nach oben

Clinical Oral Investigations

Erschienen in:

21.01.2017 | Original Article

In-vitro performance of CAD/CAM-fabricated implant-supported temporary crowns

verfasst von: Martin Rosentritt, Philipp Raab, Sebastian Hahnel, Matthias Stöckle, Verena Preis

Erschienen in: Clinical Oral Investigations | Ausgabe 8/2017

Einloggen, um Zugang zu erhalten

Abstract

Objectives

The aim of this study was to investigate the in-vitro performance and fracture resistance of a temporary computer-aided designed and computer-aided manufactured polymethylmethacrylate (CAD/CAM-PMMA) material as implant or tooth-supported single crown with respect to the clinical procedure (permanently bonded/temporarily cemented).

Materials and methods

Sixty-four crowns were fabricated on implants or human molar teeth simulating (a) labside procedure on prefabricated titanium-bonding base ([TiBase] implant crown bonded in laboratory, screwed chairside), (b) labside procedure ([LAB] standard abutment and implant crown bonded in laboratory, screwed chairside), (c) chairside procedure ([CHAIR] implant crown bonded to abutment), and (d) reference ([TOOTH] crowns luted on prepared human teeth). Crowns were made of a CAD/CAM-PMMA temporary material (TelioCAD, Ivoclar-Vivadent). For investigating the influence of fixation, half of the crowns were permanently (P) or temporarily (T) bonded. Combined thermal cycling and mechanical loading (TCML) was performed simulating a 5-year clinical situation. Fracture force was determined. Data were statistically analyzed (Kolmogorov-Smirnov test, one-way ANOVA; post hoc Bonferroni, α = 0.05).

Results

All restorations survived TCML without visible failures. Fracture results varied between 3034.3 (Tooth-P) and 1602.9 N (Tooth-T) [TOOTH], 1510.5 (TiBase-P) and 963.6 N (TiBase-T) [TiBase], 2691.1 (LAB-P) and 2064.5 N (LAB-T) [LAB], and 1609.4 (Chair-P) and 1253.0 N (Chair-T) [CHAIR]. Tested groups showed significantly (p < 0.001) different fracture values. Failure pattern was characterized by fractures in mesial-distal, buccal-oral, or mixed (mesial-distal/buccal-oral) directions, with differences for the individual groups.

Conclusions

Temporary CAD/CAM crowns showed no different in-vitro performance but provided different fracture results that depended on cementation, screw channel, and type of abutment.

Clinical relevance

All bonded and screwed PMMA crowns were in a range where clinical application seems not restricted.

Gratton DG, Aquilino SA (2004) Interim restorations. Dent Clin N Am 48:487–497CrossRef

Rayyan MM, Aboushelib M, Sayed NM, Ibrahim A, Jimbo R (2015) Comparison of interim restorations fabricated by CAD/CAM with those fabricated manually. J Prosthet Dent 114:414–419CrossRefPubMed

Lodding DW (1997) Long-term esthetic provisional restorations in dentistry. Curr Opin Cosmet Dent 4:16–21PubMed

Wiegand A, Stucki L, Hoffmann R, Attin T, Stawarczyk B (2015) Repairability of CAD/CAM high-density PMMA- and composite-based polymers. Clin Oral Investig 19:2007–2013CrossRefPubMed

Keul C, Müller-Hahl M, Eichberger M, Liebermann A, Roos M, Edelhoff D, Stawarczyk B (2014) Impact of different adhesives on work of adhesion between CAD/CAM polymers and resin composite cements. J Dent 42:1105–1114CrossRefPubMed

Attia A, Abdelaziz KM, Freitag S, Kern M (2006) Fracture load of composite resin and feldspathic all-ceramic CAD/CAM crowns. J Prosthet Dent 95:117–123CrossRefPubMed

Wimmer T, Ender A, Roos M, Stawarczyk B (2013) Fracture load of milled polymeric fixed dental prostheses as a function of connector cross-sectional areas. J Prosthet Dent 110:288–295CrossRefPubMed

Stawarczyk B, Özcan M, Trottmann A, Schmutz F, Roos M, Hämmerle C (2013) Two-body wear rate of CAD/CAM resin blocks and their enamel antagonists. J Prosthet Dent 109:325–332CrossRefPubMed

Seiss M, Nitz S, Kleinsasser N, Buters JT, Behrendt H, Hickel R, Reichl FX (2007) Identification of 2,3-epoxymethacrylic acid as an intermediate in the metabolism of dental materials in human liver microsomes. Dent Mater 23:9–16CrossRefPubMed

10.

Bähr N, Keul C, Edelhoff D, Eichberger M, Roos M, Gernet W, Stawarczyk B (2013) Effect of different adhesives combined with two resin composite cements on shear bond strength to polymeric CAD/CAM materials. Dent Mater J 32:492–501CrossRefPubMed

11.

