Fracture Load of CAD/CAM Fabricated Cantilever Implant-Supported Zirconia Framework: An In Vitro Study

The fracture resistance of computer-aided designing and computer-aided manufacturing CAD/CAM fabricated implant-supported cantilever zirconia frameworks (ISCZFs) is affected by the size/dimension and the micro cracks produced from diamond burs during the milling process. The present in vitro study i...

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Main Authors: Ibraheem F. Alshiddi, Syed Rashid Habib, Muhammad Sohail Zafar, Salwa Bajunaid, Nawaf Labban, Mohammed Alsarhan
Format: Article
Language:English
Published: MDPI AG 2021-04-01
Series:Molecules
Subjects:
Online Access:https://www.mdpi.com/1420-3049/26/8/2259
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author Ibraheem F. Alshiddi
Syed Rashid Habib
Muhammad Sohail Zafar
Salwa Bajunaid
Nawaf Labban
Mohammed Alsarhan
author_facet Ibraheem F. Alshiddi
Syed Rashid Habib
Muhammad Sohail Zafar
Salwa Bajunaid
Nawaf Labban
Mohammed Alsarhan
author_sort Ibraheem F. Alshiddi
collection DOAJ
description The fracture resistance of computer-aided designing and computer-aided manufacturing CAD/CAM fabricated implant-supported cantilever zirconia frameworks (ISCZFs) is affected by the size/dimension and the micro cracks produced from diamond burs during the milling process. The present in vitro study investigated the fracture load for different cross-sectional dimensions of connector sites of implant-supported cantilever zirconia frameworks (ISCZFs) with different cantilever lengths (load point). A total of 48 ISCZFs (Cercon, Degudent; Dentsply, Deutschland, Germany) were fabricated by CAD/CAM and divided into four groups based on cantilever length and reinforcement of distal-abutment: Group A: 9 mm cantilever; Group B: 9 mm cantilever with reinforced distal-abutment; Group C: 12 mm cantilever; Group D: 12 mm cantilever with reinforced distal-abutment (<i>n</i> = 12). The ISCZFs were loaded using a universal testing machine for recording the fracture load. Descriptive statistics, ANOVA, and Tukey’s test were used for the statistical analysis (<i>p</i> < 0.05). Significant variations were found between the fracture loads of the four ISCZFs (<i>p</i> = 0.000); Group-C and B were found with the weakest and the strongest distal cantilever frameworks with fracture load of 670.39 ± 130.96 N and 1137.86 ± 127.85 N, respectively. The mean difference of the fracture load between groups A (810.49 + 137.579 N) and B (1137.86 ± 127.85 N) and between C (670.39 ± 130.96 N) and D (914.58 + 149.635 N) was statistically significant (<i>p</i> = 0.000). Significant variations in the fracture load between the ISCZFs with different cantilever lengths and thicknesses of the distal abutments were found. Increasing the thickness of the distal abutment only by 0.5 mm reinforces the distal abutments by significantly increasing the fracture load of the ISCZFs. Therefore, an increase in the thickness of the distal abutments is recommended in patients seeking implant-supported distal cantilever fixed prostheses.
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spelling doaj.art-86f426b7e8bb4e8ba867dd2cd61686ff2023-11-21T15:28:42ZengMDPI AGMolecules1420-30492021-04-01268225910.3390/molecules26082259Fracture Load of CAD/CAM Fabricated Cantilever Implant-Supported Zirconia Framework: An In Vitro StudyIbraheem F. Alshiddi0Syed Rashid Habib1Muhammad Sohail Zafar2Salwa Bajunaid3Nawaf Labban4Mohammed Alsarhan5Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh 11545, Saudi ArabiaDepartment of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh 11545, Saudi ArabiaDepartment of Restorative Dentistry, College of Dentistry, Taibah University, Al Madinah, Al Munawwarah 41311, Saudi ArabiaDepartment of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh 11545, Saudi ArabiaDepartment of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh 11545, Saudi ArabiaDepartment of Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh 11545, Saudi ArabiaThe fracture resistance of computer-aided designing and computer-aided manufacturing CAD/CAM fabricated implant-supported cantilever zirconia frameworks (ISCZFs) is affected by the size/dimension and the micro cracks produced from diamond burs during the milling process. The present in vitro study investigated the fracture load for different cross-sectional dimensions of connector sites of implant-supported cantilever zirconia frameworks (ISCZFs) with different cantilever lengths (load point). A total of 48 ISCZFs (Cercon, Degudent; Dentsply, Deutschland, Germany) were fabricated by CAD/CAM and divided into four groups based on cantilever length and reinforcement of distal-abutment: Group A: 9 mm cantilever; Group B: 9 mm cantilever with reinforced distal-abutment; Group C: 12 mm cantilever; Group D: 12 mm cantilever with reinforced distal-abutment (<i>n</i> = 12). The ISCZFs were loaded using a universal testing machine for recording the fracture load. Descriptive statistics, ANOVA, and Tukey’s test were used for the statistical analysis (<i>p</i> < 0.05). Significant variations were found between the fracture loads of the four ISCZFs (<i>p</i> = 0.000); Group-C and B were found with the weakest and the strongest distal cantilever frameworks with fracture load of 670.39 ± 130.96 N and 1137.86 ± 127.85 N, respectively. The mean difference of the fracture load between groups A (810.49 + 137.579 N) and B (1137.86 ± 127.85 N) and between C (670.39 ± 130.96 N) and D (914.58 + 149.635 N) was statistically significant (<i>p</i> = 0.000). Significant variations in the fracture load between the ISCZFs with different cantilever lengths and thicknesses of the distal abutments were found. Increasing the thickness of the distal abutment only by 0.5 mm reinforces the distal abutments by significantly increasing the fracture load of the ISCZFs. Therefore, an increase in the thickness of the distal abutments is recommended in patients seeking implant-supported distal cantilever fixed prostheses.https://www.mdpi.com/1420-3049/26/8/2259zirconium oxidezirconiumfixed partial denturedental prosthesisimplant-supported
spellingShingle Ibraheem F. Alshiddi
Syed Rashid Habib
Muhammad Sohail Zafar
Salwa Bajunaid
Nawaf Labban
Mohammed Alsarhan
Fracture Load of CAD/CAM Fabricated Cantilever Implant-Supported Zirconia Framework: An In Vitro Study
Molecules
zirconium oxide
zirconium
fixed partial denture
dental prosthesis
implant-supported
title Fracture Load of CAD/CAM Fabricated Cantilever Implant-Supported Zirconia Framework: An In Vitro Study
title_full Fracture Load of CAD/CAM Fabricated Cantilever Implant-Supported Zirconia Framework: An In Vitro Study
title_fullStr Fracture Load of CAD/CAM Fabricated Cantilever Implant-Supported Zirconia Framework: An In Vitro Study
title_full_unstemmed Fracture Load of CAD/CAM Fabricated Cantilever Implant-Supported Zirconia Framework: An In Vitro Study
title_short Fracture Load of CAD/CAM Fabricated Cantilever Implant-Supported Zirconia Framework: An In Vitro Study
title_sort fracture load of cad cam fabricated cantilever implant supported zirconia framework an in vitro study
topic zirconium oxide
zirconium
fixed partial denture
dental prosthesis
implant-supported
url https://www.mdpi.com/1420-3049/26/8/2259
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AT muhammadsohailzafar fractureloadofcadcamfabricatedcantileverimplantsupportedzirconiaframeworkaninvitrostudy
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