Selection of dental ceramics in an esthetic área: a case report
The use of full ceramic systems to restore teeth in the anterior area is today the preferred method over conventional metal-ceramic systems due to the combination of aesthetic and mechanical properties, in addition to the biocompatibility of these materials and the possibility they offer to minimize tooth preparation. However, due to the sensitivity of the technique while using these systems, especially those that require adhesive cementation, it is highly important to be familiar with their characteristics and indications in order to make the right choice according to each patient’s conditions. The literature reports that the possible clinical failures of these materials are multifactorial, with occlusal instability being one of the causes. Therefore, their biomechanical behavior and the strict implementation of clinical protocols are necessary for successful long-term restorations. This article discusses the various adhesive restorative options to rehabilitate the anterior area and presents their application to a patient’s clinical case with esthetic purposes.
Özcan M. Anterior restorations: direct composites, veneers or crowns? In: Roulet JF, Kappert HF (eds). Statements: diagnostics and therapy in dental medicine today and in the future. New Malden: Quintessence; 2009. p. 45-67.
Yu B, Lee YK. Comparison of the color stability of flowable and universal resin composites. Am J Dent. 2009; 22(3): 160-164.
Suzuki T, Kyoizumi H, Finger WJ, Kanehira M, Endo T, Utterodt A et al. Resistance of nanofill and nanohybrid resin composites to toothbrush abrasion with calcium carbonate slurry. Dent Mater J. 2009; 28(6): 708-716.
Pjetursson BE, Sailer I, Zwahlen M, Hämmerle CH. 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. 2007; 18 (suppl 3): 73-85.
Guess PC, Schultheis S, Bonfante EA, Coelho PG, Ferencz JL, Silva NR. All-ceramic systems: laboratory and clinical performance. Dent Clin North Am. 2011; 55(2): 333-352. DOI: https://doi.org/10.1016/j.cden.2011.01.005
Heffernan MJ, Aquilino SA, Diaz-Arnold AM, Haselton DR, Stanford CM, Vargas MA. Relative translucency of six all-ceramic systems. Part I: core materials. J Prosthet Dent. 2002; 88(1): 4-9.
Magne P, Magne M, Belser U. The esthetic width in fixed prosthodontics. J Prosthodont. 1999; 8(2): 106-118.
Odén A, Andersson M, Krystek-Ondracek I, Magnusson D. Five-year clinical evaluation of Procera AllCeram crowns. J Prosthet Dent. 1998; 80(4): 450-456.
Spear FM. The metal-free practice: myth? Reality? Desirable goal? J Esthet Restor Dent. 2001; 13(1): 59-67.
Denry I, Holloway JA. Ceramics for dental applications: a review. Materials. 2010; 3(1): 351-368. DOI: https://dx.doi.org/10.3390%2Fma3010351
Guess PC, Strub JR, Steinhart N, Wolkewitz M, Stappert CF. All-ceramic partial coverage restorations—midterm results of a 5-year prospective clinical splitmouth study. J Dent. 2009; 37(8): 627–637. DOI: https://doi.org/10.1016/j.jdent.2009.04.006
Sailer I, Makarov NA, Thoma DS, Zwahlen M, Pjetursson BE. 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. 2015; 31(6): 603-623. DOI: https://doi.org/10.1016/j.dental.2015.02.011
Conrad HJ, Seong WJ, Pesun IJ. Current ceramic materials and systems with clinical recommendations: a systematic review. J Prosthet Dent. 2007; 98(5): 389-404. DOI: https://doi.org/10.1016/S0022-3913(07)60124-3
Denry I, Kelly J. State of the art of zirconia for dental applications. Dent Mater. 2008; 24(3): 299-307. DOI: https://doi.org/10.1016/j.dental.2007.05.007
Larsson C, Wennerberg A. The clinical success of zirconia-based crowns: a systematic review. Int J Prosthodont. 2014; 27(1): 33-43. DOI: https://doi.org/10.11607/ijp.3647
Raigrodski AJ. All-ceramic full-coverage restorations: concepts and guidelines for material selection. Pract Proced Aesthet Dent. 2005; 17(4): 249-256.
