INFLUENCE OF ABUTMENT MATERIAL, CEMENT THICKNESS, AND CROWN TYPE ON THE FINAL COLOR OF IMPLANT-SUPPORTED RESTORATIONS.

Hamiyet Kilinc, Fatma Ayse Sanal
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Abstract

Purpose: To evaluate the influence of abutment material, cement thickness, and crown type on the esthetics of implant supported restorations.

Material and methods: In total, 60 specimens were prepared to represent six abutment groups: Group PA = pink-anodized Ti; Group GA = gold-anodized Ti; Group T = nonanodized Ti; Group H = hybrid (Ti + zirconia); Group P = PEEK (Ti + PEEK); and Group C = composite resin (control). Crown specimens (n = 120) were obtained from Vita Enamic (VE) and Vita Suprinity (VS). Two cement thicknesses (0.1 and 0.2 mm) were used. The color values of crown configura:ons were measured and ΔE00* values were calculated. Statistical analyses included were Shapiro Wilk, three-way ANOVA, and Tukey HSD tests (P ≤ .05).

Results: Abutment (P < .001) and crown materials (P = .001) had a significant effect on ΔE00* values, while cement thickness did not. Groups PA and H resulted in significantly lower mean ΔE00* values than other abutments, whereas Group T revealed the highest. Unlike VS, cement thicknesses created a significant difference on the ΔE00* values for VE (P ≤.05).

Conclusions: Pink-anodized Ti or hybrid abutments for VE and pink- or goldanodized Ti for VS seem to be better options, in terms of color change. Cement thickness of 0.1 mm resulted in higher ΔE00* value than 0.2 mm for VE (P ≤ .05).

基台材料、骨水泥厚度和牙冠类型对种植体支持修复体最终颜色的影响。
目的:评估基台材料、骨水泥厚度和牙冠类型对种植体支持修复体美观的影响:共制备了 60 个样本,代表六组基台:PA 组;粉红阳极氧化 Ti;GA 组;金阳极氧化 Ti;T 组;非阳极氧化 Ti;H 组;混合(Ti +;氧化锆);P 组;PEEK(Ti +;PEEK);C 组;复合树脂(对照组)。牙冠样本(n =;120)来自 Vita Enamic (VE) 和 Vita Suprinity (VS)。使用了两种粘接剂厚度(0.1 毫米和 0.2 毫米)。测量牙冠配置的颜色值并计算 ΔE00* 值。统计分析包括 Shapiro Wilk、三方方差分析和 Tukey HSD 检验(P ≤ .05):结果:基台(P < .001)和牙冠材料(P = .001)对 ΔE00* 值有显著影响,而骨水泥厚度没有影响。PA 组和 H 组的平均 ΔE00* 值明显低于其他基台,而 T 组则最高。与 VS 不同,水门汀厚度对 VE 的 ΔE00* 值产生了显著差异(P ≤.05):结论:就颜色变化而言,粉红色阳极氧化钛或混合基台用于 VE,粉红色或金色阳极氧化钛用于 VS 似乎是更好的选择。对于 VE,0.1 毫米的水泥厚度比 0.2 毫米的水泥厚度产生的 ΔE00* 值更高(P ≤ .05)。
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