+1 Recommend
0 collections
      • Record: found
      • Abstract: found
      • Article: not found

      Fracture resistance of crowns cemented on titanium and zirconia implant abutments: a comparison of monolithic versus manually veneered all-ceramic systems.

      The International journal of oral & maxillofacial implants

      Analysis of Variance, Ceramics, Computer-Aided Design, Crowns, Dental Implant-Abutment Design, methods, standards, Dental Porcelain, chemistry, Dental Restoration Failure, Dental Stress Analysis, Humans, Incisor, Maxilla, Titanium, Yttrium, Zirconium

      Read this article at

          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.


          To evaluate the fracture resistance of all-ceramic crowns cemented on titanium and zirconia implant abutments. Customized implant abutments for maxillary right central incisors made of titanium (Ti) and zirconia (Zr) (n=60, n=30 per group) were fabricated for an internal connection implant system. All-ceramic crowns were fabricated for their corresponding implant abutments using the following systems (n=10 per group): (1) monolithic computer-aided design/computer-assisted manufacture (CAD/CAM) lithium disilicate (MLD); (2) pressed lithium disilicate (PLD); (3) yttrium stabilized tetragonal zirconia polycrystal (YTZP). The frameworks of both PLD and YTZP systems were manually veneered with a fluorapatite-based ceramic. The crowns were adhesively cemented to their implant abutments and loaded to fracture in a universal testing machine (0.5 mm/minute). Data were analyzed using two-way analysis of variance (ANOVA) and Tukey's test (α=0.05). Both the abutment material (P=.0001) and the ceramic crown system (P=.028) significantly affected the results. Interaction terms were not significant (P=.598). Ti-MLD (558.5±35 N) showed the highest mean fracture resistance among all abutment-crown combinations (340.3±62-495.9±53 N) (P<.05). Both MLD and veneered ceramic systems in combination with Ti abutments (558.5±35-495.9±53 N) presented significantly higher values than with Zr abutments (392.9±55-340.3±62 N) (P<.05). MLD crown system showed significantly higher mean fracture resistance compared to manually veneered ones on both Ti and Zr abutments (P<.05). While Ti-MLD and Ti-PLD abutment-crown combinations failed only in the crowns without abutment fractures, Zr-YTZP combination failed exclusively in the abutment without crown fracture. Zr-MLD and Zr-PLD failed predominantly in both the abutment and the crown. Ti-YTZP showed only implant neck distortion. The highest fracture resistance was obtained with titanium abutments restored with MLD crowns, but the failure type was more favorable with Ti-YTZP combination.

          Related collections

          Author and article information



          Comment on this article