Considerations and Concerns Regarding Monolithic Zirconia Restorations

After over a decade of use, there are persistent misunderstandings about monolithic zirconia (MZ) with respect to its characteristics and appropriate management. This leads to errors in its application that can negatively affect not only the efficiency and predictability of clinical workflows but also the long-term outcome for the patient. This article discusses the physical properties, manufacturing, and production of MZ restorations. Recommendations for their use based on currently available laboratory and clinical evidence and concerns regarding current trends are provided.