Fracture Resistance of Titanium-Based Lithium Disilicate and Zirconia Implant Restorations

J Prosthodont. 2018 Aug;27(7):644-650. doi: 10.1111/jopr.12765. Epub 2018 Feb 8.

Abstract

Purpose: To evaluate the fracture resistance of a newer lithium disilicate abutment material.

Materials and methods: A premolar-shaped implant crown was designed using CAD/CAM software, and four groups of implant and crown combinations were milled: (1) lithium-disilicate hybrid-abutment crown; (2) "screwmentable" lithium-disilicate hybrid abutment/lithium-disilicate crown with screw channel; (3) lithium-disilicate hybrid abutment/lithium-disilicate crown; and (4) zirconia hybrid abutment/lithium-disilicate crown (control). The specimens were cemented to a titanium-base implant system, subjected to thermocycling and cyclic loading, and fractured in a material testing device.

Results: The lithium-disilicate hybrid-abutment crown had significantly greater fracture load than all the other groups, which were not significantly different from each other.

Conclusions: Based on fracture load, the new lithium-disilicate hybrid-abutment material may serve as a viable alternative to the use of zirconia as a hybrid-abutment material.

Keywords: Fracture strength; implant abutments; implant crowns.

MeSH terms

  • Computer-Aided Design
  • Crowns*
  • Dental Implant-Abutment Design*
  • Dental Porcelain / chemistry*
  • Dental Prosthesis Design*
  • Dental Restoration Failure*
  • Dental Stress Analysis
  • Materials Testing
  • Titanium / chemistry*
  • Zirconium / chemistry*

Substances

  • lithia disilicate
  • Dental Porcelain
  • Zirconium
  • Titanium
  • zirconium oxide