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Published in: Clinical Oral Investigations 12/2019

01-12-2019 | All-Ceramic Restoration | Original Article

Clinical performance of tooth- or implant-supported veneered zirconia single crowns: 42-month results

Authors: Friederike Cantner, Claudio Cacaci, Thomas Mücke, Peter Randelzhofer, Jan Hajtó, Florian Beuer

Published in: Clinical Oral Investigations | Issue 12/2019

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Abstract

Objectives

The objective of this clinical study was to compare and assess the clinical performance of tooth-supported and implant-supported zirconia single crowns with sintered veneering caps.

Methods

In this prospective study, 118 patients with a total of 220 single crowns placed on 106 teeth (69 vital teeth, 37 endodontically treated teeth) and 114 implants in molar and premolar regions were examined during a mean observation period of 42 months. The restorations were evaluated for technical failures such as veneering porcelain fractures (chipping), surface quality, marginal fit, and the interface quality of the coping and sintered veneering. The soft tissue status was assessed using the modified Silness and Löe’s plaque and gingival index (mPI) and the modified Muhlemann sulcus bleeding index (mSBI). Tooth-supported crowns were checked for secondary caries and hypersensitivity during the follow-up period. Recalls were performed every 6 months.

Results

The 3-year Kaplan-Meier success probability was 98.2% and 100% for implant- and tooth-supported crowns, respectively. A significant difference could be detected between the implant-supported and tooth-supported zirconia single crowns, in terms of their chipping rate (p = 0.039). Veneering material fractures were recorded on two implant-supported restorations (1.8%). No veneering fractures occurred on tooth-supported single crowns. The plaque and gingival index and sulcus bleeding index showed stable and healthy soft peri-implant and periodontal tissues. Neither loss of vitality nor secondary caries occurred on tooth-supported crowns.

Conclusions

Zirconia-based single crowns with a sintered veneering cap showed promising clinical results on both tooth and implant abutments; however, the dental implants were more prone to complications. In terms of clinical significance, high-strength ceramic with a sintered veneering cap can be recommended for prosthetic treatment of both tooth- and implant-supported single crowns in molar regions.

