Research Article
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Year 2023, Volume: 13 Issue: 4, 871 - 875, 29.12.2023
https://doi.org/10.33808/clinexphealthsci.1215298

Abstract

Supporting Institution

Marmara Üniversitesi Bilimsel Araştırma Projeleri Birimi

Project Number

TDK-2020-10032

Thanks

Bu çalışma Marmara Üniversitesi Bilimsel Araştırma Projeleri Birimi tarafından TDK-2020-10032 proje numarası ile mali olarak desteklenmiştir. Ayrıca yazarlar, örneklerin hazırlanmasını sağladığı için Marmara Üniversitesi Diş Hekimliği Fakültesi'ne teşekkür eder. Analizler Sabancı Üniversitesi Nanoteknoloji Araştırma ve Uygulama Merkezi'nde gerçekleştirildi.

References

  • Singla S, Kumar L, Rathee M. Know your implant connections. Afr J Oral Health. 2018;6(2): 1-7. DOI:10.4314/ajoh.v6i2.162380
  • Goodacre CJ, Kan JY, Rungcharassaeng K. Clinical complications of osseointegrated implants. J Prosthet Dent. 1999;8(5): 537-552. DOI: 10.1016/s0022-3913(99)70208-8
  • Sailer I, Sailer T, Stawarczyk B, Jung RE, Hämmerle CH. In vitro study of the influence of the type of connection on the fracture load of zirconia abutments with internal and external implant-abutment connections. Int J Oral Maxillofac Implants. 2009;24(5):850-858. DOI:10.5167/uzh-26251
  • Gupta S, Gupta H, Tandan A. Technical complications of implant-causes and management: A comprehensive review. Natl J Maxillofac Surg. 2015;6(1):3-8. DOI: 10.4103/0975-5950.168233
  • Koutouzis, T. Implant-abutment connection as contributing factor to peri-implant diseases. Periodontology. 2019;81(1):152–166. DOI: 10.1111/prd.12289
  • Liu Y, Wang J. Influences of microgap and micromotion of implant-abutment interface on marginal bone loss around implant neck. Arch Oral Biol. 2017;83:153-160. DOI: 10.1016/j.archoralbio.2017.07.022
  • Caricasulo R, Malchiodi L, Ghensi P, Fantozzi G, Cucchi A. The influence of implant-abutment connection to peri-implant bone loss: A systematic review and meta-analysis. Clin Implant Dent Relat Res. 2018;20(4):653-664. DOI: 10.1111/cid.12620
  • Schmitt CM, Nogueira-Filho G, Tenenbaum HC, Lai JY, Brito C, Döring H, Nonhoff J. Performance of conical abutment (Morse Taper) connection implants: a systematic review. J Biomed Mater Res A. 2014;102(2):552-574. DOI: 10.1002/jbm.a.34709
  • Canullo L, Penarrocha-Oltra D, Soldini C, Mazzocco F, Penarrocha M, Covani U. Microbiological assessment of the implant-abutment interface in different connections: cross-sectional study after 5 years of functional loading. Clin Oral Implants Res. 2015;26(4):426-434. DOI: 10.1111/clr.12383
  • Priest G. A current perspective on screw-retained single-implant restorations: a review of pertinent literature. J Esthet Rest Dent. 2017;29(3):161-171. DOI: 10.1111/jerd.12283
  • Huang Y, Wang J. Mechanism of and factors associated with the loosening of the implant abutment screw. J Ethet Restor Dent. 2019;31(4):338-345. DOI: 10.1111/jerd.12494
  • Edelhoff D, Schweiger J, Prandtner O, Stimmelmayr M, Güth JF. Metal-free implant-supported single-tooth restorations. Part I: Abutments and cemented crowns. Quintessence Int. 2019;50(3):176-184. DOI: 10.3290/j.qi.a41906
  • Edelhoff D, Schweiger J, Prandtner O, Stimmelmayr M, Güth JF. Metal-free implant-supported single-tooth restorations. Part II: Hybrid abutment crowns and material selection. Quintessence Int. 2019;50(4):260-269. DOI: 10.3290/j.qi.a42099
  • Zembic A, Kim S, Zwahlen M, Kelly JR. Systematic review of the survival rate and incidence of biologic, technical, and esthetic complications of single implant abutments supporting fixed prostheses. Int J Oral Maxillofac Implants. 2014;29:99-116. DOI: 10.11607/jomi.2014suppl.g2.2
  • Qutub OA, Basunbul GI, Binmahfooz AM. Influence of abutment material on the shade of dental implant restorations in the esthetic zone: a single case report. Clin Cosmet Investig Dent. 2019;11:73-80. DOI: 10.2147/CCIDE.S199635
