Comparative Evaluation of Wear of Natural Enamel Antagonist Against Glazed Monolithic Zirconia Crowns and Polished Monolithic Zirconia Crowns: An In Vivo Study.

Abstract

Purpose: To comparatively evaluate the amount of wear of natural enamel against a glazed full coverage monolithic zirconia crown and a polished monolithic zirconia crown at 6 and 12 months.

Materials and methods: Thirty subjects within the age range of 18 to 35 years participated in this study. The subjects received a total of 60 single crowns, which were divided into two groups: (1) 30 glazed monolithic zirconia crowns opposed by natural enamel (group A); and (2) 30 polished monolithic zirconia crowns opposed by natural enamel (group B). Each subject received a crown from both groups, placed bilaterally in endodontically treated maxillary or mandibular first molars. An impression was made of the opposing arch at 24 hours, 6 months, and 12 months. The resulting casts were scanned with a 3D optical scanner. The recall scans were superimposed and compared to baseline scans using 3D AutoCAD software. A control group was included to compare the wear values to natural enamel against natural enamel.

Results: No significant difference (P = .855) was found in enamel wear between groups A (42.80 μm) and B (42.50 μm) after 6 months of use. However, a significant difference (P < .05) in enamel wear was found between group A (81.87 μm) and group B (71.43 μm) after 12 months of use.

Conclusion: Glazed monolithic zirconia crowns cause more wear to the opposing enamel than polished monolithic zirconia crowns after 12 months of clinical use.