DOI:

10.37988/1811-153X_2026_2_107

Analysis of factors contributing to the increase in efficiency of the use of lined dentures with a zirconium dioxide frame

Authors

  • E.N. Ovcharenko 1, PhD in Medical Sciences, associate professor of the Prosthetic dentistry Department
    ORCID: 0000-0003-0425-8263
  • O.M. Lavrovskaya 1, PhD in Medical Sciences, associate professor of the Prosthetic dentistry Department
    ORCID: 0000-0003-0957-2841
  • S.K. Severinova 1, PhD in Medical Sciences, associate professor of the Prosthetic dentistry Department
    ORCID: 0000-0002-3907-0386
  • U.E. Tatali 1, 4th year student at the Dental Faculty
    ORCID: 0009-0009-8590-3412
  • A.V. Perepelka 1, 3rd year student at the Dental Faculty
    ORCID: 0009-0000-7252-1209
  • Ya.A. Lavrovskaya 2, PhD in Medical Sciences, associate professor of the Orthopedic and General dentistry Department
    ORCID: 0000-0002-2890-6555
  • 1 Crimean Federal University, 295006, Simferopol, Russia
  • 2 Russian Medical Academy of Continuous Professional Education, 125993, Moscow, Russia

Abstract

Metal-ceramic restorations for many years remained by “gold standard” in prosthetic dentistry due to good physical mechanical characteristics, satisfactory aesthetic parameters, clinically acceptable indicators of marginal fit. In recent years, Innovative automated systems have been successfully implemented production of orthopedic structures, as well as new ceramic materials: disilicate lithium and polycrystalline ceramics. At present time ceramics on zirconium dioxide base is widely used as an alternative to a metallic frame for fixed dentures due to the sufficiently high strength characteristics. At the same time, the structural ceramic material must have not only by optimal mechanical properties, but also by excellent aesthetic characteristics such as transparency and high light transmission. From this point lined zirconium restorations are highly aesthetic prosthetic structures that can withstand sufficiently high chewing loads. However, when using these types of dentures, practitioners more often faced with such complications as chips of the ceramic coating. The purpose of the study — to analyze the technological parameters of manufacturing of the all-ceramic dentures with a zirconium dioxide framework that affect to the retention of the cladding coating. Within the framework of the study, the following was carried out search for scientific publications on a given topic in the RSCI electronic databases, PubMed, Web of Science, and Scopus. Total 47 works were analyzed. After studying In order to meet the selection criteria, this literature review included 28 publications. Successful use of veneered restorations with a frame made of zirconium dioxide requires taking into account the physical and mechanical characteristics of the structural materials, namely the compliance with the CTE of the ceramic masses used, as well as compliance with certain technological parameters of sandblasting. To reduce the risk of chipping, the thickness of the cladding layer, the creation of the anatomical shape of the frame during modeling, as well as the choice of the method for making the cladding.

Key words:

all-ceramic dentures, glass-ceramic, zirconium dioxide

For Citation

[1]
Ovcharenko E.N., Lavrovskaya O.M., Severinova S.K., Tatali U.E., Perepelka A.V., Lavrovskaya Ya.A. Analysis of factors contributing to the increase in efficiency of the use of lined dentures with a zirconium dioxide frame. Clinical Dentistry (Russia).  2026; 29 (2): 107—111. DOI: 10.37988/1811-153X_2026_2_107