  • Tribst JPM, Dal Piva AMO, Özcan M, Borges ALS, Bottino MA. Influence of Ceramic Materials on Biomechanical Behavior of Implant Supported Fixed Prosthesis with Hybrid Abutment. Eur J Prosthodont Restor Dent. 2019;27(2):76-82. DOI: 10.1922/EJPRD_01829Tribst07
  • Glauser R, Zembic A, Hämmerle CH. A systematic review of marginal soft tissue at implants subjected to immediate loading or immediate restoration. Clin Oral Implants Res. 2006;17(2):82-92. DOI: 10.1111/j.1600-0501.2006.01355.x
  • Yazigi C, Kern M, Chaar MS, Libecki W, Elsayed A. The influence of the restorative material on the mechanical behavior of screw-retained hybrid-abutment-crowns. J Mech Behav Biomed Mater. 2020;111:103988. DOI: 10.1016/j.jmbbm.2020.103988
  • Adolfi D, Tribst JPM, Adolfi M, Dal Piva AMO, Saavedra GSFA, Bottino MA. Lithium Disilicate Crown, Zirconia Hybrid Abutment and Platform Switching to Improve the Esthetics in Anterior Region: A Case Report. Clin Cosmet Investig Dent. 2020;12:31-40. DOI: 10.2147/CCIDE.S234980
  • Al-Zordk W, Elmisery A, Ghazy M. Hybrid-abutment-restoration: effect of material type on torque maintenance and fracture resistance after thermal aging. Int J Implant Dent. 2020;6(1):24. DOI: 10.1186/s40729-020-00220-y
  • Oh TJ, Yoon J, Misch CE,Wang HL. The causes of early implant bone loss: myth or science. J Periodontol. 2002;73(3):322-333. DOI: 10.1902/jop.2002.73.3.322
  • Broggini N, McManus LM, Hermann JS, Medina R, Schenk RK, Buser D. Peri-implant inflammation defined by the implant-abutment interface. J Dent Res. 2006;85(5):473-478. DOI: 10.1177/154405910608500515
  • Coelho AL, Suzuki M, Dibart S, DA Silva N, Coelho PG. Cross-sectional analysis of the implant-abutment interface. J Oral Rehabil. 2007;34(7):508-16. DOI: 10.1111/j.1365-2842.2007.01714.x
  • Ricomini Filho AP, FernandesFS, Straioto FG, da Silva WJ, Del BelCury AA. Preload loss and bacterial penetration on different implant-abutment connection systems. Braz Dent J. 2010;21(2):123-129. DOI: 10.1590/s0103-64402010000200006
  • Blum K, Wiest W, Fella C, Balles A, Dittmann J, Rack A, Maier D, Thomann R, Spies BC, Kohal RJ, Zabler S, Nelson K. Fatigue induced changes in conical implant-abutment connections. Dent Mater. 2015;31(11):1415-1426. DOI: 10.1016/j.dental.2015.09.004
  • Rack T, Zabler S, Rack A, Riesemeier H, Nelson K. An in vitro pilot study of abutment stability during loading in new and fatigue-loaded conical dental implants using synchrotron-based radiography. Int J Oral Maxillofac Implants. 2013;28(1):44-50. DOI: 10.11607/jomi.2748
  • Elsayed A, Wille S, Al-Akhali M, Kern M. Effect of fatigue loading on the fracture strength and failure mode of lithium disilicate and zirconia implant abutments. Clin Oral Implants Res. 2018;29(1):20-27. DOI: 10.1016/j.prosdent.2020.09.059
  • Nouh I, Kern M, Sabet A, Aboelfadl A, Hamdy A, Chaar M. Mechanical behavior of posterior all-ceramic hybrid-abutment-crowns versus hybrid- abutments with separate crowns: a laboratory study. Clin Oral Impl Res. 2019;30(1):90-98. DOI: 10.1111/clr.13395
  • Karl M, Graef F, Wichmann MG, Heckmann SM. The effect of load cycling on metal ceramic screw-retained implant restorations with unrestored and restored screw access holes. J Prosthet Dent. 2008;99(1):19-24. DOI: 10.1016/S0022-3913(08)60004-9
  • Karl M, Kelly JR. Influence of loading frequency on implant failure under cyclic fatigue conditions. Dent Mater. 2009;25(11):1426-1432. DOI: 10.1016/j.dental.2009.06.015
  • Tribst JPM, Piva AMDOD, Borges ALS, Bottino MA. Influence of crown and hybrid abutment ceramic materials on the stress distribution of implant-supported prosthesis. Rev Odontol UNESP. 2018;47(3):149–154. DOI:10.1590/1807-2577.04218
  • Vahey BR, Sordi MB, Stanley K, Magini RS, Novaes de Oliveira AP, Fredel MC, Henriques B, Souza JCM. Mechanical integrity of cement- and screw-retained zirconium-lithium silicate glass-ceramic crowns to Morse taper implants. J Prosthet Dent. 2018;120(5):721-731. DOI: 10.1016/j.prosdent.2018.01.028

