Complication Rate of Molar Crowns: A Practice-based Clinical Evaluation

This practice-based study evaluates the initial clinical performance of conventionally luted metal-ceramic and zirconia molar crowns fabricated with a prolonged cooling period of the veneering porcelain. Forty-nine patients were treated (group A: high precious alloy + low fusing porcelain; group B: zirconia crowns). All zirconia crowns were veneered with a modified porcelain firing cycle including a 6-minute cooling period. Ninety-two restorations (74 vital abutments/ 18 nonvital abutments) were evaluated after a mean observation period of 18.2 ± 4.6 months. No complete failures or loss of vitality were recorded in either group. Two events were recorded in group A (1 loss of retention/ 1 minor ceramic chipping 2 mm²). The third event occurred in group B (minor ceramic chipping 2 mm²). All ceramic defects could be polished intraorally. Statistical analysis revealed non-significant differences in success rates (p = 0.91) of metal-ceramic and zirconia crowns fabricated with a modified porcelain firing. The modified firing of the zirconia porcelain seems to decrease the risk for early ceramic chipping in the molar area, leading to a technical complication rate comparable to that of metal-ceramic crowns. Keywords: clinical trial, all-ceramic, zirconia, crown, chipping, success rate, veneering ceramic, PFM restoration