Effect of Using Different Primary Crown Materials on the Retention of CAD/CAM Telescopic Partial Dentures
DOI:
https://doi.org/10.3889/oamjms.2023.9410Keywords:
Telescopic, Zirconia, chewing simulator, RetentionAbstract
AIM: This study compared the effect of using different primary crown materials (zirconia and cobalt-chromium) on the retention of telescopic retained removable partial dentures.
MATERIALS AND METHODS: A maxillary Kennedy class I stone model was prepared and scanned. The virtual cast was adjusted to create four abutments at the positions of the canines and the first premolars. Primary crowns were designed and then milled. In Group I, seven primary crowns were milled out of zirconia, and in Group II, seven primary crowns were milled from cobalt-chromium blanks. Cobalt-chromium telescopic partial dentures were milled. The universal testing machine was utilized to apply vertically dislodging static forces. Initial retention values were recorded. Then, the chewing simulator (CS) was used to apply dynamic cyclic loading to each partial denture. And after, 50,000 cycles and 270 attempts of insertion and removal final retention values were recorded. The data were collected and statistically analyzed.
RESULTS: A significant decrease in retention in both groups after simulation of 3 months of partial denture function was recorded. It was found that after simulation of 3 months of function Group I (zirconia) recorded a statistically significant higher mean value; (1.935 ± 0.268 N) than Group II; (0.583 ± 0.018 N) as indicated by student t-test (p ≤ 0.0001 < 0.05).
CONCLUSION: Zirconia primary crowns attain higher retention values than cobalt-chromium with cobalt-chromium telescopic partial dentures after simulation of 3 months of function.
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Jeyapalan V, Krishnan CS. Partial edentulism and its correlation to age, gender, socio-economic status and incidence of various kennedy’s classes-a literature review. J Clin Diag Res. 2015;9(6):ZE14-7. https://doi.org/10.7860/JCDR/2015/13776.6124 PMid:26266237
Vanzeveren C, D’Hoore W, Bercy P, Leloup G. Treatment with removable partial dentures: A longitudinal study. Part I. J Oral Rehabil. 2003;30(5):447-58. https://doi.org/10.1046/j.1365-2842.2003.01106.x PMid:12752923
Zlataric DK, Celebic A, Valentic-Peruzovic M, Jerolimov V, Pandurić J. A survey of treatment outcomes with removable partial dentures. J Oral Rehabil. 2003;30(8):847-54. https://doi.org/10.1046/j.1365-2842.2003.01039.x PMid:12880410
Abuzar MA, Kahwagi E, Yamakawa T. Investigating oral health- related quality of life and self-perceived satisfaction with partial dentures. J Investig Clin Dent. 2012;3(2):109-17. https://doi.org/10.1111/j.2041-1626.2012.00111.x PMid:22278959
Wismeijer D, Tawse-Smith A, Payne AG. Multicentre prospective evaluation of implant-assisted mandibular bilateral distal extension removable partial dentures: Patient satisfaction. Clin Oral Implants Res. 2013;24(1):20-7. https://doi.org/10.1111/j.1600-0501.2011.02367.x PMid:22111809
Wu JH, Yang YH, Wang CH, Lee HE, Du JK. Effects of denture maintenance on satisfaction levels of Taiwanese elderly using removable partial dentures: A pilot study. Gerodontology. 2012;29(2):e458-63. https://doi.org/10.1111/j.1741-2358.2011.00500.x PMid:22117837
Constantin M, Forna DA, Budacu C, Caraiane A, Raftu G, Forna NC, et al. Oral Tumors having the origins in multiple tissues, non-differentiated or differentiated. Rev Chim. 2018;69:2895-8.
