The Journal of Advanced Prosthodontics

  • 제16권4호
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  • Pages.231-243
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  • 2024
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  • 2005-7806(pISSN)
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  • 2005-7814(eISSN)
대한치과보철학회 (The Korean Academy of Prosthodonitics)
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Effect of cement type, luting protocol, and ceramic abutment material on the shade of cemented titanium-based lithium disilicate crowns and surrounding peri-implant soft tissue: a spectrophotometric analysis

  • Peter Gehrke (Department of Postgraduate Education, Center for Dentistry and Oral Medicine (Carolinum), University Hospital, Goethe University Frankfurt) ;
  • Maria Julia Pietruska (Private Practice for Oral Surgery and Implant Dentistry) ;
  • Johannes Ladewig (Private Practice for Implant Dentistry) ;
  • Carsten Fischer (Dental Laboratory, Sirius Ceramics) ;
  • Robert Sader (Department for Oral, Cranio-Maxillofacial and Facial Plastic Surgery, Medical Center, University Hospital, Goethe University Frankfurt) ;
  • Paul Weigl (Department of Postgraduate Education, Center for Dentistry and Oral Medicine (Carolinum), University Hospital, Goethe University Frankfurt)
  • 투고 : 2024.04.17
  • 심사 : 2024.06.09
  • 발행 : 2024.08.31
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초록

PURPOSE. The objective of the study was to analyze the impact of cement, bonding pretreatment, and ceramic abutment material on the overall color results of CAD-CAM ceramic crowns bonded to titanium-based hybrid abutments. MATERIALS AND METHODS. For single implant restoration of a maxillary lateral incisor a total of 51 CAD-CAM-fabricated monolithic lithium disilicate crowns were fabricated and subsequently bonded onto 24 lithium disilicate Ti-base abutments, 24 zirconia Ti-base abutments and 3 resin abutment replicas as a control group. The 48 copings were cemented with three definitive and one provisional cement on both grit-blasted and non-blasted Ti-bases. The color of each restoration and surrounding artificial gingiva was measured spectrophotometrically at predefined measuring points and the CIELAB (ΔEab) color scale values were recorded. RESULTS. The color outcome of ceramic crowns bonded to hybrid abutments and soft tissues was affected differently by cements of different brands. Grit-blasting of Ti-bases prior to cementing CAD-CAM copings affected the color results of allceramic crowns. There was a significant difference (P = .038) for the median ΔE value between blasted and non-blasted reconstructions at the cervical aspect of the crown. Full-ceramic crowns on zirconia Ti-base abutments exhibited significantly lower ΔE values below the threshold of visibility (ΔE 1.8). In all subcategories tested, the use of a highly opaque temporary cement demonstrated the lowest median ΔE for both the crown and the artificial gingiva. CONCLUSION. Various cements, core ceramic materials and airborne particle abrasion prior to bonding can adversely affect the color of Ti-base supported ceramic crowns and peri-implant soft tissue. However, zirconia CAD-CAM copings and an opaque cement can effectively mask this darkening.

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과제정보

The authors gratefully acknowledge Dr. Wolfgang Reimers for his contribution to data analysis and statistical support, and Patrick Muhlbeyer for his technical assistance. The authors thank Medentis medical GmbH for providing the ti-base specimens for the experimental investigation.

