Precision of fit of implant-supported screw-retained 10-unit computer-aided-designed and computer-aided-manufactured frameworks made from zirconium dioxide and titanium: An in vitro study

Joannis Katsoulis, Regina Mericske-Stern, Lolita Rotkina, Christoph Zbären, Norbert Enkling, Markus B. Blatz

Research output: Contribution to journalArticle

56 Citations (Scopus)

Abstract

Objective: To analyze the precision of fit of implant-supported screw-retained computer-aided-designed and computer-aided-manufactured (CAD/CAM) zirconium dioxide (ZrO) frameworks. Materials and methods: Computer-aided-designed and computer-aided-manufactured ZrO frameworks (NobelProcera) for a screw-retained 10-unit implant-supported reconstruction on six implants (FDI positions 15, 13, 11, 21, 23, 25) were fabricated using a laser (ZrO-L, N = 6) and a mechanical scanner (ZrO-M, N = 5) for digitizing the implant platform and the cuspid-supporting framework resin pattern. Laser-scanned CAD/CAM titanium (TIT-L, N = 6) and cast CoCrW-alloy frameworks (Cast, N = 5) fabricated on the same model and designed similar to the ZrO frameworks were the control. The one-screw test (implant 25 screw-retained) was applied to assess the vertical microgap between implant and framework platform with a scanning electron microscope. The mean microgap was calculated from approximal and buccal values. Statistical comparison was performed with non-parametric tests. Results: No statistically significant pairwise difference was observed between the relative effects of vertical microgap between ZrO-L (median 14 μm; 95% CI 10-26 μm), ZrO-M (18 μm; 12-27 μm) and TIT-L (15 μm; 6-18 μm), whereas the values of Cast (236 μm; 181-301 μm) were significantly higher (P < 0.001) than the three CAD/CAM groups. A monotonous trend of increasing values from implant 23 to 15 was observed in all groups (ZrO-L, ZrO-M and Cast P < 0.001, TIT-L P = 0.044). Conclusions: Optical and tactile scanners with CAD/CAM technology allow for the fabrication of highly accurate long-span screw-retained ZrO implant-reconstructions. Titanium frameworks showed the most consistent precision. Fit of the cast alloy frameworks was clinically inacceptable.

Original languageEnglish (US)
Pages (from-to)165-174
Number of pages10
JournalClinical Oral Implants Research
Volume25
Issue number2
DOIs
StatePublished - Feb 1 2014

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Titanium
Lasers
zirconium oxide
In Vitro Techniques
Cuspid
Cheek
Touch
Electrons
Technology

Keywords

  • Computer-aided design and computer-aided manufacturing
  • Fixed partial denture
  • Framework misfit
  • Implant framework fit
  • Implant-supported
  • Passive fit
  • Zirconium dioxide

ASJC Scopus subject areas

  • Oral Surgery

Cite this

Precision of fit of implant-supported screw-retained 10-unit computer-aided-designed and computer-aided-manufactured frameworks made from zirconium dioxide and titanium : An in vitro study. / Katsoulis, Joannis; Mericske-Stern, Regina; Rotkina, Lolita; Zbären, Christoph; Enkling, Norbert; Blatz, Markus B.

In: Clinical Oral Implants Research, Vol. 25, No. 2, 01.02.2014, p. 165-174.

Research output: Contribution to journalArticle

Katsoulis, Joannis ; Mericske-Stern, Regina ; Rotkina, Lolita ; Zbären, Christoph ; Enkling, Norbert ; Blatz, Markus B. / Precision of fit of implant-supported screw-retained 10-unit computer-aided-designed and computer-aided-manufactured frameworks made from zirconium dioxide and titanium : An in vitro study. In: Clinical Oral Implants Research. 2014 ; Vol. 25, No. 2. pp. 165-174.
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abstract = "Objective: To analyze the precision of fit of implant-supported screw-retained computer-aided-designed and computer-aided-manufactured (CAD/CAM) zirconium dioxide (ZrO) frameworks. Materials and methods: Computer-aided-designed and computer-aided-manufactured ZrO frameworks (NobelProcera™) for a screw-retained 10-unit implant-supported reconstruction on six implants (FDI positions 15, 13, 11, 21, 23, 25) were fabricated using a laser (ZrO-L, N = 6) and a mechanical scanner (ZrO-M, N = 5) for digitizing the implant platform and the cuspid-supporting framework resin pattern. Laser-scanned CAD/CAM titanium (TIT-L, N = 6) and cast CoCrW-alloy frameworks (Cast, N = 5) fabricated on the same model and designed similar to the ZrO frameworks were the control. The one-screw test (implant 25 screw-retained) was applied to assess the vertical microgap between implant and framework platform with a scanning electron microscope. The mean microgap was calculated from approximal and buccal values. Statistical comparison was performed with non-parametric tests. Results: No statistically significant pairwise difference was observed between the relative effects of vertical microgap between ZrO-L (median 14 μm; 95{\%} CI 10-26 μm), ZrO-M (18 μm; 12-27 μm) and TIT-L (15 μm; 6-18 μm), whereas the values of Cast (236 μm; 181-301 μm) were significantly higher (P < 0.001) than the three CAD/CAM groups. A monotonous trend of increasing values from implant 23 to 15 was observed in all groups (ZrO-L, ZrO-M and Cast P < 0.001, TIT-L P = 0.044). Conclusions: Optical and tactile scanners with CAD/CAM technology allow for the fabrication of highly accurate long-span screw-retained ZrO implant-reconstructions. Titanium frameworks showed the most consistent precision. Fit of the cast alloy frameworks was clinically inacceptable.",
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AU - Rotkina, Lolita

AU - Zbären, Christoph

AU - Enkling, Norbert

AU - Blatz, Markus B.

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