Zirconium Crowns in Turkey: Durable & Aesthetic Dental Solutions

The application of zirconium crowns is a multi-stage process involving collaboration between the dentist and dental technician. This includes correct diagnosis, proper tooth preparation, precise impressions, the laboratory phase, and finally bonding the crown to the tooth.

When you come to our clinic, our dentist will assess your oral and dental health. At this stage, any teeth requiring crowns will be identified, existing restorations will be evaluated, and a treatment plan will be created. Taking into account your expectations and aesthetic requirements, our dentist will determine the suitability of the zirconia crown and the type of zirconia to be used (e.g., monolithic or multilayer).

Tooth preparation:

Our dentist will prepare the tooth or teeth on which the crown will be placed. During this process, approximately 1–1.5 mm of tooth tissue is removed from around the tooth. It is important to make a uniform cut around the tooth. This ensures that the crown fits properly and looks good. Rounded lines are created to avoid sharp corners and transitions. This improves the fit of the crown and reduces stress.

• On the anterior teeth, a 1-1.5 mm cut is made on the incisal (cutting edge) area and surface, and a concave cut is made on the lingual surface (lingual side).
• On the posterior teeth, 1.5-2 mm is cut from the occlusal (chewing surface) area and 1-1.5 mm from the axial (lateral) surfaces.

Taking impressions:

After tooth preparation is completed, an impression is taken from your mouth. This impression is used to obtain the model to be used in the laboratory to make the crown. Measurements can be taken using traditional impression-taking methods (with silicone impression materials) or digital scanners. Digital scanning methods allow more precise measurements to be taken.

Laboratory phase, CAD (computer-aided design) and CAM (computer-aided manufacturing):

The impression or digital scan data is sent to the laboratory. In the laboratory, zirconium crowns are usually produced using CAD/CAM (computer-aided design/computer-aided manufacturing) technology.

A 3D model of the tooth is designed in a computer environment using specialised software. At this stage, the shape, size, and fit of the crown are carefully determined.

The designed crown is cut from zirconium blocks with special milling machines. The zirconia is usually processed into “green” blocks and then hardened by sintering at high temperatures of 1500-1550°C. This process gives the crown its final shape and durability.

Colouring:

After sintering, the crown can be tinted to match the natural tooth colour.

Proofing and fit check:

The zirconium crown, which has been prepared in the laboratory, is sent to our dentist. They place the crown in your mouth and check its fit, edge adaptation, and occlusion (how you bite). If necessary, they make minor corrections.

Bonding:

After the fit check, the zirconium crown is ready to be bonded to the tooth. MDP resin cements are preferred for zirconium crowns, as these cements form a strong chemical bond with the zirconium surface, ensuring the crown remains in place for a long time. The cement is applied to the tooth and inside the crown, after which the crown is placed on the tooth and gently pressed into position. Any excess cement is then removed. The cement hardens with light or by itself. The occlusion is checked again, and any necessary corrections are made.

Check-ups:

Regular dental check-ups are important after the application of zirconium crowns.

The advantages of zirconium crowns stem from both their aesthetic and functional properties. We can summarise the advantages of zirconium crowns as follows:

