The Journal of Advanced Prosthodontics

The Korean Academy of Prosthodonitics (대한치과보철학회)
권호 표지
DOI QR코드

DOI QR Code

Fracture resistance of implant- supported monolithic crowns cemented to zirconia hybrid-abutments: zirconia-based crowns vs. lithium disilicate crowns

  • Elshiyab, Shareen H (School of Dentistry and Oral Health, Griffith University) ;
  • Nawafleh, Noor (Faculty of Applied Medical Sciences, Jordan University of Science and Technology) ;
  • Ochsner, Andreas (School of Engineering, Griffith University) ;
  • George, Roy (School of Dentistry and Oral Health, Griffith University)
  • Received : 2017.05.18
  • Accepted : 2017.12.05
  • Published : 2018.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

PURPOSE. The aim of this in vitro study was to investigate the fracture resistance under chewing simulation of implant-supported posterior restorations (crowns cemented to hybrid-abutments) made of different all-ceramic materials. MATERIALS AND METHODS. Monolithic zirconia (MZr) and monolithic lithium disilicate (MLD) crowns for mandibular first molar were fabricated using computer-aided design/computer-aided manufacturing technology and then cemented to zirconia hybrid-abutments (Ti-based). Each group was divided into two subgroups (n=10): (A) control group, crowns were subjected to single load to fracture; (B) test group, crowns underwent chewing simulation using multiple loads for 1.2 million cycles at 1.2 Hz with simultaneous thermocycling between $5^{\circ}C$ and $55^{\circ}C$. Data was statistically analyzed with one-way ANOVA and a Post-Hoc test. RESULTS. All tested crowns survived chewing simulation resulting in 100% survival rate. However, wear facets were observed on all the crowns at the occlusal contact point. Fracture load of monolithic lithium disilicate crowns was statistically significantly lower than that of monolithic zirconia crowns. Also, fracture load was significantly reduced in both of the all-ceramic materials after exposure to chewing simulation and thermocycling. Crowns of all test groups exhibited cohesive fracture within the monolithic crown structure only, and no abutment fractures or screw loosening were observed. CONCLUSION. When supported by implants, monolithic zirconia restorations cemented to hybrid abutments withstand masticatory forces. Also, fatigue loading accompanied by simultaneous thermocycling significantly reduces the strength of both of the all-ceramic materials. Moreover, further research is needed to define potentials, limits, and long-term serviceability of the materials and hybrid abutments.

