Do monolithic zirconia restorations affect TMD signs and symptoms? Data from a prospective clinical trial after one year of observation

Int J Prosthodont. 2021 July/August;34(4):448–450. doi: 10.11607/ijp.6983. Epub 2021 Mar 3.

Abstract

Purpose: To investigate the effect of monolithic zirconia-based occlusal surfaces on signs and symptoms of temporomandibular disorders (TMD) after short-term clinical service.

Materials and methods: Patients were supplied with multi-unit fixed dental prostheses (FDP) featuring monolithic zirconia-based occlusal surfaces. Prior to prosthetic treatment and 1 year after insertion anamnestic facial pain, pain with palpation of muscles/joints and joint sounds were examined.

Results: Of the 50 patients, 43 were re-examined after 1 year. Perceived facial pain was not present, pain with palpation occurred in 2 patients, and TMJ sounds decreased; differences were not statistically significant (P ≥ .058).

Conclusion: Single tooth-supported multiunit FDPs featuring monolithic zirconia-based occlusal surfaces did not affect TMD-associated signs and symptoms.

MeSH terms

  • Facial Pain
  • Humans
  • Prospective Studies
  • Temporomandibular Joint Disorders*
  • Zirconium*

Substances

  • Zirconium
  • zirconium oxide