• Title/Summary/Keyword: zirconia prosthesis

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Maxillary cement retained implant supported monolithic zirconia prosthesis in a full mouth rehabilitation: a clinical report

  • Sadid-Zadeh, Ramtin;Liu, Perng-Ru;Aponte-Wesson, Ruth;O'Neal, Sandra J.
    • The Journal of Advanced Prosthodontics
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    • v.5 no.2
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    • pp.209-217
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    • 2013
  • This clinical report presents the reconstruction of a maxillary arch with a cement retained implant supported fixed prosthesis using a monolithic zirconia generated by CAD/CAM system on eight osseointegrated implants. The prosthesis was copy milled from an interim prosthesis minimizing occlusal adjustments on the definitive prosthesis at the time of delivery. Monolithic zirconia provides high esthetics and reduces the number of metal alloys used in the oral cavity.

Factors affecting fracture of full contour monolithic zirconia dental prosthesis in laboratory process (구치부 심미수복, 풀지르코니아 크라운의 파절원인과 그 해결방안)

  • Lee, Soo Young
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.23 no.2
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    • pp.77-79
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    • 2014
  • There are several factors affected fractures of full contour zirconia (FCZ) dental prosthesis in laboratory process. First, residual moisture can cause zirconia cracks. Complete dry is requisite before zirconia sintering to prevent zirconia cracks. Second, slow cooling rate is essential to prevent cracks during zirconia sintering process. Cracks in bridge pontic area, thick dental implant prosthesis can be prevented by slow cooling rate such as 3 degree Celsius per minute during zirconia sintering. Third, slow heating rate and slow cooling rate during staining and glazing procedure is necessary to inhibit thermal shock of sintered dental zirconia. Lower preheat temperature of porcelain furnace is recommended. Finally, using diamond disc to open embrasure can lead cracks.

Comparison of 2-dimensional marginal and internal fitness for the monolithic zirconia prosthesis using intraoral scanner and extraoral scanner: in vitro (Extraoral scanner와 intraoral scanner를 이용하여 제작된 zirconia crown의 2차원 변연 및 내면 적합도 비교: in vitro)

  • Lee, Tae-Hee;Lee, Ha-Bin;Kim, Ji-hwan
    • Journal of Technologic Dentistry
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    • v.41 no.3
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    • pp.187-193
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    • 2019
  • Purpose: The purpose of this study was to compare two-dimensional fitness of the monolithic zirconia prosthesis by using different type of scanner. Methods: No. 26 abutment tooth of FDI system was selected for the study. Using the extraoral scanner and intraoral scanner, the abutment tooth was scanned 10 times and the scanned files were saved as STL files. CAD/CAM system was used to produce the monolithic zirconia prosthesis. marginal and internal gap of the monolithic zirconia prosthesis were measured by digital microscope(x160) and applied silicone replica technique was applied. t-test, a statistical software, was used to perform data analysis. Results: Marginal gap $mean{\pm}SD$ of the monolithic zirconia prosthesis was $33{\pm}7.5{\mu}m$ with extra oral scanner and $34.7{\pm}11.1{\mu}m$ with intraoral scanner. axial gap mean was $40.5{\pm}3.5{\mu}m$ with extra oral scanner and $44.6{\pm}11.6{\mu}m$ with intraoral scanner. occlusal gap mean was $110.1{\pm}25.4{\mu}m$ with extra oral scanner and $64{\pm}9.7{\mu}m$ with intraoral scanner. Conclusion: In this study, fabricating zirconia prosthesis with different type of scanner was clinically applicable.

Implant fixed prosthetic treatment using CAD/CAM system in a patient with severe alveolar resorption (임상가를 위한 특집 3 - 심하게 흡수된 치조제를 가진 환자에서 CAD/CAM을 이용한 임플란트 고정성 보철치료)

