Advertisement
Journal of Prosthetic Dentistry
Dental Technique|Articles in Press

A digital protocol for the fabrication of anatomic-contour implant zirconia crowns directly screwed on external hexagonal implant connections without the interposition of a Ti-base component

      Abstract

      A straightforward and effective restorative option is proposed for implant-supported fixed prostheses with external connections by using monolithic zirconia without the interposition of a Ti-base component. The technique is based on a modification of the Brånemark connection used to link metal-ceramic or metal-composite resin restorations directly to the implant.
      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

        • Dierens M.
        • Vandeweghe S.
        • Kisch J.
        • Nilner K.
        • De Bruyn H.
        Long-term follow-up of turned single implants placed in periodontally healthy patients after 16-22 years: radiographic and peri-implant outcome.
        Clin Oral Implants Res. 2012; 23: 197-204
        • Bergenblock S.
        • Andersson B.
        • Fürst B.
        • Jemt T.
        Long-term follow-up of CeraOne™ single-implant restorations: an 18-year follow-up study based on a prospective patient cohort.
        Clin Implant Dent Relat Res. 2012; 14: 471-479
        • Jemt T.
        Single implants in the anterior maxilla after 15 years of follow-up: comparison with central implants in the edentulous maxilla.
        Int J Prosthodont. 2008; 21: 400-408
        • Caricasulo R.
        • Malchiodi L.
        • Ghensi P.
        • Fantozzi G.
        • Cucchi A.
        The influence of implant-abutment connection to peri-implant bone loss: a systematic review and meta-analysis.
        Clin Implant Dent Relat Res. 2018; 20: 653-664
        • D'Ercole S.
        • Dotta T.C.
        • Farani M.R.
        • et al.
        Bacterial Microleakage at the Implant-Abutment Interface: an In Vitro Study.
        Bioengineering (Basel). 2022; 9: 277
        • Liu Y.
        • Wang J.
        Influences of microgap and micromotion of implant-abutment interface on marginal bone loss around implant neck.
        Arch Oral Biol. 2017; 83: 153-160
        • Gupta S.
        • Sabharwal R.
        • Nazeer J.
        • Taneja L.
        • Choudhury B.K.
        • Sahu S.
        Platform switching technique and crestal bone loss around the dental implants: a systematic review.
        Ann Afr Med. 2019; 18: 1-6
        • Canullo L.
        • Penarrocha-Oltra D.
        • Soldini C.
        • Mazzocco F.
        • Penarrocha M.
        • Covani U.
        Microbiological assessment of the implant-abutment interface in different connections: cross-sectional study after 5 years of functional loading.
        Clin Oral Implants Res. 2015; 26: 426-434
        • Hoyer S.A.
        • Stanford C.M.
        • Buranadham S.
        • Fridrich T.
        • Wagner J.
        • Gratton D.
        Dynamic fatigue properties of the dental implant-abutment interface: joint opening in wide-diameter versus standard-diameter hex-type implants.
        J Prosthet Dent. 2001; 85: 599-607
        • Tyagi R.
        • Kumar S.
        • Aggarwal R.
        • Choudhary S.
        • Malethia A.
        • Saini N.
        A 3-D finite element analysis of stress distribution on implant-supported fixed prosthesis with four different commercially available implant systems.
        J Contemp Dent Pract. 2020; 21: 835-840
        • Camps-Font O.
        • Rubianes-Porta L.
        • Valmaseda-Castellón E.
        • Jung R.E.
        • Gay-Escoda C.
        • Figueiredo R.
        Comparison of external, internal flat-to-flat, and conical implant abutment connections for implant-supported prostheses: a systematic review and network meta-analysis of randomized clinical trials.
        J Prosthet Dent. 11 November 2021; ([Epub ahead of print.])https://doi.org/10.1016/j.prosdent.2021.09.029
        • De Holanda Cavalcanti Pereira A.K.
        • de Oliveira Limirio J.P.J.
        • Cavalcanti do Egito Vasconcelos B.
        • Pellizzer E.P.
        • Dantas de Moraes
        Mechanical behavior of titanium and zirconia abutments at the implant-abutment interface: a systematic review.
        J Prosthet Dent. 12 March 2022; ([Epub ahead of print.])https://doi.org/10.1016/j.prosdent.2022.01.006
        • Lemos C.A.A.
        • Verri F.R.
        • Noritomi P.Y.
        • et al.
        Biomechanical evaluation of different implant-abutment connections, retention systems, and restorative materials in the implant-supported single crowns using 3d finite element analysis.
        J Oral Implantol. 2022; 48: 194-201
        • Camposilvan E.
        • Leone R.
        • Gremillard L.
        • et al.
        Aging resistance, mechanical properties and translucency of different yttria-stabilized zirconia ceramics for monolithic dental crown applications.
        Dent Mater. 2018; 34: 879-890
        • Pandoleon P.
        • Bakopoulou A.
        • Papadopoulou L.
        • Koidis P.
        Evaluation of the biological behaviour of various dental implant abutment materials on attachment and viability of human gingival fibroblasts.
        Dent Mater. 2019; 35: 1053-1063
        • Worni A.
        • Kolgeci L.
        • Rentsch-Kollar A.
        • Katsoulis J.
        • Mericske-Stern R.
        Zirconia-Based Screw-Retained Prostheses Supported by Implants: a Retrospective Study on Technical Complications and Failures.
        Clin Implant Dent Relat Res. 2015; 17: 1073-1081
        • Mühlemann S.
        • Truninger T.C.
        • Stawarczyk B.
        • Hämmerle C.H.
        • Sailer I.
        Bending moments of zirconia and titanium implant abutments supporting all-ceramic crowns after aging.
        Clin Oral Implants Res. 2014; 25: 74-81
        • Truninger T.C.
        • Stawarczyk B.
        • Leutert C.R.
        • Sailer T.R.
        • Hämmerle C.H.
        • Sailer I.
        Bending moments of zirconia and titanium abutments with internal and external implant-abutment connections after aging and chewing simulation.
        Clin Oral Implants Res. 2012; 23: 12-18
        • Sailer I.
        • Sailer T.
        • Stawarczyk B.
        • Jung R.E.
        • Hämmerle C.H.
        In vitro study of the influence of the type of connection on the fracture load of zirconia abutments with internal and external implant-abutment connections.
        Int J Oral Maxillofac Implants. 2009; 24: 850-858
        • Cavusoglu Y.
        • Akça K.
        • Gürbüz R.
        • Cehreli M.C.
        A pilot study of joint stability at the zirconium or titanium abutment/titanium implant interface.
        Int J Oral Maxillofac Implants. 2014; 29: 338-343
        • Garine W.N.
        • Funkenbusch P.D.
        • Ercoli C.
        • Wodenscheck J.
        • Murphy W.C.
        Measurement of the rotational misfit and implant-abutment gap of all-ceramic abutments.
        Int J Oral Maxillofac Implants. 2007; 22: 928-938
      1. Klotz MW, Taylor TD, Goldberg AJ. Wear at the titanium-zirconia implant-abutment interface: a pilot study. Int J Oral Maxillofac Implants;26:970–975.

