{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T10:44:10Z","timestamp":1792061050727,"version":"4.4.0"},"reference-count":32,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T00:00:00Z","timestamp":1792022400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T00:00:00Z","timestamp":1792022400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Prosthodontics"],"abstract":"Abstract<\/jats:title>\n \n Purpose<\/jats:title>\n To evaluate, through a pilot, randomized, double\u2010blind, controlled clinical trial, the clinical performance of ultratranslucent monolithic zirconia (UTZr) compared to lithium disilicate (LD) posterior crowns after 24 months of follow\u2010up.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods<\/jats:title>\n Twenty\u2010four crowns were fabricated and placed in 18 patients, assigned to 2 groups: Control (LD\u2014IPS e.max CAD\/Ivoclar) and Experimental (UTZr\u2014Zircon FitPlus\/Talmax). Longevity was assessed using the modified United States Public Health Service (USPHS) Ryge criteria, visual analog scales (VAS) for patients\u2019 self\u2010perceived esthetics, and the Oral Impacts on Daily Performances (OIDP) index for quality\u2010of\u2010life evaluation. Evaluations were conducted at baseline (T0) and 1 (T1), 6 (T2), 12 (T3), and 24 (T4) months after cementation. Survival analysis was performed using the Kaplan\u2010Meier method with log\u2010rank test (\u03b1 = .05). OIDP and USPHS data were analyzed descriptively, while VAS esthetic satisfaction was analyzed using Mann\u2010Whitney, Friedman, and Wilcoxon post\u2010hoc tests.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The mean age of participants was 38.5 years. Eleven crowns were fabricated with LD and 13 with UTZr. After 24 months, the cumulative survival rate was 100% for both groups. Both groups showed a significant improvement in esthetic satisfaction over time (\n P<\/jats:italic>\n <.05). No ceramic fractures, occlusal changes, marginal integrity alterations, or secondary caries were observed; however, one UTZr crown presented minor marginal discoloration.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Both materials, ultratranslucent monolithic zirconia and lithium disilicate, demonstrated high survival rates and satisfactory clinical performance after 24 months.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jopr.70250","type":"journal-article","created":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T09:46:24Z","timestamp":1792057584000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical performance of ultratranslucent monolithic zirconia posterior crowns compared with lithium disilicate crowns: A pilot, randomized, double\u2010blind, controlled clinical trial"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8503-7595","authenticated-orcid":false,"given":"Larissa Mendon\u00e7a","family":"Miranda","sequence":"first","affiliation":[{"name":"Department of Dentistry Federal University of Rio Grande do Norte (UFRN) Natal Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1744-8181","authenticated-orcid":false,"given":"Isabelle Helena Gurgel","family":"de Carvalho","sequence":"additional","affiliation":[{"name":"Department of Dentistry Federal University of Rio Grande do Norte (UFRN) Natal Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4952-9733","authenticated-orcid":false,"given":"Lidya Nara Marques","family":"de Ara\u00fajo","sequence":"additional","affiliation":[{"name":"Department of Dentistry Federal University of Rio Grande do Norte (UFRN) Natal Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9623-6098","authenticated-orcid":false,"given":"Mutlu","family":"\u00d6zcan","sequence":"additional","affiliation":[{"name":"Dental Materials Unit Center for Dental and Oral Medicine Clinic for Fixed and Removable Prosthodontics and Dental Materials Science University of Zurich Zentrum f\u00fcr Zahnmedizin Zurich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0856-7178","authenticated-orcid":false,"given":"Rodrigo