The Study on the Physical Property of Provisional Prosthesis using Modified Temporary Abutment

변형된 임플란트 임시 지대주의 물성에 대한 연구

  • Yang, Byung-Duk (Department of prosthodontics, School of Dentistry and Institude of Oral Biosciences, Chonbuk national Univeraity) ;
  • Yoon, Tae-Ho (Department of prosthodontics, School of Dentistry and Institude of Oral Biosciences, Chonbuk national Univeraity) ;
  • Choi, Un-Jae (Department of Dental Laboratory Technology, Wonkwang Health Science College) ;
  • Park, Ju-Mi (Department of prosthodontics, School of Dentistry and Institude of Oral Biosciences, Chonbuk national Univeraity)
  • 양병덕 (전북대학교 치과대학 보철학교실 및 구강생체과학연구소) ;
  • 윤태호 (전북대학교 치과대학 보철학교실 및 구강생체과학연구소) ;
  • 최운재 (원광대학교 치기공과 및 구강생체과학연구소) ;
  • 박주미 (전북대학교 치과대학 보철학교실 및 구강생체과학연구소)
  • Published : 2006.12.30

Abstract

Statement of problem: Damping of the peak force transmitted to implants has been reported by in vitro studies using impact forces on resin-veneered superstructures. Theoretical assumptions suggest that use of acrylic resin for the occlusal surfaces of a prosthesis would protect the connection between implant and bone. Therefore, the relationship between prosthesis materials and the force transmitted through the implant system also needs to be investigated under conditions that resemble the intraoral mechanical environment. Purpose: The purpose of this study was to analyze the fracture strength and modes of temporary prosthesis when a flange or occlusally extended structure were connected on the top of the abutment. Material and method: Modified abutments of winged and bulk design were made by casting the desired wax pattern which is made on the UCLA type plastic cylinder. Temporary crowns were made using templates on the modified abutments, and its fracture toughness and strain were compared to the traditional temporary prosthesis. To evaluate the effect of aging, 5.000 times of thermocycling were performed, and their result was compared to the 24hours specimen result. Results: The following conclusions were drawn from this study: 1. In the fracture toughness test, temporary crown's fracture line located next to the screw hole while modified designs with metal support showed fracture line on the metal and its propagation along the metal-resin interface. 2. Wing and bulk structure didn't show significant difference in the fracture toughness (p>0.05), but wing structure showed stress concentration on the screw hole area compared to bulk structure which showed even stress distribution. 3. In the fracture toughness test after thermocycling, wing and bulk structure showed increased or similar results in metal supported area while off-metal area and temporary crown showed decreased results. 4. In the strain measurement after thermocycling, its value increased in the temporary and bulk structure. However, wing structure showed decreased value in the loading point while increased value in the screw hole area. Conclusion: Wing type design showed compatible result to the bulk type that its application with composite resin prosthesis to the implant dentistry is considered promising.

