• Journal of Korean Dental Science
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• v.15 no.1
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• pp.92-99
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• 2022

This case report describes the immediate loading of narrow diameter implants in the mandibular incisor area using full-digital flow. The 3-dimensional position of the implants was planned using digital software, and the corresponding surgical template was fabricated. The implants were inserted immediately after extraction and on the same day, the interim abutment and bridge were placed. At 8 weeks after surgery, the stability of the implants was measured and a digital impression was made using a scan body. Customized titanium abutments and a cement-type full zirconia bridge were delivered. At 36 weeks' follow-up, no clinical or radiographic complications were detected, and the patient was satisfied with the results.

• The Journal of Advanced Prosthodontics
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• v.6 no.5
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• pp.346-350
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• 2014

PURPOSE. Impact forces in implant supported FDP (fixed dental prosthesis) are higher than that of tooth supported FDPs and the compositions used in frameworks also has a paramount role for biomechanical reasons. The aim of this study was to evaluate the flexural strength of two different zirconia frameworks. MATERIALS AND METHODS. Two implant abutments with 3.8 mm and 4.5 mm platform were used as premolar and molar. They were mounted vertically in an acrylic resin block. A model with steel retainers and removable abutments was fabricated by milling machine; and 10 FDP frameworks were fabricated for each Biodenta and Cercon systems. All samples were thermo-cycled for 2000 times in $5-55^{\circ}C$ temperature and embedded in $37^{\circ}C$ artificial saliva for one week. The flexural test was done by a rod with 2 mm ending diameter which was applied to the multi-electromechanical machine. The force was inserted until observing fracture. The collected data were analyzed with SPSS software ver.15, using Weibull modulus and independent t-test with the level of significance at ${\alpha}=.05$. RESULTS. The mean load bearing capacity values were higher in Biodenta but with no significant differences (P>.05). The Biodenta frameworks showed higher load bearing capacity ($F_0=1700$) than Cercon frameworks ($F_0=1520$) but the reliability (m) was higher in Cercon (m=7.5). CONCLUSION. There was no significant difference between flexural strengths of both zirconia based framework systems; and both Biodenta and Cercon systems are capable to withstand biting force (even parafunctions) in posterior implant-supported bridges with no significant differences.

• Journal of Technologic Dentistry
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• v.38 no.3
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• pp.111-117
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• 2016

Purpose: The present study was performed to investigate the effect of abutment inclined angle on the marginal fit of zirconia all-ceramic crown. Methods: The Ti abutments with 3 different inclined angle($2^{\circ}$, $4^{\circ}$ and $6^{\circ}$) were fabricated. The zirconia copings were fabricated for each abutment by using dental CAD/CAM system. The manufactured zirconia copings were duplicated through silicone replica technique, and a replicated specimen was sectioned in the center of bucco-lingual and mesio-distal axial to measure the marginal fit by using a stereo microscope. The results were analyzed using a one-way ANOVA with SPSS 22.0 for Windows(${\alpha}=0.05$). Results: On the bucco-lingual axial, marginal fit was the RL3($41.5{\pm}3.4{\mu}m$), RL2($44.3{\pm}4.3{\mu}m$) and RL1($47.5{\pm}5.7{\mu}m$), respectively. On the mesio-distal axial, marginal fit was the RL3($41.1{\pm}3.7{\mu}m$), RL2($45.7{\pm}5.3{\mu}m$) and RL1($46.2{\pm}4.5{\mu}m$), respectively. One-way ANOVA showed statistically significant difference between groups for marginal fit(p<0.05). Conclusion: For marginal fit of the abutments inclined angle, RL3 specimen was superior. The abutment inclined angle had influence on marginal fit of the zirconia copings. The marginal fit of each group were within clinically acceptable range.

• The Journal of the Korean dental association
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• v.19 no.2 s.141
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• pp.159-162
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• 1981

The author devised a simple technique for duplicating occlusal contour of natural teeth on the prepared abutments using hard stone index obtained from the study cast of natural teeth. Throughout this author devised method, the following advantages are studied. Firstly the dentist can obtain an ideal occlusal wax patterns which have arrived at the physiologic state through a long period of adjustment to various habits and functional movements. Secondly the construction procedure is simple, and thirdly it is easy to adjust wax pattern of nomal natural teeth which duplication is required.

• 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.

• Journal of Dental Rehabilitation and Applied Science
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• v.34 no.3
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• pp.157-166
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• 2018

Purpose: This study was aimed to compare the consistency between the custom abutment design and the output in two CAD software programs. Materials and Methods: Customized abutments were designed by using 3Shape Dental System CAD software and Delta9 CAD software on a plaster model with implants (CRM STL file). After milling of the designed abutments, the abutments were scanned with a contact method scanner (Test STL file). We overlaid the Test STL file with each CRM STL file by using inspection software, and then compared the milling reproducibility by measuring the output error of the specimens from each CAD software program. Results: The Delta9 showed better milling reproducibility than 3Shape when comparing the milling errors obtained with a full scan of all specimens (P < .05) and also when comparing the axial wall region specifically according to the axial angle. With 0.9 mm marginal radius, the Delta9 showed better consistency between the design and the output than 3Shape (P < .05). While, anti-rotation form had no significant difference in error between the two systems. When cumulative errors were compared, the Delta9 showed better milling reproducibility in almost cases (P < .05). Conclusion: Delta9 showed a significantly smaller error for most of the abutment design options. This means that it is possible to facilitate generation of printouts with reliable reproducibility and high precision with respect to the planned design.

