133 results match your criteria hybrid abutment


Hybrid abutment during prosthetic planning and oral rehabilitation.

Minerva Dent Oral Sci 2021 Apr 30. Epub 2021 Apr 30.

Department of Prosthodontics and Dental Materials, São Paulo State University (Unesp), Institute of Science and Technology, São José dos Campos, SP, Brazil.

Background: The present study aims to describe through a literature review, the characteristics and properties of hybrid abutments, as well as their proper use as a new rehabilitation strategy.

Methods: A bibliographic search was conducted in the main health databases Pubmed (www.pubmed. Read More

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Mechanical behavior of nano-hybrid composite in comparison to lithium disilicate as posterior cement-retained implant-supported crowns restoring different abutments.

Dent Mater 2021 Apr 16. Epub 2021 Apr 16.

Department of Prosthodontics, Propaedeutics and Dental Materials, School of Dentistry, Christian-Albrechts University at Kiel, Germany. Electronic address:

Objective: Resin-based materials are gaining popularity in implant dentistry due to their shock absorption capacity. Therefore, the aim of this study was to evaluate the fracture strength and failure mode of resilient materials for both crowns and abutments and compare them to the most widely used materials in different combinations after subjection to long-term fatigue loading.

Methods: Forty-eight cement-retained implant-restorations were assembled on titanium implants. Read More

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Mechanical Pull-Out Test of a New Hybrid Fixture-Abutment Connection: An In Vitro Study.

Materials (Basel) 2021 Mar 22;14(6). Epub 2021 Mar 22.

Department of Innovative Technologies in Medicine and Dentistry, University "G. d'Annunzio" of Chieti-Pescara, 66100 Chieti, Italy.

Implant abutment connection was described among the main causes of peri-implant bone resorption. The aim of this in vitro study was to test the coupling capacity, the surface modification of a new hybrid connection and the influence of repeated connection activations caused during the main clinical and laboratory phases. A total of 40 implant-abutment screw retained systems with 10°-conical and internal hexagon connection were tested. Read More

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Short communication: In vitro pilot study: Are monolithic 3Y-TZP zirconia crowns too strong for titanium Implants?

Int J Prosthodont 2021 Mar 3. Epub 2021 Mar 3.

Purpose: To report on pilot tests for a planned study on single implant-supported crowns made from different restorative materials using finite element analysis (FEA) and in vitro load-to-failure testing.

Materials And Methods: Within this pilot study, FEA was conducted using Ansys 2019 R2 to simulate stress and deformation for implant-supported crowns made of lithium disilicate ceramic (LiS2) and zirconia (3Y-TZP). Additionally, an in vitro load to failure test was conducted using two specimens per group to evaluate the failure mode and to confirm the findings from the FEA. Read More

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Influence of cyclic loading on load-to-failure of different ceramic CAD-CAM implant-supported single crowns.

Int J Prosthodont 2021 Feb 26. Epub 2021 Feb 26.

Purpose: To compare the load to failure values of different ceramic CAD/CAM implant crown materials with drilled screw access holes with and without cyclic loading applied.

Materials And Methods: Forty zirconia abutments with a titanium base were pre-loaded onto implants to support maxillary right first premolar crowns that were milled from four different CAD/CAM ceramic materials (zirconia reinforced lithium silicate, hybrid ceramic, lithium disilicate, and zirconia; n = 10 each). After cementing the crowns, screw access channels were prepared by drilling through occlusal surfaces. Read More

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February 2021

Vertical Marginal Discrepancy of Retrievable Cement/Screw-retained Design and Cement-retained Implant-supported Single Metal Copings.

J Contemp Dent Pract 2020 Aug 1;21(8):829-834. Epub 2020 Aug 1.

Center of Dental Medicine, Division of Dental Biomaterials, Clinic for Reconstructive Dentistry, University of Zurich, Zurich, Switzerland.

Aim: To compare the vertical marginal discrepancy of retrievable cement/screw-retained design (RCSRD) and cement-retained (CR) implant-supported single metal copings cemented on implant abutments.

Materials And Methods: Single metal copings were fabricated for 20 4.5 × 10 mm titanium dental implants. Read More

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The influence of the shock-absorbing restorative materials on the stress distributions of short dental implant rehabilitations.

