• Title/Summary/Keyword: Abutments

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Effects of abutment diameter, luting agent type, and re-cementation on the retention of implant-supported CAD/CAM metal copings over short abutments

  • Safari, Sina;Ghavam, Fereshteh Hosseini;Amini, Parviz;Yaghmaei, Kaveh
    • The Journal of Advanced Prosthodontics
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    • v.10 no.1
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    • pp.1-7
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    • 2018
  • PURPOSE. The aim of this study was to evaluate the effects of abutment diameter, cement type, and re-cementation on the retention of implant-supported CAD/CAM metal copings over short abutments. MATERIALS AND METHODS. Sixty abutments with two different diameters, the height of which was reduced to 3 mm, were vertically mounted in acrylic resin blocks with matching implant analogues. The specimens were divided into 2 diameter groups: 4.5 mm and 5.5 mm (n=30). For each abutment a CAD/CAM metal coping was manufactured, with an occlusal loop. Each group was sub-divided into 3 sub-groups (n=10). In each subgroup, a different cement type was used: resin-modified glass-ionomer, resin cement and zinc-oxide-eugenol. After incubation and thermocycling, the removal force was measured using a universal testing machine at a cross-head speed of 0.5 mm/min. In zinc-oxide-eugenol group, after removal of the coping, the cement remnants were completely cleaned and the copings were re-cemented with resin cement and re-tested. Two-way ANOVA, post hoc Tukey tests, and paired t-test were used to analyze data (${\alpha}=.05$). RESULTS. The highest pulling force was registered in the resin cement group (414.8 N), followed by the re-cementation group (380.5 N). Increasing the diameter improved the retention significantly (P=.006). The difference in retention between the cemented and recemented copings was not statistically significant (P=.40). CONCLUSION. Resin cement provided retention almost twice as strong as that of the RMGI. Increasing the abutment diameter improved retention significantly. Re-cementation with resin cement did not exhibit any difference from the initial cementation with resin cement.

The biocompatibility and mechanical properties of plasma sprayed zirconia coated abutment

  • Huang, Zhengfei;Wang, Zhifeng;Yin, Kaifeng;Li, Chuanhua;Guo, Meihua;Lan, Jing
    • The Journal of Advanced Prosthodontics
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    • v.12 no.3
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    • pp.157-166
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    • 2020
  • PURPOSE. The aim of this study was to evaluate the clinical performance and reliability of plasma sprayed nanostructured zirconia (NSZ) coating. MATERIALS AND METHODS. This study consisted of three areas of analysis: (1) Mechanical property: surface roughness of NSZ coating and bond strength between NSZ coating and titanium specimens were measured, and the microstructure of bonding interface was also observed by scanning election microscope (SEM). (2) Biocompatibility: hemolysis tests, cell proliferation tests, and rat subcutaneous implant test were conducted to evaluate the biocompatibility of NSZ coating. (3) Mechanical compatibility: fracture and artificial aging tests were performed to measure the mechanical compatibility of NSZ-coated titanium abutments. RESULTS. In the mechanical study, 400 ㎛ thick NSZ coatings had the highest bond strength (71.22 ± 1.02 MPa), and a compact transition layer could be observed. In addition, NSZ coating showed excellent biocompatibility in both hemolysis tests and cell proliferation tests. In subcutaneous implant test, NSZ-coated plates showed similar inflammation elimination and fibrous tissue formation processes with that of titanium specimens. Regarding fatigue tests, all NSZ-coated abutments survived in the five-year fatigue test and showed sufficient fracture strength (407.65-663.7 N) for incisor teeth. CONCLUSION. In this study, the plasmasprayed NSZ-coated titanium abutments presented sufficient fracture strength and biocompatibility, and it was demonstrated that plasma spray was a reliable method to prepare high-quality zirconia coating.

