Fracture of Zirconia Abutment with Metallic Insertion on Anterior Single Titanium Implant with Internal Hexagon: Retrieval Analysis of a Failure

Eur J Prosthodont Restor Dent. 2016 Sep;24(3):164-168. doi: 10.1922/EJPRD_01556Bottino05.

Abstract

This case report presents a retrieval analysis of a screw-retained one-piece restoration with the veneering ceramic fired directly onto the zirconia abutment that fractured during insertion. A patient who experienced root fracture of a maxillary left central incisor received a titanium implant on the same day as extraction. After delayed implant loading, a two-piece zirconia abutment with metallic insertion was customized. Upon installation, a horizontal fracture of the crown just above the metallic portion was detected. The retrieval analysis of a fractured zirconia abutment showed crack formation and diffusion of glaze material that expanded the crack line during firing.

Keywords: Dental Implant-Abutment Design; Dental Implants; Dental Porcelain; Periprosthetic Fractures; Prosthesis Failure Analyses; Zirconia.

Publication types

  • Case Reports

MeSH terms

  • Crowns*
  • Dental Abutments*
  • Dental Implant-Abutment Design
  • Dental Materials*
  • Dental Restoration Failure*
  • Equipment Failure Analysis
  • Humans
  • Male
  • Middle Aged
  • Titanium
  • Zirconium*

Substances

  • Dental Materials
  • Zirconium
  • Titanium
  • zirconium oxide