Monolithic Polymer-Infiltrated Ceramic Network CAD/CAM Single Crowns: Three-Year Mid-Term Results of a Prospective Clinical Study

2020 ◽  
Vol 33 (2) ◽  
pp. 160-168 ◽  
Author(s):  
Frank Spitznagel ◽  
Konstantin Scholz ◽  
Kristin Vach ◽  
Petra Gierthmuehlen

2014 ◽  
Vol 30 ◽  
pp. e89
Author(s):  
R. Leone ◽  
F. Zarone ◽  
P. Piombino ◽  
R. Sorrentino


Author(s):  
Francesco Mangano ◽  
Uli Hauschild ◽  
Oleg Admakin

Background: Guided implant surgery appears to have several benefits, such as the possibility of inserting flapless implants in a prosthetically driven manner, avoiding dangerous anatomical structures. However, to date, only a few surgeons routinely use guided surgery in partially edentulous patients. Aim: To present the results obtained with tooth-supported surgical templates characterized by an innovative open design with selective support, and manufactured via a full in-office procedure with a low-cost desktop 3D printer. Methods: Over a two-year period (2016–2018), all partially edentulous patients with one to three missing teeth (in maxilla and/or mandible), referred to a private dental practice for restoration with dental implants, were considered for inclusion in this prospective clinical study. An intraoral scanner (CS 3600®, Carestream Dental) and cone beam computed tomography (CS 9300®, Carestream Dental) were used to acquire the 3D information on the patients. Guided surgery software (SMOP®, Swissmeda) was used to plan the surgeries and to design open, selective, tooth-supported templates that were fabricated with a stereolithographic (SLA) desktop 3D printer (XFAB2000®, DWS). Guided implant surgeries were performed and patients were followed for a period of one year. The study outcomes were fit and stability of surgical templates, duration (time) of surgery, intra and post-operative complications, and implant stability and survival. Results: Twenty (20) partially edentulous patients (9 males, 11 females; mean age 54.4 ± 9.4 years) were included in the study; 28 open, selective, tooth-supported templates were designed with the aim of inserting 38 implants. Among the surgical templates, 24 had optimal fit and stability, three had optimal fit and sufficient stability, and only one had inadequate fit and unsatisfactory stability and was therefore not suitable for clinical use. The average time of the intervention was 15.7 ± 5.2 min per template. No intra-operative complications were reported, but one implant was not stable at placement and had to be removed. In total, 36 implants were restored with 10 two-unit fixed partial prostheses and 16 single crowns. All implants were successfully functioning at one year, even if, in two single crowns, minor prosthetic complications (abutment screw loosening) occurred. Conclusions: Full in-office guided surgery with open, selective, tooth-supported templates seem to represent a clinically predictable surgical procedure to restore partially edentulous patients. Further studies are needed to confirm these positive outcomes.



2020 ◽  
Vol 92 ◽  
pp. 103245 ◽  
Author(s):  
J Oudkerk ◽  
M Eldafrawy ◽  
S Bekaert ◽  
C Grenade ◽  
A Vanheusden ◽  
...  


2021 ◽  
pp. 103847
Author(s):  
Christopher Herpel ◽  
Antonia Springer ◽  
Galmunkh Puschkin ◽  
Lukas Zimmermann ◽  
Thomas Stober ◽  
...  


2017 ◽  
Vol 22 (5) ◽  
pp. 1973-1983 ◽  
Author(s):  
F. A. Spitznagel ◽  
K. J. Scholz ◽  
J. R. Strub ◽  
K. Vach ◽  
P. C. Gierthmuehlen


2013 ◽  
Vol 25 (8) ◽  
pp. 933-940 ◽  
Author(s):  
Francesco Guido Mangano ◽  
Jamil Awad Shibli ◽  
Rachel Lilian Sammons ◽  
Flavia Iaculli ◽  
Adriano Piattelli ◽  
...  


2014 ◽  
Vol 19 (5) ◽  
pp. 1137-1145 ◽  
Author(s):  
Gianluca M. Tartaglia ◽  
Ernesto Sidoti ◽  
Chiarella Sforza


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Antonio Scarano ◽  
Marco Stoppaccioli ◽  
Tommaso Casolino

Abstract Background The purpose of this prospective clinical study was to evaluate clinical results of the passive fit of the substructure in the Toronto bridge and the chipping or delamination of the ceramic veneering on the zirconia-support, after 5 years, in nine patients rehabilitated with zirconia crowns cemented on titanium bars using CAD/CAM technology. Methods A total of nine healthy patient fully edentulous in the upper and lower jaws with non-contributory past medical anamnesis needing full fixed total prosthesis maxilla and mandible were included in this clinical study, where a total 9 mandibles and 9 jaws were treated. The inclusion criteria in order for a patient to participate in the study were: a signed consent form, fully edentulous in the upper and lower jaws, required a full fixed total prosthesis restoration. The exclusion criteria were age limitation of less than 18 years old, chemotherapy, head and neck radiation therapy, diabetes or periodontal disease, smoking and severe illness. All patients received zirconia crowns cemented on titanium bars using CAD/CAM technology. The primary outcome of this study was to examine the survival rate of the zirconia crowns cemented on titanium bars using CAD/CAM technology during the observation period. Any chipping or delamination of the zirconia crowns of the restorations was considered as failure. The secondary outcome was to evaluate the passive fit of the substructure on the implants, loose of occlusal screws, implant survival and satisfactory occlusion. Results In 5 years of follow-up no evidence of chipping or delamination of the ceramic veneering on the zirconia crown supported were observed. Fifteen finished protesis (93.75%) showed satisfactory occlusion and only one case (6.25%) required significant occlusal adjustment. During the first year recall all bars were stable (100%) no mobility of protheses was recorded. After 5 years all bars were stable (100%) and no mobility of protheses was recorded. Conclusion The computerized workflow for the process of building bar and prosthesis ensures reproducible results and excellent adaptation and passive insertion of them, as well as conditions for avoiding mechanical complications and guarantees stability of screw-implant abutments.



2017 ◽  
Vol 96 (13) ◽  
pp. 1490-1497 ◽  
Author(s):  
M. Ferrari ◽  
R. Sorrentino ◽  
J. Juloski ◽  
S. Grandini ◽  
M. Carrabba ◽  
...  


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