Eur Rev Med Pharmacol Sci 2021 01;25(1):24-34

Department of Implantology, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology, Shanghai, China.

Objective: Polymer materials with shock-absorbing ability may offer better stress distribution with short dental implants (SDI). The present study aimed to evaluate the effect of abutment and crown materials on the stress distributions in short implant-prosthesis-complex (6 mm) and standard implant-prosthesis-complex (10 mm) using 3D finite element analysis (FEA).

Materials And Methods: Two FEA models were designed to simulated single implant restoration of mandibular first molar, one each for short implant (6 mm) (Group S) and standard implant (10 mm) (Group C). Read More

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January 2021

Fracture resistance of additive manufactured and milled implant-supported interim crowns.

J Prosthet Dent 2021 Jan 8. Epub 2021 Jan 8.

Associate Professor and Program Director of Graduate in Advanced Implant Prosthodontics, Department of Conservative Dentistry and Prosthodontics, School of Dentistry, Complutense University of Madrid, Madrid, Spain.

Statement Of Problem: Interim dental prostheses can be fabricated by using subtractive or additive manufacturing technologies. However, the fracture resistance of implant-supported interim crowns fabricated by using vat-polymerization additive manufacturing methods remains unclear.

Purpose: The purpose of this in vitro study was to evaluate the fracture resistance of anterior and posterior screw-retained implant-supported interim crowns fabricated by using subtractive and vat-polymerization direct light processing (DLP) additive manufacturing procedures. Read More

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January 2021

Effect of Thermomechanical Loading on the Cementation Interface of Implant-Supported CAD/CAM Crowns Luted to Titanium Abutments.

Int J Prosthodont 2020 Nov/Dec;33(6):656-662

Purpose: To investigate the effect of aging on the morphology of the interface between monolithic implant crowns and standardized titanium base abutments.

Materials And Methods: Four groups of hybrid abutment crowns differing in restorative material (lithium disilicate [LD] or polymer-infiltrated ceramic network [PICN]) and in fabrication procedure of the interfacial zone for luting to a titanium abutment (milled during CAD/ CAM procedure [M] or prefabricated [P]) were formed: LDS-M, LDS-P, PICN-M, and PICN-P (n = 10 each). The morphology of the crown-abutment interface was examined before and after artificial aging using scanning electron microscopy. Read More

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December 2020

Mechanical Fatigue Analysis of PEEK as Alternative to Zirconia for Definitive Hybrid Abutments Supporting All-Ceramic Crowns.

Int J Oral Maxillofac Implants 2020 Nov/Dec;35(6):1209-1217

Purpose: The aim of this study was to inspect the mechanical fatigue behavior of an implant-supported restorative system using polyether ether ketone (PEEK) and yttria partially stabilized zirconia polycrystals (YZ) as materials for customized definitive implant-supported hybrid abutments, supporting two types of all-ceramic restorations: translucent zirconia (TZ) and lithium disilicate (LD) monolithic crowns.

Materials And Methods: Forty Morse taper implants were included in epoxy resin. Titanium intermediary abutments were placed, and the specimens were randomly allocated into four groups (n = 10) according to the customized hybrid abutment material (PEEK or YZ) and the monolithic crowns (TZ or LD) representing a maxillary central incisor crown. Read More

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December 2020

Mechanical stability and technical outcomes of monolithic CAD/CAM fabricated abutment-crowns supported by titanium bases: An in vitro study.

Clin Oral Implants Res 2021 Feb 17;32(2):222-232. Epub 2020 Dec 17.

Division of Fixed Prosthodontics and Biomaterials, University Clinics for Dental Medicine, University of Geneva, Geneva, Switzerland.

Objectives: To evaluate mechanical stability (survival and complication rates) and bending moments of different all-ceramic monolithic restorations bonded to titanium bases (hybrid abutment-crowns) or to customized titanium abutments compared to porcelain-fused-to-metal crowns (PFM) after thermo-mechanical aging.

