Skip to main content
Erschienen in: Current Oral Health Reports 2/2018

01.06.2018 | Digital and Esthetic Dentistry (E Anadioti and P Stathopoulou, Section Editors)

CAD/CAM Custom Abutments for Esthetic Anterior Implant-Supported Restoration: Materials and Design

verfasst von: Ingeborg J. De Kok, Lauren H. Katz, Ibrahim S. Duqum

Erschienen in: Current Oral Health Reports | Ausgabe 2/2018

Einloggen, um Zugang zu erhalten

Abstract

Purpose of Review

The purpose of this review is to discuss the use of computer-aided design and computer-aided manufacturing (CAD/CAM) custom abutments in the anterior region with a focus on abutment design and material selection. Advantages, disadvantages, and complications of CAD/CAM abutments are also considered.

Recent Findings

CAD/CAM abutments are available in various materials and with different connection platforms to the implant in order to meet esthetic, functional, and biological demands. Use of CAD/CAM concepts in the fabrication of custom abutments allows for definite advantages over both stock abutments and conventional cast custom abutments.

Summary

CAD/CAM technology should be considered when restoring dental implants in the esthetic zone.
Literatur
1.
Zurück zum Zitat • Lops D, Bressan E, Parpaiola A, Sbricoli L, Cecchinato D, Romeo E. Soft tissues stability of CAD/CAM and stock abutments in anterior regions: 2-year prospective multicentric cohort study. Clin Oral Implants Res. 2015;26(12):1436–42. https://doi.org/10.1111/clr.12479. Study investigating if the type of abutment affects gingival margin stability in anterior areas. • Lops D, Bressan E, Parpaiola A, Sbricoli L, Cecchinato D, Romeo E. Soft tissues stability of CAD/CAM and stock abutments in anterior regions: 2-year prospective multicentric cohort study. Clin Oral Implants Res. 2015;26(12):1436–42. https://​doi.​org/​10.​1111/​clr.​12479. Study investigating if the type of abutment affects gingival margin stability in anterior areas.
2.
Zurück zum Zitat Belser UC, Grutter L, Vailati F, Bornstein MM, Weber HP, Buser D. Outcome evaluation of early placed maxillary anterior single-tooth implants using objective esthetic criteria: a cross-sectional, retrospective study in 45 patients with a 2- to 4-year follow-up using pink and white esthetic scores. J Periodontol. 2009;80(1):140–51. https://doi.org/10.1902/jop.2009.080435.CrossRefPubMed Belser UC, Grutter L, Vailati F, Bornstein MM, Weber HP, Buser D. Outcome evaluation of early placed maxillary anterior single-tooth implants using objective esthetic criteria: a cross-sectional, retrospective study in 45 patients with a 2- to 4-year follow-up using pink and white esthetic scores. J Periodontol. 2009;80(1):140–51. https://​doi.​org/​10.​1902/​jop.​2009.​080435.CrossRefPubMed
6.
7.
Zurück zum Zitat • Priest G. Virtual-designed and computer-milled implant abutments. J Oral Maxillofac Surg: Off J Am Assoc Oral Maxillofac Surg. 2005;63(9 Suppl 2):22–32. https://doi.org/10.1016/j.joms.2005.05.158. Review discussing the advantages and disadvantages of stock and cast custom abutments as well as the benefits of using CAD/CAM custom abutments. • Priest G. Virtual-designed and computer-milled implant abutments. J Oral Maxillofac Surg: Off J Am Assoc Oral Maxillofac Surg. 2005;63(9 Suppl 2):22–32. https://​doi.​org/​10.​1016/​j.​joms.​2005.​05.​158. Review discussing the advantages and disadvantages of stock and cast custom abutments as well as the benefits of using CAD/CAM custom abutments.
8.
Zurück zum Zitat Miyazaki T, Hotta Y, Kunii J, Kuriyama S, Tamaki Y. A review of dental CAD/CAM: current status and future perspectives from 20 years of experience. Dent Mater J. 2009;28(1):44–56.CrossRefPubMed Miyazaki T, Hotta Y, Kunii J, Kuriyama S, Tamaki Y. A review of dental CAD/CAM: current status and future perspectives from 20 years of experience. Dent Mater J. 2009;28(1):44–56.CrossRefPubMed
9.
Zurück zum Zitat Nishimura RD, Chang TL, Perri GR, Beumer J 3rd. Restoration of partially edentulous patients using customized implant abutments. Pract Periodontics Aesthet Dent. 1999;11(6):669–76. quiz 78.PubMed Nishimura RD, Chang TL, Perri GR, Beumer J 3rd. Restoration of partially edentulous patients using customized implant abutments. Pract Periodontics Aesthet Dent. 1999;11(6):669–76. quiz 78.PubMed