Keywords

References

  1. Kapos T, Evans C. CAD/CAM technology for implant abutments, crowns, and superstructures. Int J Oral Maxillofac Implants 2014;29:117-36. https://doi.org/10.11607/jomi.2014suppl.g2.3
  2. Santos MJ, Costa MD, Rubo JH, Pegoraro LF, Santos GC Jr. Current all-ceramic systems in dentistry: a review. Compend Contin Educ Dent 2015;36:31-7; quiz 38, 40.
  3. Pallis K, Griggs JA, Woody RD, Guillen GE, Miller AW. Fracture resistance of three all-ceramic restorative systems for posterior applications. J Prosthet Dent 2004;91:561-9. https://doi.org/10.1016/j.prosdent.2004.03.001
  4. Batson ER, Cooper LF, Duqum I, Mendonca G. Clinical outcomes of three different crown systems with CAD/CAM technology. J Prosthet Dent 2014;112:770-7. https://doi.org/10.1016/j.prosdent.2014.05.002
  5. Larsson C, Wennerberg A. The clinical success of zirconiabased crowns: a systematic review. Int J Prosthodont 2014;27: 33-43. https://doi.org/10.11607/ijp.3647
  6. Fasbinder DJ, Dennison JB, Heys D, Neiva G. A clinical evaluation of chairside lithium disilicate CAD/CAM crowns: a two-year report. J Am Dent Assoc 2010;141:10S-4S. https://doi.org/10.14219/jada.archive.2010.0355
  7. Avivi-Arber L, Zarb GA. Clinical effectiveness of implantsupported single-tooth replacement: the Toronto Study. Int J Oral Maxillofac Implants 1996;11:311-21.
  8. Scheller H, Urgell JP, Kultje C, Klineberg I, Goldberg PV, Stevenson-Moore P, Alonso JM, Schaller M, Corria RM, Engquist B, Toreskog S, Kastenbaum F, Smith CR. A 5-year multicenter study on implant-supported single crown restorations. Int J Oral Maxillofac Implants 1998;13:212-8.
  9. Prestipino V, Ingber A. Esthetic high-strength implant abutments. Part I. J Esthet Dent 1993;5:29-36. https://doi.org/10.1111/j.1708-8240.1993.tb00741.x
  10. Prestipino V, Ingber A. Esthetic high-strength implant abutments. Part II. J Esthet Dent 1993;5:63-8. https://doi.org/10.1111/j.1708-8240.1993.tb00750.x
  11. Glauser R, Sailer I, Wohlwend A, Studer S, Schibli M, Scharer 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;17:285-90.
  12. Sailer I, Sailer T, Stawarczyk B, Jung RE, Hammerle CH. 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;24:850-8.
  13. Nascimento C, Pita MS, Fernandes FH, Pedrazzi V, de Albuquerque Junior RF, Ribeiro RF. Bacterial adhesion on the titanium and zirconia abutment surfaces. Clin Oral Implants Res 2014;25:337-43.
  14. Gomes AL, Montero J. Zirconia implant abutments: a review. Med Oral Patol Oral Cir Bucal 2011;16:e50-5.
  15. Kohal RJ, Att W, Bachle M, Butz F. Ceramic abutments and ceramic oral implants. An update. Periodontol 2000 2008;47: 224-43. https://doi.org/10.1111/j.1600-0757.2007.00243.x
  16. Lin WS, Harris BT, Zandinejad A, Martin WC, Morton D. Use of prefabricated titanium abutments and customized anatomic lithium disilicate structures for cement-retained implant restorations in the esthetic zone. J Prosthet Dent. 2014; 111:181-5. https://doi.org/10.1016/j.prosdent.2013.07.013
  17. Hornbrook D. Case report using the "H" abutment: achieving esthetics, strength, and predictability for the anterior implant. Compend Contin Educ Dent 2015;36:192, 194-8, 200-1.
  18. Traini T, Pettinicchio M, Murmura G, Varvara G, Di Lullo N, Sinjari B, Caputi S. Esthetic outcome of an immediately placed maxillary anterior single-tooth implant restored with a custom-made zirconia-ceramic abutment and crown: a staged treatment. Quintessence Int 2011;42:103-8.
  19. Selz CF, Vuck A, Guess PC. Full-mouth rehabilitation with monolithic CAD/CAM-fabricated hybrid and all-ceramic materials: A case report and 3-year follow up. Quintessence Int 2016;47:115-21.
  20. Rosentritt M, Hagemann A, Hahnel S, Behr M, Preis V. In vitro performance of zirconia and titanium implant/abutment systems for anterior application. J Dent 2014;42:1019-26. https://doi.org/10.1016/j.jdent.2014.03.010
  21. Silva NR, Teixeira HS, Silveira LM, Bonfante EA, Coelho PG, Thompson VP. Reliability and Failure Modes of a Hybrid Ceramic Abutment Prototype. J Prosthodont 2016 Feb 24.
  22. Honda J, Komine F, Kamio S, Taguchi K, Blatz MB, Matsumura H. Fracture resistance of implant-supported screw-retained zirconia-based molar restorations. Clin Oral Implants Res 2017;28:1119-26. https://doi.org/10.1111/clr.12926
  23. Kelly JR, Rungruanganunt P. Fatigue Behavior of Computer- Aided Design/Computer-Assisted Manufacture Ceramic Abutments as a Function of Design and Ceramics Processing. Int J Oral Maxillofac Implants 2016;31:601-9.
  24. Stimmelmayr M, Heiss P, Erdelt K, Schweiger J, Beuer F. Fracture resistance of different implant abutments supporting all-ceramic single crowns after aging. Int J Comput Dent 2017;20:53-64.
  25. Att W, Kurun S, Gerds T, Strub JR. Fracture resistance of single-tooth implant-supported all-ceramic restorations: an in vitro study. J Prosthet Dent 2006;95:111-6. https://doi.org/10.1016/j.prosdent.2005.12.003