Clinical relevance

This study provides valuable information for further application of all-ceramic restorations.
Literature
1.
go back to reference Devaud V (2005) Guidelines for success with zirconia ceramics: the changing standards. Pract Proced Aesthet Dent 17:508–510PubMed Devaud V (2005) Guidelines for success with zirconia ceramics: the changing standards. Pract Proced Aesthet Dent 17:508–510PubMed
2.
go back to reference Bremer F, Grade S, Kohorst P, Stiesch M (2011) In vivo biofilm formation on different dental ceramics. Quintessence Int 42:565–574PubMed Bremer F, Grade S, Kohorst P, Stiesch M (2011) In vivo biofilm formation on different dental ceramics. Quintessence Int 42:565–574PubMed
3.
go back to reference Holand W, Schweiger M, Frank M, Rheinberger V (2000) A comparison of the microstructure and properties of the IPS Empress 2 and the IPS Empress glass-ceramics. J Biomed Mater Res 53:297–303PubMed Holand W, Schweiger M, Frank M, Rheinberger V (2000) A comparison of the microstructure and properties of the IPS Empress 2 and the IPS Empress glass-ceramics. J Biomed Mater Res 53:297–303PubMed
4.
go back to reference Conrad HJ, Seong WJ, Pesun IJ (2007) Current ceramic materials and systems with clinical recommendations: a systematic review. J Prosthet Dent 98:389–404PubMed Conrad HJ, Seong WJ, Pesun IJ (2007) Current ceramic materials and systems with clinical recommendations: a systematic review. J Prosthet Dent 98:389–404PubMed
5.
go back to reference Nakamura K, Kanno T, Milleding P, Ortengren U (2010) Zirconia as a dental implant abutment material: a systematic review. Int J Prosthodont 23:299–309PubMed Nakamura K, Kanno T, Milleding P, Ortengren U (2010) Zirconia as a dental implant abutment material: a systematic review. Int J Prosthodont 23:299–309PubMed
6.
go back to reference Koenig V, Vanheusden AJ, Le Goff SO, Mainjot AK (2013) Clinical risk factors related to failures with zirconia-based restorations: an up to 9-year retrospective study. J Dent 41:1164–11674PubMed Koenig V, Vanheusden AJ, Le Goff SO, Mainjot AK (2013) Clinical risk factors related to failures with zirconia-based restorations: an up to 9-year retrospective study. J Dent 41:1164–11674PubMed
7.
go back to reference Luthardt RG, Holzhuter MS, Rudolph H, Herold V, Walter MH (2004) CAD/CAM-machining effects on Y-TZP zirconia. Dent Mater 20:655–662PubMed Luthardt RG, Holzhuter MS, Rudolph H, Herold V, Walter MH (2004) CAD/CAM-machining effects on Y-TZP zirconia. Dent Mater 20:655–662PubMed
8.
go back to reference Gherlone E, Mandelli F, Cappare P, Pantaleo G, Traini T, Ferrini F (2014) A 3 years retrospective study of survival for zirconia-based single crowns fabricated from intraoral digital impressions. J Dent 42:1151–1155PubMed Gherlone E, Mandelli F, Cappare P, Pantaleo G, Traini T, Ferrini F (2014) A 3 years retrospective study of survival for zirconia-based single crowns fabricated from intraoral digital impressions. J Dent 42:1151–1155PubMed
9.
go back to reference 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 20:383–388PubMed 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 20:383–388PubMed
10.
go back to reference Larsson C, Vult von Steyern P (2010) Five-year follow-up of implant-supported Y-TZP and ZTA fixed dental prostheses. A randomized, prospective clinical trial comparing two different material systems. Int J Prosthodont 23:555–561PubMed Larsson C, Vult von Steyern P (2010) Five-year follow-up of implant-supported Y-TZP and ZTA fixed dental prostheses. A randomized, prospective clinical trial comparing two different material systems. Int J Prosthodont 23:555–561PubMed
11.
go back to reference Jung RE, Pjetursson BE, Glauser R, Zembic A, Zwahlen M, Lang NP (2008) A systematic review of the 5-year survival and complication rates of implant-supported single crowns. Clin Oral Implants Res 19:119–130PubMed Jung RE, Pjetursson BE, Glauser R, Zembic A, Zwahlen M, Lang NP (2008) A systematic review of the 5-year survival and complication rates of implant-supported single crowns. Clin Oral Implants Res 19:119–130PubMed
12.
