Download or read book The Effect of Implant Angulation on the Fracture Resistance of Procera Zirconium Abutments written by Zinaida Kaleinikova and published by . This book was released on 2006 with total page 64 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract: Introduction: An all-ceramic abutment system offers superior esthetics, translucency, biocompatibility and strength in comparison to metal abutments. Naturally, with all the variables presented by human beings, there is a risk that the final location and angulation of the implant would be not as exact as planned. The restorative dentist has an option to use prefabricated ceramic abutments and customize them as necessary to achieve highly esthetic results. However, there is not much information on how different abutment angulations affect strength. The new Procera system (Nobel Biocare) offers customized abutments in wide variety of clinical situations, which would be especially convenient in the restorative esthetic cases of angled implants. Purpose: This study examined the effects of implant angulation on the strength of ceramic abutment designs. Materials and methods: Twenty custom made Procera (Nobel Biocare) zirconia abutments fabricated with CAD/CAM technique were used in this study. The typical design of an abutment for a cemented central incisor crown was used. The strength of zirconium abutments was measured using four different axial alignments of implants: Group A, axis of implant goes through the cingulum area, Group B, through the incisal edge, Group C, 150 labial inclination and Group D, the anterior angled limit allowed by the abutment screw height (300). Using an MTS hydraulic machine, load was applied to a consistent palatal/incisal reference point on each abutment. Measurements of fracture load were collected and analyzed using ANOVA. Where ANOVA detected a difference between tested variable levels, REGWQ test was performed and determined which variable level was more significant. Results: Group A withstand significantly (p=0.005) higher fracture load than Group B, Group C and Group D. Mean peak load values were 518.7 N, 269.4 N, 232.0 N and 227.4 N, respectively. Conclusion: Comparison of fracture load measurements of different abutment angulations revealed the most fracture resistant abutment design. Results from this study will help to create guidelines for prosthodontists in making decisions in various clinical situations and improve pre-operative treatment planning, particularly as they relate to the Procera (Nobel Biocare) all-ceramic system.
Download or read book Influence of Implant Angulation on the Fracture Resistance of Zirconia Abutments written by Shreedevi Thulasidas and published by . This book was released on 2013 with total page 71 pages. Available in PDF, EPUB and Kindle. Book excerpt: Zirconia-based implant abutments are widely used in prosthetic dentistry. Custom made abutments are utilized to correct for non-ideal implant positions and can successfully accommodate the morphologic requirements of the overlying crown. It was hypothesized that there will be difference in fracture strength and fracture mode of artificially aged zirconia implant abutments supported by implants at varying angulation, when load is applied to failure on overlying zirconia crowns. The implant-abutment-crown assemblies were subjected to steam autoclaving to induce some degree of phase transformation from tetragonal to weaker monoclinic form and to thermo-cycling to artificially age the samples. The effects of loading or occlusal forces applied to a model of implant-abutment-crown assembly with varying geometry of implant alignment was investigated in this study with customized zirconia implant abutments with internally hexed implant and overlying zirconia crowns loaded to fracture. Construct design and loading angulations were selected to simulate mouth conditions as closely as possible. Results showed that fracture strength of zirconia abutments was affected by the variation in the angulation of the implant. Aging did not seem to play a role in the fracture strength.
