Fracture resistance of titanium and zirconia abutments: An in vitro study

Statement of problem Little information comparing the fracture resistance of internal connection titanium and zirconia abutments exists to validate their use intraorally. Purpose The purpose of this study was to determine the fracture resistance of internal connection titanium and zirconia abutments...

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Veröffentlicht in:The Journal of prosthetic dentistry 2013-05, Vol.109 (5), p.304-312
Hauptverfasser: Foong, Jamie K.W., BDSc, DCD, Judge, Roy B., BDS, LDS, RCS, MDSc, PhD, Palamara, Joseph E., BDSc, PhD, Swain, Michael V., BSc, PhD
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container_end_page 312
container_issue 5
container_start_page 304
container_title The Journal of prosthetic dentistry
container_volume 109
creator Foong, Jamie K.W., BDSc, DCD
Judge, Roy B., BDS, LDS, RCS, MDSc, PhD
Palamara, Joseph E., BDSc, PhD
Swain, Michael V., BSc, PhD
description Statement of problem Little information comparing the fracture resistance of internal connection titanium and zirconia abutments exists to validate their use intraorally. Purpose The purpose of this study was to determine the fracture resistance of internal connection titanium and zirconia abutments by simulating cyclic masticatory loads in vitro. Material and methods Twenty-two specimens simulating implant-supported anterior single crowns were randomly divided into 2 equal test groups: Group T with titanium abutments and Group Z with zirconia abutments. Abutments were attached to dental implants mounted in acrylic resin, and computer-aided design/computer-aided manufacturing (CAD/CAM) crowns were fabricated. Masticatory function was simulated by using cyclic loading in a stepped fatigue loading protocol until failure. Failed specimens were then analyzed by using scanning electron microscopy (SEM) and fractographic analysis. The load (N) and the number of cycles at which fracture occurred were collected and statistically analyzed by using a 2-sample t test (α=.05). Results The titanium abutment group fractured at a mean (SD) load of 270 (56.7) N and a mean (SD) number of 81 935 (27 929) cycles. The zirconia abutment group fractured at a mean (SD) load of 140 (24.6) N and a mean (SD) number of 26 296 (9200) cycles. The differences between the groups were statistically significant for mean load and number of cycles ( P
doi_str_mv 10.1016/S0022-3913(13)60306-6
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Purpose The purpose of this study was to determine the fracture resistance of internal connection titanium and zirconia abutments by simulating cyclic masticatory loads in vitro. Material and methods Twenty-two specimens simulating implant-supported anterior single crowns were randomly divided into 2 equal test groups: Group T with titanium abutments and Group Z with zirconia abutments. Abutments were attached to dental implants mounted in acrylic resin, and computer-aided design/computer-aided manufacturing (CAD/CAM) crowns were fabricated. Masticatory function was simulated by using cyclic loading in a stepped fatigue loading protocol until failure. Failed specimens were then analyzed by using scanning electron microscopy (SEM) and fractographic analysis. The load (N) and the number of cycles at which fracture occurred were collected and statistically analyzed by using a 2-sample t test (α=.05). Results The titanium abutment group fractured at a mean (SD) load of 270 (56.7) N and a mean (SD) number of 81 935 (27 929) cycles. The zirconia abutment group fractured at a mean (SD) load of 140 (24.6) N and a mean (SD) number of 26 296 (9200) cycles. The differences between the groups were statistically significant for mean load and number of cycles ( P &lt;.001). For the titanium abutment specimens, multiple modes of failure occurred. The mode of failure of the zirconia abutments was fracture at the apical portion of the abutment without damage or plastic deformation of the abutment screw or implant. Conclusions Within the limitations of this in vitro study, 1-piece zirconia abutments exhibited a significantly lower fracture resistance than titanium abutments. The mode of failure is specific to the abutment material and design, with the zirconia abutment fracturing before the retentive abutment screw.