J Korean Acad Prosthodont.  2019 Apr;57(2):134-141. 10.4047/jkap.2019.57.2.134.

A prospective clinical of lithium disilicate pressed zirconia and monolithic zirconia in posterior implant-supported prostheses: A 24-month follow-up

• Roh KW
• Jeon YC
• Jeong CM
• Yun MJ
• Huh JB
• Lee SH
• Yang DS
• Bae EB

• KMID: 2444182
• DOI: http://doi.org/10.4047/jkap.2019.57.2.134

Abstract

PURPOSE
The purpose of this study was to compare the clinical outcomes of lithium disilicate ceramic pressed zirconia prostheses and monolithic zirconia prostheses and to investigate the complications after two years of follow-up in posterior edentulous site.
MATERIALS AND METHODS
A total 17 patients (male: 12, female: 5) were treated with 60 posterior fixed implant-supported prostheses (LP. lithium disilicate ceramic pressed zirconia prostheses: n = 30, MZ. monolithic zirconia prostheses: n = 30). After 24-month, clinical examination of Implant survival rate, marginal bone resorption, probing depth, plaque index, bleeding index, calculus and complications were evaluated.
RESULTS
There were no failed implants and all implants were normal in function without mobility. Marginal bone resorption was lower in LP group than MZ group at 12-month (P < .05), and 12-month probing depth and calculus deposit in LP group were significantly higher than MZ group (P < .05). Most common complications in MZ were marginal bone resorptions more than 1.5.mm and 2 chipping occurred in LP group.
CONCLUSION
Within the limitations of the present study, lithium disilicate ceramic pressed zirconia is considered as a predictable treatment option as much as monolithic zirconia in posterior fixed implant-supported prostheses.

Keyword

Dental implant; Lithium disilicate; Zirconium oxide

MeSH Terms

Bone Resorption
Calculi
Ceramics
Dental Implants
Female
Follow-Up Studies*
Hemorrhage
Humans
Lithium*
Prospective Studies*
Prostheses and Implants*
Survival Rate
Dental Implants
Lithium

Figure

• 

  Fig. 1 Comparison of marginal bone resorption (MZ: Monolithic zirconia, LP: Lithium disilicate ceramic pressed zirconia).

• 

  Fig. 2 Comparison of probing depth (MZ: Monolithic zirconia, LP: Lithium disilicate pressed zirconia).

Reference

1. Ha SR, Kim SH, Han JS, Yoo SH, Jeong SC, Lee JB, Yeo IS. The influence of various core designs on stress distribution in the veneered zirconia crown: a finite element analysis study. J Adv Prosthodont. 2013; 5:187–197.

2. Imanishi A, Nakamura T, Ohyama T, Nakamura T. 3-D Finite element analysis of all-ceramic posterior crowns. J Oral Rehabil. 2003; 30:818–822.

3. Goodacre CJ, Bernal G, Rungcharassaeng K, Kan JY. Clinical complications in fixed prosthodontics. J Prosthet Dent. 2003; 90:31–41.

4. Kelly JR, Benetti P. Ceramic materials in dentistry: historical evolution and current practice. Aust Dent J. 2011; 56:84–96.

5. Heffernan MJ, Aquilino SA, Diaz-Arnold AM, Haselton DR, Stanford CM, Vargas MA. Relative translucency of six all-ceramic systems. Part I: core materials. J Prosthet Dent. 2002; 88:4–9.

6. Drummond JL, King TJ, Bapna MS, Koperski RD. Mechanical property evaluation of pressable restorative ceramics. Dent Mater. 2000; 16:226–233.

7. Guess PC, Zavanelli RA, Silva NR, Bonfante EA, Coelho PG, Thompson VP. Monolithic CAD/CAM lithium disilicate versus veneered Y-TZP crowns: comparison of failure modes and reliability after fatigue. Int J Prosthodont. 2010; 23:434–442.

