Advertisement
Journal of Prosthetic Dentistry

Optimizing the esthetic outcome by using screw-retained implant abutment crowns: A 3-year clinical follow-up

Published:November 04, 2020DOI:https://doi.org/10.1016/j.prosdent.2020.09.014

      Abstract

      This clinical report describes a ceramic complete-mouth rehabilitation with screw-retained implant abutment crowns, optimizing esthetics by combining the properties of ceramic materials. The abutments connected a titanium insert to a computer-aided design and computer-aided manufacturing (CAD-CAM) monolithic zirconia framework, offering improved esthetics and biologic response without negatively affecting the implant abutment interface. Lithium disilicate crowns were cemented extraorally on the abutments, resulting in a screw-retained restoration.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Prosthetic Dentistry
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Pjetursson B.E.
        • Valente N.A.
        • Strasding M.
        • Zwahlen M.
        • Liu S.
        • Sailer I.
        A systematic review of the survival and complication rates of zirconia-ceramic and metal-ceramic single crowns.
        Clin Oral Implants Res. 2018; 16: 199-214
        • Pjetursson B.E.
        • Thoma D.
        • Jung R.
        • Zwahlen M.
        • Zembic A.
        A systematic review of the survival and complication rates of implant supported fixed dental prostheses (FDPs) after a mean observation period of at least 5 years.
        Clin Oral Implants Res. 2012; 23: 22-38
        • Preston J.D.
        Current status of shade selection and color matching.
        Quintessence Int. 1985; 16: 47-58
        • Miller L.L.
        Shade matching.
        J Esthet Dent. 1993; 5: 143-153
        • Barghi N.
        • Richardson J.T.
        A study of various factors influencing shade of bonded porcelain.
        J Prosthet Dent. 1978; 39: 282-284
        • Barghi N.
        Color and glaze: effects of repeated firings.
        J Prosthet Dent. 1982; 47: 393-395
        • Jorgenson M.W.
        • Goodkind R.J.
        Spectrophotometric study of five porcelain shades relative to the dimensions of color, porcelain thickness, and repeated firings.
        J Prosthet Dent. 1979; 42: 96-105
        • Brewer J.D.
        • Akers C.K.
        • Garlapo D.A.
        • Sorensen S.E.
        Spectrometric analysis of the influence of metal substrates on the color of metal-ceramic restorations.
        J Dent Res. 1985; 64: 74-77
        • Jacobs S.H.
        • Goodacre C.J.
        • Moore B.K.
        • Dykema R.W.
        Effect of porcelain thickness and type of metal-ceramic alloy on color.
        J Prosthet Dent. 1987; 57: 138-145
        • Lund P.S.
        • Davis P.W.
        Shear bond strength of textured opaque porcelain.
        Int J Prosthodont. 1992; 5: 503-509
        • Seghi R.R.
        • Johnston W.M.
        • O'Brien W.J.
        Spectrophotometric analysis of color differences between porcelain systems.
        J Prosthet Dent. 1986; 56: 35-40
        • Crispin B.J.
        • Seghi R.R.
        • Globe H.
        Effect of different metal ceramic alloys on the color of opaque and dentin porcelain.
        J Prosthet Dent. 1991; 65: 351-356
        • Bertolotti R.L.
        9th ed. Alloys for porcelain-fused-to- metal restoration. vol 33. Quintessence, Chicago2002: 200-209
        • Yamamato M.
        Metal-ceramics: principles and methods.
        Quintessence, Chicago1985: 483-494
        • Homaei E.
        • Farhangdoost K.
        • Tsoi J.K.H.
        • Matinlinna J.P.
        • Pow E.H.N.
        Static and fatigue mechanical behavior of three dental CAD-CAM ceramics.
        J Mech Behav Biomed Mater. 2016; 59: 304-313
        • Quinn J.B.
        • Sundar V.
        • Lloyd I.K.
        Influence of microstructure and chemistry on the fracture toughness of dental ceramics.
        Dent Mater. 2003; 19: 603-611
        • Sailer I.
        • Gottnerb J.
        • Kanelb S.
        • Hammerle C.H.
        Randomized controlled clinical trial of zirconia-ceramic and metal-ceramic posterior fixed dental prostheses: a 3-year follow-up.
        Int J Prosthodont. 2009; 22: 553-560
        • Christensen R.P.
        • Ploeger B.J.
