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Maxillary cement retained implant supported monolithic zirconia prosthesis in a full mouth rehabilitation: a clinical report.

Ramtin SADID-ZADEH ; Perng Ru LIU ; Ruth APONTE-WESSON ; Sandra J O'NEAL

The Journal of Advanced Prosthodontics.2013;5(2):209-217. doi:10.4047/jap.2013.5.2.209

This clinical report presents the reconstruction of a maxillary arch with a cement retained implant supported fixed prosthesis using a monolithic zirconia generated by CAD/CAM system on eight osseointegrated implants. The prosthesis was copy milled from an interim prosthesis minimizing occlusal adjustments on the definitive prosthesis at the time of delivery. Monolithic zirconia provides high esthetics and reduces the number of metal alloys used in the oral cavity.
Alloys ; Coat Protein Complex I ; Esthetics ; Mouth ; Occlusal Adjustment ; Prostheses and Implants ; Zirconium

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Recruitment and enrollment in a randomized clinical trial of mandibular two-implant overdenture.

Jeong Yol LEE ; Min Soo KIM ; Ha Young KIM ; Sang Wan SHIN

The Journal of Advanced Prosthodontics.2013;5(2):204-208. doi:10.4047/jap.2013.5.2.204

PURPOSE: The purpose of this study was to evaluate the effectiveness of a promotion campaign for subject recruitment and selection, and reasons of withdrawal from a prospective clinical trial of mandibular two-implant supported overdenture. MATERIALS AND METHODS: The subjects of this study were participants in a randomized controlled clinical trial for investigating prognosis of implants and overdentures with attachments. Recruited subjects were classified by gender, age, and participation motives. Withdrawal rate of the participants before and after enrollment were evaluated. RESULTS: 177 patients were recruited and 51 patients were enrolled for the trial. Among them, 40 participants eventually took part in the trial. 116 subjects (65.5%) were recruited by advertisement and 61 (34.5%) were referred by patients of the hospital or local clinics. Regarding recruitment effectiveness, newspaper recruited the largest number of participants. With respect to referral patients, the proportion of our hospital patients was higher (37/61). Subjects in their 70s comprised the largest proportion (22/51). The male to female ratio was similar (25:26). Final withdrawal rate of all subjects were 74.0%. Among the reasons for withdrawal from enrollment (n=126) presence of remaining teeth and lack of motivation were the most common reasons. CONCLUSION: To facilitate recruitment of clinical trial subjects and improve enrollment rate, it is important to obtain a sufficient number of researchers, perform promotion activity with diverse strategies, cooperate with local dentists, increase the research funding, and alleviate subjects' fear against clinical trials by thorough consultation.
Dentists ; Denture, Overlay ; Female ; Financial Management ; Humans ; Male ; Motivation ; Periodicals ; Prognosis ; Prospective Studies ; Referral and Consultation ; Tooth

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Use of polyaryletherketone (PAEK) based polymer for implant-supported telescopic overdenture: A case report.

Chan PARK ; Dae Jeon JUN ; Sang Won PARK ; Hyun Pil LIM

The Journal of Advanced Prosthodontics.2017;9(1):74-76. doi:10.4047/jap.2017.9.1.74

Although many prosthetic materials exist for fabrication of implant-supported telescopic overdentures, available materials have not been thoroughly evaluated from a functional standpoint. This case report describes the use of polyaryletherketone (PAEK) based polymer for an implant-supported telescopic overdenture, a seldom used material in dentistry. This material is lighter than traditional materials, can accommodate changes in retentive forces, and is an easily retrievable by CAD/CAM fabrication. This case highlights the possibility of using new polymer materials for implant-supported telescopic overdentures.
Dentistry ; Denture, Overlay* ; Polymers*

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The effect of coloring liquid dipping time on the fracture load and color of zirconia ceramics.

