Hibrit Dayanaklar/Hibrit Dayanak Kronlar
Yıl 2022,
, 641 - 651, 24.08.2022
Öykü Karaoğlu
,
Seçil Karakoca Nemli
,
Merve Bankoğlu Güngör
Öz
Günümüzde implant destekli restorasyonların estetik ve fonksiyonel özelliklerinin uzun süre korunabilmesi için implantın üzerine kişisel seramik abutment yapımı gündeme gelmiştir. Seramik abutmentların mekanik dayanıklılıklarını arttırmak amacıyla, abutment-implant birleşiminde metalik bir ara parça kullanılmaktadır. Genellikle titanyumdan oluşan bu ara parça, seramik ve metal abutmentların olumlu özelliklerini bir araya getiren bir tedavi seçeneği olmuştur. Hibrit abutmentın titanyum ara parçası üzerine gelecek olan seramik kısmı ve kron kısmı ayrı ayrı hazırlanıp birleştirilebilmektedir. Diğer bir üretim şekli ise kişisel seramik abutmentların kron restorasyonu şeklinde hazırlanmasıdır. Hibrit abutment kron adı verilen bu restorasyonlar, implanta vida ile tutunmakta ve abutment ile kronu tek bir yapıda birleştirmektedir. Hibrit abutment ve hibrit abutment kron üretimi için farklı materyal seçenekleri mevcuttur. Bu derlemede hibrit abutment/hibrit abutment kronların ve bu restorasyonların üretiminde daimi ve geçici olarak kullanılan materyallerin özellikleri ile bu materyallere titanyum ara parça ile bağlantı için uygulanan yüzey işlemleri güncel literatür bilgisine dayanarak anlatılmaktadır.
Kaynakça
- 1. Pita MS, Anchieta RB, Barão VAR, Garcia IR, Pedrazzi V, Assunção WG. Prosthetic Platforms in Implant Dentistry. J Craniofac Surg 2011; 22(6): 2327-31.
- 2. Blatz MB, Bergler M, Holst S, Block MS. Zirconia Abutments for Single-tooth Implants-rationale and Clinical Guidelines. J Oral Maxillofac Surg 2009; 67(11): 74-81.
- 3. Misch CE, Perel ML, Wang HL, Sammartino G, Galindo-Moreno P, Trisi P, Steigmann M, Rebaudi A, Palti A, Pikos MA, Schwartz-Arad D, Choukroun J, Gutierrez-Perez JL, Marenzi G, Valavanis DK. Implant success, survival, and failure: the International Congress of Oral Implantologists (ICOI) Pisa Consensus Conference. Implant Dent 2008; 17(1): 5-15.
- 4. Papaspyridakos P, Chen CJ, Singh M, Weber HP, Gallucci GO. Success criteria in implant dentistry: a systematic review. J Dent Res 2012; 91(3): 242-8.
- 5. Bidra AS, Rungruanganunt P. Clinical Outcomes of Implant Abutments in the Anterior Region: A Systematic Review. J Esthet Restor Dent 2013; 25(3): 159-176.
- 6. Priest G. Virtual-designed and Computer-milled Implant Abutments. J Oral Maxillofac Surg 2005; 63(9): 22-32.
- 7. Sağlam Atsü S, Aksan ME, Bulut AC. Fracture resistance of titanium, zirconia, and ceramic-reinforced polyetheretherketone implant abutments supporting CAD/CAM monolithic lithium disilicate ceramic crowns after aging. Int J Oral Maxillofac Implants 2019; 34(3): 622-630.
- 8. Watkin A, Kerstein RB. Improving darkened anterior peri-implant tissue colour with zirconia custom implant abutments. Compen Contin Educ Dent 2008; 29(4): 238-242.
- 9. Zandinejad A, Methani MM, Schneiderman ED, Leon MR, Morton. Fracture Resistance of Additively Manufactured Zirconia Crowns when Cemented to Implant Supported Zirconia Abutments: An in vitro Study. J Prosthodont 2019; 28(8): 893-897.
