In Vitro Comparison of Modes of Failures among Titanium and One- and Two-piece Zirconia Abutment under Static Load

Eur J Dent. 2020 Feb;14(1):157-160. doi: 10.1055/s-0040-1702260. Epub 2020 Mar 13.

Abstract

Objectives: The objective was to assess modes of failures under static load (SL) among titanium (Ti) and one- and two-piece zirconia abutment (ZA) in vitro.

Materials and methods: The Ti abutments were digitally scanned for the fabrication of the one- and two-piece zirconia abutment specimens. This was done to standardize the design of the one-piece abutment and make it the blueprint of the Ti abutment. Twenty-one implant abutments and 21 implant replicas were categorized into three groups as follows: group 1 (Titanium group), group 2 (one-piece ZA group), and group 3 (two-piece ZA group). A 250K-cycle, linear fatigue-load, reaching 10 to 210 Newton (N), was put on all specimens using an all-electric dynamic test instrument and the specimens were loaded until fracture.

Statistical analysis: Assessment of mode of fracture among the groups was done visually. Significance was based below 0.05.

Results: Screw fracture (n = 7) and abutment bending at the apical part (n = 7) occurred in the Ti group. In the one-piece zirconia group, screw and abutment fractures occurred in seven and seven cases, respectively. In the two-piece zirconia group, screw fracture (n = 7) above the Ti zirconia junction (transgingival segment) and abutment fracture (n = 7) were determined as the failure modes.

Conclusion: In conclusion, all abutments underwent failures under SL in vitro; and the mode of failure modes varied among the different abutment designs used.