Ekren ORHUN

The Journal of Advanced Prosthodontics.2017;9(1):67-73. doi:10.4047/jap.2017.9.1.67

PURPOSE: The aims of the study were to evaluate the fracture load of zirconia core material after dipping in coloring liquid at different time intervals and to compare the color of dipped blocks with that of prefabricated shaded blocks. MATERIALS AND METHODS: 3-unit bridge frameworks were designed digitally. Sixty frameworks were fabricated using uncolored zirconia blocks by CAD/CAM and divided into 4 groups randomly (n = 15). Group 2 (G2) was subjected to coloring liquids for 2 minutes, Group 4 (G4) for 4 minutes, and Group 6 (G6) for 6 minutes. CFS group was not subjected to any coloring procedure. After coloring, color differences between the test groups and a prefabricated shaded zirconia group (CPZ, n = 15) were evaluated by using a spectrophotometer. Fracture test was conducted immediately after shade evaluation with a Testometric test device at a cross-head speed of 1 mm/sec. Statistical analysis for evaluating color and fracture load was performed by using one way ANOVA followed by Tukey HSD test (P ≤ .05). Weibull analysis was conducted for distribution of fracture load. RESULTS: There was no difference in terms of fracture load and color between CFS (1176.681 N) and G2 (985.638 N) group and between CPZ (81.340) and G2 (81.140) group, respectively. Fracture load values of G4 (779.340 N) and G6 (935.491 N) groups were statistically significantly lower than that of CFS group (P ≤ .005). The color values of G4 (79.340) and G6 (79.673) groups were statistically different than that of CPZ group (P ≤ .005). CONCLUSION: Prolonged immersion of zirconia in coloring liquid not only negatively affected the fracture load of the zirconia being tested in the current study but also deteriorated the desired shade of the restoration.
Ceramics* ; Immersion

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The effect of repeated bonding on the shear bond strength of different resin cements to enamel and dentin.

Ali Can BULUT ; Saadet Sağlam ATSÜ

The Journal of Advanced Prosthodontics.2017;9(1):57-66. doi:10.4047/jap.2017.9.1.57

PURPOSE: Cementation failures of restorations are frequently observed in clinical practice. The purpose of this study is to compare the effect of initial and repeated bonding on the bond strengths of different resin cements to enamel and dentin. MATERIALS AND METHODS: Ninety human maxillary central incisors were bisected longitudinally. The 180 tooth halves were divided into 2 groups (n = 90) for enamel and dentin bonding. The enamel and dentin groups were further divided into 3 groups (n = 30) for different resin cement types. Composite resin (Filtek Ultimate) cylinders (3 × 3 mm) were prepared and luted to enamel and dentin using Variolink II (Group V), RelyX ARC (Group R), or Panavia F 2.0 (Group P) resin cement. After 24 hours, initial shear bond strengths of the resin cements to enamel and dentin were measured. Using new cylinders, the specimens were de-bonded and re-bonded twice to measure the first and the second bond strengths to enamel and dentin. Failure modes and bonding interfaces were examined. Data were statistically analyzed. RESULTS: Initial and repeated bond strengths to enamel were similar for all the groups. The first (15.3 ± 2.2 MPa) and second (10.4 ± 2.2 MPa) bond strengths to dentin were significantly higher in Group V (P<.0001). Second bond strengths of dentin groups were significantly lower than initial and first bond strengths to dentin (P<.0001). CONCLUSION: All resin cements have similar initial and repeated bond strengths to enamel. Variolink II has the highest first and second bond strength to dentin. Bond strength to dentin decreases after the first re-bonding for all resin cements.
Cementation ; Dental Bonding ; Dental Enamel* ; Dentin* ; Humans ; Incisor ; Resin Cements* ; Shear Strength ; Tooth

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Comparison of the bond strength of ceramics to Co-Cr alloys made by casting and selective laser melting.