참고문헌

  1. Tey VHS, Phillips R, Tan K. Five-year retrospective study on success, survival and incidence of complications of single crowns supported by dental implants. Clin Oral Implants Res 2017;28:620-5.
  2. Papaspyridakos P, Chen CJ, Singh M, Weber HP, Gallucci GO. Success criteria in implant dentistry: a systematic review. J Dent Res 2012;91:242-8.
  3. Pjetursson BE, Zarauz C, Strasding M, Sailer I, Zwahlen M, Zembic A. A systematic review of the influence of the implant-abutment connection on the clinical outcomes of ceramic and metal implant abutments supporting fixed implant reconstructions. Clin Oral Implants Res 2018;29:160-83.
  4. 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 Suppl 11:139-47.
  5. Totou D, Naka O, Mehta SB, Banerji S. Esthetic, mechanical, and biological outcomes of various implant abutments for single-tooth replacement in the anterior region: a systematic review of the literature. Int J Implant Dent 2021;7:85.
  6. Nothdurft FP. All-ceramic zirconium dioxide implant abutments for single-tooth replacement in the posterior region: a 5-year outcome report. Int J Prosthodont 2019;32:177-81.
  7. Gehrke P, Alius J, Fischer C, Erdelt KJ, Beuer F. Retentive strength of two-piece CAD-CAM zirconia implant abutments. Clin Implant Dent Relat Res 2014;16:920-5.
  8. Gehrke P, Johannson D, Fischer C, Stawarczyk B, Beuer F. In vitro fatigue and fracture resistance of one-and two-piece CAD-CAM zirconia implant abutments. Int J Oral Maxillofac Implants 2015;30:546-54.
  9. Zhang M, Ho DKL, Pelekos G, Fok MR. Clinical performance of implant-supported single hybrid abutment crown restoration: a systematic review and meta-analysis. J Prosthodont Res 2024;68:63-77.
  10. 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.
  11. Ferrari M, Carrabba M, Vichi A, Goracci C, Cagidiaco MC. Influence of abutment color and mucosal thickness on soft tissue color. Int J Oral Maxillofac Implants 2017;32:393-9.
  12. Woo M, Anunmana C, Eiampongpaiboon T. Influence of zirconia/glass veneer thickness and implant abutment material on the final shade of implant restorations. J Indian Prosthodont Soc 2022;22:272-8.
  13. Capa N, Tuncel I, Tak O, Usumez A. The effect of luting cement and titanium base on the final color of zirconium oxide core material. J Prosthodont 2017;26:136-40.
  14. Chongkavinit P, Anunmana C. Optical effect of resin cement, abutment material, and ceramic thickness on the final shade of CAD-CAM ceramic restorations. J Prosthet Dent 2021;125:517.e1-8.
  15. Liu X, Fehmer V, Sailer I, Mojon P, Liu F, Pjetursson BE. Influence of different cements on the color outcomes of titanium-based lithium disilicate all-ceramic crowns and peri-implant soft tissue. Int J Prosthodont 2020;33:63-73.
  16. Gehrke P, Riekeberg U, Fackler O, Dhom G. Comparison of in vivo visual, spectrophotometric and colorimetric shade determination of teeth and implant-supported crowns. Int J Comput Dent 2009;12:247-63.
  17. Kuehni RG, Marcus RT. An experiment in visual scaling of small color differences. Color Res Appl 1979;4:83-91.
  18. Luo MR, Cui G, Rigg B. The development of the CIE 2000 colour-difference formula: CIEDE2000. Color Res Appl 2001;26:340-50.
  19. Thoma DS, Ioannidis A, Fehmer V, Michelotti G, Jung RE, Sailer I. Threshold values for the perception of color changes in human teeth. Int J Periodontics Restorative Dent 2016;36:777-83.
  20. Sailer I, Fehmer V, Ioannidis A, Hammerle CH, Thoma DS. Threshold value for the perception of color changes of human gingiva. Int J Periodontics Restorative Dent 2014;34:757-62.
  21. Gehrke P, Smeets R, Gosau M, Friedrich RE, Madani E, Duddeck D, Fischer C, Tebbel F, Sader R, Hartjen P. The Influence of an ultrasonic cleaning protocol for CAD-CAM abutment surfaces on cell viability and inflammatory response in vitro. In Vivo 2019;33:689-98.
  22. Derksen W, Tahmaseb A, Wismeijer D. Randomized Clinical Trial comparing clinical adjustment times of CAD-CAM screw-retained posterior crowns on ti-base abutments created with digital or conventional impressions. One-year follow-up. Clin Oral Implants Res 2021;32:962-70.
  23. Chantler JGM, Evans CDJ, Zitzmann NU, Derksen W. Clinical performance of single implant prostheses restored using titanium base abutments: a systematic review and meta-analysis. Clin Oral Implants Res 2023;34 Suppl 26:64-85.
