Prague Med. Rep. 2013, 114, 22-34

Evaluation of the Three-year Experience with All-ceramic Crowns with Polycrystalline Ceramic Cores

Lenka Vavřičková1,*, T. Dostálová2, J. Charvát3, M. Bartoňová3

1Department of Dentistry, Faculty of Medicine in Hradec Králové, Charles University in Prague and University Hospital Hradec Králové, Hradec Králové, Czech Republic
2Department of Paediatric Stomatology, Second Faculty of Medicine, Charles University in Prague and University Hospital Motol, Prague, Czech Republic
3Department of Oral and Maxillofacial Surgery, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, Prague, Czech Republic

The objective of the study was to evaluate the clinical outcomes of all-ceramic crowns three years after placement of the restoration in the oral cavity. The aim of the present clinical study were surveyed the Procera®, Cercon® and LAVA™ systems. In total, 121 crowns were followed in 33 patients (7 men and 26 women) with an average age of 53.5 years. The eighty crowns were placed in anterior and forty one crowns in posterior teeth. The crowns were fabricated in two dental laboratories and delivered in two private dental practices. The clinical trial was conducted according to American Dental Association guidelines. The patients were requested to provide their consent to the regular clinical examination including radiographic and photographic records.  A total of 102 crowns were made of zirconium oxide ceramic cores – 58 Cercon®; 43 LAVA™, while 19 crowns were made of aluminum oxide cores Procera®. The veneering ceramic LAVA™ Ceram was used. The success rate was analyzed using Kaplan-Meier statistics and, in our case, the overall three-year success rate reached 96.7%.  All-ceramic crowns with polycrystalline ceramic cores have low susceptibility to fracture, in this study just 3.3%.


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