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Quintessence International



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Quintessence Int 47 (2016), No. 5     22. Apr. 2016
Quintessence Int 47 (2016), No. 5  (22.04.2016)

Page 395-405, doi:10.3290/j.qi.a35699, PubMed:26949760

Survival of all-ceramic restorations after a minimum follow-up of five years: A systematic review
Araujo, Nara Santos / Moda, Mariana Dias / Silva, Ebele Adaobi / Zavanelli, Adriana Cristina / Mazaro, José Vitor Quinelli / Pellizzer, Eduardo Piza
Objective: The purpose of this systematic review was to compare the survival and complication rates of all-ceramic restorations after a minimum follow-up time of 5 years.
Data Sources: A comprehensive search of studies published from 2005 to November 2015 and listed in the PubMed/MEDLINE, Scopus, and Cochrane Library databases was performed in accordance with the PRISMA statement. Two reviewers independently analyzed the abstracts. Relevant studies were selected according to predetermined inclusion criteria.
Results: Twenty-nine studies were selected for the final analysis from an initial yield of 514. Only four studies fulfilled the requirement of having a randomized design, and 25 studies were prospective with a mean follow-up period of 5 to 16 years. Overall, the 5-year complication rates were low. The most frequent complications were secondary caries, endodontic problems, ceramic fractures, ceramic chipping, and loss of retention.
Conclusion: This systematic review showed that all-ceramic restorations fabricated using the correct clinical protocol have an adequate clinical survival for at least 5 years of clinical service with very low complication rates. Minor ceramic chipping and debonding did not affect the longevity of the restorations.
Clinical Relevance: Long-term clinical performance of all-ceramic restorations manufactured using various ceramic systems provides clinical evidence of complications and long-term management of these restorations. Available evidence indicates the effectiveness of many ceramic systems for numerous clinical applications. Correct planning and a rigorous technical execution protocol increase clinical success. Studies of ceramic prostheses indicate more problems with ceramic failure and debonding.

Keywords: dental ceramic, failure, restorations, systematic review