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Zirconia abutment

Irena Sailer, Asgeir G Asgeirsson, Daniel S Thoma, Vincent Fehmer, Thor Aspelund, Mutlu Özcan, Bjarni E Pjetursson
BACKGROUND: There is limited knowledge regarding the strength of zirconia abutments with internal and external implant abutment connections and zirconia abutments supported by a titanium resin base (Variobase, Straumann) for narrow diameter implants. OBJECTIVES: To compare the fracture strength of narrow diameter abutments with different types of implant abutment connections after chewing simulation. MATERIAL AND METHODS: Hundred and twenty identical customized abutments with different materials and implant abutment connections were fabricated for five groups: 1-piece zirconia abutment with internal connection (T1, Cares-abutment-Straumann BL-NC implant, Straumann Switzerland), 1-piece zirconia abutment with external hex connection (T2, Procera abutment-Branemark NP implant, Nobel Biocare, Sweden), 2-piece zirconia abutments with metallic insert for internal connection (T3, Procera abutment-Replace NP implant, Nobel Biocare), 2-piece zirconia abutment on titanium resin base (T4, LavaPlus abutment-VarioBase-Straumann BL-NC implant, 3M ESPE, Germany) and 1-piece titanium abutment with internal connection (C, Cares-abutment-Straumann BL-NC implant, Straumann, Switzerland)...
March 11, 2018: Clinical Oral Implants Research
Craig L Sikora, Maria F Alfaro, Judy Chia-Chun Yuan, Valentim A Barao, Cortino Sukotjo, Mathew T Mathew
PURPOSE: Dental implants have been shown to have predictable success, but esthetic complications often arise. To reduce tissue shadowing from titanium, zirconia abutments may be used; however, the literature suggests that the use of zirconia leads to greater destruction of the implant interface that may result in biological complications such as titanium tattoos and heavy metal toxicity. Previous studies have examined the mechanical aspects of this implant/abutment relationship, but they have not accounted for the corrosive degradation that also takes place in the dynamic environment of the oral cavity...
March 9, 2018: Journal of Prosthodontics: Official Journal of the American College of Prosthodontists
Maren Teichmann, Anna Lena Wienert, Marcia Rückbeil, Volker Weber, Stefan Wolfart, Daniel Edelhoff
OBJECTIVES: To prospectively evaluate the clinical long-term outcome of 3- to 6-unit fixed dental prostheses (FDPs) made of hot isostatic pressed (HIP) zirconia frameworks, veneered with a synthetic sintering glass-ceramic. MATERIALS AND METHODS: A total of 27 different restorations were cemented in 21 patients. FDPs were examined with regard to biological and technical complications/failures. Additionally, clinical quality was assessed based on (i) the California Dental Association (CDA) criteria, (ii) the patient's viewpoint according to Hickel, and (iii) periodontal parameters...
March 8, 2018: Clinical Oral Investigations
Amr G ElHoussiney, He Zhang, Jinlin Song, Ping Ji, Lu Wang, Sheng Yang
Purpose: To compare the failure events and incidence of complications of different abutment materials in anterior and posterior regions. Failure was defined as complete loss of the abutment requiring replacement by a new abutment. Materials and methods: Electronic searches using PubMed/Medline and Google Scholar complemented with manual searches were performed with specific search terms. Searches were restricted to publications in English between January 2006 and March 2016...
2018: Clinical, Cosmetic and Investigational Dentistry
Aki Kitaoka, Ryo Akatsuka, Hiroaki Kato, Nobuhiro Yoda, Keiichi Sasaki
PURPOSE: This study aimed to prospectively evaluate the clinical performance of monolithic zirconia crowns made of yttria-stabilized tetragonal zirconia polycrystal. MATERIALS AND METHODS: A total of 26 crowns placed on premolar or molar teeth in 18 patients were evaluated at the time of crown placement and at 2 weeks, 6 months, 1 year, and 2 years after placement. RESULTS: Twenty-five crowns rated as satisfactory according to the California Dental Association quality evaluation system...
March 2018: International Journal of Prosthodontics
Shareen H Elshiyab, Noor Nawafleh, Andreas Öchsner, Roy George
PURPOSE: The aim of this in vitro study was to investigate the fracture resistance under chewing simulation of implant-supported posterior restorations (crowns cemented to hybrid-abutments) made of different all-ceramic materials. MATERIALS AND METHODS: Monolithic zirconia (MZr) and monolithic lithium disilicate (MLD) crowns for mandibular first molar were fabricated using computer-aided design/computer-aided manufacturing technology and then cemented to zirconia hybrid-abutments (Ti-based)...
