Health & Environmental Research Online (HERO)


Print Feedback Export to File
1770008 
Journal Article 
Current ceramic materials and systems with clinical recommendations: A systematic review 
Conrad, HJ; Seong, WJin; Pesun, GorJ 
2007 
Yes 
Journal of Prosthetic Dentistry
ISSN: 0022-3913 
98 
5 
389-404 
18021828 
WOS:000251631400009 
Statement of problem. Developments in ceramic core
materials such as lithium disilicate, aluminum oxide, and zirconium oxide have allowed more
widespread application of all-ceramic restorations over the past 10 years. With a plethora of
ceramic materials and systems currently available for use, an overview of the scientific
literature on the efficacy of this treatment therapy is indicated. Purpose. This article reviews
the current literature covering all-ceramic materials and systems, with respect to survival,
material properties, marginal and internal fit, cementation and bonding, and color and esthetics,
and provides clinical recommendations for their use. Material and methods. A comprehensive review
of the literature was completed seeking evidence for the treatment of teeth with all-ceramic
restorations. A search of English language peer-reviewed literature was undertaken using MEDLINE
and PubMed with a focus on evidence-based research articles published between 1996 and 2006. A
hand search of relevant dental journals was also completed. Randomized controlled trials,
nonrandomized controlled studies, longitudinal experimental clinical studies, longitudinal
prospective studies, and longitudinal retrospective studies were reviewed. The last search was
conducted on june 12, 2007. Data supporting the clinical application of all-ceramic materials and
systems was sought. Results. The literature demonstrates that multiple all-ceramic materials and
systems are currently available for clinical use, and there is not a single universal material or
system for all clinical situations. The successful application is dependent upon the clinician to
match the materials, manufacturing techniques, and cementation or bonding procedures, with the
individual clinical situation. Conclusions. Within the scope of this systematic review, there is
no evidence to support the universal application of a single ceramic material and system for all
clinical situations. Additional longitudinal clinical studies are required to advance the
development of ceramic materials and systems.