudine
BEKAERT, Sandrine ; Centre Hospitalier Universitaire de Liège - CHU > Département de dentisterie > Service prothèse fixée
DUPONT, Nathalie ; Centre Hospitalier Universitaire de Liège - CHU > Département de dentisterie > Service prothèse fixée
Vanheusden, Alain ; Université de Liège - ULiège > Département de sciences dentaires > Prothèse dentaire fixe - Anatomie bucco-dentaire
Mainjot, Amélie ; Université de Liège - ULiège > Département de sciences dentaires > Biomatériaux dentaires
Language :
English
Title :
Clinical behavior of second-generation zirconia monolithic posterior restorations: Two-year results of a prospective study with Ex vivo analyses including patients with clinical signs of bruxism.
Publication date :
2019
Journal title :
Journal of Dentistry
ISSN :
0300-5712
eISSN :
1879-176X
Publisher :
Elsevier, Netherlands
Volume :
91
Pages :
103229
Peer reviewed :
Peer Reviewed verified by ORBi
Commentary :
Copyright (c) 2019 Elsevier Ltd. All rights reserved.
Deville, S., Guénin, G., Chevalier, J., Martensitic transformation in zirconia: part I. Nanometer scale prediction and measurement of transformation induced relief. Acta Mater. 52 (2004), 5697–5707, 10.1016/j.actamat.2004.08.034.
Koenig, V., Vanheusden, A.J., Le Goff, S.O., Mainjot, A.K., Clinical risk factors related to failures with zirconia-based restorations: an up to 9-year retrospective study. J. Dent. 41 (2013), 1164–1174, 10.1016/j.jdent.2013.10.009.
Thoma, D.S., Sailer, I., Ioannidis, A., Zwahlen, M., Makarov, N., Pjetursson, B.E., A systematic review of the survival and complication rates of resin-bonded fixed dental prostheses after a mean observation period of at least 5 years. Clin. Oral Implants Res. 28 (2017), 1421–1432, 10.1111/clr.13007.
Karl, M., Outcome of bonded vs all-ceramic and metal- ceramic fixed prostheses for single tooth replacement. Eur. J. Oral Implantol., 9(Suppl 1), 2016, S25–44.
Raigrodski, A.J., Hillstead, M.B., Meng, G.K., Chung, K.-H., Survival and complications of zirconia-based fixed dental prostheses: a systematic review. J. Prosthet. Dent. 107 (2012), 170–177, 10.1016/S0022-3913(12)60051-1.
Anusavice, K.J., Standardizing failure, success, and survival decisions in clinical studies of ceramic and metal-ceramic fixed dental prostheses. Dent. Mater. 28 (2012), 102–111, 10.1016/j.dental.2011.09.012.
Passia, N., Chaar, S.M., Kern, M., Outcome of posterior fixed dental prostheses made from veneered zirconia over an observation period of up to 13 years. J. Dent. 86 (2019), 126–129.
Rinke, S., Wehle, J., Schulz, X., Bürgers, R., Rödiger, M., Prospective evaluation of posterior fixed zirconia dental prostheses: 10-year clinical results. Int. J. Prosthodont. 31 (2018), 35–42.
Sailer, I., Balmer, M., Husler, J., Hämmerle, C.H.F., Kanel, S., Thoma, D.S., 10-year randomized trial (RCT) of zirconia-ceramic and metal-ceramic fixed dental prostheses. J. Dent. 76 (2018), 32–39.
Malkondu, O., Tinastepe, N., Akan, E., Kazazoglu, E., An overview of monolithic zirconia in dentistry. Biotechnol. Biotechnol. Equip. 30 (2016), 644–652, 10.1080/13102818.2016.1177470.
Zhang, Y., Lawn, B.R., Novel zirconia materials in dentistry. J. Dent. Res. 97 (2018), 140–147, 10.1177/0022034517737483.
Denry, I., Kelly, J.R., Emerging ceramic-based materials for dentistry. J. Dent. Res. 93 (2014), 1235–1242, 10.1177/0022034514553627.
Cattani-Lorente, M., Durual, S., Amez-Droz, M., Wiskott, H.W.A., Scherrer, S.S., Hydrothermal degradation of a 3Y-TZP translucent dental ceramic: a comparison of numerical predictions with experimental data after 2 years of aging. Dent. Mater. 32 (2016), 394–402, 10.1016/j.dental.2015.12.015.
