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BMC Oral Health
Published in: BMC Oral Health 1/2023

Open Access 01-12-2023 | Research

Retention of hybrid-abutment-crowns with offset implant placement: influence of Crown materials and Ti-base height

Authors: Ahmed Alseddiek, Walid Al-Zordk, Ahmed Attia

Published in: BMC Oral Health | Issue 1/2023

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Abstract

Background

The purpose of the current study was to assess the impact of three esthetic CAD/CAM material, titanium base height and their interaction on the retention strength of a hybrid-abutment-crown.

Methods

A total of 42 hybrid-abutment crowns with identical external geometries were designed in CAD software to fit two different Ti-Base abutment heights (n = 42/abutment height): either short (S) with 4 mm (n = 21) or long (L) 7 mm (n = 21) height. Each main group was divided into 3 subgroups (n = 7), according to esthetic crown material, Zirconia (Z), Lithium disilicate (L) and Hybrid ceramic (V). A universal primer and an adhesive resin cement were used for bonding according to the manufacturer instructions. Artificial aging in form of water storage (30 days), chewing simulation (50,000-cycles, 49 N, 1.67 Hz) and thermal cyclic (5000 cycles at 5–55 °C) were applied, specimens were pulled-out under tension load in (N) using a universal testing machine. Two and one-way ANOVA and Post Hoc Tukey test were used for statistical analysis.

Results

Long lithium disilicate (LL) group showed the highest retention (738.7 ± 178.5) followed by short lithium disilicate (LS) group (688.6 ± 169.9). Meanwhile, short zirconia (ZS) showed the lowest retention strength (231.1 ± 86.9).

