Vollkeramik auf Implantaten – geht das?

Vollkeramische Werkstoffe haben sich seit geraumer Zeit als adäquate Alternative für die Versorgung mit Kronen und Brücken qualifiziert. Dies unterstützt die DGZMK mit der „S3-Leitlinie Vollkeramische Kronen und Brücken“ mittels evidenzgestützter Studienergebnisse und testiert, dass die klinische Bewährung wesentlich vom Einsatzbereich, von den verwendeten Werkstoffen und von der Einhaltung materialspezifischer Anforderungen abhängt [1].

• Literatur

• 1 Meyer G, Ahsbahs S, Kern M. et al. Vollkeramische Kronen und Brücken, S3-Leitlinie, AWMF Reg.Nr. 083-012, Ergebnisse der DGPro Konsensus-Konferenzen. DGZMK 2013/2014. Zahnärztl Mitteil 2015; 7: 50-55
• 2 Jung RE, Zembic A, Pjetursson BE. et al. Systematic review of the survival rate and the insidence of biological, technical, and aestehtic complications of single crowns on implants reported in longitudinal studies with a mean follow-up of 5 years. Clin Oral Implants Res 2012; 23 (Suppl. 06) 2-21
• 3 Brägger U, Aeschlimann S, Bürgin W. et al. Biological and technical complications and failures with fixed partial dentures (FDP) on implants and teeth after four to five years of function. Clin Oral Implant Res 2001; 12: 26-34
• 4 Pjetursson BE, Brägger U, Lang NP. et al. Comparison of survival and complication rates of tooth-supported fixed dental protheses (FDP) and implant-supported FDPs and single crowns (SCs). Clin Oral Implants Res 2007; 18 (Suppl. 03) 97-113
• 5 Hämmerle CH, Wagner D, Brägger U. et al. Threshold of tactile sensitivity perceived with dental endosseous implants and natural teeth. Clin Oral Implants Res 1995; 6: 83-90
• 6 Pjetursson BE, Thoma D, Jung RE. et al. A systematic review of the survival rate and complication rates of implant-supported fixed dental prostheses (FDPs) after a mean observation period of at least 5 years. Clin Oral Implants Res 2012; 23 (Suppl. 06) 22-38
• 7 Lambrechts P, Braem M, Vuylsteke-Wauters M. et al. Quantitative in vivo wear of human enamel. J Dent Res 1989; 68: 1752-1754
• 8 Jung YS, Lee JW, Choi YJ. et al. A study on the in-vitro wear of the natural tooth structure by opposing zirconia or dental porcelain. J Adv Prosthodont 2010; 2: 111-115
• 9 Stawarczyk B, Özcan M, Schmutz F. et al. Two-body wear of monolithic, veneered and glazed zirconia and their corresponding enamel antagonists. Acta Odontol Scand 2013; 71: 102-112
• 10 Stober T, Bermejo JL, Rammelsberg P. et al. Enamel wear caused by monolithic zirconia crowns after 6 months of clinical use. J Oral Rehabil 2014; 41: 314-322
• 11 Abdulmajeed AA, Lim KG, Närhi TO. et al. Complete-arch implant-supported monolithic zirconia fixed dental prostheses: A systematic review. J Prosthet Den 2016; 115: 672-677
• 12 Spies BC, Balmer M, Patzelt SB. et al. Clinical and patient-reported outcomes of a zirconia oral implant: Three-year results of a prospective cohort investigation. J Dent Res 2015; 94: 1385-1391
• 13 Pieralli S, Kohal RJ, Jung RE. et al. Clinical outcomes of zirconia dental implants: A systematic review. J Dent Res 2017; 96: 38-46
• 14 Spies BC, Witkowski S, Butz F. et al. Bi-layered zirconia/fluor-apatite bridges supported by ceramic dental implants: A prospective case series after thirty months of observation. Clin Oral Implants Res 2016; 27: 1265-1273
• 15 Passos SP, Linke B, Larjava H. et al. Performance of zirconia abutments for implant-supported single-tooth crowns in esthetic areas: A retrospective study up to 12-year follow-up. Clin Oral Implants Res 2016; 27: 47-54
