PMID: 19918588Nov 18, 2009Paper

Randomized controlled clinical trial of zirconia-ceramic and metal-ceramic posterior fixed dental prostheses: a 3-year follow-up

The International Journal of Prosthodontics
Irena SailerChristoph Han Franz Hammerle

Abstract

The aim of this study was to test whether posterior fixed dental prostheses (FDPs) with zirconia frameworks exhibit similar survival rates and technical and biologic outcomes as those with metal frameworks. Fifty-nine patients in need of 76 FDPs replacing one to three posterior teeth (molars and premolars) were included in the study. The three- to five-unit FDPs were randomly assigned to 38 zirconia-ceramic and 38 metal-ceramic FDPs. At baseline, 6 months, and 1 to 3 years after cementation, the technical outcome of the reconstructions was examined using the United States Public Health Service (USPHS) criteria. The biologic outcome was analyzed at test (abutment) and control (contralateral) teeth by assessing: probing pocket depth (PPD), probing attachment level (PAL), plaque control record (PCR), bleeding on probing (BOP), and tooth vitality. Radiographs of the FDPs were made. Statistical analysis was performed by applying Kaplan-Meier, Pearson chi-square, Fisher exact, and Mann-Whitney U tests. Fifty-three patients with 67 FDPs (36 zirconia-ceramic, 31 metal-ceramic) were examined after a mean observation period of 40.3 +/- 2.8 months. Six patients with 9 FDPs were lost to follow-up. The survival of both kinds of FDPs was 100...Continue Reading

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