Oth\u00e1vio","family":"de Assun\u00e7\u00e3o e Souza","sequence":"additional","affiliation":[{"name":"Department of Dentistry Federal University of Rio Grande do Norte (UFRN) Natal Brazil"},{"name":"Department of Dentistry Federal University of Rio Grande do Norte (UFRN) Natal Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,15]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"crossref","first-page":"35","DOI":"10.17219\/dmp\/85000","article-title":"Influence of crown design and material on chipping\u2010resistance of all\u2010ceramic molar crowns: an in vitro study","volume":"55","author":"Alsarani M","year":"2018","journal-title":"Dent Med Probl"},{"key":"e_1_2_9_3_1","doi-asserted-by":"crossref","first-page":"247","DOI":"10.11138\/orl\/2017.10.3.247","article-title":"Clinical protocol with digital CAD\/CAM chairside workflow for the rehabilitation of severely worn dentition patients","volume":"10","author":"Germano F","year":"2017","journal-title":"Oral Implantol (Rome)"},{"key":"e_1_2_9_4_1","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1016\/j.jmbbm.2017.06.015","article-title":"Fracture, roughness and phase transformation in CAD\/CAM milling and subsequent surface treatments of lithium metasilicate\/disilicate glass ceramics","volume":"74","author":"Alao AR","year":"2017","journal-title":"J Mech Behav Biomed Mater"},{"key":"e_1_2_9_5_1","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1111\/jerd.12470","article-title":"Effects of substrate, ceramic thickness, translucency, and cement shade on the color of CAD\/CAM lithium disilicate crowns","volume":"31","author":"Czigola A","year":"2019","journal-title":"J Esthet Restor Dent 2006"},{"issue":"1","key":"e_1_2_9_6_1","first-page":"14S","article-title":"Materials for chairside CAD\/CAM\u2010produced restorations","volume":"137","author":"Giordano R","journal-title":"J Am Dent Assoc"},{"key":"e_1_2_9_7_1","doi-asserted-by":"crossref","first-page":"1484","DOI":"10.1016\/j.prosdent.2023.07.016","article-title":"Clinical performance of monolithic polymer\u2010infiltrated ceramic and lithium disilicate posterior crowns: A controlled, randomized, and double\u2010blind clinical trial","volume":"133","author":"Moura DMD","year":"2025","journal-title":"J Prosthet Dent"},{"key":"e_1_2_9_8_1","doi-asserted-by":"crossref","first-page":"e126","DOI":"10.1016\/j.dental.2020.01.004","article-title":"Effect of finishing\/polishing techniques and low\u2010temperature degradation on the surface topography, phase transformation and flexural strength of ultra\u2010translucent ZrO2 ceramic","volume":"36","author":"Vila\u2010Nova TEL","year":"2020","journal-title":"Dent Mater"},{"key":"e_1_2_9_9_1","first-page":"225","article-title":"Clinical performance of CAD\/CAM\u2010fabricated monolithic zirconia endocrowns on molars with extensive coronal loss of substance","volume":"21","author":"Zou Y","year":"2018","journal-title":"Int J Comput Dent"},{"key":"e_1_2_9_10_1","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1016\/j.prosdent.2018.11.016","article-title":"Monolithic CAD\/CAM lithium disilicate versus monolithic CAD\/CAM zirconia for single implant\u2010supported posterior crowns using a digital workflow: a 3\u2010year cross\u2010sectional retrospective study","volume":"123","author":"De Angelis P","year":"2020","journal-title":"J Prosthet Dent"},{"key":"e_1_2_9_11_1","doi-asserted-by":"crossref","first-page":"2523","DOI":"10.3390\/ijerph15112523","article-title":"Clinical outcomes of monolithic zirconia crowns with CAD\/CAM technology: a 1\u2010year follow\u2010up prospective clinical study of 65 patients","volume":"15","author":"Konstantinidis I","year":"2018","journal-title":"Int J Environ Res Public Health"},{"key":"e_1_2_9_12_1","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1177\/0022034517737483","article-title":"Novel zirconia materials in dentistry","volume":"97","author":"Zhang