Keul C, Kohen D, Eichberger M, Roos M, Gernet W, Stawarczyk B (2015) The effect of different pretreatment methods of PMMA-based crowns on the long-term tensile bond strength to dentin abutments. Clin Oral Investig 19:35–43CrossRefPubMed

12.

Stawarczyk B, Basler T, Ender A, Roos M, Ozcan M, Hämmerle C (2012) Effect of surface conditioning with airborne-particle abrasion on the tensile strength of polymeric CAD/CAM crowns luted with self-adhesive and conventional resin cements. J Prosthet Dent 107:94–101CrossRefPubMed

13.

Güth JF, Almeida E, Silva JS, Ramberger M, Beuer F, Edelhoff D (2012) Treatment concept with CAD/CAM-fabricated high-density polymer temporary restorations. J Esthet Restor Dent 24:310–318CrossRefPubMed

14.

Güth JF, Almeida E, Silva JS, Beuer FF, Edelhoff D (2012) Enhancing the predictability of complex rehabilitation with a removable CAD/CAM-fabricated long-term provisional prosthesis: a clinical report. J Prosthet Dent 107:1–6CrossRefPubMed

15.

Hebel KS, Gajjar RC (1997) Cement-retained versus screw-retained implant restorations: achieving optimal occlusion and esthetics in implant dentistry. J Prosthet Dent 77:28–35CrossRefPubMed

16.

Weber HP, Kim DM, Ng MW, Hwang JW, Fiorellini JP (2006) Peri-implant soft-tissue health surrounding cement- and screw-retained implant restorations: a multi-center, 3-year prospective study. Clin Oral Implants Res 17:375–379CrossRefPubMed

17.

Chu KM, Tredwin CJ, Setchell DJ, Hems E (2005) Effect of screw hole filling on retention of implant crowns. Eur J Prosthodont Restor Dent 13:154–158PubMed

18.

Lewis S (1995) Anterior single-tooth implant restorations. Int J Periodontics Restorative Dent 15:30–41PubMed

19.

Saba S (1997) Anatomically correct soft tissue profiles using fixed detachable provisional implant restorations. J Can Dent Assoc 63(767–768):770

20.

Breeding LC, Dixon DL (1996) Transfer of gingival contours to a master cast. J Prosthet Dent 75:341–343CrossRefPubMed

21.

Neale D, Chee WW (1994) Development of implant soft tissue emergence profile: a technique. J Prosthet Dent 71:364–368CrossRefPubMed

22.

Capp NJ (1985) The diagnostic use of provisional restorations. Restor Dent 1(92):94–98

23.

Moscovitch MS, Saba S (1996) The use of a provisional restoration in implant dentistry: a clinical report. Int J Oral Maxillofac Implants 11:395–399PubMed

24.

Rosentritt M, Hmaidouch R, Behr M, Handel G, Schneider-Feyrer S (2011) Fracture resistance of zirconia FPDs with adhesive bonding versus conventional cementation. Int J Prosthodont 24:168–171PubMed

25.

Rosentritt M, Behr M, Gebhard R, Handel G (2006) Influence of stress simulation parameters on the fracture strength of all-ceramic fixed-partial dentures. Dent Mater 22:176–182CrossRefPubMed

26.

Rosentritt M, Behr M, van der Zel JM, Feilzer AJ (2009) Approach for valuating the influence of laboratory simulation. Dent Mater 25:348–352CrossRefPubMed

27.

Rosentritt M, Siavikis G, Behr M, Kolbeck C, Handel G (2008) Approach for valuating the significance of laboratory simulation. J Dent 36:1048–1053CrossRefPubMed

28.

Menini M, Conserva E, Tealdo T, Bevilacqua M, Pera F, Signori A, Pera P (2013) Shock absorption capacity of restorative materials for dental implant prostheses: an in vitro study. Int J Prosthodont 26:549–556CrossRefPubMed

29.

Pjetursson BE, Brägger U, Lang NP, Zwahlen M (2007) Comparison of survival and complication rates of tooth-supported fixed dental prostheses (FDPs) and implant-supported FDPs and single crowns (SCs). Clin Oral Implants Res 18(Suppl 3):97–113CrossRefPubMed

30.

Shembish FA, Tong H, Kaizer M, Janal MN, Thompson VP, Opdam NJ, Zhang Y (2016) Fatigue resistance of CAD/CAM resin composite molar crowns. Dent Mater 32:499–509CrossRefPubMedPubMedCentral

31.

de Kok P, Kleverlaan CJ, de Jager N, Kuijs R, Feilzer AJ (2015) Mechanical performance of implant-supported posterior crowns. J Prosthet Dent 114:59–66CrossRefPubMed

32.

Conserva E, Menini M, Tealdo T, Bevilacqua M, Ravera G, Pera F, Pera P (2009) The use of a masticatory robot to analyze the shock absorption capacity of different restorative materials for prosthetic implants: a preliminary report. Int J Prosthodont 22:53–55PubMed

33.