Download or read book Fracture Resistance of Titanium and Zirconia Abutments A Lab Study written by Jamie Foong and published by LAP Lambert Academic Publishing. This book was released on 2014-10-21 with total page 120 pages. Available in PDF, EPUB and Kindle. Book excerpt: Statement of Problem. There is little conclusive evidence comparing the fracture resistance of internal connection titanium and zirconia implant abutments and the purpose of this study was to determine the fracture resistance of internal connection titanium and zirconia implant abutments. Material and Methods. Twenty-two specimens simulating implant-supported anterior single crowns were randomly divided into two equal test groups. Abutments were attached to dental implants mounted in acrylic resin and CAD/CAM crowns constructed. Chewing function was simulated using cyclic loading in a stepped fatigue loading protocol until failure. Failed specimens were then analyzed using SEM and fractographic analysis. Results. The titanium abutment group fractured at a mean SD load of 270 56.7 N and a mean SD of 81,935 27,929 cycles. The zirconia abutment group fractured at a mean SD load of 140 24.6 N and a mean SD of 26,296 9,200 cycles (p
Download or read book Fracture Resistance of Pressable Ceramic Fused to Metal Custom Implant Abutment written by Maria Protopapadaki and published by . This book was released on 2010 with total page 74 pages. Available in PDF, EPUB and Kindle. Book excerpt: BoldStatement of problem:/bold The restoration of single implant & ndash;supported crowns presents an aesthetically prosthetic challenge. The commercially available choices for abutment selection are limited and present either questionable aesthetics or questionable strength. There is need for development of an alternative technique for an aesthetic custom implant abutment that would be able to withstand high occlusal and functional forces.^The predictable nature of the hot pressing technique has several applications but no study has evaluated its application for the fabrication of custom implant abutments.Purpose of this study: To evaluate the fracture resistance of an experimentally designed pressable ceramic fused to metal custom abutment for Nobel Biocare internal connection narrow platform (NP) implants and compare it with the fracture resistance of duplicated Procera zirconia abutments.Materials and Methods: Two groups of 10 samples each were tested. The experimental group consisted of all & ndash;ceramic crowns cemented on pressable ceramic fused to metal custom narrow & ndash;platform implant abutments. The control group consisted of all-ceramic crowns cemented on duplicate Procera zirconia abutments.^The experimental abutments were fabricated on fixture level narrow-platform abutments (GoldAdapt, Nobel Biocare), cast with ceramic alloy (Lodestar, Ivoclar Vivadent) according to sample design dimensions. InLine PoM (Press Over Metal ceramic, Ivoclar Vivadent) ceramic was pressed over the metal according to design dimensions. Each pressable ceramic fused to metal abutment was individually scanned with Procera Picolo scanner and 10 duplicate zirconia abutments were fabricated by Nobel Biocare for the control group. The crowns had standard predetermined dimensions of an average lateral incisor (B & ndash;L width = 7mm, M & ndash;D width = 7mm, I & ndash;C length = 10mm) according to Diamond & rsquos anatomy, and were pressed with IPS e.max Press. A total of 20 all & ndash;ceramic crowns were prepared individually for each abutment. A dual & ndash;polymerizing resin luting agent (Multilink Automix, Ivoclar Vivadent) was used to bond the all & ndash;ceramic crowns to the abutments.^The samples were mounted on a device, thermocycled and then subjected to cyclic loading using the Universal Testing Machine (UTM, MTS). All specimens were loaded off axis 30° to the lingual surface. The samples that did not fail were statically loaded to failure. An independent t & ndash;test (one & ndash;sided) was used to determine if the mean values of the fracture load differed significantly between the 2 groups. A significance level of 0.05 was used.Results: No sample failed during cyclic loading. During static loading, the mean load to failure for the experimental group was 525.89 N (SD = 143.547 N) and for the control group it was 413.70 N (SD = 35.515 N). The results indicate that the fracture resistance of the experimental pressable ceramic fused to metal custom abutment is significantly higher than that of the zirconia abutment for Nobel Biocare internal connection narrow platform (NP) implant (t8=2.283, p=0.0245).^Failure was initiated at the screw and internal connection level of the complex analog & ndash;screw & ndash;internal connection & ndash;abutment & ndash;crown for both the experimental and control groups for Nobel Biocare internal connection narrow platform (NP) implants.Conclusions: Within the limitations of this study, it can be concluded that the experimental pressable ceramic fused to metal abutment presents a statistically significantly higher fracture resistance than the zirconia abutment for Nobel Biocare internal connection narrow platform (NP) implants.Clinical application: The development of a pressable ceramic fused to metal custom implant abutment will provide an alternative aesthetic solution in patients with heavy occlusal and functional load conditions.