        A clinical comparison of zirconia, metal and alumina fixed-prosthesis frameworks veneered with layered or pressed ceramic: a three-year report.
        J Am Dent Assoc. 2010; 141: 1317-1329
        • Håff A.
        • Löf H.
        • Gunne J.
        • Sjögren G.
        A retrospective evaluation of zirconia-fixed partial dentures in general practices: an up to 13-year study.
        Dent Mater. 2015; 31: 162-170
        • Rabel K.
        • Spies B.C.
        • Pieralli S.
        • Vach K.
        • Kohal R.J.
        The clinical performance of all-ceramic implant-supported single crowns: a systematic review and meta-analysis.
        Clin Oral Implants Res. 2018; 29: 196-223
        • Harada K.
        • Raigrodski A.J.
        • Chung K.H.
        • Flinn B.D.
        • Dogan S.
        • Mancl L.A.
        A comparative evaluation of the translucency of zirconias and lithium disilicate for monolithic restorations.
        J Prosthet Dent. 2016; 116: 257-263
        • Nakamura K.
        • Kanno T.
        • Milleding P.
        • Ortengren U.
        Zirconia as a dental implant abutment material: a systematic review.
        Int J Prosthodont. 2010; 23: 299-309
        • Vigolo P.
        • Givani A.
        • Majzoub Z.
        • Cordioli G.
        A 4-year prospective study to assess peri-implant hard and soft tissues adjacent to titanium versus gold-alloy abutments in cemented single implant crowns.
        J Prosthodont. 2006; 15: 250-256
        • Sailer I.
        • Philipp A.
        • Zembic A.
        • Pjetursson B.E.
        • Hämmerle C.H.
        • Zwahlen M.
        A systematic review of the performance of ceramic and metal implant abutments supporting fixed implant reconstructions.
        Clin Oral Implants Res. 2009; 20: 4-31
        • Prestipino V.
        • Ingber A.
        All-ceramic implant abutments: esthetic indications.
        J Esthet Dent. 1996; 8: 255-262
        • Gomes A.L.
        • Montero J.
        Zirconia implant abutments: a review.
        Med Oral Patol Oral Cir Bucal. 2011; 16: 50-55
        • Tan P.L.
        • Dunne Jr., J.T.
        An esthetic comparison of a metal ceramic crown and cast metal abutment with an all-ceramic crown and zirconia abutment: a clinical report.
        J Prosthet Dent. 2004; 91: 215-218
        • Glauser R.
        • Sailer I.
        • Wohlwend A.
        • Studer S.
        • Schibli M.
        • Schärer P.
        Experimental zirconia abutments for implant-supported single-tooth restorations in esthetically demanding regions: 4-year results of a prospective clinical study.
        Int J Prosthodont. 2004; 17: 285-290
        • Anusavice K.J.
        Recent developments in restorative dental ceramics.
        J Am Dent Assoc. 1993; 124: 72-74
        • Vagkopoulou T.
        • Koutayas S.O.
        • Koidis P.
        • Strub J.R.
        Zirconia in dentistry: part 1. Discovering the nature of an upcoming bioceramic.
        Eur J Esthet Dent. 2009; 4: 130-151
        • Alqahtani F.
        • Flinton R.
        Post fatigue fracture resistance of modified prefabricated zirconia implant abutments.
        J Prosthet Dent. 2014; 112: 299-305
        • Stimmelmayr M.
        • Edelhoff D.
        • Güth J.F.
        • Erdelt K.
        • Happe A.
        • Beuer F.
        Wear at the titanium-titanium and the titanium-zirconia implant-abutment interface: a comparative in vitro study.
        Dent Mater. 2012; 28: 1215-1220
        • Zembic A.
        • Philipp A.O.
        • Hämmerle C.H.
        • Wohlwend A.
        • Sailer I.
        Eleven-year follow-up of a prospective study of zirconia implant abutments supporting single all-ceramic crowns in anterior and premolar regions.
        Clin Implant Dent Relat Res. 2015; 2: 417-426
        • Passos S.P.
        • Linke B.
        • Larjava H.
        • French D.
        Performance of zirconia abutments for implant-supported single-tooth crowns in esthetic areas: a retrospective study up to 12-year follow-up.
        Clin Oral Implants Res. 2016; 27: 47-54
        • Baixe S.
        • Fauxpoint G.
        • Arntz Y.
        • Etienne O.
        Microgap between zirconia abutments and titanium implants.
