Stock Versus CAD/CAM Customized Zirconia Implant Abutments – Clinical and Patient‐Based Outcomes in a Randomized Controlled Clinical Trial
Identifieur interne : 000443 ( Pmc/Checkpoint ); précédent : 000442; suivant : 000444Stock Versus CAD/CAM Customized Zirconia Implant Abutments – Clinical and Patient‐Based Outcomes in a Randomized Controlled Clinical Trial
Auteurs : Ulf Schepke ; Henny J. A. Meijer ; Wouter Kerdijk ; Gerry M. Raghoebar ; Marco CuneSource :
- Clinical Implant Dentistry and Related Research [ 1523-0899 ] ; 2016.
Abstract
Single‐tooth replacement often requires a prefabricated dental implant and a customized crown. The benefits of individualization of the abutment remain unclear.
This randomized controlled clinical trial aims to study potential benefits of individualization of zirconia implant abutments with respect to preservation of marginal bone level and several clinical and patient‐based outcome measures.
Fifty participants with a missing premolar were included and randomly assigned to standard (ZirDesign, DentsplySirona Implants, Mölndal, Sweden) or computer aided design/computer aided manufacturing (CAD/CAM) customized (Atlantis, DentsplySirona Implants, Mölndal, Sweden) zirconia abutment therapy. Peri‐implant bone level (primary outcome), Plaque‐index, calculus formation, bleeding on probing, gingiva index, probing pocket depth, recession, appearance of soft tissues and patients' contentment were assessed shortly after placement and one year later.
No implants were lost and no complications related to the abutments were observed. Statistically significant differences between stock and CAD/CAM customized zirconia abutments could not be demonstrated for any of the operationalized variables.
The use of a CAD/CAM customized zirconia abutment in single tooth replacement of a premolar is not associated with an improvement in clinical performance or patients' contentment when compared to the use of a stock zirconia abutment.
Url:
DOI: 10.1111/cid.12440
PubMed: 27476829
PubMed Central: 5297995
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Meijer</name><affiliation><nlm:aff id="cid12440-aff-0002"></nlm:aff></affiliation><affiliation><nlm:aff id="cid12440-aff-0003"></nlm:aff></affiliation></author><author><name sortKey="Kerdijk, Wouter" sort="Kerdijk, Wouter" uniqKey="Kerdijk W" first="Wouter" last="Kerdijk">Wouter Kerdijk</name><affiliation><nlm:aff id="cid12440-aff-0004"></nlm:aff></affiliation></author><author><name sortKey="Raghoebar, Gerry M" sort="Raghoebar, Gerry M" uniqKey="Raghoebar G" first="Gerry M." last="Raghoebar">Gerry M. Raghoebar</name><affiliation><nlm:aff id="cid12440-aff-0003"></nlm:aff></affiliation></author><author><name sortKey="Cune, Marco" sort="Cune, Marco" uniqKey="Cune M" first="Marco" last="Cune">Marco Cune</name><affiliation><nlm:aff id="cid12440-aff-0002"></nlm:aff></affiliation><affiliation><nlm:aff id="cid12440-aff-0005"></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27476829</idno><idno type="pmc">5297995</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5297995</idno><idno type="RBID">PMC:5297995</idno><idno type="doi">10.1111/cid.12440</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">002B02</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002B02</idno><idno type="wicri:Area/Pmc/Curation">002B02</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002B02</idno><idno type="wicri:Area/Pmc/Checkpoint">000443</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000443</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Stock Versus CAD/CAM Customized Zirconia Implant Abutments – Clinical and Patient‐Based Outcomes in a Randomized Controlled Clinical Trial</title><author><name sortKey="Schepke, Ulf" sort="Schepke, Ulf" uniqKey="Schepke U" first="Ulf" last="Schepke">Ulf Schepke</name><affiliation><nlm:aff id="cid12440-aff-0001"></nlm:aff></affiliation></author><author><name sortKey="Meijer, Henny J A" sort="Meijer, Henny J A" uniqKey="Meijer H" first="Henny J. A." last="Meijer">Henny J. A. Meijer</name><affiliation><nlm:aff id="cid12440-aff-0002"></nlm:aff></affiliation><affiliation><nlm:aff id="cid12440-aff-0003"></nlm:aff></affiliation></author><author><name sortKey="Kerdijk, Wouter" sort="Kerdijk, Wouter" uniqKey="Kerdijk