Metal-ceramic restorations are widely used in dentistry with a high degree of general success. However, fracture of these restorations does occur and usually frustrates both the dentist and the patient. Objective: Thi...Metal-ceramic restorations are widely used in dentistry with a high degree of general success. However, fracture of these restorations does occur and usually frustrates both the dentist and the patient. Objective: This literature review discusses the factors that may lead to the fracture of these restorations whether they are tooth-supported or implant-supported with the aim of making dentists and technicians aware of these factors to avoid them. Factors reviewed include: technical factors, dentist-related factors, inherent material properties, direction, magnitude and frequency of applied loads, environmental factors, screw-retained implant-supported restorations, and posterior cantilevered prostheses. Material and Methods: A netbased search in “Pubmed” was performed and combined with a manual search. The search was limited to articles written in English. Conclusions: the published literature revealed that the factors predisposing to fracture of metal-ceramic restorations may be related to the technician, dentist, patient, environment, design of the restoration, or to inherent structure of ceramics and others. However, if the dentist and technician understand these factors and respect the physical characteristics of the materials, most of those are avoidable.展开更多
Background: The screw and cement-retained implant-supported fixed prosthesis has advantages and disadvantages. However, current research comparing the properties of these restorations is lacking. Objectives: The aim o...Background: The screw and cement-retained implant-supported fixed prosthesis has advantages and disadvantages. However, current research comparing the properties of these restorations is lacking. Objectives: The aim of the study was to review the current literature on the properties of screw and cement retained implant supported restorations. Material and Methods: A literature search was conducted from January 2010 to December 2023, using 4 databases to identify research. Sixty studies met the inclusion criteria. Results: Cement-retained restorations have some advantages. Passive fit is easier to achieve, and eliminating occlusal access holes can help with the occlusal adjustments in cemented restorations. However, in case residual cement is not completely removed after cementation, it becomes a predisposing factor for peri-implantitis and marginal bone loss. The main advantage of screw-retained restorations is the retrievability, which can be achieved without damaging the restoration or fixture. However, in case the implant is not ideally positioned, the location of the screw access channel can negatively affect the aesthetics of the screw-retained restorations. In addition, porcelain fracture and screw loosening occur more frequently in screw-retained restoration. Conclusions: Screw and cement-retained restorations display specific advantages and disadvantages;nevertheless, the selection of one retention method over another depends on the clinical scenario.展开更多
文摘Metal-ceramic restorations are widely used in dentistry with a high degree of general success. However, fracture of these restorations does occur and usually frustrates both the dentist and the patient. Objective: This literature review discusses the factors that may lead to the fracture of these restorations whether they are tooth-supported or implant-supported with the aim of making dentists and technicians aware of these factors to avoid them. Factors reviewed include: technical factors, dentist-related factors, inherent material properties, direction, magnitude and frequency of applied loads, environmental factors, screw-retained implant-supported restorations, and posterior cantilevered prostheses. Material and Methods: A netbased search in “Pubmed” was performed and combined with a manual search. The search was limited to articles written in English. Conclusions: the published literature revealed that the factors predisposing to fracture of metal-ceramic restorations may be related to the technician, dentist, patient, environment, design of the restoration, or to inherent structure of ceramics and others. However, if the dentist and technician understand these factors and respect the physical characteristics of the materials, most of those are avoidable.
文摘Background: The screw and cement-retained implant-supported fixed prosthesis has advantages and disadvantages. However, current research comparing the properties of these restorations is lacking. Objectives: The aim of the study was to review the current literature on the properties of screw and cement retained implant supported restorations. Material and Methods: A literature search was conducted from January 2010 to December 2023, using 4 databases to identify research. Sixty studies met the inclusion criteria. Results: Cement-retained restorations have some advantages. Passive fit is easier to achieve, and eliminating occlusal access holes can help with the occlusal adjustments in cemented restorations. However, in case residual cement is not completely removed after cementation, it becomes a predisposing factor for peri-implantitis and marginal bone loss. The main advantage of screw-retained restorations is the retrievability, which can be achieved without damaging the restoration or fixture. However, in case the implant is not ideally positioned, the location of the screw access channel can negatively affect the aesthetics of the screw-retained restorations. In addition, porcelain fracture and screw loosening occur more frequently in screw-retained restoration. Conclusions: Screw and cement-retained restorations display specific advantages and disadvantages;nevertheless, the selection of one retention method over another depends on the clinical scenario.
