Intraoral repair of fractured ceramics: a literature review [version 1; peer review: 2 approved]

Background: Fracture or chipping of veneering ceramic resulting in aesthetic and functional issues is a frequent technical complication encountered with fixed dental prostheses. Treatment options include extraoral or intraoral repair of the ceramic restoration; the latter being minimally invasive an...

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Main Authors: Tahani Abushowmi, Fawaz Alzoubi, Abdulrahman Aldakhili, Abdullah Alfayez, Anwar Alramadan, Abdulkareem A. Alhumaidan, Firas K. Alqarawi
Format: Article
Language:English
Published: F1000 Research Ltd 2022-11-01
Series:F1000Research
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Online Access:https://f1000research.com/articles/11-1275/v1
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author Tahani Abushowmi
Fawaz Alzoubi
Abdulrahman Aldakhili
Abdullah Alfayez
Anwar Alramadan
Abdulkareem A. Alhumaidan
Firas K. Alqarawi
author_facet Tahani Abushowmi
Fawaz Alzoubi
Abdulrahman Aldakhili
Abdullah Alfayez
Anwar Alramadan
Abdulkareem A. Alhumaidan
Firas K. Alqarawi
author_sort Tahani Abushowmi
collection DOAJ
description Background: Fracture or chipping of veneering ceramic resulting in aesthetic and functional issues is a frequent technical complication encountered with fixed dental prostheses. Treatment options include extraoral or intraoral repair of the ceramic restoration; the latter being minimally invasive and cost-effective. We reviewed the various intraoral repair techniques for ceramic fractures and their efficiency in the last decade. Methods: A literature search was carried out between 2017 and 2022 using the PubMed database with keywords: intraoral, repair, ceramics, porcelain, and ‘porcelain fused to metal’. Screening of abstracts and full texts was carried out to determine the final list of eligible studies. Results:  Twenty-one eligible studies were included in the review which consisted of 17 in vitro studies, three case reports, and one prospective clinical study. Researchers and dentists preferred repairing cracked veneered zirconia-based restorations intraorally if the restoration is in acceptable condition. However, successful intraoral repair of veneering fractures relies on the bond between the previous restoration and the new repair material, the right adhesive resin, and adequate surface conditioning. The review indicated that the best technique to fix chipping in a complex made of zirconia core and veneering ceramic is to treat the veneering ceramic with hydrofluoric acid before covering the core ceramic with silica. Conclusion: Intraoral repair is an efficient and economic procedure without the need for repeated sessions. However, the success and longevity of the restoration rely on the technical skills of the clinicians and adherence to prescribed protocols.
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spelling doaj-art-740f9d2502d64daebda89e26e129e55e2025-08-20T02:30:31ZengF1000 Research LtdF1000Research2046-14022022-11-011110.12688/f1000research.126547.1138970Intraoral repair of fractured ceramics: a literature review [version 1; peer review: 2 approved]Tahani Abushowmi0Fawaz Alzoubi1https://orcid.org/0000-0001-6206-5465Abdulrahman Aldakhili2https://orcid.org/0000-0002-7019-8986Abdullah Alfayez3Anwar Alramadan4Abdulkareem A. Alhumaidan5Firas K. Alqarawi6https://orcid.org/0000-0001-7954-2811Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Eastern Region, 31441/P.O. Box 1982, Saudi ArabiaDepartment of General Dental Practice, Faculty of Dentistry, Kuwait University, Safat, 13110/P.O. Box 24923, KuwaitDepartment of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Eastern Region, 31441/P.O. Box 1982, Saudi ArabiaDepartment of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Eastern Region, 31441/P.O. Box 1982, Saudi ArabiaDepartment of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Eastern Region, 31441/P.O. Box 1982, Saudi ArabiaDepartment of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Eastern Region, 31441/P.O. Box 1982, Saudi ArabiaDepartment of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Eastern Region, 31441/P.O. Box 1982, Saudi ArabiaBackground: Fracture or chipping of veneering ceramic resulting in aesthetic and functional issues is a frequent technical complication encountered with fixed dental prostheses. Treatment options include extraoral or intraoral repair of the ceramic restoration; the latter being minimally invasive and cost-effective. We reviewed the various intraoral repair techniques for ceramic fractures and their efficiency in the last decade. Methods: A literature search was carried out between 2017 and 2022 using the PubMed database with keywords: intraoral, repair, ceramics, porcelain, and ‘porcelain fused to metal’. Screening of abstracts and full texts was carried out to determine the final list of eligible studies. Results:  Twenty-one eligible studies were included in the review which consisted of 17 in vitro studies, three case reports, and one prospective clinical study. Researchers and dentists preferred repairing cracked veneered zirconia-based restorations intraorally if the restoration is in acceptable condition. However, successful intraoral repair of veneering fractures relies on the bond between the previous restoration and the new repair material, the right adhesive resin, and adequate surface conditioning. The review indicated that the best technique to fix chipping in a complex made of zirconia core and veneering ceramic is to treat the veneering ceramic with hydrofluoric acid before covering the core ceramic with silica. Conclusion: Intraoral repair is an efficient and economic procedure without the need for repeated sessions. However, the success and longevity of the restoration rely on the technical skills of the clinicians and adherence to prescribed protocols.https://f1000research.com/articles/11-1275/v1Intraoral restoration ceramics fixed partial dentures zirconia porcelain chippingeng
spellingShingle Tahani Abushowmi
Fawaz Alzoubi
Abdulrahman Aldakhili
Abdullah Alfayez
Anwar Alramadan
Abdulkareem A. Alhumaidan
Firas K. Alqarawi
Intraoral repair of fractured ceramics: a literature review [version 1; peer review: 2 approved]
F1000Research
Intraoral
restoration
ceramics
fixed partial dentures
zirconia
porcelain chipping
eng
title Intraoral repair of fractured ceramics: a literature review [version 1; peer review: 2 approved]
title_full Intraoral repair of fractured ceramics: a literature review [version 1; peer review: 2 approved]
title_fullStr Intraoral repair of fractured ceramics: a literature review [version 1; peer review: 2 approved]
title_full_unstemmed Intraoral repair of fractured ceramics: a literature review [version 1; peer review: 2 approved]
title_short Intraoral repair of fractured ceramics: a literature review [version 1; peer review: 2 approved]
title_sort intraoral repair of fractured ceramics a literature review version 1 peer review 2 approved
topic Intraoral
restoration
ceramics
fixed partial dentures
zirconia
porcelain chipping
eng
url https://f1000research.com/articles/11-1275/v1
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AT fawazalzoubi intraoralrepairoffracturedceramicsaliteraturereviewversion1peerreview2approved
AT abdulrahmanaldakhili intraoralrepairoffracturedceramicsaliteraturereviewversion1peerreview2approved
AT abdullahalfayez intraoralrepairoffracturedceramicsaliteraturereviewversion1peerreview2approved
AT anwaralramadan intraoralrepairoffracturedceramicsaliteraturereviewversion1peerreview2approved
AT abdulkareemaalhumaidan intraoralrepairoffracturedceramicsaliteraturereviewversion1peerreview2approved
AT firaskalqarawi intraoralrepairoffracturedceramicsaliteraturereviewversion1peerreview2approved