8. Sorensen JA. The IPS Empress 2 system: defining the possibilities. Quintessence Dent Technol. 1999; 22:153–163.

9. Al-Amleh B, Lyons K, Swain M. Clinical trials in zirconia: a systematic review. J Oral Rehabil. 2010; 37:641–652.

10. Hannink R, Kelly PM, Muddle BC. Transformation toughening in zirconia-containing ceramics. J Am Ceram Soc. 2000; 83:461–487.

11. Wiederhorn SM, Bolz LH. Stress corrosion and static fatigue of glass. J Am Ceram Soc. 1970; 53:543–548.

12. Suh DW, Kim YK, Yi YJ. A review of biocompatibility of zirconia: In vitro experiment. J Korean Acad Prosthodont. 2018; 56:391–395.

13. Suh DW, Kim YK, Yi YJ. A review of biocompatibility of zirconia and bioactivity as a zirconia implant: In vivo experiment. J Korean Acad Prosthodont. 2019; 57:88–94.

14. Sorrentino R, De Simone G, Tete S, Russo S, Zarone F. Five-year prospective clinical study of posterior three-unit zirconiabased fixed dental prostheses. Clin Oral Investig. 2012; 16:977–985.

15. Sailer I, Gottnerb J, Kanelb S, Hammerle C. Randomized controlled clinical trial of zirconia-ceramic and metalceramic posterior fixed dental prostheses. Int J Prosthodont. 2009; 22:553–560.

16. Batson ER, Cooper LF, Duqum I, Mendonça G. Clinical outcomes of three different crown systems with CAD/CAM technology. J Prosthet Dent. 2014; 112:770–777.

17. Lim HN, Yu B, Lee YK. Spectroradiometric and spectrophotometric translucency of ceramic materials. J Prosthet Dent. 2010; 104:239–246.

18. Kim HK, Kim SH. Effect of the number of coloring liquid applications on the optical properties of monolithic zirconia. Dent Mater. 2014; 30:e229–e237.

19. Takeichi T, Katsoulis J, Blatz MB. Clinical outcome of single porcelain-fused-to-zirconium dioxide crowns: a systematic review. J Prosthet Dent. 2013; 110:455–461.

20. Tinschert J, Schulze KA, Natt G, Latzke P, Heussen N, Spiekermann H. Clinical behavior of zirconia-based fixed partial dentures made of DC-Zirkon: 3-year results. Int J Prosthodont. 2008; 21:217–222.

21. Baltzer A. All-ceramic single-tooth restorations: choosing the material to match the preparation--preparing the tooth to match the material. Int J Comput Dent. 2008; 11:241–256.

22. Guess PC, Zhang Y, Thompson VP. Effect of veneering techniques on damage and reliability of Y-TZP trilayers. Eur J Esthet Dent. 2009; 4:262–276.

23. Kim SY, Choi JW, Ju SW, Ahn JS, Yoon MJ, Huh JB. Fracture strength after fatigue loading of lithium disilicate pressed zirconia crowns. Int J Prosthodont. 2016; 29:369–371.

24. Cochran DL, Buser D, ten Bruggenkate CM, Weingart D, Taylor TM, Bernard JP, Peters F, Simpson JP. The use of reduced healing times on ITI implants with a sandblasted and acid-etched (SLA) surface: early results from clinical trials on ITI SLA implants. Clin Oral Implants Res. 2002; 13:144–153.

25. Yoo HS, Kang SN, Jeong CM, Yun MJ, Huh JB, Jeon YC. Effects of implant collar design on marginal bone and soft tissue. J Korean Acad Prosthodont. 2012; 50:21–28.

26. Quirynen M, Naert I, van Steenberghe D, Teerlinck J, Dekeyser C, Theuniers G. Periodontal aspects of osseointegrated fixtures supporting an overdenture. A 4-year retrospective study. J Clin Periodontol. 1991; 18:719–728.

