Fracture strength of various titanium-based, CAD-CAM and PFM implant crowns.


Journal

Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.]
ISSN: 1708-8240
Titre abrégé: J Esthet Restor Dent
Pays: England
ID NLM: 101096515

Informations de publication

Date de publication:
04 2021
Historique:
received: 21 08 2020
accepted: 28 09 2020
pubmed: 12 11 2020
medline: 22 5 2021
entrez: 11 11 2020
Statut: ppublish

Résumé

CAD-CAM has dramatically advanced dental restorative procedures to include implant-supported crowns. The purpose of this study was to compare the fracture resistance following mechanical loading and thermocycling of various screw-retained and cement-retained ceramic and polymethylmethacrylate material combinations using the TiBase abutment compared to PFM implant-supported crowns. Twelve implant restorations were fabricated for each of eight groups. Three groups were screw-retained and five groups were cement-retained implant restorations. The ceramic and polymethylmethacrylate restorations were fabricated on the TiBase abutment while the PFM restorations were fabricated on an UCLA abutment. Data were analyzed with a one way Analysis of Variance and Tukey's post-hoc test to evaluate the effect of abutment and crown type on fracture load (alpha = 0.05). A significant difference was found in the maximum fracture load between groups (P < 0.001). The screw-retained implant restorations demonstrated higher fracture loads than their cement-retained counterparts. The TiBase abutment compared favorably to the UCLA abutment. The TiBase abutment is a titanium insert which combines the esthetics of a ceramic abutment with the mechanical properties of a titanium abutment and should be considered a viable clinical alternative to the conventional implant-supported PFM crown based on theses in vitro results and in context of in vivo studies. The lithium disilicate hybrid abutment/crown implant-supported restoration utilizing the TiBase abutment may be an ideal clinical choice due to simplicity, single appointment CAD-CAM, and esthetics.

Identifiants

pubmed: 33174333
doi: 10.1111/jerd.12672
doi:

Substances chimiques

Dental Implants 0
Dental Porcelain 12001-21-7
Zirconium C6V6S92N3C
Titanium D1JT611TNE

Types de publication

Journal Article

Langues

eng

Pagination

522-530

Informations de copyright

© 2020 Wiley Periodicals LLC.

Références

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Auteurs

Nicholas B DuVall (NB)

Program Director, AEGD Residency, 96th Dental Squadron, Eglin AFB, Florida, USA.
US Air Force Postgraduate Dental College, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.

Stephen P DeReis (SP)

Certified Dental Technician, 81st Dental Squadron, Keesler AFB, Mississippi, USA.

Kraig S Vandewalle (KS)

US Air Force Postgraduate Dental College, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
Director of Dental Research, AEGD Residency, 59th Dental Training Squadron, Joint Base San Antonio-Lackland, Texas, USA.

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