Download or read book Fracture Resistance of Pressable Ceramic Fused to Metal Custom Implant Abutment written by and published by . This book was released on 2008 with total page 33 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this study was to investigate the efficacy of fabricating pressable ceramic fused to metal custom implant abutments, and to evaluate the fracture resistance of these abutments. Two groups of 10 samples each were tested. Replicated wax patterns were cast to Goldadapt ® abutments using Lodestar ® for the experimental group. IPS e.max ® press was injected around the metal column of the metal custom implant abutment. Each of these was scanned and 10 Procera ® Zirconia abutments were fabricated by Nobel Biocare for the control group. IPS e.max ® press crowns of an average dimension of the central incisor were fabricated for each experimental and control abutments (total 20 crowns). All crowns were cemented to these custom implant abutments using resin luting agent and the respective primer. The crown-abutment test specimens were fixed to titanium implant analogues and placed in a test stand at 30° angle in a Instron universal testing machine. There were a statistically significant difference in fracture load to failure between the experimental group and control group (t18=2.131, P
Download or read book Fracture Resistance of Pressable Ceramic Fused to Metal Custom Implant Abutment written by Carlos Alberto Hernandez Terrazas and published by . This book was released on 2013 with total page 59 pages. Available in PDF, EPUB and Kindle. Book excerpt: Objectives: The purpose of this study was to determine the feasibility of fabricating a pressable metal ceramic custom implant abutment (Pr) with a full porcelain coverage design, and to compare fracture resistance to its commercially available zirconia counterpart (Zr). Methods: Two groups of implant abutment specimens were fabricated. The experimental group consisted of custom pressed-ceramic (Pr) abutment (n=10), and the control group consisted of CAD/CAM-designed zirconia-based ceramic (Zr) abutment (n=10). For the experimental group, a custom metal abutment was cast using a compatible metal alloy (Lodestar); this was followed by injection molding with leucite reinforced pressable ceramic (IPS InLine Press-over-Metal) around the metal column of the custom implant abutment. For the control group, a specimen was fabricated from CAD/CAM-designed zirconia abutment (Procera Zirconia). Following scanning, all-ceramic crowns with the average dimensions of a human central incisor were fabricated for the experimental and control abutments using lithium disilicate pressable ceramic (IPS e. max Press). Each crown was cemented to the implant abutments with a resin luting agent (Multilink Automix). Samples were subjected to Thermocycling (2000 cycles). Crown-abutment test specimens were fixed to titanium implant analogs and placed in a test stand at 30 degrees from the vertical axis of the specimens in a computer-controlled universal testing device for cyclic loading. After 500,000 cycles samples were statically loaded to failure for further analysis. The independent t test was used to detect if the mean fracture load values between the 2 groups differ significantly (alpha=. 05). Results: No samples failed during thermocycling or cyclic loading. The mean fracture load of the experimental group was 1695N (SD=253) during static loading. The control had a mean fracture load of 1277N (SD=242). The mean fracture load of the experimental group was significantly higher than that of the control group; p= 0. 0015 (℗æPr>℗æZr). Conclusions: Within the limitations of this in vitro study, it can be concluded that a fully veneered pressed ceramic fused to metal custom implant abutment can be fabricated and had a higher mean fracture resistance than its commercially available zirconia counterpart over a Nobel Biocare wide implant platform.
Download or read book Fracture Resistance of Zirconia Oral Implants in Vitro a Systematic Review and Meta analysis written by Annalena Bethke and published by . This book was released on 2020 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract: Various protocols are available to preclinically assess the fracture resistance of zirconia oral implants. The objective of the present review was to determine the impact of different treatments (dynamic loading, hydrothermal aging) and implant features (e.g., material, design or manufacturing) on the fracture resistance of zirconia implants. An electronic screening of two databases (MEDLINE/Pubmed, Embase) was performed. Investigations including > 5 screw-shaped implants providing information to calculate the bending moment at the time point of static loading to fracture were considered. Data was extracted and meta-analyses were conducted using multilevel mixed-effects generalized linear models (GLMs). The Šidák method was used to correct for multiple testing. The initial search resulted in 1864 articles, and finally 19 investigations loading 731 zirconia implants to fracture were analyzed. In general, fracture resistance was affected by the implant design (1-piece > 2-piece, p = 0.004), material (alumina-toughened zirconia/ATZ > yttria-stabilized tetragonal zirconia polycrystal/Y-TZP, p = 0.002) and abutment preparation (untouched > modified/grinded, p
