The Journal of Advanced Prosthodontics

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

DOI QR Code

All-ceramic versus titanium-based implant supported restorations: Preliminary 12-months results from a randomized controlled trial

  • Weigl, Paul (Department of Prosthodontics, School of Dentistry, Goethe-University Frankfurt am Main) ;
  • Trimpou, Georgia (Department of Oral Surgery and Implantology, School of Dentistry, Goethe-University Frankfurt am Main) ;
  • Grizas, Eleftherios (Department of Oral Surgery and Implantology, School of Dentistry, Goethe-University Frankfurt am Main) ;
  • Hess, Pablo (Department of Oral Surgery and Implantology, School of Dentistry, Goethe-University Frankfurt am Main) ;
  • Nentwig, Georg-Hubertus (Department of Oral Surgery and Implantology, School of Dentistry, Goethe-University Frankfurt am Main) ;
  • Lauer, Hans-Christoph (Department of Prosthodontics, School of Dentistry, Goethe-University Frankfurt am Main) ;
  • Lorenz, Jonas (Department of Prosthodontics, School of Dentistry, Goethe-University Frankfurt am Main)
  • Received : 2018.07.24
  • Accepted : 2019.01.21
  • Published : 2019.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

PURPOSE. The aim of the present randomized controlled study was to compare prefabricated all-ceramic, anatomically shaped healing abutments followed by all-ceramic abutments and all-ceramic crowns and prefabricated standard-shaped (round-diameter) titanium healing abutments followed by final titanium abutments restored with porcelain-fused-to-metal (PFM) implant crowns in the premolar and molar regions. MATERIALS AND METHODS. Forty-two patients received single implants restored either by all-ceramic restorations (test group, healing abutment, final abutment, and crown all made of zirconia) or conventional titanium-based restorations. Immediately after prosthetic incorporation and after 12 months of loading, implant survival, technical complications, bone loss, sulcus fluid flow rate (SFFR) as well as plaque index (PI) and implant stability (Periotest) were analyzed clinically and radiologically. RESULTS. After 12 months of loading, an implant and prosthetic survival rate of 100% was observed. Minor prosthetic complications such as chipping of ceramic veneering occurred in both groups. No statistical significant differences were observed between both groups with only a minimum of bone loss, SFFR, and PI. CONCLUSION. All-ceramic implant prostheses including a prefabricated anatomically shaped healing abutment achieved comparable results to titanium-based restorations in the posterior region. However, observational results indicate a benefit as shaping the peri-implant soft-tissue with successive provisional devices and subsequent compression of the soft tissue can be avoided.