- 10. Edelhoff D, Schweiger J, Prandtner O, Stimmelmayr M, Güth J. Metal-free implant-supported single-tooth restorations. Part II: Hybrid abutment crowns and material selection. Quıntessence Int 2019; 50(4): 260-9
- 11. Belser UC, Schmid B, Higginbottom F, Buser D, Dent M. Outcome Analysis of Implant Restorations Located in The Anterior Maxilla: A Review of The Recent Literature. Int J Oral Maksillofac Implants 2004; 19: 30-42.
- 12. Ekfeldt A, Fürst B, Carlsson GE. Zirconia abutments for single-tooth implant restorations: a 10- to 11-year follow-up study. Clin Oral Implants Res 2016; 28(10): 1-6.
- 13. Bağrıvatan GN, Çelik M, Çilingir A, Bayraktar G. Estetik İmplant Abutmentlar. Ege Üniv Diş Hek Fak Derg 2015; 36(2): 60-66.
- 14. Edelhoff D, Josef S, Otto P, Micheal S, Güth M, Frederik J. Metal-free implant-supported single-tooth restorations. Part I: Abutments and cemented crowns. Quintessence Int 2019; 50(3): 176-84.
- 15. Joda T, Ferrari M, Gallucci GO, Wittneben JG, Brägger U. Digital technology in fixed implant prosthodontics. Periodontol 2000 2017; (73): 178-92.
- 16. Sulaiman TA. Materials in digital dentistry-a review. J Esthet Restor Dent 2020; 32(2): 171-
181.
- 17. Marchesi G, Piloni AC, Nicolin V, Turco G, Lenarda RD. Chairside CAD/CAM materials: current trends of clinical uses. Biology (Basel) 2021; 10(11): 1170.
- 18. Sailer I, Philipp A, Zembic A, Pjetursson BE, Hämmerle CH, Zwahlen M. A Systematic Review of The Performance of Ceramic and Metal Implant Abutments Supporting Fixed Implant Reconstructions. Clin Oral Implants Res 2009; 20: 4-31.
- 19. Andersson B, Taylor A, Lang BR, Scheller H, Schärer P, Sorensen JA, Tarnow D. Alumina ceramic implant abutments used for single-tooth replacement: a prospective 1- to 3-year multicenter study. Int J Prosthodont 2001; 14(5): 432-8.
- 20. Henriksson K, Jemt T. Evaluation of custom-made procera ceramic abutments for single-implant tooth replacement: a prospective 1-year follow-up study. Int J Prosthodont 2003; 16(6): 626-30.
- 21. Gehrke P, Alius J, Fischer C, Erdelt KJ, Beuer F. Retentive strength of two-piece CAD/CAM zirconia implant abutments. Clin Implant Dent Relat Res 2013; 16(6): 920-5.
- 22. Nothdurft F, Pospiech P. Prefabricated zirconium dioxide implant abutments for single-tooth replacement in the posterior region: evaluation of peri-implant tissues and superstructures after 12 months of function. Clin Oral Implants Res 2010; 21(8): 857-65.
- 23. Klotz MW, Taylor TD, Goldberg AJ. Wear at the titanium-zirconia implant-abutment interface: a pilot study. Int J Maxillofac Implants 2011; 970-5.
- 24. Nouh I, Kern M, Sabet AE, Aboelfadl AK, Hamdy AM, Chaar MS. Mechanical behavior of posterior all-ceramic hybrid-abutment-crowns versus hybrid-abutments with separate crowns-A laboratory study. Clin Oral Implants Res 2018; 30(1): 90-8.
25. Kurbad A, Kurbad S. CAD/CAM-based implant abutments. Int J Comput Dent 2013; 16(2): 125-41.
- 26. 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): 20-7.
- 27. Yazıgı 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.
