Monolithic CAD-CAM lithium disilicate versus monolithic CAD-CAM zirconia for single implant-supported posterior crowns using a digital workflow : A 3-year cross-sectional retrospective study

Copyright © 2019 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved..

STATEMENT OF PROBLEM: Dentistry has evolved significantly with the introduction of digital technologies and materials; however, clinical evidence for the performance of the complete digital workflow for single implant-supported posterior crowns is lacking.

PURPOSE: The purpose of this cross-sectional retrospective clinical study was to compare the clinical outcomes of 2 types of implant-supported crown used to replace a single missing posterior tooth in a completely digital workflow: transocclusal screw-retained monolithic lithium disilicate crowns versus transocclusal screw-retained monolithic zirconia crowns.

MATERIAL AND METHODS: A total of 38 participants who had been provided with dental implants and transocclusal screw-retained monolithic lithium disilicate or zirconia single crowns were evaluated in the study. Clinical and esthetic outcomes were recorded after a 3-year follow-up.

RESULTS: Both groups had comparable clinical outcomes with a survival rate of 100%. In the lithium disilicate group, 89% of the participants were free of technical complications, and 95%, in the zirconia group. Only 1 patient experienced minor chipping affecting a lithium disilicate crown. All complications were considered minor and were easily resolved, and none of the participants required replacement of a crown. No biological complications were recorded in either group.

CONCLUSIONS: Within the limitations of this cross-sectional retrospective clinical study, monolithic lithium disilicate and zirconia screw-retained single crowns fabricated using computer-aided design and computer-aided manufacturing (CAD-CAM) and a fully digital workflow were found to be reliable and suitable clinical options for restoring a posterior missing tooth on a dental implant.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:123

Enthalten in:

The Journal of prosthetic dentistry - 123(2020), 2 vom: 07. Feb., Seite 252-256

Sprache:

Englisch

Beteiligte Personen:

De Angelis, Paolo [VerfasserIn]
Passarelli, Pier Carmine [VerfasserIn]
Gasparini, Giulio [VerfasserIn]
Boniello, Roberto [VerfasserIn]
D'Amato, Giuseppe [VerfasserIn]
De Angelis, Silvio [VerfasserIn]

Links:

Volltext

Themen:

12001-21-7
C6V6S92N3C
Dental Implants
Dental Porcelain
Journal Article
Lithia disilicate
S38N85C5G0
Zirconium
Zirconium oxide

Anmerkungen:

Date Completed 05.02.2020

Date Revised 05.02.2020

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.prosdent.2018.11.016

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM298191563