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A Piece of Tooth Is Missing: An All-Ceramic Crown, Veneer, or 3D-Milled Restoration? First Ask “How Much Tooth Structure Remains?” and “Where Is the Defect?”|證據鏈

When a dentist says, “this tooth needs a prosthetic restoration”, you may hear three terms: all-ceramic crown (covering the entire tooth), veneer (a thin ceramic layer covering only the labial surface of an anterior tooth), and 3D-milled restoration (an inlay/onlay: a partial-coverage restoration made with digital design and a milling machine). It is easy to find the survival rate for each online and then rank them intuitively. But that comparison is misleading, for reasons stated clearly in the literature. A systematic review and meta-analysis of 46 articles, covering 1,715 participants and 4,209 restorations, calculated cumulative survival rates for four types of glass-ceramic restoration at the same time:

A Piece of Tooth Is Missing: An All-Ceramic Crown, Veneer, or 3D-Milled Restoration? First Ask “How Much Tooth Structure Remains?” and “Where Is the Defect?”|證據鏈

本頁逐條列出本卡每一個 [Fn] 標記對應的文獻出處。

  • F1|Biomechanical consideration in tooth-supported glass-ceramic restorations: A systematic review and meta-analysis of survival rates and irreparable failures. [PMID:38849264](https://pubmed.ncbi.nlm.nih.gov/38849264/)
  • F2|Survival of Ceramic Veneers: Impact of Dentin Exposure and Tooth Vitality After 1 to 15 Years of Follow-Up. [PMID:40755189](https://pubmed.ncbi.nlm.nih.gov/40755189/)
  • F3|A comparative evaluation of prosthetic and clinical outcomes influenced by two digitally fabricated extracoronal restorations: An onlay and a full crown: A prospective, cross-arch randomized study. [PMID:40213887](https://pubmed.ncbi.nlm.nih.gov/40213887/)
  • F4|Survival and Complications of Partial Coverage Restorations on Posterior Teeth - A Systematic Review and Meta-Analysis. [PMID:39558793](https://pubmed.ncbi.nlm.nih.gov/39558793/)
  • F5|Comparative evaluation of clinical performance of ceramic and resin inlays, onlays, and overlays: A systematic review and meta analysis. [PMID:36187858](https://pubmed.ncbi.nlm.nih.gov/36187858/)

FAQ

The survival rate of all-ceramic crowns looks highest. Should I simply have an all-ceramic crown?
That inference is not advisable. In the same meta-analysis, the 96% survival rate for single crowns corresponded to a mean follow-up of **4.6 years**, while 90% for partial-coverage restorations corresponded to **6.2 years** and 90.2% for veneers to **6.5 years** [F1]. Figures with different follow-up periods cannot be compared side by side. These restorations were also used for different extents of defects, rather than being tested in a randomised head-to-head trial [F1].
オールセラミッククラウンの生存率が最も高く見えます。最初からオールセラミッククラウンにすべきですか?そのような推論は勧められません。同じメタアナリシスで、単冠の生存率 96%に対応する平均追跡期間は**4.6年**でしたが、部分被覆修復物の 90%は**6.2年**、ラミネートベニアの 90.2%は**6.5年**でした [F1]。追跡期間が異なるため、数値を直接並べて比較することはできません。また、これらの修復物はもともと異なる欠損範囲に用いられており、ランダム割付による直接比較試験ではありません [F1]。
The survival rate of all-ceramic crowns looks highest. Should I simply have an all-ceramic crown?That inference is not advisable. In the same meta-analysis, the 96% survival rate for single crowns corresponded to a mean follow-up of **4.6 years**, while 90% for partial-coverage restorations corresponded to **6.2 years** and 90.2% for veneers to **6.5 years** [F1]. Figures with different follow-up periods cannot be compared side by side. These restorations were also used for different extents of defects, rather than being tested in a randomised head-to-head trial [F1].

Cite this article

Lucy・《A Piece of Tooth Is Missing: An All-Ceramic Crown, Veneer, or 3D-Milled Restoration? First Ask “How Much Tooth Structure Remains?” and “Where Is the Defect?”|證據鏈》・IDAEO 知識庫・2026-08-16・https://km.idaeo.ai/post/reports/dental-crown-veneer-inlay-choice-framework-evidence

Updated 2026-08-19

更新 2026-08-19T13:24:34.364Z · server-rendered · four-language · IDAEO 知識庫