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Fracture resistance and crystal phase transformation of a one- and a two-piece zirconia implant with and without simultaneous loading and aging—An in vitro study
University of Freiburg, Germany; Lennart Riemer Zahnarztpraxis Franzem, Germany.
University of Freiburg, Germany; Lennart Riemer Zahnarztpraxis Franzem, Germany.
University of Freiburg, Germany; Lennart Riemer Zahnarztpraxis Franzem, Germany.
RISE Research Institutes of Sweden, Materials and Production, Product Realisation Methodology.ORCID iD: 0000-0003-4860-8763
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2021 (English)In: Clinical Oral Implants Research, ISSN 0905-7161, E-ISSN 1600-0501, Vol. 32, no 11, p. 1288-1298Article in journal (Refereed) Published
Abstract [en]

Objective: To evaluate the influence of artificial aging on the transformation propagation and fracture resistance of zirconia implants. Methods: One-piece (with integrated implant abutment, 1P; regular diameter [4.1mm]; n = 16) and two-piece (with separate implant abutment, 2P; wide diameter [5 mm]; n = 16) zirconia implants were embedded according to ISO 14801. A two-piece titanium–zirconium implant (Ti-Zr; 4.1 mm diameter) served as a control (n = 16). One subgroup (n = 8) of each system was simultaneously dynamically loaded (107 cycles; 98N) and hydrothermally aged (85°C, 58 days), while the other subgroup (n = 8) remained untreated. Finally, specimens were statically loaded to fracture. Potential crystal phase transformation was examined at cross sections using scanning electron microscopy (SEM). A multivariate linear regression model was applied for statistical analyses. Results: The fracture resistance of 1P (1,117 [SD = 38] N; loaded/aged: 1,009 [60] N), 2P (850 [36] N; loaded/aged: 799 [84] N), and Ti-Zr implants (1,338 [205] N; loaded/aged: 1,319 [247] N) was not affected significantly by loading/aging (p =.171). However, when comparing the systems, they revealed significant differences independent of loading/aging (p ≤.001). Regarding the crystal structure, a transformation zone was observed in SEM images of 1P only after aging, while 2P showed a transformation zone even before aging. After hydrothermal treatment, an increase of this monoclinic layer was observed in both systems. Conclusions: The Ti-Zr control implant showed higher fracture resistance compared to both zirconia implants. Loading/aging had no significant impact on the fracture resistance of both zirconia implants. The wide-body 2P zirconia implant was weaker than the regular body 1P implant. © 2021 The Authors. 

Place, publisher, year, edition, pages
John Wiley and Sons Inc. , 2021. Vol. 32, no 11, p. 1288-1298
Keywords [en]
dental implants, loading/aging, phase transformation, scanning electron microscopy, zirconia
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Dentistry
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URN: urn:nbn:se:ri:diva-56140DOI: 10.1111/clr.13825Scopus ID: 2-s2.0-85112049360OAI: oai:DiVA.org:ri-56140DiVA, id: diva2:1590026
Available from: 2021-09-01 Created: 2021-09-01 Last updated: 2025-09-23Bibliographically approved

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Adolfsson, Erik

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