Digital prosthetic planning in upper implanted tooth: case report
DOI:
https://doi.org/10.70614/96nwxn03Keywords:
Implant-supported prosthesis, Dental ceramics, Digital streamAbstract
Due to the degradation of harmonic tissue architecture, vertical and horizontal tooth loss in the frontal region is a challenge. An excellent aesthetic ceramic for monolithic crowns and bridges, inlays and onlays, veneers and prosthetic implants (PSI) is high-strength lithium disilicate ceramic. It is essential to keep in mind that ceramics must have the following three characteristics to be used in PSI: mechanical resistance, aesthetics and chemical solubility. Due to its improved aesthetics, comparatively high flexural strength, and ability to bond with eroded dentin and enamel, lithium disilicate ceramics have seen a large increase in use. This makes it extremely effective and highly desired. In the laboratory, ceramic components are characterized, customized and manufactured before being installed using digital design techniques. The objective of this work was to present the steps of digital planning in the prosthetic rehabilitation of a prosthesis on implant (PSI) with lithium disilicate IPS e.max in an anterior tooth, element 11. Patient VSMF, 35 years old, female, attended the clinic integrated into the night shift at Faculdade do Amazonas – IAES, with main complaint: “I want to get my permanent tooth done”. During the intraoral clinical examination, it was possible to observe that the implant in element 11 was satisfactory, however, with a provisional on the implant. It was concluded that according to the proposed planning in which the lithium disilicate crown was used on the implant in element 11, it was possible to restore the patient's self-esteem. Therefore, the results of this case were completely satisfactory.
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1. Ionescu RN, Totan AR, Imre MM, Țâncu AMC, Pantea M, Butucescu M, et al. Prosthetic materials used for implant-supported restorations and their biochemical oral interactions: a narrative review. Materials (Basel). 2022 Feb 1;15(3).
2. Duong HY, Roccuzzo A, Stähli A, Salvi GE, Lang NP, Sculean A. Oral health‐related quality of life of patients rehabilitated with fixed and removable implant‐supported dental prostheses. Periodontol 2000. 2022 Feb 1;88(1):201.
3. Zhang Y, Lawn BR. Novel zirconia materials in dentistry. J Dent Res. 2018 Feb 1;97(2):140.
4. Sulaiman TA, Abdulmajeed AA, Shahramian K, Lassila L. Effect of different treatments on the flexural strength of fully versus partially stabilized monolithic zirconia. J Prosthet Dent. 2017 Aug 1;118(2):216–20.
5. Alao AR, Stoll R, Zhang Y, Yin L. Influence of CAD/CAM milling, sintering and surface treatments on the fatigue behaviour of lithium disilicate glass ceramic. J Mech Behav Biomed Mater. 2021 Jan 1;113:104133.
6. Zhang Y, Kelly JR. Dental ceramics for restoration and metal-veneering. Dent Clin North Am. 2017 Oct 1;61(4):797.
7. Miotto LN, Villas-Bôas M de OC, Zanotto ED, Ferreira EB, Fais LMG, Pinelli LAP. Surface properties of a new lithium disilicate glass-ceramic after grinding. J Mater Sci Mater Med. 2021 Sep 1;32(9).
8. Mühlemann S, Lakha T, Jung RE, Hämmerle CHF, Benic GI. Prosthetic outcomes and clinical performance of CAD-CAM monolithic zirconia versus porcelain-fused-to-metal implant crowns in the molar region: 1-year results of a RCT. Clin Oral Implants Res. 2020 Sep 1;31(9):856–64.
9. Miragaya LM, Guimarães RB, Souza RO de A e., Santos Botelho G dos, Antunes Guimarães JG, da Silva EM. Effect of intra-oral aging on t→m phase transformation, microstructure, and mechanical properties of Y-TZP dental ceramics. J Mech Behav Biomed Mater. 2017 Aug 1;72:14–21.
10. Montazerian M, Zanotto ED. Bioactive and inert dental glass-ceramics. J Biomed Mater Res A. 2017 Feb 1;105(2):619–39.