COMPARISON OF RETENTIVE FORCES OF TEMPORARY CEMENTS AND ABUTMENT HEIGHT USED WITH IMPLANT-SUPPORTED PROSTHESES

  • Lee, Dong-Hee;Suh, Kyu-Won;Ryu, Jae-Jun
    • The Journal of Korean Academy of Prosthodontics
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    • v.46 no.3
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    • pp.280-289
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    • 2008
  • STATEMENT OF THE PROBLEM: Recent data regarding the effects the cement type and abutment heights on the retentive force of a prosthetic crown are inconsistent and unable to suggest clinical guidelines. PURPOSE OF THE STUDY: This study evaluated the effects of different types of temporary cements and abutment heights on the retentive strength of cement-retained implant-supported prostheses. MATERIALS AND METHODS: Prefabricated implant abutments, 4 mm in diameter, $8^{\circ}$taper per side, and light chamfer margins, were used. The abutment heights of the implants were 4 mm, 5.5 mm and 7 mm. Seven specimens of a single crown similar to a first premolar were fabricated. Six commercially available temporary cements, TempBond, TempBond NE, Cavitec, Procem, Dycal, and IRM, were used in this study. Twenty-four hours after cementation, the retentive strengths were measured using a universal testing machine with a crosshead speed of 0.5 mm/min. The cementation procedures were repeated 3 times. The data was analyzed using two-way analysis of variance and a Tukey test (${\alpha}$=0.05). RESULTS: The tensile bond strength ranged from 1.76 kg to 19.98 kg. The lowest tensile strengths were similar in the TempBond and Cavitec agents. Dycal showed the highest tensile bond strength (P<0.01). More force was required to remove the crowns cemented to the long abutments (P<0.05). CONCLUSION: TempBond and Cavitec agents showed the lowest mean tensile bond strength. The Dycal agent showed more than double the tensile bond strength of the TempBond agent.

Effect of abutment shade, ceramic thickness, and coping type on the final shade of zirconia all-ceramic restorations: in vitro study of color masking ability

  • Oh, Seon-Hee;Kim, Seok-Gyu
    • The Journal of Advanced Prosthodontics
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    • v.7 no.5
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    • pp.368-374
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    • 2015
  • PURPOSE. The aim of the study was to evaluate the effect of abutment shade, ceramic thickness, and coping type on the final shade of zirconia all-ceramic restorations. MATERIALS AND METHODS. Three different types of disk-shaped zirconia coping specimens (Lava, Cercon, Zirkonzahn: ${\phi}10mm{\times}0.4mm$) were fabricated and veneered with IPS e.max Press Ceram (shade A2), for total thicknesses of 1 and 1.5 mm. A total of sixty zirconia restoration specimens were divided into six groups based on their coping types and thicknesses. The abutment specimens (${\phi}10mm{\times}7mm$) were prepared with gold alloy, base metal (nickel-chromium) alloy, and four different shades (A1, A2, A3, A4) of composite resins. The average $L^*$, $a^*$, $b^*$ values of the zirconia specimens on the six abutment specimens were measured with a dental colorimeter, and the statistical significance in the effects of three variables was analyzed by using repeated measures analysis of variance (${\alpha}$=.05).The average shade difference (${\Delta}E$) values of the zirconia specimens between the A2 composite resin abutment and other abutments were also evaluated. RESULTS. The effects of zirconia specimen thickness (P<.001), abutment shade (P<.001), and type of zirconia copings (P<.003) on the final shade of the zirconia restorations were significant. The average ${\Delta}E$ value of Lava specimens (1 mm) between the A2 composite resin and gold alloy abutments was higher (close to the acceptability threshold of 5.5 ${\Delta}E$) than th ose between the A2 composite resin and other abutments. CONCLUSION. This in-vitro study demonstrated that abutment shade, ceramic thickness, and coping type affected the resulting shade of zirconia restorations.

