Download PDF
Zahnmedizin up2date 2013; 7(3): 199-221
DOI: 10.1055/s-0032-1324999
Prothetik
Georg Thieme Verlag KG Stuttgart · New York

Zirkonoxidkeramik in der zahnärztlichen Prothetik – eine Standortbestimmung 2013

Sven Rinke
,
Sabine Schäfer
,
Matthias Rödiger
Further Information

Publication History

Publication Date:
06 June 2013 (online)

Also available at
    Permissions and Reprints All articles of this category

Einleitung

Vollkeramische Restaurationen aus unterschiedlichen Werkstoffen haben in den letzten 30 Jahren verstärkt Eingang in das restaurative Behandlungskonzept gefunden. Insbesondere die hervorragende Biokompatibilität, aber auch die verbesserte Ästhetik im Vergleich zu metallgestützten Herstellungsverfahren begründeten das verstärkte Interesse an dieser Werkstoffgruppe.

Diesen Vorteilen stand jedoch über lange Zeit ein erhöhtes Risiko technischer Komplikationen bei vollkeramischen Restaurationen gegenüber. Während die Fraktur eines Metallgerüsts insgesamt eine seltene Fehlerursache darstellt, waren Gerüstbrüche bei vollkeramischen Restaurationen lange ein Hauptgrund für den Verlust einer Restauration [1], [2].

Mit der Einführung hochfester Oxidkeramiken (Aluminium- und Zirkonoxid) in der Zahnheilkunde standen Werkstoffe mit deutlich verbesserten Kennwerten zur Verfügung, die eine Verbesserung der Langzeitstabilität vollkeramischer Restaurationen erwarten ließen. Insbesondere die Einführung von Yttrium-teilstabilisierter Zirkonoxidkeramik und erhebliche Fortschritte in der CAD/CAM-Technologie waren Meilensteine für die Indikationserweiterung vollkeramischer Restaurationen auf Brückenversorgungen – auch im Seitenzahnbereich – und ermöglichten in den letzten 10 Jahren die breite Anwendung in der zahnärztlichen Praxis [3] (Abb. [1]).

Entsprechend bieten sich heute für die restaurative zahnmedizinische Versorgung je nach Behandlungskonzept verschiedene Restaurationstechniken an. Die Herstellung einer Krone oder Brücke kann entweder mit einer klassischen metallgestützten oder aber mit einer vollkeramischen Versorgung erfolgen. Für die Auswahl des geeigneten Behandlungsverfahrens ist in diesem Zusammenhang neben Befund und patientenbezogenen Faktoren vor allem die klinische Langzeitbewährung der einzelnen Therapieoptionen zu berücksichtigen.

 