</description><identifier>ISSN: 0022-3913</identifier><identifier>EISSN: 1097-6841</identifier><identifier>DOI: 10.1016/S0022-3913(13)60306-6</identifier><identifier>PMID: 23684280</identifier><language>eng</language><publisher>United States: Mosby, Inc</publisher><subject>Bite Force ; Computer-Aided Design ; Crowns ; Dental Abutments ; Dental Implant-Abutment Design ; Dental Implants, Single-Tooth ; Dental Materials - chemistry ; Dental Prosthesis, Implant-Supported ; Dental Restoration Failure ; Dentistry ; Fatigue failure ; Fracture mechanics ; Fracture toughness ; Humans ; In vitro testing ; Mastication - physiology ; Materials Testing ; Microscopy, Electron, Scanning ; Screws ; Simulation ; Stress, Mechanical ; Surface Properties ; Titanium - chemistry ; Titanium base alloys ; Zirconium - chemistry ; Zirconium dioxide</subject><ispartof>The Journal of prosthetic dentistry, 2013-05, Vol.109 (5), p.304-312</ispartof><rights>The Editorial Council of the Journal of Prosthetic Dentistry</rights><rights>2013 The Editorial Council of the Journal of Prosthetic Dentistry</rights><rights>Copyright © 2013 The Editorial Council of the Journal of Prosthetic Dentistry. Published by Mosby, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c552t-414ed190e5eae028d6fe11ab92599fa27455e04ff45dc62d03974537b3ab7a543</citedby><cites>FETCH-LOGICAL-c552t-414ed190e5eae028d6fe11ab92599fa27455e04ff45dc62d03974537b3ab7a543</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0022-3913(13)60306-6$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23684280$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Foong, Jamie K.W., BDSc, DCD</creatorcontrib><creatorcontrib>Judge, Roy B., BDS, LDS, RCS, MDSc, PhD</creatorcontrib><creatorcontrib>Palamara, Joseph E., BDSc, PhD</creatorcontrib><creatorcontrib>Swain, Michael V., BSc, PhD</creatorcontrib><title>Fracture resistance of titanium and zirconia abutments: An in vitro study</title><title>The Journal of prosthetic dentistry</title><addtitle>J Prosthet Dent</addtitle><description>Statement of problem Little information comparing the fracture resistance of internal connection titanium and zirconia abutments exists to validate their use intraorally. Purpose The purpose of this study was to determine the fracture resistance of internal connection titanium and zirconia abutments by simulating cyclic masticatory loads in vitro. Material and methods Twenty-two specimens simulating implant-supported anterior single crowns were randomly divided into 2 equal test groups: Group T with titanium abutments and Group Z with zirconia abutments. Abutments were attached to dental implants mounted in acrylic resin, and computer-aided design/computer-aided manufacturing (CAD/CAM) crowns were fabricated. Masticatory function was simulated by using cyclic loading in a stepped fatigue loading protocol until failure. Failed specimens were then analyzed by using scanning electron microscopy (SEM) and fractographic analysis. The load (N) and the number of cycles at which fracture occurred were collected and statistically analyzed by using a 2-sample t test (α=.05). Results The titanium abutment group fractured at a mean (SD) load of 270 (56.7) N and a mean (SD) number of 81 935 (27 929) cycles. The zirconia abutment group fractured at a mean (SD) load of 140 (24.6) N and a mean (SD) number of 26 296 (9200) cycles. The differences between the groups were statistically significant for mean load and number of cycles ( P &lt;.001). For the titanium abutment specimens, multiple modes of failure occurred. The mode of failure of the zirconia abutments was fracture at the apical portion of the abutment without damage or plastic deformation of the abutment screw or implant. Conclusions Within the limitations of this in vitro study, 1-piece zirconia abutments exhibited a significantly lower fracture resistance than titanium abutments. The mode of failure is specific to the abutment material and design, with the zirconia abutment fracturing before the retentive abutment screw.