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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 : 003107 ( Pmc/Curation ); précédent : 003106; suivant : 003108

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

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<title xml:lang="en">Effect of screw access hole preparation on fracture load of implant-supported zirconia-based crowns: an
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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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<wicri:regionArea>Professor, Department of Prosthodontics, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran</wicri:regionArea>
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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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<wicri:regionArea>Assistant Professor, Department of Prosthodontics, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran</wicri:regionArea>
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<wicri:regionArea>Associate Professor, Department of Prosthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran</wicri:regionArea>
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<title level="j">Journal of Dental Research, Dental Clinics, Dental Prospects</title>
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<italic>Background.</italic>
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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>
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<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>
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<italic>Results.</italic>
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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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<pmc article-type="research-article">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">J Dent Res Dent Clin Dent Prospects</journal-id>
<journal-id journal-id-type="iso-abbrev">J Dent Res Dent Clin Dent Prospects</journal-id>
<journal-id journal-id-type="publisher-id">J Dent Res Dent Clin Dent Prospects</journal-id>
<journal-id journal-id-type="pmc">JODDD</journal-id>
<journal-id journal-id-type="publisher-id">TBZMED</journal-id>
<journal-title-group>
<journal-title>Journal of Dental Research, Dental Clinics, Dental Prospects</journal-title>
</journal-title-group>
<issn pub-type="ppub">2008-210X</issn>
<issn pub-type="epub">2008-2118</issn>
<issn-l>2008-210X</issn-l>
<publisher>
<publisher-name>Tabriz University of Medical Sciences</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">27651885</article-id>
<article-id pub-id-type="pmc">5025220</article-id>
<article-id pub-id-type="doi">10.15171/joddd.2016.029</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Effect of screw access hole preparation on fracture load of implant-supported zirconia-based crowns: an
<italic>in vitro</italic>
study</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Mokhtarpour</surname>
<given-names>Hadi</given-names>
</name>
<xref ref-type="aff" rid="A01">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Eftekhar Ashtiani</surname>
<given-names>Reza</given-names>
</name>
<xref ref-type="aff" rid="A02">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Mahshid</surname>
<given-names>Minoo</given-names>
</name>
<xref ref-type="aff" rid="A03">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Tabatabaian</surname>
<given-names>Farhad</given-names>
</name>
<xref ref-type="aff" rid="A04">
<sup>4</sup>
</xref>
<xref rid="COR1" ref-type="corresp">*</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Alikhasi</surname>
<given-names>Marzieh</given-names>
</name>
<xref ref-type="aff" rid="A05">
<sup>5</sup>
</xref>
</contrib>
</contrib-group>
<aff id="A01">
<sup>1</sup>
Assistant Professor, Department of Prosthodontics, Faculty of Dentistry, Sari University of Medical Sciences, Sari, Iran</aff>
<aff id="A02">
<sup>2</sup>
Assistant Professor, Department of Dental Technology, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran</aff>
<aff id="A03">
<sup>3</sup>
Professor, Department of Prosthodontics, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran</aff>
<aff id="A04">
<sup>4</sup>
Assistant Professor, Department of Prosthodontics, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran</aff>
<aff id="A05">
<sup>5</sup>
Associate Professor, Department of Prosthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran</aff>
<author-notes>
<corresp id="COR1">
<label>*</label>
Corresponding Author;E-mail:
<email>f_tabatabaian@yahoo.com</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<season>Summer</season>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>17</day>
<month>8</month>
<year>2016</year>
</pub-date>
<volume>10</volume>
<issue>3</issue>
<fpage>181</fpage>
<lpage>188</lpage>
<history>
<date date-type="received">
<day>04</day>
<month>2</month>
<year>2016</year>
</date>
<date date-type="accepted">
<day>19</day>
<month>7</month>
<year>2016</year>
</date>
</history>
<permissions>
<copyright-statement>© 2016 Mokhtarpour et al.</copyright-statement>
<copyright-year>2016</copyright-year>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/" license-type="open-access">
<license-p>This is an Open Access article published and distributed by Tabriz University of Medical Sciences under the terms of the Creative Commons Attribution License (
<uri xlink:href="http://creativecommons.org/licenses/by/4.0">http://creativecommons.org/licenses/by/4.0</uri>
), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<self-uri xlink:href="http://dentistry.tbzmed.ac.ir/joddd/index.php/joddd">This article is available from: http://dentistry.tbzmed.ac.ir/joddd</self-uri>
<abstract>
<p>
<bold>
<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>
<p>
<bold>
<italic>Conclusion.</italic>
</bold>
Both techniques used for preparation of screw access holes in implant-supported zirconia-based crowns decreased the fracture load.</p>
</abstract>
<kwd-group>
<kwd>Crown</kwd>
<kwd>dental implant</kwd>
<kwd>implant-supported dental prosthesis</kwd>
<kwd>zirconia</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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