Keywords

References

  1. Branemark P-I, Zarv G, Albrektsson T. Tissue-Itegrated Prosgheses; Osseointegration in Clinical Dentistry. Chicago:Quintessence,1985; 11-76
  2. Adell R, Lekholm U, Rockler B, Branemark P-I. A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg 1981; 10:387-416 https://doi.org/10.1016/S0300-9785(81)80077-4
  3. Zarb GA, Schmitt A. Osseointegration and the edentulous predicament. The 10-year-old Toronto study. Br Dent J 1991;170:439-44 https://doi.org/10.1038/sj.bdj.4807583
  4. Buser D, Sutter F, Weber HP, Belser U, Schroeder a. The ITI Dental Implant System; Basics, indications, clinical procedures and results. In:Hardin J(ed). Clark's Clinical Dentistry, vol 1.St Louis:Mosby 1992: 1-23
  5. Buser D, Mericske-Stern R, Bernard JP, et al. Long-term evaluation of nonsubmerged ITI implants. Clin Oral Implants Res 1997;8:161-72 https://doi.org/10.1034/j.1600-0501.1997.080302.x
  6. Babbush CA, Kent N,Misisek DJ. Titanium plasma-sprayed(TPS) screw implants for the reconstruction of the edentulous mandible. J Oral Maxillofac Surg 1986;44:274-82 https://doi.org/10.1016/0278-2391(86)90078-9
  7. Schnitman PA, Wohrle PS, Rubenstein JE. Immediate fixed interim prostheses supported by two-stage thresded implants:Methodology and results. J Oral Implantol 1990;16:96-105
  8. Schniman PA, Wohrle PS, Rubenstein JE. DaSilva JD, Wang NH. Ten-year results for Branemark implant immediately loaded with fixed proshteses at implant placements. Int J Oral Maxillofac Implants 1997;12:495-503
  9. Ericsson I, Nilson H, Lindh T, Nilner K, Randow K, Immediate functional loading of Branemark single tooth implants. An 18 months' clinical pilot follow-up study. Clin Oral Implants Res 2000;11:370-73 https://doi.org/10.1034/j.1600-0501.2000.011004370.x
  10. Roberto Cornelini, Filippo Cangini, Ugo, Covani, Antonio Barone, Daniel Buser. Immediate Restoration of Single-Tooth Implants in Mandibular Molar Sites: A 12-month Preliminary Report. Int Oral Maxillofac Implants 2004; 19(6):855-60
  11. Skalak R. Aspects of biomechanical considerations. In: Branemark P-I, Zarb GA, Albrektsson T(eds). Tissue-Integrated Prostheses; Osseointegration in Clincal Dentistry. Chicago: Quintessence, 1985;117-28
  12. Babbush CA, Kirsch A, Mentag PJ, Hill B: Intramobile cylinder(IMZ) two-stage osteointegrated implant system with the intramobile element(IME) Part I. It's rationale and procedure for use. Int J Oral Maxillofac Implants 1988;2:203-6
  13. Branemark P-I: Osseointegration and its experimental background. J Prosthet Dent 1983;50:399-410 https://doi.org/10.1016/S0022-3913(83)80101-2
  14. Davis DM, Rimrott R, Zarb GA: Studies don frameworks for osseointegrated prosthesis : Part 2. The effect of adding acrylic resin or porcelain to form the occlusal superstructure. Int J Oral Maxillofac Implants 1988;3:275-80
  15. Naert I, Quirynen M, van Steenberghe D, Dariu P. A six-year proshtodontic study of 509 consecutively inserted implants for the treatment of partial edentulism. J Proshteti Dent 1992;67:236-45 https://doi.org/10.1016/0022-3913(92)90461-I
  16. Takahashi Y, Hisama k,Sato H,et al. Probability of failure of highly filled indirect resin-veneered implant-supported restorations:An in vitro study. Int J Prosthodont 2002; 15: 179-82
  17. Metal resin bonding. Adept report 1991;30:418-23
  18. Leinfelder KF. Resin to metal bonding: Overcoming esthetic problems. J Am Dent Assoc 1994;125:292-4 https://doi.org/10.14219/jada.archive.1994.0029
  19. Albers HF. Metal-resin bonding. Adept Rep 1991;2:25-40
  20. Tiller H, Musil R. The adhesion of dental resins to metal surfaces. In: The Kulzer Silcoater Technique, ed 1.6369. Wehrheim, Germanay:Kulzer, 1984
  21. Luthy H, Marinello CP, Scharer P. Factors influencing metal-resin tensile bond strength to filled composites. Dent Mater. 1990;6:73-77 https://doi.org/10.1016/S0109-5641(05)80033-8
  22. Guggenberger R. Rocatec system-adhesion by triocheical coating. Dtsch Zahnarztl Z. 1989;44:874-6
