TY - JOUR
T1 - 3-Year Randomized Controlled Prospective Clinical Trial on Different CAD-CAM Implant Abutments
AU - Ferrari, Marco
AU - Tricarico, Maria Gabriella
AU - Cagidiaco, Maria Crysanti
AU - Vichi, Alessandro
AU - Gherlone, Enrico Felice
AU - Zarone, Fernando
AU - Sorrentino, Roberto
PY - 2016
Y1 - 2016
N2 - Background: Zirconia abutments were introduced to restore esthetic regions and showed sufficient stability to support implant restorations. Nonetheless, to date the observation periods are shorter than those of titanium abutments. Purpose: To assess the survival of implant crowns supported by computer aided design-computer aided manufacturing (CAD-CAM) abutments after 3 years. Materials and Methods: Fifty-six patients were selected for this prospective clinical study. Each patient received at least 1 titanium implant for a total of 89 fixtures. A two-stage surgical technique and no additional soft or hard tissue graft were used. The implants were randomly divided into 3 groups receiving different CAD-CAM abutments: titanium, titanium nitride, and zirconia. Zirconia or metal-ceramic crowns were used as final restorations. Cementation was the baseline and the restorations were checked after 6 months, 1, 2, and 3 years, assessing any mechanical complication. Statistical analyses were performed to evaluate the 3-year success rates. Results: Five failures were reported in the zirconia group; all the failed restorations showed fractures of the abutment connection. Four failures occurred in posterior regions and one more occurred while screwing the abutment. Titanium and titanium nitride abutments had significantly higher 3-year success rates than zirconia abutments (p
AB - Background: Zirconia abutments were introduced to restore esthetic regions and showed sufficient stability to support implant restorations. Nonetheless, to date the observation periods are shorter than those of titanium abutments. Purpose: To assess the survival of implant crowns supported by computer aided design-computer aided manufacturing (CAD-CAM) abutments after 3 years. Materials and Methods: Fifty-six patients were selected for this prospective clinical study. Each patient received at least 1 titanium implant for a total of 89 fixtures. A two-stage surgical technique and no additional soft or hard tissue graft were used. The implants were randomly divided into 3 groups receiving different CAD-CAM abutments: titanium, titanium nitride, and zirconia. Zirconia or metal-ceramic crowns were used as final restorations. Cementation was the baseline and the restorations were checked after 6 months, 1, 2, and 3 years, assessing any mechanical complication. Statistical analyses were performed to evaluate the 3-year success rates. Results: Five failures were reported in the zirconia group; all the failed restorations showed fractures of the abutment connection. Four failures occurred in posterior regions and one more occurred while screwing the abutment. Titanium and titanium nitride abutments had significantly higher 3-year success rates than zirconia abutments (p
KW - Clinical trial
KW - Computer aided design-computer aided manufacturing
KW - Implant abutment
KW - Prosthodontics
KW - Zirconia
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U2 - 10.1111/cid.12418
DO - 10.1111/cid.12418
M3 - Article
AN - SCOPUS:84960905960
JO - Clinical Implant Dentistry and Related Research
JF - Clinical Implant Dentistry and Related Research
SN - 1523-0899
ER -