Non-Cochrane · intervention · PM41590161
Comparative Wear of Opposing Natural Enamel by Different Ceramic Materials in Fixed Dental Protheses: A Systematic Review and Meta-Analysis.
Rosa Cleber Davi Del Rei Daltro, Bento Victor Augusto Alves, Duarte Nathália Dantas, et al. · Dentistry journal · 2026 · PubMed · doi:10.3390/dj14010037
Findings
12 findings
| Population | ||||
|---|---|---|---|---|
| Patients with single posterior ceramic crowns (natural opposing posterior enamel) | Monolithic zirconia single-unit crown opposing natural enamel | Natural enamel opposing natural tooth | Vertical enamel wear (um) at 6 months 6 months · Clinical (patients with single posterior crowns) · 6 months | SMD -1.06 [-3.23, 1.12] GRADE not reported 2 studies · 134 participants |
| Patients with single posterior ceramic crowns (natural opposing posterior enamel) | Monolithic zirconia single-unit crown opposing natural enamel | Natural enamel opposing natural tooth | Vertical enamel wear (um), overall 6 to 24 months · Clinical (patients with single posterior crowns) · Overall | SMD -1.32 [-2.06, -0.57] GRADE not reported 9 studies · 627 participants |
| Patients with single posterior ceramic crowns (natural opposing posterior enamel) | Monolithic zirconia single-unit crown opposing natural enamel | Natural enamel opposing natural tooth | Vertical enamel wear (um) at 24 months 24 months · Clinical (patients with single posterior crowns) · 24 months | SMD 0.12 [-1.62, 1.86] GRADE not reported 2 studies · 88 participants |
| Patients with single posterior ceramic crowns (natural opposing posterior enamel) | Monolithic zirconia single-unit crown opposing natural enamel | Natural enamel opposing natural tooth | Vertical enamel wear (um) at 18 months 18 months · Clinical (patients with single posterior crowns) · 18 months | SMD -0.5 [-1.07, 0.08] GRADE not reported 1 study · 48 participants |
| Patients with single posterior ceramic crowns (natural opposing posterior enamel) | Monolithic zirconia single-unit crown opposing natural enamel | Natural enamel opposing natural tooth | Vertical enamel wear (um) at 12 months 12 months · Clinical (patients with single posterior crowns) · 12 months | SMD -1.88 [-2.93, -0.83] GRADE not reported 8 studies · 357 participants |
| Patients with single posterior ceramic crowns (natural opposing posterior enamel) | Monolithic lithium disilicate single-unit crown opposing natural enamel | Natural enamel opposing natural tooth | Vertical enamel wear (um) at 12 months 12 months · Clinical (patients with single posterior crowns) · 12 months | SMD -0.35 [-0.77, 0.06] GRADE not reported 2 studies · 92 participants |
| Patients with single posterior ceramic crowns (natural opposing posterior enamel) | Monolithic lithium disilicate single-unit crown opposing natural enamel | Natural enamel opposing natural tooth | Vertical enamel wear (um) at 18 months 18 months · Clinical (patients with single posterior crowns) · 18 months | SMD -0.61 [-1.19, -0.03] GRADE not reported 1 study · 48 participants |
| Patients with single posterior ceramic crowns (natural opposing posterior enamel) | Monolithic lithium disilicate single-unit crown opposing natural enamel | Natural enamel opposing natural tooth | Vertical enamel wear (um) at 24 months 24 months · Clinical (patients with single posterior crowns) · 24 months | SMD -0.25 [-0.82, 0.32] GRADE not reported 1 study · 48 participants |
| Patients with single posterior ceramic crowns (natural opposing posterior enamel) | Monolithic lithium disilicate single-unit crown opposing natural enamel | Natural enamel opposing natural tooth | Vertical enamel wear (um), overall 6 to 24 months · Clinical (patients with single posterior crowns) · Overall | SMD -0.45 [-0.71, -0.19] GRADE not reported 2 studies · 236 participants |
| Patients with single posterior ceramic crowns (natural opposing posterior enamel) | Monolithic lithium disilicate single-unit crown opposing natural enamel | Natural enamel opposing natural tooth | Vertical enamel wear (um) at 6 months 6 months · Clinical (patients with single posterior crowns) · 6 months | SMD -0.72 [-1.3, -0.13] GRADE not reported 1 study · 48 participants |
