University Of Groningen Restorative Dentistry Done Digitally . - CORE

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University of Groningen Restorative dentistry done digitally Schepke, Ulf IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document version below. Document Version Publisher's PDF, also known as Version of record Publication date: 2018 Link to publication in University of Groningen/UMCG research database Citation for published version (APA): Schepke, U. (2018). Restorative dentistry done digitally: Implementation and evaluation of some digital tools in contemporary implant dentistry [Groningen]: Rijksuniversiteit Groningen Copyright Other than for strictly personal use, it is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), unless the work is under an open content license (like Creative Commons). Take-down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim. Downloaded from the University of Groningen/UMCG research database (Pure): http://www.rug.nl/research/portal. For technical reasons the number of authors shown on this cover page is limited to 10 maximum. Download date: 11-02-2018

Restorative dentistry done digitally Implementation and evaluation of some digital tools in contemporary implant dentistry Ulf Schepke

The printing and distribution of this thesis was kindly supported by: University Medical Center Groningen University of Groningen Nederlandse Vereniging voor Gnathologie en Prothetische Tandheelkunde / nvgpt.nl Nederlandse Vereniging voor Orale Implantologie / nvoi.nl Dentsply Sirona Deutschland Dentsply Sirona Benelux Gronings Tandtechnisch Laboratorium Noord Negentig, accountants Nobel Biocare 3M ttmfl Gerrit van Dijk Straumann Zircon Vision Elysee Dental ttmfl Gerrit van Dijk Concept and Design: Lara Blackwood Final Artwork: Maroesja Swart-Nijhuis, Puur*M Vorm & Idee Cover figure: Berend Blok Printing: Gildeprint ISBN: 978-94-6233-873-9 ISBN e-pub: 978-94-6233-874-6 Ulf Schepke, 2018

Restorative dentistry done digitally Implementation and evaluation of some digital tools in contemporary implant dentistry Proefschrift ter verkrijging van de graad van doctor aan de Rijksuniversiteit Groningen op gezag van de rector magnificus prof. dr. E. Sterken en volgens besluit van het College voor Promoties. De openbare verdediging zal plaatsvinden op woensdag 14 februari 2018 om 16:15 uur door Ulf Schepke geboren op 12 februari 1979 te Kiel

Promotores Prof. dr. M.S. Cune Prof. dr. H.J.A. Meijer Prof. dr. G.M. Raghoebar Beoordelingscommissie Prof. dr. A.J. van Winkelhoff Prof. dr. H. de Bruyn Prof. dr. G.J. Meijer

Paranimfen Eric W. Meisberger Sjoerd G. Bakker

CONTENTS RESTORATIVE DENTISTRY DONE DIGITALLY Implementation and evaluation of some digital tools in contemporary implant dentistry Preface 09 CHAPTER 01 General introduction 11 CHAPTER 02 PART A Osseointegration of a zirconia implant: a case report and review 25 CHAPTER 02 PART B On the bulk degradation of yttria-stabilized nanocrystalline zirconia dental implant abutments: an electron backscatter diffraction study 39 CHAPTER 02 PART C Phase transformation and fracture load of stock and CAD/CAM customized zirconia abutments after 1 year of clinical function 57 CHAPTER 03 PART A Clinical bonding of Resin Nano Ceramic restorations to zirconia abutments: a case series within a randomized clinical trial 79 CHAPTER 03 PART B Adhesive failure of Lava Ultimate and Lithium Disilicate crowns, bonded to zirconia abutments: a prospective within-patient comparison 95 CHAPTER 03 PART C Fractography of clinically fractured, implant-supported dental CAD/CAM polymer crowns 105 CHAPTER 04 Digital versus analog full-arch impressions for single-unit premolar implant crowns: Operating time and patient preference 123

CHAPTER 05 Stock versus CAD/CAM customized zirconia implant abutments – Clinical and patient-based outcomes in a randomized controlled clinical trial 135 CHAPTER 06 General discussion, recommendations and conclusions 155 Epilogue 163 Summary 167 Samenvatting 173 Zusammenfassung 179 Acknowledgements 185 Curriculum Vitae 195

Preface My generation deals with a continuous transition from analog to digital workflows. I still keep my old personal letters, and at the dawn of e-mailing I even saved a hard copy of my most important electronic correspondence. However, today I find it disturbing not to be able to refer a patient by e-mail, and I cannot understand why some scientific journals still require a fax for certain correspondence. As a dentist, I adhere to digitization as much as possible: I believe that patient records, storage of diagnostic information, treatment planning, and documentation of the treatment implemented should be organized digitally for various reasons. Within all workflows in a dental office, many show crosslinks to other economic fields that might be easily adapted to the specific needs of the dental office. Manufacturers and all kinds of consultants, promoting various implementations, are willing to contribute to a healthy and successful dental office and to improving oral health care as a whole with their products. However, it takes a medical professional to weigh all the various interests and concerns, both the presumed benefits and anticipated drawbacks that come along with new and supposedly improved materials and technical procedures. Thus, I believe that the medical professional should always be involved in implementing workflows that involve: - Planning for treatment and diagnostics; - Production and treatment implementation; - Patient safety and evaluation. Restorative dentistry is a complex and field-specific domain, and, in order to implement digital workflows from other domains, extended evaluation and adaptation by the actual dentist seems indispensable.

Restorative dentistry done digitally Implementation and evaluation of some digital tools in contemporary implant dentistry Proefschrift ter verkrijging van de graad van doctor aan de Rijksuniversiteit Groningen op gezag van de rector magnificus prof. dr. E. Sterken en volgens besluit van het College voor Promoties.

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