The aim of this study is to test whether or not the use of screw-retained implant crowns on customized zirconia abutments results in biological, technical and esthetic outcomes similar to those obtained with cemented all-ceramic crowns on customized zirconia abutments, both made with a computer-aided design and manufacturing procedure (CAD/CAM). The null-hypotheses is that marginal bone level change is equal at screw-retained and cemented crowns
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
34
The final lithium disilicate crowns will be cemented with an adhesive cement after tightening the abutments with the torque indicated by the manufacturer and closing the screw access hole with white guttapercha. The abutment will be cleaned with ethanol. A retraction cord will be placed for cementation if indicated. The crown will be etched with hydrofluoric acid and subsequently silanized. A sufficient amount of cement will be filled in the crown without creating major excesses. When the crown is seated correctly, the cement will be light-cured for a few seconds to facilitate the removal of the now hard excess cement. \- Excess cement will be meticulously removed with a carbon scaler. The removal of all excess cement will be checked with an X-ray and by visual and tactile inspection.
The screw-retained crowns will be inserted and tightened with the torque indicated by the manufacturer. The screw access hole will to be closed with white guttapercha and a composite filling (Filtek, 3M ESPE).
Clinic of Reconstructive Dentistry
Zurich, Switzerland
Marginal bone level
The bone level represents an indicator of the osseointegration and biological success of the implant.
Time frame: 5 years
Biological, technical and esthetic outcome
Radiographic bone level after 1 and 3 years
Time frame: up to 5 years
Biological, technical and esthetic outcome
implant survival after 1, 3 and 5 years
Time frame: up to 5 years
Biological, technical and esthetic outcome
rate of biological complications after 1, 3 and 5 years
Time frame: up to 5 years
Biological, technical and esthetic outcome
rate of technical complications after 1, 3 and 5 years
Time frame: up to 5 years
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.