Download or read book Fracture Resistance of Titanium and Zirconia Abutments written by Jamie K. W. Foong and published by . This book was released on 2011 with total page 140 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Effect of Varying Abutment Dimensions on the Retention of Zirconia Restorations written by Bill Abbo Van Dam and published by . This book was released on 2006 with total page 148 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Fracture Resistance of Titanium based Lithium Disilicate and Zirconia Abutments written by Evan E. Roberts and published by . This book was released on 2017 with total page 17 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Long term Stability and Resistance to Fracture written by Abdul Aziz Al-Sahhaf and published by . This book was released on 2016 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Zusammenfassung: AbstractObjectiveTo investigate the survival rate, fracture strength, bending moments, loading to fracture and fracture modes of different designs of zirconia abutments after dynamic loading with thermocycling, and compare these values to titanium abutments.MethodsA total of 80 abutment samples were divided into 5 test groups of 16 samples in each group. The study included the following groups, Group 1: CAD/CAM produced all-zirconia abutments, Group 2: titanium abutments, Group 3 zirconia-abutments adhesively luted to a titanium base, Group 4: prefabricated all-zirconia abutments and Group 5: zirconia-abutments glass soldered to a titanium base. Half the number of samples in each group was exposed to 1.2 million loading cycles (5-years simulation) in the chewing simulator. The samples that survived the artificial aging were later tested for fracture strength in a universal testing machine. The remaining 8 samples of the group were directly tested for fracture strength.ResultsAll samples exposed to the 5-years artificial aging survived except of six samples in one group (Group 1). The surviving samples were later fracture tested in the universal testing machine. The bending moments (Ncm) values were as follow: Exposed groups: Group 1: 94.5 Ncm; Group 2: 599.2 Ncm; Group 3: 477.5 Ncm; Group 4: 314.4 Ncm; Group 5: 509.4 Ncm. Non-exposed groups: Group 1: 269.3 Ncm; Group 2: 474.2 Ncm; Group 3: 377.6 Ncm; Group 4: 265.4 Ncm; Group 5: 372.4 Ncm. Except in Group 1, the values were higher in the exposed groups, although, statistically there was no difference (p>0.05). The one-piece ZrO2-abutment group (Group 1 and Group 4) exhibited lower values, while the two-piece ZrO2-abutment groups (Group 3 and Group 5) showed similar values and fracture modes like the titanium abutment group. The titanium abutment group showed the highest values of bending moments among all groups.ConclusionThe implant-abutment connection area appeared to influence the bending moment value and the fracture mode of the tested abutment groups, and it was found to be the weakest part of an internal connection one-piece zirconia abutment. The titanium base in the two-piece zirconia abutment worked as a substitute for the weakest part of the abutment. Therefore, the titanium base can reinforce the fracture strength of a zirconia abutment
Download or read book A Systematic Review about Two piece Zirconia Implants Results of Preclinical Studies written by Nishihara Hironobu and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background (500)Despite biocompatibility and excellent clinical outcome of titanium implants, a growing interest for an alternative implant material is noticeable. This is mostly due to patient-specific requests for metal-free treatment and concerns about adverse reactions titanium particle corrosion. Therefore, manufacturers are increasingly introducing zirconia implants with different features and designs. While most systems offer one-piece implant design, little is known about the applicability and features of two-piece implants.Aim of the study (300)This review aimed to summarize the preclinical knowledge about two-piece zirconia implant systems. Focus was given on design features, mechanical resistance of the implants and of the implant-restoration complex as well as peri-implant tissue response.Material and Methods (1000)An electronic search of the literature until March 2017 was performed to identify all articles related to preclinical research on two-piece zirconia implant systems. The search was conducted using MEDLINE (National Library of Medicine), Pubmed without restrictions concerning the date of publication. The search terminology included: zirconia implant, two-piece, mechanical properties, fracture resistance, strength, osseointegration, bone-to-implant contact, soft tissue, histology, histomorphometry (connecting different keywords with AND, OR). Hand-searching of the bibliographies of all full-text articles and related reviews, selected from the electronic search, was also performed. The literature search was limited to only English language articles. References appraised in related systematic reviews were also considered.Results (1000)Of the initially-identified 1026 titles, 58 papers were selected for full-text evaluation. After exclusion 53 articles, a total of 6 article were finally selected and analysed. The mechanical resistance was evaluated in 4 studies, where a clinical situation of implants placed in the anterior region was simulated. Interestingly, most studies used titanium abutment screws for evaluation. Irrespective of connection type (screw- or cement-retained), implant fractures were mostly reported in the implant-abutment connection, with the weakest component to be abutment screw, abutment and implant, respectively. In general, two-piece zirconia implant systems showed higher failure rates and lower resistance than one-piece zirconia implants as well as titanium implants.Peri-implant tissues were evaluated in 2 studies. Regardless of implant type (one- or two-piece), a significant marginal bone loss was recorded 6months after placement (0.19-1.11mm). The height of buccal peri-implant mucosa and bone-to-implant contact ranged, respectively, between 2.64-3.03mm and 78.6-87.9% with no statistically significant differences at follow-up evaluations.Conclusion and Clinical implications (500)Irrespective of connection type and the design, two-piece zirconia implants show sufficient strength to withstand normal forces applied in the anterior region. Hard and soft tissue response around two-piece zirconia implants seem to be similar to one-piece implants as well as titanium implants. Although they have the potential for clinical application, the limited knowledge about two-piece zirconia implants does not support their clinical application yet.
