Implant adaptation of stock abutments versus CAD/CAM abutments: a radiographic and scanning electron microscopy study

Apicella, Davide and Veltri, Mario and Chieffi, Nicoletta and Polimeni, Nicoletta and Giovannetti, Agostino and Ferrari, Marco (2010) Implant adaptation of stock abutments versus CAD/CAM abutments: a radiographic and scanning electron microscopy study. Annali di stomatologia, 1 (3-4). pp. 9-13. ISSN 1971-1441

Preview

PDF Paper_3.2.pdf - Published Version Download (654kB)

Abstract

Introduction. The study evaluated a null-hypothesis of no differences of fit between stock abutments and CAD/CAM titanium, gold sputtered and zirconia abutments when examined for radiographic adaptation and Scanning Electron Microcopy (SEM) at their inner aspect. The agreement between microscopic and radiographic fit was also assessed. Methods. Implants (Osseospeed, Astra Tech, Mölndal, Sweden) were connected to titanium abutments (Ti-design, Astra Tech, Mölndal, Sweden) (control group n=12), to stock zirconia abutments (Zir-design, Astra Tech) (group 1 n=12) and to third party zirconia abutments (Aadva Zr abutment, GC, Tokyo, Japan) as observed under SEM (JEOL JSM-6060LV, Tokyo, Japan). Two independent operators blindly evaluated the images, according to a three-score scale: perfect adaptation, no complete adaptation, and clear evidence of no adaptation. A Kruskal-Wallis test was applied to assess significant differences in adaptation scores between the groups. Results. All specimens showed precise SEM adaptation at all tested interfaces and no radiographically apparent gaps. No significant differences were found and therefore the null-hypothesis tested was accepted. Radiographic and SEM scores were in agreement. Discussion. CAD/CAM titanium, gold sputtered and zirconia abutments and third-part CAD/CAM zirconia abutments show an adaptation to Astra Tech implants that is comparable to that of stock titanium and zirconia abutments. Clinicians might be able to verify such adaptation with an x-ray. In-vivo studies would be needed to evaluate the clinical outcome of CAD/CAM abutments.

Item Type:	Article
Uncontrolled Keywords:	Titanium, zirconia, interface, abutment
Subjects:	600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia > 617.5 Medicina regionale; Chirurgia regionale
Depositing User:	Chiara D'Arpa
Date Deposited:	03 Apr 2013 11:16
Last Modified:	15 May 2013 11:29
URI:	http://eprints.bice.rm.cnr.it/id/eprint/4777

Actions (login required)

View Item