<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0034-7507</journal-id>
<journal-title><![CDATA[Revista Cubana de Estomatología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Estomatol]]></abbrev-journal-title>
<issn>0034-7507</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-75072019000400009</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Fracasos de las restauraciones cerámicas en base de circonio]]></article-title>
<article-title xml:lang="en"><![CDATA[Failure of zirconia-based ceramic restorations]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Velastegui]]></surname>
<given-names><![CDATA[Cristina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Toro]]></surname>
<given-names><![CDATA[Mauricio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chaple Gil]]></surname>
<given-names><![CDATA[Alain Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez]]></surname>
<given-names><![CDATA[Gloria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández]]></surname>
<given-names><![CDATA[Eduardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Chile  ]]></institution>
<addr-line><![CDATA[Santiago de Chile ]]></addr-line>
<country>Chile</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Politécnica y Artística del Paraguay  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Chile Facultad de Odontología Departamento de Odontología Protésica]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Chile</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de Ciencias Médicas de La Habana Facultad de Ciencias Médicas &#8220;Victoria de Girón&#8221; Departamento de Estomatología General Integral]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad de Chile Departamento de Odontología Restauradora ]]></institution>
<addr-line><![CDATA[Santiago de Chile ]]></addr-line>
<country>Chile</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Universidad Autónoma de Chile Instituto de Investigaciones Biomédicas ]]></institution>
<addr-line><![CDATA[Santiago de Chile ]]></addr-line>
<country>Chile</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>56</volume>
<numero>4</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-75072019000400009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-75072019000400009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-75072019000400009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  Existen numerosos tipos de fracaso en las restauraciones cerámicas en base de circonio, cerámicas sobre base o núcleo de circonio siendo el agrietamiento uno de los más frecuentes.  Objetivo:  Describir las asociaciones de los fracasos en las prótesis con núcleo de circonio y laminadas con cerámicas de recubrimiento.  Métodos:  Se realizó una revisión bibliográfica sobre los fracasos de la cerámica de restauraciones de circonio y sus mecanismos en MEDLINE, PubMed y SciELO. La búsqueda se orientó a artículos publicados fundamentalmente en los últimos 5 años sin hacer distinciones de idioma. Los tópicos consultados en la revisión estuvieron referidos a estudios experimentales en humanos, animales e in vitro que incluyeran los tópicos de fracaso, longevidad de restauraciones, mecanismos de fracaso, fracturas y tipos de ellas.  Análisis e integración de la información:  Se profundiza en el tema de los fracasos de la cerámica de restauraciones de circonio. La causa de fracaso más prevalente es el agrietamiento, en sus distintos grados que alcanzan hasta tasas de 16 % a los 5 años, lo que representa una causa de fracaso relevante. No existe evidencia de unión química entre el núcleo de circonio y la cerámica de revestimiento, esto explicaría la génesis de las fracturas.  Conclusiones:  Las complicaciones más comunes encontradas en restauraciones de núcleo de circonio recubiertas con porcelana están asociadas con el agrietamiento de la porcelana de recubrimiento, a las fracturas del núcleo de circonio que se asocian fundamentalmente a traumas y hábitos parfuncionales; la pérdida de retención y problemas endodónticos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  There are numerous types of failure in zirconia-based ceramic restorations, i.e. ceramic restorations on a zirconia base or core, cracking being one of the most common.  Objective:  Describe the association between failure in zirconia-core and ceramic-veneered prostheses.  Methods:  A bibliographic review was conducted about failure in zirconia-based ceramic restorations and its mechanisms in the databases MEDLINE, PubMed and SciELO. The search was aimed at papers published in any language mainly in the last five years. Papers were searched for which referred to experimental studies in humans, animals and in vitro, and dealt with the topics of failure, longevity of restorations, failure mechanisms, fractures and their types.  Data analysis and integration:  The topic of failure in zirconia-based ceramic restorations was studied in depth. The leading cause of failure is cracking in its various degrees, which reaches rates of up to 16% at five years, a relevant failure level. No evidence was found of chemical bonding between the zirconia core and the veneering ceramic, which would otherwise explain the genesis of fractures.  Conclusions:  The most common complications found in zirconia-core restorations covered with porcelain are associated to cracking of the veneering porcelain, fractures in the zirconia core mainly caused by traumas and parafunctional habits, retention loss and endodontic problems.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[estética]]></kwd>
<kwd lng="es"><![CDATA[cerámica]]></kwd>
<kwd lng="es"><![CDATA[circonio]]></kwd>
<kwd lng="es"><![CDATA[fallo protésico]]></kwd>
<kwd lng="en"><![CDATA[aesthetics]]></kwd>
<kwd lng="en"><![CDATA[ceramic]]></kwd>
<kwd lng="en"><![CDATA[zirconia]]></kwd>
<kwd lng="en"><![CDATA[prosthesis failure]]></kwd>
</kwd-group>
</article-meta>
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