Conclusion

CAD/CAM fabricated lithium disilicate hybrid-abutment-crown can be used instead of conventional crowns over implant abutment. Etchable ceramics are recommended as a material of choice for CAD/CAM fabricated hybrid-abutment-crowns instead of zirconia in terms of retention durability.
Literature
1.
Jung RE, Zembic A, Pjetursson BE, Zwahlen M, ThomaDS. Systematic review of the survival rate and the incidenceof biological, technical, and esthetic compilcations ofsingle crowns on implans reported in longitudinal studieswith a mean follow-up of 5 years. Clin Oral Implant Res. 2012;23:2–21.CrossRef
2.
De Angelis P, Passarelli PC, Gasparini G, Boniello R, D’Amato G, De Angelis S. Monolithic CAD-CAM lithium disilicate versus monolithic CAD-CAM zirconia for single implant-supported posterior crowns using a digital workflow: a 3-year cross-sectional retrospective study. J Prosthet Dent. 2020;123:252–6.CrossRefPubMed
3.
Edelhoff D, Sorensen JA. Tooth structure removal associated with various preparation designs for posterior teeth. Int J Periodontics Restorative Dent., Oliveira D, Pereira JC, Gomes-Ferreira PHS, Kottwitz AB. Prosthetic resolution of malpositioned dental implants with5-year follow-up.
4.
Oliveira D, Pereira JC, Gomes-Ferreira PHS, Kottwitz AB. Prosthetic resolution of malpositioned dental implants with 5-year follow-up.
5.
Chung H, Park C, Yun K-D, Lim H-P, Park S-W, Yang H. Effects of implant alignment and load direction on mandibular bone and implant: finite element analysis. J Dent Rehabil Appl Sci. 2020;36:176–82.CrossRef
6.
Tribst JPM, Piva AMDOD, Borges ALS, Bottino MA. Influence of crown and hybrid abutment ceramic materials on the stress distribution of implant-supported prosthesis. Revista de Odontologia da UNESP. 2018;47(3):149–54.CrossRef
7.
Maló P, De Arauja Nobre M, Lopes A, Ferro A. GravitoI. Single tooth rehabilitation supported by dental implantsused in an immediate provisionalization protocol: reporton long term outcome with retrospective follow-up. Clin Implant Dent Relat Res. 2015;17:511–9.CrossRef
8.
Zarauz C. Clinical recommendations for implant abutment selection for single-implant reconstructions: customized vs standardized ceramic and metallic solutions. Int J Periodontics Restorative Dent. 2020;40:31–7.CrossRefPubMed
9.
Korsch M, Walther W. Prefabricated Versus customized abutments: a retrospective analysis of loosening of cement-retained fixed Implant-Supported Reconstructions. Int J Prosthodont. 2015;28:522–6.CrossRefPubMed
10.
Abichandani SJ, Nadiger R, Kavlekar AS. Abutment selection, designing, and its influence on the emergence profile: a comprehensive review. Eur J Prosthodont. 2013;1(1):1.CrossRef
11.
Turkoglu P, Kose A, Sen D. Abutment selection for anterior implant-supported restorations. An Update on Dental Implantology and Biomaterial. 2019:61.
12.
Martinez-Rus F, Ferreiroa A, Özcan M, Bartolomé JF, Pradies G. Fracture resistance of crowns cemented ontitanium and zirconia implant abutments: a comparison omonolithic versus manually veneered all-ceramic systems. Int J Oral Maxillofac Implants. 2012;27:1448–55.PubMed
13.
Nouh I, Kern M, Sabet AE, Aboelfadl AK, Hamdy AM, Chaar MS. Mechanical behavior of posterior all-ceramic hybrid‐abutment‐crowns versus hybrid‐abutments with separate crowns—A laboratory study. Clin Oral Implants Res. 2019;30:90–8.CrossRefPubMed
14.
Mangano F, Margiani B, Admakin O. A novel full-digital protocol (SCAN-PLAN-MAKE-DONE®) for the design and fabrication of implant-supported monolithic translucent zirconia crowns cemented on customized hybrid abutments: a retrospective clinical study on 25 patients. Int J Environ Res Public Health. 2019;16:317.CrossRefPubMedPubMedCentral
15.
Pitta J, Hicklin SP, Fehmer V, Boldt J, Gierthmuehlen PC, Sailer I. Mechanical stability of zirconia meso-abutments bonded to titanium bases restored with different monolithic all-ceramic crowns. Int J Oral Maxillofac Implants. 2019;34:1091–7.CrossRefPubMed
16.
Mehl C, Zhang Q, Lehmann F, Kern M. Retention of zirconia on titanium in two-piece abutments with self-adhesive resin cement. J Prosthet Dent. 2018;120:214–9.CrossRefPubMed
17.
Kemarly K, Arnason SC, Parke A, Lien W, Vandewalle KS. Effect of various surface treatments on Ti-Base Coping Retention. Oper Dent. 2020;45:426–34.CrossRefPubMed
