Zirconia as a dental implant abutment material: A systematic review

International Journal of Prosthodontics

Volumn 23, Issue 4, 2010, Pages 299-309

  Nakamura, Keisuke ^a   Kanno, Taro ^a   Milleding, Percy ^b   Örtengren, Ulf ^b,c  

^a TOHOKU UNIVERSITY   (Japan)

^b UNIVERSITY OF GOTHENBURG   (Sweden)

^c UNIVERSITY OF TROMSØ   (Norway)

Author keywords

[No Author keywords available]

Indexed keywords

BIOMEDICAL AND DENTAL MATERIALS; ZIRCONIUM; ZIRCONIUM OXIDE;

CHEMISTRY; DENTURE; HISTOLOGY; HUMAN; MECHANICS; PERIODONTIUM; REVIEW; SURVIVAL; TOOTH IMPLANTATION; TOOTH PLAQUE; TOOTH PROSTHESIS;

DENTAL ABUTMENTS; DENTAL IMPLANTS; DENTAL MATERIALS; DENTAL PLAQUE; DENTAL PROSTHESIS DESIGN; HUMANS; MECHANICAL PHENOMENA; PERIODONTIUM; SURVIVAL ANALYSIS; ZIRCONIUM;

EID: 77957275906     PISSN: 08932174     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (83)

1. Lindhe J, Berglundh T. The interface between the mucosa and the implant. Periodontol 2000 1998;17:47-54.
2. Linkevicius T, Apse P. Influence of abutment material on stability of peri-implant tissues: A systematic review. Int J Oral Maxillofac Implants 2008;23:449-456.
3. Lekholm U, Gunne J, Henry P, et al. Survival of the Brånemark implant in partially edentulous jaws: A 10-year prospective multicenter study. Int J Oral Maxillofac Implants 1999;14:639-645.
4. Ekelund JA, Lindquist LW, Carlsson GE, Jemt T. Implant treatment in the edentulous mandible: A prospective study on Brånemark system implants over more than 20 years. Int J Prosthodont 2003;16:602-608.
5. Prestipino V, Ingber A. Esthetic high-strength implant abutments. Part I. J Esthet Dent 1993;5:29-36.
6. Prestipino V, Ingber A. Esthetic high-strength implant abutments. Part II. J Esthet Dent 1993;5:63-68.
7. McKinney RV Jr, Steflik DE, Koth DL. Evidence for a junctional epithelial attachment to ceramic dental implants. A transmission electron microscopic study. J Periodontol 1985;56:579-591.
8. Arvidson K, Fartash B, Hilliges M, Köndell PA. Histological characteristics of peri-implant mucosa around Brånemark and singlecrystal sapphire implants. Clin Oral Implants Res 1996;7:1-10.
9. Fartash B, Tangerud T, Silness J, Arvidson K. Rehabilitation of mandibular edentulism by single crystal sapphire implants and overdentures: 3-12 year results in 86 patients. A dual center international study. Clin Oral Implants Res 1996;7:220-229.
10. Abrahamsson I, Berglundh T, Glantz PO, Lindhe J. The mucosal attachment at different abutments. An experimental study in dogs. J Clin Periodontol 1998;25:721-727.
11. Andersson B, Taylor A, Lang BR, et al. Alumina ceramic implant abutments used for single-tooth replacement: A prospective 1- to 3-year multicenter study. Int J Prosthodont 2001;14:432-438.
12. Andersson B, Glauser R, Maglione M, Taylor A. Ceramic implant abutments for short-span FPDs: A prospective 5-year multicenter study. Int J Prosthodont 2003;16:640-646.
13. Henriksson K, Jemt T. Evaluation of custom-made procera ceramic abutments for single-implant tooth replacement: A prospective 1-year follow-up study. Int J Prosthodont 2003;16:626-630.
14. Holst S, Blatz MB, Hegenbarth E, Wichmann M, Eitner S. Prosthodontic considerations for predictable single-implant esthetics in the anterior maxilla. J Oral Maxillofac Surg 2005;63 (suppl 2):89-96.
15. Garvie RC, Hannink RH, Pascoe RT. Ceramic steel?. Nature 1975;258:703-704.
16. Scott HG. Phase relationships in the zirconia-yttria system. J Mater Sci 1975;10:1527-1535.
17. Piconi C, Maccauro G. Zirconia as a ceramic biomaterial. Bio - materials 1999;20:1-25.
18. Manicone PF, Rossi Iommetti P, Raffaelli L, et al. Biological considerations on the use of zirconia for dental devices. Int J Immunopathol Pharmacol 2007;20(suppl 1):9-12.
19. Manicone PF, Rossi Iommetti P, Raffaelli L. An overview of zirconia ceramics: Basic properties and clinical applications. J Dent 2007;35:819-826.
20. Denry I, Kelly JR. State of the art of zirconia for dental applications. Dent Mater 2008;24:299-307.
21. Hisbergues M, Vendeville S, Vendeville P. Zirconia: Established facts and perspectives for a biomaterial in dental implantology. J Biomed Mater Res B Appl Biomater 2009;88:519-529.
22. Sailer I, Fehér A, Filser F, Gauckler LJ, Lüthy H, Hämmerle CH. Five-year clinical results of zirconia frameworks for posterior fixed partial dentures. Int J Prosthodont 2007;20:383-388.
23. Pilathadka S, Vahalová D, Vosáhlo T. The Zirconia: A new dental ceramic material. An overview. Prague Med Rep 2007;108:5-12.
24. Molin MK, Karlsson SL. Five-year clinical prospective evaluation of zirconia-based Denzir 3-unit FPDs. Int J Prosthodont 2008;21:223-227.
25. Springate SD, Winchester LJ. An evaluation of zirconium oxide brackets: A preliminary laboratory and clinical report. Br J Orthod 1991;18:203-209.
26. Wenz HJ, Bartsch J, Wolfart S, Kern M. Osseointegration and clinical success of zirconia dental implants: A systematic review. Int J Prosthodont 2008;21:27-36.
27. Kohal RJ, Att W, Bächle M, Butz F. Ceramic abutments and ceramic oral implants. An update. Periodontol 2000 2008;47:224-243.
28. Yildirim M, Edelhoff D, Hanisch O, Spiekermann H. Ceramic abutments-A new era in achieving optimal esthetics in implant dentistry. Int J Periodontics Restorative Dent 2000;20:81-91.
29. Brodbeck U. The ZiReal Post: A new ceramic implant abutment. J Esthet Restor Dent 2003;15:10-23.
30. Yildirim M, Fischer H, Marx R, Edelhoff D. In vivo fracture resistance of implant-supported all-ceramic restorations. J Prosthet Dent 2003;90:325-331.
31. Butz F, Heydecke G, Okutan M, Strub JR. Survival rate, fracture strength and failure mode of ceramic implant abutments after chewing simulation. J Oral Rehabil 2005;32:838-843.
32. Att W, Kurun S, Gerds T, Strub JR. Fracture resistance of singletooth implant-supported all-ceramic restorations after exposure to the artificial mouth. J Oral Rehabil 2006;33:380-386.
33. Att W, Kurun S, Gerds T, Strub JR. Fracture resistance of singletooth implant-supported all-ceramic restorations: An in vitro study. J Prosthet Dent 2006;95:111-116.
34. Gehrke P, Dhom G, Brunner J, Wolf D, Degidi M, Piattelli A. Zirconium implant abutments: Fracture strength and influence of cyclic loading on retaining-screw loosening. Quintessence Int 2006;37:19-26.
35. Canullo L, Morgia P, Marinotti F. Preliminary laboratory evaluation of bicomponent customized zirconia abutments. Int J Prosthodont 2007;20:486-488.
36. Sundh A, Sjögren G. A study of the bending resistance of implantsupported reinforced alumina and machined zirconia abutments and copies. Dent Mater 2008;24:611-617.
37. Aramouni P, Zebouni E, Tashkandi E, Dib S, Salameh Z, Almas K. Fracture resistance and failure location of zirconium and metallic implant abutments. J Contemp Dent Pract 2008;9:41-48.
38. Kerstein RB, Radke J. A comparison of fabrication precision and mechanical reliability of 2 zirconia implant abutments. Int J Oral Maxillofac Implants 2008;23:1029-1036.
39. Kim S, Kim HI, Brewer JD, Monaco EA Jr. Comparison of fracture resistance of pressable metal ceramic custom implant abutments with CAD/CAM commercially fabricated zirconia implant abutments. J Prosthet Dent 2009;101:226-230.
40. Adatia ND, Bayne SC, Cooper LF, Thompson JY. Fracture resistance of yttria-stabilized zirconia dental implant abutments. J Prosthodont 2009;18:17-22.
41. Haraldson T, Carlsson GE, Ingervall B. Functional state, bite force and postural muscle activity in patients with osseointegrated oral implant bridges. Acta Odontol Scand 1979;37:195-206.
42. Kiliaridis S, Kjellberg H, Wenneberg B, Engström C. The relationship between maximal bite force, bite force endurance, and facial morphology during growth. A cross-sectional study. Acta Odontol Scand 1993;51:323-331.
43. Kohal RJ, Weng D, Bächle M, Strub JR. Loaded custom-made zirconia and titanium implants show similar osseointegration: An animal experiment. J Periodontol 2004;75:1262-1268.
44. Degidi M, Artese L, Scarano A, Perrotti V, Gehrke P, Piattelli A. Inflammatory infiltrate, microvessel density, nitric oxide synthase expression, vascular endothelial growth factor expression, and proliferative activity in peri-implant soft tissues around titanium and zirconium oxide healing caps. J Periodontol 2006;77:73-80.
45. Welander M, Abrahamsson I, Berglundh T. The mucosal barrier at implant abutments of different materials. Clin Oral Implants Res 2008;19:635-641.
46. Teté S, Mastrangelo F, Bianchi A, Zizzari V, Scarano A. Collagen fiber orientation around machined titanium and zirconia dental implant necks: An animal study. Int J Oral Maxillofac Implants 2009;24:52-58.
47. Nakazato G, Tsuchiya H, Sato M, Yamauchi M. In vivo plaque formation on implant materials. Int J Oral Maxillofac Implants 1989;4:321-326.
48. Bollen CM, Papaioanno W, Van Eldere J, Schepers E, Quirynen M, van Steenberghe D. The influence of abutment surface roughness on plaque accumulation and peri-implant mucositis. Clin Oral Implants Res 1996;7:201-211.
49. Rimondini L, Cerroni L, Carrassi A, Torricelli P. Bacterial colonization of zirconia ceramic surfaces: An in vitro and in vivo study. Int J Oral Maxillofac Implants 2002;17:793-798.
50. Scarano A, Piattelli M, Caputi S, Favero GA, Piattelli A. Bacterial adhesion on commercially pure titanium and zirconium oxide disks: An in vivo human study. J Periodontol 2004;75:292-296.
51. Scotti R, Kantorski KZ, Monaco C, Valandro LF, Ciocca L, Bottino MA. SEM evaluation of in situ early bacterial colonization on a Y-TZP ceramic: A pilot study. Int J Prosthodont 2007;20:419-422.
52. Meier R, Hauser-Gerspach I, Lüthy H, Meyer J. Adhesion of oral streptococci to all-ceramics dental restorative materials in vitro. J Mater Sci Mater Med 2008;19:3249-3253.
53. Rosentritt M, Behr M, Burgers R, Feilzer AJ, Hahnel S. In vitro adherence of oral streptococci to zirconia core and veneering glassceramics. J Biomed Mater Res B Appl Biomater 2009;91:257-263.
54. Glauser R, Sailer I, Wohlwend A, Studer S, Schibli M, Schärer P. Experimental zirconia abutments for implant-supported singletooth restorations in esthetically demanding regions: 4-year results of a prospective clinical study. Int J Prosthodont 2004;17:285-290.
55. Canullo L. Clinical outcome study of customized zirconia abutments for single-implant restorations. Int J Prosthodont 2007;20:489-493.