  26. Coelho PG, Silva NR, Bonfante EA, Guess PC, Rekow ED, Thompson VP. Fatigue testing of two porcelain-zirconia allceramic crown systems. Dent Mater 2009;25:1122-7. https://doi.org/10.1016/j.dental.2009.03.009
  27. Gibbs CH, Lundeen HC, Mahan PE, Fujimoto J. Chewing movements in relation to border movements at the first molar. J Prosthet Dent 1981;46:308-22. https://doi.org/10.1016/0022-3913(81)90220-1
  28. Strub JR, Gerds T. Fracture strength and failure mode of five different single-tooth implant-abutment combinations. Int J Prosthodont 2003;16:167-71.
  29. Ouzer A. The evolution and fabrication of implant-supported full-arch hybrid prostheses. From conventional casted metal to an all-ceramic zirconia. NY State Dent J 2015;81: 44-9.
  30. Kern M, Strub JR, Lu XY. Wear of composite resin veneering materials in a dual-axis chewing simulator. J Oral Rehabil 1999;26:372-8. https://doi.org/10.1046/j.1365-2842.1999.00416.x
  31. Kelly JR. Clinically relevant approach to failure testing of allceramic restorations. J Prosthet Dent 1999;81:652-61. https://doi.org/10.1016/S0022-3913(99)70103-4
  32. Kobayashi, K. Kuwajima H. Masaki T. Phase change and mechanical properties of $ZrO_2-Y_2O_3$ solid electrolyte after ageing. Solid State Ionics 1981;3:489-95.
  33. Beuer F, Schweiger J, Eichberger M, Kappert HF, Gernet W, Edelhoff D. High-strength CAD/CAM-fabricated veneering material sintered to zirconia copings-a new fabrication mode for all-ceramic restorations. Dent Mater. 2009;25:121-8. https://doi.org/10.1016/j.dental.2008.04.019
  34. Lughi V, Sergo V. Low temperature degradation -aging- of zirconia: A critical review of the relevant aspects in dentistry. Dent Mater 2010;26:807-20. https://doi.org/10.1016/j.dental.2010.04.006
  35. Chai J, Chong KH. Probability of failure of machined zirconia dental ceramic core materials. Int J Prosthodont 2009;22: 340-1.
  36. Denry I, Kelly JR. State of the art of zirconia for dental applications. Dent Mater 2008;24:299-307. https://doi.org/10.1016/j.dental.2007.05.007
  37. Zhang Y, Mai Z, Barani A, Bush M, Lawn B. Fractureresistant monolithic dental crowns. Dent Mater 2016;32:442-9. https://doi.org/10.1016/j.dental.2015.12.010
  38. de Kok P, Kleverlaan CJ, de Jager N, Kuijs R, Feilzer AJ. Mechanical performance of implant-supported posterior crowns. J Prosthet Dent 2015;114:59-66. https://doi.org/10.1016/j.prosdent.2014.10.015
  39. Zesewitz TF, Knauber AW, Nothdurft FP. Fracture resistance of a selection of full-contour all-ceramic crowns: an in vitro study. Int J Prosthodont 2014;27:264-6. https://doi.org/10.11607/ijp.3815
  40. Kelly JR. Dental ceramics: current thinking and trends. Dent Clin North Am 2004;48:513-30. https://doi.org/10.1016/j.cden.2004.01.003
  41. Ritter JE. Predicting lifetimes of materials and material structures. Dent Mater 1995;11:142-6. https://doi.org/10.1016/0109-5641(95)80050-6
  42. Yildirim M, Fischer H, Marx R, Edelhoff D. In vivo fracture resistance of implant-supported all-ceramic restorations. J Prosthet Dent 2003;90:325-31. https://doi.org/10.1016/S0022-3913(03)00514-6
  43. Sailer I, Philipp A, Zembic A, Pjetursson BE, Hammerle CH, 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. https://doi.org/10.1111/j.1600-0501.2009.01787.x
  44. Rosentritt M, Hahnel S, Engelhardt F, Behr M, Preis V. In vitro performance and fracture resistance of CAD/CAMfabricated implant supported molar crowns. Clin Oral Investig 2017;21:1213-9. https://doi.org/10.1007/s00784-016-1898-9
  45. Taskonak B, Sertgoz A. Two-year clinical evaluation of lithiadisilicate- based all-ceramic crowns and fixed partial dentures. Dent Mater 2006;22:1008-13. https://doi.org/10.1016/j.dental.2005.11.028
  46. Gehrt M, Wolfart S, Rafai N, Reich S, Edelhoff D. Clinical results of lithium-disilicate crowns after up to 9 years of service. Clin Oral Investig 2013;17:275-84. https://doi.org/10.1007/s00784-012-0700-x
  47. Zhao K, Wei YR, Pan Y, Zhang XP, Swain MV, Guess PC. Influence of veneer and cyclic loading on failure behavior of lithium disilicate glass-ceramic molar crowns. Dent Mater 2014;30:164-71. https://doi.org/10.1016/j.dental.2013.11.001
  48. Silva NR, Bonfante EA, Martins LM, Valverde GB, Thompson VP, Ferencz JL, Coelho PG. Reliability of reduced-thickness and thinly veneered lithium disilicate crowns. J Dent Res 2012;91:305-10. https://doi.org/10.1177/0022034511433504
  49. Kelly JR, Rungruanganunt P, Hunter B, Vailati F. Development of a clinically validated bulk failure test for ceramic crowns. J Prosthet Dent 2010;104:228-38. https://doi.org/10.1016/S0022-3913(10)60129-1
  50. Patzelt SB, Spies BC, Kohal RJ. CAD/CAM-fabricated implant-supported restorations: a systematic review. Clin Oral Implants Res 2015;26:77-85.
  51. Heintze SD, Zellweger G, Cavalleri A, Ferracane J. Influence of the antagonist material on the wear of different composites using two different wear simulation methods. Dent Mater 2006;22:166-75. https://doi.org/10.1016/j.dental.2005.04.012
  52. Zhang Y, Sailer I, Lawn BR. Fatigue of dental ceramics. J Dent 2013;41:1135-47. https://doi.org/10.1016/j.jdent.2013.10.007

