Current Oral Health Reports

, Volume 4, Issue 2, pp 112–123 | Cite as

Clinical Performance of All-Ceramic Dental Restorations

  • Julian ConejoEmail author
  • Reto Nueesch
  • Mariam Vonderheide
  • Markus B. Blatz
Digital and Esthetic Dentistry (P Stathopoulou and E Anadioti, Section Editors)
Part of the following topical collections:
  1. Topical Collection on Digital and Esthetic Dentistry


Purpose of Review

The study aims to assess the current scientific evidence on the clinical performance of all-ceramic dental restorations.

Recent Findings

Silica-based and oxide-based ceramics provide esthetic treatment alternatives but rely on proper case selection and handling. Clinical long-term success rates are generally high for both tooth-supported and implant-supported restorations. Due to limited flexural strength and high brittleness, silica-based ceramics are limited in respect to clinical indications and their success greatly depends on resin bonding for final insertion. High-strength oxide-based ceramics can be inserted with conventional cements and reveal high success rates. More recently developed materials, such as resin matrix ceramics, zirconia-reinforced silicate ceramics, and monolithic translucent zirconia, reveal promising properties in the laboratory. However, they lack scientific validation through long-term clinical trials.


Established silica-based and oxide-based ceramic materials demonstrate high long-term clinical survival rates; however, recently developed ceramics need further assessment.


Dental ceramics Dental restorations Clinical longevity Clinical application 


Compliance with Ethical Standards

Conflict of Interest

All authors declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • Julian Conejo
    • 1
    Email author
  • Reto Nueesch
    • 2
  • Mariam Vonderheide
    • 3
  • Markus B. Blatz
    • 1
  1. 1.Department of Preventive and Restorative Sciences, Robert Schattner CenterUniversity of Pennsylvania School of Dental MedicinePhiladelphiaUSA
  2. 2.University of Zurich School of Dental MedicineZurichSwitzerland
  3. 3.University of Pennsylvania School of Dental MedicinePhiladelphiaUSA

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