Assessment of Micro-Gap in Hybrid Abutment-Crowns Fabricated with Different Materials

Year 2023, Volume: 13 Issue: 4, 871 - 875, 29.12.2023
https://doi.org/10.33808/clinexphealthsci.1215298

Abstract

Objective: The aim of this in vitro study is to evaluate the micro-gap changes in three dimensions after thermodynamic loading between hybrid abutment crowns made of different materials and implants with internal conical connection.
Methods: A total of 10 morse cone connection implants (Straumann Bone Level Implant, Institut Straumann AG, Basel, Switzerland) were used. In this study, two study groups were formed using lithium disilicate glass-ceramic (LD) and polymethyl methacrylate (PMMA) in hybrid abutment-crown production (n=5). Hybrid abutment-crowns were fabricated by CAD/CAM system. Hybrid abutment crowns were designed and manufactured digitally. A 4-month of clinical cycle was applied to the samples in the chewing simulator. The micro-gap at the implant- abutment interface was visualized with micro-CT before and after thermodynamic loading. Micro-gap change was determined using these obtained images. For comparisons, independent t-test was used.
Results: When comparing the micro-gap volumes before and after aging, no significant difference was observed between the LD and PMMA groups. The micro-gap increase after loading was 0.68 ±0.209 in the LD group and 0.45 ±0.373 in the PMMA group. Although the increase was higher in the LD group, there is no statistically significant difference between two groups.
Conclusion: he micro-gap in the interface of implants and hybrid abutment crowns increased after aging. Hybrid abutment-crown material affected the micro-gap increase, but it was not statistically significant.