• The Journal of the Korean dental association
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• v.50 no.3
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• pp.110-117
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• 2012

Dental computer-aided design (CAD) and computer-aided manufacturing (CAM) technology have rapidly progressed over the past 30 years. The technology, which can be used in the dental laboratory, the dental office and the form of production centers, has become more common in recent years. This technology is now applied to inlays, onlays, crowns, fixed partial dentures, removable partial denture frameworks, complete dentures, templates for implant installation, implant abutments, and even maxillofacial prostheses. Dentists and dental technicians, who want to use these techniques, should have certain basic knowledge about that. This article gives an overview of CAD/CAM technologies, histories and how it applies in prosthetic dentistry.

• Journal of Technologic Dentistry
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• v.30 no.1
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• pp.57-63
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• 2008

The purpose of this study was to ascertain the effect of different abutment height and different taper of abutment on retention force of cemented implant-supported prostheses. Test specimens consisted of different abutment height group(3mm, 4mm, 5mm, 6mm, 7mm) and different taper(degrees) abutment group($4^{\circ},\;5^{\circ},\;6^{\circ},\;7^{\circ},\;8^{\circ}$). The surfaces of abutments and crowns were manufactured and finished by automatic lathe(CNC). Luting cement(Tokuso Ionomer) was prepared according to the manufacturer's instruction. And the cylinders were sealed onto the abutments and loaded in compression at 5kg for 10minutes. Excess cement was removed from the abutment-cylinder junction and the specimens were stored at room temparature for 24 hours. Specimens were tested in tension using a universal testing machine. Within the limits of this study, the following conclusions were drawn: 1. The increase in abutment height result in improvement in retention strength(P<0.05). 2. The increase in taper of abutment result in decrease in retention strength(P<0.05). 3. The decrease in abutment height result in decrease in retention strength, besides has a significantly lower retention strength at 3mm abutment height. 4. The increase in taper of abutment result in decrease in retention strength, besides has a significantly lower retention strength at $7^{\circ}$ abutment.

• The Journal of Korean Academy of Prosthodontics
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• v.44 no.1
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• pp.73-84
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• 2006

The importance of soft tissue response to implant abutments has become one of the major issues in current implant dentistry. To date, numerous studies have emphasized on maintaining connective tissue barriers in quantity, as well as in quality fir the long term success of dental implants. The cells mainly consisting the soft tissue around dental implants are fibroblasts and epithelial cells. The mechanism of the fibroblasts adhesions to certain substrata can be explained by the 'focal adhesion' theory. On the other hand, epithelial cells adhere tn the substratum via hemidesmosomes. The typical integrin-mediated adhesions of cells to certain matrix are called 'cell-matrix adhsions'. The focal adhesion complex of fibroblasts, in relation to the cell-matrix adhsions, consists of the extracellular matrix(ECM) such as fibronectin, the transmembrane proteins such as integrins, the intracellular cytoplasmic proteins such as vinculin, talin, and more, and the cytoskeletal structures such as filamentous actin and microtubules. The mechanosensory function of integrins and focal adhesion complexes are considered to play a major role in the cells adhesion, migration, proliferation, differentiation, division, and even apoptosis. The '3-D matrix adhesions' defined by Cukierman et al. makes a promising future for the verification of the actual process of the cell-matrix adhesions in vivo and can be applied to the field of implant dentistry in relation to obtaining strong soft tissue attachment to the implant abutments.

• The Journal of Advanced Prosthodontics
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• v.8 no.1
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• pp.21-29
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• 2016

This in vitro study investigated and compared the durability and retention of three types of attachments. MATERIALS AND METHODS. Three commercially available attachments were investigated: $Clix^{(R)}$, Dalbo-$Plus^{(R)}$ and $Locator^{(R)}$. In total, 72 samples of these attachments were placed in the acrylic resin forms and subjected to mechanical testing (5400 cycles of insertion and removal) over the respective ball or Locator abutments immersed in artificial saliva at pH 7 and $37^{\circ}C$. The abutments were placed at angulations of $0^{\circ}$, $10^{\circ}$ and $20^{\circ}$. The retention force was recorded at the beginning and after 540, 1080, 2160, 3240, 4320 and 5400 insertion-removal cycles. RESULTS. The results revealed that there were significant differences in the average values of the insertion/removal force due to angulation ($F_{(2.48)}=343619$, P<.05) and the type of attachment ($F_{(7.48)}=23.220$, P<.05). CONCLUSION. Greater angulation of the abutments was found to influence the retention capacity of the attachments, and the fatigue test simulating 5 years of denture insertion and removal did not produce wear in the metal abutments.