        • 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. 2011; 28: 1215-1220
        • Yüzügüllü B.
        • Avci M.
        The implant-abutment interface of alumina and zirconia abutments.
        Clin Implant Dent Relat Res. 2008; 10: 113-121
        • Honda J.
        • Komine F.
        • Kamio S.
        • Taguchi K.
        • Blatz M.B.
        • Matsumura H.
        Fracture resistance of implant-supported screw-retained zirconia-based molar restorations.
        Clin Oral Implants Res. 2017; 28: 1119-1126
        • 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; 17: 417-426
        • Zembic A.
        • Bosch A.
        • Jung R.E.
        • Hammerle C.H.
        • Sailer I.
        Five-year results of a randomized controlled clinical trial comparing zirconia and titanium abutments supporting single-implant crowns in canine and posterior regions.
        Clin Oral Implants Res. 2013; 24: 384-390
        • Linkevicius T.
        • Vaitelis J.
        The effect of zirconia or titanium as abutment material on soft peri-implant tissues: a systematic review and meta-analysis.
        Clin Oral Implants Res. 2015; 26: 139-147
        • Manicone P.F.
        • Rossi Iommetti P.
        • Raffaelli L.
        An overview of zirconia ceramics: basic properties and clinical applications.
        J Dent. 2007; 35: 81926
        • Pereira P.H.S.
        • Amaral M.
        • Baroudi K.
        • Vitti R.P.
        • Nassani M.Z.
        • Silva-Concílio L.R.D.
        Effect of implant platform connection and abutment material on removal torque and implant hexagon plastic deformation.
        Eur J Dent. 2019; 13: 349-353
        • Yilmaz B.
        • Batak B.
        • Seghi R.
        • Johnston W.M.
        • Lang L.A.
        Effect of Crown Height on the Screw Stability of Titanium Screw-Retained Crowns.
        J Prosthodont. 2021; 30: 515-519