Project Number

TDK-2020-10032

References

  • Singla S, Kumar L, Rathee M. Know your implant connections. Afr J Oral Health. 2018;6(2): 1-7. DOI:10.4314/ajoh.v6i2.162380
  • Goodacre CJ, Kan JY, Rungcharassaeng K. Clinical complications of osseointegrated implants. J Prosthet Dent. 1999;8(5): 537-552. DOI: 10.1016/s0022-3913(99)70208-8
  • Sailer I, Sailer T, Stawarczyk B, Jung RE, Hämmerle CH. In vitro study of the influence of the type of connection on the fracture load of zirconia abutments with internal and external implant-abutment connections. Int J Oral Maxillofac Implants. 2009;24(5):850-858. DOI:10.5167/uzh-26251
  • Gupta S, Gupta H, Tandan A. Technical complications of implant-causes and management: A comprehensive review. Natl J Maxillofac Surg. 2015;6(1):3-8. DOI: 10.4103/0975-5950.168233
  • Koutouzis, T. Implant-abutment connection as contributing factor to peri-implant diseases. Periodontology. 2019;81(1):152–166. DOI: 10.1111/prd.12289
  • Liu Y, Wang J. Influences of microgap and micromotion of implant-abutment interface on marginal bone loss around implant neck. Arch Oral Biol. 2017;83:153-160. DOI: 10.1016/j.archoralbio.2017.07.022
  • Caricasulo R, Malchiodi L, Ghensi P, Fantozzi G, Cucchi A. The influence of implant-abutment connection to peri-implant bone loss: A systematic review and meta-analysis. Clin Implant Dent Relat Res. 2018;20(4):653-664. DOI: 10.1111/cid.12620
  • Schmitt CM, Nogueira-Filho G, Tenenbaum HC, Lai JY, Brito C, Döring H, Nonhoff J. Performance of conical abutment (Morse Taper) connection implants: a systematic review. J Biomed Mater Res A. 2014;102(2):552-574. DOI: 10.1002/jbm.a.34709
  • Canullo L, Penarrocha-Oltra D, Soldini C, Mazzocco F, Penarrocha M, Covani U. Microbiological assessment of the implant-abutment interface in different connections: cross-sectional study after 5 years of functional loading. Clin Oral Implants Res. 2015;26(4):426-434. DOI: 10.1111/clr.12383
  • Priest G. A current perspective on screw-retained single-implant restorations: a review of pertinent literature. J Esthet Rest Dent. 2017;29(3):161-171. DOI: 10.1111/jerd.12283
  • Huang Y, Wang J. Mechanism of and factors associated with the loosening of the implant abutment screw. J Ethet Restor Dent. 2019;31(4):338-345. DOI: 10.1111/jerd.12494
  • Edelhoff D, Schweiger J, Prandtner O, Stimmelmayr M, Güth JF. Metal-free implant-supported single-tooth restorations. Part I: Abutments and cemented crowns. Quintessence Int. 2019;50(3):176-184. DOI: 10.3290/j.qi.a41906
  • Edelhoff D, Schweiger J, Prandtner O, Stimmelmayr M, Güth JF. Metal-free implant-supported single-tooth restorations. Part II: Hybrid abutment crowns and material selection. Quintessence Int. 2019;50(4):260-269. DOI: 10.3290/j.qi.a42099
  • Zembic A, Kim S, Zwahlen M, Kelly JR. Systematic review of the survival rate and incidence of biologic, technical, and esthetic complications of single implant abutments supporting fixed prostheses. Int J Oral Maxillofac Implants. 2014;29:99-116. DOI: 10.11607/jomi.2014suppl.g2.2
  • Qutub OA, Basunbul GI, Binmahfooz AM. Influence of abutment material on the shade of dental implant restorations in the esthetic zone: a single case report. Clin Cosmet Investig Dent. 2019;11:73-80. DOI: 10.2147/CCIDE.S199635
  • Tribst JPM, Dal Piva AMO, Özcan M, Borges ALS, Bottino MA. Influence of Ceramic Materials on Biomechanical Behavior of Implant Supported Fixed Prosthesis with Hybrid Abutment. Eur J Prosthodont Restor Dent. 2019;27(2):76-82. DOI: 10.1922/EJPRD_01829Tribst07
  • Glauser R, Zembic A, Hämmerle CH. A systematic review of marginal soft tissue at implants subjected to immediate loading or immediate restoration. Clin Oral Implants Res. 2006;17(2):82-92. DOI: 10.1111/j.1600-0501.2006.01355.x