Restoration Study of Woljeong-gyo (월정교의 복원적 고찰)

  • Nam, Si-Jin
    • Journal of architectural history
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    • v.16 no.4
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    • pp.77-93
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    • 2007
  • According to documentary records Woljeong-gyo(stone bridge) is built in 760(Silla the 35th King Gyeongdeok 19) and used as original function until 1280(Goryeo the 25th King Chungryeol 6) as Chunyang-gyo. But in those days "Donggyeongjapgi" was published in 1669(Joseon Hyeonjong 10) we assume that it was lost its original function. There are four pier in the type of a ship with the same distance in the middle of river. We can see it is the site of bridge as parts of stonework of bridge are remained. In 1975 the abutments and piers are surveyed and in 1984 stone investigation twice and excavation three times which were to plan restoration were done. Now the restoration of abutments both ends are worked. For restoration of Woljeong-gyo studied documentary records and excavation recoeds were collected and examined. It helped to see the bridge in southern China twice to restore the bridge. Unearthed articles such as yeonham(a kind of member to support roof tiles) and giwa(roof tile) gave decisive clues to assume upper structure of the bridge and from Chinese bridges are helped to type of the bridge. It is certain Woljeong-gyo was ranggyo which means that upper structure was made with wooden members and the stone piers shaped of a ship below and near the abutments both ends another buildings were. Youngjocheok(the architectural measure) of this bridge is similar to gokcheok(the metal measure, 301.84mm) used now that the length of piers is 46choek(尺), the width of that is 9choek(尺), the length between two piers is 42choek(尺), the length between abutment and pier is 38choek(尺). Also we can see that entirely the length of the bridge is 210choek(尺), width is 40choek(尺).

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Surface Compatibility and Electrochemical Behaviors of Zirconia Abutment for Prosthodontics (보철용 지르코니아 어버트먼트의 표면적합도와 전기화학적 거동)

  • Park, K.H.;Jeong, Y.H.;Kim, W.G.;Choe, H.C.;Kim, M.S.
    • Journal of the Korean institute of surface engineering
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    • v.42 no.1
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    • pp.41-46
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    • 2009
  • The fit between dental implant fixture and zirconia abutment is affected by many variables during the fabrication process by CAD/CAM program and milling working. The purpose of this study was to evaluate the surface compatibility and electrochemical behaviors of zirconia abutment for prosthodontics. Zirconia abutments were prepared and fabricated using zirconia block and milling machine. For stabilization of zirconia abutments, sintering was carried out at $1500^{\circ}F$ for 7 hrs. The specimens were cut and polished for gap observation. The gap between dental implant fixture and zirconia abutment was observed using field-emission scanning electron microscopy (FE-SEM). The hardness and corrosion resistance of zirconia abutments were observed with vickers hardness tester and potentiostat. The gap between dental implant fixture and zirconia abutment was $5{\sim}12{\mu}m$ for small gap, and $40{\sim}60{\mu}m$ for large gap. The hardness of zirconia surface was 1275.5 Hv and showed micro-machined scratch on the surface. The corrosion potentials of zirconia abutment/fixture was .290 mV and metal abutment/fixture was .280 mV, whereas $|E_{pit}-E_{corr}|$ of zirconia abutment/fixture (172 mV) was higher than that of metal abutment/fixture (150 mV). The corrosion morphology of metal abutment/fixture showed the many pit on the surface in compared with zirconia abutment/fixture.

Evaluation of stability of interface between CCM (Co-Cr-Mo) UCLA abutment and external hex implant

  • Yoon, Ki-Joon;Park, Young-Bum;Choi, Hyunmin;Cho, Youngsung;Lee, Jae-Hoon;Lee, Keun-Woo
    • The Journal of Advanced Prosthodontics
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    • v.8 no.6
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    • pp.465-471
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    • 2016
  • PURPOSE. The purpose of this study is to evaluate the stability of interface between Co-Cr-Mo (CCM) UCLA abutment and external hex implant. MATERIALS AND METHODS. Sixteen external hex implant fixtures were assigned to two groups (CCM and Gold group) and were embedded in molds using clear acrylic resin. Screw-retained prostheses were constructed using CCM UCLA abutment and Gold UCLA abutment. The external implant fixture and screw-retained prostheses were connected using abutment screws. After the abutments were tightened to 30 Ncm torque, 5 kg thermocyclic functional loading was applied by chewing simulator. A target of $1.0{\times}10^6$cycles was applied. After cyclic loading, removal torque values were recorded using a driving torque tester, and the interface between implant fixture and abutment was evaluated by scanning electronic microscope (SEM). The means and standard deviations (SD) between the CCM and Gold groups were analyzed with independent t-test at the significance level of 0.05. RESULTS. Fractures of crowns, abutments, abutment screws, and fixtures and loosening of abutment screws were not observed after thermocyclic loading. There were no statistically significant differences at the recorded removal torque values between CCM and Gold groups (P>.05). SEM analysis revealed that remarkable wear patterns were observed at the abutment interface only for Gold UCLA abutments. Those patterns were not observed for other specimens. CONCLUSION. Within the limit of this study, CCM UCLA abutment has no statistically significant difference in the stability of interface with external hex implant, compared with Gold UCLA abutment.

