Method: Informed written consent of patients and Ethical Committee approval were obtained. 90 posterior teeth in need to be restored with porcelain layered zirconia crowns were selected. A standardized abutment preparation was performed with occlusal and axial reduction of 1.5 mm and a chanfer finishing line. After taking impression (EX’cellence, GC) the abutments were randomly divided in three groups of 30 samples each according with the coping design: Group 1: Flat design (FD); Group 2: Gripings design (GD); Group 3: Porcelain Fused to Metal design(PFMD). The crowns were made on Aadva (GC) and then luted with G-cem (GC). The patients were recalled after 1 year of clinical service.
Result: Group 1 showed 3 failures due to chipping, whilst Groups 2 and 3 did not show failure. No crown was replaced.
Conclusion: Zirconia coping with flat design (FD) showed chipping already after 1 year of clinical service. The FD should be avoided in daily practice.