DOI:
10.37988/1811-153X_2019_2_76The results of using CAD/CAM-made zirconium crowns
Downloads
Abstract
The purpose is to assess the quality of zirconium restorations according to the criteria of the US Health Service (USPHS). Material and methods. The study included patients in whom the first or second molar and premolar needed a monolithic restoration. Zirconia crowns were restored to 77 patients (35 men and 42 women), whose average age was 33.6±2.9 years. Crowns were installed on the upper jaw - 34 (44.2%), on the bottom - 43 (55.8%). Examination was carried out 7 days, 6 and 12 months after restoration. USPHS criteria used. Results. The survival rate of crowns was 100%. In 2.6% of cases, restorations corresponded to category C due to marginal discoloration, all the other 75 restorations corresponded to grade A or B. From 6 to 12 months, the number of cases with marks A and B changed only in terms of the “anatomical shape” - from 5.2 to 11.7% (p <0.05). In the period from 7 days to 6 months after restoration, statistically significant differences were found in the indicator “color matching” (the number of cases after 6 months increased 1.4 times), “discoloration of the edge surface” (3.7 times) and “surface texture "(4 times). After 12 months, the incidence of anatomical concavity among patients increased 2.2 times (p <0.05) as compared with 6 months. Conclusion Monolithic zirconium restorations made using CAD / CAM technology are a viable option for repairing individual posterior teeth. The proportion of successful restorations was 97.4%. In order to adequately document the possible benefits of a monolithic Zirconia restoration compared to other types of restorations, long-term randomized trials on a large sample of patients are needed.Key words:
monolithic zirconium restoration, zirconium dioxide, CAD/CAM technology, USPHS criteria, molar, premolarFor Citation
[1]
Panahov N.A., Aliyeva S.S. The results of using CAD/CAM-made zirconium crowns. Clinical Dentistry (Russia). 2019; 2 (90): 76—79. DOI: 10.37988/1811-153X_2019_2_76
References
- Derafshi R., Khorshidi H., Kalantari M., Ghaffarlou I. Effect of mouthrinses on color stability of monolithic zirconia and feldspathic ceramic: an in vitro study. - BMC Oral Health. - 2017; 17 (1): 129.
- Sun T., Zhou S., Lai R., Liu R., Ma S., Zhou Z., Longquan S. Load-bearing capacity and the recommended thickness of dental monolithic zirconia single crowns. - J Mech Behav Biomed Mater. - 2014; 35: 93-101.
- Жулев Е.Н., Вокулова Ю.А. Результаты изучения качества краевого прилегания каркасов из диоксида циркония, изготовленных с применением технологии внутриротового лазерного сканирования Itero-Cadent в эксперименте. - Современные проблемы науки и образования. - 2017; 1.http://www.science-education.ru/ru/article/view?id=25903
- 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. - 2018; 15 (11). pii: E2523.
- Ермак Е.Ю., Парилов В.В., Олесова В.Н., Озиева Л.М., Индюков В.В. Клиническая оценка функционирования различных керамических систем накладок на зубы при формировании окклюзионных контактов по разработанному способу. - Сибирский медицинский журнал. - 2009; 3: 143-6.
- Fasbinder D.J., Dennison J.B., Heys D., Neiva G. A clinical evaluation of chairside lithium disilicate CAD/CAM crowns: a two-year report. - J Am Dent Assoc. - 2010; 141 (suppl 2): 10S-4S.
- Johansson C., Kmet G., Rivera J., Larsson C., Vult Von Steyern P. Fracture strength of monolithic all-ceramic crowns made of high translucent yttrium oxide-stabilized zirconium dioxide compared to porcelain-veneered crowns and lithium disilicate crowns. - Acta Odontol Scand. - 2014; 72 (2): 145-53.
- Nakamura K., Harada A., Inagaki R., Kanno T., Niwano Y., Milleding P., Örtengren U. Fracture resistance of monolithic zirconia molar crowns with reduced thickness. - Acta Odontol Scand. - 2015; 73 (8): 602-8.DOI: 10.3109/00016357.2015.1007479
- Stober T., Bermejo J.L., Rammelsberg P., Schmitter M. Enamel wear caused by monolithic zirconia crowns after 6 months of clinical use. - J Oral Rehabil. - 2014; 41 (4): 314-22.
- World Medical Association declaration of Helsinki: ethical principles for medical research involving human subjects. - JAMA. - 2013; 310 (20): 2191-4.
- Cvar J.F., Ryge G. Reprint of criteria for the clinical evaluation of dental restorative materials. 1971. - Clin Oral Investig. - 2005; 9 (4): 215-32.
- Worni A., Katsoulis J., Kolgeci L., Worni M., Mericske-Stern R. Monolithic zirconia reconstructions supported by teeth and implants: 1- to 3-year results of a case series. - Quintessence Int. - 2017; 48 (6): 459-67.
- 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. - 2017; 29 (1): 22-30.
- Hamza T.A., Sherif R.M. In vitro evaluation of marginal discrepancy of monolithic zirconia restorations fabricated with different CAD-CAM systems. - J Prosthet Dent. - 2017; 117 (6): 762-6.
- Kale E., Yilmaz B., Seker E., Özcelik T.B. Effect of fabrication stages and cementation on the marginal fit of CAD-CAM monolithic zirconia crowns. - J Prosthet Dent. - 2017; 118 (6): 736-41.
- Sarıkaya I., Hayran Y. Effects of dynamic aging on the wear and fracture strength of monolithic zirconia restorations. - BMC Oral Health. - 2018; 18 (1): 146.
Downloads
Published on
June 1, 2019