• Zirconium perfectly mimics the appearance of natural teeth. Since it does not contain metal, it transmits light like natural teeth and does not create dark discolouration in the gum line. In this way, it meets high aesthetic expectations, especially in the front teeth.
• Zirconium has exceptional bending strength and hardness. Thanks to these properties, it is highly resistant to chewing forces and abrasion. This ensures the longevity of zirconium crowns.
• Zirconium is a 100% biocompatible material that interacts naturally with body tissues and is unlikely to cause allergic reactions. It is a safe alternative for patients with metal allergies.
• Unlike traditional metal-backed crowns, zirconium crowns are metal-free. This makes it an ideal option for patients with metal allergies, as well as positively affecting the aesthetic appearance. Since there is no metal reflection, it offers a more natural appearance.
• Zirconium crowns are produced with CAD/CAM (Computer Aided Design/Computer Aided Manufacturing) technology. Thanks to this technology, crowns are designed and manufactured much more precisely. This ensures a perfect fit of the crown to the tooth and better retention.
• The smooth and polished surface of zirconium minimises plaque buildup. This helps maintain gum health and reduces gum irritation.
• Zirconium is colour stable and does not discolour or fade over time. This means that crowns retain their aesthetic appearance for a long time.
• Zirconia crowns have a wide range of applications, from single tooth restorations to bridges, implant abutments, and implant overdentures.
• In some cases, tooth preparation for zirconia crowns may require less tooth abrasion than for metal ceramic crowns.
• Zirconium crowns can be adapted to different clinical situations and patient needs. With a choice of monolithic, veneered, or multilayer zirconia, different aesthetic and functional requirements can be met.
• Because zirconium is a biocompatible material, it is compatible with oral tissues. It does not cause problems such as inflammation or irritation of the gums.

• Zirconium crowns are generally more costly than traditional metal-supported crowns. This can make zirconium crowns a less accessible option for some patients.
• In some cases, zirconia crowns may require the removal of more tooth tissue than metal-backed crowns.
• Zirconium is a naturally opaque material. Therefore, it can be difficult to achieve full colour matching with natural teeth, especially with monolithic zirconium crowns.
• When porcelain veneers are placed over the zirconium substructure (especially preferred for a more aesthetic appearance on the front teeth), there is a risk of cracking or fracture of the porcelain. This can occur especially in areas where chewing forces are high or in malocclusions. The porcelain crown may need to be repaired or replaced.
• When zirconia crowns are damaged, they can be more difficult to repair than conventional crowns. In particular, in cases of fractures or cracks, the crown may need to be completely replaced.
• The high hardness of zirconium can, in some cases, cause abrasion of the opposing teeth, which can be particularly noticeable in patients who have a habit of teeth grinding (bruxism).
• Unlike stainless steel crowns, zirconium crowns cannot be crimped. Therefore, the tooth needs to be precisely prepared so that the crown fits perfectly on the tooth.
• Zirconium has a chemically inert surface, making it difficult to bond with some adhesives.
• Gingival bleeding and inflammation may occur during zirconium crown preparation. This can cause problems, especially during bonding of the crown, and can adversely affect the bonding procedure.

The duration of aesthetic zirconium treatments can vary depending on several factors and usually involves several visits.

• This stage usually requires a visit to a dentist and takes about 30-60 minutes.
• Tooth preparation can take 1-2 hours, depending on the number and complexity of teeth.
• Measurement takes about 15–30 minutes. Digital scanning methods can be faster.
• The laboratory phase can take a few days to a week, depending on the lab's workload and the complexity of the restoration.
• Placing the crown in the patient's mouth and checking the fit, edge adaptation, and occlusion takes about 30-60 minutes. If necessary, minor corrections are made, and the patient can see the colour and shape of the crown at this stage.
• After the fit check, the zirconium crown is ready to be cemented to the tooth. The cementation process takes approximately 30-60 minutes.
• Once the treatment is complete, our dentist may ask for one or two more follow-up appointments in a few weeks. These appointments usually take 15–30 minutes.
• The total duration of the zirconium crown treatment can usually take several weeks. In simple cases, 2-3 weeks may be sufficient, whereas in more complex cases, this can take up to 4-6 weeks.
• Simple restorations, such as single tooth crowns, can be completed more quickly, while more extensive treatments, such as multiple crowns or bridges, can take longer.
• In some cases, laboratory processes can be accelerated, and zirconium crowns can be applied in a single day in some clinics.
• Additional treatments: If necessary, additional procedures such as root canal treatment or gum treatment can prolong the treatment process.

