Zirconia Crowns: Strength, Durability, and Aesthetic Appeal

September 4, 2024

Zirconia Crowns: The Ultimate Guide

Zirconia crowns have gained significant popularity in modern dentistry due to their remarkable properties. These dental restorations offer a blend of strength, biocompatibility, and aesthetic appeal. Let’s explore why zirconia crowns are becoming increasingly common and how they compare to traditional crown materials.

Advantages Over Traditional Crowns

  • Strength and Durability: Zirconia crowns are exceptionally strong, making them suitable for posterior teeth (molars and premolars) that endure significant chewing forces.
  • Longevity: Monolithic zirconia crowns have demonstrated durability over time, comparable to metal-based crowns.
  • Biocompatibility: Zirconia is less likely to provoke adverse reactions or inflammation within the body.
  • Same-Day Procedure: Some dentists can create zirconia crowns in their offices using CAD/CAM technology, allowing for single-visit placement.

2. What Is Zirconia?

  • Composition: Zirconia crowns are made from zirconium dioxide, a ceramic material known for its toughness and resistance to wear.
  • Origins: Zirconia originates from zircon, a naturally occurring mineral found in the Earth’s crust.
  • Translucency: Zirconia’s translucent nature contributes to its aesthetic appeal.

3. Zirconia Crown Benefits: Strength, Durability, and Biocompatibility

Zirconia crowns, made from zirconium dioxide, have gained prominence in modern dentistry due to their exceptional properties. Let's explore the advantages of zirconia crowns and why they are becoming increasingly popular:

1. Strength and Durability:

  • Zirconia crowns are exceptionally strong, making them ideal for posterior teeth (molars and premolars) that endure significant chewing forces.
  • Their durability ensures longevity and resistance to wear.

2. Longevity:

  • Monolithic zirconia crowns have demonstrated excellent performance over 5 years, comparable to metal-based crowns.
  • Their robustness contributes to their longevity.

3. Biocompatibility:

  • Zirconia is a biocompatible material, meaning it is less likely to provoke inflammation or adverse reactions within the body.
  • Studies confirm its safety and minimal cytotoxicity.

4. Same-Day Procedure:

  • Some dentists offer in-office fabrication of zirconia crowns using CEREC technology.
  • The Chairside Economical Restoration of Esthetic Ceramics (CEREC) process allows for single-visit placement, eliminating the need for multiple appointments.

While zirconia crowns offer remarkable benefits, it's essential to consider potential disadvantages, such as color matching. Discuss your options with your dentist to determine the best choice for your dental restoration needs!

4. Zirconia Crown Treatment Process

Zirconia crowns offer a reliable and durable solution for dental restorations. Here's a step-by-step guide to the zirconia crown treatment process:

1. Consultation:

Discuss your goals with your dentist. They'll assess your oral health and determine if zirconia crowns are suitable for your specific case.

2. Tooth Preparation:

  • The dentist will prepare the affected tooth by removing any decay or damaged portions.
  • This step ensures that the zirconia crown fits properly and aligns with your bite.

3. Impressions:

  • An impression of your tooth is taken using 3D digital scanners.
  • This impression serves as a model for creating a custom zirconia crown.

4. Fabrication:

  • Using computer-aided design (CAD) technology, the crown is milled from a solid block of zirconia.
  • The precision of CAD ensures an accurate fit and natural appearance.

5. Placement:

  • The zirconia crown is bonded to your prepared tooth using dental cement.
  • The dentist ensures proper alignment and bite.

6. Adjustments:

  • Final adjustments are made to ensure the crown fits comfortably and functions correctly.
  • Any necessary modifications are done at this stage.

7. Final Polishing:

  • The zirconia crown is polished to achieve a smooth surface and natural aesthetics.
  • It blends seamlessly with your surrounding teeth.

Remember to follow your dentist's post-placement instructions for care and maintenance of your zirconia crown. 

5. Disadvantages of Zirconia Crowns

While zirconia crowns offer several advantages, there are some potential drawbacks to consider:

1. Color Matching:

  • Monolithic zirconia crowns may appear opaque, especially in comparison to natural teeth.
  • Achieving a seamless color match can be challenging, particularly for front teeth.

2. Translucency Issues:

  • Zirconia's strength comes at the cost of translucency.
  • Balancing strength with natural appearance can be tricky, especially for anterior (front) teeth.

3. Front Teeth Considerations:

  • Aesthetic concerns are more pronounced for front teeth.
  • Dentists must carefully evaluate whether zirconia crowns are suitable for visible areas.