10.
Zurück zum Zitat Kerstein RB, Castellucci F, Osorio J. Ideal gingival form with computer-generated permanent healing abutments. Compendium of continuing education in dentistry (Jamesburg, NJ: 1995). 2000;21(10):793–7, 800–1; quiz 2. Kerstein RB, Castellucci F, Osorio J. Ideal gingival form with computer-generated permanent healing abutments. Compendium of continuing education in dentistry (Jamesburg, NJ: 1995). 2000;21(10):793–7, 800–1; quiz 2.
12.
Zurück zum Zitat Andersson M, Razzoog ME, Oden A, Hegenbarth EA, Lang BR. PROCERA: a new way to achieve an all-ceramic crown. Quintessence Int 1998;29(5):285–296. Andersson M, Razzoog ME, Oden A, Hegenbarth EA, Lang BR. PROCERA: a new way to achieve an all-ceramic crown. Quintessence Int 1998;29(5):285–296.
14.
Zurück zum Zitat Kapos T, Ashy LM, Gallucci GO, Weber HP, Wismeijer D. Computer-aided design and computer-assisted manufacturing in prosthetic implant dentistry. Int J Oral Maxillofac Implants. 2009;24(Suppl):110–7.PubMed Kapos T, Ashy LM, Gallucci GO, Weber HP, Wismeijer D. Computer-aided design and computer-assisted manufacturing in prosthetic implant dentistry. Int J Oral Maxillofac Implants. 2009;24(Suppl):110–7.PubMed
16.
Zurück zum Zitat Kerstein RB, Osorio J. Utilizing computer-generated duplicate titanium custom abutments to facilitate intraoral and laboratory implant prosthesis fabrication. Pract Proced Aesthet Dent. 2003;15(4):311–4.PubMed Kerstein RB, Osorio J. Utilizing computer-generated duplicate titanium custom abutments to facilitate intraoral and laboratory implant prosthesis fabrication. Pract Proced Aesthet Dent. 2003;15(4):311–4.PubMed
19.
Zurück zum Zitat Nakamura K, Kanno T, Milleding P, Ortengren U. Zirconia as a dental implant abutment material: a systematic review. International Journal of Prosthodontics. 2010;23(4):299–309. Nakamura K, Kanno T, Milleding P, Ortengren U. Zirconia as a dental implant abutment material: a systematic review. International Journal of Prosthodontics. 2010;23(4):299–309.
21.
Zurück zum Zitat de Medeiros RA, Vechiato-Filho AJ, Pellizzer EP, Mazaro JV, dos Santos DM, Goiato MC. Analysis of the peri-implant soft tissues in contact with zirconia abutments: an evidence-based literature review. J Contemp Dent Pract. 2013;14(3):567–72.CrossRefPubMed de Medeiros RA, Vechiato-Filho AJ, Pellizzer EP, Mazaro JV, dos Santos DM, Goiato MC. Analysis of the peri-implant soft tissues in contact with zirconia abutments: an evidence-based literature review. J Contemp Dent Pract. 2013;14(3):567–72.CrossRefPubMed
24.
Zurück zum Zitat Linkevicius T, Apse P. Influence of abutment material on stability of peri-implant tissues: a systematic review. Int J Oral Max Impl. 2008;23(3):449–56. Linkevicius T, Apse P. Influence of abutment material on stability of peri-implant tissues: a systematic review. Int J Oral Max Impl. 2008;23(3):449–56.
25.
Zurück zum Zitat Martinez-Rus F, Prieto M, Salido MP, Madrigal C, Ozcan M, Pradies G. A clinical study assessing the influence of anodized titanium and zirconium dioxide abutments and peri-implant soft tissue thickness on the optical outcome of implant-supported lithium disilicate single crowns. Int J Oral Maxillofac Implants. 2017;32(1):156–63. https://doi.org/10.11607/jomi.5258.CrossRefPubMed Martinez-Rus F, Prieto M, Salido MP, Madrigal C, Ozcan M, Pradies G. A clinical study assessing the influence of anodized titanium and zirconium dioxide abutments and peri-implant soft tissue thickness on the optical outcome of implant-supported lithium disilicate single crowns. Int J Oral Maxillofac Implants. 2017;32(1):156–63. https://​doi.​org/​10.​11607/​jomi.​5258.CrossRefPubMed
26.
Zurück zum Zitat Peng M, Zhao WJ, Hosseini M, Zhou WJ, Xiao T, Chuan JL. Influence of restorative materials on color of implant-supported single crowns in esthetic zone: a spectrophotometric evaluation. Biomed Res Int 2017;2017:5034358. doi:https://doi.org/10.1155/2017/5034358, 1, 7. Peng M, Zhao WJ, Hosseini M, Zhou WJ, Xiao T, Chuan JL. Influence of restorative materials on color of implant-supported single crowns in esthetic zone: a spectrophotometric evaluation. Biomed Res Int 2017;2017:5034358. doi:https://​doi.​org/​10.​1155/​2017/​5034358, 1, 7.