  24. Pamato S, Honorio HM, da Costa JA, Traebert JL, Bonfante EA, Pereira JR. The influence of titanium base abutments on peri-implant soft tissue inflammatory parameters and marginal bone loss: a randomized clinical trial. Clin Implant Dent Relat Res 2020;22:542-8.
  25. Rathe F, Junker R, Heumann C, Blumenrohr J, Auschill T, Arweiler N, Schlee M. Long-term effects of titanium-base abutments on peri-implant health: a 5-year randomised controlled trial. Int J Oral Implantol (Berl) 2022;15:167-79.
  26. Wille S, Lehmann F, Kern M. Durability of resin bonding to lithium disilicate and zirconia ceramic using a self-etching primer. J Adhes Dent 2017;19:491-6.
  27. de Moura Costa PV, Ferreira MS, Verissimo C, de Torres EM, Valladares-Neto J, Garcia Silva MA. Is zirconia better than titanium abutments for soft tissue color? a systematic review and meta-analysis of spectrophotometric evaluation. Int J Oral Maxillofac Implants 2021;36:875-84.
  28. Gehrke P, Zimmermann KP, Weinhold O, Dhom G, Fischer C, Sader R. Optical efficacy of titanium nitride-coated abutment material on soft tissue discoloration: a spectrophotometric in vitro analysis. Int J Oral Maxillofac Implants 2021;36:e91-6.
  29. Lops D, Stellini E, Sbricoli L, Cea N, Romeo E, Bressan E. Influence of abutment material on peri-implant soft tissues in anterior areas with thin gingival biotype: a multicentric prospective study. Clin Oral Implants Res 2017;28:1263-8.
  30. Bittner N, Schulze-Spate U, Silva C, Da Silva JD, Kim DM, Tarnow D, Ishikawa-Nagai S, Gil MS. Comparison of peri-implant soft tissue color with the use of pink-neck vs gray implants and abutments based on soft tissue thickness: a 6-month follow-up study. Int J Prosthodont 2020;33:29-38.
  31. Reary JA, Katsavochristou A, Powers JM, Kiat-Amnuay S. Effect of surface pretreatment and artificial aging on the retention of lithium disilicate crowns cemented to zirconia implant abutments. J Prosthet Dent 2024;131:459-67.
  32. Ceken A, Kilinc H, Turgut S. Effect of abutment types and resin cements on the esthetics of implant-supported restorations. J Adv Prosthodont 2023;15:114-25.
  33. Sieper K, Wille S, Kern M. Fracture strength of lithium disilicate crowns compared to polymer-infiltrated ceramic-network and zirconia reinforced lithium silicate crowns. J Mech Behav Biomed Mater 2017;74:342-8.
  34. Choo SS, Ko KH, Huh YH, Park CJ, Cho LR. Fatigue resistance of anterior monolithic crowns produced from CAD-CAM materials: an in vitro study. J Prosthet Dent 2023;130:620-8.
  35. Fouda AM, Atta O, Ozcan M, Stawarczyk B, Glaum R, Bourauel C. An investigation on fatigue, fracture resistance, and color properties of aesthetic CAD-CAM monolithic ceramics. Clin Oral Investig 2023;27:2653-65.
  36. Benic GI, Scherrer D, Sancho-Puchades M, Thoma DS, Hammerle CH. Spectrophotometric and visual evaluation of peri-implant soft tissue color. Clin Oral Implants Res 2017;28:192-200.
  37. Perez MM, Ghinea R, Herrera LJ, Carrillo F, Ionescu AM, Paravina RD. Color difference thresholds for computer-simulated human Gingiva. J Esthet Restor Dent 2018;30:E24-E30.
  38. Miletic V, Trifkovic B, Stamenkovic D, Tango RN, Paravina RD. Effects of staining and artificial aging on optical properties of gingiva-colored resin-based restorative materials. Clin Oral Investig 2022;26:6817-27.
  39. Paravina RD, Ghinea R, Herrera LJ, Bona AD, Igiel C, Linninger M, Sakai M, Takahashi H, Tashkandi E, Perez Mdel M. Color difference thresholds in dentistry. J Esthet Restor Dent 2015;27 Suppl 1:S1-9.
  40. Ishikawa-Nagai S, Yoshida A, Sakai M, Kristiansen J, Da Silva JD. Clinical evaluation of perceptibility of color differences between natural teeth and all-ceramic crowns. J Dent 2009;37 Suppl 1:e57-63.
  41. Paravina RD, Perez MM, Ghinea R. Acceptability and perceptibility thresholds in dentistry: a comprehensive review of clinical and research applications. J Esthet Restor Dent 2019;31:103-12.
  42. Salas M, Lucena C, Herrera LJ, Yebra A, Della Bona A, Perez MM. Translucency thresholds for dental materials. Dent Mater 2018;34:1168-74.
  43. Gomez-Polo C, Montero J, Gomez-Polo M, Martin Casado A. Comparison of the CIELab and CIEDE 2000 color difference formulas on gingival color space. J Prosthodont 2020;29:401-8.