W" first="Wouter" last="Kerdijk">Wouter Kerdijk</name><affiliation><nlm:aff id="cid12440-aff-0004"></nlm:aff></affiliation></author><author><name sortKey="Raghoebar, Gerry M" sort="Raghoebar, Gerry M" uniqKey="Raghoebar G" first="Gerry M." last="Raghoebar">Gerry M. Raghoebar</name><affiliation><nlm:aff id="cid12440-aff-0003"></nlm:aff></affiliation></author><author><name sortKey="Cune, Marco" sort="Cune, Marco" uniqKey="Cune M" first="Marco" last="Cune">Marco Cune</name><affiliation><nlm:aff id="cid12440-aff-0002"></nlm:aff></affiliation><affiliation><nlm:aff id="cid12440-aff-0005"></nlm:aff></affiliation></author></analytic><series><title level="j">Clinical Implant Dentistry and Related Research</title><idno type="ISSN">1523-0899</idno><idno type="eISSN">1708-8208</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Abstract</title><sec id="cid12440-sec-0001"><title>Background</title><p>Single‐tooth replacement often requires a prefabricated dental implant and a customized crown. The benefits of individualization of the abutment remain unclear.</p></sec><sec id="cid12440-sec-0002"><title>Purpose</title><p>This randomized controlled clinical trial aims to study potential benefits of individualization of zirconia implant abutments with respect to preservation of marginal bone level and several clinical and patient‐based outcome measures.</p></sec><sec id="cid12440-sec-0003"><title>Material and Methods</title><p>Fifty participants with a missing premolar were included and randomly assigned to standard (ZirDesign, DentsplySirona Implants, Mölndal, Sweden) or computer aided design/computer aided manufacturing (CAD/CAM) customized (Atlantis, DentsplySirona Implants, Mölndal, Sweden) zirconia abutment therapy. Peri‐implant bone level (primary outcome), Plaque‐index, calculus formation, bleeding on probing, gingiva index, probing pocket depth, recession, appearance of soft tissues and patients' contentment were assessed shortly after placement and one year later.</p></sec><sec id="cid12440-sec-0004"><title>Results</title><p>No implants were lost and no complications related to the abutments were observed. Statistically significant differences between stock and CAD/CAM customized zirconia abutments could not be demonstrated for any of the operationalized variables.</p></sec><sec id="cid12440-sec-0005"><title>Conclusion</title><p>The use of a CAD/CAM customized zirconia abutment in single tooth replacement of a premolar is not associated with an improvement in clinical performance or patients' contentment when compared to the use of a stock zirconia abutment.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Clin Implant Dent Relat Res</journal-id><journal-id journal-id-type="iso-abbrev">Clin Implant Dent Relat Res</journal-id><journal-id journal-id-type="doi">10.1111/(ISSN)1708-8208</journal-id><journal-id journal-id-type="publisher-id">CID</journal-id><journal-title-group><journal-title>Clinical Implant Dentistry and Related Research</journal-title></journal-title-group><issn pub-type="ppub">1523-0899</issn><issn pub-type="epub">1708-8208</issn><publisher><publisher-name>John Wiley and Sons Inc.</publisher-name><publisher-loc>Hoboken</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">27476829</article-id><article-id pub-id-type="pmc">5297995</article-id><article-id pub-id-type="doi">10.1111/cid.12440</article-id><article-id pub-id-type="publisher-id">CID12440</article-id><article-categories><subj-group subj-group-type="overline"><subject>Article</subject></subj-group><subj-group subj-group-type="heading"><subject>Articles</subject></subj-group></article-categories><title-group><article-title>Stock Versus CAD/CAM Customized Zirconia Implant Abutments – Clinical and Patient‐Based Outcomes in a Randomized Controlled Clinical Trial</article-title><alt-title alt-title-type="right-running-head">Stock Versus Customized Zirconia Abutments</alt-title><alt-title alt-title-type="left-running-head">Clinical Implant Dentistry and Related Research, Volume xx, Number xx 2016</alt-title></title-group><contrib-group><contrib id="cid12440-cr-0001" contrib-type="author" corresp="yes"><name><surname>Schepke</surname><given-names>Ulf</given-names></name><degrees>DDS</degrees><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0002-5995-0735</contrib-id><address><email>u.schepke@umcg.nl</email></address><xref ref-type="aff" rid="cid12440-aff-0001"><sup>1</sup></xref></contrib><contrib id="cid12440-cr-0002" contrib-type="author"><name><surname>Meijer</surname><given-names>Henny J.A.