        Int J Oral Maxillofac Implants. 2010; 25: 455-460
        • Elsayed A.
        • Wille S.
        • Al-Akhali M.
        • Kern M.
        Comparison of fracture strength and failure mode of different ceramic implant abutments.
        J Prosthet Dent. 2017; 117: 499-506
        • Guilherme N.M.
        • Chung K.H.
        • Flinn B.D.
        • Zheng C.
        • Raigrodski A.J.
        Assessment of reliability of CAD-CAM tooth-colored implant custom abutments.
        J Prosthet Dent. 2016; 116: 206-213
        • Protopapadaki M.
        • Monaco Jr., E.A.
        • Kim H.I.
        • Davis E.L.
        Comparison of fracture resistance of pressable metal ceramic custom implant abutment with a commercially fabricated CAD-CAM zirconia implant abutment.
        J Prosthet Dent. 2013; 110: 389-396
        • Ebert A.
        • Hedderich J.
        • Kern M.
        Retention of zirconia ceramic copings bonded to titanium abutments.
        Int J Oral Maxillofac Implants. 2007; 22: 921-927
        • Yilmaz B.
        • Salaita L.G.
        • Seidt J.D.
        • McGlumphy E.A.
        • Clelland N.L.
        Load to failure of different zirconia abutments for an internal hexagon implant.
        J Prosthet Dent. 2015; 114: 373-377
        • Conejo J.
        • Kobayashi T.
        • Anadioti E.
        • Blatz M.B.
        Performance of CAD-CAM monolithic ceramic Implant-supported restorations bonded to titanium inserts: a systematic review.
        Eur J Oral Implantol. 2017; 10: 139-146
        • Gehrke P.
        • Alius J.
        • Fischer C.
        • Erdelt K.J.
        • Beuer F.
        Retentive strength of two-piece CAD-CAM zirconia implant abutments.
        Clin Implant Dent Relat Res. 2014; 16: 920-925
        • Guilherme N.
        • Wadhwani C.
        • Zheng C.
        • Chung K.H.
        Effect of surface treatments on titanium alloy bonding to lithium disilicate glass-ceramics.
        J Prosthet Dent. 2016; 116: 797-802
        • Mehl C.
        • Zhang Q.
        • Lehmann F.
        • Kern M.
        Retention of zirconia on titanium in two-piece abutments with self-adhesive resin cements.
        J Prosthet Dent. 2018; 120: 214-219
        • Nouh I.
        • Kern M.
        • Sabet A.E.
        • Aboelfadl A.K.
        • Hamdy A.M.
        • Chaar M.S.
        Mechanical behavior of posterior all-ceramic hybrid-abutment-crowns versus hybrid-abutments with separate crowns - a laboratory study.
        Clin Oral Implants Res. 2019; 30: 90-98
        • Elsayed A.
        • Wille S.
        • Al-Akhali M.
        • Kern M.
        Effect of fatigue loading on the fracture strength and failure mode of lithium disilicate and zirconia implant abutments.
        Clin Oral Implants Res. 2018; 29: 20-27
        • Aziz A.
        • Sallam H.
        • Sami R.N.
        Fracture resistance of e.Max CAD implant superstructures cemented on lithium disilicate hybrid abutments and zirconia hybrid abutments (an in-vitro study).
        Egypt Dent J. 2019; 65: 97-110
        • Roberts E.E.
        • Bailey C.W.
        • Ashcraft-Olmscheid D.L.
        • Vandewalle K.S.
        Fracture resistance of titanium-based lithium disilicate and zirconia implant restorations.
        J Prosthodont. 2018; 27: 644-650
        • D'haese J.
        • Ackhurst J.
        • Wismeijer D.
        • De Bruyn H.
        • Tahmaseb A.
        Current state of the art of computer-guided implant surgery.
        Periodontol 2000. 2017; 73: 121-133
        • Kernen F.
        • Benic G.I.
        • Payer M.
        • Schär A.
        • Müller-Gerbl M.
        • Filippi A.
        • et al.
        Accuracy of three-dimensional printed templates for guided implant placement based on matching a surface scan with CBCT.
        Clin Implant Dent Relat Res. 2016; 18: 762-768
        • Wittneben J.G.
        • Joda T.
        • Weber H.P.
        • Brägger U.
        Screw retained vs. cement retained implant-supported fixed dental prosthesis.
        Periodontol 2000. 2017; 73: 141-151