Rosentritt, Martin and Raab, Philipp and Hahnel, Sebastian and Stoeckle, Matthias and Preis, Verena (2017) In-vitro performance of CAD/CAM-fabricated implant-supported temporary crowns. CLINICAL ORAL INVESTIGATIONS, 21 (8). pp. 2581-2587. ISSN 1432-6981, 1436-3771
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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). 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, alpha = 0.05). 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. 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. All bonded and screwed PMMA crowns were in a range where clinical application seems not restricted.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | SHOCK ABSORPTION CAPACITY; FIXED DENTAL PROSTHESES; LABORATORY SIMULATION; RESTORATIVE MATERIALS; FRACTURE-RESISTANCE; COMPLICATION RATES; SINGLE CROWNS; RESIN; STRENGTH; DENTISTRY; CAD/CAM composites; PMMA, temporary; Provisional, chewing simulation; Implant crown; Abutment; Fracture resistance |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Zahnärztliche Prothetik |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 14 Dec 2018 13:19 |
| Last Modified: | 19 Feb 2019 08:46 |
| URI: | https://pred.uni-regensburg.de/id/eprint/1946 |
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