  • Literatur

  • 1 Sailer I, Pjetursson BE, Zwahlen M et al. A systematic review of the survival and complication rates of all-ceramic and metal-ceramic reconstructions after an observation period of at least 3 years. Part II: Fixed dental prostheses. Clin Oral Implants Res 2007; 18: 86-96
    Google Scholar
  • 2 Pjetursson BE, Thoma D, Jung R et al. A systematic review of the survival and complication rates of implant-supported fixed dental prostheses (FDPs) after a mean observation period of at least 5 years. Clin Oral Implants Res 2012; 23: 22-38
    Google Scholar
  • 3 Raigrodski AJ, Hillstead MB, Meng GK et al. Survival and complications of zirconia-based fixed dental prostheses: a systematic review. J Prosthet Dent 2012; 107: 170-177
    CrossrefPubMedGoogle Scholar
  • 4 Triwatana P, Nagaviroj N, Tulapornchai C. Clinical performance and failures of zirconia-based fixed partial dentures: a review literature. J Adv Prosthodont 2012; 4: 76-83
    CrossrefGoogle Scholar
  • 5 Örtorp A, Kihl ML, Carlsson GE. A 5-year retrospective study of survival of zirconia single crowns fitted in a private clinical setting. J Dent 2012; 40: 527-530
    CrossrefGoogle Scholar
  • 6 Rinke S, Schäfer S, Lange K et al. Practice-based clinical evaluation of metal-ceramic and zirconia molar crowns: 3-year results. J Oral Rehabil 2013; 40: 228-237
    CrossrefGoogle Scholar
  • 7 Vigolo P, Mutinelli S. Evaluation of zirconium-oxide-based ceramic single-unit posterior fixed dental prostheses (FDPs) generated with two CAD/CAM systems compared to porcelain-fused-to-metal single-unit posterior FDPs: a 5-year clinical prospective study. J Prosthodont 2012; 21: 265-269
    CrossrefGoogle Scholar
  • 8 Chaar MS, Witkowski S, Strub JR et al. Effect of veneering technique on the fracture resistance of zirconia fixed dental prostheses. J Oral Rehabil 2013; 40: 51-59
    CrossrefGoogle Scholar
  • 9 Tan JP, Sederstrom D, Polansky JR et al. The use of slow heating and slow cooling regimens to strengthen porcelain fused to zirconia. J Prosthet Dent 2012; 107: 163-169
    CrossrefGoogle Scholar
  • 10 Guess PC, Bonfante EA, Silva NR et al. Effect of core design and veneering technique on damage and reliability of Y-TZP-supported crowns. Dent Mater 2013; 29: 307-316
    CrossrefGoogle Scholar
  • 11 Schmitter M, Mueller D, Rues S. Chipping behaviour of all-ceramic crowns with zirconia framework and CAD/CAM manufactured veneer. J Dent 2012; 40: 154-162
    CrossrefGoogle Scholar
  • 12 Sorrentino R, De Simone G, Tetè S et al. Five-year prospective clinical study of posterior three-unit zirconia-based fixed dental prostheses. Clin Oral Investig 2012; 16: 977-985
    CrossrefPubMedGoogle Scholar
  • 13 Pelaez J, Cogolludo PG, Serrano B et al. A four-year prospective clinical evaluation of zirconia and metal-ceramic posterior fixed dental prostheses. Int J Prosthodont 2012; 25: 451-458
    Google Scholar
  • 14 Salido MP, Martinez-Rus F, del Rio F et al. Prospective clinical study of zirconia-based posterior four-unit fixed dental prostheses: four-year follow-up. Int J Prosthodont 2012; 25: 403-409
    Google Scholar
  • 15 Schmitt J, Goellner M, Lohbauer U et al. Zirconia posterior fixed partial dentures: 5-year clinical results of a prospective clinical trial. Int J Prosthodont 2012; 25: 585-589
    Google Scholar
  • 16 Schmitter M, Mussotter K, Rammelsberg P et al. Clinical performance of long-span zirconia frameworks for fixed dental prostheses: 5-year results. J Oral Rehabil 2012; 39: 552-557
    CrossrefGoogle Scholar
  • 17 Wolfart S, Harder S, Eschbach S et al. Four-year clinical results of fixed dental prostheses with zirconia substructures (Cercon): end abutments vs. cantilever design. Eur J Oral Sci 2009; 117: 741-749
    CrossrefGoogle Scholar
  • 18 Ohlmann B, Eiffler C, Rammelsberg P. Clinical performance of all-ceramic cantilever fixed dental prostheses: results of a 2-year randomized pilot study. Quintessence Int 2012; 43: 643-648
    Google Scholar
  • 19 Sasse M, Eschbach S, Kern M. Randomized clinical trial on single retainer all-ceramic resin-bonded fixed partial dentures: Influence of the bonding system after up to 55 months. J Dent 2012; 40: 783-786
    CrossrefGoogle Scholar
  • 20 Ohlmann B, Rammelsberg P, Schmitter M et al. All-ceramic inlay-retained fixed partial dentures: preliminary results from a clinical study. J Dent 2008; 36: 692-696
    CrossrefGoogle Scholar
  • 21 Abou Tara M, Eschbach S, Wolfart S et al. Zirconia ceramic inlay-retained fixed dental prostheses – first clinical results with a new design. J Dent 2011; 39: 208-211
    CrossrefPubMedGoogle Scholar
  • 22 Sailer I, Philipp A, Zembic A et al. A systematic review of the performance of ceramic and metal implant abutments supporting fixed implant reconstructions. Clin Oral Implants Res 2009; 20: 4-31
    CrossrefGoogle Scholar
  • 23 Nakamura K, Kanno T, Milleding P et al. Zirconia as a dental implant abutment material: a systematic review. Int J Prosthodont 2010; 23: 299-309
    Google Scholar
