The Journal of Advanced Prosthodontics

  • 제15권3호
  • /
  • Pages.114-125
  • /
  • 2023
  • /
  • 2005-7806(pISSN)
  • /
  • 2005-7814(eISSN)
대한치과보철학회 (The Korean Academy of Prosthodonitics)
권호 표지
DOI QR코드

DOI QR Code

Effect of abutment types and resin cements on the esthetics of implant-supported restorations

  • Asena Ceken (Cerkezkoy Oral and Dental Health Care Center, Tekirdag Provincial Health Directorate) ;
  • Hamiyet Kilinc (Department of Prosthodontics, Faculty of Dentistry, On Dokuz Mayis University) ;
  • Sedanur Turgut (Department of Prosthodontics, Faculty of Dentistry, Karadeniz Technical University)
  • 투고 : 2023.02.08
  • 심사 : 2023.06.20
  • 발행 : 2023.06.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

PURPOSE. The aim of the study was to evaluate the optical properties of new generation (3Y-TZP) monolithic zirconia (MZ) with different abutment types and resin cement shades. MATERIALS AND METHODS. A1/LT MZ specimens were prepared (10 × 12 × 1 mm, N = 30) and divided into 3 groups according to cement shades as transparent (Tr), yellow (Y) and opaque (O). Abutment specimens were obtained from 4 different materials including zirconia (Group Z), hybrid (Group H), titanium (Group T) and anodized yellow titanium (Group AT). MZ and abutment specimens were then cemented. L*, a*, and b* parameters were obtained from MZ, MZ + abutment, and MZ + abutment + cement. ∆E001* (between MZ and MZ + abutment), ∆E002* (between MZ and MZ + abutment + cement) and ∆E003* (between MZ + abutment and MZ + abutment + cement) values were calculated. Statistical analyses included 2-way ANOVA, Bonferroni, and Paired Sample t-Tests (P < .05). RESULTS. Abutment types and resin cements had significant effect on L*, a*, b*, ∆E001*, ∆E002*, and ∆E003* values (P < .001). Without cementation, whereas zirconia abutment resulted in the least discoloration (∆E001* = 0.68), titanium abutment caused the most discoloration (∆E001* = 4.99). The least ∆E002* = 0.68 value was seen using zirconia abutment after cementation with yellow shaded cement. Opaque shaded cement caused the most color change (∆E003* = 5.24). Cement application increased the L* values in all groups. CONCLUSION. The least color change with/without cement was observed in crown configurations created with zirconia abutments. Zirconia and hybrid abutments produced significantly lower ∆E002* and ∆E003* values in combination with yellow shaded cement. The usage of opaque shaded cement in titanium/anodized titanium groups may enable the clinically unacceptable ∆E00* value to reach the acceptable level.

키워드

과제정보

The authors thank to Prof. Dr. Tamer Tuzuner for his support for doing the statistical analyses of the study.