Batson, E.R., Cooper, L.F., Duqum, I., Mendonça, G., Clinical outcomes of three different crown systems with CAD/CAM technology. J. Prosthet. Dent. 112 (2014), 770–777, 10.1016/j.prosdent.2014.05.002.
Bömicke, W., Rammelsberg, P., Stober, T., Schmitter, M., Short-term prospective clinical evaluation of monolithic and partially veneered zirconia single crowns. J. Esthet. Restor. Dent. 29 (2017), 22–30, 10.1111/jerd.12270.
Cardelli, P., Manobianco, F.P., Serafini, N., Murmura, G., Beuer, F., Full-arch, implant-supported monolithic zirconia rehabilitations: pilot clinical evaluation of wear against natural or composite teeth. J. Prosthodont. 25 (2016), 629–633, 10.1111/jopr.12374.
P. De Angelis, P.C. Passarelli, G. Gasparini, R. Boniello, G. D'Amato, S. De Angelis, Monolithic CAD-CAM lithium disilicate versus monolithic CAD-CAM zirconia for single implant-supported posterior crowns using a digital workflow: A 3-year cross-sectional retrospective study, J Prosthet. Dent. doi. org/10.1016/j.prosdent.2018.11.016.
Konstantinidis, I., Trikka, D., Gasparatos, S., Mitsias, M.E., Clinical outcomes of monolithic zirconia crowns with CAD/CAM technology. A 1-Year follow-up prospective clinical study of 65 patients. Int. J. Environ. Res. Public Health, 15, 2018, 2523.
Lohbauer, U., Reich, S., Antagonist wear of monolithic zirconia crowns after 2 years. Clin. Oral Investig. 21 (2017), 1165–1172.
Mangano, F., Margiani, B., Admakin, O., A novel full-digital protocol (SCAN-PLAN-MAKE-DONE((R))) for the design and fabrication of implant-supported monolithic translucent zirconia crowns cemented on customized hybrid abutments: a retrospective clinical study on 25 patients. Int. J. Environ. Res. Public Health, 16, 2019, 317.
Rojas Vizcaya, F., 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. 27 (2018), 501–508, 10.1111/jopr.12528.
Sakornwimon, N., Leevailoj, C., Clinical marginal fit of zirconia crowns and patients’ preferences for impression techniques using intraoral digital scanner versus polyvinyl siloxane material. J. Prosthet. Dent. 118 (2017), 386–391, 10.1016/j.prosdent.2016.10.019.
Stober, T., Bermejo, J.L., Schwindling, F.S., Schmitter, M., Clinical assessment of enamel wear caused by monolithic zirconia crowns. J. Oral Rehabil. 43 (2016), 621–629.
Sulaiman, T.A., Abdulmajeed, A.A., Donovan, T.E., Cooper, L.F., Walter, R., Fracture rate of monolithic zirconia restorations up to 5 years: a dental laboratory survey, J. Prosthet. Dent. 116 (2016), 436–439, 10.1016/j.prosdent.2016.01.033.
Moscovitch, M., Consecutive case series of monolithic and minimally veneered zirconia restorations on teeth and implants: up to 68 months. Int. J. Periodontics Restorative Dent. 35 (2015), 315–323.
Hartkamp, O., Lohbauer, U., Reich, S., Antagonist wear by polished zirconia crowns. Int. J. Comput. Dent. 20 (2017), 263–274.
Hansen, T.L., Schriwer, C., Øilo, M., Gjengedal, H., Monolithic zirconia crowns in the aesthetic zone in heavy grinders with severe tooth wear - an observational case-series. J. Dent. 72 (2018), 14–20, 10.1016/j.jdent.2018.01.013.
Kuhn, M., Türp, J.C., Risk factors for bruxism. Swiss Dent. J. 128 (2018), 118–124.
Mundhe, K., Jain, V., Pruthi, G., Shah, N., Clinical study to evaluate the wear of natural enamel antagonist to zirconia and metal ceramic crowns. J. Prosthet. Dent. 114 (2015), 358–363.
Wulfman, C., Koenig, V., Mainjot, A.K., Wear measurement of dental tissues and materials in clinical studies: a systematic review. Dent. Mater. 34 (2018), 825–850, 10.1016/j.dental.2018.03.002.
Koenig, V., Wulfman, C.P., Derbanne, M.A., Dupont, N.M., Le Goff, S.O., Tang, M.-L., Seidel, L., Dewael, T.Y., Vanheusden, A.J., Mainjot, A.K., Aging of monolithic zirconia dental prostheses: protocol for a 5-year prospective clinical study using ex vivo analyses. Contemp. Clin. Trials Commun. 4 (2016), 25–32, 10.1016/j.conctc.2016.06.001.