Y","year":"2018","journal-title":"J Dent Res"},{"key":"e_1_2_9_13_1","doi-asserted-by":"crossref","first-page":"3","DOI":"10.2341\/16-350-T","article-title":"Ultrathin monolithic zirconia veneers: reality or future? Report of a clinical case and 1\u2010year follow\u2010up","volume":"43","author":"Souza R","year":"2018","journal-title":"Oper Dent"},{"issue":"1","key":"e_1_2_9_14_1","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1186\/s12903-023-02771-z","article-title":"Clinical evaluation of marginal fit of uncemented CAD\u2010CAM monolithic zirconia three\u2010unit restorations in anterior areas, using scannable and conventional polyvinyl siloxane impression materials","volume":"23","author":"Kalantari MH","year":"2023","journal-title":"BMC Oral Health"},{"key":"e_1_2_9_15_1","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000017385","article-title":"Clinical evaluation of monolithic zirconia crowns for posterior teeth restorations","volume":"98","author":"Tang Z","year":"2019","journal-title":"Medicine (Baltimore)"},{"key":"e_1_2_9_16_1","doi-asserted-by":"crossref","first-page":"163","DOI":"10.11607\/ijp.6795","article-title":"Translucent zirconium dioxide and lithium disilicate: a 3\u2010year follow\u2010up of a prospective, practice\u2010based randomized controlled trial on posterior monolithic crowns","volume":"34","author":"Gardell E","year":"2021","journal-title":"Int J Prosthodont"},{"key":"e_1_2_9_17_1","doi-asserted-by":"crossref","first-page":"1252","DOI":"10.1016\/j.prosdent.2021.03.004","article-title":"Three\u2010year clinical performance of posterior monolithic zirconia single crowns","volume":"128","author":"Mikeli A","year":"2022","journal-title":"J Prosthet Dent"},{"key":"e_1_2_9_18_1","doi-asserted-by":"crossref","first-page":"574","DOI":"10.1111\/jopr.14078","article-title":"Clinical outcome of translucent zirconia and metal\u2010ceramic posterior crowns in a digital workflow: a 5\u2010year prospective randomized clinical trial","volume":"34","author":"Gseibat M","year":"2025","journal-title":"J Prosthodont"},{"key":"e_1_2_9_19_1","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1016\/j.prosdent.2022.05.029","article-title":"Survival analysis up to 7 years of 621 zirconia monolithic single crowns with feather\u2010edge margins fabricated with a cast\u2010free workflow starting from intraoral scans: a multicentric retrospective study","volume":"129","author":"Valenti M","year":"2023","journal-title":"J Prosthet Dent"},{"key":"e_1_2_9_20_1","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1016\/j.prosdent.2020.08.041","article-title":"Long\u2010term results of a randomized clinical trial of 2 types of ceramic crowns in participants with extensive tooth wear","volume":"127","author":"Hammoudi W","year":"2022","journal-title":"J Prosthet Dent"},{"key":"e_1_2_9_21_1","first-page":"546","article-title":"Clinical outcome of three different types of posterior all\u2010ceramic crowns: a 3\u2010year follow\u2010up of a multicenter, randomized, controlled clinical trial","volume":"36","author":"Le M","year":"2023","journal-title":"Int J Prosthodont"},{"key":"e_1_2_9_22_1","doi-asserted-by":"crossref","first-page":"315","DOI":"10.3390\/coatings11030315","article-title":"The importance of MDP priming, silica blasting or glazing on the retention force of Y\u2010TZP copings to varying geometry tooth abutments","volume":"11","author":"Ramos NC","year":"2021","journal-title":"Coatings"},{"key":"e_1_2_9_23_1","doi-asserted-by":"crossref","first-page":"614","DOI":"10.1111\/j.1532-849X.2012.00884.x","article-title":"The influence of different convergence angles and resin cements on the retention of zirconia copings","volume":"21","author":"Ali AO","year":"2012","journal-title":"J Prosthodont"},{"key":"e_1_2_9_24_1","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1016\/S0022-3913(09)60137-2","article-title":"The effect of preparation height and luting agent on the resistance form of cemented