</description><subject>Bite Force</subject><subject>Computer-Aided Design</subject><subject>Crowns</subject><subject>Dental Abutments</subject><subject>Dental Implant-Abutment Design</subject><subject>Dental Implants, Single-Tooth</subject><subject>Dental Materials - chemistry</subject><subject>Dental Prosthesis, Implant-Supported</subject><subject>Dental Restoration Failure</subject><subject>Dentistry</subject><subject>Fatigue failure</subject><subject>Fracture mechanics</subject><subject>Fracture toughness</subject><subject>Humans</subject><subject>In vitro testing</subject><subject>Mastication - physiology</subject><subject>Materials Testing</subject><subject>Microscopy, Electron, Scanning</subject><subject>Screws</subject><subject>Simulation</subject><subject>Stress, Mechanical</subject><subject>Surface Properties</subject><subject>Titanium - chemistry</subject><subject>Titanium base alloys</subject><subject>Zirconium - chemistry</subject><subject>Zirconium dioxide</subject><issn>0022-3913</issn><issn>1097-6841</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkcFu1DAQhi0EokvhEUA-lkPK2I6dmANVVVFaqRIH4Gw59kRySZxiO5WWp8e7W3rgUk4eWd__jzQfIW8ZnDJg6sM3AM4boZk4YeK9AgGqUc_IhoHuGtW37DnZPCJH5FXOtwDQy469JEdcVIL3sCHXl8m6siakCXPIxUaHdBlpCXUM60xt9PR3SG6JwVI7rGXGWPJHeh5piPQ-lLTQXFa_fU1ejHbK-ObhPSY_Lj9_v7hqbr5-ub44v2mclLw0LWvRMw0o0SLw3qsRGbOD5lLr0fKulRKhHcdWeqe4B6Hrl-gGYYfOylYck5ND711afq2Yi5lDdjhNNuKyZsOU5gJ6LdjTqOi4kr1W_D9QKdqe8z0qD6hLS84JR3OXwmzT1jAwOzdm78bsDl9zZu_GqJp797BiHWb0j6m_MipwdgCwnu8-YDLZBaxCfEjoivFLeHLFp38a3BRicHb6iVvMt8uaYnVjmMncwKFk18HEvkGJP99FsQQ</recordid><startdate>20130501</startdate><enddate>20130501</enddate><creator>Foong, Jamie K.W., BDSc, DCD</creator><creator>Judge, Roy B., BDS, LDS, RCS, MDSc, PhD</creator><creator>Palamara, Joseph E., BDSc, PhD</creator><creator>Swain, Michael V., BSc, PhD</creator><general>Mosby, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7SR</scope><scope>7TB</scope><scope>7U5</scope><scope>8BQ</scope><scope>8FD</scope><scope>F28</scope><scope>FR3</scope><scope>JG9</scope><scope>L7M</scope></search><sort><creationdate>20130501</creationdate><title>Fracture resistance of titanium and zirconia abutments: An in vitro study</title><author>Foong, Jamie K.W., BDSc, DCD ; Judge, Roy B., BDS, LDS, RCS, MDSc, PhD ; Palamara, Joseph E., BDSc, PhD ; Swain, Michael V., BSc, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c552t-414ed190e5eae028d6fe11ab92599fa27455e04ff45dc62d03974537b3ab7a543</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Bite Force</topic><topic>Computer-Aided Design</topic><topic>Crowns</topic><topic>Dental Abutments</topic><topic>Dental Implant-Abutment Design</topic><topic>Dental Implants, Single-Tooth</topic><topic>Dental Materials - chemistry</topic><topic>Dental Prosthesis, Implant-Supported</topic><topic>Dental Restoration Failure</topic><topic>Dentistry</topic><topic>Fatigue failure</topic><topic>Fracture mechanics</topic><topic>Fracture toughness</topic><topic>Humans</topic><topic>In vitro testing</topic><topic>Mastication - physiology</topic><topic>Materials Testing</topic><topic>Microscopy, Electron, Scanning</topic><topic>Screws</topic><topic>Simulation</topic><topic>Stress, Mechanical</topic><topic>Surface Properties</topic><topic>Titanium - chemistry</topic><topic>Titanium base alloys</topic><topic>Zirconium - chemistry</topic><topic>Zirconium dioxide</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Foong, Jamie K.W., BDSc, DCD</creatorcontrib><creatorcontrib>Judge, Roy B., BDS, LDS, RCS, MDSc, PhD</creatorcontrib><creatorcontrib>Palamara, Joseph E., BDSc, PhD</creatorcontrib><creatorcontrib>Swain, Michael V., BSc, PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Engineered Materials