Cagna DR, Donovan TE, McKee JR, Eichmiller F, Metz JE, Albouy JP, et al. Annual review of selected scientific literature: A report of the committee on scientific investigation of the American academy of restorative dentistry. J Prosthet Dent. 2019;122(3):198-269. https://doi.org/10.1016/j.prosdent.2019.05.010 PMid:31405523
Beech N, Robinson S, Porceddu S, Batstone M. Dental management of patients irradiated for head and neck cancer. Aust Dent J. 2014;59(1):20-8. https://doi.org/10.1111/adj.12134 PMid:24495127
Gupta SH, Viswambaran M, Vijayakumar R. Telescopic retainers for removable partial dentures. Med J Armed Forces India. 2015;71(Suppl 2):578-80. https://doi.org/10.1016/j.mjafi.2015.05.001 PMid:26858498
Dobrzański LA, Dobrzański LB. Dentistry 4.0 concept in the design and manufacturing of prosthetic dental restorations. Processes. 2020;8(5):525. https://doi.org/10.3390/pr8050525
Hofmann E, Behr M, Handel G. Frequency and costs of technical failures of clasp-and double crown-retained removable partial dentures. Clin Oral Investig. 2002;6(2):104-8. https://doi.org/10.1007/s00784-002-0160-9 PMid:12166709
Schwindling FS, Dittmann B, Rammelsberg P. Double-crown- retained removable dental prostheses: A retrospective study of survival and complications. J Prosthet Dent. 2014;112(3):488-93. https://doi.org/10.1016/j.prosdent.2014.02.017 PMid:24831747
Eitner S, Schlegel A, Emeka N, Holst S, Will J, Hamel J. Comparing bar and double-crown attachments in implant- retained prosthetic reconstruction: A follow-up investigation. Clin Oral Implants Res. 2008;19(5):530-7. https://doi.org/10.1111/j.1600-0501.2007.01500.x PMid:18371100
Szentpétery V, Lautenschläger C, Setz JM. Longevity of frictional telescopic crowns in the severely reduced dentition: 3-year results of a longitudinal prospective clinical study. Quintessence Int. 2010;41(9):749-58. PMid:20806099
Dabrowa T, Dobrowolska A, Wieleba W. The role of friction in the mechanism of retaining the partial removable dentures with double crown system. Acta Bioeng Biomech. 2013;15(4):43-8. PMid:24479667
Arnold C, Hey J, Setz JM, Boeckler AF, Schweyen R. Retention force of removable partial dentures with different double crowns. Clin Oral Investig. 2018;22(4):1641-9. https://doi.org/10.1007/ s00784-017-2224-x} PMid:29101546
Yi YJ, Cho LR, Park CJ. Cause of technical failures of conical crown-retained denture (CCRD): A clinical report. J Korean Acad Prosthodont. 2003;41:714-9.
Bayer S, Zuziak W, Kraus D, Keilig L, Stark H, Enkling N. Conical crowns with electroplated gold copings: retention force changes caused by wear and combined off-axial load. Clin Oral Implants Res. 2011;22(3):323-9. https://doi.org/10.1111/j.1600-0501.2010.02003.x PMid:20868454
Beuer F, Edelhoff D, Gernet W, Naumann M. Parameters affecting retentive force of electroformed double-crown systems. Clin Oral Investig. 2010;14(2):129-35. https://doi.org/10.1007/s00784-009-0271-7 PMid:19343381
Miyazaki T, Nakamura T, Matsumura H, Ban S, Kobayashi T. Current status of zirconia restoration. J Prosthodont Res. 2013;57(4):236-61. https://doi.org/10.1016/j.jpor.2013.09.001 PMid:24140561
Merk S, Wagner C, Stock V, Eichberger M, Schmidlin PR, Roos M, et al. Suitability of secondary PEEK telescopic crowns on zirconia primary crowns: The influence of fabrication method and taper. Materials (Basel). 2016;9(11):908. https://doi.org/10.3390/ma9110908 PMid:28774027
Wagner C, Stock V, Merk S, Schmidlin PR, Roos M, Eichberger M, et al. Retention load of telescopic crowns with different taper angles between cobalt‐chromium and polyetheretherketone made with three different manufacturing processes examined by pull-off test. J Prosthodont. 2018;27(2):162-8. https://doi.org/10.1111/jopr.12482 PMid:27037795
Bathala L, Majeti V, Rachuri N, Singh N, Gedela S. The role of polyether ether ketone (PEEK) in dentistry-a review. J Med Life.