  • Yazigi C, Kern M, Chaar MS, Libecki W, Elsayed A. The influence of the restorative material on the mechanical behavior of screw-retained hybrid-abutment-crowns. J Mech Behav Biomed Mater. 2020;111:103988. DOI: 10.1016/j.jmbbm.2020.103988
  • Adolfi D, Tribst JPM, Adolfi M, Dal Piva AMO, Saavedra GSFA, Bottino MA. Lithium Disilicate Crown, Zirconia Hybrid Abutment and Platform Switching to Improve the Esthetics in Anterior Region: A Case Report. Clin Cosmet Investig Dent. 2020;12:31-40. DOI: 10.2147/CCIDE.S234980
  • Al-Zordk W, Elmisery A, Ghazy M. Hybrid-abutment-restoration: effect of material type on torque maintenance and fracture resistance after thermal aging. Int J Implant Dent. 2020;6(1):24. DOI: 10.1186/s40729-020-00220-y
  • Oh TJ, Yoon J, Misch CE,Wang HL. The causes of early implant bone loss: myth or science. J Periodontol. 2002;73(3):322-333. DOI: 10.1902/jop.2002.73.3.322
  • Broggini N, McManus LM, Hermann JS, Medina R, Schenk RK, Buser D. Peri-implant inflammation defined by the implant-abutment interface. J Dent Res. 2006;85(5):473-478. DOI: 10.1177/154405910608500515
  • Coelho AL, Suzuki M, Dibart S, DA Silva N, Coelho PG. Cross-sectional analysis of the implant-abutment interface. J Oral Rehabil. 2007;34(7):508-16. DOI: 10.1111/j.1365-2842.2007.01714.x
  • Ricomini Filho AP, FernandesFS, Straioto FG, da Silva WJ, Del BelCury AA. Preload loss and bacterial penetration on different implant-abutment connection systems. Braz Dent J. 2010;21(2):123-129. DOI: 10.1590/s0103-64402010000200006
  • Blum K, Wiest W, Fella C, Balles A, Dittmann J, Rack A, Maier D, Thomann R, Spies BC, Kohal RJ, Zabler S, Nelson K. Fatigue induced changes in conical implant-abutment connections. Dent Mater. 2015;31(11):1415-1426. DOI: 10.1016/j.dental.2015.09.004
  • Rack T, Zabler S, Rack A, Riesemeier H, Nelson K. An in vitro pilot study of abutment stability during loading in new and fatigue-loaded conical dental implants using synchrotron-based radiography. Int J Oral Maxillofac Implants. 2013;28(1):44-50. DOI: 10.11607/jomi.2748
  • Elsayed A, Wille S, Al-Akhali M, Kern M. Effect of fatigue loading on the fracture strength and failure mode of lithium disilicate and zirconia implant abutments. Clin Oral Implants Res. 2018;29(1):20-27. DOI: 10.1016/j.prosdent.2020.09.059
  • Nouh I, Kern M, Sabet A, Aboelfadl A, Hamdy A, Chaar M. Mechanical behavior of posterior all-ceramic hybrid-abutment-crowns versus hybrid- abutments with separate crowns: a laboratory study. Clin Oral Impl Res. 2019;30(1):90-98. DOI: 10.1111/clr.13395
  • Karl M, Graef F, Wichmann MG, Heckmann SM. The effect of load cycling on metal ceramic screw-retained implant restorations with unrestored and restored screw access holes. J Prosthet Dent. 2008;99(1):19-24. DOI: 10.1016/S0022-3913(08)60004-9
  • Karl M, Kelly JR. Influence of loading frequency on implant failure under cyclic fatigue conditions. Dent Mater. 2009;25(11):1426-1432. DOI: 10.1016/j.dental.2009.06.015
  • Tribst JPM, Piva AMDOD, Borges ALS, Bottino MA. Influence of crown and hybrid abutment ceramic materials on the stress distribution of implant-supported prosthesis. Rev Odontol UNESP. 2018;47(3):149–154. DOI:10.1590/1807-2577.04218
  • Vahey BR, Sordi MB, Stanley K, Magini RS, Novaes de Oliveira AP, Fredel MC, Henriques B, Souza JCM. Mechanical integrity of cement- and screw-retained zirconium-lithium silicate glass-ceramic crowns to Morse taper implants. J Prosthet Dent. 2018;120(5):721-731. DOI: 10.1016/j.prosdent.2018.01.028
There are 32 citations in total.

