Prospective Clinical Evaluation of Posterior Third-Generation Monolithic Zirconia Crowns Fabricated with Complete Digital Workflow: Two-Year Follow-Up

Clinical studies on the behavior of posterior translucent monolithic zirconia restorations are lacking. We assessed the clinical outcome and survival rate of posterior third-generation monolithic zirconia crowns over a 2-year period. A total of 24 patients, requiring 30 posterior full-contour restor...

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Main Authors: Mustafa Gseibat, Pablo Sevilla, Carlos Lopez-Suarez, Verónica Rodríguez, Jesús Peláez, María J. Suárez
Format: Article
Language:English
Published: MDPI AG 2022-01-01
Series:Materials
Subjects:
Online Access:https://www.mdpi.com/1996-1944/15/2/672
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author Mustafa Gseibat
Pablo Sevilla
Carlos Lopez-Suarez
Verónica Rodríguez
Jesús Peláez
María J. Suárez
author_facet Mustafa Gseibat
Pablo Sevilla
Carlos Lopez-Suarez
Verónica Rodríguez
Jesús Peláez
María J. Suárez
author_sort Mustafa Gseibat
collection DOAJ
description Clinical studies on the behavior of posterior translucent monolithic zirconia restorations are lacking. We assessed the clinical outcome and survival rate of posterior third-generation monolithic zirconia crowns over a 2-year period. A total of 24 patients, requiring 30 posterior full-contour restorations were selected. All abutments were scanned, and crowns were milled and cemented with a self-adhesive dual cure cement. Crowns were assessed using the California Dental Association’s criteria. Gingival status was assessed by evaluating the gingival index, plaque index, periodontal probing depth of the abutments and control teeth, and the margin index of the abutment teeth. Statistical analyses were performed using the Friedman and the Wilcoxon signed-rank tests. During the 2-year follow-up, no biological or mechanical complications were observed, and the survival and success rate was 100%. All restorations ranked as satisfactory throughout the follow-up period. The gingival index and plaque index were worse at the end of the 2-year follow-up. The margin index was stable during the 2 years of clinical service. No significant differences were recorded in periodontal parameters between crowns and control teeth. Third-generation monolithic zirconia could be a reliable alternative to posterior metal–ceramic and second-generation monolithic zirconia posterior crowns.
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spelling doaj.art-7f78a79dc6e24fae885b18f0201fed1f2023-11-23T14:32:57ZengMDPI AGMaterials1996-19442022-01-0115267210.3390/ma15020672Prospective Clinical Evaluation of Posterior Third-Generation Monolithic Zirconia Crowns Fabricated with Complete Digital Workflow: Two-Year Follow-UpMustafa Gseibat0Pablo Sevilla1Carlos Lopez-Suarez2Verónica Rodríguez3Jesús Peláez4María J. Suárez5Department of Conservative Dentistry and Buccofacial Prostheses, Faculty of Odontology, University Complutense of Madrid, 28040 Madrid, SpainDepartment of Conservative Dentistry and Buccofacial Prostheses, Faculty of Odontology, University Complutense of Madrid, 28040 Madrid, SpainDepartment of Conservative Dentistry and Buccofacial Prostheses, Faculty of Odontology, University Complutense of Madrid, 28040 Madrid, SpainDepartment of Conservative Dentistry and Buccofacial Prostheses, Faculty of Odontology, University Complutense of Madrid, 28040 Madrid, SpainDepartment of Conservative Dentistry and Buccofacial Prostheses, Faculty of Odontology, University Complutense of Madrid, 28040 Madrid, SpainDepartment of Conservative Dentistry and Buccofacial Prostheses, Faculty of Odontology, University Complutense of Madrid, 28040 Madrid, SpainClinical studies on the behavior of posterior translucent monolithic zirconia restorations are lacking. We assessed the clinical outcome and survival rate of posterior third-generation monolithic zirconia crowns over a 2-year period. A total of 24 patients, requiring 30 posterior full-contour restorations were selected. All abutments were scanned, and crowns were milled and cemented with a self-adhesive dual cure cement. Crowns were assessed using the California Dental Association’s criteria. Gingival status was assessed by evaluating the gingival index, plaque index, periodontal probing depth of the abutments and control teeth, and the margin index of the abutment teeth. Statistical analyses were performed using the Friedman and the Wilcoxon signed-rank tests. During the 2-year follow-up, no biological or mechanical complications were observed, and the survival and success rate was 100%. All restorations ranked as satisfactory throughout the follow-up period. The gingival index and plaque index were worse at the end of the 2-year follow-up. The margin index was stable during the 2 years of clinical service. No significant differences were recorded in periodontal parameters between crowns and control teeth. Third-generation monolithic zirconia could be a reliable alternative to posterior metal–ceramic and second-generation monolithic zirconia posterior crowns.https://www.mdpi.com/1996-1944/15/2/672single crownzirconiaposterior crownfull-coverage restorationveneered zirconiamonolithic zirconia
spellingShingle Mustafa Gseibat
Pablo Sevilla
Carlos Lopez-Suarez
Verónica Rodríguez
Jesús Peláez
María J. Suárez
Prospective Clinical Evaluation of Posterior Third-Generation Monolithic Zirconia Crowns Fabricated with Complete Digital Workflow: Two-Year Follow-Up
Materials
single crown
zirconia
posterior crown
full-coverage restoration
veneered zirconia
monolithic zirconia
title Prospective Clinical Evaluation of Posterior Third-Generation Monolithic Zirconia Crowns Fabricated with Complete Digital Workflow: Two-Year Follow-Up
title_full Prospective Clinical Evaluation of Posterior Third-Generation Monolithic Zirconia Crowns Fabricated with Complete Digital Workflow: Two-Year Follow-Up
title_fullStr Prospective Clinical Evaluation of Posterior Third-Generation Monolithic Zirconia Crowns Fabricated with Complete Digital Workflow: Two-Year Follow-Up
title_full_unstemmed Prospective Clinical Evaluation of Posterior Third-Generation Monolithic Zirconia Crowns Fabricated with Complete Digital Workflow: Two-Year Follow-Up
title_short Prospective Clinical Evaluation of Posterior Third-Generation Monolithic Zirconia Crowns Fabricated with Complete Digital Workflow: Two-Year Follow-Up
title_sort prospective clinical evaluation of posterior third generation monolithic zirconia crowns fabricated with complete digital workflow two year follow up
topic single crown
zirconia
posterior crown
full-coverage restoration
veneered zirconia
monolithic zirconia
url https://www.mdpi.com/1996-1944/15/2/672
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