- 28. Miyazaki T, Nakamura T, Matsumura H, Ban S, Kobayashi T. Current status of zirconia restoration. J Prosthodont Res 2013; 57(4): 236-61.
- 29. Magne P, Stanley K, Schlichting LH. Modeling of ultrathin occlusal veneers. Dent Mater 2012; 28 (7):772-82.
- 30. Honda J, Komine F, Kamio S, Taguchi K, Blatz MB, Matsumura H. Fracture resistance of implant- supported screw-retained zirconia- based molar restorations. Clin Oral Implants Res 2017; 28(9): 1119-26.
- 31. Bankoglu-Gungor M, Karakoca-Nemli S, Yilmaz H, Aydin C. Fracture resistance of different implant supported ceramic abutment/crown systems. Eur Oral Res 2019; 53(2): 80-7.
- 32. Wittneben JG, Gavric J, Belser UC, Bornstein MM, Joda T, Chappuis V, Sailer I, Brägger U. Esthetic and Clinical Performance of Implant-Supported All-Ceramic Crowns Made with Prefabricated or CAD/CAM Zirconia Abutments: A Randomized, Multicenter Clinical Trial. J Dent Res 2016; 1-4.
- 33. Elsayed A, Wille S, Al-Akhali M, Kern M, Habil MD. Comparison of fracture strength and failure mode of different ceramic implant abutments. J Prosthet Dent 2017; 117(4): 499-506.
- 34. Bhat V, Shenoy K, Dandekeri H. CAD-CAM Ceramics - A Literature Review. Int J Recent Sci Res 2016; 7(3): 9352-9361.
- 35. Maunula H, Hjerppe J, Lassila LLV, Närhi TO. Optical Properties and Failure Load of Thin CAD/CAM Ceramic Veneers. Eur J Prosthodont Restor Dent 2017; 25(2): 86-92.
- 36. Zirak M, Vojdani M, Khaledi AAR, Farzin M. Tensile bond strength of three custom-made tooth-colored implant superstructures to titanium inserts. J Dent (Shiraz) 2019; 20(2): 131-6.
- 37. Roberts EE, Bailey CW, Ashcraft-Olmscheid DL, Vandevalle KS. Fracture resistance of titanium-based lithium disilicate and zirconia implant restorations. J Prosthodont 2018; 27(7): 644-50.
- 38. Springall GAC, Yin L. Response of pre-crystallized CAD/CAM zirconia-reinforced lithium
silicate glass ceramic to cyclic nanoindentation. J Mech Behav Biomed Mater 2019;92: 58-70.
- 39. Reich S. Tooth-colored CAD/CAM monolithic restorations. Int J Comput Dent. 2015;18(2):131-46.
- 40. Belli R, Wendler M, Ligny D, Cicconi MR, Petschelt A, Peterlik H, Lohbauer U. Chairside CAD/CAM materials. Part 1: Measurement of elastic constants and microstructural characterization. Dent Mater 2017; 33(1): 84-98.
- 41. Zarone F, Ruggiero G, Leone R, Breschi L, Leuci S, Sorrentino R. Zirconia-reinforced lithium silicate (ZLS) mechanical and biological properties: A literature review. J Dent 2021; 109: 1-8.
- 42.Sorrentino R, Ruggiero G, Di Mauro MI, Breschi L, Leuci S, Za F. Optical behaviors, surface treatment, adhesion, and clinical indications of zirconia-reinforced lithium silicate (ZLS): A narrative review. J Dent 2021; 112: 1-8.
- 43. Gomes RS, Mathias C, Souza C, Bergamo E, Bordin D, DelBelCury AA. Misfit and fracture load of implant-supported monolithic crowns in zirconia-reinforced lithium silicate. J Appl Oral Sci 2017; 25(3): 282-9.