Details

Primary Language English
Subjects Dental Materials and Equipment
Journal Section Articles
Authors

Tuğçe Çetin 0000-0002-4574-0227

Yılmaz Umut Aslan 0000-0003-0500-7546

Project Number TDK-2020-10032
Publication Date December 29, 2023
Submission Date December 6, 2022
Published in Issue Year 2023 Volume: 13 Issue: 4

Cite

APA Çetin, T., & Aslan, Y. U. (2023). Assessment of Micro-Gap in Hybrid Abutment-Crowns Fabricated with Different Materials. Clinical and Experimental Health Sciences, 13(4), 871-875. https://doi.org/10.33808/clinexphealthsci.1215298
AMA Çetin T, Aslan YU. Assessment of Micro-Gap in Hybrid Abutment-Crowns Fabricated with Different Materials. Clinical and Experimental Health Sciences. December 2023;13(4):871-875. doi:10.33808/clinexphealthsci.1215298
Chicago Çetin, Tuğçe, and Yılmaz Umut Aslan. “Assessment of Micro-Gap in Hybrid Abutment-Crowns Fabricated With Different Materials”. Clinical and Experimental Health Sciences 13, no. 4 (December 2023): 871-75. https://doi.org/10.33808/clinexphealthsci.1215298.
EndNote Çetin T, Aslan YU (December 1, 2023) Assessment of Micro-Gap in Hybrid Abutment-Crowns Fabricated with Different Materials. Clinical and Experimental Health Sciences 13 4 871–875.
IEEE T. Çetin and Y. U. Aslan, “Assessment of Micro-Gap in Hybrid Abutment-Crowns Fabricated with Different Materials”, Clinical and Experimental Health Sciences, vol. 13, no. 4, pp. 871–875, 2023, doi: 10.33808/clinexphealthsci.1215298.
ISNAD Çetin, Tuğçe - Aslan, Yılmaz Umut. “Assessment of Micro-Gap in Hybrid Abutment-Crowns Fabricated With Different Materials”. Clinical and Experimental Health Sciences 13/4 (December 2023), 871-875. https://doi.org/10.33808/clinexphealthsci.1215298.
JAMA Çetin T, Aslan YU. Assessment of Micro-Gap in Hybrid Abutment-Crowns Fabricated with Different Materials. Clinical and Experimental Health Sciences. 2023;13:871–875.
MLA Çetin, Tuğçe and Yılmaz Umut Aslan. “Assessment of Micro-Gap in Hybrid Abutment-Crowns Fabricated With Different Materials”. Clinical and Experimental Health Sciences, vol. 13, no. 4, 2023, pp. 871-5, doi:10.33808/clinexphealthsci.1215298.
Vancouver Çetin T, Aslan YU. Assessment of Micro-Gap in Hybrid Abutment-Crowns Fabricated with Different Materials. Clinical and Experimental Health Sciences. 2023;13(4):871-5.

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