Zirconia restoration types, properties, tooth preparation design, and bonding. A narrative review

Author:

Sulaiman Taiseer A.1ORCID,Suliman Abdulhaq A.2,Abdulmajeed Aous A.3,Zhang Yu4

Affiliation:

1. Division of Comprehensive Oral Health University of North Carolina, Adams School of Dentistry Chapel Hill North Carolina USA

2. Department of Clinical Sciences, College of Dentistry Ajman University Ajman UAE

3. Department of General Practice, School of Dentistry Virginia Commonwealth University Richmond Virginia USA

4. Department of Preventive and Restorative Sciences, School of Dental Medicine University of Pennsylvania Philadelphia Pennsylvania USA

Abstract

AbstractObjectiveThe purpose of this review was to provide dental professionals with information regarding the various types of zirconia restorations, their mechanical and optical properties, tooth preparation design, and bonding protocol in an effort to enhance the longevity and durability of zirconia restorations.OverviewThe yttria content of zirconia ceramics determines their classification. The mechanical and optical properties of each type are discussed, with an emphasis on the effect of yttria concentration on the properties of zirconia. The processing and sintering methods are also discussed as they have a direct impact on the properties of zirconia. The design of tooth preparation, specifically occlusal reduction, varies depending on the type of zirconia used in each case. Finally, a protocol for zirconia restoration bonding is described to ensure optimal bonding to the tooth structure.ConclusionNot all zirconia restorations are the same. The selection of zirconia type based on yttria concentration, processing and sintering methods, tooth preparation design, and adherence to the bonding protocol are all critical to the success and longevity of zirconia restorations.Clinical SignificanceZirconia restorations are the most commonly used indirect restorative material. The selection of the most appropriate zirconia type based on its yttria content, which determines its strength and translucency, is critical to the success and the longevity of the restoration. Tooth preparation design also influences the strength and translucency of the zirconia. Air‐borne particle abrasion, followed by a ceramic primer and resin cement, can ensure a durable bond to the tooth structure.

Publisher

Wiley

Subject

General Dentistry

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