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Quintessence Publishing: Journals: JCD

 

International Journal of Computerized Dentistry

Edited by B. Reiss, K. Wiedhahn, and O. Schenk

Official publication of the International Society of Computerized Dentistry

ISSN 1463-4201

Publication:

Fall 2011
Volume 14 , Issue 3

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Complication Rate of Molar Crowns: A Practice-based Clinical Evaluation

Rinke, Sven / Schäfer, Sabine / Rödiger, Matthias

Pages: 203 - 218

This practice-based study evaluates the initial clinical performance of conventionally luted metal-ceramic and zirconia molar crowns fabricated with a prolonged cooling period of the veneering porcelain. Forty-nine patients were treated (group A: high precious alloy + low fusing porcelain; group B: zirconia crowns). All zirconia crowns were veneered with a modified porcelain firing cycle including a 6-minute cooling period. Ninety-two restorations (74 vital abutments/ 18 nonvital abutments) were evaluated after a mean observation period of 18.2 ± 4.6 months. No complete failures or loss of vitality were recorded in either group. Two events were recorded in group A (1 loss of retention/ 1 minor ceramic chipping < 2 mm2). The third event occurred in group B (minor ceramic chipping < 2 mm2). All ceramic defects could be polished intraorally. Statistical analysis revealed non-significant differences in success rates (p = 0.91) of metal-ceramic and zirconia crowns fabricated with a modified porcelain firing. The modified firing of the zirconia porcelain seems to decrease the risk for early ceramic chipping in the molar area, leading to a technical complication rate comparable to that of metal-ceramic crowns.

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