18.
Alqahtani F, Flinton R. Post-fatigue fracture resistance of modified prefabricated zirconia implant abutments. J Prosthet Dent. 2014;112:299–305.CrossRefPubMed
19.
Stimmelmayr M, Edelhoff D, Güth JF, Erdelt K, Happe A, Beuer F. Wear at the titanium-titanium and the titanium-zirconia implant abutment interface: a comparative invitro study. Dent Mater. 2012;28:1215–20.CrossRefPubMed
20.
Coldea A, Swain MV, Thiel N. Mechanical properties of polymer-infiltrated-ceramic-network materials. Dent Mater. 2013;29:419–26.CrossRefPubMed
21.
22.
Zahoui A, Bergamo ET, Marun MM, Silva KP, Coelho PG, Bonfante EA. Cementation Protocol for Bonding Zirconia Crowns to Titanium Base CAD/CAM abutments. Int J Prosthodont. 2020;33:527–35.CrossRefPubMed
23.
Silva CE, Soares S, Machado CM, et al. Effect of CAD/CAM abutment height and cement type on the retention of zirconia crowns. Implant Dent. 2018;27:582–7.CrossRefPubMed
24.
Bernal G, Okamura M, Munoz CA. The effects of abutment taper, length and cement type on resistance to dislodgement of cement-retained, implant-supported restorations. J Prosthodont. 2003;12:111–5.CrossRefPubMed
25.
Blatz MB, Alvarez M, Sawyer K, Brindis M. How to Bond Zirconia: the APC Concept. Compend Contin Educ Dent. 2016;37:611–8.PubMed
26.
Campos F, Almeida CS, Rippe MP, de Melo RM, Valandro LF, Bottino MA. Resin Bonding to a hybrid ceramic: Effects of Surface Treatments and Aging. Oper Dent. 2016;41:171–8.CrossRefPubMed
27.
Peumans M, Valjakova EB, De Munck J, Mishevska CB, Van Meerbeek B. Bonding effectiveness of luting composites to different CAD/CAM materials. J Adhes Dent. 2016;18:289–302.PubMed
28.
Pitta J, Burkhardt F, Mekki M, Fehmer V, Mojon P, Sailer I. Effect of airborne-particle abrasion of a titanium base abutment on the stability of the bonded interface and retention forces of crowns after artificial aging. J Prosthet Dent. 2021;126:214–21.CrossRefPubMed
29.
Chieffi N, Chersoni S, Papacchini F, Vano M, Goracci C, Davidson CL, et al. The effect of application sustained seating pressure on adhesive luting procedure. Dent Mater. 2007;23:159–64.CrossRefPubMed
30.
Chieffi N, Chersoni S, Papacchini F, Vano M, Goracci C, Davidson CL, et al. Effect of the seating pressure on the adhesive bonding of indirect restorations. Am J Dent. 2006;19:333–6.PubMed
31.
Steiner M, Mitsias ME, Ludwig K, Kern M. In vitro evaluation of a mechanical testing chewing simulator. Dent Mater. 2009;25:494–9.CrossRefPubMed
32.
Silva CEP, Soares S, Machado CM, et al. Effect of CAD/CAM abutment height and cement type on the Retention of Zirconia crowns. Implant Dent. 2018;27:582–7.CrossRefPubMed
33.
Abbo B, Razzoog ME, Vivas J, Sierraalta M. Resistance to dislodgement of zirconia copings cemented onto titanium abutments of different heights. J Prosthet Dent. 2008;99:25–9.CrossRefPubMed
34.
Dhesi GS, Sidhu S, Al-Haj Husain N, Özcan M. Evaluation of Adhesion Protocol for Titanium Base Abutments to different ceramic and hybrid materials. Eur J Prosthodont Restor Dent. 2021;29:22–34.PubMed
35.
Elashmawy Y, Aboushelib M, Elshahawy W. Retention of different CAD/CAM endocrowns bonded to severely damaged endodontically treated teeth: an in vitro study. J Indian Prosthodont Soc. 2021 Jul-Sep;21(3):269–75.
36.
Fayyazi A, Habibi L, Heidari B, Tavakolizadeh S. Tensile Bond Strength and Retention of three types of ceramic endocrowns. J Dent (Shiraz). 2023;24:34–40.PubMed
37.
Bjelopavlovic M, Weyhrauch M, Scheller H, Wentaschek S, Lehmann KM. Retentive strength of CAD/CAM-Fabricated all-ceramic crowns luted on Titanium Implant Abutments using different ceramic materials and Luting Agents: an in Vitro Study. Mater (Basel). 2022;15:6968.ADSCrossRef
38.
Ongun S, Kurtulmus-Yilmaz S, Meriç G, Ulusoy M. A comparative study on the Mechanical Properties of a polymer-infiltrated ceramic-network material used for the fabrication of Hybrid Abutment. Mater (Basel). 2018;11:1681.ADSCrossRef
Metadata
Title
Retention of hybrid-abutment-crowns with offset implant placement: influence of Crown materials and Ti-base height
Authors
Ahmed Alseddiek
Walid Al-Zordk
Ahmed Attia
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2023
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-023-03490-1

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