Adaptation assessment of all-ceramic self-glazed versus conventional zirconia implant abutments

Abstract Background Self-glazed zirconia (SGZ), produced using a novel additive 3D gel deposition technology, has recently been employed to fabricate zirconia abutments. This in vitro study aimed to evaluate the adaptation of one-piece and two-piece all-ceramic SGZ implant abutments in comparison to...

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Main Authors: Rong Li, Yushu Liu, Jinxing Sun, Rui Zhang
Format: Article
Language:English
Published: BMC 2025-07-01
Series:BMC Oral Health
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Online Access:https://doi.org/10.1186/s12903-025-06572-4
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author Rong Li
Yushu Liu
Jinxing Sun
Rui Zhang
author_facet Rong Li
Yushu Liu
Jinxing Sun
Rui Zhang
author_sort Rong Li
collection DOAJ
description Abstract Background Self-glazed zirconia (SGZ), produced using a novel additive 3D gel deposition technology, has recently been employed to fabricate zirconia abutments. This in vitro study aimed to evaluate the adaptation of one-piece and two-piece all-ceramic SGZ implant abutments in comparison to conventional milled zirconia abutments. Methods One-piece zirconia abutments and two-piece Ti-base zirconia abutments, sharing an identical 3D design, were fabricated using self-glazed zirconia via 3D gel deposition and conventional zirconia via milling, forming four groups: SGZ-A, SGZ-Ti, Lava-A, and Lava-Ti. Marginal gaps between the zirconia abutments and Ti-base were evaluated using micro-CT data, while gaps between the abutments and implant analogs were assessed on specimen cross-sections by using a stereomicroscope. Statistical analyses were conducted using the non-parametric Mann-Whitney U and Kruskal-Wallis tests with α set at 0.05. Results For the two-piece zirconia abutments, the SGZ-Ti group(external gaps:31 ± 20 μm, internal gaps:4 ± 7 μm) exhibited significantly smaller marginal gaps between the zirconia abutment and the Ti-base compared to the Lava-Ti group(external gaps:79 ± 48 μm, internal gaps:51 ± 44 μm) (P<0.001). For the one-piece zirconia abutments, the SGZ-A group(18.5 ± 5.5 μm) demonstrated a significantly smaller gap between the abutment and the implant analog compared to the Lava-A group(26.5 ± 10.0 μm) (P = 0.044). No significant difference was observed among SGZ-A, SGZ-Ti and Lava-Ti groups (P>0.05). Conclusion SGZ abutments demonstrate superior adaptation compared to conventional milled zirconia abutments at both the Ti base-abutment interface and the implant-abutment interface. The adaptation of one-piece SGZ abutments is comparable to that of prefabricated Ti-base abutments.
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spelling doaj-art-05a67db9e8a54d7baa7bb1d0c5a8cff52025-08-20T03:46:23ZengBMCBMC Oral Health1472-68312025-07-012511810.1186/s12903-025-06572-4Adaptation assessment of all-ceramic self-glazed versus conventional zirconia implant abutmentsRong Li0Yushu Liu1Jinxing Sun2Rui Zhang3Department of Prosthodontics, Stomatology Center, Peking University Shenzhen HospitalSecond Dental Clinical Division, Peking University School and Hospital of StomatologySchool of Advanced Manufacturing, Sun Yat-sen UniversityDepartment of Prosthodontics, Stomatology Center, Peking University Shenzhen HospitalAbstract Background Self-glazed zirconia (SGZ), produced using a novel additive 3D gel deposition technology, has recently been employed to fabricate zirconia abutments. This in vitro study aimed to evaluate the adaptation of one-piece and two-piece all-ceramic SGZ implant abutments in comparison to conventional milled zirconia abutments. Methods One-piece zirconia abutments and two-piece Ti-base zirconia abutments, sharing an identical 3D design, were fabricated using self-glazed zirconia via 3D gel deposition and conventional zirconia via milling, forming four groups: SGZ-A, SGZ-Ti, Lava-A, and Lava-Ti. Marginal gaps between the zirconia abutments and Ti-base were evaluated using micro-CT data, while gaps between the abutments and implant analogs were assessed on specimen cross-sections by using a stereomicroscope. Statistical analyses were conducted using the non-parametric Mann-Whitney U and Kruskal-Wallis tests with α set at 0.05. Results For the two-piece zirconia abutments, the SGZ-Ti group(external gaps:31 ± 20 μm, internal gaps:4 ± 7 μm) exhibited significantly smaller marginal gaps between the zirconia abutment and the Ti-base compared to the Lava-Ti group(external gaps:79 ± 48 μm, internal gaps:51 ± 44 μm) (P<0.001). For the one-piece zirconia abutments, the SGZ-A group(18.5 ± 5.5 μm) demonstrated a significantly smaller gap between the abutment and the implant analog compared to the Lava-A group(26.5 ± 10.0 μm) (P = 0.044). No significant difference was observed among SGZ-A, SGZ-Ti and Lava-Ti groups (P>0.05). Conclusion SGZ abutments demonstrate superior adaptation compared to conventional milled zirconia abutments at both the Ti base-abutment interface and the implant-abutment interface. The adaptation of one-piece SGZ abutments is comparable to that of prefabricated Ti-base abutments.https://doi.org/10.1186/s12903-025-06572-43D gel depositionZirconiaAbutmentImplant-supported restorationAdaptation
spellingShingle Rong Li
Yushu Liu
Jinxing Sun
Rui Zhang
Adaptation assessment of all-ceramic self-glazed versus conventional zirconia implant abutments
BMC Oral Health
3D gel deposition
Zirconia
Abutment
Implant-supported restoration
Adaptation
title Adaptation assessment of all-ceramic self-glazed versus conventional zirconia implant abutments
title_full Adaptation assessment of all-ceramic self-glazed versus conventional zirconia implant abutments
title_fullStr Adaptation assessment of all-ceramic self-glazed versus conventional zirconia implant abutments
title_full_unstemmed Adaptation assessment of all-ceramic self-glazed versus conventional zirconia implant abutments
title_short Adaptation assessment of all-ceramic self-glazed versus conventional zirconia implant abutments
title_sort adaptation assessment of all ceramic self glazed versus conventional zirconia implant abutments
topic 3D gel deposition
Zirconia
Abutment
Implant-supported restoration
Adaptation
url https://doi.org/10.1186/s12903-025-06572-4
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