go back to reference Schwarz S, Schroder C, Hassel A, Bomicke W, Rammelsberg P (2012) Survival and chipping of zirconia-based and metal-ceramic implant-supported single crowns. Clin Implant Dent Relat Res 14(Suppl 1):119–125 Schwarz S, Schroder C, Hassel A, Bomicke W, Rammelsberg P (2012) Survival and chipping of zirconia-based and metal-ceramic implant-supported single crowns. Clin Implant Dent Relat Res 14(Suppl 1):119–125
13.
go back to reference 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 22:857–863PubMed 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 22:857–863PubMed
14.
go back to reference Heintze SD, Rousson V (2010) Survival of zirconia- and metal-supported fixed dental prostheses: a systematic review. Int J Prosthodont 23:493–502PubMed Heintze SD, Rousson V (2010) Survival of zirconia- and metal-supported fixed dental prostheses: a systematic review. Int J Prosthodont 23:493–502PubMed
15.
go back to reference Pelaez J, Cogolludo PG, Serrano B, Serrano JF, Suarez MJ (2012) A four-year prospective clinical evaluation of zirconia and metal-ceramic posterior fixed dental prostheses. Int J Prosthodont 25:451–458PubMed Pelaez J, Cogolludo PG, Serrano B, Serrano JF, Suarez MJ (2012) A four-year prospective clinical evaluation of zirconia and metal-ceramic posterior fixed dental prostheses. Int J Prosthodont 25:451–458PubMed
16.
go back to reference Vigolo P, Mutinelli S (2012) Evaluation of zirconium-oxide-based ceramic single-unit posterior fixed dental prostheses (FDPs) generated with two CAD/CAM systems compared to porcelain-fused-to-metal single-unit posterior FDPs: a 5-year clinical prospective study. J Prosthodont 21:265–269PubMed Vigolo P, Mutinelli S (2012) Evaluation of zirconium-oxide-based ceramic single-unit posterior fixed dental prostheses (FDPs) generated with two CAD/CAM systems compared to porcelain-fused-to-metal single-unit posterior FDPs: a 5-year clinical prospective study. J Prosthodont 21:265–269PubMed
17.
go back to reference Larsson C, Vult von Steyern P, Sunzel B, Nilner K (2006) All-ceramic two- to five-unit implant-supported reconstructions. A randomized, prospective clinical trial. Swed Dent J 30:45–53PubMed Larsson C, Vult von Steyern P, Sunzel B, Nilner K (2006) All-ceramic two- to five-unit implant-supported reconstructions. A randomized, prospective clinical trial. Swed Dent J 30:45–53PubMed
18.
go back to reference Rosentritt M, Steiger D, Behr M, Handel G, Kolbeck C (2009) Influence of substructure design and spacer settings on the in vitro performance of molar zirconia crowns. J Dent 37:978–983PubMed Rosentritt M, Steiger D, Behr M, Handel G, Kolbeck C (2009) Influence of substructure design and spacer settings on the in vitro performance of molar zirconia crowns. J Dent 37:978–983PubMed
19.
go back to reference Swain MV (2009) Unstable cracking (chipping) of veneering porcelain on all-ceramic dental crowns and fixed partial dentures. Acta Biomater 5:1668–1677PubMed Swain MV (2009) Unstable cracking (chipping) of veneering porcelain on all-ceramic dental crowns and fixed partial dentures. Acta Biomater 5:1668–1677PubMed
20.
go back to reference Schmitter M, Mueller D, Rues S (2012) Chipping behaviour of all-ceramic crowns with zirconia framework and CAD/CAM manufactured veneer. J Dent 40:154–162PubMed Schmitter M, Mueller D, Rues S (2012) Chipping behaviour of all-ceramic crowns with zirconia framework and CAD/CAM manufactured veneer. J Dent 40:154–162PubMed
21.
go back to reference Schmitter M, Mueller D, Rues S (2013) In vitro chipping behaviour of all-ceramic crowns with a zirconia framework and feldspathic veneering: comparison of CAD/CAM-produced veneer with manually layered veneer. J Oral Rehabil 40:519–525PubMed Schmitter M, Mueller D, Rues S (2013) In vitro chipping behaviour of all-ceramic crowns with a zirconia framework and feldspathic veneering: comparison of CAD/CAM-produced veneer with manually layered veneer. J Oral Rehabil 40:519–525PubMed
22.
go back to reference Du Q, Swain MV, Zhao K (2014) Fractographic analysis of anterior bilayered ceramic crowns that failed by veneer chipping. Quintessence Int 45:369–376PubMed Du Q, Swain MV, Zhao K (2014) Fractographic analysis of anterior bilayered ceramic crowns that failed by veneer chipping. Quintessence Int 45:369–376PubMed