참고문헌

  1. Naveau A, Rignon-Bret C, Wulfman C. Zirconia abutments in the anterior region: A systematic review of mechanical and esthetic outcomes. J Prosthet Dent 2019;121:775-81.  https://doi.org/10.1016/j.prosdent.2018.08.005
  2. Martinez-Rus F, Prieto M, Salido MP, Madrigal C, Ozcan M, Pradies G. A clinical study assessing the influence of anodized titanium and zirconium dioxide abutments and peri-implant soft tissue thickness on the optical outcome of implant-supported lithium disilicate single crowns. Int J Oral Maxillofac Implants 2017;32:156-63.  https://doi.org/10.11607/jomi.5258
  3. Salinas T, Eckert S. Implant-supported single crowns predictably survive to five years with limited complications. J Evid Based Dent Pract 2012;12(3 Suppl):213-4.  https://doi.org/10.1016/S1532-3382(12)70040-4
  4. Arif R, Yilmaz B, Mortazavi A, Ozcelik TB, Johnston WM. Effect of metal opaquer on the final color of 3 ceramic crown types on 3 abutment configurations. J Prosthet Dent 2018;120:375-81.  https://doi.org/10.1016/j.prosdent.2017.11.030
  5. Kilinc H, Sanal FA, Turgut S. Evaluation of the effect of different abutment materials on the final color of implant supported full ceramic restorations. Turkiye Klinikleri J Dent Sci 2020;26:426-33.  https://doi.org/10.5336/dentalsci.2019-71936
  6. Dede DO, Armaganci A, Ceylan G, Cankaya S, Celik E. Influence of abutment material and luting cements color on the final color of all ceramics. Acta Odontol Scand 2013;71:1570-8.  https://doi.org/10.3109/00016357.2013.777114
  7. Thoma DS, Brandenberg F, Fehmer V, Knechtle N, Hammerle CHF, Sailer I. The esthetic effect of veneered zirconia abutments for single-tooth implant reconstructions: A randomized controlled clinical trial. Clin Implant Dent Relat Res 2016;18:1210-7.  https://doi.org/10.1111/cid.12388
  8. Heydecke G, Sierraalta M, Razzoog ME. Evolution and use of aluminum oxide single-tooth implant abutments: a short review and presentation of two cases. Int J Prosthodont 2002;15:488-93. 
  9. Bressan E, Paniz G, Lops D, Corazza B, Romeo E, Favero G. Influence of abutment material on the gingival color of implant-supported all-ceramic restorations: A prospective multicenter study. Clin Oral Implants Res 2011;22:631-7.  https://doi.org/10.1111/j.1600-0501.2010.02008.x
  10. Bankoglu Gungor M, Karakoca Nemli S, Yilmaz H, Aydin C. Fracture resistance of different implant supported ceramic abutment/crown systems. Eur Oral Res 2019;53:80-7.  https://doi.org/10.26650/eor.20199657
  11. 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.  https://doi.org/10.1111/clr.13395
  12. Ongun S, Kurtulmus-Yilmaz S, Meric G, Ulusoy M. A comparative study on the mechanical properties of a polymer-infiltrated ceramic-network material used for the fabrication of hybrid abutment. Materials (Basel) 2018;11:1681. 
  13. Roberts EE, Bailey CW, Ashcraft-Olmscheid DL, Vandewalle KS. Fracture resistance of titanium-based lithium disilicate and zirconia implant restorations. J Prosthodont 2018;27:644-50.  https://doi.org/10.1111/jopr.12765
  14. Wadhwani C, Brindis M, Kattadiyil MT, O'Brien R, Chung KH. Colorizing titanium-6aluminum-4vanadium alloy using electrochemical anodization: Developing a color chart. J Prosthet Dent 2018;119:26-8.  https://doi.org/10.1016/j.prosdent.2017.02.010
  15. Wang T, Wang L, Lu Q, Fan Z. Influence of anodized titanium abutments on the esthetics of the peri-implant soft tissue: A clinical study. J Prosthet Dent 2021; 125:445-52.  https://doi.org/10.1016/j.prosdent.2019.12.023
  16. Sari T, Ural C, Yuzbasioglu E, Duran I, Cengiz S, Kavut I. Color match of a feldspathic ceramic CAD-CAM material for ultrathin laminate veneers as a function of substrate shade, restoration color, and thickness. J Prosthet Dent 2018;119:455-60.  https://doi.org/10.1016/j.prosdent.2017.02.022
  17. Ozer F, Naden A, Turp V, Mante F, Sen D, Blatz MB. Effect of thickness and surface modifications on flexural strength of monolithic zirconia. J Prosthet Dent 2018;119:987-93.  https://doi.org/10.1016/j.prosdent.2017.08.007
  18. Lan TH, Liu PH, Chou MM, Lee HE. Fracture resistance of monolithic zirconia crowns with different occlusal thicknesses in implant prostheses. J Prosthet Dent 2016;115:76-83.  https://doi.org/10.1016/j.prosdent.2015.06.021
  19. Tabatabaian F, Motamedi E, Sahabi M, Torabzadeh H, Namdari M. Effect of thickness of monolithic zirconia ceramic on final color. J Prosthet Dent 2018;120:257-62.  https://doi.org/10.1016/j.prosdent.2017.10.007
  20. Vichi A, Louca C, Corciolani G, Ferrari M. Color related to ceramic and zirconia restorations: A review. Dent Mater 2011;27:97-108.  https://doi.org/10.1016/j.dental.2010.10.018
  21. Tarica DY, Alvarado VM, Truong ST. Survey of United States dental schools on cementation protocols for implant crown restorations. J Prosthet Dent 2010;103:68-79.  https://doi.org/10.1016/S0022-3913(10)00016-8