;12(1):5-9. https://doi.org/10.25122/jml-2019-0003 PMid:31123518
Guttal SS, Nadiger RK, Abhichandani S. Effect of insertion and removal of tooth supported overdentures on retention strength and fatigue resistance of two commercially available attachment systems. Int J Prosthodont Restor Dent. 2012;2(2):47-51. https://doi.org/10.5005/jp-journals-10019-1047
AlHelal A, AlRumaih HS, Kattadiyil MT, Baba NZ, Goodacre CJ. Comparison of retention between maxillary milled and conventional denture bases: A clinical study. J Prosthet Dent. 2017;117(2):233-8. https://doi.org/10.1016/j.prosdent.2016.08.007 PMid:27765399
Stock V, Schmidlin PR, Merk S, Wagner C, Roos M, Eichberger M, et al. PEEK primary crowns with cobalt-chromium, zirconia and galvanic secondary crowns with different tapers-a comparison of retention forces. Materials (Basel). 2016;9(3):187-14. https://doi.org/10.3390/ma9030187 PMid:28773311
Stock V, Schmidlin PR, Merk S, Wagner C, Roos M, Eichberger M, et al. PEEK primary crowns with cobalt-chromium, zirconia and galvanic secondary crowns with different tapers-a comparison of retention forces. Materials (Basel). 2016;9(3):187-14. https://doi.org/10.3390/ma9030187 PMid:28773311
Stock V, Wagner C, Merk S, Roos M, Schmidlin PR, Eichberger M, et al. Retention force of differently fabricated telescopic PEEK crowns with different tapers. J Dent Mater. 2016;35(4):594-600. https://doi.org/10.4012/dmj.2015-249 PMid:27477224
Bayer S, Stark H, Mues S, Keilig L, Schrader A, Enkling N. Retention force measurement of telescopic crowns. Clin Oral Investig. 2010;14(5):607-11. https://doi.org/10.1007/s00784-009-0315-z PMid:19609574
Petropoulos VC, Smith W. Maximum dislodging forces of implant overdenture stud attachments. Int J Oral Maxillofac Implants. 2002;17(4):526-35. PMid:12182295
Scherer MD, McGlumphy EA, Seghi RR, Campagni WV. Comparison of retention and stability of implant-retained overdentures based upon implant number and distribution. Int J Oral Maxillofac Implants. 2013;28(6):1619-28. https://doi.org/10.11607/jomi.3067 PMid:24278931
Uludag B, Polat S, Sahin V, Çomut AA. Effects of implant angulations and attachment configurations on the retentive forces of locator attachment-retained overdentures. Int J Oral Maxillofac Implants. 2014;29(5):1053-7. https://doi.org/10.11607/jomi.3401 PMid:25216129
Uludag B, Polat S. Retention characteristics of different attachment systems of mandibular overdentures retained by two or three implants. Int J Oral Maxillofac Implants. 2012;27(6):1509-13. PMid:23189303
Wöstmann B, Balkenhol M, Weber A, Ferger P, Rehmann P. Long-term analysis of telescopic crown retained removable partial dentures: Survival and need for maintenance. J Dent. 2007;35(1):939-45. https://doi.org/10.1016/j.jdent.2007.09.010 PMid:17961902
Conrad HJ, Seong WJ, Pesun IJ. Current ceramic materials and systems with clinical recommendations: A systematic review. J Prosthet Dent. 2007;98(5):389-404. https://doi.org/10.1016/ S0022-3913(07)60124-3 PMid:18021828
Fontijn-Tekampl FA, Slagter AP, van’t Hof MA, Geertman ME, Kalk W. Bite forces with mandibular implant- retained overdentures. J Dent Res. 1998;77(10):1832-9. https://doi.org/10.1177/00220345980770101101 PMid:9786640