23.
go back to reference Broseghini C, Broseghini M, Gracis S, Vigolo P (2014) Aesthetic functional area protection concept for prevention of ceramic chipping with zirconia frameworks. Int J Prosthodont 27:174–176PubMed Broseghini C, Broseghini M, Gracis S, Vigolo P (2014) Aesthetic functional area protection concept for prevention of ceramic chipping with zirconia frameworks. Int J Prosthodont 27:174–176PubMed
24.
go back to reference Zhang Z, Guazzato M, Sornsuwan T, Scherrer SS, Rungsiyakull C, Li W, Swain MV, Li Q (2013) Thermally induced fracture for core-veneered dental ceramic structures. Acta Biomater 9:8394–8402PubMed Zhang Z, Guazzato M, Sornsuwan T, Scherrer SS, Rungsiyakull C, Li W, Swain MV, Li Q (2013) Thermally induced fracture for core-veneered dental ceramic structures. Acta Biomater 9:8394–8402PubMed
25.
go back to reference Sailer I, Muhlemann S, Zwahlen M, Hammerle CH, Schneider D (2012) Cemented and screw-retained implant reconstructions: a systematic review of the survival and complication rates. Clin Oral Implants Res 23(Suppl 6):163–201PubMed Sailer I, Muhlemann S, Zwahlen M, Hammerle CH, Schneider D (2012) Cemented and screw-retained implant reconstructions: a systematic review of the survival and complication rates. Clin Oral Implants Res 23(Suppl 6):163–201PubMed
26.
go back to reference Teichmann M, Gockler F, Weber V, Yildirim M, Wolfart S, Edelhoff D (2017) Ten-year survival and complication rates of lithium-disilicate (Empress 2) tooth-supported crowns, implant-supported crowns, and fixed dental prostheses. J Dent 56:65–77PubMed Teichmann M, Gockler F, Weber V, Yildirim M, Wolfart S, Edelhoff D (2017) Ten-year survival and complication rates of lithium-disilicate (Empress 2) tooth-supported crowns, implant-supported crowns, and fixed dental prostheses. J Dent 56:65–77PubMed
27.
go back to reference Larsson C, Wennerberg A (2014) The clinical success of zirconia-based crowns: a systematic review. Int J Prosthodont 27:33–43PubMed Larsson C, Wennerberg A (2014) The clinical success of zirconia-based crowns: a systematic review. Int J Prosthodont 27:33–43PubMed
28.
go back to reference Monaco C, Caldari M, Scotti R, ACR Group (2013) Clinical evaluation of 1,132 zirconia-based single crowns: a retrospective cohort study from the AIOP clinical research group. Int J Prosthodont 26:435–442PubMed Monaco C, Caldari M, Scotti R, ACR Group (2013) Clinical evaluation of 1,132 zirconia-based single crowns: a retrospective cohort study from the AIOP clinical research group. Int J Prosthodont 26:435–442PubMed
29.
go back to reference Monaco C, Caldari M, Scotti R, ACR Group (2015) Clinical evaluation of zirconia-based restorations on implants: a retrospective cohort study from the AIOP clinical research group. Int J Prosthodont 28:239–242PubMed Monaco C, Caldari M, Scotti R, ACR Group (2015) Clinical evaluation of zirconia-based restorations on implants: a retrospective cohort study from the AIOP clinical research group. Int J Prosthodont 28:239–242PubMed
30.
go back to reference Klages U, Weber AG, Wehrbein H (2005) Approximal plaque and gingival sulcus bleeding in routine dental care patients: relations to life stress, somatization and depression. J Clin Periodontol 32:575–582PubMed Klages U, Weber AG, Wehrbein H (2005) Approximal plaque and gingival sulcus bleeding in routine dental care patients: relations to life stress, somatization and depression. J Clin Periodontol 32:575–582PubMed
31.
