Performance of high-translucent zirconia CAD/CAM fixed dental prostheses using a digital workflow: A clinical study up to 6 years.

CAD/CAM Digital dentistry Digital impression Intraoral scans Prosthesis Zirconia

Journal

Journal of dental sciences
ISSN: 2213-8862
Titre abrégé: J Dent Sci
Pays: Netherlands
ID NLM: 101293181

Informations de publication

Date de publication:
Jan 2023
Historique:
received: 28 07 2022
revised: 30 07 2022
entrez: 16 1 2023
pubmed: 17 1 2023
medline: 17 1 2023
Statut: ppublish

Résumé

Zirconia has recently become a popular material for fixed restorations. The purpose of this study was to use a digital workflow to fabricate monolithic zirconia fixed dental prostheses (FDPs) and assess the connection between variable connector sizes compared to their clinical performance. Clinicians evaluated monolithic zirconia FDPs in 58 patients. After definitive impressions were made, stone casts were obtained. The stone casts were scanned to a standard triangle language (STL) file. A digital wax up was fabricated, and corresponding provisional restorations were milled. Final FDPs were fabricated from a high-translucent zirconia material. During digital fabrication, the connector area of each FDP was recorded while meticulous attention was paid to ensure that the connector cross-sectional area was ≥9 mm A total of 23 men and 35 women received a total of 63 full-contour zirconia FDPs in the posterior regions and were observed for a time period ranging between 50 and 70 months. No decementation occurred and no caries were detected during the observation period, however signs of gingivitis were detected in 4 patients. The dimension of the connector areas was 12 mm The results of this study suggest that the use of digital scanning and milling to fabricate monolithic zirconia FDPs of posterior regions may be an acceptable alternative restorative approach to traditional metal-ceramic restorations.

Sections du résumé

Background/purpose UNASSIGNED
Zirconia has recently become a popular material for fixed restorations. The purpose of this study was to use a digital workflow to fabricate monolithic zirconia fixed dental prostheses (FDPs) and assess the connection between variable connector sizes compared to their clinical performance.
Materials and methods UNASSIGNED
Clinicians evaluated monolithic zirconia FDPs in 58 patients. After definitive impressions were made, stone casts were obtained. The stone casts were scanned to a standard triangle language (STL) file. A digital wax up was fabricated, and corresponding provisional restorations were milled. Final FDPs were fabricated from a high-translucent zirconia material. During digital fabrication, the connector area of each FDP was recorded while meticulous attention was paid to ensure that the connector cross-sectional area was ≥9 mm
Results UNASSIGNED
A total of 23 men and 35 women received a total of 63 full-contour zirconia FDPs in the posterior regions and were observed for a time period ranging between 50 and 70 months. No decementation occurred and no caries were detected during the observation period, however signs of gingivitis were detected in 4 patients. The dimension of the connector areas was 12 mm
Conclusion UNASSIGNED
The results of this study suggest that the use of digital scanning and milling to fabricate monolithic zirconia FDPs of posterior regions may be an acceptable alternative restorative approach to traditional metal-ceramic restorations.

Identifiants

pubmed: 36643237
doi: 10.1016/j.jds.2022.07.023
pii: S1991-7902(22)00183-0
pmc: PMC9831836
doi:

Types de publication

Journal Article

Langues

eng

Pagination

44-49

Informations de copyright

© 2022 Association for Dental Sciences of the Republic of China. Publishing services by Elsevier B.V.

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Auteurs

Mustafa Baris Guncu (MB)

Department of Prosthodontics, School of Dentistry, Hacettepe University, Ankara, Turkey.

Guliz Aktas (G)

Department of Prosthodontics, School of Dentistry, Hacettepe University, Ankara, Turkey.

Ilser Turkyilmaz (I)

Department of Prosthodontics, New York University College of Dentistry, New York, NY, USA.

Joanna Nicolette Gavras (JN)

Department of Prosthodontics, New York University College of Dentistry, New York, NY, USA.

Classifications MeSH