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
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.
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
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.