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CC BY 4.0 · Eur J Dent 2023; 17(02): 261-269
DOI: 10.1055/s-0042-1750801
Review Article

Abutment on Titanium-Base Hybrid Implant: A Literature Review

André Luiz de Melo Moreno
1   Department of Dental Materials and Prosthodontics, São Paulo State University, School of Dentistry, Araçatuba, São Paulo, Brazil
,
Daniela Micheline dos Santos
1   Department of Dental Materials and Prosthodontics, São Paulo State University, School of Dentistry, Araçatuba, São Paulo, Brazil
,
André Pinheiro de Magalhães Bertoz
1   Department of Dental Materials and Prosthodontics, São Paulo State University, School of Dentistry, Araçatuba, São Paulo, Brazil
,
Marcelo Coelho Goiato
1   Department of Dental Materials and Prosthodontics, São Paulo State University, School of Dentistry, Araçatuba, São Paulo, Brazil
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Abstract

An increase in the use of Computer-Aided Design (CAD) and Computer-Aided Manufacturing (CAM) technologies challenges the conventional prosthetic fabrication procedures that are practical and centered on a digital workflow for the patient, especially for dental implants. Increasing workflow of digital restoration work, considering computer-used CAM for restoration technology systems and also fast/CAM for building restoration technology; fast/CAD, also known as abut-Base, has increased interest. Studies on adaptation of different restorative materials, on titanium (Ti)-base abutments, traction, and transformed cycling have become relevant. The objective of this work was to research, through literature studies, on restoration-type abutments. A total of 24 articles were found after searching the following terms in PubMed/Medline, Scopus, and Embase databases: “ti-base AND abutment.” Twenty-one manuscripts selected from the inclusion and exclusion criteria. After an analysis of these articles, it was concluded that the Ti-base abutment and components from the same manufacturer as the Implant should be used preferably; milled monolithic crowns designed to adapt to the Ti-base the hybrid abutment-crown assembly does not affect torque maintenance after thermal aging; the saliva and cleaning protocol of the Ti-base bonding surfaces can influence the operations of the Ti-base crowns; Ti-base and Crown surface treatment is recommended for better applicability and stability results, and the superiority of resin-based cements compared with other types of cements.

