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The clinical success of tooth- and implant-supported zirconia-based fixed dental prostheses: a systematic review
Malmö högskola, Odontologiska fakulteten (OD).ORCID-id: 0000-0002-4050-8314
Malmö högskola, Odontologiska fakulteten (OD).ORCID-id: 0000-0001-6260-473X
Malmö högskola, Odontologiska fakulteten (OD).ORCID-id: 0000-0002-3912-0830
2015 (engelsk)Inngår i: Journal of Oral Rehabilitation, E-ISSN 1365-2842, Vol. 42, nr 6, s. 467-480Artikkel, forskningsoversikt (Fagfellevurdert) Published
Abstract [en]

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.

sted, utgiver, år, opplag, sider
John Wiley & Sons, 2015. Vol. 42, nr 6, s. 467-480
Emneord [en]
ceramics, dental implants, denture, partial, fixed, dental restoration failure, systematic review, yttria stabilized tetragonal zirconia
HSV kategori
Identifikatorer
URN: urn:nbn:se:mau:diva-16263DOI: 10.1111/joor.12272ISI: 000353393800010PubMedID: 25580846Scopus ID: 2-s2.0-84928212310Lokal ID: 18632OAI: oai:DiVA.org:mau-16263DiVA, id: diva2:1419779
Tilgjengelig fra: 2020-03-30 Laget: 2020-03-30 Sist oppdatert: 2024-02-05bibliografisk kontrollert

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Le, MinhPapia, EvaggeliaLarsson, Christel

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