</given-names></name><degrees>DDS, PhD</degrees><xref ref-type="aff" rid="cid12440-aff-0002"><sup>2</sup></xref><xref ref-type="aff" rid="cid12440-aff-0003"><sup>3</sup></xref></contrib><contrib id="cid12440-cr-0003" contrib-type="author"><name><surname>Kerdijk</surname><given-names>Wouter</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="cid12440-aff-0004"><sup>4</sup></xref></contrib><contrib id="cid12440-cr-0004" contrib-type="author"><name><surname>Raghoebar</surname><given-names>Gerry M.</given-names></name><degrees>MD, PhD</degrees><xref ref-type="aff" rid="cid12440-aff-0003"><sup>3</sup></xref></contrib><contrib id="cid12440-cr-0005" contrib-type="author"><name><surname>Cune</surname><given-names>Marco</given-names></name><degrees>DDS, PhD</degrees><xref ref-type="aff" rid="cid12440-aff-0002"><sup>2</sup></xref><xref ref-type="aff" rid="cid12440-aff-0005"><sup>5</sup></xref></contrib></contrib-group><aff id="cid12440-aff-0001"><label><sup>1</sup></label><named-content content-type="organisation-division">Associate professor, Department of Fixed and Removable Prosthodontics and Biomaterials</named-content><institution>Center for Dentistry and Oral Hygiene, University Medical Center Groningen, University of Groningen</institution><named-content content-type="city">Groningen</named-content><country country="NL">The Netherlands</country></aff><aff id="cid12440-aff-0002"><label><sup>2</sup></label><named-content content-type="organisation-division">Professor, Department of Fixed and Removable Prosthodontics and Biomaterials</named-content><institution>Center for Dentistry and Oral Hygiene, University Medical Center Groningen, University of Groningen</institution><named-content content-type="city">Groningen</named-content><country country="NL">The Netherlands</country></aff><aff id="cid12440-aff-0003"><label><sup>3</sup></label><named-content content-type="organisation-division">Professor, Department of Oral and Maxillofacial Surgery</named-content><institution>University Medical Center Groningen, University of Groningen</institution><named-content content-type="city">Groningen</named-content><country country="NL">The Netherlands</country></aff><aff id="cid12440-aff-0004"><label><sup>4</sup></label><named-content content-type="organisation-division">Associate professor, Department of Public and Individual Oral Health</named-content><institution>Center for Dentistry and Oral Hygiene, University Medical Center Groningen, University of Groningen</institution><named-content content-type="city">Groningen</named-content><country country="NL">the Netherlands</country></aff><aff id="cid12440-aff-0005"><label><sup>5</sup></label><named-content content-type="organisation-division">Department of Oral‐Maxillofacial Surgery</named-content><institution>Prosthodontics and Special Dental Care, St. Antonius Hospital</institution><named-content content-type="city">Nieuwegein</named-content><country country="NL">The Netherlands</country></aff><author-notes><corresp id="correspondenceTo"><label>*</label>Corresponding Author: Dr. med. dent. Ulf Schepke, Center for Dentistry and Oral Hygiene, Department of Fixed and Removable Prosthodontics and Biomaterials, UMC Groningen, University of Groningen, A. Deusinglaan 1, 9713 AV Groningen, the Netherlands; e‐mail: <email>u.schepke@umcg.nl</email></corresp></author-notes><pub-date pub-type="epub"><day>31</day><month>7</month><year>2016</year></pub-date><pub-date pub-type="ppub"><month>2</month><year>2017</year></pub-date><volume>19</volume><issue>1</issue><issue-id pub-id-type="doi">10.1111/cid.2017.19.issue-1</issue-id><fpage>74</fpage><lpage>84</lpage><history><date date-type="received"><day>25</day><month>4</month><year>2016</year></date><date date-type="accepted"><day>04</day><month>7</month><year>2016</year></date></history><permissions><pmc-comment> © 2017 Wiley Periodicals, Inc. </pmc-comment>