11. Kang W, Park JK, Kim WC, Kim HY, Kim JH. Effects of different thickness combinations of core and veneer ceramics on optical properties of cad-cam glass-ceramics. Biomed Res Int. 2019;2019.
12. Zhang Z, Wang Q, Wang F, Li D, Meng M, Zhang Y, et al. Effect of aqueous environment on wear resistance of dental glass–ceramics. BMC Oral Health. 2022 Dec 1;22(1):143.
13. D’haese J, Ackhurst J, Wismeijer D, De Bruyn H, Tahmaseb A. Current state of the art of computer-guided implant surgery. Periodontol 2000. 2017 Feb 1;73(1):121–33.
14. Chen C, Lai H, Zhu H, Gu X. Digitally prefabricated versus conventionally fabricated implant-supported full-arch provisional prosthesis: a retrospective cohort study. BMC Oral Health. 2022 Dec 1;22(1).
15. Padrós R, Giner L, Herrero-Climent M, Falcao-Costa C, Ríos JV, Gil FJ. Influence of the CAD-CAM systems on the marginal accuracy and mechanical properties of dental restorations. Int J Environ Res Public Health. 2020 Jun 2;17(12):1–15.
16. Methani MM, Revilla-León M, Zandinejad A. The potential of additive manufacturing technologies and their processing parameters for the fabrication of all-ceramic crowns: a review. J Esthet Restor Dent. 2020 Mar 1;32(2):182–92.
17. Pituru SM, Greabu M, Totan A, Imre M, Pantea M, Spinu T, et al. A review on the biocompatibility of PMMA-based dental materials for interim prosthetic restorations with a glimpse into their modern manufacturing techniques. Mater (Basel, Switzerland). 2020 Jul 1;13(13):1–14.
18. Naveau A, Rignon-Bret C, Wulfman C. Zirconia abutments in the anterior region: A systematic review of mechanical and esthetic outcomes. J Prosthet Dent. 2019 May 1;121(5):775-781.e1.
19. de Holanda Cavalcanti Pereira AK, de Oliveira Limirio JPJ, Cavalcanti do Egito Vasconcelos B, Pellizzer EP, Dantas de Moraes SL. Mechanical behavior of titanium and zirconia abutments at the implant-abutment interface: A systematic review. J Prosthet Dent. 2022 Mar 12;
20. Tang K, Luo ML, Zhou W, Niu LN, Chen JH, Wang F. The integration of peri-implant soft tissues around zirconia abutments: Challenges and strategies. Bioact Mater. 2023 Sep 1;27:348–61.
21. Strazzi-Sahyon HB, Bergamo ETP, Gierthmuehlen PC, Lopes ACO, Alves LMM, Benalcázar Jalkh EB, et al. In vitro assessment of the effect of luting agents, abutment height, and fatigue on the retention of zirconia crowns luted to titanium base implant abutments. J Prosthet Dent. 2023 Sep 7;
22. Buser D, Chappuis V, Belser UC, Chen S. Implant placement post extraction in esthetic single tooth sites: when immediate, when early, when late? Periodontol 2000. 2017;73(1):84–102.
23. Bacharelado C, Odontologia EM, Sobral GR. Coroa sobre implante em dissilicato de lítio cimentada em região estética: relato de caso [trabalho de conclusão de curso - bacharel]. Universidade Federal de Campina Grande; 2018.
24. Angelini F. Clinical performance evaluation of metal-ceramic crowns and ceramic crowns. CESPU; 2022.
25. D’Souza K, Aras M. Three-dimensional finite element analysis of the stress distribution pattern in a mandibular first molar tooth restored with five different restorative materials. J Indian Prosthodont Soc. 2017 Jan 1;17(1):53–60.
26. Alhammadi SH, Burnside G, Milosevic A. Clinical outcomes of single implant supported crowns versus 3-unit implant-supported fixed dental prostheses in Dubai Health Authority: a retrospective study. BMC Oral Health. 2021 Dec 1;21(1).
27. Fathi A, Atash R, Fardi E, Ahmadabadi MN, Hashemi S. Comparison of the outcomes and complications of three-unit porcelain-fused-to-metal tooth-implant-supported prostheses with implant-supported prostheses: A systematic review and meta-analysis. Dent Res J (Isfahan). 2023;20:3.