Della Bona A, Kelly JR. The clinical success of all-ceramic restorations. J Am Dent Assoc. 2008; 139 (Suppl): 8S-13S.
Al-Amleh B, Lyons K, Swain M. Clinical trials in zirconia: a systematic review. J Oral Rehabil. 2010; 37(8): 641-652. DOI: https://doi.org/10.1111/j.1365-2842.2010.02094.x
Raigrodski AJ, Hillstead MB, Meng GK, Chung KH. Survival and complications of zirconia- based fixed dental prostheses: a systematic review. J Prosthet Dent. 2012; 107(3): 170-177. DOI: https://doi.org/10.1016/S0022-3913(12)60051-1
Etman MK, Woolford MJ. Three-year clinical evaluation of two ceramic crown systems: a preliminary study. J Prosthet Dent. 2010; 103(2): 80-90. DOI: https://doi.org/10.1016/S0022-3913(10)60010-8
Wolfart S, Bohlsen F, Wegner SM, Kern M. A preliminary prospective evaluation of all-ceramic crown-retained and inlay-retained fixed partial dentures. Int J Prosthodont. 2005; 18(6): 497-505.
Pieger S, Salman A, Bidra AS. Clinical outcomes of lithium disilicate single crowns and partial fixed dental prostheses: a systematic review. J Prostate Dent. 2014; 112(1): 22-30. DOI: https://doi.org/10.1016/j.prosdent.2014.01.005
Murgueitio R, Bernal G, Three-year clinical follow-up of posterior teeth restored with leucite-reinforced IPS empress onlays and partial veneer crowns. J Prosthodont. 2012; 21(5): 340-345. DOI: https://doi.org/10.1111/j.1532-849X.2011.00837.x
Raptis NV, Michalakis KX, Hirayama H. Optical behavior of current ceramic systems. Int J Periodontics Restorative Dent. 2006; 26(1): 31-41.
Rinke S, Fischer C. Range of indications for translucent zirconia modifications: clinical and technical aspects. Quintessence Int. 2013; 44(8): 557-566. DOI: https://doi.org/10.3290/j.qi.a29937
Magne M, Belser U. Bonded porcelain restorations in the anterior: a biomimetic approach. Chicago: Quintessence; 2003.
Raigrodski AJ, Contemporary materials and technologies for all-ceramic fixed partial dentures: a review of the literature. J Prosthet Dent. 2004; 92(6): 557-562. Doi: https://doi.org/10.1016/S0022391304006158
Edelhoff D, Güte JF, Jungwirth F, Beuer F. Light transmission through lithium-disilicate ceramics with different levels of translucency. J Dent Res. 2010. DOI: https://doi.org/10.1016/S0022391304006158
Edelhoff D, Özcan M. To what extent does the longevity of fixed dental prostheses depend on the function of the cement? Working Group 4 materials: cementation. Clin Oral Implants Res. 2007; 18 (Suppl 3): 193-204. DOI: https://doi.org/10.1111/j.1600-0501.2007.01442.x
Magne P, Belser UC. Porcelain versus composite inlays/onlays: effects of mechanical loads on stress distribution, adhesion, and crown flexure. Int J Periodontics Restorative Dent. 2003; 23(6): 543-555.