Cited by

  1. Influence of abutment height and convergence angle on the retrievability of cement-retained implant prostheses with a lingual slot vol.10, pp.5, 2018, https://doi.org/10.4047/jap.2018.10.5.381
  2. Influence of crown and hybrid abutment ceramic materials on the stress distribution of implant-supported prosthesis vol.47, pp.3, 2018, https://doi.org/10.1590/1807-2577.04218
  3. Influence of various types of surface modifications on the shear bond strength of orthodontic brackets on Y-TZP zirconia ceramics vol.56, pp.4, 2020, https://doi.org/10.1007/s41779-020-00479-9
  4. Strength and aging resistance of monolithic zirconia: an update to current knowledge vol.56, pp.1, 2018, https://doi.org/10.1016/j.jdsr.2019.09.002
  5. Impact of Coping Veneering Techniques on the Survival of Implant-Supported Zirconia-Based-Crowns Cemented to Hybrid-Abutments: An-In-Vitro Study vol.7, pp.4, 2018, https://doi.org/10.3390/bioengineering7040117
  6. In Vitro Fatigue and Fracture Load of Monolithic Ceramic Crowns Supported by Hybrid Abutment vol.15, pp.1, 2018, https://doi.org/10.2174/1874210602115010664
  7. Fracture resistance of CAD-CAM all-ceramic surveyed crowns with different occlusal rest seat designs vol.13, pp.1, 2018, https://doi.org/10.4047/jap.2021.13.1.36
  8. Comparison of the Fracture Resistance and Fracture Mode of Contemporary Restorative Materials to Overcome the Offset of Mandibular Implant-Supported, Cement-Retained Crowns vol.14, pp.17, 2018, https://doi.org/10.3390/ma14174838