Evidence map›Paper›PMID 37022529›Full record

ArticleClinical oral investigations2023

Reliability and lifetime of lithium disilicate, 3Y-TZP, and 5Y-TZP zirconia crowns with different occlusal thicknesses.

Gelson Luis Adabo, Diogo Longhini, Mariana Ribeiro Baldochi, Edmara Tatiely Pedroso Bergamo, Estevam Augusto Bonfante

Abstract read
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In one paragraph

Article in Clinical oral investigations, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Mechanical behavior and laboratory survival of thin and ultrathin ceramic crowns: A systematic review and meta-analysis.Journal of prosthodontics : official journal of the American College of Prosthodontists · 2026
    Pooled it
  2. Is Additive Manufacturing of Dental Zirconia Comparable to Subtractive Methods When Considering Printing Orientation and Layer Thickness? A Systematic Review and Meta-Analysis.Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] · 2026
    Pooled it
  3. Article
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  5. Effect of preparation design and endodontic access on fracture resistance of zirconia overlays in mandibular molars: An in vitro study.Journal of prosthodontics : official journal of the American College of Prosthodontists · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Gelson Luis AdaboSchool of Dentistry, Sao Paulo State University (Unesp), Araraquara, Sao Paulo, Brazil. gelson.adabo@unesp.br.ORCID http://orcid.org/0000-0002-0734-7926
Diogo LonghiniSchool of Dentistry, Sao Paulo State University (Unesp), Araraquara, Sao Paulo, Brazil.ORCID http://orcid.org/0000-0001-6918-9655
Mariana Ribeiro BaldochiSchool of Dentistry, Sao Paulo State University (Unesp), Araraquara, Sao Paulo, Brazil.ORCID http://orcid.org/0000-0002-7162-0747
Edmara Tatiely Pedroso BergamoSchool of Dentistry, University of Sao Paulo (USP), Bauru, Sao Paulo, Brazil.ORCID http://orcid.org/0000-0002-5006-2184
Estevam Augusto BonfanteSchool of Dentistry, University of Sao Paulo (USP), Bauru, Sao Paulo, Brazil.ORCID http://orcid.org/0000-0001-6867-8350

Funding

Conselho Nacional de Desenvolvimento Científico e Tecnológico 307255/2021-2Coordenação de Aperfeiçoamento de Pessoal de Nível Superior Finance Code 001Fundação de Amparo à Pesquisa do Estado de São Paulo 2016/09640-0, 2012/19078-7, 2021/06730-7, EMU 2016/18818-8, 2019/08693-1
6 · The paper itself

Abstract

objectivesTo assess the probability of survival of crowns made with a 3Y-TZP, a 5Y-TZP, and a lithium disilicate. MATERIALS AND

methodsCAD-CAM premolar crowns with occlusal thicknesses of 1.0 mm or 1.5 mm and cemented on a metal dye. Step-stress accelerated life testing (SSALT) was performed to access the use level probability Weibull curves and reliability were calculated for the completion of a mission of 100,000 cycles at 300 to 1200 N.

resultsAll ceramics showed a high probability of survival (87-99%) at 300 N, irrespective of thickness. 3Y-TZP shows no significant decrease in the probability of survival up to 1200 N (83-96%). Lithium disilicate presented lower reliability than zirconia under the 600 N mission. 5Y-TZP showed lower reliability than 3Y-TZP at 1200 N. There was no significant difference in the Weibull modulus (3.23-7.12). 3Y-TZP had the highest characteristic strength (2483-2972 N), followed by 5Y-TZP (1512-1547 N) and lithium disilicate (971-1154 N).

conclusionZirconia ceramics have a high probability of survival (up to 900 N-load), while lithium disilicate survives up to 300 N load only, irrespective of the thickness (1.0 mm or 1.5 mm). CLINICAL RELEVANCE: The probability of survival of posterior crowns made with zirconia ceramics resists extreme loads while glass ceramics resist normal chewing loads. In addition, crowns with thinner occlusal face showed sufficient mechanical behavior.

Indexed as

CeramicsDental PorcelainCrownsDental Stress AnalysisMaterials TestingReproducibility of ResultsSurface PropertiesZirconiumDental Porcelainlithia disilicateZirconiumzirconium oxideBiaxial flexural strengthCeramicsFully stabilized zirconiaLithium disilicateMaterial resistanceMonolithic zirconiaPartially stabilized zirconia

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.