Evidence map›Paper›PMID 38521694›Full record

ReviewDental materials : official publication of the Academy of Dental Materials2024

Recent advances in dental zirconia: 15 years of material and processing evolution.

Paulo Francisco Cesar, Ranulfo Benedito de Paula Miranda, Karina Felix Santos, Susanne S Scherrer, Yu Zhang

Open access · greenAbstract readReview
In one paragraph

Review in Dental materials : official publication of the Academy of Dental Materials, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 3 pooled it
44.3field-weighted citation impact, top 1% of its field
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

60 citing papers in PubMed, 3 syntheses or guidelines pooled it, 110 citations in OpenAlex.

  1. Pooled it
  2. Survival and Complication Rates of Feldspathic, Leucite-Reinforced, Lithium Disilicate and Zirconia Ceramic Laminate Veneers: A Systematic Review and Meta-Analysis.Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] · 2025
    Pooled it
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  7. Effect of sintering cycle on the strength and translucency of multilayered zirconia.Journal of prosthodontics : official journal of the American College of Prosthodontists · 2026
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  10. Effects of Substructure Color and Restoration Thickness on the Final Color of Ultra-Translucent Zirconia Ceramics.Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] · 2026
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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 at 4 institutions in 3 countries.

Paulo Francisco CesarDepartment of Biomaterials and Oral Biology, School of Dentistry, University of São Paulo, São Paulo, Brazil. Electronic address: paulofc@usp.br.
Ranulfo Benedito de Paula MirandaDepartment of Restorative Dentistry, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Karina Felix SantosDepartment of Biomaterials and Oral Biology, School of Dentistry, University of São Paulo, São Paulo, Brazil.
Susanne S ScherrerDivision of Fixed Prosthodontics and Biomaterials, University Clinics of Dental Medicine, University of Geneva, Geneva, Switzerland.
Yu ZhangDepartment of Preventive and Restorative Sciences, School of Dental Medicine, University of Pennsylvania, Philadelphia, USA.
Universidade de São Paulo · BRUniversidade Federal de Minas Gerais · BRUniversity of Geneva · CHUniversity of Pennsylvania · US

Funding

Viscoelastic Modeling Aided Experimental Optimization toward Fracture-Resistant Porcelain-Veneered Zirconia and Lithium Disilicate RestorationsR01DE026279 · NIDCR · UNIVERSITY OF PENNSYLVANIA · PI KIM, JEONGHO, ZHANG, YU · 2017 to 2021
$2.0M
Toward novel translucent and strong nanostructured dental zirconiaR01DE026772 · NIDCR · UNIVERSITY OF PENNSYLVANIA · PI ZHANG, YU · 2017 to 2021
$1.8M
Ultrafast sintering of dental zirconia: composition-processing-property relationships with high-throughput fail-fast screeningR01DE033545 · NIDCR · UNIVERSITY OF PENNSYLVANIA · PI Liangbing Hu, Yu Zhang · 2023 to 2026
$1.8M
NIDCR NIH HHS R01 DE026279NIDCR NIH HHS R01 DE026772NIDCR NIH HHS R01 DE033545
6 · The paper itself

Abstract

objectivesThe objective was to discuss the research on zirconia published in the past 15 years to help the dental materials community understand the key properties of the types of zirconia and their clinical applications.

methodsA literature search was performed in May/2023 using Web of Science Core Collection with the term "dental zirconia". The search returned 5102 articles, which were categorized into 31 groups according to the research topic.

resultsThe current approach to improving the translucency of zirconia is to decrease the alumina content while increasing the yttria content. The resulting materials (4Y-, 5Y-, and above 5 mol% PSZs) may contain more than 50% of cubic phase, with a decrease in mechanical properties. The market trend for zirconia is the production of CAD/CAM disks containing more fracture resistant 3Y-TZP at the bottom layers and more translucent 5Y-PSZ at the top. Although flaws located between layers in multilayered blocks might represent a problem, newer generations of zirconia layered blocks appear to have solved this problem with novel powder compaction technology. Significant advancements in zirconia processing technologies have been made, but there is still plenty of room for improvement, especially in the fields of high-speed sintering and additive manufacturing. SIGNIFICANCE: The wide range of zirconia materials currently available in the market may cause confusion in materials selection. It is therefore imperative for dental clinicians and laboratory technicians to get the needed knowledge on zirconia material science, to follow manufacturers' instructions, and to optimize the design of the prosthetic restoration with a good understanding where to reinforce the structure with a tough and strong zirconia.

Indexed as

Dental MaterialsZirconiumComputer-Aided DesignMaterials TestingSurface PropertiesYttriumDental MaterialsYttriumZirconiumzirconium oxideComposition-gradient materialsConsolidation methodsDental zirconiaMicrostructureMonolithPowder technologyReviewSinteringTechniquesTranslucency

Identifiers

PMID38521694
PMCPMC11098698
OpenAlexW4393114999

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.