Skip to main navigation menu Skip to main content Skip to site footer

Articles

Vol. 4 No. 1 (2025): International Journal of Applied Technology in Medical Sciences

Longitudinal Study: Patient-Reported Outcomes in Zirconia vs. PFM for Full Mouth Rehabilitation, 2 Years Follow up

  • Ruvin Haidar
  • Muneera
Submitted
February 6, 2025
Published
2025-02-06

Abstract

Objective: This longitudinal study aims to explore patient-reported outcomes (PROs) and satisfaction levels among adults undergoing full mouth rehabilitation with zirconia and porcelain-fused-to-metal (PFM) restorations. Methods: A total of 100 adult participants requiring comprehensive dental rehabilitation will be recruited and randomly assigned to two groups: one receiving zirconia restorations and the other receiving PFM restorations. Data collection will occur at baseline, 6 months, 1 year, and 2 years following rehabilitation. To evaluate patient experiences, validated questionnaires will be employed, including the Oral Health Impact Profile (OHIP-14) to assess quality of life impacts, the Dental Satisfaction Questionnaire (DSQ) for overall satisfaction, and a Visual Analog Scale (VAS) for pain and comfort levels. Additionally, qualitative interviews will be conducted with a subset of participants to gain deeper insights into their experiences. Results: It is anticipated that patients receiving zirconia restorations will report significantly higher satisfaction levels and more favourable PROs compared to those with PFM restorations. Key determinants of satisfaction, including aesthetic appeal and comfort, are expected to emerge from qualitative analyses. Conclusion: This study aims to provide evidence-based insights that can guide clinical decisions regarding material selection in full mouth rehabilitation, underscoring the potential benefits of zirconia restorations in enhancing patient satisfaction