| Patients with single posterior ceramic crowns (natural opposing posterior enamel) | Metal-ceramic (feldspathic veneer) single-unit crown opposing natural enamel | Natural enamel opposing natural tooth | Vertical enamel wear (um), overall 12 months · Clinical (patients with single posterior crowns) · Overall | SMD -2.77 [-5.66, 0.13] GRADE not reported 3 studies · 119 participants |
| Patients with single posterior crowns (zirconia vs metal-ceramic) | Monolithic zirconia single-unit crown | Metal-ceramic (feldspathic veneer) single-unit crown | Vertical enamel wear (um), zirconia vs metal-ceramic 12 months · Clinical (patients with single posterior crowns) · Overall | SMD -0.19 [-2.32, 1.93] GRADE not reported 3 studies · 110 participants |
Included primary studies 9
Open in Studies| Study | Year | Also included by | Outcomes it informs here | Trial data |
|---|---|---|---|---|
| Deval 2021 A Clinical Comparative Evaluation Of The Wear Of Enamel Antagonist To Monolithic Zirconia And Metal-Ceramic Crowns. PMID:33750998 | 2021 | this review only | Vertical enamel wear (um), overall; Vertical enamel wear (um), zirconia vs metal-ceramic | not extracted yet |
| Esquivel-Upshaw 2020 Novel methodology for measuring intraoral wear in enamel and dental restorative materials. PMID:32955159 | 2020 | this review only | Vertical enamel wear (um), overall; Vertical enamel wear (um), zirconia vs metal-ceramic | not extracted yet |
| Mundhe 2015 Clinical study to evaluate the wear of natural enamel antagonist to zirconia and metal ceramic crowns. PMID:25985742 | 2015 | this review only | Vertical enamel wear (um), overall; Vertical enamel wear (um), zirconia vs metal-ceramic | not extracted yet |
| Nazirkar 2020 Comparative evaluation of natural enamel wear against polished yitrium tetragonal zirconia and polished lithium disilicate - An in vivo… PMID:32089603 | 2020 | this review only | Vertical enamel wear (um), overall | not extracted yet |
| Selvaraj 2021 Evaluation of the wear of glazed and polished zirconia crowns and the opposing natural teeth: A clinical pilot study. PMID:32665120 | 2021 | this review only | Vertical enamel wear (um), overall | not extracted yet |
| Stober 2016 Clinical assessment of enamel wear caused by monolithic zirconia crowns. PMID:27198539 | 2016 | this review only | Vertical enamel wear (um), overall | not extracted yet |
| Tang 2021 Quantitative analysis on the wear of monolithic zirconia crowns on antagonist teeth. PMID:33663477 | 2021 | this review only | Vertical enamel wear (um), overall | not extracted yet |
| Woraganjanaboon & Anunmana 2024 3D quantitative analysis and SEM qualitative analysis of natural antagonist enamel opposing CAD-CAM monolithic zirconia or lithium… PMID:38455676 | 2024 | this review only | Vertical enamel wear (um), overall | not extracted yet |
| Woraganjanaboon 2025 A two-year clinical trial of enamel wear opposing 5Y-TZP and lithium disilicate crowns. PMID:39138093 | 2025 | this review only | Vertical enamel wear (um), overall | not extracted yet |
Review question
| Element | Planned (methods) | Found (results) |
|---|---|---|
| Population | Patients with single-unit posterior ceramic crowns; at least 10 participants | 203 patients (n=203), age 18 to 73 years |
| Intervention | Single-unit ceramic crowns (zirconia, lithium disilicate, feldspathic metal-ceramic) | Monolithic zirconia (n=9 studies); monolithic lithium disilicate (n=2); metal-ceramic with feldspathic veneer (n=3) |
| Comparison | Natural antagonist posterior tooth (enamel-to-enamel contact) | Natural enamel antagonist |
| Outcomes | Quantitative antagonist enamel wear (micrometers) | Vertical wear of opposing enamel (micrometers), SMD |
| Study designs | RCTs or prospective studies (non-RCTs); in vitro studies, case reports and studies without follow-up excluded | 9 studies: 5 RCTs and 4 prospective studies |
| Timing | Long-term follow-up (not otherwise specified) | 6, 12, 18 and 24 months |