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All-ceramic restorations: classification and clinical evaluations.

J W van Dijken1

  • 1Umeå University, Department of Odontology, Dental School, Sweden.

Compendium of Continuing Education in Dentistry (Jamesburg, N.J. : 1995)
|June 13, 2000
PubMed
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All-ceramic dental restorations offer aesthetic options but fracture is a common failure, particularly for crowns and inlays. Newer reinforced ceramics demonstrate improved clinical durability compared to older systems.

Area of Science:

  • Dental Materials Science
  • Restorative Dentistry

Background:

  • All-ceramic systems are increasingly used by general practitioners for various dental restorations due to aesthetic demands.
  • These materials are employed in veneers, inlays/onlays, and crowns, often utilizing enamel/dentin bonding without macroretention.

Purpose of the Study:

  • To classify different commercial all-ceramic systems.
  • To review the clinical durability of these systems.
  • To identify reasons for restoration failures.

Main Methods:

  • Classification of commercial all-ceramic systems.
  • Review of clinical durability data.
  • Analysis of failure modes for various ceramic restorations.

Main Results:

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  • Fracture is the primary cause of failure, especially in all-ceramic crowns and inlays.
  • Secondary caries adjacent to resin composite luted ceramics occurs infrequently.
  • Ditching of luting agents is not a significant long-term clinical issue.
  • Certain ceramic materials and luting agents are contraindicated, particularly for molar teeth.

Conclusions:

  • Newer reinforced ceramics exhibit superior durability over earlier fired ceramic reconstructions.
  • Understanding failure modes is crucial for selecting appropriate all-ceramic materials and techniques.