Evidence map›Paper›PMID 39016106›Full record

ArticleClinical and experimental dental research2024

Simulating the Entire Clinical Process for an Implant-Supported Fixed Prosthesis: In Vitro Study on the Vertical Implications of Implant-Abutment Connections and Rotational Freedom.

Holger Zipprich, Stefanie Ecker, Pauline Gutmann, Kathrin Seidel, Paul Weigl, Markus Schlee, Silvia Brandt

Abstract read
In one paragraph

Article in Clinical and experimental dental research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Holger ZipprichDepartment of Prosthodontics, Goethe University Frankfurt, Frankfurt am Main, Germany.
Stefanie EckerPrivate Practice, Schrobenhausen, Germany.
Pauline GutmannDepartment of Prosthodontics, Goethe University Frankfurt, Frankfurt am Main, Germany.
Kathrin SeidelDepartment of Prosthodontics, Goethe University Frankfurt, Frankfurt am Main, Germany.
Paul WeiglDepartment of Postgradute Education, Goethe University Frankfurt, Frankfurt am Main, Germany.ORCID 0000-0001-7434-7988
Markus SchleePrivate Practice, Forchheim, Germany.
Silvia BrandtDepartment of Prosthodontics, Goethe University Frankfurt, Frankfurt am Main, Germany.ORCID 0000-0001-5530-0412

Funding

The authors received no specific funding for this work.
6 · The paper itself

Abstract

objectivesThe aim of this in vitro study was to investigate whether and to what extent different scenarios of rotational freedom in different IAC designs affect the vertical dimension of a three-part fixed partial denture (FPD). At the same time, the experimental setup should simulate all clinical and laboratory steps of the implementation of such an FPD as accurately as possible. MATERIAL AND

methodsTwenty identical pairs of jaw models were fabricated from aluminum, each lower-jaw model holding two implants with conical or flat IACs. Three impressions of each model were taken to fabricate stone casts and three-unit FPDs. Three assembly scenarios were compared for the vertical position stability they offered for these FPDs, differing by how the sequential implant components (impression posts > laboratory analogs > abutments 1 > abutments 2) were aligned with the positional index of the IAC. In this way, a total of 60 stone casts and FPDs were fabricated and statistically analyzed for changes in vertical dimension (p < 0.05).

resultsRegardless of whether a conical/flat IAC was used (p > 0.05), significantly greater mean changes in vertical dimension were consistently (all comparisons p < 0.0001) found in a "worst-case scenario" of component alignment alternating between the left- and right-limit stop of the positional index (0.286/0.350 mm) than in a "random scenario" of 10 dentists and 10 technicians with varying levels of experience freely selecting the alignment (0.003/0.014 mm) or in a "best-case scenario" of all components being aligned with the right-limit stop (-0.019/0.005 mm).

conclusionsThe likelihood of integrating a superstructure correctly in terms of vertical dimension appears to vary considerably more with assembly strategies than with IAC designs. Specifically, our findings warrant a recommendation that all implant components should be aligned with the right-limit stop of the positioning index.

Indexed as

Dental Prosthesis, Implant-SupportedDenture, Partial, FixedDental AbutmentsDental Implant-Abutment DesignDental ImplantsDental Impression TechniqueHumansIn Vitro TechniquesModels, DentalRotationVertical DimensionDental Implantsassembly of implant componentsimplant‐abutment connectionimplant‐supported fixed partial denturein vitro experimentspositional indexrotational freedomvertical dimension

Identifiers

PMID39016106
PMCPMC11252831

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.