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Implant-supported fixed dental prostheses with CAD/CAM-fabricated porcelain crown and zirconia-based framework.

Identifieur interne : 000417 ( PubMed/Corpus ); précédent : 000416; suivant : 000418

Implant-supported fixed dental prostheses with CAD/CAM-fabricated porcelain crown and zirconia-based framework.

Auteurs : Masayuki Takaba ; Shinpei Tanaka ; Yuichi Ishiura ; Kazuyoshi Baba

Source :

RBID : pubmed:23289495

English descriptors

Abstract

Recently, fixed dental prostheses (FDPs) with a hybrid structure of CAD/CAM porcelain crowns adhered to a CAD/CAM zirconia framework (PAZ) have been developed. The aim of this report was to describe the clinical application of a newly developed implant-supported FDP fabrication system, which uses PAZ, and to evaluate the outcome after a maximum application period of 36 months. Implants were placed in three patients with edentulous areas in either the maxilla or mandible. After the implant fixtures had successfully integrated with bone, gold-platinum alloy or zirconia custom abutments were first fabricated. Zirconia framework wax-up was performed on the custom abutments, and the CAD/CAM zirconia framework was prepared using the CAD/CAM system. Next, wax-up was performed on working models for porcelain crown fabrication, and CAD/CAM porcelain crowns were fabricated. The CAD/CAM zirconia frameworks and CAD/CAM porcelain crowns were bonded using adhesive resin cement, and the PAZ was cemented. Cementation of the implant superstructure improved the esthetics and masticatory efficiency in all patients. No undesirable outcomes, such as superstructure chipping, stomatognathic dysfunction, or periimplant bone resorption, were observed in any of the patients. PAZ may be a potential solution for ceramic-related clinical problems such as chipping and fracture and associated complicated repair procedures in implant-supported FDPs.

DOI: 10.1111/jopr.12001
PubMed: 23289495

Links to Exploration step

pubmed:23289495

Le document en format XML

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<title xml:lang="en">Implant-supported fixed dental prostheses with CAD/CAM-fabricated porcelain crown and zirconia-based framework.</title>
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<name sortKey="Takaba, Masayuki" sort="Takaba, Masayuki" uniqKey="Takaba M" first="Masayuki" last="Takaba">Masayuki Takaba</name>
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<nlm:affiliation>Department of Prosthodontics, Showa University School of Dentistry, Tokyo, Japan. mtakaba@dent.showa-u.ac.jp</nlm:affiliation>
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<name sortKey="Tanaka, Shinpei" sort="Tanaka, Shinpei" uniqKey="Tanaka S" first="Shinpei" last="Tanaka">Shinpei Tanaka</name>
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<name sortKey="Ishiura, Yuichi" sort="Ishiura, Yuichi" uniqKey="Ishiura Y" first="Yuichi" last="Ishiura">Yuichi Ishiura</name>
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<name sortKey="Baba, Kazuyoshi" sort="Baba, Kazuyoshi" uniqKey="Baba K" first="Kazuyoshi" last="Baba">Kazuyoshi Baba</name>
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<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture Design</term>
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<term>Denture, Partial, Fixed</term>
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<term>Follow-Up Studies</term>
<term>Gold Alloys (chemistry)</term>
<term>Humans</term>
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<term>Mastication (physiology)</term>
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<term>Platinum (chemistry)</term>
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<div type="abstract" xml:lang="en">Recently, fixed dental prostheses (FDPs) with a hybrid structure of CAD/CAM porcelain crowns adhered to a CAD/CAM zirconia framework (PAZ) have been developed. The aim of this report was to describe the clinical application of a newly developed implant-supported FDP fabrication system, which uses PAZ, and to evaluate the outcome after a maximum application period of 36 months. Implants were placed in three patients with edentulous areas in either the maxilla or mandible. After the implant fixtures had successfully integrated with bone, gold-platinum alloy or zirconia custom abutments were first fabricated. Zirconia framework wax-up was performed on the custom abutments, and the CAD/CAM zirconia framework was prepared using the CAD/CAM system. Next, wax-up was performed on working models for porcelain crown fabrication, and CAD/CAM porcelain crowns were fabricated. The CAD/CAM zirconia frameworks and CAD/CAM porcelain crowns were bonded using adhesive resin cement, and the PAZ was cemented. Cementation of the implant superstructure improved the esthetics and masticatory efficiency in all patients. No undesirable outcomes, such as superstructure chipping, stomatognathic dysfunction, or periimplant bone resorption, were observed in any of the patients. PAZ may be a potential solution for ceramic-related clinical problems such as chipping and fracture and associated complicated repair procedures in implant-supported FDPs.</div>
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<CopyrightInformation>© 2012 by the American College of Prosthodontists.</CopyrightInformation>
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