27. Mombelli A, van Oosten MA, Schurch E Jr, Land NP. The microbiota associated with successful or failing osseointegrated titanium implants. Oral Microbiol Immunol. 1987; 2:145–151.

28. Albrektsson T, Zarb G, Worthington P, Eriksson AR. The long-term efficacy of currently used dental implants: a review and proposed criteria of success. Int J Oral Maxillofac Implants. 1986; 1:11–25.

29. Oh TJ, Yoon J, Misch CE, Wang HL. The causes of early implant bone loss: myth or science? J Periodontol. 2002; 73:322–333.

30. Cox JF, Zarb GA. The longitudinal clinical efficacy of osseointegrated dental implants: a 3-year report. Int J Oral Maxillofac Implants. 1987; 2:91–100.

31. Lindquist LW, Rockler B, Carlsson GE. Bone resorption around fixtures in edentulous patients treated with mandibular fixed tissue-integrated prostheses. J Prosthet Dent. 1988; 59:59–63.

32. Block MS, Kent JN. Factors associated with soft- and hardtissue compromise of endosseous implants. J Oral Maxillofac Surg. 1990; 48:1153–1160.

33. Menini M, Conserva E, Tealdo T, Bevilacqua M, Pera F, Signori A, Pera P. Shock absorption capacity of restorative materials for dental implant prostheses: an in vitro study. Int J Prosthodont. 2013; 26:549–556.

34. Gracis SE, Nicholls JI, Chalupnik JD, Yuodelis RA. Shock-absorbing behavior of five restorative materials used on implants. Int J Prosthodont. 1991; 4:282–291.

35. Duyck J, Van Oosterwyck H, Vander Sloten J, De Cooman M, Puers R, Naert I. Influence of prosthesis material on the loading of implants that support a fixed partial prosthesis: in vivo study. Clin Implant Dent Relat Res. 2000; 2:100–109.

36. Bassit R, Lindström H, Rangert B. In vivo registration of force development with ceramic and acrylic resin occlusal materials on implant-supported prostheses. Int J Oral Maxillofac Implants. 2002; 17:17–23.

37. Hobkirk JA, Psarros KJ. The influence of occlusal surface material on peak masticatory forces using osseointegrated implant-supported prostheses. Int J Oral Maxillofac Implants. 1992; 7:345–352.

38. Bremer F, Grade S, Kohorst P, Stiesch M. In vivo biofilm formation on different dental ceramics. Quintessence Int. 2011; 42:565–574.

39. Le M, Papia E, Larsson C. The clinical success of tooth- and implant-supported zirconia-based fixed dental prostheses. A systematic review. J Oral Rehabil. 2015; 42:467–480.

40. Rinke S, Gersdorff N, Lange K, Roediger M. Prospective evaluation of zirconia posterior fixed partial dentures: 7-year clinical results. Int J Prosthodont. 2013; 26:164–171.

41. Sax C, Hämmerle CH, Sailer I. 10-year clinical outcomes of fixed dental prostheses with zirconia frameworks. Int J Comput Dent. 2011; 14:183–202.

42. Burke FJ, Crisp RJ, Cowan AJ, Lamb J, Thompson O, Tulloch N. Five-year clinical evaluation of zirconia-based bridges in patients in UK general dental practices. J Dent. 2013; 41:992–999.

43. Malkondu Ö, Tinastepe N, Akan E, Kazazoğlu E. An overview of monolithic zirconia in dentistry. Biotech Biotech Equip. 2016; 30:644–652.

44. Jang YS, Noh HR, Lee MH, Lim MJ, Bae TS. Effect of lithium disilicate reinforced liner treatment on bond and fracture strengths of bilayered zirconia all-ceramic crown. Materials (Basel). 2018; 11:pii: E77.

45. Sundh A, Molin M, Sjögren G. Fracture resistance of yttrium oxide partially-stabilized zirconia all-ceramic bridges after veneering and mechanical fatigue testing. Dent Mater. 2005; 21:476–482.