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Considerations for the Survival of Complete Arch Implant-Supported Zirconia Restorations; Status of Antagonistic Arches and Stress Distribution on Frameworks: A Case Report

  • Choi, Jung-Yoo (Department of Prosthodontics, School of Dentistry and Dental Research Institute, Seoul National University) ;
  • Sim, Jae-Hyuk (Department of Prosthodontics, School of Dentistry and Dental Research Institute, Seoul National University) ;
  • Yeo, In-Sung Luke (Department of Prosthodontics, School of Dentistry and Dental Research Institute, Seoul National University)
  • Received : 2017.07.10
  • Accepted : 2017.12.12
  • Published : 2017.12.30

Abstract

This report describes two cases of complete arch implant-supported restorations. The first patient had seven dental implants in each arch with monolithic zirconia frameworks. At four weeks' follow-up, the one-piece maxillary framework was fractured, which was re-designed and re-fabricated using laser-sintered cobalt-chrome alloy. The second patient had four implants in the mandible only. A mandibular monolithic zirconia framework and a maxillary conventional complete denture were fabricated and delivered. At five years' follow-up, the patient reported no significant discomfort. Careful consideration and monitoring of the status of antagonistic arches and stress distribution on zirconia frameworks were suggested for complete arch implant-supported fixed restorations.

Keywords

References

  1. Hassel AJ, Shahin R, Kreuter A, Rammelsberg P. Rehabilitation of an edentulous mandible with an implant-supported fixed prosthesis using an allceramic framework: a case report. Quintessence Int. 2008; 39: 421-6.
  2. Manicone PF, Rossi Iommetti P, Raffaelli L. An overview of zirconia ceramics: basic properties and clinical applications. J Dent. 2007; 35: 819-26. https://doi.org/10.1016/j.jdent.2007.07.008
  3. Al-Mazedi M, Razzoog ME, Yaman P. Fixed maxillary and mandibular zirconia implant frameworks milled with anatomically contoured molars: a clinical report. J Prosthet Dent. 2014; 112: 1013-6. https://doi.org/10.1016/j.prosdent.2013.12.027
  4. Mehra M, Vahidi F. Complete mouth implant rehabilitation with a zirconia ceramic system: a clinical report. J Prosthet Dent. 2014; 112: 1-4. https://doi.org/10.1016/j.prosdent.2013.12.016
  5. Papaspyridakos P, Lal K. Computer-assisted design/computer-assisted manufacturing zirconia implant fixed complete prostheses: clinical results and technical complications up to 4 years of function. Clin Oral Implants Res. 2013; 24: 659-65. https://doi.org/10.1111/j.1600-0501.2012.02447.x
  6. Kapos T, Evans C. CAD/CAM technology for implant abutments, crowns, and superstructures. Int J Oral Maxillofac Implants. 2014; 29 Suppl: 117-36. https://doi.org/10.11607/jomi.2014suppl.g2.3
  7. Ortorp A, Jemt T. CNC-milled titanium frameworks supported by implants in the edentulous jaw: a 10-year comparative clinical study. Clin Implant Dent Relat Res. 2012; 14: 88-99. https://doi.org/10.1111/j.1708-8208.2009.00232.x
  8. Tahmaseb A, De Clerck R, Aartman I, Wismeijer D. Digital protocol for reference-based guided surgery and immediate loading: a prospective clinical study. Int J Oral Maxillofac Implants. 2012; 27: 1258-70.
  9. Silva TB, De Arruda Nobilo MA, Pessanha Henriques GE, Mesquita MF, Guimaraes MB. Influence of laser-welding and electroerosion on passive fit of implant-supported prosthesis. Stomatologija. 2008; 10: 96-100.
  10. Mahmood DJ, Linderoth EH, Wennerberg A, Vult Von Steyern P. Influence of core design, production technique, and material selection on fracture behavior of yttria-stabilized tetragonal zirconia polycrystal fixed dental prostheses produced using different multilayer techniques: split-file, overpressing, and manually built-up veneers. Clin Cosmet Investig Dent. 2016; 8: 15-27.
  11. Kim KB, Kim WC, Kim HY, Kim JH. An evaluation of marginal fit of three-unit fixed dental prostheses fabricated by direct metal laser sintering system. Dent Mater. 2013; 29: e91-6.
  12. Wu L, Zhu H, Gai X, Wang Y. Evaluation of the mechanical properties and porcelain bond strength of cobalt-chromium dental alloy fabricated by selective laser melting. J Prosthet Dent. 2014; 111: 51-5. https://doi.org/10.1016/j.prosdent.2013.09.011
  13. Raigrodski AJ, Chiche GJ, Potiket N, Hochstedler JL, Mohamed SE, Billiot S, Mercante DE. The efficacy of posterior three-unit zirconium-oxidebased ceramic fixed partial dental prostheses: a prospective clinical pilot study. J Prosthet Dent. 2006; 96: 237-44. https://doi.org/10.1016/j.prosdent.2006.08.010
  14. Raigrodski AJ, Hillstead MB, Meng GK, Chung KH. Survival and complications of zirconia-based fixed dental prostheses: a systematic review. J Prosthet Dent. 2012; 107: 170-7. https://doi.org/10.1016/S0022-3913(12)60051-1