Ispas Ana, Iosif Laura, Popa Daniela, Negucioiu Marius, Constantiniuc Mariana, Bacali Cecilia, Buduru Smaranda
Department of Prosthodontics, Faculty of Dental Medicine, "Iuliu Haţieganu" University of Medicine and Pharmacy, 400006 Cluj-Napoca, Romania.
Department of Prosthodontics, Faculty of Dental Medicine, "Carol Davila" University of Medicine and Pharmacy, 010221 Bucharest, Romania.
Biology (Basel). 2022 Apr 5;11(4):556. doi: 10.3390/biology11040556.
The metal-ceramic fixed partial prosthesis is the golden standard for posterior tooth restorations. Following the demands of patients and clinicians for metal-free restorations, all-ceramic materials were developed as they offer an adequate alternative with better optical qualities and good mechanical properties. This study aims to carry out a bibliographic review to assess the survival rate and the biological and technical complications of all-ceramic and metal-ceramic fixed partial dentures. An electronic search for articles in the English language literature was performed using PubMed (MEDLINE). This literature review focused on research studies between 2010 and 2020 that performed clinical studies on tooth-supported fixed partial dentures with a mean follow-up of at least 3 years. All the studies, which analyzed the survival and complications of tooth-supported fixed partial dentures, were included. Thus, 14 studies reporting on 756 all-ceramic and 160 metal-ceramic fixed partial dentures met the inclusion criteria. A comparative analysis was carried out based on all the data existing in the studies included in this review. The metal-ceramic fixed partial dentures showed survival rates of 95% to 100% at 3-, 5-, and 10-year follow-up periods. Zirconia fixed partial dentures were reported to have survival rates of 81% to 100% at 3-, 5-, 9-, 10-year follow-up evaluations. The reinforced glass-ceramic fixed partial dentures showed survival rates of 70% to 93.35% at 5 years, while the alumina FPDs showed a survival rate of 68% at 3 years follow-up. The incidence of caries and loss of vitality were reported as higher for all-ceramic prostheses as compared to the metal-ceramic ones. A significant framework fracture was reported for glass-infiltrated alumina fixed partial dentures in comparison to metal-ceramic fixed partial dentures. All-ceramic and metal-ceramic restorations showed similar survival rates after 3 years, although all-ceramic restorations have problems with technical complications such as chipping, which can lead to framework fractures over time.
金属烤瓷固定局部义齿是后牙修复的金标准。随着患者和临床医生对无金属修复体的需求，全瓷材料应运而生，因为它们提供了一种合适的替代方案，具有更好的光学性能和良好的机械性能。本研究旨在进行文献综述，以评估全瓷和金属烤瓷固定局部义齿的生存率以及生物学和技术并发症。使用PubMed（MEDLINE）对英文文献中的文章进行电子检索。本综述聚焦于2010年至2020年间对牙支持固定局部义齿进行临床研究且平均随访至少3年的研究。纳入所有分析牙支持固定局部义齿生存率和并发症的研究。因此，14项报告756例全瓷和160例金属烤瓷固定局部义齿的研究符合纳入标准。基于本综述中纳入研究的所有现有数据进行了对比分析。金属烤瓷固定局部义齿在3年、5年和10年随访期的生存率为95%至100%。据报道，氧化锆固定局部义齿在3年、5年、9年、10年随访评估中的生存率为81%至100%。增强玻璃陶瓷固定局部义齿在5年时的生存率为70%至93.35%，而氧化铝固定局部义齿在3年随访时的生存率为68%。据报道，与金属烤瓷修复体相比，全瓷修复体的龋齿发生率和牙髓活力丧失率更高。与金属烤瓷固定局部义齿相比，玻璃渗透氧化铝固定局部义齿报告有明显的支架折断情况。全瓷和金属烤瓷修复体在3年后显示出相似的生存率，尽管全瓷修复体存在诸如崩瓷等技术并发症问题，随着时间推移可能导致支架折断。