February 2018: Journal of Advanced Prosthodontics
Niwut Juntavee, Issarawas Sirisathit
Objective: This study evaluated marginal accuracy of full-arch zirconia restoration fabricated from two digital computer-aided design and computer-aided manufacturing (CAD-CAM) systems (Trios-3 and CS3500) in comparison to conventional cast metal restoration. Materials and methods: A stainless steel model comprising two canine and two molar abutments was used as a master model for full-arch reconstruction. The canine and molar abutments were machined in a cylindrical shape with 5° taper and chamfer margin...
2018: Clinical, Cosmetic and Investigational Dentistry
Takatsugu Yamamoto, Yohei Sato, Hidehiko Watanabe, Amit Punj, Minoru Abe, Yasuko Momoi, Chikahiro Ohkubo
The objective of this case report is to introduce a simple technique for simultaneously taking a closed-mouth impression and functionally generated path (FGP) for a full coverage crown restoration. A monolithic zirconia crown was the restoration of choice. An alginate impression of the abutment tooth was taken to fabricate a custom-made closed-mouth impression tray covering the abutment tooth and the adjacent teeth. The tray had an FGP table and an abutment tray in cameo and intaglio surfaces, respectively...
February 2018: Restorative Dentistry & Endodontics
Hiroki Takata, Futoshi Komine, Junichi Honda, Markus B Blatz, Hideo Matsumura
OBJECTIVES: The purpose of this in vitro study was to evaluate fracture loads of implant-supported zirconia-based prostheses fabricated with different veneer materials (resin-based material and lithium disilicate ceramics). MATERIAL AND METHODS: Forty-four zirconia-based molar prostheses were fabricated on dental implants and divided into four groups (n = 11): zirconia-based prostheses veneered with feldspathic porcelain (ZVF), zirconia-based prostheses bonded with the lithium disilicate glass-ceramic veneer (ZBD), zirconia-based prostheses veneered with indirect composite resin (ZVC), and zirconia-based prostheses bonded with composite materials fabricated from a CAD/CAM resin block (ZBC)...
February 27, 2018: Clinical Oral Implants Research
Burak Yilmaz, Ediz Kale, William M Johnston
STATEMENT OF PROBLEM: Computer-aided design and computer-aided manufacturing (CAD-CAM) high-density polymers (HDPs) have recently been marketed for the fabrication of long-term interim implant-supported fixed prostheses. However, information regarding the precision of fit of CAD-CAM HDP implant-supported complete-arch screw-retained prostheses is scarce. PURPOSE: The purpose of this in vitro study was to evaluate the marginal discrepancy of CAD-CAM HDP complete-arch implant-supported screw-retained fixed prosthesis frameworks and compare them with conventional titanium (Ti) and zirconia (Zir) frameworks...
February 21, 2018: Journal of Prosthetic Dentistry
Nejat Nizam, Aliye Akcalı
This case series describes a treatment method in which the natural tooth was used as the temporary and permanent reconstruction after immediate implantation in the esthetic zone of periodontally compromised patients. Five patients with a hopeless tooth in the esthetic zone due to periodontal causes were included. The tooth was extracted, and immediate implantation protocol was followed. The extracted tooth was adapted over a temporary abutment during the osseointegration period, and the same tooth served as the final prosthetic reconstruction with a customized zirconia abutment...
February 16, 2018: International Journal of Periodontics & Restorative Dentistry
Ji-Won Kim, Gye-Jeong Oh, Hyun-Pil Lim, Kwi-Dug Yun, Chan Park, Kyung-Ku Lee, Jae-Sam Ban, Sang-Won Park, Eun-Kyung Yim
The purpose of this study was to evaluate the fitness of zirconia cores according to the amount and treated surface of glass infiltration. A maxillary right central incisor customized abutment was milled to have a 6° slope and a 1 mm deep chamfer margin and was manufactured in an intaglio mold using silicone impression material. Fifty-six stone dies were produced by injecting high strength dental stone into a mold and then zirconia cores were milled with CAD/CAM systems. The control group (Control) used non glass-infiltrated zirconia, and the experiment group was divided by one with the glass and distilled water ratio of 1:300 and the other with the ratio of 1:100...
February 1, 2018: Journal of Nanoscience and Nanotechnology
Adrian Bösch, Ronald Ernst Jung, Irena Sailer, Benic Goran, Christoph Hans Hämmerle, Daniel Stefan Thoma
The aim of this study was to compare customized zirconia and titanium abutments with respect to survival rates and technical, biologic, and esthetic outcomes. A total of 28 patients with single implants were randomly assigned to 12 customized zirconia (test, AC) and 16 customized titanium (control, MC) abutments. Technical, biologic, and esthetic outcomes were assessed after a mean follow-up time of 18 months. No biologic complications were observed, and no statistical difference for the bone-to-implant distance was found at 18 months (AC -0...