Material And Methods: Sixty conical connection implants (4.3 mm-diameter) were divided in five groups (n = 12): PFM using gold abutment (GAbut-PFM), lithium disilicate crown bonded to customized titanium abutment (TAbut+LDS), lithium disilicate abutment-crown bonded to titanium base (TiBase+LDS), zirconia abutment-crown bonded to titanium base (TiBase+ZR), polymer-infiltrated ceramic-network (PICN) abutment-crown bonded to titanium base (TiBase+PICN). Read More

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February 2021

Fracture strength of various titanium-based, CAD-CAM and PFM implant crowns.

J Esthet Restor Dent 2021 Apr 10;33(3):522-530. Epub 2020 Nov 10.

US Air Force Postgraduate Dental College, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.

Objective: CAD-CAM has dramatically advanced dental restorative procedures to include implant-supported crowns. The purpose of this study was to compare the fracture resistance following mechanical loading and thermocycling of various screw-retained and cement-retained ceramic and polymethylmethacrylate material combinations using the TiBase abutment compared to PFM implant-supported crowns.

Overview: Twelve implant restorations were fabricated for each of eight groups. Read More

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Impact of Coping Veneering Techniques on the Survival of Implant-Supported Zirconia-Based-Crowns Cemented to Hybrid-Abutments: An-In-Vitro Study.

Bioengineering (Basel) 2020 Sep 25;7(4). Epub 2020 Sep 25.

School of Dentistry and Oral Health, Griffith University, Gold Coast, Queensland 4000, Australia.

The objective of this study is to investigate the influence of veneering technique (hand-layering vs. milling) on the fracture resistance of bi-layer implant-supported zirconia-based hybrid-abutment crowns. Mandibular molar copings were anatomically designed and milled. Read More

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September 2020

Temporary Implant-Supported Single Crowns Using Titanium Base Abutments: An In Vitro Study on Bonding Stability and Pull-out Forces.

Int J Prosthodont 2020 Sep/Oct;33(5):546-552

Purpose: To evaluate the effect of cementation protocols on the bonding interface stability and pull-out forces of temporary implant-supported crowns bonded on a titanium base abutment (TiB) or on a temporary titanium abutment (TiA).

Materials And Methods: A total of 60 implants were restored with PMMA-based CAD/CAM crowns. Five groups (n = 12) were created: Group 1 = TiB/SRc: crown conditioned with MMA-based liquid (SR Connect, Ivoclar Vivadent); Group 2 = TiB/50Al-MB: crown airborne particle-abraded with 50-μm AlO and silanized (Monobond Plus, Ivoclar Vivadent); Group 3 = TiB/30SiOAl-SRc: crown airborne particle-abraded with 30-μm silica-coated AlO (CoJet, 3M ESPE) and conditioned with MMA-based liquid (SR Connect); Group 4 = TiB/30SiOAl-MB: crown airborne particle-abraded with 30- μm silica-coated AlO (CoJet) and silanized (Monobond Plus); and Group 5 = TiA/TA-PMMA: crown manually enlarged, activated, and rebased with PMMA resin (Telio Lab, Ivoclar Vivadent). Read More

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September 2020

Effect of airborne-particle abrasion of a titanium base abutment on the stability of the bonded interface and retention forces of crowns after artificial aging.

J Prosthet Dent 2020 Sep 10. Epub 2020 Sep 10.

Full Professor and Chairperson, Division of Fixed Prosthodontics and Biomaterials, University Clinics of Dental Medicine, University of Geneva, Geneva, Switzerland.

Statement Of Problem: Published data have shown that a mechanical surface treatment of titanium surfaces increases bonding potential. However, most of the studies are based on shear or tensile tests performed on flat-surfaced specimens and do not take into consideration the retention given by the titanium base (ti-base) axial walls and the thermomechanical loading seen in a clinical setting.

Purpose: The purpose of this in vitro study was to evaluate the influence of different airborne-particle abrasion (APA) methods of the ti-base surface on the stability of the bonded interface and retention forces between these titanium bases and lithium disilicate crowns after thermomechanical aging. Read More

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September 2020

Semiprecision attachment: a connecting link between the removable and fixed prosthesis.

BMJ Case Rep 2020 Aug 25;13(8). Epub 2020 Aug 25.

