Lawson Nathaniel C, Chavali Ramakiran, Burgess John O
Assistant Professor, Department of Clinical and Community Sciences, Division of Biomaterials, University of Alabama at Birmingham School of Dentistry, Birmingham, Alabama.
Assistant Professor, Department of Restorative Sciences, University of Alabama at Birmingham School of Dentistry, Birmingham, Alabama.
Compend Contin Educ Dent. 2015 Jan;36(1):46, 48-50, 52-3.
This case report documents the rationale and procedure for bonding a veneered zirconia restoration. A three-unit zirconia fixed partial denture (FPD) was fabricated with facial and incisal porcelain veneering. The intaglio surface of the prosthesis was abraded with 50-μm aluminum oxide (Al2O3) particles and coated with one layer of a 10-methacryloxydecyl dihydrogen phosphate (MDP) primer. The FPD was tried into the mouth and occlusal adjustment was performed with a fine grit diamond, and then it was polished with zirconia polishing points. The intaglio surfaces of the abutment crowns were cleaned with 37% phosphoric acid and rinsed. A self-etch adhesive was applied to the tooth preparations and light-cured, and the crowns were filled with cement and seated. Excess cement was immediately wiped away with a brush, followed by spot-curing of the margins. The case demonstrates that, when properly designed, veneered zirconia restorations offer acceptable esthetic and mechanical properties for anterior FPDs.