References

  1. Zarone F., Russo S., Sorrentino R. From porcelain-fused-to-metal to zirconia: clinical and experimental considerations. Dent Mater. 2011; 27 (1): 83—96. PMID: 21094996
  2. Litvinova A.K. Modern aspects of the use of zirconium dioxide in orthopedic dentistry. Youth Innovation Bulletin. 2021; S1: 400—402 (In Russian). eLIBRARY ID: 47248531
  3. Lebedenko I.Yu. Modern home-manufactured materials for non-metal dental restorations. Stomatology. 2017; 1: 60—62 (In Russian). DOI: 10.17116/stomat201796160-62
  4. Huang B., Chen M., Wang J., Zhang X. Advances in zirconia-based dental materials: Properties, classification, applications, and future prospects. J Dent. 2024; 147: 105111. PMID: 38866229
  5. Miyazaki T., Nakamura T., Matsumura H., Ban S., Kobayashi T. Current status of zirconia restoration. J Prosthodont Res. 2013; 57 (4): 236—61. PMID: 24140561
  6. 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. PMID: 24447258
  7. Zhang Y. Making yttria-stabilized tetragonal zirconia translucent. Dent Mater. 2014; 30 (10): 1195—203. PMID: 25193781
  8. Camposilvan E., Leone R., Gremillard L., Sorrentino R., Zarone F., Ferrari M., Chevalier J. Aging resistance, mechanical properties and translucency of different yttria-stabilized zirconia ceramics for monolithic dental crown applications. Dent Mater. 2018; 34 (6): 879—890. PMID: 29598882
  9. Nenasheva E.A., Bykova M.V., Guk N.O., Lebedenko I.Y., Shumskaya D.A., Bykov D.O. Multilayer dental ceramics blanks based on zirconium dioxide: A literature review. Russian Journal of Dentistry. 2023; 2: 139—153 (In Russian). DOI: 10.17816/dent340839
  10. Zhang F., Reveron H., Spies B.C., Van Meerbeek B., Chevalier J. Trade-off between fracture resistance and translucency of zirconia and lithium-disilicate glass ceramics for monolithic restorations. Acta Biomater. 2019; 91: 24—34. PMID: 31034947
  11. Schley J.S., Heussen N., Reich S., Fischer J., Haselhuhn K., Wolfart S. Survival probability of zirconia-based fixed dental prostheses up to 5 yr: a systematic review of the literature. Eur J Oral Sci. 2010; 118 (5): 443—50. PMID: 20831577
  12. Sulaiman T.A., Abdulmajeed A.A., Delgado A., Donovan T.E. Fracture rate of 188695 lithium disilicate and zirconia ceramic restorations after up to 7.5 years of clinical service: A dental laboratory survey. J Prosthet Dent. 2020; 123 (6): 807—810. PMID: 31703926
  13. Tang X., Nakamura T., Usami H., Wakabayashi K., Yatani H. Effects of multiple firings on the mechanical properties and microstructure of veneering ceramics for zirconia frameworks. J Dent. 2012; 40 (5): 372—80. PMID: 22330322
  14. Queiroz J.R., Benetti P., Massi M., Junior L.N., Della Bona A. Effect of multiple firing and silica deposition on the zirconia-porcelain interfacial bond strength. Dent Mater. 2012; 28 (7): 763—8. PMID: 22520227
  15. Zeighami S., Mahgoli H., Farid F., Azari A. The effect of multiple firings on microtensile bond strength of core-veneer zirconia-based all-ceramic restorations. J Prosthodont. 2013; 22 (1): 49—53. PMID: 22762412
  16. Komine F., Saito A., Kobayashi K., Koizuka M., Koizumi H., Matsumura H. Effect of cooling rate on shear bond strength of veneering porcelain to a zirconia ceramic material. J Oral Sci. 2010; 52 (4): 647—52. PMID: 21206169
  17. Olcer Us Y., Tuncelli B. Evaluation of the effects of thermal changes on the bond strength between zirconia framework and veneering ceramic during the firing process. Eur Oral Res. 2023; 57 (2): 108—114. PMID: 37525861
  18. Lundberg K., Wu L., Papia E. The effect of grinding and/or airborne-particle abrasion on the bond strength between zirconia and veneering porcelain: a systematic review. Acta Biomater Odontol Scand. 2017; 3 (1): 8—20. PMID: 28642927
  19. de Mello C.C., Bitencourt S.B., Dos Santos D.M., Pesqueira A.A., Pellizzer E.P., Goiato M.C. The effect of surface treatment on shear bond strength between Y-TZP and veneer ceramic: A systematic review and meta-analysis. J Prosthodont. 2018; 27 (7): 624—635. PMID: 29235205
  20. Lebedenko I.Yu., Dyakonenko E.E., Sakhabieva D.A., Llaka E. Adhesion of dental cements to zirconia restorations (part 1). Stomatology. 2021; 2: 97—102 (In Russian). DOI: 10.17116/stomat202110002197
  21. Jakovac M., Klaser T., Radatović B., Bafti A., Skoko Ž., Pavić L., Žic M. Impact of sandblasting on morphology, structure and conductivity of zirconia dental ceramics material. Materials (Basel). 2021; 14 (11): 2834. PMID: 34070667
  22. Rafeie N., Hooshmand T., Pedram P. Effect of helium plasma exposure on wettability and shear bond strength between the zirconia core and feldspathic veneering ceramic: An in vitro study. Int J Dent. 2022; 2022: 6831864. PMID: 35783687
  23. Liu Y.C., Hsieh J.P., Chen Y.C., Kang L.L., Hwang C.S., Chuang S.F. Promoting porcelain-zirconia bonding using different atmospheric pressure gas plasmas. Dent Mater. 2018; 34 (8): 1188—1198. PMID: 29784462
  24. Guess P.C., Bonfante E.A., Silva N.R., Coelho P.G., Thompson V.P. Effect of core design and veneering technique on damage and reliability of Y-TZP-supported crowns. Dent Mater. 2013; 29 (3): 307—16. PMID: 23228337
  25. Eisenburger M., Mache T., Borchers L., Stiesch M. Fracture stability of anterior zirconia crowns with different core designs and veneered using the layering or the press-over technique. Eur J Oral Sci. 2011; 119 (3): 253—7. PMID: 21564321
  26. Hardan L., Mancino D., Bourgi R., Cuevas-Suárez C.E., Lukomska-Szymanska M., Zarow M., Jakubowicz N., Zamarripa-Calderón J.E., Kafa L., Etienne O., Reitzer F., Kharouf N., Haïkel Y. Treatment of tooth wear using direct or indirect restorations: A Systematic review of clinical studies. Bioengineering (Basel). 2022; 9 (8): 346. PMID: 36004871
  27. Lohbauer U., Amberger G., Quinn G.D., Scherrer S.S. Fractographic analysis of a dental zirconia framework: a case study on design issues. J Mech Behav Biomed Mater. 2010; 3 (8): 623—9. PMID: 20826369
  28. Kanat-Ertürk B., Çömlekoğlu E.M., Dündar-Çömlekoğlu M., Özcan M., Güngör M.A. Effect of veneering methods on zirconia framework-veneer ceramic adhesion and fracture resistance of single crowns. J Prosthodont. 2015; 24 (8): 620—8. PMID: 25319017

Received

August 16, 2025

Accepted

May 27, 2026

Published on

July 4, 2026