Enamel wear against monolithic zirconia restorations: A meta-analysis and systematic review of in vitro studies

dc.authorid0000-0001-6578-0835
dc.authorid0000-0002-9292-2074
dc.contributor.authorAljomard, Yasamin R. M.
dc.contributor.authorAltunok, Elif Çiğdem
dc.contributor.authorKara, Haluk Barış
dc.date.accessioned2022-12-28T07:40:03Z
dc.date.available2022-12-28T07:40:03Z
dc.date.issued2022
dc.departmentİstanbul Medipol Üniversitesi, Sağlık Bilimleri Enstitüsü, Protetik Diş Tedavisi Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Diş Hekimliği Fakültesi, Protetik Diş Tedavisi Ana Bilim Dalı
dc.description.abstractObjective An assessment was performed to identify and evaluate dental enamel wear caused by monolithic zirconia restoration. Literature searches were conducted in PubMed, Science Direct, Cochrane Evidence, and the Cochrane Library up to May 2020. Material and methods Studies were selected for systematic review according to the inclusion (articles conducted on the wear of enamel samples opposing monolithic zirconia) and exclusion (case reports, non-English articles, and monolithic zirconia samples facing other materials rather than human enamel) criteria. Of those, articles on polished and glazed monolithic zirconia subjected to a 50 N vertical load with a range of 240,000-250,000 cycles, equivalent to 1 year of in vivo mastication, were included in the meta-analysis. Results In total, 3968 articles were pooled. Twenty-five articles met the inclusion criteria for the systematic review. Three studies were included in the meta-analysis. The results showed that the enamel wear against monolithic zirconia was within the statistically accepted level. Moreover, the polished monolithic zirconia surface caused less enamel wear than the glazed surface. Conclusion This review indicates that monolithic zirconia restorations cause acceptable antagonist enamel wear. Moreover, the meta-analysis results agreed that the final restoration's surface texture plays an essential role in the wear process. Clinical significance Monolithic zirconia restorations have been widely used in dental practice because they eliminate the chipping problems resulting from using veneered restorations. With recent technology development, monolithic zirconia has obtained more esthetic features and a more natural look. However, due to the high strength and surface roughness of monolithic zirconia, wear on the antagonist's teeth was detected. The results showed that this wear amount was statistically acceptable and lower than other ceramics such as feldspathic porcelain and enamel. Furthermore, surface treatment methods must be applied to minimize tooth wear, as polished or glazed surfaces interfere with enamel loss.
dc.identifier.citationAljomard, Y. R. M., Altunok, E. Ç. ve Kara, H. B. (2022). Enamel wear against monolithic zirconia restorations: A meta-analysis and systematic review of in vitro studies. Journal of Esthetic and Restorative Dentistry, 34(3), 473-489. https://doi.org/10.1111/jerd.12823
dc.identifier.doi10.1111/jerd.12823
dc.identifier.endpage489
dc.identifier.issn1496-4155
dc.identifier.issn1708-8240
dc.identifier.issue3
dc.identifier.pmid34623015
dc.identifier.scopus2-s2.0-85116558497
dc.identifier.scopusqualityQ1
dc.identifier.startpage473
dc.identifier.urihttps://doi.org/10.1111/jerd.12823
dc.identifier.urihttps://hdl.handle.net/20.500.12511/10202
dc.identifier.volume34
dc.identifier.wos000704607200001en_US
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorAljomard, Yasamin R. M.
dc.institutionauthorKara, Haluk Barış
dc.language.isoen
dc.publisherJohn Wiley and Sons Inc
dc.relation.ispartofJournal of Esthetic and Restorative Dentistryen_US
dc.relation.publicationcategoryDiğer
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectIn Vitro
dc.subjectMeta-Analysis
dc.subjectMonolithic Zirconia
dc.subjectSurface Treatment
dc.subjectTooth Wear
dc.titleEnamel wear against monolithic zirconia restorations: A meta-analysis and systematic review of in vitro studies
dc.typeReview Article

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