Rosentritt, Martin and Hahnel, Sebastian and Engelhardt, Frank and Behr, Michael and Preis, Verena (2017) In vitro performance and fracture resistance of CAD/CAM-fabricated implant supported molar crowns. CLINICAL ORAL INVESTIGATIONS, 21 (4). pp. 1213-1219. ISSN 1432-6981, 1436-3771
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The aim of this study is to investigate the performance and fracture resistance of different CAD/CAM ceramic and composite materials as implant- or tooth-supported single crowns with respect to the clinical procedure (screwed/bonded restoration). One hundred twenty crowns were fabricated on implants or human molar teeth simulating (a) chairside procedure ([CHAIR] implant crown bonded to abutment), (b) labside procedure ([LAB] abutment and implant crown bonded in laboratory, screwed chairside), and (c) reference ([TOOTH] crowns luted on human teeth). Four materials were investigated: ZLS (zirconia-reinforced lithium silicate ceramic; Celtra Duo, Degudent: polished (P)/crystallized (C)), RB (resin-based composite; Cerasmart, GC), and RIC (resin-infiltrated ceramic; Enamic, Vita-Zahnfabrik). LiS (lithiumdisilicate; Emax CAD, Ivoclar-Vivadent) served as reference. 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). One crown of ZLS_C[LAB] (1,200,000 cycles) and RB[CHAIR] (890 cycles) failed during TCML. Fracture values varied between 977.7 N(RB) and 3070.4 N(LiS)[CHAIR], 1130.6 N(RB) and 2998.1 N(LiS)[LAB], and 1802.4 N(ZLS) and 2664.3 N(LiS)[TOOTH]. Significantly (p < 0.003) different forces were found between the materials in all three groups. ZLS_C, RIC, and RB showed significantly (p < 0.014) different values for the individual groups. Partly ceramic and resin-based materials performed differently on implant or tooth abutments. The insertion of a screw channel reduced the stability for individual crown materials. Insertion of the screw channel should be performed carefully. All restorations were in a range where clinical application seems not restricted, but insertion of a screw channel might reduce stability of individual materials.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | SHOCK ABSORPTION CAPACITY; FIXED-PARTIAL DENTURES; ALL-CERAMIC CROWNS; RESTORATIVE MATERIALS; LABORATORY SIMULATION; POSTERIOR CROWNS; SINGLE CROWNS; ABUTMENTS; ZIRCONIA; FULL; CAD/CAM composites/ceramics; Zirconia-reinforced lithium silicate; 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 13:10 |
| Last Modified: | 18 Feb 2019 13:46 |
| URI: | https://pred.uni-regensburg.de/id/eprint/980 |
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