Caring for zirconium teeth is similarly important to caring for natural teeth and should be done regularly to maintain oral health. Here are the things to consider for the care of zirconium teeth:

• Brush your teeth at least twice a day, morning and evening, using fluoride toothpaste. Brushing should cover all surfaces of the teeth (front, back, and chewing surfaces).
• Use dental floss or an interdental brush to remove plaque and food debris from between teeth. Floss should be applied carefully all the way below the gum line.
• In addition to brushing and flossing, using an antiseptic mouthwash promotes oral hygiene.
• Once you have your zirconium teeth, go for regular check-ups at intervals recommended by your dentist. At these checkups, the overall health of your teeth and gums will be assessed.
• Get periodic professional dental cleanings by your dentist or dental hygienist. This removes plaque and tartar buildup from your teeth and protects your gum health.
• Sugary and acidic foods and drinks can cause tooth decay and gum problems. Limit the consumption of such foods or rinse your mouth with water after consuming them.
• Eat a balanced and healthy diet for your dental health. Take care to consume plenty of fruits, vegetables, and fibre-rich foods.
• Although zirconium teeth are durable, avoid biting down on extremely hard foods (ice, nuts, etc.). This prevents damage to the crowns or bridges.
• If you have a problem such as teeth grinding or clenching, you can use night aligners in consultation with your dentist. This will prolong the life of your zirconium teeth.
• Smoking and tobacco products negatively affect the health of teeth and gums. It can also cause changes in the color of zirconium restorations.
• Make sure that the zirconium crowns or bridges fit your teeth perfectly. If you feel any discrepancy, contact your dentist.
• Check the color and aesthetics of your zirconium teeth regularly. If you notice any changes, consult your dentist.
• If you think there is a problem with the adhesive (loosening, etc.), contact your dentist.

The most suitable candidates for zirconium crowns are:

• Those who want a natural appearance on the front teeth (zirconium is more transparent and closer to tooth color than metal-supported porcelain).
• Those who want to have a smile design.
• Those with metal allergies (nickel, etc.) (Zirconium is completely metal-free, or some types contain oxides but are hypoallergenic.).
• Those who want a long-lasting and durable restoration: Back teeth that require materials resistant to chewing force (especially highly resistant ceramics such as lithium disilicate or zirconium).
• Patients with bruxism (clenching) who use night plates (zirconium wears less than porcelain).
• Those who care about gum health: Zirconium is a material with excellent gum compatibility, suitable for those with gum recession or sensitivity.
• Those who will use implant prosthesis: Zirconium can be preferred for aesthetics and function in implant crowns.

• If the teeth are too worn or small, there may not be enough thickness for a zirconium crown (zirconium has a minimum thickness requirement). In this case, metal-supported porcelain crowns or composite laminates may be more suitable.
• In patients with severe clenching (bruxism), more flexible materials (e.g., lithium disilicate) or a night plate may be recommended.
• For long bridges, zirconium may not offer as high resistance as metal-backed crowns. Hybrid bridges with metal-supported porcelain or zirconium substructures may be considered.
• Zirconium is more expensive than traditional metal-ceramic crowns. More economical options (metal-supported porcelain) may be preferred.
• Although gingival compatibility of zirconium is excellent in some patients, special types of zirconium (translucent ceramics) may be required for very sensitive gums.

• If your priority is aesthetics, Emax or laminate veneer.
• If durability is important : porcelain or gold crown with metal support.
• If you want a budget-friendly option, composite crowns are a temporary solution.

The prices of zirconium dental crowns in Turkey vary depending on factors such as the region where the clinics are located, the quality of the material used, and the expertise of the dentist. Therefore, zirconium dental crown prices range from approximately 175 euros to 269 euros, and you can contact ViviMediile to find out the current prices.

Will I feel pain during zirconium crown application?

Since local anaesthesia is used during zirconium crown application, the procedure is painless. Slight sensitivity after the procedure is normal.

How long do zirconium crowns last?

Zirconium crowns are known for their high durability and longevity, but their lifespan varies according to care, usage habits, and the physician's application technique. Average lifespan: 10-15 years. With good care, it can be up to 20 years.

Is teeth whitening done after a zirconia crown?

Teeth whitening (bleaching) is not recommended after zirconia crowns are made because the color of zirconium does not change. However, bleaching should be planned before the crown is placed.