Abstracts</collection><collection>Mechanical &amp; Transportation Engineering Abstracts</collection><collection>Solid State and Superconductivity Abstracts</collection><collection>METADEX</collection><collection>Technology Research Database</collection><collection>ANTE: Abstracts in New Technology &amp; Engineering</collection><collection>Engineering Research Database</collection><collection>Materials Research Database</collection><collection>Advanced Technologies Database with Aerospace</collection><jtitle>The Journal of prosthetic dentistry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Foong, Jamie K.W., BDSc, DCD</au><au>Judge, Roy B., BDS, LDS, RCS, MDSc, PhD</au><au>Palamara, Joseph E., BDSc, PhD</au><au>Swain, Michael V., BSc, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fracture resistance of titanium and zirconia abutments: An in vitro study</atitle><jtitle>The Journal of prosthetic dentistry</jtitle><addtitle>J Prosthet Dent</addtitle><date>2013-05-01</date><risdate>2013</risdate><volume>109</volume><issue>5</issue><spage>304</spage><epage>312</epage><pages>304-312</pages><issn>0022-3913</issn><eissn>1097-6841</eissn><abstract>Statement of problem Little information comparing the fracture resistance of internal connection titanium and zirconia abutments exists to validate their use intraorally. Purpose The purpose of this study was to determine the fracture resistance of internal connection titanium and zirconia abutments by simulating cyclic masticatory loads in vitro. Material and methods Twenty-two specimens simulating implant-supported anterior single crowns were randomly divided into 2 equal test groups: Group T with titanium abutments and Group Z with zirconia abutments. Abutments were attached to dental implants mounted in acrylic resin, and computer-aided design/computer-aided manufacturing (CAD/CAM) crowns were fabricated. Masticatory function was simulated by using cyclic loading in a stepped fatigue loading protocol until failure. Failed specimens were then analyzed by using scanning electron microscopy (SEM) and fractographic analysis. The load (N) and the number of cycles at which fracture occurred were collected and statistically analyzed by using a 2-sample t test (α=.05). Results The titanium abutment group fractured at a mean (SD) load of 270 (56.7) N and a mean (SD) number of 81 935 (27 929) cycles. The zirconia abutment group fractured at a mean (SD) load of 140 (24.6) N and a mean (SD) number of 26 296 (9200) cycles. The differences between the groups were statistically significant for mean load and number of cycles ( P &lt;.001). For the titanium abutment specimens, multiple modes of failure occurred. The mode of failure of the zirconia abutments was fracture at the apical portion of the abutment without damage or plastic deformation of the abutment screw or implant. Conclusions Within the limitations of this in vitro study, 1-piece zirconia abutments exhibited a significantly lower fracture resistance than titanium abutments. The mode of failure is specific to the abutment material and design, with the zirconia abutment fracturing before the retentive abutment screw.</abstract><cop>United States</cop><pub>Mosby, Inc</pub><pmid>23684280</pmid><doi>10.1016/S0022-3913(13)60306-6</doi><tpages>9</tpages></addata></record>
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source MEDLINE; Access via ScienceDirect (Elsevier)
subjects Bite Force
Computer-Aided Design
Crowns
Dental Abutments
Dental Implant-Abutment Design
Dental Implants, Single-Tooth
Dental Materials - chemistry
Dental Prosthesis, Implant-Supported
Dental Restoration Failure
Dentistry
Fatigue failure
Fracture mechanics
Fracture toughness
Humans
In vitro testing
Mastication - physiology
Materials Testing
Microscopy, Electron, Scanning
Screws
Simulation
Stress, Mechanical
Surface Properties
Titanium - chemistry
Titanium base alloys
Zirconium - chemistry
Zirconium dioxide
title Fracture resistance of titanium and zirconia abutments: An in vitro study
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