Department of Prosthodontics, Faculty of Dental Science, Banaras Hindu University Institute of Medical Sciences, Varanasi, Uttar Pradesh, India

Oral rehabilitation of partially edentulous arches requires careful treatment planning before any prosthodontic intervention. The connection of the metal framework of fixed (fixed dental prosthesis (FPD)) and removable partial denture using adhesive attachments is a good alternative prosthetic option when solely fixed prosthesis (FPD or implant) cannot be used due to anatomical limitation. Attachments are the tiny interlocking devices that act as a hybrid link to join removable prosthesis to the abutment and direct the masticatory forces along the long axis of the abutment. Read More

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The influence of the restorative material on the mechanical behavior of screw-retained hybrid-abutment-crowns.

J Mech Behav Biomed Mater 2020 11 26;111:103988. Epub 2020 Jul 26.

Department of Prosthodontics, Propaedeutics and Dental Materials, School of Dentistry, Christian-Albrechts University at Kiel, Germany. Electronic address:

Background: The use of polymers in implant dentistry is gaining popularity, as they might have several advantages due to their shock absorption capacity.

Purpose: The aim of this study was to evaluate the performance and fracture strength of three resilient shock-absorbing polymer-based materials as well as the widely used ceramics as one-piece screw-retained implant-supported hybrid-abutment-crowns.

Materials And Methods: Forty custom-made CAD/CAM one-piece screw-retained restorations were milled out of 5 different monolithic materials (n = 8); Z: 3Y-TZP zirconia, L: lithium disilicate, P: ceramic-reinforced polyetheretherketone (PEEK), C: nano-hybrid composite resin and E: polymer-infiltrated ceramic-network. Read More

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November 2020

Evaluation of Adhesion Protocol for Titanium Base Abutments to Different Ceramic and Hybrid Materials.

Eur J Prosthodont Restor Dent 2021 Feb 25;29(1):22-34. Epub 2021 Feb 25.

University of Zurich.

Scientific evidence regarding conditioning of different ceramic and hybrid materials and their bonding on titanium abutments is lacking. Titanium disks (Tritan) (N=450, n=15) were randomly cemented onto five different ceramic and hybrid materials, namely 1. Zenostar T, 2. Read More

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February 2021

Retentive Characteristics of a New Attachment System for Hybrid Dentures.

Materials (Basel) 2020 Aug 4;13(15). Epub 2020 Aug 4.

Department of Prosthetic Dentistry, University School of Dental Medicine, Martin-Luther-University Halle-Wittenberg, Magdeburger Str. 16, 06112 Halle, Germany.

Removable implant-anchored dentures have become an established treatment concept especially for older, multimorbid patients. This study investigates the retention force (RF) of two different attachment systems. A total of 96 specimens (n = 8 for each condition) were fabricated and RF was measured under different conditions: fatigue (10,000 cycles dislodging), thermal undulation (5/55 °C, 5000 cycles) and implant-angulation (0°, 5°, 10°, 15°, 20°). Read More

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Fracture Load of CAD/CAM Feldspathic Crowns Influenced by Abutment Material.

Materials (Basel) 2020 Aug 2;13(15). Epub 2020 Aug 2.

Division of Computerized Restorative Dentistry, Clinic of Conservative and Preventive Dentistry, Center of Dental Medicine, University of Zurich, Plattenstrasse 11, CH-8032 Zurich, Switzerland.

In vitro studies investigating the mechanical properties of dental reconstructions use various materials to replicate prepared teeth. However, no uniform recommendation exists as to which material is most suitable for standardized testing. The purpose of this study was to identify a material that resembles human dentin in fracture load tests. Read More

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Qualitative and Semi-Quantitative Assessment of Processing-Related Surface Contamination of One- and Two-Piece CAD/CAM Abutments before and after Ultrasonic Cleaning.

Materials (Basel) 2020 Jul 20;13(14). Epub 2020 Jul 20.

Department of Prosthodontics and Head of Department of Postgraduate Education, Master of Oral Implantology, Center for Dentistry and Oral Medicine (Carolinum), Johann Wolfgang Goethe University, Theodor-Stern-Kai 7, 60596 Frankfurt, Germany.