Jung RE, Pjetursson BE, Glauser R, Zembic A, Zwahlen M, Lang NP (2008) A systematic review of the 5-year survival and complication rates of implant-supported single crowns. Clin Oral Implants Res 19:119–130CrossRefPubMed

34.

Bijjargi S, Chowdhary R (2013) Stress dissipation in the bone through various crown materials of dental implant restoration: a 2-D finite element analysis. J Investig Clin Dent 4:172–177CrossRefPubMed

35.

Trulsson M, Gunne HS (1998) Food-holding and -biting behavior in human subjects lacking periodontal receptors. J Dent Res 77:574–582CrossRefPubMed

36.

Silva GC, Cornacchia TM, de Magalhães CS, Bueno AC, Moreira AN (2014) Biomechanical evaluation of screw- and cement-retained implant-supported prostheses: a nonlinear finite element analysis. J Prosthet Dent 112:1479–1488CrossRefPubMed

37.

Wittneben JG, Millen C, Bragger U (2014) Clinical performance of screw- versus cement-retained fixed implant-supported reconstructions - a systematic review. Int J Oral Maxillofac Implants 29(Suppl):84–98CrossRefPubMed

38.

Torrado E, Ercoli C, Al Mardini M, Graser GN, Tallents RH, Cordaro L (2004) A comparison of the porcelain fracture resistance of screw-retained and cement-retained implant-supported metal-ceramic crowns. J Prosthet Dent 91:532–537CrossRefPubMed

39.

Gressler May L, Kelly JR, Bottino MA, Hill T (2015) Influence of the resin cement thickness on the fatigue failure loads of CAD/CAM feldspathic crowns. Dent Mater 31:895–900CrossRefPubMed

40.

Rosentritt M, Hahnel S, Engelhardt F, Behr M, Preis V (2016) In vitro performance and fracture resistance of CAD/CAM-fabricated implant supported molar crowns. Clin Oral Investig. doi:10.1007/s00784-016-1898-9

41.

Preis V, Kammermeier A, Handel G, Rosentritt M (2016) In vitro performance of two-piece zirconia implant systems for anterior application. Dent Mater 32:765–774CrossRefPubMed

42.

Varga S, Spalj S, Lapter Varga M, Anic Milosevic S, Mestrovic S, Slaj M (2011) Maximum voluntary molar bite force in subjects with normal occlusion. Eur J Orthod 3:427–433CrossRef

Titel: In-vitro performance of CAD/CAM-fabricated implant-supported temporary crowns
verfasst von: Martin Rosentritt
Philipp Raab
Sebastian Hahnel
Matthias Stöckle
Verena Preis
Publikationsdatum: 21.01.2017
Verlag: Springer Berlin Heidelberg
Erschienen in: Clinical Oral Investigations / Ausgabe 8/2017
Print ISSN: 1432-6981
Elektronische ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-017-2057-7

Neu im Fachgebiet Zahnmedizin

19.04.2024 | Vorhofflimmern | Nachrichten

Newsletter bestellen

Springer Medizin

In-vitro performance of CAD/CAM-fabricated implant-supported temporary crowns

Abstract

Objectives

Materials and methods

Results

Conclusions

Clinical relevance

Neu im Fachgebiet Zahnmedizin

Parodontalbehandlung verbessert Prognose bei Katheterablation

Invasive Zahnbehandlung: Wann eine Antibiotikaprophylaxe vor infektiöser Endokarditis schützt

Zell-Organisatoren unter Druck: Mechanismen des embryonalen Zahnwachstums aufgedeckt

Die Oralprophylaxe & Kinderzahnheilkunde umbenannt

Newsletter

Springer Medizin

Abstract

Objectives

Materials and methods

Results

Conclusions

Clinical relevance

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 8/2017

Use of AC impedance spectroscopy for monitoring sound teeth and incipient carious lesions

Inhibitory effect of saliva on osteoclastogenesis in vitro requires toll-like receptor 4 signaling

Marginal and internal fit of posterior three-unit fixed zirconia dental prostheses fabricated with two different CAD/CAM systems and materials

Influence of enamel/dentin thickness on the toxic and esthetic effects of experimental in-office bleaching protocols

Hypermethylation of IFN-γ in oral cancer tissues

In situ effect of enamel salivary exposure time and type of intraoral appliance before an erosive challenge

Neu im Fachgebiet Zahnmedizin

Parodontalbehandlung verbessert Prognose bei Katheterablation

Invasive Zahnbehandlung: Wann eine Antibiotikaprophylaxe vor infektiöser Endokarditis schützt

Zell-Organisatoren unter Druck: Mechanismen des embryonalen Zahnwachstums aufgedeckt

Die Oralprophylaxe & Kinderzahnheilkunde umbenannt

Newsletter