Download or read book Fracture Resistance of Single Implant supported Restorations Using Ceramic Abutments written by José Fausto Carracho and published by . This book was released on 2005 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Survival Rate and Fracture Resistance of Zirconium Dioxide Implants After Exposure to the Artificial Mouth written by Marina Andreiotelli and published by . This book was released on 2006 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Strain Analysis and Fracture Strength of Nine Different Abutments for Cement retained Crowns on an Internal Hexagon Implant written by Louai G. Salaita and published by . This book was released on 2014 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt: Purpose: Many aftermarket abutments for cement-retained crowns are available for the Tapered Screw-Vent implant (Zimmer Dental, Carlsbad, CA, USA). Of these aftermarket abutments this is wide variation, from stock to custom abutments, as well as material differences such as zirconia, titanium, or a combination of the two. This study was performed in two parts: the aim of Part I was to measure and compare different strains conferred to the bone around the implants for nine different abutments for cement-retained crowns on an implant with an internal hexagon platform. The aim of Part II was to measure and compare the force required to cause fracture of ten different abutments for cement-retained crowns on an implant with an internal hexagon platform. Material and Methods: Nine 4.1mm x 11.5mm Tapered Screw-Vent implants were placed into a 12" x 2" x 8mm resin block for strain measurements. Five abutment specimens of each of the nine different abutments (n = 44 total) were tried into one of the nine implants. Monolithic zirconia crowns were then fabricated for each of the nine different abutments and the crowns were cyclically loaded at thirty degrees two times at a frequency of 2Hz and strain was measured and recorded. Ten Tapered Screw-Vent Implants were then individually secured in a loading apparatus, and three abutment specimens of each of the ten different abutments (n = 30 total) were loaded at a 30 degree angle until fracture of the implant abutment complex was achieved. The strain to the resin block was determined using three-dimensional digital image correlation (3D DIC), an optical measurement technique. Commercial image correlation software (VIC 3D v7.0 , Correlated Solutions, Inc. Columbia, SC, USA) was used to analyze the strain around the implants. Data for maximal and minimal principle strains as well as load to fracture were compared using analysis of variance with a Tukey-Kramer post-hoc test (alpha = .05). Results: Strain measurements showed no significant difference between any of the abutments when looking at minimal (compression) principle strains (p>.05). For maximal (tensile) principle strains the Atlantis Zirconia abutment and the Zimmer Patient Specific Abutment showed the highest and second-highest strain around the implant, respectively, with the Atlantis Zirconia being significantly greater than all abutments excluding the Zimmer PSA, and the PSA being significantly greater than the AstraTech ZirDesign and Legacy Straight Contoured abutment in titanium as well as zirconia (p
Download or read book Effect of Coping Design on Fracture Resistance of Zirconia Core Ceramics written by Ilon Fotek and published by . This book was released on 2007 with total page 139 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book On Cobalt chrome Frameworks in Implant Dentistry written by Lars Hjalmarsson and published by Swedish Dental Assn. This book was released on 2009 with total page 83 pages. Available in PDF, EPUB and Kindle. Book excerpt:
