Marginal Gap and Screw Loosening in CAD/CAM Materials for Implant-Supported Fixed Partial Dentures: An In Vitro Study.

Purpose: To assess and compare the marginal gap and screw loosening, and their relationship, in three-unit implantsupported fixed partial dentures (ISFPDs). Materials and Methods: Fifty frameworks were fabricated from zirconia (Zir), cobalt-chromium (CoCr), titanium (Ti), polyetheretherketone (PEEK)...

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Publicado en:International Journal of Oral & Maxillofacial Implants Vol. 41; no. 4; pp. 467 - 475
Autores principales: Aldakhili, Abdulrahman S., Alotaibi, Majd A., Alsalman, Abdulmohsen, Al-Dulaijan, Yousif A., Alalawi, Haidar A., Shetty, Ashwin C., Al-Thobity, Ahmad M.
Formato: equations & formulas pictorial research tables/charts Journal Article
Publicado: Quintessence Publishing Company Inc. 2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2026
      vid: 41
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      pub: Quintessence Publishing Company Inc.
      place: Batavia, Illinois
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        195912570
        195912570
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        10.11607/jomi.11390
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        atl: Marginal Gap and Screw Loosening in CAD/CAM Materials for Implant-Supported Fixed Partial Dentures: An In Vitro Study.
      aug:
        au:
          Aldakhili, Abdulrahman S.
          Alotaibi, Majd A.
          Alsalman, Abdulmohsen
          Al-Dulaijan, Yousif A.
          Alalawi, Haidar A.
          Shetty, Ashwin C.
          Al-Thobity, Ahmad M.
        affil: Fellowship of Prosthodontics Program, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
      sug:
        subj:
          Dental Prosthesis, Implant-Supported
          Denture, Partial, Fixed
          Computer-Aided Design
          Dental Prosthesis Design
          Dental Materials
          Materials Testing
          Human
          In Vitro Studies
          Chromium
          Titanium
          Prosthesis Failure
          Descriptive Statistics
          Microscopy, Electron, Scanning
          Dental Abutments
          Data Analysis Software
          Molar
          Bicuspid
          Biocompatible Materials
      ab: Purpose: To assess and compare the marginal gap and screw loosening, and their relationship, in three-unit implantsupported fixed partial dentures (ISFPDs). Materials and Methods: Fifty frameworks were fabricated from zirconia (Zir), cobalt-chromium (CoCr), titanium (Ti), polyetheretherketone (PEEK), and polyetherketoneketone (PEKK) (n = 10 each) using CAD/CAM technology on a standardized two-implant model. Vertical marginal discrepancies were measured using scanning electron microscopy at four points per framework/abutment interface. Screw loosening was assessed using a digital torque device. Data were analyzed using IBM SPSS software with a significance level of P < .05. Results: The marginal mean gap differed significantly between the groups across all four surfaces (P < .001). Overall, PEEK had the smallest marginal mean gap (67.22 ± 15.55 μm), followed by Ti (105.65 ± 30.52 μm), PEKK (106.80 ± 34.58 μm), and Zir (115.62 ± 22.02 μm), with CoCr showing the largest gap (176.87 ± 88.34 μm). In screw loosening tests, PEKK demonstrated the lowest values in both molar (0.44% ± 0.73%) and premolar (0.06% ± 1.40%) abutments, whereas PEEK showed the highest values in molar abutments (1.03% ± 1.21%) and CoCr showed the highest values in premolar abutments (2.15% ± 1.29%). No significant correlation was observed between the marginal gap and screw loosening (P > .05). Conclusions: The findings of this study emphasize the critical role of material selection in the clinical performance of ISFPDs. PEEK offers superior marginal adaptation, potentially reducing microleakage, whereas PEKK enhances screw stability, minimizing prosthetic complications
      pubtype: Academic Journal
      doctype:
        equations & formulas
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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