Fracture force of tooth-tooth- and implant-tooth-supported all-ceramic fixed partial dentures using titanium vs. customised zirconia implant abutments. 2008

Carola Kolbeck, and Michael Behr, and Martin Rosentritt, and Gerhard Handel
carola.kolbeck@klinik.uni-regensburg.de

OBJECTIVE Tooth-coloured customised implant abutments and full ceramic supraconstructions thereon can be made of zirconia by computer-aided manufacturing (CAM). The aim of this study was to examine the potential limits of zirconia three-unit fixed partial dentures made on customised zirconia implant abutments in implant-tooth supported cases. METHODS Rigidly mounted implants (XiVE-S diameter 3.8 mm; length 11 mm; Friadent, Germany) were placed in PMMA-moulds pairwise with human molars at a distance of 10 mm in groups #1 and #2. Control group #3 consisted of two molars without implant involvement. Beforehand all molar roots were covered with polyether (Impregum: 3 M Espe, Germany) to simulate periodontal mobility. The abutments in #1 were individually fabricated from CerconBase and luted on experimental titanium bases (both: DeguDent, Germany). In #2, industrially prefabricated titanium abutments (Friadent) were used. All molar teeth were provided with a circumferential chamfer preparation. Three-unit fixed partial dentures were fabricated from CerconBase/CerconKiss in a CAM-process (Material/devices: DeguDent) for all test groups (n=8/group). All fixed partial dentures were cemented with RelyXUnicem (3 M Espe), thermomechanically loaded (TCML=1.2 x 10(6) x 50 N; 6000 x 5 degrees /55 degrees) and fracture tested in a Universal Test Machine (UTM 1446: Zwick, Germany). RESULTS None of the dentures failed during TCML, and the Cercon abutments showed no damage either to the bonding surface to titanium or to the ceramic itself. Two fixation screws in group #1 broke towards the end of TCML. Fracture test result (Median and 25-/75-Percentiles) were: #1 1190 (1046/2008), #2 991 (832/1402), #3 1331 (1224/1428). CONCLUSIONS All restoration alternatives showed sufficient fracture resistance for posterior regions.

UI MeSH Term Description Entries
D008422 Materials Testing The testing of materials and devices, especially those used for PROSTHESES AND IMPLANTS; SUTURES; TISSUE ADHESIVES; etc., for hardness, strength, durability, safety, efficacy, and biocompatibility. Biocompatibility Testing,Biocompatible Materials Testing,Hemocompatibility Testing,Testing, Biocompatible Materials,Testing, Hemocompatible Materials,Hemocompatibility Testings,Hemocompatible Materials Testing,Materials Testing, Biocompatible,Materials Testing, Hemocompatible,Testing, Biocompatibility,Testing, Hemocompatibility,Testing, Materials,Testings, Biocompatibility
D008963 Molar The most posterior teeth on either side of the jaw, totaling eight in the deciduous dentition (2 on each side, upper and lower), and usually 12 in the permanent dentition (three on each side, upper and lower). They are grinding teeth, having large crowns and broad chewing surfaces. (Jablonski, Dictionary of Dentistry, 1992, p821) Molars
D010710 Phosphates Inorganic salts of phosphoric acid. Inorganic Phosphate,Phosphates, Inorganic,Inorganic Phosphates,Orthophosphate,Phosphate,Phosphate, Inorganic
D001732 Bite Force The force applied by the masticatory muscles in dental occlusion. Masticatory Force,Occlusal Force,Bite Forces,Force, Bite,Force, Masticatory,Force, Occlusal,Forces, Bite,Forces, Masticatory,Forces, Occlusal,Masticatory Forces,Occlusal Forces
D002484 Cementation The joining of objects by means of a cement (e.g., in fracture fixation, such as in hip arthroplasty for joining of the acetabular component to the femoral component). In dentistry, it is used for the process of attaching parts of a tooth or restorative material to a natural tooth or for the attaching of orthodontic bands to teeth by means of an adhesive. Cementations
D003764 Dental Materials Materials used in the production of dental bases, restorations, impressions, prostheses, etc. Dental Material,Material, Dental,Materials, Dental
D003776 Dental Porcelain A type of porcelain used in dental restorations, either jacket crowns or inlays, artificial teeth, or metal-ceramic crowns. It is essentially a mixture of particles of feldspar and quartz, the feldspar melting first and providing a glass matrix for the quartz. Dental porcelain is produced by mixing ceramic powder (a mixture of quartz, kaolin, pigments, opacifiers, a suitable flux, and other substances) with distilled water. (From Jablonski's Dictionary of Dentistry, 1992) Porcelain,Porcelain, Dental,Dental Porcelains,Porcelains,Porcelains, Dental
D003779 Denture Design The plan, delineation, and location of actual structural elements of dentures. The design can relate to retainers, stress-breakers, occlusal rests, flanges, framework, lingual or palatal bars, reciprocal arms, etc. Denture Designs,Design, Denture,Designs, Denture
D003799 Dental Stress Analysis The description and measurement of the various factors that produce physical stress upon dental restorations, prostheses, or appliances, materials associated with them, or the natural oral structures. Analyses, Dental Stress,Analysis, Dental Stress,Stress Analyses, Dental,Stress Analysis, Dental,Dental Stress Analyses
D003830 Denture, Partial, Fixed A partial denture attached to prepared natural teeth, roots, or implants by cementation. Fixed Bridge,Fixed Partial Denture,Pontic,Bridge, Fixed,Bridges, Fixed,Denture, Fixed Partial,Dentures, Fixed Partial,Fixed Bridges,Fixed Partial Dentures,Partial Denture, Fixed,Partial Dentures, Fixed,Pontics

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