Comparing the Fracture Resistance and Modes of Failure in Different Types of CAD/CAM Zirconia Abutments with Internal Hexagonal Implants: An In Vitro Study

Three groups of zirconia abutments (<i>n</i> = 5) consisting of different connection designs or manufacturers were investigated (All-Zr, ASC-Zr, and AM-Zr groups). All-electric dynamic test instruments were used to place static loading on a specimen with a crosshead speed set at 1 mm/min...

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Main Authors: Yu-Tsen Chang, Yu-Ling Wu, Hung-Shyong Chen, Ming-Hsu Tsai, Chia-Chen Chang, Aaron Yu-Jen Wu
Format: Article
Language:English
Published: MDPI AG 2022-04-01
Series:Materials
Subjects:
Online Access:https://www.mdpi.com/1996-1944/15/7/2656
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author Yu-Tsen Chang
Yu-Ling Wu
Hung-Shyong Chen
Ming-Hsu Tsai
Chia-Chen Chang
Aaron Yu-Jen Wu
author_facet Yu-Tsen Chang
Yu-Ling Wu
Hung-Shyong Chen
Ming-Hsu Tsai
Chia-Chen Chang
Aaron Yu-Jen Wu
author_sort Yu-Tsen Chang
collection DOAJ
description Three groups of zirconia abutments (<i>n</i> = 5) consisting of different connection designs or manufacturers were investigated (All-Zr, ASC-Zr, and AM-Zr groups). All-electric dynamic test instruments were used to place static loading on a specimen with a crosshead speed set at 1 mm/min. A Kruskal–Wallis test and a post hoc Mann–Whitney U test were used for statistical evaluation. The mean fracture resistance was 252.37 ± 82.79 N for the All-Zr group, 384.62 ± 45.24 N for ASC-Zr group, and 361.83 ± 90.31 N for the AM-Zr group. The difference of fracture resistance between the three groups was marginally significant (Kruskal–Wallis test, <i>p</i> = 0.054), with the ASC zirconia abutment tending to have higher fracture resistance than the full zirconia abutment. The modes of failure among the three types of abutments are different. The All-Zr group showed an oblique fracture line starting from the buccal aspect at the region of the implant platform. While the ASC-Zr and AM-Zr groups showed a relatively horizontal fracture line with a greater distance from the implant platform. The titanium inserts cannot significantly improve the fracture resistance of the zirconia abutment. However, they may alter the modes of failure, allowing buccal fracture surfaces of the zirconia abutments to be placed away from the implant platform, thereby protecting the implant–abutment connection.
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spelling doaj.art-47dd4f4a41bc4de6af17859a86ee646f2023-11-30T23:35:09ZengMDPI AGMaterials1996-19442022-04-01157265610.3390/ma15072656Comparing the Fracture Resistance and Modes of Failure in Different Types of CAD/CAM Zirconia Abutments with Internal Hexagonal Implants: An In Vitro StudyYu-Tsen Chang0Yu-Ling Wu1Hung-Shyong Chen2Ming-Hsu Tsai3Chia-Chen Chang4Aaron Yu-Jen Wu5Department of Dentistry, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, TaiwanDepartment of Dentistry, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, TaiwanDepartment of Mechanical Engineering, Cheng Shiu University, Kaohsiung 833, TaiwanDepartment of Mechanical Engineering, Cheng Shiu University, Kaohsiung 833, TaiwanDepartment of Dentistry, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, TaiwanDepartment of Dentistry, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, TaiwanThree groups of zirconia abutments (<i>n</i> = 5) consisting of different connection designs or manufacturers were investigated (All-Zr, ASC-Zr, and AM-Zr groups). All-electric dynamic test instruments were used to place static loading on a specimen with a crosshead speed set at 1 mm/min. A Kruskal–Wallis test and a post hoc Mann–Whitney U test were used for statistical evaluation. The mean fracture resistance was 252.37 ± 82.79 N for the All-Zr group, 384.62 ± 45.24 N for ASC-Zr group, and 361.83 ± 90.31 N for the AM-Zr group. The difference of fracture resistance between the three groups was marginally significant (Kruskal–Wallis test, <i>p</i> = 0.054), with the ASC zirconia abutment tending to have higher fracture resistance than the full zirconia abutment. The modes of failure among the three types of abutments are different. The All-Zr group showed an oblique fracture line starting from the buccal aspect at the region of the implant platform. While the ASC-Zr and AM-Zr groups showed a relatively horizontal fracture line with a greater distance from the implant platform. The titanium inserts cannot significantly improve the fracture resistance of the zirconia abutment. However, they may alter the modes of failure, allowing buccal fracture surfaces of the zirconia abutments to be placed away from the implant platform, thereby protecting the implant–abutment connection.https://www.mdpi.com/1996-1944/15/7/2656fracture resistancemodes of failurezirconia abutmenttitanium insert
spellingShingle Yu-Tsen Chang
Yu-Ling Wu
Hung-Shyong Chen
Ming-Hsu Tsai
Chia-Chen Chang
Aaron Yu-Jen Wu
Comparing the Fracture Resistance and Modes of Failure in Different Types of CAD/CAM Zirconia Abutments with Internal Hexagonal Implants: An In Vitro Study
Materials
fracture resistance
modes of failure
zirconia abutment
titanium insert
title Comparing the Fracture Resistance and Modes of Failure in Different Types of CAD/CAM Zirconia Abutments with Internal Hexagonal Implants: An In Vitro Study
title_full Comparing the Fracture Resistance and Modes of Failure in Different Types of CAD/CAM Zirconia Abutments with Internal Hexagonal Implants: An In Vitro Study
title_fullStr Comparing the Fracture Resistance and Modes of Failure in Different Types of CAD/CAM Zirconia Abutments with Internal Hexagonal Implants: An In Vitro Study
title_full_unstemmed Comparing the Fracture Resistance and Modes of Failure in Different Types of CAD/CAM Zirconia Abutments with Internal Hexagonal Implants: An In Vitro Study
title_short Comparing the Fracture Resistance and Modes of Failure in Different Types of CAD/CAM Zirconia Abutments with Internal Hexagonal Implants: An In Vitro Study
title_sort comparing the fracture resistance and modes of failure in different types of cad cam zirconia abutments with internal hexagonal implants an in vitro study
topic fracture resistance
modes of failure
zirconia abutment
titanium insert
url https://www.mdpi.com/1996-1944/15/7/2656
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