Tehini G, Baba Z, Berberi A, Majzoub Z, Bassal H, Rifai K. Effect of simulated mastication on the retention of locator attachments for implant-supported overdentures: An in vitro pilot study. J Prosthodont. 2020;29(1):74-9. https://doi.org/10.1111/jopr.12670 PMid:28913855
Sia P, Masri R, Driscoll CF, Romberg E. Effect of locator abutment height on the retentive values of pink locator attachments: An in vitro study. J Prosthet Dent. 2017;117(2):283-7. https://doi.org/10.1016/j.prosdent.2016.08.012 PMid:27765392
Bayer S, Steinheuser D, Grüner M, Keilig L, Enkling N, Stark H, et al. Comparative study of four retentive anchor systems for implant supported overdentures--retention force changes. Gerodontology. 2009;26(4):268-72. https://doi.org/10.1111/j.1741-2358.2009.00286.x PMid:19371390
Botega DM, Mesquita MF, Henriques GE, Vaz LG. Retention force and fatigue strength of overdenture attachment systems. J Oral Rehabil. 2004;31(9):884-9. https://doi.org/10.1111/j.1365-2842.2004.01308.x PMid:15369470
Stančić I, Jelenković A. Retention of telescopic denture in elderly patients with maximum partially edentulous arch. Gerodontology. 2008;25(3):162-7. https://doi.org/10.1111/j.1741-2358.2007.00204.x PMid:18194328
Engels J, Schubert O, Güth JF, Hoffmann M, Jauernig C, Erdelt K, et al. Wear behavior of different double-crown systems. Clin Oral Investig. 2013;17(2):503-10. https://doi.org/10.1007/s00784-012-0746-9 PMid:22573245
Ghazal M, Yang B, Ludwig K, Kern M. Two-body wear of resin and ceramic denture teeth in comparison to human enamel. Dent Mater. 2008;24(4):502-7. https://doi.org/10.1016/j.dental.2007.04.012 PMid:17688934
Fischer CA, Ghergic DL, Vranceanu DM, Ilas SA, Comaneanu RM, Baciu F, et al. Assessment of force retention between milled metallic and ceramic telescopic crowns with different taper angles used for oral rehabilitation. Materials (Basel). 2020;13(21):4814. https://doi.org/10.3390/ma13214814 PMid:33126581
Merk S, Wagner C, Stock V, Schmidlin PR, Roos M, Eichberger M, et al. Retention load values of telescopic crowns made of Y-TZP and CoCr with Y-TZP secondary crowns: Impact of different taper angles. Materials (Basel). 2016;9(5):354. https://doi.org/10.3390/ma9050354 PMid:28773477
Besimo CH, Graber G, Flühler M. Retention force changes in implant-supported titanium telescope crowns over long-term
use in vitro. J Oral Rehabil. 1996;23(6):372-8. https://doi.org/10.1111/j.1365-2842.1996.tb00866.x PMid:8809690
Kawilarang KC, Kusuma HA, Indrastuti M. The retention difference between cobalt chromium and zirconia coping in different angulations on telescopic overdenture. Maj Kedokt Gigi Indones. 2020;6(3):117-22. https://doi.org/10.22146/majkedgiind.44383
Bevington PR, Robinson DK. Data Reduction and Error Analysis. 3rd ed. NewYork: McGrow-Hill; 2003.
Ramadan R, Elsherbeeny Y, Thabet Y, Kandil B, Ghali R. Retention of a telescopic overdenture on customized abutments after the simulation of 1 year in function. Dent Med Probl. 2021;58(2):201-6. https://doi.org/10.17219/dmp/127963 PMid:33915039
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Copyright (c) 2023 Hebatallah Tarek Abdallah, Soha Elsaeid, Yasmine Thabet (Author)

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