28. Akylangongo TA. Coroas cerâmicas : as complicações biológicas e técnicas coroas cerâmicas [dissertação - mestrado]. Istituto Universitário de Ciências da Saúde (CESPU); 2022.
29. Samer MS, Faraz Q, Al-Dubai SAR, Vohra F, Abdullah H, Taiyeb-Ali TB, et al. Clinical Outcomes and Predictors of Satisfaction in Patients with Improved Lithium Disilicate All-Ceramic Crowns. Med Princ Pract. 2017 Dec 1;26(5):470.
30. Yang Y, Yu J, Gao J, Guo J, Li L, Zhao Y, et al. Clinical outcomes of different types of tooth-supported bilayer lithium disilicate all-ceramic restorations after functioning up to 5 years: A retrospective study. J Dent. 2016 Aug 1;51:56–61.
31. Sordi MB, Perrotti V, Iaculli F, Pereira KCR, Magini RS, Renvert S, et al. Multivariate analysis of the influence of peri-implant clinical parameters and local factors on radiographic bone loss in the posterior maxilla: a retrospective study on 277 dental implants. Clin Oral Investig. 2021 Jun 1;25(6):3441.
32. Gonzalez-Gonzalez I, Dellanos-Lanchares H, Brizuela-Velasco A, Alvarez-Riesgo JA, Llorente-Pendas S, Herrero-Climent M, et al. Complications of Fixed Full-Arch Implant-Supported Metal-Ceramic Prostheses. Int J Environ Res Public Health. 2020 Jun 2;17(12):1–23.
33. Murillo-Gómez F, Palma-Dibb RG, De Goes MF. Effect of acid etching on tridimensional microstructure of etchable CAD/CAM materials. Dent Mater. 2018 Jun 1;34(6):944–55.
34. Zarone F, Di Mauro MI, Ausiello P, Ruggiero G, Sorrentino R. Current status on lithium disilicate and zirconia: a narrative review. BMC Oral Health. 2019 Jul 4;19(1).
35. Bajraktarova-Valjakova E, Grozdanov A, Guguvcevski L, Korunoska-Stevkovska V, Kapusevska B, Gigovski N, et al. Acid Etching as Surface Treatment Method for Luting of Glass-Ceramic Restorations, part 1: Acids, Application Protocol and Etching Effectiveness. Open access Maced J Med Sci. 2018 Mar 15;6(3):568–73.
36. Sundfeld D, Palialol ARM, Fugolin APP, Ambrosano GMB, Correr-Sobrinho L, Martins LRM, et al. The effect of hydrofluoric acid and resin cement formulation on the bond strength to lithium disilicate ceramic. Braz Oral Res. 2018;32.
37. Prochnow C, Venturini AB, Guilardi LF, Pereira GKR, Burgo TAL, Bottino MC, et al. Hydrofluoric acid concentrations: Effect on the cyclic load-to-failure of machined lithium disilicate restorations. Dent Mater. 2018 Sep 1;34(9):e255–63.
38. Gehrt M, Wolfart S, Rafai N, Reich S, Edelhoff D. Clinical results of lithium-disilicate crowns after up to 9 years of service. Clin Oral Investig. 2013 Jan 1;17(1):275–84.
39. Spies BC, Pieralli S, Vach K, Kohal RJ. CAD/CAM-fabricated ceramic implant-supported single crowns made from lithium disilicate: Final results of a 5-year prospective cohort study. Clin Implant Dent Relat Res. 2017 Oct 1;19(5):876–83.
40. Wong CKK, Narvekar U, Petridis H. Prosthodontic Complications of Metal-Ceramic and All-Ceramic, Complete-Arch Fixed Implant Prostheses with Minimum 5 Years Mean Follow-Up Period. A Systematic Review and Meta-Analysis. J Prosthodont. 2019 Feb 1;28(2):e722–35.
41. Kern JS, Kern T, Wolfart S, Heussen N. A systematic review and meta‐analysis of removable and fixed implant‐supported prostheses in edentulous jaws: post‐loading implant loss. Clin Oral Implants Res. 2016 Feb 1;27(2):174.
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