Esthetic and Functional Outcomes of Zirconia and Metal-Ceramic Fixed Partial Dentures in the Maxillary Anterior Region: A Clinical Perspective

Zeineb Riahi *

Department of Prosthodontics, Dental Clinic of Monastir Monastir, Tunisia.

Marwa Chakroun

Department of Prosthodontics, Dental Clinic of Monastir Monastir, Tunisia.

Rania Hadhri

Department of Prosthodontics, Dental Clinic of Monastir Monastir, Tunisia.

Adel Amor

Dental Department, Hospital of Sahloul, University of Monastir Monastir, Tunisia.

Belhassen Harzallah

Department of Prosthodontics, Dental Clinic of Monastir Monastir, Tunisia.

Mounir Cherif

Department of Prosthodontics, Dental Clinic of Monastir Monastir, Tunisia.

Dalenda Hadyaoui

Department of Prosthodontics, Dental Clinic of Monastir Monastir, Tunisia.

*Author to whom correspondence should be addressed.


Abstract

Metal ceramic restorations were long-time considered as gold standard for fixed dental prostheses. The evolution in material science and patients’ aesthetic requests led to the introduction of new materials for frameworks, which are ceramics. The absence of anterior maxillary teeth as a result of congenital anomalies, or their loss due to extensive carious lesions, or trauma, may lead to serious esthetic and functional problems. Therefore, the anterior esthetic and functional rehabilitation is a common practice in fixed prosthodontics. This paper presents the case of a 55-year-old male patient. In this case report, the intraoral examination showed a favourable occlusion. The edentulous ridge seemed to be satisfactory. The coronal height of teeth to be supporting the FPD was also examined, which was judged as favourable. After decision-making, teeth preparations were made. The intraoral examination showed an extrusion in tooth #21 with a slight deviation of the midline. A gingival recession was also clearly revealed in all anterior teeth. Thus, the whole patient’s smile was remade while replacing the missing teeth using a Fixed Partial Denture (FPD). Intraoral examination showed a favourable occlusion, which is necessary for the ceramic FPD integration. The study concluded that the zirconia-based FPD is a suitable solution to replace anterior teeth, restore esthetics, and respect the biological and mechanical context of the restoration.

Keywords: Fixed partial denture, zirconia-based FPD, maxillary anterior region, metal ceramic restorations


How to Cite

Riahi, Z. ., Chakroun, M. ., Hadhri, R. ., Amor, A. ., Harzallah, B. ., Cherif, M. ., & Hadyaoui, D. . (2025). Esthetic and Functional Outcomes of Zirconia and Metal-Ceramic Fixed Partial Dentures in the Maxillary Anterior Region: A Clinical Perspective. An Overview of Disease and Health Research Vol. 3, 103–119. https://doi.org/10.9734/bpi/aodhr/v3/5676