<copyright-statement content-type="article-copyright">© 2016 The Authors. Clinical Implant Dentistry and Related Research Published by Wiley Periodicals, Inc.</copyright-statement><license license-type="creativeCommonsBy-nc"><license-p>This is an open access article under the terms of the <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/4.0/">Creative Commons Attribution‐NonCommercial</ext-link> License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.</license-p></license></permissions><self-uri content-type="pdf" xlink:type="simple" xlink:href="file:CID-19-74.pdf"></self-uri><abstract><title>Abstract</title><sec id="cid12440-sec-0001"><title>Background</title><p>Single‐tooth replacement often requires a prefabricated dental implant and a customized crown. The benefits of individualization of the abutment remain unclear.</p></sec><sec id="cid12440-sec-0002"><title>Purpose</title><p>This randomized controlled clinical trial aims to study potential benefits of individualization of zirconia implant abutments with respect to preservation of marginal bone level and several clinical and patient‐based outcome measures.</p></sec><sec id="cid12440-sec-0003"><title>Material and Methods</title><p>Fifty participants with a missing premolar were included and randomly assigned to standard (ZirDesign, DentsplySirona Implants, Mölndal, Sweden) or computer aided design/computer aided manufacturing (CAD/CAM) customized (Atlantis, DentsplySirona Implants, Mölndal, Sweden) zirconia abutment therapy. Peri‐implant bone level (primary outcome), Plaque‐index, calculus formation, bleeding on probing, gingiva index, probing pocket depth, recession, appearance of soft tissues and patients' contentment were assessed shortly after placement and one year later.</p></sec><sec id="cid12440-sec-0004"><title>Results</title><p>No implants were lost and no complications related to the abutments were observed. Statistically significant differences between stock and CAD/CAM customized zirconia abutments could not be demonstrated for any of the operationalized variables.</p></sec><sec id="cid12440-sec-0005"><title>Conclusion</title><p>The use of a CAD/CAM customized zirconia abutment in single tooth replacement of a premolar is not associated with an improvement in clinical performance or patients' contentment when compared to the use of a stock zirconia abutment.</p></sec></abstract><kwd-group kwd-group-type="author-generated"><kwd id="cid12440-kwd-0001">abutments</kwd><kwd id="cid12440-kwd-0002">computer aided design/computer aided manufacturing technology</kwd><kwd id="cid12440-kwd-0003">clinical study</kwd><kwd id="cid12440-kwd-0004">marginal bone loss</kwd><kwd id="cid12440-kwd-0005">patient satisfaction</kwd><kwd id="cid12440-kwd-0006">randomized controlled trial</kwd><kwd id="cid12440-kwd-0007">zirconia</kwd></kwd-group><counts><fig-count count="5"></fig-count><table-count count="4"></table-count><page-count count="11"></page-count><word-count count="4994"></word-count></counts><custom-meta-group><custom-meta><meta-name>source-schema-version-number</meta-name><meta-value>2.0</meta-value></custom-meta><custom-meta><meta-name>component-id</meta-name><meta-value>cid12440</meta-value></custom-meta><custom-meta><meta-name>cover-date</meta-name><meta-value>February 2017</meta-value></custom-meta><custom-meta><meta-name>details-of-publishers-convertor</meta-name><meta-value>Converter:WILEY_ML3GV2_TO_NLMPMC version:5.0.5 mode:remove_FC converted:08.02.2017</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc><affiliations><list></list><tree><noCountry><name sortKey="Cune, Marco" sort="Cune, Marco" uniqKey="Cune M" first="Marco" last="Cune">Marco Cune</name><name sortKey="Kerdijk, Wouter" sort="Kerdijk, Wouter" uniqKey="Kerdijk W" first="Wouter" last="Kerdijk">Wouter Kerdijk</name><name sortKey="Meijer, Henny J A" sort="Meijer, Henny J A" uniqKey="Meijer H" first="Henny J. A." last="Meijer">Henny J. A. Meijer</name><name sortKey="Raghoebar, Gerry M" sort="Raghoebar, Gerry M" uniqKey="Raghoebar G" first="Gerry M." last="Raghoebar">Gerry M. Raghoebar</name><name sortKey="Schepke, Ulf" sort="Schepke, Ulf" uniqKey="Schepke U" first="Ulf" last="Schepke">Ulf Schepke</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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