INFLUENCE OF ABUTMENT MATERIAL, CEMENT THICKNESS, AND CROWN TYPE ON THE FINAL COLOR OF IMPLANT-SUPPORTED RESTORATIONS.

ABSTRACT

PURPOSE: To evaluate the influence of abutment material, cement thickness, and crown type on the esthetics of implant supported restorations. MATERIAL AND METHODS: In total, 60 specimens were prepared to represent six abutment groups Group PA = pink-anodized Ti; Group GA = gold-anodized Ti; Group T = nonanodized Ti; Group H = hybrid (Ti + zirconia); Group P = PEEK (Ti + PEEK); and Group C = composite resin (control). Crown specimens (n = 120) were obtained from Vita Enamic (VE) and Vita Suprinity (VS). Two cement thicknesses (0.1 and 0.2 mm) were used. The color values of crown configuraons were measured and ΔE00* values were calculated. Statistical analyses included were Shapiro Wilk, three-way ANOVA, and Tukey HSD tests (P ≤ .05). RESULTS: Abutment (P < .001) and crown materials (P = .001) had a significant effect on ΔE00* values, while cement thickness did not. Groups PA and H resulted in significantly lower mean ΔE00* values than other abutments, whereas Group T revealed the highest. Unlike VS, cement thicknesses created a significant difference on the ΔE00* values for VE (P ≤.05). CONCLUSIONS: Pink-anodized Ti or hybrid abutments for VE and pink- or goldanodized Ti for VS seem to be better options, in terms of color change. Cement thickness of 0.1 mm resulted in higher ΔE00* value than 0.2 mm for VE (P ≤ .05).