Mechanical performance of patient‐specific prefabricated temporary shell versus laboratory‐fabricated CAD/CAM provisional implant‐supported single‐tooth restorations: A laboratory study

Author:

Donker Vincent J. J.1ORCID,Janss Paulien E. A.2,Pol Christiaan W. P.3ORCID,Raghoebar Gerry M.1ORCID,Vissink Arjan1ORCID,Meijer Henny J. A.13ORCID

Affiliation:

1. Department of Oral and Maxillofacial Surgery, University Medical Center Groningen University of Groningen Groningen The Netherlands

2. Dental School, University Medical Center Groningen University of Groningen Groningen The Netherlands

3. Department of Restorative Dentistry, University Medical Center Groningen University of Groningen Groningen The Netherlands

Abstract

AbstractObjectiveTo evaluate the mechanical performance of patient‐specific prefabricated temporary shell versus laboratory‐fabricated CAD/CAM provisional restorations on titanium temporary abutments, with and without thermo‐mechanical ageing.Materials and MethodsImplants with a conical connection were divided into four groups (n = 24) and restored with temporary shell or laboratory‐fabricated central or lateral incisor PMMA restorations that were relined or bonded on titanium temporary abutments. The diameter of the central and lateral incisor groups' implants was regular (ϕ 4.3 mm) or narrow (ϕ 3.5 mm), respectively. Half of each group's specimens were subjected to ageing, simultaneous thermocycling (5–55°C) and chewing simulation (120,000 cycles, 50 N, 1.7 Hz) resulting in eight groups in total (n = 12). The aged specimens were evaluated with optical microscopy, and survival and complication rates were determined according to modified USPHS criteria. The non‐aged specimens and those that had survived ageing were loaded until failure, whereupon bending moments were calculated.ResultsSurvival rates after ageing were 100% for all groups. Apart from wear facets (ϕ 2–3 mm) on the palatal restoration surface, no complications were observed. The mean fracture load and bending moments ranged between 597.6–847.1 N and 433.3–550.6 Ncm, respectively, with no significant differences between the eight groups (p = .25; p = .20).ConclusionsAs patient‐specific temporary shell central and lateral incisor provisional implant‐supported restorations are mechanically stable enough to withstand clinical bite forces, even after thermo‐mechanical ageing, they may serve as an alternative to laboratory‐fabricated provisional restorations.

Publisher

Wiley

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