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Effect of screw access hole preparation on fracture load of implant-supported zirconia-based crowns: an in vitro study

Identifieur interne : 000867 ( Main/Exploration ); précédent : 000866; suivant : 000868

Effect of screw access hole preparation on fracture load of implant-supported zirconia-based crowns: an in vitro study

Auteurs : Hadi Mokhtarpour [Iran] ; Reza Eftekhar Ashtiani [Iran] ; Minoo Mahshid [Iran] ; Farhad Tabatabaian [Iran] ; Marzieh Alikhasi [Iran]

Source :

RBID : PMC:5025220

Abstract

Background. Fracture load of implant-supported restorations is an important factor in clinical success. This study evaluated the effect of two techniques for screw access hole preparation on the fracture load of cement-screw-retained implant-supported zirconia-based crowns.

Methods. Thirty similar cement-screw-retained implant-supported zirconia-based maxillary central incisor crowns were evaluated in three groups of 10. Group NH: with no screw access holes for the control; Group HBS: with screw access holes prepared with a machine before zirconia sintering; Group HAS: with screw access holes prepared manually after zirconia sintering. In group HBS, the access holes were virtually designed and prepared by a computer-assisted design/computer-assisted manufacturing system. In group HAS, the access holes were manually prepared after zirconia sintering using a diamond bur. The dimensions of the screw access holes were equal in both groups. The crowns were cemented onto same-size abutments and were then subjected to thermocycling. The fracture load values of the crowns were measured using a universal testing machine. Data were analyzed with ANOVA and Tukey test (P < 0.05).

Results. The mean fracture load value for the group NH was 888.37 ± 228.92 N, which was the highest among the groups, with a significant difference (P < 0.0001). The fracture load values were 610.48 ± 125.02 N and 496.74 ± 104.10 Nin the HBS and HAS groups, respectively, with no significant differences (P = 0.44).

Conclusion. Both techniques used for preparation of screw access holes in implant-supported zirconia-based crowns decreased the fracture load.


Url:
DOI: 10.15171/joddd.2016.029
PubMed: 27651885
PubMed Central: 5025220


Affiliations:


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Le document en format XML

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<name sortKey="Mokhtarpour, Hadi" sort="Mokhtarpour, Hadi" uniqKey="Mokhtarpour H" first="Hadi" last="Mokhtarpour">Hadi Mokhtarpour</name>
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<name sortKey="Eftekhar Ashtiani, Reza" sort="Eftekhar Ashtiani, Reza" uniqKey="Eftekhar Ashtiani R" first="Reza" last="Eftekhar Ashtiani">Reza Eftekhar Ashtiani</name>
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<nlm:aff id="A02">Assistant Professor, Department of Dental Technology, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran</nlm:aff>
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<name sortKey="Tabatabaian, Farhad" sort="Tabatabaian, Farhad" uniqKey="Tabatabaian F" first="Farhad" last="Tabatabaian">Farhad Tabatabaian</name>
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<nlm:aff id="A04">Assistant Professor, Department of Prosthodontics, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran</nlm:aff>
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<title level="j">Journal of Dental Research, Dental Clinics, Dental Prospects</title>
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<italic>Background.</italic>
</bold>
Fracture load of implant-supported restorations is an important factor in clinical success. This study evaluated the effect of two techniques for screw access hole preparation on the fracture load of cement-screw-retained implant-supported zirconia-based crowns.</p>
<p>
<bold>
<italic>Methods.</italic>
</bold>
Thirty similar cement-screw-retained implant-supported zirconia-based maxillary central incisor crowns were evaluated in three groups of 10. Group NH: with no screw access holes for the control; Group HBS: with screw access holes prepared with a machine before zirconia sintering; Group HAS: with screw access holes prepared manually after zirconia sintering. In group HBS, the access holes were virtually designed and prepared by a computer-assisted design/computer-assisted manufacturing system. In group HAS, the access holes were manually prepared after zirconia sintering using a diamond bur. The dimensions of the screw access holes were equal in both groups. The crowns were cemented onto same-size abutments and were then subjected to thermocycling. The fracture load values of the crowns were measured using a universal testing machine. Data were analyzed with ANOVA and Tukey test (P < 0.05).</p>
<p>
<bold>
<italic>Results.</italic>
</bold>
The mean fracture load value for the group NH was 888.37 ± 228.92 N, which was the highest among the groups, with a significant difference (P < 0.0001). The fracture load values were 610.48 ± 125.02 N and 496.74 ± 104.10 Nin the HBS and HAS groups, respectively, with no significant differences (P = 0.44).</p>
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<italic>Conclusion.</italic>
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Both techniques used for preparation of screw access holes in implant-supported zirconia-based crowns decreased the fracture load.</p>
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