27.
Zurück zum Zitat Schnider N, Forrer FA, Bragger U, Hicklin SP. Clinical performance of one-piece, screw-retained implant crowns based on hand-veneered CAD/CAM zirconia abutments after a mean follow-up period of 2.3 years. Int J Oral Max Impl. 2018;33(1):188–96. https://doi.org/10.11607/jomi.5929. Schnider N, Forrer FA, Bragger U, Hicklin SP. Clinical performance of one-piece, screw-retained implant crowns based on hand-veneered CAD/CAM zirconia abutments after a mean follow-up period of 2.3 years. Int J Oral Max Impl. 2018;33(1):188–96. https://​doi.​org/​10.​11607/​jomi.​5929.
28.
29.
Zurück zum Zitat Klotz MW, Taylor TD, Goldberg AJ. Wear at the titanium-zirconia implant-abutment interface: a pilot study. Int J Oral Max Impl. 2011;26(5):970–5. Klotz MW, Taylor TD, Goldberg AJ. Wear at the titanium-zirconia implant-abutment interface: a pilot study. Int J Oral Max Impl. 2011;26(5):970–5.
33.
Zurück zum Zitat • Zembic A, Sailer I, Jung RE, Hammerle CHF. Randomized-controlled clinical trial of customized zirconia and titanium implant abutments for single-tooth implants in canine and posterior regions: 3-year results. Clin Oral Implants Res. 2009;20(8):802–8. https://doi.org/10.1111/j.1600-0501.2009.01717.x. Investigation of 5-year survival rates and technical and biological complication rates of CAD/CAM custom zirconia and titanium abutments. • Zembic A, Sailer I, Jung RE, Hammerle CHF. Randomized-controlled clinical trial of customized zirconia and titanium implant abutments for single-tooth implants in canine and posterior regions: 3-year results. Clin Oral Implants Res. 2009;20(8):802–8. https://​doi.​org/​10.​1111/​j.​1600-0501.​2009.​01717.​x. Investigation of 5-year survival rates and technical and biological complication rates of CAD/CAM custom zirconia and titanium abutments.
35.
Zurück zum Zitat Conejo J, Kobayashi T, Anadioti E, Blatz MB. Performance of CAD/CAM monolithic ceramic implant-supported restorations bonded to titanium inserts: a systematic review. Eur J Oral Implantol. 2017;10:139–46.PubMed Conejo J, Kobayashi T, Anadioti E, Blatz MB. Performance of CAD/CAM monolithic ceramic implant-supported restorations bonded to titanium inserts: a systematic review. Eur J Oral Implantol. 2017;10:139–46.PubMed
38.
Zurück zum Zitat Barwacz CA, Brogden KA, Stanford CM, Dawson DV, Recker EN, Blanchette D. Comparison of pro-inflammatory cytokines and bone metabolism mediators around titanium and zirconia dental implant abutments following a minimum of 6 months of clinical function. Clin Oral Implants Res. 2015;26(4):e35–41. https://doi.org/10.1111/clr.12326.CrossRefPubMed Barwacz CA, Brogden KA, Stanford CM, Dawson DV, Recker EN, Blanchette D. Comparison of pro-inflammatory cytokines and bone metabolism mediators around titanium and zirconia dental implant abutments following a minimum of 6 months of clinical function. Clin Oral Implants Res. 2015;26(4):e35–41. https://​doi.​org/​10.​1111/​clr.​12326.CrossRefPubMed
40.
Zurück zum Zitat Vigolo P, Fonzi F, Majzoub Z, Cordioli G. An in vitro evaluation of titanium, zirconia, and alumina procera abutments with hexagonal connection. Int J Oral Maxillofac Implants. 2006;21(4):575–80.PubMed Vigolo P, Fonzi F, Majzoub Z, Cordioli G. An in vitro evaluation of titanium, zirconia, and alumina procera abutments with hexagonal connection. Int J Oral Maxillofac Implants. 2006;21(4):575–80.PubMed
42.
Zurück zum Zitat Canullo L. Clinical outcome study of customized zirconia abutments for single-implant restorations. Int J Prosthodont. 2007;20(5):489–93.PubMed Canullo L. Clinical outcome study of customized zirconia abutments for single-implant restorations. Int J Prosthodont. 2007;20(5):489–93.PubMed
Metadaten
Titel
CAD/CAM Custom Abutments for Esthetic Anterior Implant-Supported Restoration: Materials and Design
verfasst von
Ingeborg J. De Kok
Lauren H. Katz
Ibrahim S. Duqum
Publikationsdatum
01.06.2018
Verlag
Springer International Publishing
Erschienen in
Current Oral Health Reports / Ausgabe 2/2018
Elektronische ISSN: 2196-3002
DOI
https://doi.org/10.1007/s40496-018-0179-x

