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In Vitro Wear Behavior of Zirconia Opposing Enamel: A Systematic Review
Author(s) -
Passos Sheila Pestana,
Torrealba Ysidora,
Major Paul,
Linke Bernie,
FloresMir Carlos,
Nychka John A.
Publication year - 2014
Publication title -
journal of prosthodontics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.902
H-Index - 60
eISSN - 1532-849X
pISSN - 1059-941X
DOI - 10.1111/jopr.12167
Subject(s) - enamel paint , cubic zirconia , dentistry , polishing , tooth wear , materials science , inclusion (mineral) , orthodontics , medicine , composite material , mineralogy , chemistry , ceramic
Purpose The aim of this systematic review was to assess enamel wear on teeth opposing zirconia restorations and to evaluate factors related to the wear of natural teeth opposing zirconia restorations. Materials and Methods Five electronic databases were searched through May 2013 without limitations. The terms “antagonist*,” “enamel,” “wear,” and “zirconi*” were used. Titles and abstracts were initially screened, and those that fulfilled the inclusion criteria were selected for a full‐text assessment. Studies that evaluated only the material wear were not included. Results The database search strategy retrieved 142 potentially eligible studies. After the duplicate studies were removed, 62 studies were obtained. Titles and abstracts that fulfilled the inclusion criteria were selected for a full‐text assessment (25). Seven laboratory studies met the inclusion criteria. In addition, reference lists from the finally selected studies were also screened. Conclusions There was a large variation in relation to wear test method quantification, applied force, lateral movement, number and frequency of cycles, number of specimens, and enamel specimen preparation. In all studies, enamel wear rates were lower against polished zirconia. Differences in the test methods did not allow for comparisons of wear rates among the studies. Clinical Significance : Polishing the surface is recommended for a full‐contour zirconia restoration because polished zirconia presents favorable wear behavior opposing natural teeth.

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