Description
Introduction: In recent years there has, for esthetical reasons, been an increasing request for ceramic in dentistry (1). Dental ceramics are biocompatible (2) and the optical properties are very similar to those of the tooth (3). However, limitations in materials strength to tensile stress (1) have led to development of oxide ceramics with improved resistance against crack propagation, especially those based on zirconium dioxide (zirconia) (4).In implant dentistry it has been suggested that all-ceramic crowns and abutment may lead to reduced greyish discoloration of gingival margin and superior esthetical result (5). Some clinical studies have showed promising survival rates of zirconia abutments (6). However, randomized controlled clinical studies that can confirm these results are needed.
Objective: The purpose of this clinical trial was to compare the short-time esthetical outcome of all-ceramic crowns on zirconia abutments (AC-group, test) with metal-ceramic crowns on titanium abutments (MC-group, control) in patients with tooth agenesis.
Material and Methods: Fourteen patients with 27 implant-supported single crowns replacing one or more premolars were included. The patients were 20-49 years old and had agenesis of three to nine teeth. The crowns and abutments were placed randomly.
Thus, the first abutment and crown was selected by drawing lots. Thereafter, the abutments and crowns were inserted alternately. One to two months after cementation of the crowns all patients were clinically examined. Variables describing the esthetic outcome were assessed using the
“Copenhagen Index Score” (CIS) including assessment of i) symmetry/ harmony, ii) crown morphology, iii) crown color match, vi) mucosal discoloration, v) papilla fill mesially and vi) papilla fill distally (7).
The Wilcoxon rank sum test was used to determine statistically significance of differences in CIS between test and control group.
Results: CIS was calculated for every single crown by addition of registered values of the six different esthetic scores. Since these scores ranged between 1 for the best and 4 for the most inferior esthetical outcome, CIS varied from 6 (optimal) to 24 (unacceptable). The median CIS for AC-group was 11 (n = 13) and for MC-group 13 (n = 14). The difference in CIS between the test and control group was not statistical significant.
Conclusion: The short-time esthetical outcome of all-ceramic crowns on zirconia abutments was slightly better than metal-ceramic crowns on titanium abutments. However, the difference was not significant, which may be explained by the limited number of patients and crowns included in the present study.
Posterpræsentation
| Period | 21 Aug 2009 |
|---|---|
| Event title | Scandinavian Society for Prosthetic Dentistry |
| Event type | Conference |
| Location | Nataali, FinlandShow on map |