Objective: In recent decades, CAD/CAM-fabricated lithium disilicate restorations have become popular and have been approved for fixed dental protheses (FDPs) up to the second premolar since 2013. This multicenter follow-up study collected long-term clinical data on three-unit anterior and premolar FDPs made of lithium disilicate to evaluate the material's suitability over >10 years.
Methods: Thirty-two patients received a total of 32 three-unit anterior or premolar monolithic lithium disilicate FDPs.
The aim is to investigate the impact of retention type, implant/abutment angulation, and the presence of sealant/antimicrobial agents on screw loosening of implant-supported restorations. Fifty dental implants along with their respective abutments and screws were allocated to five groups (n = 10). The groups were categorized based on type of crown retention (screw-/cement-retained), implant/abutment angulation (0°/20°), and type of disinfectant/sealant as follows: Cem_control (cemented/0°/none), Cem_GP (cemented/0°/gutta-percha), Cem_CHX (cemented/0°/chlorhexidine), Cem_Ang (cemented/20°/none), and Screw (screwed/0°/ none).
View Article and Find Full Text PDFBackground: Biofilm formation on implant-abutment surfaces can cause inflammatory reactions. Ethical concerns often limit intraoral testing, necessitating preliminary in vitro or animal studies. Here, we propose an in vitro model using human saliva and hypothesize that this model has the potential to closely mimic the dynamics of biofilm formation on implant-abutment material surfaces in vivo.
View Article and Find Full Text PDFClin Oral Implants Res
January 2025
Objective: To investigate the pull-off forces on implant-supported restorations caused by sticky food, to understand how much retention force cemented restorations must have to withstand chewing forces without unintentional retention loss. The influence of food type, restoration design, and surface treatment were investigated.
Material And Methods: Monolithic implant-supported CAD/CAM zirconia crowns were fabricated and divided into groups according to their design: no (NC), flat (FC) and high cusps (HC) and subdivided according to surface roughness: rough (r) and smooth (s) (n = 10/group).
Objectives: To evaluate the survival rates and marginal bone loss of narrow-diameter titanium-zirconium implants supporting complete maxillary and mandibular overdentures up to 3 years after loading.
Materials And Methods: Ten completely edentulous patients who were dissatisfied with their complete dentures were enrolled. Two narrow-diameter implants were placed in the canine region of the maxilla and mandible.
Silane chemistry has emerged as a powerful tool for surface modification, offering a versatile means to enhance the properties of various substrates, such as dental implant abutment materials. In this study, we investigated the stability of the 3-aminopropyldiisopropylethoxysilane (APDS) layer on yttria-partially stabilized zirconia (Y-TZP) surfaces after mechanical, acid, and thermal treatment in order to simulate fluctuations within the oral cavity. To accomplish that, the viability of human gingival fibroblasts on APDS-modified surfaces after applied treatment strategies was assessed by live/dead staining.
View Article and Find Full Text PDFThe aim of this in vitro study was to investigate the effect of hydrogen peroxide (HO) on the surface properties of various zirconia-based dental implant materials and the response of human alveolar bone osteoblasts. For this purpose, discs of two zirconia-based materials with smooth and roughened surfaces were immersed in 20% HO for two hours. Scanning electron and atomic force microscopy showed no topographic changes after HO-treatment.
View Article and Find Full Text PDFObjectives: To summarize the existing evidence on patient-reported outcome measures (PROMs) of implant-supported restorations fabricated using a digital workflow in comparison to conventional manufacturing procedures.
Methods: A PICO strategy was executed using an electronic and manual search focusing on clinical studies evaluating PROMs of implant-supported restorations. Only clinical trials assessing conventional versus digital workflows for implant-supported restorations were included.
To ensure the long-term success of dental implants, a functional attachment of the soft tissue to the surface of the implant abutment is decisively important in order to prevent the penetration of bacteria into the implant-bone interface, which can trigger peri-implant disease. Here a surface modification approach is described that includes the covalent immobilization of the extracellular matrix (ECM) proteins fibronectin and laminin via a crosslinker to silanized Ti6Al4V and Y-TZP surfaces. The surface properties are evaluated using static contact angle, X-ray photoelectron spectroscopy (XPS), and atomic force microscopy (AFM).
View Article and Find Full Text PDFObjective: To compare the radiographic marginal bone loss and clinical parameters of splinted and non-splinted fixed dental prostheses on short implants in the posterior region of the lower jaw 3 years after loading.
Material And Methods: Twenty patients, 15 female and five males, with uni- or bilateral free-end situations in the mandible participated in the study. Two short implants (7 mm) in the posterior mandible were placed and patients were randomized to receive splinted (n = 11) or non-splinted (n = 13) cemented crowns.
Augmentation of alveolar ridge defects is a technique-sensitive procedure in dental implantology. Depending on the size of the defect, it may be necessary to use autogenous bone blocks. However, patients may be against these blocks as these procedures are surgically invasive.
View Article and Find Full Text PDFObjectives: To compare the removal of simulated biofilm at two different implant-supported restoration designs with various interproximal oral hygiene aids.
Methods: Mandibular models with a missing first molar were fabricated and provided with single implant analogues (centrally or distally placed) and two different crown designs (conventional [CCD] and alternative crown design [ACD]). Occlusion spray was applied to the crowns to simulate artificial biofilm.
Purpose: In implant dentistry, temporary restorations (TR) might often be required for up to one year. The aim of this in vitro study was to evaluate the long-time performance of four-unit TRs in the posterior region based on different materials and reinforcement methods.
Methods: One hundred and forty four TRs were manufactured on 16 models simulating an oral situation of two missing posterior teeth.
Objective: Improvements in the bioactivity of zirconia implants for accelerated healing and reduced morbidity have been of continuing interest in the fields of dentistry and orthopedic surgery. The aim of the present study was to examine whether UV treatment increases the osteoconductivity of zirconia-based materials.
Materials And Methods: Smooth and rough zirconia-based disks and cylindrical implants were treated with UV light for 15 min and subsequently placed in rat femurs.
To investigate the influence of different temperatures on the compressive strength of glass ionomer cement (GIC) modified by the addition of silica-coated wax capsules; Material and Methods: Commercially-available GIC was modified by adding 10% silica-coated wax capsules. Test blocks were fabricated from pure cement (control) and modified cement (test), and stored in distilled water (37 °C/23 h). The compressive strength was determined using a universal testing machine under different temperatures (37 °C, 50 °C, and 60 °C).
View Article and Find Full Text PDFObjectives: To examine the effect of ultraviolet light (UV) treatment on the surface characteristics of two acid-etched zirconia-based dental implant materials.
Methods: Discs of two zirconia-based materials (Zr1 and Zr2) with smooth (m) and roughened (r) surfaces were treated by UV light for 15min. The surface topography was investigated by scanning electron microscopy (SEM) and atomic force microscopy (AFM).
Over the last decade tissue engineering has emerged as a key factor in bone regeneration within the field of cranio-maxillofacial surgery. Despite this in vivo analysis of tissue-engineered-constructs to monitor bone rehabilitation are difficult to conduct. Novel high-resolving flat-panel based volume CTs (fp-VCT) are increasingly used for imaging bone structures.
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