دورية أكاديمية
أعرض في EDS

The clinical use of computer aided designed/computer aided manufactured titanium nitride coated implant abutments: Surgical and prosthetic considerations-A case series.

التفاصيل البيبلوغرافية
العنوان: The clinical use of computer aided designed/computer aided manufactured titanium nitride coated implant abutments: Surgical and prosthetic considerations-A case series.
المؤلفون: Del Castillo R; Department of Prosthodontics, Eastman Institute for Oral Health, University of Rochester, Rochester, New York, USA., Ata-Ali J; Department of Dentistry, Faculty of Health Sciences, Universidad Europea de Valencia, Public Dental Health Service, Conselleria de Sanitat Universal i Salut Pública, Valencia, Spain.
المصدر: Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] [J Esthet Restor Dent] 2023 Oct; Vol. 35 (7), pp. 1008-1021. Date of Electronic Publication: 2023 Mar 18.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wiley-Blackwell Country of Publication: England NLM ID: 101096515 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1708-8240 (Electronic) Linking ISSN: 14964155 NLM ISO Abbreviation: J Esthet Restor Dent
أسماء مطبوعة: Publication: London : Wiley-Blackwell
Original Publication: Hamilton, Ontario : BC Decker, c2001-
مواضيع طبية MeSH: Titanium* , Dental Implant-Abutment Design*, Humans ; Dental Materials ; Zirconium ; Dental Abutments ; Computer-Aided Design ; Crowns
مستخلص: Objective: To describe the clinical use of nitride-coated titanium CAD/CAM implant abutments in the maxillary esthetic zone in two patients with high esthetic and functional demands and, to highlight the advantages of nitride-coated milled titanium abutments when compared to stock/custom titanium, one-piece monolithic zirconia, and hybrid metal-zirconia implant abutments.
Clinical Considerations: Due to the inherent mechanical and esthetic clinical challenges, single implant-supported reconstructions in the maxillary esthetic zone are a complex restorative treatment. While CAD/CAM technology has been suggested to enhance and ease implant abutment design and manufacturing, implant abutment material selection remains as a critical decision affecting restoration's long-term clinical outcomes. To date, considering the esthetic disadvantages of conventional titanium implant abutments, the mechanical limitations of one-piece zirconia abutments and the manufacturing time and costs associated with hybrid metal-zirconia abutments, no abutment material can be considered "ideal" for all clinical scenarios. Due to their biocompatibility, biomechanical characteristics (hardness and wear resistance), optical properties (yellow color), and peri-implant soft tissue esthetic integration, the use of CAD/CAM titanium nitride-coated implant abutments has been suggested as a predictable implant abutment material in mechanically challenging but esthetically demanding clinical situations, as the maxillary esthetic zone.
Conclusions: Two patients requiring a combined tooth-implant restorative treatment in the maxillary esthetic zone were treated using CAD/CAM nitride coated titanium implant abutments. The principal advantages of TiN coated abutments include comparable clinical outcomes to stock abutments, optimal biocompatibility, adequate fracture, wear, and corrosion resistance, reduced bacterial adhesion, and excellent esthetic integration with adjacent soft tissues.
Clinical Significance: Clinical reports and short term mechanical, biological and esthetic clinical outcomes indicate that CAD/CAM nitride coated titanium implant abutments can represent a predictable restorative alternative to stock/custom and metal/zirconia implant abutments and be considered a clinical relevant option in mechanically challenging but esthetically demanding situations, as often found in the maxillary esthetic zone.
(© 2023 Wiley Periodicals LLC.)
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فهرسة مساهمة: Keywords: CAD-CAM; custom abutments; dental implants; hard coatings; implant esthetics; soft tissue; titanium nitride
المشرفين على المادة: S38N85C5G0 (zirconium oxide)
6RW464FEFF (titanium nitride)
D1JT611TNE (Titanium)
0 (Dental Materials)
C6V6S92N3C (Zirconium)
تواريخ الأحداث: Date Created: 20230318 Date Completed: 20231023 Latest Revision: 20231026
رمز التحديث: 20231026
DOI: 10.1111/jerd.13035
PMID: 36932837
قاعدة البيانات: MEDLINE
الوصف
تدمد:1708-8240
DOI:10.1111/jerd.13035