Performance of CAD/CAM monolithic ceramic Implant-supported restorations bonded to titanium inserts: A systematic review.

Performance of CAD/CAM monolithic ceramic Implant-supported restorations bonded to titanium inserts: A systematic review.
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CAD/CAM 整体陶瓷种植体支撑修复体与钛合金嵌件粘合的性能:系统评价。

DOI:
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发表时间:
2017
影响因子:
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通讯作者:
M. Blatz
M. Blatz
中科院分区:
医学4区
文献类型:
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作者:
J. Conejo;Toyoaki Kobayashi;Evantia Anadioti;M. Blatz

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目标 该综述评价了CAD/CAM单片种植体支持的修复体粘结在钛(Ti)种植体和基托上的现有证据,钛(Ti)种植体和基托已成为一个流行的概念。 材料和方法 对PubMed数据库进行电子和人工检索,以确定2000至2016年间发表的关于钛植入的整体式陶瓷种植体修复性能的研究。 结果 最初的搜索显示了505本书。对70篇研究进行了全文筛选,产生了25篇符合纳入标准的文章。目前尚无临床研究证实粘结在钛嵌体上的整体陶瓷修复体的性能。选定方面的实验室研究和类似假体设计的研究表明,与全陶瓷基牙相比,钛插件提高了陶瓷基牙和牙冠的整体断裂强度,保护了种植体连接免受磨损,并提供了更好的边缘适合性。 结论 虽然实验室研究和对类似设计的评估显示了有希望的结果,但需要进行临床研究,评估粘结在钛插件和基托上的CAD/CAM单片种植体支持修复的性能。
AIMS This review assessed the available evidence on the performance of CAD/CAM monolithic implant-supported restorations bonded to titanium (Ti) inserts and bases, which has become a popular concept. MATERIALS AND METHODS An electronic and manual search of PubMed databases was conducted to identify studies published in English between 2000 and 2016 on the performance of monolithic ceramic implant restorations with Ti inserts. RESULTS The initial search revealed 505 titles. Full-text screening was carried out for 70 studies, yielding 25 articles that met the inclusion criteria. No clinical studies could be identified regarding the performance of monolithic ceramic restorations bonded to Ti inserts. Laboratory studies on selected aspects and studies on similar prosthetic designs indicate that Ti inserts improve the overall fracture strength of ceramic abutments and crowns, protect the implant connection from wear, and offer a better marginal fit when compared with all-ceramic abutments. CONCLUSIONS While laboratory studies and evaluations of similar designs indicated promising outcomes, clinical studies that evaluate the performance of CAD/CAM monolithic implant-supported restorations bonded to Ti inserts and bases are needed.