Weitere Artikel der Ausgabe 2/2018

Current Oral Health Reports 2/2018 Zur Ausgabe

Digital and Esthetic Dentistry (E Anadioti and P Stathopoulou, Section Editors)

Dental Implant Surgery: From Conventional to Guided to Navigated Approach

Oral Disease and Nutrition (F Nishimura, Section Editor)

Vitamin Status and Mineralized Tissue Development

Oral Disease and Nutrition (F Nishimura, Section Editor)

Reciprocal Interactions Among OSA, Obesity, and Sleep Duration

Digital and Esthetic Dentistry (E Anadioti and P Stathopoulou, Section Editors)

Virtual Dental Patient: How Long Until It’s Here?

Oral Disease and Nutrition (F Nishimura, Section Editor)

Periodontal Host Response in Subjects with Obesity

Oral Disease and Nutrition (F Nishimura, Section Editor)

Oral Health and Dietary Intake in Older Adults

Darf man die Behandlung eines Neonazis ablehnen?

08.05.2024 Gesellschaft Nachrichten

In einer Leseranfrage in der Zeitschrift Journal of the American Academy of Dermatology möchte ein anonymer Dermatologe bzw. eine anonyme Dermatologin wissen, ob er oder sie einen Patienten behandeln muss, der eine rassistische Tätowierung trägt.

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

07.05.2024 Klinik aktuell Nachrichten

Extreme Arbeitsverdichtung und kaum Supervision: Dr. Andrea Martini, Sprecherin des Bündnisses Junge Ärztinnen und Ärzte (BJÄ) über den Frust des ärztlichen Nachwuchses und die Vorteile des Rucksack-Modells.

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

IT für Ärzte Nachrichten

Darauf haben viele Praxen gewartet: Das Zi hat eine Liste von Praxisverwaltungssystemen veröffentlicht, die von Nutzern positiv bewertet werden. Eine gute Grundlage für wechselwillige Ärztinnen und Psychotherapeuten.

Parodontalbehandlung verbessert Prognose bei Katheterablation

19.04.2024 Vorhofflimmern Nachrichten

Werden Personen mit Vorhofflimmern in der Blanking-Periode nach einer Katheterablation gegen eine bestehende Parodontitis behandelt, verbessert dies die Erfolgsaussichten. Dafür sprechen die Resultate einer prospektiven Untersuchung.

Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Zahnmedizin und bleiben Sie gut informiert – ganz bequem per eMail.