March 2018: International Journal of Periodontics & Restorative Dentistry
Reji P Gopalan, Vivek V Nair, K Harshakumar, R Ravichandran, S Lylajam, Prasanth Viswambaran
Background: Different pattern materials do not produce copings with satisfactory, marginal accuracy when used on stone dies at varying time intervals. Purpose: The purpose of this study was to evaluate and compare the vertical marginal accuracy of patterns formed from three materials, namely, thermoplastic resin, light cured wax and inlay casting wax at three-time intervals of 1, 12, and 24 h. Methodology: A master die (zirconia abutment mimicking a prepared permanent maxillary central incisor) and metal sleeve (direct metal laser sintering crown #11) were fabricated...
January 2018: Journal of Indian Prosthodontic Society
Bora Lee, Kyung Chul Oh, Daewon Haam, Joon-Hee Lee, Hong-Seok Moon
STATEMENT OF PROBLEM: Intraoral scanners are effective for direct digital impression when dental restorations are fabricated using computer-aided design and computer-aided manufacturing (CAD-CAM); however, if the abutment tooth cannot be dried completely or the prepared margin is placed subgingivally, accurate digital images cannot always be guaranteed. PURPOSE: The purpose of this in vitro study was to compare the internal and marginal discrepancies of zirconia copings fabricated directly using an intraoral scanner with those fabricated indirectly with impression scanning...
February 7, 2018: Journal of Prosthetic Dentistry
Burak Yilmaz, Faris A Alshahrani, Ediz Kale, William M Johnston
STATEMENT OF PROBLEM: Veneering with porcelain may adversely affect the marginal fit of long-span computer-aided design and computer-aided manufacturing (CAD-CAM) implant-supported fixed prostheses. Moreover, data regarding the precision of fit of CAD-CAM-fabricated implant-supported complete zirconia fixed dental prostheses (FDPs) before and after porcelain layering are limited. PURPOSE: The purpose of this in vitro study was to evaluate the effect of porcelain layering on the marginal fit of CAD-CAM-fabricated complete-arch implant-supported, screw-retained FDPs with presintered zirconia frameworks compared with titanium...
February 6, 2018: Journal of Prosthetic Dentistry
Evan E Roberts, Clifton W Bailey, Deborah L Ashcraft-Olmscheid, Kraig S Vandewalle
PURPOSE: To evaluate the fracture resistance of a newer lithium disilicate abutment material. MATERIALS AND METHODS: A premolar-shaped implant crown was designed using CAD/CAM software, and four groups of implant and crown combinations were milled: (1) lithium-disilicate hybrid-abutment crown; (2) "screwmentable" lithium-disilicate hybrid abutment/lithium-disilicate crown with screw channel; (3) lithium-disilicate hybrid abutment/lithium-disilicate crown; and (4) zirconia hybrid abutment/lithium-disilicate crown (control)...
February 8, 2018: Journal of Prosthodontics: Official Journal of the American College of Prosthodontists
M Naumann, M von Stein-Lausnitz, M Rosentritt, C Walter, H Meyer-Lückel, G Sterzenbach
OBJECTIVES: The aim of this in vitro study was an analysis of the impact of simulated reduced alveolar bone support and post-restored, endodontically treated distal abutment tooth on load capability of all-ceramic zirconia-based cantilever-fixed dental prosthesis (CFDP). MATERIAL AND METHODS: The roots of human lower sound premolars (n = 80) were divided into five experimental groups to be restored with all-ceramic zirconia-supported three-unit CFDP regarding bone loss (BL) relative to the cement-enamel junction (CEJ): 2 mm below CEJ = 0% BL (control group), group 25% distal BL, group 50% distal BL, group 50% mesial and distal BL, and group 50% distal BL and adhesive post-supported restoration...
February 6, 2018: Clinical Oral Investigations
N Capa, C Celebi, A Casur, I Tuncel, A Usumez
PURPOSE: The purpose of this study was to evaluate the effect of the different color of resin cements and zirconia cores on the translucency parameter (TP) of the restoration that simulates the implant-supported fixed prosthesis using titanium base on the bottom. MATERIALS AND METHODS: Zirconia core plates (Zr-Zahn) were prepared in A2 shades (n = 11). Resin cement plates (3M ESPE) were prepared in A2, A1, translucent (TR) shades (n = 11). The initial color measurements and were measured on zirconia core plates, and resin cements plates using a spectrophotometer...
December 2017: Nigerian Journal of Clinical Practice
Shoko Miura, Shin Kasahara, Shinobu Yamauchi, Hiroshi Egusa
This study evaluated the influence of different finish line designs and abutment materials on the stress distribution of bilayer and monolithic zirconia crowns using three-dimensional finite element analysis (FEA). Three-dimensional models of two types of zirconia premolars - a yttria-stabilized zirconia framework with veneering ceramic and a monolithic zirconia ceramic - were used in the analysis. Cylindrical models with the finish line design of the crown abutments were prepared with three types of margin curvature radius (CR): CR = 0 (CR0; shoulder margin), CR = 0...
January 28, 2018: European Journal of Oral Sciences
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