Lobbezoo, F., Ahlberg, J., Raphael, K.G., Wetselaar, P., Glaros, A.G., Kato, T., Santiago, V., Winocur, E., De Laat, A., De Leeuw, R., Koyano, K., Lavigne, G.J., Svensson, P., Manfredini, D., International consensus on the assessment of bruxism: report of a work in progress. J. Oral Rehabil. 45 (2018), 837–844, 10.1111/joor.12663.
American academy of sleep disorders, International Classification of Sleep Disorders. 3rd ed., 2014, Darien, Il.
Hickel, R., Peschke, A., Tyas, M., Mjör, I., Bayne, S., Peters, M., Hiller, K.-A., Randall, R., Vanherle, G., Heintze, S.D., FDI World Dental Federation - clinical criteria for the evaluation of direct and indirect restorations. Update and clinical examples. J. Adhes. Dent. 12 (2010), 259–272, 10.3290/j.jad.a19262.
Rosin, M., Splieth, C., Hessler, M., Gärtner, C., Kordass, B., Kocher, T., Quantification of gingival edema using a new 3-D laser scanning method. J. Clin. Periodontol. 29 (2002), 240–246.
DeLong, R., Intra-oral restorative materials wear: rethinking the current approaches: how to measure wear. Dent. Mater. 22 (2006), 702–711.
Casett, E., Réus, J.C., Stuginski-Barbosa, J., Porporatti, A.L., Carra, M.C., Peres, M.A., de Luca Canto, G., Manfredini, D., Validity of different tools to asses sleep bruxism: a meta-analysis. J. Oral Rehabil. 44 (2017), 722–734, 10.1111/joor.12520.
D'Incau, E., Micoulaud-Franchi, J.A., Brocard, D., Laluque, J.F., Diagnosis validity for sleep bruxism. Rev. Odontostomatol. (Paris) 46 (2017), 222–239.
Melo, G., Duarte, J., Pauletto, P., Porporatti, A.L., Stuginski-Barbosa, J., Winocur, E., Flores-Mir, C., De Luca Canto, G., Bruxism: An umbrella review of systematic reviews. J. Oral Rehabil. 46 (2019), 666–690, 10.1111/joor.12801.
Vigolo, P., Mutinelli, S., Zaccaria, M., Stellini, E., Clinical evaluation of marginal bone level change around multiple adjacent implants restored with splinted and nonsplinted restorations: a 10-year randomized controlled trial. Int. J. Oral Maxillofac. Implants 30 (2015), 411–418, 10.11607/jomi.3837.
Sailer, I., Strasding, M., Valente, N.A., Zwahlen, M., Liu, S., Pjetursson, B.E., A systematic review of the survival and complication rates of zirconia-ceramic and metal-ceramic multiple-unit fixed dental prostheses. Clin. Oral Implants Res. 29:Suppl. 16 (2018), 184–198, 10.1111/clr.13277.
Pjetursson, B.E., Valente, N.A., Strasding, M., Zwahlen, M., Liu, S., Sailer, I., A systematic review of the survival and complication rates of zirconia-ceramic and metal-ceramic single crowns. Clin. Oral Implants Res. 29:Suppl. 16 (2018), 199–214, 10.1111/clr.13306.
Sailer, I., Makarov, N.A., Thoma, D.S., Zwahlen, M., Pjetursson, B.E., All-ceramic or metal-ceramic tooth-supported fixed dental prostheses (FDPs)? A systematic review of the survival and complication rates. Part I: single crowns (SCs). Dent. Mater. 31 (2015), 603–623, 10.1016/j.dental.2015.02.011.
Magne, P., Silva, M., Oderich, E., Boff, L.L., Enciso, R., Damping behavior of implant-supported restorations. Clin. Oral Implants Res. 24 (2013), 143–148, 10.1111/j.1600-0501.2011.02311.x.
Maminskas, J., Puisys, A., Kuoppala, R., Raustia, A., Juodzbalys, G., The prosthetic influence and biomechanics on peri-implant strain: a systematic literature review of finite element studies. J. Oral Maxillofac. Res., 7, 2016, e4, 10.5037/jomr.2016.7304.
Stober, T., Geiger, A., Rues, S., Dreyhaupt, J., Rammelsberg, P., Ohlmann, B., Factors affecting wear of composite resin denture teeth–24-month results from a clinical study. Clin. Oral Investig. 16 (2012), 413–420.