References

  1. MGonzalez-Bonilla, S Berrendero, B Moron-Conejo, F Martinez-Rus, MP Salido. Clinical evaluation of posterior zirconia-based and porcelain-fused-to-metal crowns with a vertical preparation technique: an up to 5-year retrospective cohort study. Journal of dent.2024.(148):104953.
  2. Mohseni P, Soufi A, Chrcanovic BR. Clinical outcomes of zirconia implants: a systematic review and meta-analysis. Clin Oral Investig. 2023 Dec 23;28(1):15. doi: 10.1007/s00784-023-05401-8. PMID: 38135804; PMCID: PMC10746607.
  3. Shi JY, Li X, Ni J, Zhu ZY. Clinical Evaluation and Patient Satisfaction of Single Zirconia-Based and High-Noble Alloy Porcelain-Fused-to-Metal Crowns in the Esthetic Area: A Retrospective Cohort Study. J Prosthodont. 2016 Oct;25(7):526-530. doi: 10.1111/jopr.12344. Epub 2015 Sep 16. PMID: 26376100.
  4. Vivek V Nair.Complete Oral Rehabilitaiton- An Overview. JPID.2019.2(2): 85
  5. Alqutaibi AY, Ghulam O, Krsoum M, Binmahmoud S, Taher H, Elmalky W, Zafar MS. Revolution of Current Dental Zirconia: A Comprehensive Review. Molecules. 2022 Mar 4;27(5):1699.
  6. Carey C, Din ND, Lamb J, Wright H, Robb ND, Abuzar M. Survival of Single-Unit Porcelain-Fused-to-Metal (PFM) and Metal Crowns Placed by Students at an Australian University Dental Clinic over a Five-Year Period. Dent J (Basel). 2021 May 28;9(6):60.
  7. Monaco C, Llukacej A, Baldissara P, Arena A, Scotti R. Zirconia-based versus metal-based single crowns veneered with overpressing ceramic for restoration of posterior endodontically treated teeth: 5-year results of a randomized controlled clinical study. J Dent. 2017 Oct;65:56-63.
  8. Maha A. Munshi, Nasser S. Alhufaiyan, Ahmed A. Alharbi, Maali S. Alanazi, Abdulhadi M. Albandar, Abeer A. Alsaleh, Murayziq A. Algethami7, Nuorah A. Alharbi, Shemaa A. Aljohani, Thamer M. Alhadhari, Khalid M. Alhabash. A review Impact of systemic diseases on oral health and facial surgery outcomes. Int J Community Med Public Health. 2024Nov;11(11):4497-4501
  9. D'Souza NL, Jutlah EM, Deshpande RA, Somogyi-Ganss E. Comparison of clinical outcomes between single metal-ceramic and zirconia crowns. J Prosthet Dent. 2024 Apr 4:S0022-3913(24)00186-0.
  10. Gizem Ayan, Burak Dayı. Evaluation of plaque index, gingival index and oral health-related quality of life in obese patients. Odovtos. 2023.25. 1659-1046
  11. Cengiz S, Cengiz MI, Saraç YS. Dental erosion caused by gastroesophageal reflux disease: a case report. Cases J. 2009 Jul 22;2:8018
  12. Devameena, S & P S, Manoharan & Rajasimhan, Vivek & Vidhya, B.Full-mouth Rehabilitation for Severely Attrited Dentition by Simplified Approach. Journal of Dental Research and Review.2020.7.(214): 10.4103.
  13. Campos LA, Peltomäki T, Marôco J, Campos JADB. Use of Oral Health Impact Profile-14 (OHIP-14) in Different Contexts. What Is Being Measured? Int J Environ Res Public Health. 2021 Dec 20;18(24):13412.
  14. Aditi Sharma1 , Vishal Partap Singh2 , Beneetu Atri. International Journal of Research in Health and Allied Sciences. 2018.4. 1.
  15. Johanna Tanner, Henrika Niemi, Essi Ojala, Mimmi Tolvanen, Timo Närhi, Jenni Hjerppe, Zirconia single crowns and multiple-unit FDPs—An up to 8 -year retrospective clinical study.Journal of Dentistry. 2018. 79. 96-101.
  16. Pjetursson BE, Valente NA, Strasding M, Zwahlen M, Liu S, Sailer I. A systematic review of the survival and complication rates of zirconia-ceramic and metal-ceramic single crowns. Clin Oral Implants Res. 2018 Oct;29 Suppl 16:199-214.
  17. Al Ghanem EJ, AlGhanem NA, AlFaraj ZS, AlShayib LY, AlGhanem DA, AlQudaihi WS, AlGhanem SZ. Patient Satisfaction With Dental Services. Cureus. 2023 Nov 22;15(11):e49223.
  18. Heather M. McCormack, David J. de L. Horne and Simon Sheather. Clinical applications of visual analogue scales: a critical review. Psychological Medicine. 1988.18.(04):1007 ¬-1019.
  19. Field, A. (2009). Discovering statistics using SPSS (3rd ed.). SAGE Publications.
  20. Braun, Virginia & Clarke, Victoria. Using thematic analysis in psychology. Qualitative Research in Psychology.2006. 3. 77-101.
  21. Neena L. D’Souza, Emma ML Jutlah, Rachel A. Deshpande, Eszter Somogyi-Ganss. Comparison of clinical outcomes between single metal-ceramic and zirconia crowns.The Journal of Prosthetic Dentistry.2024.
  22. Pjetursson BE, Valente NA, Strasding M, Zwahlen M, Liu S, Sailer I. A systematic review of the survival and complication rates of zirconia-ceramic and metal-ceramic single crowns. Clin Oral Implants Res. 2018 Oct;29 Suppl 16:199-214.
  23. Mundhe, Kailas,Veena Jain,Gunjan Pruthi,Naseem Shah. Clinical study to evaluate the wear of natural enamel antagonist to zirconia and metal ceramic crowns.Journal of Prosthetic Dentistry.2015. Volume 114, Issue 3, 358 - 363
  24. Gupta UC. Informed consent in clinical research: Revisiting few concepts and areas. Perspect Clin Res. 2013 Jan;4(1):26-32.

Downloads

Download data is not yet available.