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Published on: December 20, 2024
Artificial Ageing Methodologies for Zirconia-Based Restorations in Fixed Prosthodontics: A Narrative Review and
Marta Banjšak1, Mark Žic2, Marko Jakovac1
1Department of Fixed Prosthodontics, School of Dental Medicine, University of Zagreb, Gundulićeva 5, 10000 Zagreb, Croatia.
Abstract:
Zirconia-based ceramics are widely used in fixed prosthodontic restorations owing to their favourable mechanical properties and evolving aesthetic characteristics. However, predicting long-term performance remains challenging because artificial ageing methodologies are highly heterogeneous and existing standards do not fully reflect the diversity of modern zirconia systems, including high-translucency and multilayer materials; variations in experimental conditions, specimen designs, measurement approaches, and reporting practices limit inter-study comparison and quantitative evidence synthesis. This review examines current artificial ageing methodologies for zirconia-based restorations and identifies a fundamental limitation beyond the absence of a universal ageing protocol: the lack of a standardised framework for preserving and exchanging experimental information. To address this, the Minimum Information About a Zirconia Experiment (MIAZE) reporting framework is proposed as a model-neutral, machine-readable structure for documenting experimental observations and associated metadata. MIAZE is proposed as a minimal reporting framework for prospective use that does not require identical experimental protocols, instrumentation, or analytical approaches, but defines the essential information needed to preserve scientific interpretability and enable future dataset reuse. By separating data documentation from subsequent interpretation, MIAZE is designed to provide a foundation for reproducibility, independent verification, quantitative meta-analysis, and the application of diverse analytical approaches, shifting the focus from a single universal ageing protocol toward interoperable experimental datasets capable of supporting evolving zirconia materials, methodologies, and computational tools. Literature was identified through PubMed searches (2000 to 2026) combining zirconia, dental, and ageing terms, supplemented by reference screening; the review is narrative and not exhaustive. MIAZE is presented as a draft proposal for prospective reporting; its benefits have not yet been demonstrated on multi-laboratory datasets, and an illustrative assessment of published studies shows that legacy data can be encoded only incompletely, which motivates prospective use.