go back to reference Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet JP, List T, Svensson P, Gonzalez Y, Lobbezoo F, Michelotti A, Brooks SL, Ceusters W, Drangsholt M, Ettlin D, Gaul C, Goldberg LJ, Haythornthwaite JA, Hollender L, Jensen R, John MT, de Laat A, de Leeuw R, Maixner W, van der Meulen M, Murray GM, Nixdorf DR, Palla S, Petersson A, Pionchon P, Smith B, Visscher CM, Zakrzewska J, Dworkin SF, International RDC/TMD Consortium Network, International association for Dental Research, Orofacial Pain Special Interest Group, International Association for the Study of Pain (2014) Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications: recommendations of the International RDC/TMD Consortium Network* and Orofacial Pain Special Interest Group†. J Oral Facial Pain Headache 28:6–27PubMedPubMedCentral Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet JP, List T, Svensson P, Gonzalez Y, Lobbezoo F, Michelotti A, Brooks SL, Ceusters W, Drangsholt M, Ettlin D, Gaul C, Goldberg LJ, Haythornthwaite JA, Hollender L, Jensen R, John MT, de Laat A, de Leeuw R, Maixner W, van der Meulen M, Murray GM, Nixdorf DR, Palla S, Petersson A, Pionchon P, Smith B, Visscher CM, Zakrzewska J, Dworkin SF, International RDC/TMD Consortium Network, International association for Dental Research, Orofacial Pain Special Interest Group, International Association for the Study of Pain (2014) Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications: recommendations of the International RDC/TMD Consortium Network* and Orofacial Pain Special Interest Group†. J Oral Facial Pain Headache 28:6–27PubMedPubMedCentral
32.
go back to reference Happe A, Roling N, Schafer A, Rothamel D (2015) Effects of different polishing protocols on the surface roughness of Y-TZP surfaces used for custom-made implant abutments: a controlled morphologic SEM and profilometric pilot study. J Prosthet Dent 113:440–447PubMed Happe A, Roling N, Schafer A, Rothamel D (2015) Effects of different polishing protocols on the surface roughness of Y-TZP surfaces used for custom-made implant abutments: a controlled morphologic SEM and profilometric pilot study. J Prosthet Dent 113:440–447PubMed
33.
go back to reference Dornbush JR, Reiser GM, Ho DK (2014) Platform switching and abutment emergence profile modification on peri-implant soft tissue. Alpha Omegan 107:28–32PubMed Dornbush JR, Reiser GM, Ho DK (2014) Platform switching and abutment emergence profile modification on peri-implant soft tissue. Alpha Omegan 107:28–32PubMed
34.
go back to reference 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 25:121–128PubMed 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 25:121–128PubMed
35.
go back to reference Simeone P, Gracis S (2015) Eleven-year retrospective survival study of 275 veneered lithium disilicate single crowns. Int J Periodontics Restorative Dent 35:685–694PubMed Simeone P, Gracis S (2015) Eleven-year retrospective survival study of 275 veneered lithium disilicate single crowns. Int J Periodontics Restorative Dent 35:685–694PubMed
36.
go back to reference Galindo ML, Sendi P, Marinello CP (2011) Estimating long-term survival of densely sintered alumina crowns: a cohort study over 10 years. J Prosthet Dent 106:23–28PubMed Galindo ML, Sendi P, Marinello CP (2011) Estimating long-term survival of densely sintered alumina crowns: a cohort study over 10 years. J Prosthet Dent 106:23–28PubMed
37.
go back to reference Rinke S, Tsigaras A, Huels A, Roediger M (2011) An 18-year retrospective evaluation of glass-infiltrated alumina crowns. Quintessence Int 42:625–633PubMed Rinke S, Tsigaras A, Huels A, Roediger M (2011) An 18-year retrospective evaluation of glass-infiltrated alumina crowns. Quintessence Int 42:625–633PubMed
38.
go back to reference Valenti M, Valenti A (2009) Retrospective survival analysis of 261 lithium disilicate crowns in a private general practice. Quintessence Int 40:573–579PubMed Valenti M, Valenti A (2009) Retrospective survival analysis of 261 lithium disilicate crowns in a private general practice. Quintessence Int 40:573–579PubMed
39.
go back to reference Sailer I, Makarov NA, Thoma DS, Zwahlen M, Pjetursson BE (2015) 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 31:603–623PubMed Sailer I, Makarov NA, Thoma DS, Zwahlen M, Pjetursson BE (2015) 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 31:603–623PubMed
40.
go back to reference Molin MK, Karlsson SL (2008) Five-year clinical prospective evaluation of zirconia-based Denzir 3-unit FPDs. Int J Prosthodont 21:223–227PubMed Molin MK, Karlsson SL (2008) Five-year clinical prospective evaluation of zirconia-based Denzir 3-unit FPDs. Int J Prosthodont 21:223–227PubMed