Keywords

implants - implanted - Ti-base pillar


Publication History

Article published online:
11 October 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Cardoso KB, Bergamo ETP, Cruz VM, Ramalho IS, Lino LFO, Bonfante EA. Three-dimensional misfit between Ti-base abutments and implants evaluated by replica technique. J Appl Oral Sci 2020; 28: e20200343
    CrossrefPubMedSearch in Google Scholar
  • 2 Silva CEP, Soares S, Machado CM. et al. Effect of CAD/CAM abutment height and cement type on the retention of zirconia crowns. Implant Dent 2018; 27 (05) 582-587
    CrossrefPubMedSearch in Google Scholar
  • 3 Lopes ACO, Machado CM, Bonjardim LR. et al. The effect of CAD/CAM crown material and cement type on retention to implant abutments. J Prosthodont 2019; 28 (02) e552-e556
    CrossrefPubMedSearch in Google Scholar
  • 4 Burkhardt F, Pitta J, Fehmer V, Mojon P, Sailer I. Retention forces of monolithic CAD/CAM crowns adhesively cemented to titanium base abutments-effect of saliva contamination followed by cleaning of the titanium bond surface. Materials (Basel) 2021; 14 (12) 3375
    CrossrefPubMedSearch in Google Scholar
  • 5 TP Bergamo E, Zahoui A, Luri Amorin Ikejiri L. et al. Retention of zirconia crowns to Ti-base abutments: effect of luting protocol, abutment treatment and autoclave sterilization. J Prosthodont Res 2021; 65 (02) 171-175
    CrossrefPubMedSearch in Google Scholar
  • 6 Christenson RH, Snyder SR, Shaw CS. et al. Laboratory medicine best practices: systematic evidence review and evaluation methods for quality improvement. Clin Chem 2011; 57 (06) 816-825
    CrossrefPubMedSearch in Google Scholar
  • 7 Rathe F, Junker R, Gröger S, Meyle J, Schlee M. Inflammatory effects of individualized abutments bonded onto titanium base on peri-implant tissue health: a randomized controlled clinical trial. Clin Implant Dent Relat Res 2021; 23 (06) 874-882
    CrossrefPubMedSearch in Google Scholar
  • 8 Camós-Tena R, Escuin-Henar T, Torné-Duran S. Conical connection adjustment in prosthetic abutments obtained by different techniques. J Clin Exp Dent 2019; 11 (05) e408-e413
    CrossrefPubMedSearch in Google Scholar
  • 9 Ramalho I, Witek L, Coelho PG, Bergamo E, Pegoraro LF, Bonfante EA. Influence of abutment fabrication method on 3D fit at the implant-abutment connection. Int J Prosthodont 2020; 33 (06) 641-647
    CrossrefPubMedSearch in Google Scholar
  • 10 Al-Zordk W, Elmisery A, Ghazy M. Hybrid-abutment-restoration: effect of material type on torque maintenance and fracture resistance after thermal aging. Int J Implant Dent 2020; 6 (01) 24
    CrossrefPubMedSearch in Google Scholar
  • 11 Yilmaz B, Gouveia D, Seghi RR, Johnston WM, Lang LA. Effect of crown height on the screw joint stability of zirconia screw-retained crowns. J Prosthet Dent 2022; 128 (06) 1328-1334
    CrossrefPubMedSearch in Google Scholar
  • 12 Zahoui A, Bergamo ET, Marun MM, Silva KP, Coelho PG, Bonfante EA. Cementation protocol for bonding zirconia crowns to titanium base CAD/CAM abutments. Int J Prosthodont 2020; 33 (05) 527-535
    CrossrefPubMedSearch in Google Scholar
  • 13 Spitznagel FA, Bonfante EA, Vollmer F, Gierthmuehlen PC. Failure load of monolithic lithium disilicate implant-supported single crowns bonded to Ti-base abutments versus to customized ceramic abutments after fatigue. J Prosthodont 2022; 31 (02) 136-146
    CrossrefPubMedSearch in Google Scholar
  • 14 Nossair SA, Aboushelib MN, Morsi TS. Fracture and fatigue resistance of cemented versus fused CAD-on veneers over customized zirconia implant abutments. J Prosthodont 2015; 24 (07) 543-548
    CrossrefPubMedSearch in Google Scholar
  • 15 Salgıncı I, Avcu GY, Özcan M. Evaluation of tensile strength of different esthetic coping materials to Ti-base and monolithic zirconia crowns. J Adhes Sci Technol 2022; 36 (08) 895-904
    CrossrefSearch in Google Scholar
  • 16 Elshiyab SH, Nawafleh N, Öchsner A, George R. Fracture resistance of implant- supported monolithic crowns cemented to zirconia hybrid-abutments: zirconia-based crowns vs. lithium disilicate crowns. J Adv Prosthodont 2018; 10 (01) 65-72
    CrossrefPubMedSearch in Google Scholar
  • 17 Cárdenas R, Sánchez D, Euán R, Flores AM. Effect of fatigue loading and failure mode of different ceramic implant abutments. J Prosthet Dent 2021; S0022-3913 (20) 30740-X
    Search in Google Scholar
  • 18 Gehrke P, Alius J, Fischer C, Erdelt KJ, Beuer F. Retentive strength of two-piece CAD/CAM zirconia implant abutments. Clin Implant Dent Relat Res 2014; 16 (06) 920-925
    CrossrefPubMedSearch in Google Scholar
  • 19 Kemarly K, Arnason SC, Parke A, Lien W, Vandewalle KS. Effect of various surface treatments on Ti-base coping retention. Oper Dent 2020; 45 (04) 426-434
    CrossrefPubMedSearch in Google Scholar
  • 20 Pitta J, Burkhardt F, Mekki M, Fehmer V, Mojon P, Sailer I. Effect of airborne-particle abrasion of a titanium base abutment on the stability of the bonded interface and retention forces of crowns after artificial aging. J Prosthet Dent 2021; 126 (02) 214-221
    CrossrefPubMedSearch in Google Scholar
  • 21 Kelly JR, Rungruanganunt P. Fatigue behavior of computer-aided design/computer-assisted manufacture ceramic abutments as a function of design and ceramics processing. Int J Oral Maxillofac Implants 2016; 31 (03) 601-609
    CrossrefPubMedSearch in Google Scholar
  • 22 Tribst JPM, Dal Piva AMO, Özcan M, Borges ALS, Bottino MA. Influence of ceramic materials on biomechanical behavior of implant supported fixed prosthesis with hybrid abutment. Eur J Prosthodont Restor Dent 2019; 27 (02) 76-82
    PubMedSearch in Google Scholar