  22. Tabatabaian F, Bakhshaei D, Namdari M. Effect of resin cement brand on the color of zirconia-based restorations. J Prosthodont 2020;29:350-5.  https://doi.org/10.1111/jopr.12953
  23. Dozic A, Tsagkari M, Khashayar G, Aboushelib M. Color management of porcelain veneers: influence of dentin and resin cement colors. Quintessence Int 2010;41:567-73. 
  24. Barath VS, Faber FJ, Westland S, Niedermeier W. Spectrophotometric analysis of all-ceramic materials and their interaction with luting agents and different backgrounds. Adv Dent Res 2003;17:55-60.  https://doi.org/10.1177/154407370301700113
  25. de Azevedo Cubas GB, Camacho GB, Demarco FF, Pereira-Cenci T. The effect of luting agents and ceramic thickness on the color variation of different ceramics against a chromatic background. Eur J Dent 2011;5:245-52.  https://doi.org/10.1055/s-0039-1698888
  26. Vichi A, Ferrari M, Davidson CL. Influence of ceramic and cement thickness on the masking of various types of opaque posts. J Prosthet Dent 2000;83:412-7.  https://doi.org/10.1016/S0022-3913(00)70035-7
  27. Dede DO, Armaganci A, Ceylan G, Celik E, Cankaya S, Yilmaz B. Influence of implant abutment material on the color of different ceramic crown systems. J Prosthet Dent 2016;116:764-9.  https://doi.org/10.1016/j.prosdent.2016.04.004
  28. Kurt M, Ural C, Kulunk T, Sanal AF, Erkocak A. The effect of screw color and technique to fill access hole on the final color of screw-retained implant crowns. J Oral Implantol 2011;37:673-9.  https://doi.org/10.1563/AAID-JOI-D-10-00045.1
  29. Jirajariyavej B, Wanapirom P, Anunmana C. Influence of implant abutment material and ceramic thickness on optical properties. J Prosthet Dent 2018;119:819-25.  https://doi.org/10.1016/j.prosdent.2017.05.015
  30. Kilinc H, Turgut S. Optical behaviors of esthetic CAD-CAM restorations after different surface finishing and polishing procedures and UV aging: An in vitro study. J Prosthet Dent 2018;120:107-13.  https://doi.org/10.1016/j.prosdent.2017.09.019
  31. Vivadent I (y.y.). Speedcem Plus A plus for reliability Zir CAD Brochure. 
  32. Niu E, Agustin M, Douglas RD. Color match of machinable lithium disilicate ceramics: Effects of cement color and thickness. J Prosthet Dent 2014;111:42-50.  https://doi.org/10.1016/j.prosdent.2013.09.005
  33. Chen XD, Hong G, Xing WZ, Wang YN. The influence of resin cements on the final color of ceramic veneers. J Prosthodont Res 2015;59:172-7.  https://doi.org/10.1016/j.jpor.2015.03.001
  34. Chang J, Da Silva JD, Sakai M, Kristiansen J, Ishikawa-Nagai S. The optical effect of composite luting cement on all ceramic crowns. J Dent 2009;37:937-43.  https://doi.org/10.1016/j.jdent.2009.07.009
  35. Alp G, Subasi MG, Johnston WM, Yilmaz B. Effect of surface treatments and coffee thermocycling on the color and translucency of CAD-CAM monolithic glass-ceramic. J Prosthet Dent 2018;120:263-8.  https://doi.org/10.1016/j.prosdent.2017.10.024
  36. Subasi MG, Alp G, Johnston WM, Yilmaz B. Effect of thickness on optical properties of monolithic CAD-CAM ceramics. J Dent 2018;71:38-42.  https://doi.org/10.1016/j.jdent.2018.01.010
  37. Kang W, Park JK, Kim SR, Kim WC, Kim JH. Effects of core and veneer thicknesses on the color of CAD-CAM lithium disilicate ceramics. J Prosthet Dent 2018;119:461-6.  https://doi.org/10.1016/j.prosdent.2017.04.005
  38. Paravina RD, Ghinea R, Herrera LJ, Bona AD, Igiel C, Linninger M, Sakai M, Takahashi H, Tashkandi E, Del Mar Perez M. Color difference thresholds in dentistry. J Esthet Res Dent 2015;27:Suppl 1:S1-9.  https://doi.org/10.1111/jerd.12149
  39. Kilinc H, Sanal FA. Effect of sintering and aging processes on the mechanical and optical properties of translucent zirconia. J Prosthet Dent 2021;126:129.e1-7.  https://doi.org/10.1016/j.prosdent.2021.03.024
  40. Stawarczyk B, Keul C, Eichberger M, Figge D, Edellhoff D, Lumkemann N. Three generations of zirconia: From veneered to monolithic. Part I. Quintessence Int 2017;48:369-80. 
  41. Stober T, Bermejo JL, Rammelsberg P, Schmitter M. Enamel wear caused by monolithic zirconia crowns after 6 months of clinical use. J Oral Rehabil 2014;41:314-22.  https://doi.org/10.1111/joor.12139
  42. Kanoy Jr BE. Esthetic color training in dentistry. J Prosthodont 2005;14:146-7.  https://doi.org/10.1111/j.1532-849X.2005.00030_3.x
  43. Luo XP, Zhang L. Effect of veneering techniques on color and translucency of Y-TZP. J Prosthodont 2010;19:465-70.  https://doi.org/10.1111/j.1532-849X.2010.00610.x
  44. Dai S, Chen C, Tang M, Chen Y, Yang L, He F, Chen B, Xie H. Choice of resin cement shades for a high-translucency zirconia product to mask dark, discolored or metal substrates. J Adv Prosthodont 2019;11:286-96. https://doi.org/10.4047/jap.2019.11.5.286