  • Choi, Yu-Sung
    • The Journal of the Korean dental association
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    • v.50 no.3
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    • pp.126-139
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    • 2012
  • Loss of dentition can lead to not only compromised esthetics and functions of the patient, but also alveolar bone resorption. Bone grafting with prosthetic reconstruction of the gingiva can be selected for the treatment, and it provides many benefits as prosthetic gingival reconstruction does not require a complicated surgical process and is available within a short period of time, with stable clinical results. However, conventional porcelain fused to metal prosthesis has certain limits due to its size, and deformation after several firing procedures. In this clinical report, the author would like to introduce a patient with severe alveolar resorption who was treated with gingiva-shaped zirconia/titanium CAD/CAM implant fixed prosthesis for esthetic and functional rehabilitation. Clinical reports Clinical report 1, 2 : A case of loss of anterior dentition with atrophied alveolar bone. Implant retained zirconia bridge applied with Procera implant bridge system to simulate the gingiva. Upper structure was fabricated with zirconia all ceramic crown. Clinical report 3, 4 : A case of atrophied maxillary alveolus was reconstructed with fixed implant prosthesis, a CAD/CAM designed titanium structure covered wi th resin on its surface. Anterior dentition was reconstructed with zirconia crown. Conclusion and clinical uses. All patients were satisfied with the outcome, and maintained good oral hygiene. Zirconia/titanium implant fixed prosthesis fabricated by CAD/CAM system was highly accurate and showed adequate histological response. No critical failure was seen on the implant fixture and abutment overall. Sites of severe alveolar bone loss can be rehabilitated by implant fixed prosthesis with CAD/CAM system. This type of prosthesis can offer artificial gingival structure and can give more satisfying esthetics and functions, and as a result the patients were able to accept the outcome more fondly, which makes us less than hard to think that it can be a more convenient treatment for the practitioners.

Submucosal zirconia implant prosthesis fabricated with CAD/CAM (CAD/CAM으로 제작한 점막하 지르코니아 임플란트 보철 수복 증례)

  • Chang, Jae-Seung;Kim, Sunjai
    • The Journal of Korean Academy of Prosthodontics
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    • v.52 no.4
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    • pp.352-358
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    • 2014
  • They have been recently introduced many aesthetic implant prosthesis using with zirconia and CAD/CAM. However, there are many limitations in their gingival and occlusal region. In this case, submucosal zirconia implant prosthesis were fabricated with CAD/CAM system. The connection of these screw cement retained prosthesis and titanium abutment was designed to 1mm above the fixture. The clinical results were satisfactory on the aesthetics and function.

Fabrication of a CAD/CAM monolithic zirconia crown to fit an existing partial removable dental prosthesis

  • Paek, Janghyun;Noh, Kwantae;Pae, Ahran;Lee, Hyeonjong;Kim, Hyeong-Seob
    • The Journal of Advanced Prosthodontics
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    • v.8 no.4
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    • pp.329-332
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    • 2016
  • Fabricating a surveyed prosthesis beneath an existing partial removable dental prosthesis (PRDP) is a challenging and time-consuming procedure. The computer-aided design/computer-assisted manufacturing (CAD/CAM) technology was applied to fabricate a retrofitted, surveyed zirconia prosthesis to an existing PRDP. CAD/CAM technology enabled precise and easy replication of the contour of the planned surveyed crown on the existing abutment tooth. This technology ensured excellent adaptation and fit of newly fabricated crown to the existing PRDP with minimal adjustments. In this case report, a seventy-year-old male patient presented with fractured existing surveyed crown. Because the existing PRDP was serviceable, new crown was fabricated to the existing PRDP.

Restoration of anterior teeth with dental implant using multilayer zirconia (다층 지르코니아를 이용한 임플란트 전치부 수복 증례)

  • Lee, Sunghee;Lee, Younghoo;Hong, Seoung-Jin;Paek, Janghyun;Noh, Kwantae;Pae, Ahran;Kwon, Kung-Rock;Kim, Hyeong-Seob
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.4
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    • pp.469-477
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    • 2021
  • For successful restoration of maxillary anterior implants, both pink esthetics and white esthetics must be satisfied. For pink esthetic part, the role of appropriate provisional prosthesis restoration is important, and for white esthetic part, the color and shape of the definitive prosthesis is important. Multilayer zirconia can be used for natural tooth appearance due to the higher transparency of the incisal area compared to the conventional monolithic zirconia. Therefore, in this case, white esthetic part was achieved through multilayer zirconia after recovering function and esthetics through appropriate provisional prosthesis in a patient who lost the maxillary anterior teeth.

Zirconia ceramic fixed dental prosthesis with all-on-4 concept implants for irradiated maxilla: A case report (방사선 조사된 상악골에서 all-on-4 임플란트에 의해 지지되는 지르코니아 고정성 보철물 수복 증례)

  • Choi, Eun-Joo;Cho, Hye-Won
    • The Journal of Korean Academy of Prosthodontics
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    • v.55 no.2
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    • pp.218-224
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    • 2017
  • The implant-supported fixed dental prosthesis in irradiated maxilla needs meticulous treatment planning due to low bone healing capacity. All-on-4 concept implantation can reduce the number of implants to be placed avoiding bone grafting procedure. Conventionally, prefabricated angled abutments for tilted implants have been used. However, in this case, it was replaced with computer-aided design and computer-aided manufacturing (CAD/CAM) abutment. This case report described all-on-4 concept implantation and fabrication of CAD/CAM zirconia fixed dental prostheses using CAD/CAM titanium abutments.