Heintze, S.D., Zellweger, G., Sbicego, S., Rousson, V., Muñoz-Viveros, C., Stober, T., Wear of two denture teeth materials in vivo-2-year results. Dent. Mater., 29, 2013, e191–204.
Ohlmann, B., Rohstock, K., Kugler, J., Gilde, H., Dreyhaupt, J., Stober, T., Influences on clinical wear of acrylic denture teeth: a pilot study. Int. J. Prosthodont. 20 (2007), 496–498.
Schmid-Schwap, M., Rousson, V., Vornwagner, K., Heintze, S.D., Wear of two artificial tooth materials in vivo: a 12-month pilot study. J. Prosthet. Dent. 102 (2009), 104–114.
Figueiredo-Pina, C.G., Monteiro, A., Guedes, M., Maurício, A., Serro, A.P., Ramalho, A., Santos, C., Effect of feldspar porcelain coating upon the wear behavior of zirconia dental crowns. Wear. 297 (2013), 872–877, 10.1016/j.wear.2012.10.016.
Kontos, L., Schille, C., Schweizer, E., Geis-Gerstorfer, J., Influence of surface treatment on the wear of solid zirconia. Acta Odontol. Scand. 71 (2013), 482–487, 10.3109/00016357.2012.696690.
Passos, S.P., Torrealba, Y., Major, P., Linke, B., Flores-Mir, C., Nychka, J.A., In vitro wear behavior of zirconia opposing enamel: a systematic review. J. Prosthodont. 23 (2014), 593–601, 10.1111/jopr.12167.
Chun, E.P., Anami, L.C., Bonfante, E.A., Bottino, M.A., Microstructural analysis and reliability of monolithic zirconia after simulated adjustment protocols. Dent. Mater. 33 (2017), 934–943, 10.1016/j.dental.2017.04.024.
Lawson, N.C., Janyavula, S., Syklawer, S., McLaren, E.A., Burgess, J.O., Wear of enamel opposing zirconia and lithium disilicate after adjustment, polishing and glazing. J. Dent. 42 (2014), 1586–1591, 10.1016/j.jdent.2014.09.008.
Preis, V., Weiser, F., Handel, G., Rosentritt, M., Wear performance of monolithic dental ceramics with different surface treatments. Quintessence Int. 44 (2013), 393–405, 10.3290/j.qi.a29151.
Stawarczyk, B., Özcan, M., Schmutz, F., Trottmann, A., Roos, M., Hämmerle, C.H.F., Two-body wear of monolithic, veneered and glazed zirconia and their corresponding enamel antagonists. Acta Odontol. Scand. 71 (2013), 102–112.
Rupawala, A., Musani, S.I., Madanshetty, P., Dugal, R., Shah, U.D., Sheth, E.J., A study on the wear of enamel caused by monolithic zirconia and the subsequent phase transformation compared to two other ceramic systems. J. Indian Prosthodont. Soc. 17 (2017), 8–14, 10.4103/0972-4052.194940.
Stawarczyk, B., Frevert, K., Ender, A., Roos, M., Sener, B., Wimmer, T., Comparison of four monolithic zirconia materials with conventional ones: contrast ratio, grain size, four-point flexural strength and two-body wear. J. Mech. Behav. Biomed. Mater. 59 (2016), 128–138, 10.1016/j.jmbbm.2015.11.040.
Amer, R., Kürklü, D., Kateeb, E., Seghi, R.R., Three-body wear potential of dental yttrium-stabilized zirconia ceramic after grinding, polishing, and glazing treatments. J. Prosthet. Dent. 112 (2014), 1151–1155, 10.1016/j.prosdent.2013.12.021.
Pozzobon, J.L., Pereira, G.K.R., Wandscher, V.F., Dorneles, L.S., Valandro, L.F., Mechanical behavior of yttria-stabilized tetragonal zirconia polycrystalline ceramic after different zirconia surface treatments. Mater. Sci. Eng. C Mater. Biol. Appl. 77 (2017), 828–835, 10.1016/j.msec.2017.03.299.
Amaral, M., Cesar, P.F., Bottino, M.A., Lohbauer, U., Valandro, L.F., Fatigue behavior of Y-TZP ceramic after surface treatments. J. Mech. Behav. Biomed. Mater. 57 (2016), 149–156, 10.1016/j.jmbbm.2015.11.042.