- 44. Yılmaz B, Alsaery A, Bowen L, Abou-Ayash S. Influence of cyclic loading on load-to-failure of different ceramic CAD-CAM implant- supported single crowns. Int J Prosthodont 2021; 1-21.
- 45. Skorulska A, Piszko P, Rybak Z, Szymonowicz M, Dobrzynski M. Review on polymer, ceramic and composite materials for CAD/CAM indirect restorations in dentistry-application, mechanical characteristics and comparison. Materials (Basel) 2021; 14(7): 1592.
- 46. Strub JR, Rekow ED, Witkowski S. Computer-aided designg and fabrication of dental restorations: current systems and future possibilities. J Am Dent Assoc 2006; 137(9): 1289-96.
- 47. Büyükdere AK, Yenice N. All ceramic blocks used in CAD/CAM systems and indications. Dent Med J 2020; 2(1): 1-15.
- 48. Ongun S, Kurtulmuş-Yılmaz S, Meriç G, Ulusoy M. A Comparative study on the mechanical properties of a polymer-infiltrated ceramic-network material used for the fabrication of hybrid abutment. Materials (Basel) 2018; 11(9): 1681.
- 49. Guilherme NM, Chung KH, Flinn BD, Zheng C, Raigrodski AJ. Assessment of reliability of CAD-CAM tooth-colored implant custom abutments. J Prosthet Dent 2017; 116(2): 206-13.
- 50. Jovanovic M, Zivic M, Milosavljeciv M. A potential application of materials based on a polymer and CAD/CAM composite resins in prosthetic dentistry. J Prosthodont Res 2021; 65(2): 137-47.
- 51. Bathala L, Majeti V, Rachuri N, Singh N, Gedela S. The role of polyether ether ketone (Peek) in dentistry- a review. J Med Life 2019; 12(1): 5-9.
- 52. Stawarczyk B, Beuer F, Wimmer T, Jahn D, Sener B, Roos M. Polyetheretherketone - A suitable material for fixed dental prostheses. J Biomed Mater Res Part B: Applied Biomater 2013; 101(7): 1209-16.
- 53. Barbosa-Júnior SA, Rocha Pereira GK, Dapieve KS, Machado PS, Valandro LF, Christian Schuh C, Xediek Consani RL, Bacchi A. Mechanical fatigue analysis of peek as alternative to zirconia for definitive hybrid abutments supporting all-ceramic crowns. Int J Oral Maxillofac Implants 2020; 35(6): 1209-17.
- 54. Yazıgı 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.
- 55. DuVall NB, DeReis SP, Vandewalle KS. Fracture strength of various titanium-based, CAD-CAM and PFM implant crowns. J Esthet Restor Dent 2021; 33(3): 522-30.
- 56. 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): 1-7.
- 57. Abdulah AO, Tsitrou EA, Pollington S. Comparative in vitro evaluation of CAD/CAM vs conventional provisional crowns. J Appl Oral Sci 2016; 24(3): 258-63.
- 58. Rosentritt M, Raab P, Hahnel S, Stöckle M, Preis V. In-vitro performance of CAD/CAM-fabricated implant-supported temporary crowns. Clin Oral Investig 2017; 21(8): 2581-87.
- 59. Huetting F, Prutscher A, Goldammer C, Kreutzer CA, Weber H. First clinical experiences with CAD/CAM-fabricated PMMA-based fixed dental prostheses as long-term temporaries. Clin Oral Investig 2015; 20(1):161-8.
- 60. Quin L, Yao S, Zhao J, Zhou C, Oates TW, Weir MD, Wu J, Xu H. Review on development and dental applications of polyetheretherketone- based biomaterials and restorations 2021; 14(2): 408.
- 61.Vita CAD-Temp Implant Solution. Vita, BadSäckingen, Germany Product Information. https://www.vita-zahnfabrik.com/en/Dentist-Solutions/CAD/CAM fabrication/Implantsupported-restorations /VITA-CAD-Temp-IS-38740,27568.html.