  • 24 Zembic A, Bösch A, Jung RE et al. Five-year results of a randomized controlled clinical trial comparing zirconia and titanium abutments supporting single-implant crowns in canine and posterior regions. Clin Oral Implants Res 2013; 24: 384-390
    CrossrefGoogle Scholar
  • 25 Canullo L. Clinical outcome study of customized zirconia abutments for single-implant restorations. Int J Prosthodont 2007; 20: 489-493
    Google Scholar
  • 26 Ekfeldt A, Fürst B, Carlsson GE. Zirconia abutments for single-tooth implant restorations: a retrospective and clinical follow-up study. Clin Oral Implants Res 2011; 22 (11) 1308-1314
    CrossrefGoogle Scholar
  • 27 Hosseini M, Worsaae N, Schiødt M et al. A 3-year prospective study of implant-supported, single-tooth restorations of all-ceramic and metal-ceramic materials in patients with tooth agenesis. Clin Oral Implants Res 2012; Jun 18 [Epub ahead of print]
    Google Scholar
  • 28 Kim SS, Yeo IS, Lee SJ et al. Clinical use of alumina-toughened zirconia abutments for implant-supported restoration: prospective cohort study of survival analysis. Clin Oral Implants Res 2012; Jan 26 [Epub ahead of print]
    Google Scholar
  • 29 Jung RE, Holderegger C, Sailer I et al. The effect of all-ceramic and porcelain-fused-to-metal restorations on marginal peri-implant soft tissue color: a randomized controlled clinical trial. Int J Periodontics Restorative Dent 2008; 28: 357-365
    Google Scholar
  • 30 Bressan E, Paniz G, Lops D et al. Influence of abutment material on the gingival color of implant-supported all-ceramic restorations: a prospective multicenter study. Clin Oral Implants Res 2011; 22: 631-637
    CrossrefGoogle Scholar
  • 31 Schwarz S, Schröder C, Hassel A et al. Survival and chipping of zirconia-based and metal-ceramic implant-supported single crowns. Clin Implant Dent Relat Res 2012; 14: e119-e125
    CrossrefGoogle Scholar
  • 32 Rammelsberg P, Schwarz S, Schroeder C et al. Short-term complications of implant-supported and combined tooth-implant-supported fixed dental prostheses. Clin Oral Implants Res 2012; May 9 [Epub ahead of print]
    Google Scholar
  • 33 Larsson C, Vult Von Steyern P. Implant-supported full-arch zirconia-based mandibular fixed dental prostheses. Eight-year results from a clinical pilot study. Acta Odontol Scand 2012; Dec 4 [Epub ahead of print]
    Google Scholar
  • 34 Baldissara P, Llukacej A, Ciocca L et al. Translucency of zirconia copings made with different CAD/CAM systems. J Prosthet Dent 2010; 104: 6-12
    CrossrefGoogle Scholar
  • 35 Rinke S, Fischer C. Indikationsbereiche für transluzente Zirkonoxidkeramikvarianten. Klinische und zahntechnische Aspekte. Quintessenz 2012; 63: 895-905
    Google Scholar
  • 36 Fasbinder DJ, Dennison JB, Heys D et al. A clinical evaluation of chairside lithium disilicate CAD/CAM crowns: a two-year report. J Am Dent Assoc 2010; 141: 10S-14S
    CrossrefGoogle Scholar
  • 37 Reich S, Fischer S, Sobotta B et al. A preliminary study on the short-term efficacy of chairside computer-aided design/computer-assisted manufacturing-generated posterior lithium disilicate crowns. Int J Prosthodont 2010; 23: 214-216
    Google Scholar
  • 38 Kern M, Sasse M, Wolfart S. Ten-year outcome of three-unit fixed dental prostheses made from monolithic lithium disilicate ceramic. J Am Dent Assoc 2012; 143: 234-240
    CrossrefGoogle Scholar
  • 39 Marchak BW, Sato S, Marchack CB et al. Complete and partial contour zirconia designs for crowns and fixed dental prostheses: a clinical report. J Prosthet Dent 2011; 106: 145-152
    CrossrefGoogle Scholar
  • 40 Rojas-Vizcaya F. Full zirconia fixed detachable implant-retained restorations manufactured from monolithic zirconia: clinical report after two years in service. J Prosthodont 2011; 20: 570-576
    CrossrefGoogle Scholar
  • 41 Beuer F, Stimmelmayr M, Gueth JF et al. In vitro performance of full-contour zirconia single crowns. Dent Mater 2012; 28: 449-456
    CrossrefPubMedGoogle Scholar
  • 42 Jung YS, Lee JW, Choi YJ et al. A study on the in-vitro wear of the natural tooth structure by opposing zirconia or dental porcelain. J Adv Prosthodont 2010; 2: 111-115
    CrossrefGoogle Scholar
  • 43 Preis V, Behr M, Kolbeck C et al. Wear performance of substructure ceramics and veneering porcelains. Dent Mater 2011; 27: 796-804
    CrossrefPubMedGoogle Scholar
  • 44 Mitov G, Heintze SD, Walz S et al. Wear behavior of dental Y-TZP ceramic against natural enamel after different finishing procedures. Dent Mater 2012; 28: 909-918
    CrossrefGoogle Scholar
  • 45 Rosentritt M, Preis V, Behr M et al. Two-body wear of dental porcelain and substructure oxide ceramics. Clin Oral Investig 2012; 16: 935-943
    CrossrefPubMedGoogle Scholar
  • 46 Stawarczyk B, Ozcan M, Schmutz F et al. Two-body wear of monolithic, veneered and glazed zirconia and their corresponding enamel antagonists. Acta Odontol Scand 2013; 71: 102-112
    CrossrefGoogle Scholar
  • 47 Preis V, Behr M, Handel G et al. Wear performance of dental ceramics after grinding and polishing treatments. J Mech Behav Biomed Mater 2012; 10: 13-22
    CrossrefGoogle Scholar