Manufacturing processes of custom implant abutments may contaminate their surfaces with micro wear deposits and generic pollutants. Such particulate debris, if not removed, might be detrimental and provoke inflammatory reactions in peri-implant tissues. Although regulatory guidelines for adequate cleaning, disinfection, or sterilization exist, there does not appear to be a consistent application and data on the amount and extent of such contaminants is lacking. Read More

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Hybrid Polyetheretherketone (PEEK)-Acrylic Resin Prostheses and the All-on-4 Concept: A Full-Arch Implant-Supported Fixed Solution with 3 Years of Follow-Up.

J Clin Med 2020 Jul 10;9(7). Epub 2020 Jul 10.

Invibio Biomaterial Solutions & JUVORA, Global Technology Center, Hillhouse International, Thornton, Cleveleys FY5 4QD, UK.

Background: The aim of this three-year prospective study was to examine the outcome of a solution for full-arch rehabilitation through a fixed implant-supported hybrid prosthesis (polyetheretherketone (PEEK)-acrylic resin) used in conjunction with the All-on-4 concept.

Methods: Thirty-seven patients (29 females, 8 males), with an age range of 38 to 78 years (average: 59.8 years) were rehabilitated with 49 full-arch implant-supported prostheses (12 maxillary rehabilitations, 13 mandibular rehabilitations and 12 bimaxillary rehabilitations). Read More

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Enhancement of Bone Ingrowth into a Porous Titanium Structure to Improve Osseointegration of Dental Implants: A Pilot Study in the Canine Model.

Materials (Basel) 2020 Jul 8;13(14). Epub 2020 Jul 8.

Department of Periodontology, College of Dentistry and Institute of Oral Bioscience, Jeonbuk National University, 567, Baekje-daero, Deokjin-gu, Jeonju-si, Jeollabuk-do 54896, Korea.

A porous titanium structure was suggested to improve implant stability in the early healing period or in poor bone quality. This study investigated the effect of a porous structure on the osseointegration of dental implants. A total of 28 implants (14 implants in each group) were placed in the posterior mandibles of four beagle dogs at 3 months after extraction. Read More

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Hybrid-abutment-restoration: effect of material type on torque maintenance and fracture resistance after thermal aging.

Int J Implant Dent 2020 Jun 24;6(1):24. Epub 2020 Jun 24.

Department of Fixed Prosthodontics, Mansoura University, PO Box 35516, Mansoura, Dakahlia, Egypt.

Purpose: To evaluate the tightening torque maintenance with zirconia, lithium disilicate, and polyetheretherketone (PEEK) hybrid-abutment-crowns after thermal aging, in addition to assess the fracture resistance of hybrid-abutment-crowns fabricated with different materials.

Materials And Methods: Thirty implants were restored with identical hybrid-abutment-crowns, resembling the maxillary first premolar, fabricated from zirconia (Zr), lithium disilicate (L2), or ceramic-reinforced PEEK (PE). The three groups (n = 10) were constructed utilizing a Ti-base. Read More

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Survival Probability, Weibull Characteristics, Stress Distribution, and Fractographic Analysis of Polymer-Infiltrated Ceramic Network Restorations Cemented on a Chairside Titanium Base: An In Vitro and In Silico Study.

Materials (Basel) 2020 Apr 16;13(8). Epub 2020 Apr 16.

Department of Dental Materials and Prosthodontics, São Paulo State University (Unesp/SJC), Institute of Science and Technology, 12245-000 São José dos Campos, Brazil.

Different techniques are available to manufacture polymer-infiltrated ceramic restorations cemented on a chairside titanium base. To compare the influence of these techniques in the mechanical response, 75 implant-supported crowns were divided in three groups: CME (crown cemented on a mesostructure), a two-piece prosthetic solution consisting of a crown and hybrid abutment; MC (monolithic crown), a one-piece prosthetic solution consisting of a crown; and MP (monolithic crown with perforation), a one-piece prosthetic solution consisting of a crown with a screw access hole. All specimens were stepwise fatigued (50 N in each 20,000 cycles until 1200 N and 350,000 cycles). Read More

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Comparison of strains for new generation CAD-CAM implant-supported crowns under loading.