Keywords

References

  1. Linkevicius T, Puisys A, Linkeviciene L, Peciuliene V, Schlee M. Crestal bone stability around implants with horizontally matching connection after soft tissue thickening: A prospective clinical trial. Clin Implant Dent Relat Res 2015;17:497-508. https://doi.org/10.1111/cid.12155
  2. Linkevicius T, Puisys A, Steigmann M, Vindasiute E, Linkeviciene L. Influence of vertical soft tissue thickness on crestal bone changes around implants with platform switching: A comparative clinical study. Clin Implant Dent Relat Res 2015;17:1228-36. https://doi.org/10.1111/cid.12222
  3. Bassetti RG, Stahli A, Bassetti MA, Sculean A. Soft tissue augmentation around osseointegrated and uncovered dental implants: a systematic review. Clin Oral Investig 2017;21:53-70. https://doi.org/10.1007/s00784-016-2007-9
  4. Lewis MB, Klineberg I. Prosthodontic considerations designed to optimize outcomes for single-tooth implants. A review of the literature. Aust Dent J 2011;56:181-92. https://doi.org/10.1111/j.1834-7819.2011.01322.x
  5. Furze D, Byrne A, Alam S, Wittneben JG. Esthetic outcome of implant supported crowns with and without peri-implant conditioning using provisional fixed prosthesis: A randomized controlled clinical trial. Clin Implant Dent Relat Res 2016;18:1153-62. https://doi.org/10.1111/cid.12416
  6. Esposito M, Bressan E, Grusovin MG, D'Avenia F, Neumann K, Sbricoli L, Luongo G. Do repeated changes of abutments have any influence on the stability of peri-implant tissues? One-year post-loading results from a multicentre randomised controlled trial. Eur J Oral Implantol 2017;10:57-72.
  7. Alshhrani WM, Al Amri MD. Customized CAD-CAM healing abutment for delayed loaded implants. J Prosthet Dent 2016;116:176-9. https://doi.org/10.1016/j.prosdent.2016.01.024
  8. Wittneben JG, Buser D, Belser UC, Bragger U. Peri-implant soft tissue conditioning with provisional restorations in the esthetic zone: the dynamic compression technique. Int J Periodontics Restorative Dent 2013;33:447-55. https://doi.org/10.11607/prd.1268
  9. Lops D, Bressan E, Parpaiola A, Sbricoli L, Cecchinato D, Romeo E. Soft tissues stability of cad-cam and stock abutments in anterior regions: 2-year prospective multicentric cohort study. Clin Oral Implants Res 2015;26:1436-42. https://doi.org/10.1111/clr.12479
  10. Staubli N, Walter C, Schmidt JC, Weiger R, Zitzmann NU. Excess cement and the risk of peri-implant disease - a systematic review. Clin Oral Implants Res 2017;28:1278-90. https://doi.org/10.1111/clr.12954
  11. 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: 139-47. https://doi.org/10.1111/clr.12631
  12. Nothdurft FP, Nonhoff J, Pospiech PR. Pre-fabricated zirconium dioxide implant abutments for single-tooth replacement in the posterior region: success and failure after 3 years of function. Acta Odontol Scand 2014;72:392-400. https://doi.org/10.3109/00016357.2013.863970
  13. Ekfeldt A, Furst B, Carlsson GE. Zirconia abutments for single-tooth implant restorations: a retrospective and clinical follow-up study. Clin Oral Implants Res 2011;22:1308-14. https://doi.org/10.1111/j.1600-0501.2010.02114.x
  14. Quigley GA, Hein JW. Comparative cleansing efficiency of manual and power brushing. J Am Dent Assoc 1962;65:26-9. https://doi.org/10.14219/jada.archive.1962.0184
  15. Scarano A, Piattelli M, Caputi S, Favero GA, Piattelli A. Bacterial adhesion on commercially pure titanium and zirconium oxide disks: an in vivo human study. J Periodontol 2004; 75:292-6. https://doi.org/10.1902/jop.2004.75.2.292
  16. Welander M, Abrahamsson I, Berglundh T. The mucosal barrier at implant abutments of different materials. Clin Oral Implants Res 2008;19:635-41. https://doi.org/10.1111/j.1600-0501.2008.01543.x
  17. Pabst AM, Walter C, Bell A, Weyhrauch M, Schmidtmann I, Scheller H, Lehmann KM. Influence of CAD/CAM zirconia for implant-abutment manufacturing on gingival fibroblasts and oral keratinocytes. Clin Oral Investig 2016;20:1101-8. https://doi.org/10.1007/s00784-015-1598-x
  18. Sundh A, Molin M, Sjogren G. Fracture resistance of yttrium oxide partially-stabilized zirconia all-ceramic bridges after veneering and mechanical fatigue testing. Dent Mater 2005;21: 476-82. https://doi.org/10.1016/j.dental.2004.07.013
  19. Zembic A, Sailer I, Jung RE, Hammerle CH. Randomizedcontrolled clinical trial of customized zirconia and titanium implant abutments for single-tooth implants in canine and posterior regions: 3-year results. Clin Oral Implants Res 2009; 20:802-8. https://doi.org/10.1111/j.1600-0501.2009.01717.x
  20. Sailer I, Zembic A, Jung RE, Siegenthaler D, Holderegger C, Hammerle CH. Randomized controlled clinical trial of customized zirconia and titanium implant abutments for canine and posterior single-tooth implant reconstructions: preliminary results at 1 year of function. Clin Oral Implants Res 2009;20:219-25. https://doi.org/10.1111/j.1600-0501.2008.01636.x
  21. Bragger U, Karoussis I, Persson R, Pjetursson B, Salvi G, Lang N. Technical and biological complications/failures with single crowns and fixed partial dentures on implants: a 10-year prospective cohort study. Clin Oral Implants Res 2005;16:326-34. https://doi.org/10.1111/j.1600-0501.2005.01105.x
  22. Jung RE, Pjetursson BE, Glauser R, Zembic A, Zwahlen M, Lang NP. A systematic review of the 5-year survival and complication rates of implant-supported single crowns. Clin Oral Implants Res 2008;19:119-30. https://doi.org/10.1111/j.1600-0501.2007.01453.x
  23. Scarano A, Piattelli M, Caputi S, Favero GA, Piattelli A. Bacterial adhesion on commercially pure titanium and zirconium oxide disks: an in vivo human study. J Periodontol 2004; 75:292-6. https://doi.org/10.1902/jop.2004.75.2.292
  24. Rimondini L, Cerroni L, Carrassi A, Torricelli P. Bacterial colonization of zirconia ceramic surfaces: an in vitro and in vivo study. Int J Oral Maxillofac Implants 2002;17:793-8.
  25. Sanz-Martin I, Sanz-Sanchez I, Carrillo de Albornoz A, Figuero E, Sanz M. Effects of modified abutment characteristics on peri-implant soft tissue health: A systematic review and meta-analysis. Clin Oral Implants Res 2018;29:118-29.
  26. Hollander J, Lorenz J, Stubinger S, Holscher W, Heidemann D, Ghanaati S, Sader R. Zirconia dental implants: Investigation of clinical parameters, patient satisfaction, and microbial contamination. Int J Oral Maxillofac Implants 2016;31:855-64. https://doi.org/10.11607/jomi.4511
  27. Bosch A, Jung RE, Sailer I, Goran B, Hammerle CH, Thoma DS. Single-tooth replacement using dental implants supporting all-ceramic and metal-based reconstructions: Results at 18 months of loading. Int J Periodont Restor Dent 2018;38:173-9. https://doi.org/10.11607/prd.2846
  28. Nilsson A, Johansson LA, Lindh C, Ekfeldt A. One-piece internal zirconia abutments for single-tooth restorations on narrow and regular diameter implants: A 5-year prospective follow-up study. Clin Implant Dent Relat Res 2017;19:916-25. https://doi.org/10.1111/cid.12515
  29. Zembic A, Philipp AO, Hammerle CH, 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:e417-26. https://doi.org/10.1111/cid.12263

Cited by

  1. Development of Custom Anatomic Healing Abutment Based on Cone-Beam Computer Tomography Measurement on Human Teeth Cross-Section vol.14, pp.16, 2021, https://doi.org/10.3390/ma14164570
  2. Clinical performance of single implant-supported ceramic and metal-ceramic crowns: A systematic review and meta-analysis of randomized clinical trials vol.126, pp.3, 2021, https://doi.org/10.1016/j.prosdent.2020.06.011
  3. A systematic review and meta‐analysis evaluating the survival, the failure, a vol.32, pp.suppl, 2019, https://doi.org/10.1111/clr.13863