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The aim of this study is to test whether or not the use of screw-retained implant crowns on customized zirconia abutments results in biological, technical and esthetic outcomes similar to those obtained with cemented all-ceramic crowns on customized zirconia abutments, both made with a computer-aided design and manufacturing procedure (CAD/CAM).
The null-hypotheses is that marginal bone level change is equal at screw-retained and cemented crowns
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cemented single crowns | Active Comparator | Cemented single crown: zirconia abutment (Straumann Cares abutment) with an all-ceramic lithium disilicate crown |
|
| Screw-retained single crown | Active Comparator | Screw-retained single crown: zirconia abutment (Straumann Cares abutment), directly veneered with veneering ceramic |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cemented crowns | Procedure | The final lithium disilicate crowns will be cemented with an adhesive cement after tightening the abutments with the torque indicated by the manufacturer and closing the screw access hole with white guttapercha. The abutment will be cleaned with ethanol. A retraction cord will be placed for cementation if indicated. The crown will be etched with hydrofluoric acid and subsequently silanized. A sufficient amount of cement will be filled in the crown without creating major excesses. When the crown is seated correctly, the cement will be light-cured for a few seconds to facilitate the removal of the now hard excess cement. - Excess cement will be meticulously removed with a carbon scaler. The removal of all excess cement will be checked with an X-ray and by visual and tactile inspection. |
| Measure | Description | Time Frame |
|---|---|---|
| Marginal bone level | The bone level represents an indicator of the osseointegration and biological success of the implant. | 5 years |
| Measure | Description | Time Frame |
|---|---|---|
| Biological, technical and esthetic outcome | Radiographic bone level after 1 and 3 years | up to 5 years |
| Biological, technical and esthetic outcome | implant survival after 1, 3 and 5 years |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Daniel Thoma, Prof. Dr. | Clinic of Reconstructive Dentistry | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinic of Reconstructive Dentistry | Zurich | 8032 | Switzerland |
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| Screw-retained crowns | Procedure | The screw-retained crowns will be inserted and tightened with the torque indicated by the manufacturer. The screw access hole will to be closed with white guttapercha and a composite filling (Filtek, 3M ESPE). |
|
| up to 5 years |
| Biological, technical and esthetic outcome | rate of biological complications after 1, 3 and 5 years | up to 5 years |
| Biological, technical and esthetic outcome | rate of technical complications after 1, 3 and 5 years | up to 5 years |