In vitro assessment of cementation of CAD/CAM fabricated prostheses over titanium bases. A systematic review

IF 4.8 1区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Clinical Oral Implants Research Pub Date : 2024-08-27 DOI:10.1111/clr.14347

Panagiotis Ntovas, Ourania Ladia, Aspasia Pachiou, Vincent Fehmer, Irena Sailer

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引用次数: 0

Abstract

Objectives

The objective of this study is to investigate the outcomes of clinically relevant laboratory studies regarding the cementation of implant-supported restorations over ti-bases.

Materials and Methods

The present study has been conducted according to PRISMA statement. An electronic search was performed, including publications up to March 2024, to identify studies investigating the parameters affecting the cementation between ti-bases and CAD/CAM prostheses. An assessment of the internal validity was performed, using a custom-made risk of bias tool (QUIN).

Results

From the included studies, 40.1% were reported on luting systems, 25% on ti-base surface treatment, 25% on restoration surface, 21.8% on restoration material, and 18.7% on ti-base height. The majority of the included studies were associated with a medium risk of bias. In the absence of micro-retentive features, air-abrasion of ti-bases with a minimum height of 3.5 mm can be beneficial for restoration's retention. The bonding performance can vary not only between different bonding systems but also for different applications within the same system, based on a restoration's material and surface treatment as well as on ti-base height and surface treatment.

Conclusions

The height of the ti-base seems to be the prevailing factor as it constitutes the prerequisite for other modifications of the bonding surfaces to have an advantageous effect. Since the parameters that can affect bonding performance between ti-base and restoration can interact with each other, it is important for the clinician to focus on verified bonding protocols.

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CAD/CAM制作的修复体在钛基底上的粘接体外评估。系统综述。

研究目的本研究的目的是调查与临床相关的实验室研究结果，了解种植体支持的修复体在钛基底上的粘结情况：本研究根据 PRISMA 声明进行。本研究根据 PRISMA 声明进行，对截至 2024 年 3 月的出版物进行了电子检索，以确定对影响 ti 基底与 CAD/CAM 修复体之间固结的参数进行调查的研究。使用定制的偏倚风险工具（QUIN）对内部有效性进行了评估：结果：在纳入的研究中，40.1%的研究涉及洗脱系统，25%的研究涉及ti基底表面处理，25%的研究涉及修复体表面，21.8%的研究涉及修复体材料，18.7%的研究涉及ti基底高度。大部分纳入研究的偏倚风险为中等。在没有微固位功能的情况下，对最小高度为 3.5 毫米的牙基底进行气磨可有利于修复体的固位。根据修复体的材料和表面处理以及牙基高度和表面处理，不仅不同粘接系统的粘接性能会有所不同，而且同一系统内的不同应用也会有所不同：粘接基底的高度似乎是主要因素，因为它是粘接表面的其他改良产生有利效果的先决条件。由于影响基底和修复体之间粘接性能的参数会相互影响，因此临床医生必须关注经过验证的粘接方案。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Oral Implants Research 医学-工程：生物医学

CiteScore

7.70

自引率

11.60%

发文量

149

审稿时长

3 months

期刊介绍： Clinical Oral Implants Research conveys scientific progress in the field of implant dentistry and its related areas to clinicians, teachers and researchers concerned with the application of this information for the benefit of patients in need of oral implants. The journal addresses itself to clinicians, general practitioners, periodontists, oral and maxillofacial surgeons and prosthodontists, as well as to teachers, academicians and scholars involved in the education of professionals and in the scientific promotion of the field of implant dentistry.