41.
go back to reference Miyazaki T, Nakamura T, Matsumura H, Ban S, Kobayashi T (2013) Current status of zirconia restoration. J Prosthodont Res 57:236–261PubMed Miyazaki T, Nakamura T, Matsumura H, Ban S, Kobayashi T (2013) Current status of zirconia restoration. J Prosthodont Res 57:236–261PubMed
42.
go back to reference Raigrodski AJ, Hillstead MB, Meng GK, Chung KH (2012) Survival and complications of zirconia-based fixed dental prostheses: a systematic review. J Prosthet Dent 107:170–177PubMed Raigrodski AJ, Hillstead MB, Meng GK, Chung KH (2012) Survival and complications of zirconia-based fixed dental prostheses: a systematic review. J Prosthet Dent 107:170–177PubMed
43.
go back to reference Jung RE, Zembic A, Pjetursson BE, Zwahlen M, Thoma DS (2012) Systematic review of the survival rate and the incidence of biological, technical, and aesthetic complications of single crowns on implants reported in longitudinal studies with a mean follow-up of 5 years. Clin Oral Implants Res 23(Suppl 6):2–21PubMed Jung RE, Zembic A, Pjetursson BE, Zwahlen M, Thoma DS (2012) Systematic review of the survival rate and the incidence of biological, technical, and aesthetic complications of single crowns on implants reported in longitudinal studies with a mean follow-up of 5 years. Clin Oral Implants Res 23(Suppl 6):2–21PubMed
44.
go back to reference Glauser R, Sailer I, Wohlwend A, Studer S, Schibli M, Scharer P (2004) Experimental zirconia abutments for implant-supported single-tooth restorations in esthetically demanding regions: 4-year results of a prospective clinical study. Int J Prosthodont 17:285–290PubMed Glauser R, Sailer I, Wohlwend A, Studer S, Schibli M, Scharer P (2004) Experimental zirconia abutments for implant-supported single-tooth restorations in esthetically demanding regions: 4-year results of a prospective clinical study. Int J Prosthodont 17:285–290PubMed
45.
go back to reference Pjetursson BE, Sailer I, 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 I: single crowns. Clin Oral Implants Res 18(Suppl 3):73–85PubMed Pjetursson BE, Sailer I, 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 I: single crowns. Clin Oral Implants Res 18(Suppl 3):73–85PubMed
46.
go back to reference Beier US, Kapferer I, Dumfahrt H (2012) Clinical long-term evaluation and failure characteristics of 1,335 all-ceramic restorations. Int J Prosthodont 25:70–78PubMed Beier US, Kapferer I, Dumfahrt H (2012) Clinical long-term evaluation and failure characteristics of 1,335 all-ceramic restorations. Int J Prosthodont 25:70–78PubMed
47.
go back to reference Heintze SD, Rousson V (2010) Fracture rates of IPS Empress all-ceramic crowns—a systematic review. Int J Prosthodont 23:129–133PubMed Heintze SD, Rousson V (2010) Fracture rates of IPS Empress all-ceramic crowns—a systematic review. Int J Prosthodont 23:129–133PubMed
48.
go back to reference Wang X, Fan D, Swain MV, Zhao K (2012) A systematic review of all-ceramic crowns: clinical fracture rates in relation to restored tooth type. Int J Prosthodont 25:441–450PubMed Wang X, Fan D, Swain MV, Zhao K (2012) A systematic review of all-ceramic crowns: clinical fracture rates in relation to restored tooth type. Int J Prosthodont 25:441–450PubMed
49.
go back to reference Takeichi T, Katsoulis J, Blatz MB (2013) Clinical outcome of single porcelain-fused-to-zirconium dioxide crowns: a systematic review. J Prosthet Dent 110:455–461PubMed Takeichi T, Katsoulis J, Blatz MB (2013) Clinical outcome of single porcelain-fused-to-zirconium dioxide crowns: a systematic review. J Prosthet Dent 110:455–461PubMed
Metadata
Title
Clinical performance of tooth- or implant-supported veneered zirconia single crowns: 42-month results
Authors
Friederike Cantner
Claudio Cacaci
Thomas Mücke
Peter Randelzhofer
Jan Hajtó
Florian Beuer
Publication date
01-12-2019
Publisher
Springer Berlin Heidelberg
Published in
Clinical Oral Investigations / Issue 12/2019
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-019-02878-0

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