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CC BY-NC-ND 4.0 · Eur J Dent 2021; 15(01): 174-178
DOI: 10.1055/s-0040-1716311
Case Report

An Intraoral Repair Method for Chipping Fracture of a Multi-unit Fixed Zirconia Reconstruction: A Direct Dental Technique

Alfredo Mikail Melo Mesquita
1   Department of Prosthodontics, Paulista University (UNIP), São Paulo, Brazil
,
Nadin Al-Haj Husain
2   Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland
,
Pedro Molinero-Mourelle
2   Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland
,
Mutlu Özcan
3   Division of Dental Biomaterials, Center for Dental and Oral Medicine, Clinic for Reconstructive Dentstry, University of Zurich, Switzerland
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Abstract

Fracture or chipping of veneering ceramic is one of the most frequent clinical failures in dentistry in fixed dental and implant-borne prostheses. Due to the friable nature of the ceramic material, chippings may result in an aesthetic and functional problem for the patient requiring a rapid solution. Direct repairs have been indicated for the restoration of function, aesthetics and comfort, especially in cases where the fractured prosthesis presents good adaptation and satisfactory aesthetics. This case report aims to present and discuss the techniques of the direct reveneering method, their advantages and disadvantages, as well as the importance of adhesive procedures in the success of these restorative approaches. Success in repairing the fractured area, regardless of the technique used, is fundamental to establish a strong and stable adhesion between the repaired and the fractured areas, since the longevity of the repair will depend on the quality of the interface generated.

Keywords

ceramic - chipping - reveneering - zirconia


Publication History

Article published online:
23 February 2021

© 2020. European Journal of Dentistry. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Abt E, Carr AB, Worthington HV. Interventions for replacing missing teeth: partially absent dentition. Cochrane Database Syst Rev 2012; 2 (02) CD003814
    Google Scholar
  • 2 Chan RW, Tseng TN. Single tooth replacement–expanded treatment options. Aust Dent J 1994; 39 (03) 137-149
    CrossrefPubMedGoogle Scholar
  • 3 Salinas TJ, Block MS, Sadan A. Fixed partial denture or single-tooth implant restoration? Statistical considerations for sequencing and treatment. J Oral Maxillofac Surg 2004; 62 (09) (Suppl. 02) 2-16
    CrossrefPubMedGoogle Scholar
  • 4 Anusavice KJ. Standardizing failure, success, and survival decisions in clinical studies of ceramic and metal-ceramic fixed dental prostheses. Dent Mater 2012; 28 (01) 102-111
    CrossrefPubMedGoogle Scholar
  • 5 Reitemeier B, Hänsel K, Kastner C, Weber A, Walter MH. A prospective 10-year study of metal ceramic single crowns and fixed dental prosthesis retainers in private practice settings. J Prosthet Dent 2013; 109 (03) 149-155
    CrossrefPubMedGoogle Scholar
  • 6 Näpänkangas R, Raustia A. Twenty-year follow-up of metal-ceramic single crowns: A retrospective study. Int J Prosthodont 2008; 21 (04) 307-311
    PubMedGoogle Scholar
  • 7 Edelhoff D, Sorensen JA. Tooth structure removal associated with various preparation designs for posterior teeth. Int J Periodontics Restorative Dent 2002; 22 (03) 241-249
    PubMedGoogle Scholar
  • 8 McLean JW. Evolution of dental ceramics in the twentieth century. J Prosthet Dent 2001; 85 (01) 61-66
    CrossrefPubMedGoogle Scholar
  • 9 Manicone PF, Rossi Iommetti P, Raffaelli L. An overview of zirconia ceramics: Basic properties and clinical applications. J Dent 2007; 35 (11) 819-826
    CrossrefPubMedGoogle Scholar
  • 10 Zarone F, Russo S, Sorrentino R. From porcelain-fused-to-metal to zirconia: clinical and experimental considerations. Dent Mater 2011; 27 (01) 83-96
    CrossrefPubMedGoogle Scholar
  • 11 Choi B-K, Han J-S, Yang J-H, Lee JB, Kim SH. Shear bond strength of veneering porcelain to zirconia and metal cores. J Adv Prosthodont 2009; 1 (03) 129-135
    CrossrefPubMedGoogle Scholar
  • 12 Limones A, Molinero-Mourelle P, Azevedo L, Romeo-Rubio M, Correia A, Gómez-Polo M. Zirconia-ceramic versus metal-ceramic posterior multiunit tooth-supported fixed dental prostheses: A systematic review and meta-analysis of randomized controlled trials. J Am Dent Assoc 2020; 151 (04) 230-238.e7
    CrossrefPubMedGoogle Scholar
  • 13 Özcan M. Fracture reasons in ceramic-fused-to-metal restorations. J Oral Rehabil 2003; 30 (03) 265-269
    CrossrefPubMedGoogle Scholar
  • 14 Özcan M. How to repair ceramic chipping or fracture in metal-ceramic fixed dental prostheses intraorally: step-by-step procedures. J Adhes Dent 2014; 16 (05) 491-492
    CrossrefPubMedGoogle Scholar
  • 15 Garbelotto LG, Maziero Volpato CA, Rocha Md, Maranghello CA, Calasans A, Ozcan M. Laboratory and clinical considerations on prosthetic zirconia infrastructures for implants. Implant Dent 2013; 22 (06) 578-583
    CrossrefPubMedGoogle Scholar
  • 16 Celebi AA, Lee SH, Kau CH. Size discrepancies in molars and first key to optimal occlusion. Eur J Dent 2017; 11 (02) 250-252
    Article in Thieme ConnectPubMedGoogle Scholar
  • 17 Ntovas P, Doukoudakis S, Tzoutzas J, Lagouvardos P. Evidence provided for the use of oscillating instruments in restorative dentistry: a systematic review. Eur J Dent 2017; 11 (02) 268-273
    Article in Thieme ConnectPubMedGoogle Scholar
  • 18 Agingu C, Zhang CY, Jiang NW. et al. Intraoral repair of chipped or fractured veneered zirconia crowns and fixed dental prosthesis: clinical guidelines based on literature review. J Adhes Sci Technol 2018; 32: 1711-1723
    CrossrefGoogle Scholar
  • 19 Özcan M, Volpato CA. Surface conditioning protocol for the adhesion of resin-based materials to glassy matrix ceramics: how to condition and why?. J Adhes Dent 2015; 17 (03) 292-293
    PubMedGoogle Scholar
  • 20 Özcan M, Niedermeier W. Clinical study on the reasons for and location of failures of metal-ceramic restorations and survival of repairs. Int J Prosthodont 2002; 15 (03) 299-302
    PubMedGoogle Scholar
  • 21 Ozer F, Mante FK, Chiche G, Saleh N, Takeichi T, Blatz MB. A retrospective survey on long-term survival of posterior zirconia and porcelain-fused-to-metal crowns in private practice. Quintessence Int 2014; 45 (01) 31-38
    PubMedGoogle Scholar