Dental wear in natural teeth opposed to monolithic zirconia crowns vs. metal-ceramic. Systematized review.
DOI:
https://doi.org/10.59334/ROV.v1i42.616Keywords:
tooth wear, zirconia, metal ceramic alloys, tooth crownAbstract
Objective: To carry out a systematic review on the comparison of dental wear exerted by monolithic zirconia crowns and metal-porcelain crowns on opposing natural teeth. Materials and methods: A systematic search was carried out on different databases (Pubmed, Scopus, Google Scholar and Scielo) and 6 articles were selected, of which 4 were in vivo studies, and 2 were in vitro. Results: In 2 in vivo studies, the monolithic zirconia crown exerted less wear than the metallo-ceramic crown in the 1-year control. One in vivo study indicates that monolithic zirconia exerts less wear on the opposing natural tooth in a 6-month follow-up, but exerts greater wear than ceramic metal after one year. Other in vivo study indicates that monolithic zirconia exerts greater wear than ceramic metal in 6-month and 1-year controls. In vitro studies indicate that the monolithic zirconia crown causes less wear on the opposing natural tooth between 240,000 to 250,000 chewing cycles, which is equivalent to 1 year. Conclusions: Both monolithic zirconia crowns and metal-ceramic crowns behave well within the masticatory system, although studies show that the monolithic zirconia crown would exert less wear on the opposing tooth, there are other factors that influence wear, such as final finish of the crown, for example: glazed or polished. Intraoral scanning would be a more precise method for quantifying wear, since it prevents the impression-taking procedure. A follow-up of more than 1 year is suggested in future investigations related to the subject, in order to corroborate if the same results are maintained or could be different.
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