Blatz MB, Sadan A, Kern M. Resin-ceramic bonding: a review of the literature. J Prosthet Dent. 2003; 89(3): 268-274. DOI: https://doi.org/10.1067/mpr.2003.50
Marchack BW, Futatsuki Y, Marchack CB, White SN. Customization of milled zirconia copings for all-ceramic crowns: a clinical report. J Prosthet Dent. 2008; 99(3): 163-173. DOI: https://doi.org/10.1016/S0022-3913(08)00028-0
Miyazaki T, Nakamura T, Matsumura H, Ban S, Kobayashi T. Current status of zirconia restoration. J Prosthodont Res. 2013; 57(4): 236-261. DOI : https://doi.org/10.1016/j.jpor.2013.09.001
Göstemeyer G, Jendras M, Dittmer MP, Bach FW, Stiesch M, Kohorst P. Influence of cooling rate on zirconia/veneer interfacial adhesion. Acta Biomater. 2010; 6(12): 4532-4538. DOI: https://doi.org/10.1016/j.actbio.2010.06.026
Swain MV. Unstable cracking (chipping) of veneering porcelain on all-ceramic dental crowns and fixed partial dentures. Acta Biomater. 2009; 5(5): 1668-1677. DOI: https://doi.org/10.1016/j.actbio.2008.12.016
Brentel AS, Özcan M, Valandro LF, Alarça LG, Amaral R, Bottino MA. Microtensile bond strength of a resin cement to feldspathic ceramic after different etching and silanization regimens in dry and aged conditions. Dent Mater. 2007; 23(11): 1323-1331.
Almeida JS, Nunes Rolla J, Araujo E, Baratieri LN. All ceramic crowns and extended veneers in anterior dentition: a case report with critical discussion. Am J Esthet Dent. 2011; 1(1): 60-81.
Breschi L, Mazzoni A, Ruggeri A, Cadenaro M, Di-Lenarda R, De-Stefano-Dorigo E. Dental adhesion review: aging and stability of the bonded interface. Dent Mater. 2008; 24(1): 90-101. https://doi.org/10.1016/j.dental.2007.02.009
Paul SJ, Schärer P. The dual bonding technique: a modified method to improve adhesive luting procedures. Int J Periodontics Restorative Dent. 1997; 17(6): 536-545.
Copyright (c) 2017 Revista Facultad de Odontología Universidad de Antioquia
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Copyright comprises moral and patrimonial rights.
1. Moral rights: are born at the moment of the creation of the work, without the need to register it. They belong to the author in a personal and unrelinquishable manner; also, they are imprescriptible, unalienable and non negotiable. Moral rights are the right to paternity of the work, the right to integrity of the work, the right to maintain the work unedited or to publish it under a pseudonym or anonymously, the right to modify the work, the right to repent and, the right to be mentioned, in accordance with the definitions established in article 40 of Intellectual property bylaws of the Universidad (RECTORAL RESOLUTION 21231 of 2005).
2. Patrimonial rights: they consist of the capacity of financially dispose and benefit from the work trough any mean. Also, the patrimonial rights are relinquishable, attachable, prescriptive, temporary and transmissible, and they are caused with the publication or divulgation of the work. To the effect of publication of articles in the journal Revista de la Facultad de Odontología, it is understood that Universidad de Antioquia is the owner of the patrimonial rights of the contents of the publication.
The content of the publications is the exclusive responsibility of the authors. Neither the printing press, nor the editors, nor the Editorial Board will be responsible for the use of the information contained in the articles.
I, we, the author(s), and through me (us), the Entity for which I, am (are) working, hereby transfer in a total and definitive manner and without any limitation, to the Revista Facultad de Odontología Universidad de Antioquia, the patrimonial rights corresponding to the article presented for physical and digital publication. I also declare that neither this article, nor part of it has been published in another journal.
Open Access Policy
The articles published in our Journal are fully open access, as we consider that providing the public with free access to research contributes to a greater global exchange of knowledge.
Creative Commons License
The Journal offers its content to third parties without any kind of economic compensation or embargo on the articles. Articles are published under the terms of a Creative Commons license, known as Attribution – NonCommercial – Share Alike (BY-NC-SA), which permits use, distribution and reproduction in any medium, provided that the original work is properly cited and that the new productions are licensed under the same conditions.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.