Effect of different veneering techniques on the fracture strength of metal and zirconia frameworks

  • Turk, Ayse Gozde;Ulusoy, Mubin;Yuce, Mert;Akin, Hakan
    • The Journal of Advanced Prosthodontics
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    • v.7 no.6
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    • pp.454-459
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    • 2015
  • PURPOSE. To determine whether the fracture strengths and failure types differed between metal and zirconia frameworks veneered with pressable or layering ceramics. MATERIALS AND METHODS. A phantom molar tooth was prepared and duplicated in 40 cobalt-chromium abutments. Twenty metal (IPS d.SIGN 15, Ivoclar, Vivadent, Schaan, Liechtenstein) and 20 zirconia (IPS e.max ZirCAD, Ivoclar) frameworks were fabricated on the abutments. Each framework group was randomly divided into 2 subgroups according to the veneering material: pressable and layering ceramics (n=10). Forty molar crowns were fabricated, cemented onto the corresponding abutments and then thermocycled ($5-55^{\circ}C$, 10,000 cycles). A load was applied in a universal testing machine until a fracture occurred on the crowns. In addition, failure types were examined using a stereomicroscope. Fracture load data were analyzed using one-way ANOVA and Tukey HSD post-hoc tests at a significance level of 0.05. RESULTS. The highest strength value was seen in metal-pressable (MP) group, whereas zirconia-pressable (ZP) group exhibited the lowest one. Moreover, group MP showed significantly higher fracture loads than group ZP (P=.015) and zirconia-layering (ZL) (P=.038) group. No significant difference in fracture strength was detected between groups MP and ML, and groups ZP and ZL (P>.05). Predominant fracture types were cohesive for metal groups and adhesive for zirconia groups. CONCLUSION. Fracture strength of a restoration with a metal or a zirconia framework was independent of the veneering techniques. However, the pressing technique over metal frameworks resisted significantly higher fracture loads than zirconia frameworks.

Influence of the implant abutment types and the dynamic loading on initial screw loosening

  • Kim, Eun-Sook;Shin, Soo-Yeon
    • The Journal of Advanced Prosthodontics
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    • v.5 no.1
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    • pp.21-28
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    • 2013
  • PURPOSE. This study examined the effects of the abutment types and dynamic loading on the stability of implant prostheses with three types of implant abutments prepared using different fabrication methods by measuring removal torque both before and after dynamic loading. MATERIALS AND METHODS. Three groups of abutments were produced using different types of fabrication methods; stock abutment, gold cast abutment, and CAD/CAM custom abutment. A customized jig was fabricated to apply the load at $30^{\circ}$ to the long axis. The implant fixtures were fixed to the jig, and connected to the abutments with a 30 Ncm tightening torque. A sine curved dynamic load was applied for $10^5$ cycles between 25 and 250 N at 14 Hz. Removal torque before loading and after loading were evaluated. The SPSS was used for statistical analysis of the results. A Kruskal-Wallis test was performed to compare screw loosening between the abutment systems. A Wilcoxon signed-rank test was performed to compare screw loosening between before and after loading in each group (${\alpha}$=0.05). RESULTS. Removal torque value before loading and after loading was the highest in stock abutment, which was then followed by gold cast abutment and CAD/CAM custom abutment, but there were no significant differences. CONCLUSION. The abutment types did not have a significant influence on short term screw loosening. On the other hand, after $10^5$ cycles dynamic loading, CAD/CAM custom abutment affected the initial screw loosening, but stock abutment and gold cast abutment did not.