Clin Implant Dent Relat Res 2020 Jun 6;22(3):397-402. Epub 2020 Apr 6.

Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland.

Purpose: The behavior of implant-crowns fabricated from recently introduced CAD-CAM zirconia-reinforced lithium silicate ceramic (ZLS) or a hybrid ceramic containing resin-reinforced glass network (HC) for strains around the implant platform is not well-known. A force absorption capacity of the latter has been claimed by the manufacturer. The aim of this study was to measure and compare recently introduced ZLS and HC with commonly used CAD-CAM implant crown materials for strain distribution around the implant platform. Read More

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Artificial intelligence in fixed implant prosthodontics: a retrospective study of 106 implant-supported monolithic zirconia crowns inserted in the posterior jaws of 90 patients.

BMC Oral Health 2020 03 19;20(1):80. Epub 2020 Mar 19.

Lecturer, Department of Prevention and Communal Dentistry, Sechenov First Moscow State Medical University, Moscow, Russia.

Background: Artificial intelligence (AI) is a branch of computer science concerned with building smart software or machines capable of performing tasks that typically require human intelligence. We present a protocol for the use of AI to fabricate implant-supported monolithic zirconia crowns (MZCs) cemented on customized hybrid abutments.

Methods: The study protocol consisted of: (1) intraoral scan of the implant position; (2) design of the individual abutment and temporary crown using computer-aided design (CAD) software; (3) milling of the zirconia abutment and the temporary polymethyl-methacrylate (PMMA) crown, with extraoral cementation of the zirconia abutment on the relative titanium bonding base, to generate an individual hybrid abutment; (4) clinical application of the hybrid abutment and the temporary PMMA crown; (5) intraoral scan of the hybrid abutment; (6) CAD of the final crown with automated margin line design using AI; (7) milling, sintering and characterisation of the final MZC; and (8) clinical application of the MZC. Read More

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Lithium Disilicate Crown, Zirconia Hybrid Abutment and Platform Switching to Improve the Esthetics in Anterior Region: A Case Report.

Clin Cosmet Investig Dent 2020 19;12:31-40. Epub 2020 Feb 19.

Department of Dental Materials and Prosthodontics, São Paulo State University (Unesp), Institute of Science and Technology, São José dos Campos, São Paulo, Brazil.

The hybrid abutment emerged as an alternative to maintain a stable and favorable volume of peri-implant tissue; it is composed of a mesostructure in ceramic and a metallic connection, which can be machined according to the peri-implant emergence profile. This case report presented the clinical steps for a dental implant with immediate provisional restoration, followed by the installation of implant-supported all-ceramic crowns with zirconia abutment and platform switching. A 40-year-old male patient was rehabilitated with an implant-supported ceramic crown in the region of element 11 and a ceramic veneer was cemented on the upper right central incisor. Read More

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February 2020

The Effect of Different Combinations of Surface Treatments and Bonding Agents on the Shear Bond Strength Between Titanium Alloy and Lithium Disilicate Glass-Ceramic.

Int J Periodontics Restorative Dent 2020 Mar/Apr;40(2):271-276

In order to obtain a more-natural esthetic prothesis, the use of hybrid abutments is becoming widespread in implant dentistry. The aim of this in vitro study was to assess the effects of different surface treatments, as well as the effects of different combinations of surface treatments and cementation protocols, on the shear bond strength between titanium alloy disks and lithium disilicate glass-ceramics. Forty titanium-alloy disks (4 × 6. Read More

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February 2020

Influence of Different Cleaning Procedures on Tensile Bond Strength Between Zirconia Abutment and Titanium Base.

Int J Oral Maxillofac Implants 2019 Nov/Dec;34(6):1318-1327

Purpose: To investigate the tensile bond strength between zirconia abutments and titanium bases, luted with two different resin composite cements, after different cleaning procedures.

Materials And Methods: Zirconia abutments and titanium bases were luted with either a DMA/HEMA-based cement (n = 80; Multilink Hybrid Abutment, Ivoclar Vivadent) or a Bis-GMA/TEGDMA-based cement (n = 80; Panavia V5, Kuraray Noritake). The adhesive gap of half of the specimens was polished (n = 40 per resin composite cement). Read More

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December 2019