Chinese Journal of Tissue Engineering Research ›› 2014, Vol. 18 ›› Issue (12): 1858-1863.doi: 10.3969/j.issn.2095-4344.2014.12.009

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Clinical comparison of different materials as posterior dental implants

Yao Xi1, Li Yun-sheng1, Hu Dong-mei1, Dai Yong-yu2   

  1. 1Department of Stomatology, China Meitan General Hospital, Beijing 102218, China
    2Department of Stomatology, Beijing Hospital of the Ministry of Health, Beijing 100730, China
  • Revised:2014-03-10 Online:2014-03-19 Published:2014-03-19
  • About author:Yao Xi, Master, Attending physician, Department of Stomatology, China Meitan General Hospital, Beijing 102218, China

Abstract:

BACKGROUND: Studies have shown that selection of implant crowns that directly impact the service life of implants and patient’s periodontal health is very important.
OBJECTIVE: To compare the clinical effects of Lava zirconia crowns, goal-platinum alloy ceramic crowns and silver-palladium alloy crowns supplemented by dental implants used in the single missing posterior tooth.
METHODS: Sixty patients with first molar missing (120 teeth) were divided into three groups and treated with Lava zirconia, goal-platinum alloy ceramic and silver-palladium alloy crowns applied to the dental implants for posterior column defects. The clinical restorative effects of three prostheses were compared.
RESULTS AND CONCLUSION: During 6-48 months of follow-up, the gingival edge coloring, gingival margin microleakage, the color of prosthesis of Lava zirconia alloy ceramic crowns and gold-platinum alloy ceramic crowns were better than those of silver-palladium alloy crowns, and the gingival edge coloring and the color of prosthesis of Lava zirconia alloy ceramic crowns were better than those of gold-platinum alloy ceramic crowns, while the gingival margin microleakage of gold-platinum alloy ceramic crowns was better than that of Lava zirconia alloy ceramic crowns. Silver-palladium alloy crowns were lower than Lava zirconia ceramic crowns and gold-platinum alloy ceramic crowns in the fracture extent. But silver-palladium alloy crowns had the highest gingival index, the worst gingival health and rapidest and most severe plaque formation. Therefore, Lava zirconia all-ceramic crowns and gold platinum alloy-porcelain crown are ideal prostheses for implant restorations. The former has better biocompatibility, and the latter shows better marginal adaptation.


中国组织工程研究杂志出版内容重点:生物材料;骨生物材料; 口腔生物材料; 纳米材料; 缓释材料; 材料相容性;组织工程


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Key words: dental implants, dental alloys, metal ceramic alloys, tooth preparation, prosthodontic

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