  23. Tarnow DP, Emtiaz S, Classi A. Immediate loading of threaded implants at stage 1 surgery in edentulous arches: Ten consecutive case reports with 1- to 5-year data. Int J Oral Maxillofac Implants 1997;12:319-24
  24. Salama H, Rose LF, Salama M, Betts NJ. Immediate loading of bilaterally splinted titanium root-form implants in fixed prosthodontics. A technique reexamined: Two case reports. Int J Periodontics Restorative Dent 1995;15:344-61
  25. Jaffin RA, Kumar A, Berman CL. Immediate loading of implants in partially and fully edentulous jaws: A series of 27 case reports. J Periodontol 2000;71:833-8 https://doi.org/10.1902/jop.2000.71.5.833
  26. Randow K, Ericsson I, Nilner K, Petersson A, Glantz PO. Immediate functional loading of Branemark dental implants. An 18-month clinical follow-up study. Clin Oral Implants Res 1999;10:8-15 https://doi.org/10.1034/j.1600-0501.1999.100102.x
  27. Piatelli A, Corigliano M, Scarano A, Costigliola G, Paolantonio M. Immediate loading of titanium plasma-sprayed screw-shaped implants in man; A Clinical and histological report of two cases. J Periodontal 1997;68:591-7 https://doi.org/10.1902/jop.1997.68.6.591
  28. Kupeyan HK, May KB: Implant and provisional crown placement A one stage protocol. Implant Dent 1998;7:213-9 https://doi.org/10.1097/00008505-199807030-00009
  29. Kan JY, Rungcharasseang K: Immediate placement and provisionalization of maxillary anterior single implants: A surgical and prosthetic rationale. Pract Periodontics Aesthet Dent 2000;12:817-24
  30. Hui E, Chow J, Li D, et al: Immediate provisional for single implant replacement with Branemark system: Preliminary report. Clin Implant Dent Relat Res 2001;3:79-86 https://doi.org/10.1111/j.1708-8208.2001.tb00235.x
  31. Groisman M, Frossard WM, Ferreira HMB, et al: Single-tooth implants in the maxillary incisor region with immediate provisionalization:2 Year prospective study. Pract Proced Aesthet Dent 2003;15:115-22
  32. Rocci A, Mertignoni M, Gottlow J: Immediate loading in the maxilla using flapless surgery, implants placed in predetermined positions and prefabricated provisional restorations: A retrospective 3-year clinical study. Clin Implant Dent Relat Res 2003;31(9):784-8
  33. Petrungaro PS: Immediate implant placement and provisionalization in edentulous, extraction, and sinus grafted sites. Compendium 2003;24:95-9
  34. Locante WM: The nonfunctional immediate provisional in immediate extraction sites: A technique to maximize esthetics. Implant Dent 2001;10:254-8 https://doi.org/10.1097/00008505-200110000-00008
  35. Randow K, Ericsson I, Nilner K, et al: Immediate functional loading of Branemark dental implants: An 18-month clinical follow-up study. Clin Oral Implants Res 2000;11(1):26-33 https://doi.org/10.1034/j.1600-0501.2000.011001026.x
  36. Gomes A, Lozada JL, Caplanis N, et al: Immediate loading of a single hydroxyapatite coated threaded root form implant: A clinical report. J Oral Implantol 1998;24: 159-66 https://doi.org/10.1563/1548-1336(1998)024<0159:ILOASH>2.3.CO;2
  37. Ericsson I, Nilson H, Lindh T, et al: Immediate functional loading of Branemark single tooth implants. An 18 months clinical pilot follow-up study. Clin Oral Implants Res 2000;11:26-33 https://doi.org/10.1034/j.1600-0501.2000.011001026.x
  38. Glauser R, Ree A, Lundgren AK, et al: Immediate loading of Branemark implants applied in various jawbone regions: A prospective, one-year clinical study. Clin Oral Implants Res 2001;3(4):204-13
  39. Romanos GE: Immediate loading of endosseous dental implants in the posterior part of the mandible. Animal and clinical studies, PhD thesis. Berlin, Quintessence, 2004
  40. Balshi TJ, Wolfinger GJ: Immediate loading of Branemark implants in edentulous mandibles: A preliminary report. Implant Dent 1997;6:83-8 https://doi.org/10.1097/00008505-199700620-00002
  41. Naert I, Quirynen M, van Steenberghe D, et al: A six year prosthodontic study of 509 consecutively inserted implants for the treatment of partial edentulism. J Prosthet Dent 1992;67(2):236-45 https://doi.org/10.1016/0022-3913(92)90461-I