Shirin LAWAF ; Shahbaz NASERMOSTOFI ; Mahtasadat AFRADEH ; Arash AZIZI

The Journal of Advanced Prosthodontics.2017;9(1):52-56. doi:10.4047/jap.2017.9.1.52

PURPOSE: Considering the importance of metal-ceramic bond, the present study aimed to compare the bond strength of ceramics to cobalt-chrome (Co-Cr) alloys made by casting and selective laser melting (SLM). MATERIALS AND METHODS: In this in-vitro experimental study, two sample groups were prepared, with one group comprising of 10 Co-Cr metal frameworks fabricated by SLM method and the other of 10 Co-Cr metal frameworks fabricated by lost wax cast method with the dimensions of 0.5 × 3 × 25 mm (following ISO standard 9693). Porcelain with the thickness of 1.1 mm was applied on a 3 × 8-mm central rectangular area of each sample. Afterwards, bond strengths of the samples were assessed with a Universal Testing Machine. Statistical analysis was performed with Kolmogorov-Smirnov test and T-test. RESULTS: Bond strength in the conventionally cast group equaled 74.94 ± 16.06 MPa, while in SLM group, it equaled 69.02 ± 5.77 MPa. The difference was not statistically significant (P ≤ .05). CONCLUSION: The results indicated that the bond strengths between ceramic and Co-Cr alloys made by casting and SLM methods were not statistically different.
Alloys* ; Ceramics* ; Dental Porcelain ; Freezing* ; Methods

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Effect of different lateral occlusion schemes on peri-implant strain: A laboratory study.

Jennifer LO ; Jaafar ABDUO ; Joseph PALAMARA

The Journal of Advanced Prosthodontics.2017;9(1):45-51. doi:10.4047/jap.2017.9.1.45

PURPOSE: This study aims to investigate the effects of four different lateral occlusion schemes and different excursions on peri-implant strains of a maxillary canine implant. MATERIALS AND METHODS: Four metal crowns with different occlusion schemes were attached to an implant in the maxillary canine region of a resin model. The included schemes were canine-guided (CG) occlusion, group function (GF) occlusion, long centric (LC) occlusion, and implant-protected (IP) occlusion. Each crown was loaded in three sites that correspond to maximal intercuspation (MI), 1 mm excursion, and 2 mm excursion. A load of 140 N was applied on each site and was repeated 10 times. The peri-implant strain was recorded by a rosette strain gauge that was attached on the resin model buccal to the implant. For each loading condition, the maximum shear strain value was calculated. RESULTS: The different schemes and excursive positions had impact on the peri-implant strains. At MI and 1 mm positions, the GF had the least strains, followed by IP, CG, and LC. At 2 mm, the least strains were associated with GF, followed by CG, LC, and IP. However, regardless of the occlusion scheme, as the excursion increases, a linear increase of peri-implant strains was detected. CONCLUSION: The peri-implant strain is susceptible to occlusal factors. The eccentric location appears to be more influential on peri-implant strains than the occlusion scheme. Therefore, adopting an occlusion scheme that can reduce the occurrence of occlusal contacts laterally may be beneficial in reducing peri-implant strains.
Crowns ; Dental Occlusion

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Microtensile bond strength of repaired indirect resin composite.

Porntida VISUTTIWATTANAKORN ; Kallaya SUPUTTAMONGKOL ; Duangjai ANGKOONSIT ; Sunattha KAEWTHONG ; Piyanan CHAROONANAN

The Journal of Advanced Prosthodontics.2017;9(1):38-44. doi:10.4047/jap.2017.9.1.38

PURPOSE: The objective of this study was to investigate the effect of surface treatments on microtensile bond strengths (MTBSs) of two types of indirect resin composites bonded to a conventional direct resin composite. MATERIALS AND METHODS: Indirect resin composite blocks of Ceramage and SR Nexco were prepared in a plastic mold having a dimension of 10 × 10 × 4 mm. These composite blocks were divided into three groups according to their surface treatments: Group1: Sandblast (SB); Group2: Sandblast and ultrasonically clean (SB+UL); Group3: Sandblast plus silane (SB+SI). After bonding with direct resin composite, indirect-direct resin composite blocks were kept in distilled water for 24 hours at 37℃ and cut into microbars with the dimension of 1 × 1 × 8 mm. Microbar specimens (n = 40 per group) were loaded using a universal testing machine. Failure modes and compositions were evaluated by SEM. The statistical analyses of MTBS were performed by two-way ANOVA and Dunnett's test at α = .05. RESULTS: Surface treatments and brands had effects on the MTBS without an interaction between these two factors. For SR Nexco, the MTBSs of SB and SB+SI group were significantly higher than that of SB+UL. For Ceramage, the MTBSs of SB and SB+SI were significantly higher than that of SB+UL. The mean MTBS of the Ceramage specimens was significantly higher than that of SR Nexco for all surface treatments. CONCLUSION: Sandblasting with or without silane application could improve the bond strengths of repaired indirect resin composites to a conventional direct resin composite.
Fungi ; Plastics ; Ultrasonics ; Water

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Three-dimensional finite element analysis of platform switched implant.