• 16 Stimmelmayr M, Heiß P, Erdelt K. et al. Fracture resistance of different implant abutments supporting all-ceramic single crowns after aging. Int J Compu Dent 2017; 20: 53-64
• 17 Hopp M, Moss C. Hybrid-Abutments – Möglichkeiten der Herstellung. Zahn Prax 2011; 14: 200-207
• 18 Zembic A, Philipp AO, Hämmerle CH. et al. Eleven-year follow-up of a prospective study of zirconia implant abutments supporting single all-ceramic crowns in anterior and premolar regions. Clin Implant Dent Relat Res 2015; 17 (Suppl. 02) 417-626
• 19 Zembic A, Sailer I, Jung RE. et al. Randomized controlled clinical trial of customized zirconia and titanium implant abutments for single-tooth implants in canine and posterior regions – 3-year results. Clin Oral Implants Res 2009; 20: 802-808
• 20 Zembic A, Kim S, Zwahlen M. et al. Systematic review of the survival rate and incidence of biologic, technical, and esthetic complications of single implant abutments supporting fixed prostheses. Int J Oral Maxillofac Implants 2014; 29 (Suppl.) 99-116
• 21 Sailer I, Philipp A, Zembic A. et al. A systematic review of the performance of ceramic and metal implant abutments supporting fixed implant reconstructions. Clin Oral Implants Res 2009; 20 (Suppl. 04) 4-31
• 22 Sailer I, Zembic A, Jung RE. et al. Single-tooth implant reconstructions: Esthetic factors influencing the decision between titanium and zirconia abutments in anterior regions. Eur J Esthet Dent 2007; 2: 296-310
• 23 Rinke S. Anterior all-ceramic superstructures – chance or risk?. Quintessence Int 2015; 46: 289-302
• 24 Gehrke P, Johannson D, Fischer C. et al. In-vitro fatigue and fracture resistance of one- and two-piece CAD/CAM zirconia implant abutments. Int J Oral Maxillofac Implants 2015; 30: 546-554
• 25 Ekfeldt A, Fürst B, Carlsson GE. Zirconia abutments for single-tooth implant restorations: a 10 to 11-year follow-up study. Clin Oral Implants Res 2017; 28: 1303-1308
• 26 Güncü MB, Cakan U, Aktas G. et al. Comparison of implant vs. tooth-supported zirconia-based single crowns in a split-mouth design: a 4-year clinical follow-up study. Clin Oral Investig 2016; 20: 2467-2473
• 27 Bömicke W, Rammelsberg P, Stöber T. et al. Short-term prospective clinical evaluation of monolithic and partly veneered zirconia single crowns. J Esthet Restor Dent 2016; 29: 22-30
• 28 Rinke S, Lattke A, Eickholz P. et al. Practice-based clinical evaluation of zirconia abutments for anterior single-tooth restorations. Quintessence Int 2015; 46: 19-29
• 29 Wittneben JG, Millen C, Brägger U. Clinical performance of screw vs. cement-retained fixed implant-supported reconstructions – a systematic review. Int J Oral Maxillofac Implants 2014; 39 (Suppl.) 84-98
• 30 Wang JH, Judge R, Bailey D. Five-year retrospective assay of implant treatments and complications in private practice. Restorative treatment profiles of single and short-span implant-supported fixed prostheses. Int J Prosthodont 2016; 29: 372-380
• 31 Hahnel S. Vollkeramische implantat-getragene Versorgungen – State of the Art?. Wissen Kompakt 2017; 11: 55-61
• 32 Larsson C, Vult von Steyern P. Five-year follow-up of implant-supported Y-TZP and ZTA fixed dental prostheses. A randomized, prospective clinical trial comparing two different material systems. Int J Prosthodont 2010; 23: 555-561
• 33 Zembic A, Bösch A, Jung RE. et al. Five-year results of a randomized controlled clinical trial comparing zirconia and titanium abutments supporting single-implant crowns in canine and posterior regions. Clin Oral Implants Res 2013; 24: 384-390