56. Zembic A, Sailer I, Jung RE, Hämmerle CH. 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.
57. Sailer I, Zembic A, Jung RE, Siegenthaler D, Holderegger C, Hämmerle CH. Randomized controlled clinical trial of customized zirconia and titanium implant abutments for canine and posterior single-tooth implant reconstructions: Preliminary results at 1 year of function. Clin Oral Implants Res 2009;20:219-225.
58. Carlsson GE. Changes in the prosthodontic literature 1966 to 2042. J Can Dent Assoc 2005;71:328.
59. Creugers NH, Kreulen CM. Systematic review of 10 years of systematic reviews in prosthodontics. Int J Prosthodont 2003;16:123-127.
60. Carlsson GE. Critical review of some dogmas in prosthodontics. J Prosthodont Res 2009;53:3-10.
61. Albrektsson T, Wennerberg A. Oral implant surfaces: Part 2-Review focusing on clinical knowledge of different surfaces. Int J Prosthodont 2004;17:544-564.
62. Quirynen M, De Soete M, van Steenberghe D. Infectious risks for oral implants: A review of the literature. Clin Oral Implants Res 2002;13:1-19.
63. Pjetursson BE, Tan K, Lang NP, Brägger U, Egger M, Zwahlen M. A systematic review of the survival and complication rates of fixed partial dentures (FPDs) after an observation period of at least 5 years. Clin Oral Implants Res 2004;15:625-642.
64. van Steenberghe D, Naert I, Jacobs R, Quirynen M. Influence of inflammatory reactions vs. occlusal loading on peri-implant marginal bone level. Adv Dent Res 1999;13:130-135.
65. Kosmac T, Oblak C, Jevnikar P, Funduk N, Marion L. The effect of surface grinding and sandblasting on flexural strength and reliability of Y-TZP zirconia ceramic. Dent Mater 1999;15:426-433.
66. Kosmac T, Oblak C, Jevnikar P, Funduk N, Marion L. Strength and reliability of surface treated Y-TZP dental ceramics. J Biomed Mater Res 2000;53:304-313.
67. Luthardt RG, Holzhüter M, Sandkuhl O, et al. Reliability and properties of ground Y-TZP-zirconia ceramics. J Dent Res 2002;81:487-491.
68. Berglundh T, Lindhe J, Ericsson I, Marinello CP, Liljenberg B, Thomsen P. The soft tissue barrier at implants and teeth. Clin Oral Implants Res 1991;2:81-90.
69. Buser D, Weber HP, Donath K, Fiorellini JP, Paquette DW, Williams RC. Soft tissue reactions to non-submerged unloaded titanium implants in beagle dogs. J Periodontol 1992;63:225-235.
70. Abrahamsson I, Berglundh T, Wennström J, Lindhe J. The peri-implant hard and soft tissues at different implant systems. A comparative study in the dog. Clin Oral Implants Res 1996;7:212-219.
71. Berglundh T, Lindhe J. Dimension of the periimplant mucosa. Biological width revisited. J Clin Periodontol 1996;23:971-973.
72. Ericsson I, Nilner K, Klinge B, Glantz PO. Radiographical and histological characteristics of submerged and nonsubmerged titanium implants. An experimental study in the Labrador dog. Clin Oral Implants Res 1996;7:20-26.
73. Mackenzie IC, Tonetti MS. Formation of normal gingival epithelial phenotypes around osseo-integrated oral implants in humans. J Periodontol 1995;66:933-943.
74. Moon IS, Berglundh T, Abrahamsson I, Linder E, Lindhe J. The barrier between the keratinized mucosa and the dental implant. An experimental study in the dog. J Clin Periodontol 1999;26:658-663.
75. Quirynen M, van der Mei HC, Bollen CM, et al. An in vivo study of the influence of the surface roughness of implants on the microbiology of supra- and subgingival plaque. J Dent Res 1993;72:1304-1309.
76. Quirynen M, Bollen CM, Papaioannou W, Van Eldere J, van Steenberghe D. The influence of titanium abutment surface roughness on plaque accumulation and gingivitis: Short-term observations. Int J Oral Maxillofac Implants 1996;11:169-178.
77. Wennerberg A, Sennerby L, Kultje C, Lekholm U. Some soft tissue characteristics at implant abutments with different surface topography. A study in humans. J Clin Periodontol 2003;30:88-94.
78. Pittayachawan P, McDonald A, Petrie A, Knowles JC. The biaxial flexural strength and fatigue property of Lava Y-TZP dental ceramic. Dent Mater 2007;23:1018-1029.
79. Shah K, Holloway JA, Denry IL. Effect of coloring with various metal oxides on the microstructure, color, and flexural strength of 3YTZP. J Biomed Mater Res B Appl Biomater 2008;87:329-337.
80. Chevalier J. What future for zirconia as a biomaterial?. Biomaterials 2006;27:535-543.
81. Deville S, Chevalier J, Gremillard L. Influence of surface finish and residual stresses on the ageing sensitivity of biomedical grade zirconia. Biomaterials 2006;27:2186-2192.
82. Chevalier J, Gremillard L, Deville S. Low-temperature degradation of zirconia and implications for biomedical implants. Ann Rev Mater Res 2007;37:1-32.
83. Chevalier J. Low-temperature aging of Y-TZP ceramics. J Am Ceram Soc 1999;82:2150-2154.