Se Young MOON ; Young Jun LIM ; Myung Joo KIM ; Ho Beom KWON

The Journal of Advanced Prosthodontics.2017;9(1):31-37. doi:10.4047/jap.2017.9.1.31

PURPOSE: The purpose of this study was to analyze the influence of the platform switching concept on an implant system and peri-implant bone using three-dimensional finite element analysis. MATERIALS AND METHODS: Two three-dimensional finite element models for wide platform and platform switching were created. In the wide platform model, a wide platform abutment was connected to a wide platform implant. In the platform switching model, the wide platform abutment of the wide platform model was replaced by a regular platform abutment. A contact condition was set between the implant components. A vertical load of 300 N was applied to the crown. The maximum von Mises stress values and displacements of the two models were compared to analyze the biomechanical behavior of the models. RESULTS: In the two models, the stress was mainly concentrated at the bottom of the abutment and the top surface of the implant in both models. However, the von Mises stress values were much higher in the platform switching model in most of the components, except for the bone. The highest von Mises values and stress distribution pattern of the bone were similar in the two models. The components of the platform switching model showed greater displacement than those of the wide platform model. CONCLUSION: Due to the stress concentration generated in the implant and the prosthodontic components of the platform switched implant, the mechanical complications might occur when platform switching concept is used.
Crowns ; Dental Implant-Abutment Design ; Dental Implants ; Finite Element Analysis*

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Comparison of the fracture resistances of glass fiber mesh- and metal mesh-reinforced maxillary complete denture under dynamic fatigue loading.

So Min IM ; Yoon Hyuk HUH ; Lee Ra CHO ; Chan Jin PARK

The Journal of Advanced Prosthodontics.2017;9(1):22-30. doi:10.4047/jap.2017.9.1.22

PURPOSE: The aim of this study was to investigate the effect of reinforcing materials on the fracture resistances of glass fiber mesh- and Cr–Co metal mesh-reinforced maxillary complete dentures under fatigue loading. MATERIALS AND METHODS: Glass fiber mesh- and Cr–Co mesh-reinforced maxillary complete dentures were fabricated using silicone molds and acrylic resin. A control group was prepared with no reinforcement (n = 15 per group). After fatigue loading was applied using a chewing simulator, fracture resistance was measured by a universal testing machine. The fracture patterns were analyzed and the fractured surfaces were observed by scanning electron microscopy. RESULTS: After cyclic loading, none of the dentures showed cracks or fractures. During fracture resistance testing, all unreinforced dentures experienced complete fracture. The mesh-reinforced dentures primarily showed posterior framework fracture. Deformation of the all-metal framework caused the metal mesh-reinforced denture to exhibit the highest fracture resistance, followed by the glass fiber mesh-reinforced denture (P<.05) and the control group (P<.05). The glass fiber mesh-reinforced denture primarily maintained its original shape with unbroken fibers. River line pattern of the control group, dimples and interdendritic fractures of the metal mesh group, and radial fracture lines of the glass fiber group were observed on the fractured surfaces. CONCLUSION: The glass fiber mesh-reinforced denture exhibits a fracture resistance higher than that of the unreinforced denture, but lower than that of the metal mesh-reinforced denture because of the deformation of the metal mesh. The glass fiber mesh-reinforced denture maintains its shape even after fracture, indicating the possibility of easier repair.
Denture, Complete* ; Dentures ; Fatigue* ; Fungi ; Glass* ; Mastication ; Microscopy, Electron, Scanning ; Rivers ; Silicon ; Silicones

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