cast crowns under load fatigue","volume":"102","author":"Leong EWJ","year":"2009","journal-title":"J Prosthet Dent"},{"key":"e_1_2_9_25_1","doi-asserted-by":"crossref","first-page":"524","DOI":"10.1016\/S0022-3913(96)90012-8","article-title":"Retention of metal ceramic crowns cemented with resin cements: effects of preparation taper and height","volume":"76","author":"El\u2010Mowafy OM","year":"1996","journal-title":"J Prosthet Dent"},{"key":"e_1_2_9_26_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijadhadh.2026.104353","article-title":"Bond strength of resin cement to multilayer graded zirconia after saliva and blood contamination with different cleaning protocols","volume":"149","author":"Santos JVN","year":"2026","journal-title":"Int J Adhes Adhes"},{"key":"e_1_2_9_27_1","doi-asserted-by":"crossref","DOI":"10.1155\/2024\/6670159","article-title":"Bonding effectiveness of saliva\u2010contaminated monolithic zirconia ceramics using different decontamination protocols","volume":"2024","author":"Demir N","year":"2024","journal-title":"Biomed Res Int"},{"key":"e_1_2_9_28_1","doi-asserted-by":"crossref","first-page":"923","DOI":"10.1016\/j.dental.2017.04.027","article-title":"Effects of silane\u2010 and MDP\u2010based primers application orders on zirconia\u2010resin adhesion: a ToF\u2010SIMS study","volume":"33","author":"Chuang SF","year":"2017","journal-title":"Dent Mater"},{"key":"e_1_2_9_29_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.jdent.2024.105394","article-title":"Is zirconia surface etching a viable alternative to airborne particle abrasion? A systematic review and meta\u2010analysis of in vitro studies","volume":"151","author":"D'Alessandro C","year":"2024","journal-title":"J Dent"},{"key":"e_1_2_9_30_1","doi-asserted-by":"crossref","first-page":"693","DOI":"10.1007\/s10266-024-01007-y","article-title":"Effect of acid\u2010etching solution on surface properties, crystallography, and shear bond strength of ultra\u2010translucent zirconia to enamel","volume":"113","author":"Nasr DM","year":"2025","journal-title":"Odontology"},{"key":"e_1_2_9_31_1","doi-asserted-by":"crossref","first-page":"946","DOI":"10.1111\/jan.12875","article-title":"How to ask about patient satisfaction? The visual analogue scale is less vulnerable to confounding factors and ceiling effect than a symmetric Likert scale","volume":"72","author":"Voutilainen A","year":"2016","journal-title":"J Adv Nurs"},{"issue":"3","key":"e_1_2_9_32_1","doi-asserted-by":"crossref","first-page":"284","DOI":"10.2186\/jpr.JPR_D_20_00034","article-title":"Prospective study of monolithic zirconia crowns: clinical behavior and survival rate at a 5\u2010year follow\u2010up","volume":"65","author":"Sol\u00e1\u2010Ruiz MF","year":"2021","journal-title":"Journal of Prosthodontic Research"},{"key":"e_1_2_9_33_1","doi-asserted-by":"crossref","first-page":"877.e1","DOI":"10.1016\/j.prosdent.2023.09.008","article-title":"Longevity of extrinsic stains on monolithic zirconia restorations: an in vitro study","volume":"130","author":"Bayestehtarat S","year":"2023","journal-title":"J Prosthet Dent"}],"container-title":["Journal of Prosthodontics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jopr.70250","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jopr.70250","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jopr.70250","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T09:46:28Z","timestamp":1792057588000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jopr.70250"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,15]]},"references-count":32,"alternative-id":["10.1111\/jopr.70250"],"URL":"https:\/\/doi.org\/10.1111\/jopr.70250","archive":["Portico"],"relation":{},"ISSN":["1059-941X","1532-849X"],"issn-type":[{"value":"1059-941X","type":"print"},{"value":"1532-849X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,15]]},"assertion":[{"value":"2026-03-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"jopr.70250"}}