Metal-ceramic vs. zirconia – these are the advantages and disadvantages

Today we reopen our “CADdent Ring”. The opponents: metal-ceramic in the left corner, zirconium in the right. Who will take home the win? You may have made this decision for yourself a long time ago. Perhaps one or the other argument will surprise you, or you can expand the pros and cons list for practitioners and patients.

Profitability

With zirconia, a material has been developed that meets the aesthetic demands of patients and at the same time is economical for patients and the dental laboratory. In this way, aesthetic dentures are also affordable for the average consumer.

Metallkeramik vs. Zirkon

While the ceramic veneering made by dental technicians represents an enormous amount of work, requires specialists and additional material costs, a zirconia restoration is also harmoniously integrated into the smile of patients. Not with the same finesse of a ceramic artist, of course - who excels at imitating nature – but, according to the current development of this material, still far better than a metal surface.

In current times, when there is a lack of skilled workers everywhere, it is a very good alternative.

Aesthetics

Let's first take a look at the right corner of our ring and deal with the aesthetic aspects of zirconia restorations:

Zirconia has a natural look due to its own translucency. In the meantime, the development of this material has progressed so far that the color comes close to the natural tooth color without ceramic veneering and only with little effort in reworking.

In the case of a restoration with translucent zirconia, however, it should be noted that if the die to be crowned is discolored, this circumstance has a negative impact on the desired result and leads to a greyish effect.

At this point we distinguish between full zirconia crowns and zirconia copings to be veneered. In esthetically challenging areas, such as the front teeth, veneered copings should be used. The full zirconia crown for the posterior area is a cheap alternative among the possibilities of dentures, especially when patients do not want to use a metal crown. But a ceramic veneering made by dental technicians cannot replace anything in terms of aesthetics.

Another plus point for the aesthetics of zirconia is that when the gums recede, no metallic edge appears. In addition, unsightly metal bites can be dispensed with in very difficult space conditions - here only the zirconia areas shine through and they can be improved by additional shading.

How about the aesthetics of metal-ceramic restorations:

With ideal space conditions, this type of restoration achieves a very natural result. However, in practice it is often different than desired, because in the rarest of cases the space conditions are ideal. As a result, the lack of layer thickness and the incidence of light may cause the metal core to shimmer darkly. From an aesthetic point of view, the treatment will then unfortunately not satisfy the patient.

In addition to the metallic framework or the dark die shining through, receding gums are also an issue. If the gums recede slightly, the dark crown edge of the metal framework becomes visible in metal frameworks. This problem does not exist with zirconia crowns.

Biocompatibility

Zirconia does not contain any substances that are toxic to humans. This material is therefore harmless, even if something should come loose from the chemical compound. In addition, according to the current state of research, it has no allergic potential.

Unlike many metals, zirconia has high chemical stability. It reacts neither in the oral environment nor in the bone or soft tissue environment.

In summary, this means that zirconia is a material with high biocompatibility.

Metal-ceramic restorations can also show a high degree of biocompatibility. It depends on which metal (cobalt-chromium (CoCr), titanium, gold) is used.

You can read more about biocompatible materials in the article: “The Big 3 of biocompatible materials in dental technology”.

Technical and physical properties

Due to the nature of the material, greater edge and wall thicknesses must be observed for zirconia restorations. The space requirement is therefore higher than with metal-ceramic solutions.

In addition, when planning patient work, it should be considered that dental prostheses made of zirconia - in contrast to those made of metal - cannot be expanded.

The bending elasticity is also a lot higher with metal frameworks, which is why metal-ceramic bridges rarely break.

Although monolithic frameworks made of zirconia break more easily than metal-ceramic frameworks, since there is no ceramic veneer, they cannot flake off in the patient's mouth either.

In addition, zirconia is a poor conductor of temperature. The risk of complaints due to food that is too warm or too cold is therefore minimized.

Summary - metal-ceramic vs. zirconia

Both variants of dentures have a high level of biocompatibility, i.e. good tissue compatibility with bone and soft tissue (gums). The high biocompatibility of both materials is also reflected in good corrosion resistance.

Zirconia impresses as a material for dentures with a natural look due to its translucency. Additional plus points are the protection of the antagonist, the absence of metal in the restoration and the avoidance of chipping of the ceramic in monolithic restorations.

Metal restorations, on the other hand, score highly with their high flexural strength. This reduces the risk of breakage to a minimum. The color can be precisely adapted to the patient's case with the individually designed ceramic facing. Last but not least, the area of application of metal-ceramic restorations is much more flexible.

CONCLUSION

Due to the amount of arguments on the pro side, at first glance it seems like zirconia is winning the battle. From our point of view, however, the arguments on the pro side of metal-ceramic frameworks weigh more heavily. As in the articles “3Shape vs. exocad” or “LaserMelting vs. milling”, we say here too: there is no clear winner It always depends on the patients and their aesthetic demands, intolerances and their price sensitivity, on the range of the dentures, on the type of care and also on the progress of digitization in the dental laboratory.

Decide for yourself which material should be used for which work. You know your customers and their patients best. If you have any questions about our materials, do not hesitate to call us. Our experts will be glad to advise you!