SynthesisClinical oral investigations2023
Clinical outcomes of tooth-supported monolithic zirconia vs. porcelain-veneered zirconia fixed dental prosthesis, with an additional focus on the cement type: a systematic review and meta-analysis.
Synthesis 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 9 papers.
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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.
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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.
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Who cites it
9 citing papers in PubMed, 17 citations in OpenAlex.
- Thermo-mechanical loading of innovative "Mini-skirt" preparation design versus conventional full-coverage maxillary central incisor preparation design: an in vitro study.BMC oral health · 2026Article
- Effect of ER:YAG Laser Irradiation on the Load-Bearing Capacity and Reliability of All-Ceramic Zirconia Crowns.Materials (Basel, Switzerland) · 2026Article
- Impact of moisture condition, shade-taking device, zirconia color, and thickness on color difference values: an in vitro study.BMC oral health · 2026Article
- Comparison of Long-Term Clinical Outcomes of Zirconia and Lithium Disilicate Prostheses: A Retrospective Cohort Study.Biomimetics (Basel, Switzerland) · 2025Article
- Esthetic and Functional Rehabilitation: Retreatment of Anterior Fixed Dental Prothesis With Biologically Oriented Preparation Technique and Digital Workflow.Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] · 2025Article
- Effects of Ceramic Shade, Ceramic Thickness, and Surface Treatment on the Color Match of High-Translucency Monolithic Multilayer Zirconia Restorations.International journal of dentistry · 2025Article
- Article
- Effect of water glass treatment for zirconia and silane coupling on bond strength of resin cement.Clinical oral investigations · 2024Article
- Repair of monolithic zirconia restorations with different direct resin composites: effect on the fatigue bonding and mechanical performance.Clinical oral investigations · 2024Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo compare the failure rates and the prevalence of technical complications between full-coverage tooth-supported monolithic zirconia (MZ) and porcelain-veneered zirconia (PVZ) fixed dental prosthesis, based on a systematic literature review.
methodsAn electronic search was performed in three databases, supplemented by hand searching. Several statistical methods were used.
resultsSeventy-four publications reported 6370 restorations (4264 PVZ; 2106 MZ; 8200 abutment teeth; 3549 patients), followed up until 152 months. A total of 216 prostheses failed, and survival was statistically significant different between groups. PVZ had higher occurrence of complications than MZ; the difference was especially greater for either minor or major chipping. The difference in prevalence of either minor or major chipping was statistically significant for PVZ prostheses between cementation with glass ionomer and adhesive resin cement (higher), adhesive resin and resin-modified glass ionomer cement (RMGIC, higher), and between RMGIC (higher) and glass ionomer cement. For MZ the difference was significant only for minor chipping between RMGIC (higher) and adhesive resin cement. Abutment teeth to PVZ prostheses more often lost vitality. Decementation was not observed with RMGIC. Air abrasion did not seem to clinically decrease the decementation risk. The 5-year difference in the occurrence of minor or major chipping between MZ and PVZ prostheses was statistically significant, but nor for catastrophic fracture.
conclusionTooth-supported PVZ prostheses present higher failure and complication rates than MZ prosthesis. The difference in complications is striking when it comes to chipping. CLINICAL RELEVANCE: Awareness of the outcome differences between different types of zirconia prostheses is important for clinical practice.
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