6. Zirconia vs. Other Crown Materials

Let's compare zirconia crowns to porcelain-fused-to-metal (PFM) crowns:

Zirconia Crowns:

  1. Strength: Zirconia crowns are exceptionally strong, making them ideal for posterior teeth.
  2. Translucency: While less translucent than porcelain, zirconia still offers a natural appearance.
  3. Suitability: Best for posterior crowns and bridges.

   

Porcelain-Fused-to-Metal (PFM) Crowns:

  1. Reliability: PFMs have a long track record of success.
  2. Strength: Strong and suitable for all areas of the mouth.
  3. Aesthetics: Porcelain provides better color matching but may have a metal lining at the gingival margin.

In summary, zirconia crowns offer strength, biocompatibility, and same-day placement advantages. However, careful consideration of aesthetics and individual needs is essential. Consult your dentist to determine the best choice for your dental restoration.

FAQs

1. Is zirconia crown better than porcelain?

Zirconia crowns and porcelain crowns each have their advantages:

  •   Zirconia Crowns: These are strong, durable, and suitable for back teeth. They offer excellent fracture resistance and biocompatibility. However, they may not match natural teeth color as well as porcelain.
  •   Porcelain Crowns: Porcelain crowns excel in aesthetics, closely mimicking natural teeth. They are a great choice for front teeth. However, they may be less durable than zirconia crowns.

The choice depends on individual needs, oral health, and aesthetic preferences.

2. How long do zirconia crowns last?

Zirconia crowns typically last between 10 to 15 years, but with proper care, they can endure even longer. Some patients report zirconia crowns holding up well beyond 20 years.

3. What is the disadvantage of zirconia crowns?

One potential disadvantage of zirconia crowns is their opaque appearance, especially for monolithic zirconia crowns. They may look less natural compared to porcelain crowns, especially for front teeth.

4. What is a zirconia crown?

A zirconia crown is made from zirconium dioxide, a very durable ceramic material. It offers strength, longevity, and biocompatibility. Dentists use it for natural tooth restorations, especially for back teeth.

5. Which type of dental crown is best?

The best type of dental crown depends on individual factors:

  •   Porcelain Crowns: Best for aesthetics, closely matching natural teeth.
  •   Zirconia Crowns: Strong, durable, suitable for all areas.
  •   Emax Crowns: Aesthetic, strong, suitable for both anterior and posterior teeth.

Consult with your dentist to determine the most suitable option for your specific case.

6. Why is a zirconia crown expensive?

Zirconia crowns are more expensive due to their high-quality material, durability, and biocompatibility. Additionally, the technology used for same-day procedures (CEREC) contributes to the cost.

7. Which is better, Emax or zirconia?

Both Emax (lithium disilicate) and zirconia crowns have their merits:

  •   Emax Crowns: Excellent aesthetics, suitable for anterior and posterior teeth.
  •   Zirconia Crowns: Strong, durable, ideal for back teeth.
  • The choice depends on individual preferences and the specific tooth being restored.

Sources:

Zirconia Crown Benefits, Disadvantages, Costs, Other Options - Healthline. https://www.healthline.com/health/what-you-need-to-know-about-dental-crowns-made-from-zirconia.

All You Need to Know About Zirconia Crowns - WebMD. https://www.webmd.com/oral-health/what-is-a-zirconia-crown

What Are Zirconia Crowns? - Colgate. https://www.colgate.com/en-us/oral-health/bridges-and-crowns/what-are-zirconia-crowns.

Zirconia Crown: Biocompatibility, Strength, and Beauty in Modern Dentistry. https://www.illusiondentallab.com/blogs/21/zirconia-crown-explained.

Zirconia crowns: Pros and Cons - DentalPlans.com. https://www.dentalplans.com/blog/zirconia-crowns-pros-cons/.

What Is a Zirconia Dental Crown? Cost, Alternatives, Pros and Cons - Zwivel. https://zwivel.com/zirconia-dental-crown/.

The Durability of Zirconia Crowns: What You Need to Know. https://dentalcoralsprings.com/the-durability-of-zirconia-crowns-what-you-need-to-know/.

Zirconium Dental Crowns: Details, Cost and Procedure [2023]. https://www.maltepedentalclinic.com/blog/zirconium-dental-crowns-details-procedure-cost/.

Zirconium Dental Crown Treatment - Zirconia Crown - dentgroup. https://www.dentgroup.com.tr/en/zirconia-crown.

Zirconia crown cementation | Dandy. https://www.meetdandy.com/learning-center/articles/zirconia-crown-cementation/.

Step-by-Step Procedure: How Zirconia Crowns are Placed. https://medium.com/@dentcaredental022/step-by-step-procedure-how-zirconia-crowns-are-placed-71ebeb0bb445.

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