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Book: Moderne rekonstruktive Konzepte

Thoma, Daniel / Sailer, Irena / Hämmerle, Christoph / Balmer, Marc / Marchand, Laurent

2022

Author's details	Daniel Thoma, Irena Sailer, Christoph Hämmerle, Marc Balmer, Laurent Marchand
Keywords	Restaurative Zahnmedizin ; Frontzahn ; Seitenzahn
Subject	Frontalzahn
Subject code	610
Language	German
Size	IX, 293 Seiten, Illustrationen, 21 cm x 28 cm
Edition	1. Auflage
Publisher	Quintessence Publishing
Publishing place	Berlin
Publishing country	Germany
Document type	Book
HBZ-ID	HT021585692
ISBN	978-3-86867-503-0 ; 3-86867-503-5
Database	Catalogue ZB MED Medicine, Health

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Article ; Online: Clinical use of digital applications for diagnostic and treatment planning in prosthodontics: A scoping review.

Joda, Tim / Balmer, Marc / Jung, Ronald E / Ioannidis, Alexis

Clinical oral implants research

2023

Abstract: Aim: This scoping review aimed to compile and evaluate clinical trials investigating digital applications in prosthetic diagnostics and treatment planning by assessing their clinical relevance and future potential.: Methods: Following the PCC- ... ...

Abstract	Aim: This scoping review aimed to compile and evaluate clinical trials investigating digital applications in prosthetic diagnostics and treatment planning by assessing their clinical relevance and future potential. Methods: Following the PCC-framework for scoping reviews and combining the source of analysis (Population/P: "prosthodontics"), the technique of interest (Concept/C: "digital application") and the field of interest (Context/C: "diagnostics"), a three-pronged search strategy was applied in the database PubMed and Web of Science. Clinical trials (≥10 study participants, English/German) were considered until 2023-03-09. Reporting adhered to the PRISMA-ScR statement. Results: The search identified 520 titles, of which 18 full-texts met the inclusion criteria for data extraction. The trials involved a total of 14,457 study participants and were mapped for prosthetic subdisciplines: fixed (n = 9; 50%) and removable (n = 4; 22%) prosthodontics, reconstructive dentistry in general (n = 3; 17%), and temporo-mandibular joint disorders (n = 2; 11%). Data merging of medical format files, as DICOM+STL, was the dominant digital application (n = 7; 39%); and virtual treatment simulation using digital smile design or digital wax-up represented the most frequent prosthetic diagnostics (n = 6; 33%). Conclusion: This scoping review identified a relatively low number of clinical trials. The future potential of digital diagnostics appears to be mostly related to the subdiscipline of fixed prosthodontics, especially regarding virtual treatment simulation for communication with the patient and among dental professionals. Artificial intelligence emerged as a key technology in many of the identified studies. Further research in this area is needed to explore the capabilities of digital technologies in prosthetic diagnostics and treatment planning.
Language	English
Publishing date	2023-12-22
Publishing country	Denmark
Document type	Journal Article ; Review
ZDB-ID	1067626-0
ISSN	1600-0501 ; 0905-7161
ISSN (online)	1600-0501
ISSN	0905-7161
DOI	10.1111/clr.14230
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Article ; Online: EAO Position Paper: Current Level of Evidence Regarding Zirconia Implants in Clinical Trials.

Balmer, Marc / Payer, Michael / Kohal, Ralf-Joachim / Spies, Benedikt C

The International journal of prosthodontics

2022 Volume 35, Issue 4, Page(s) 560–566

Abstract: Titanium oral implants are still considered "state of the art" in implant dentistry, with well-documented survival rates. However, their grayish color and high prevalence of peri-implant infections have resulted in controversial discussion as to whether ... ...

Abstract	Titanium oral implants are still considered "state of the art" in implant dentistry, with well-documented survival rates. However, their grayish color and high prevalence of peri-implant infections have resulted in controversial discussion as to whether tooth-like-colored, metal-free zirconia ceramic implants provide sufficient potential to be considered equal regarding treatment outcomes. The present position paper has been composed upon invitation by the European Association of Osseointegration in order to provide an update on the current level of evidence regarding zirconia implants in clinical trials. To date, most available and scientifically documented zirconia implant systems are one-piece implants that require an experienced surgeon and prosthodontist due to the restricted flexibility in cases of compromised angulation or vertical positioning. Taking this limitation into account, there is evidence of a comparable outcome for one-piece zirconia implants compared to titanium implants for the fixed replacement of one to three missing teeth. In contrast, currently available clinical data evaluating two-piece zirconia implants with an adhesively bonded implant-abutment interface suggest an inferior outcome. Data evaluating the clinical applicability of screw-retained solutions, even if revealing sufficient fracture resistance in laboratory investigations, are still missing. High survival rates were reported for all-ceramic reconstructions supported by zirconia implants, but with increased technical complications; ie, fractures of the ceramic veneer in the case of bilayered restorations. Sufficient clinical evidence for recommending monolithic approaches is limited to single crowns.
MeSH term(s)	Crowns ; Dental Abutments ; Titanium ; Zirconium
Chemical Substances	Zirconium (C6V6S92N3C) ; Titanium (D1JT611TNE) ; zirconium oxide (S38N85C5G0)
Language	English
Publishing date	2022-09-20
Publishing country	United States
Document type	Journal Article
ZDB-ID	645046-5
ISSN	1942-4426 ; 0893-2174
ISSN (online)	1942-4426
ISSN	0893-2174
DOI	10.11607/ijp.8131
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Article: A minimally invasive two-stage crown lengthening procedure applying a tunneling technique.

Jung, Ronald E / Bigler, Prisca / Balmer, Marc / Bienz, Stefan P / Hjerppe, Jenni

The international journal of esthetic dentistry

2022 Volume 17, Issue 4, Page(s) 394–406

Abstract: Aim: The purpose of the present retrospective case series was to introduce a minimally invasive two-stage flapless crown lengthening procedure where a gingivectomy was avoided or minimized by reducing the bone height through a tunneling technique.: ... ...

Abstract	Aim: The purpose of the present retrospective case series was to introduce a minimally invasive two-stage flapless crown lengthening procedure where a gingivectomy was avoided or minimized by reducing the bone height through a tunneling technique. Materials and method: Ten patients (median age 46.6 years, range 26.9 to 71.6 years) were included in the study. The indications for performing a crown lengthening procedure were esthetically short clinical crowns (n = 5), asymmetry of the gingival margin level (n = 2), and both esthetically short clinical crowns and asymmetry of the gingival margin level (n = 3). All the patients presented a thick gingival phenotype, and the mean number of operated teeth per patient was 3.7 (range 2 to 8 teeth). Three patients underwent an additional gingivectomy 6 weeks after the crown lengthening procedure. Results: The esthetic and functional outcome of the treatments fulfilled the patients' and dentist's expectations. Conclusion: A minimally invasive two-stage crown lengthening procedure applying a tunneling technique has the potential to achieve predictable esthetic outcomes without an open-flap approach and an additional gingivectomy. However, prospective clinical studies are needed to validate this technique.
MeSH term(s)	Crown Lengthening/methods ; Prospective Studies ; Retrospective Studies ; Esthetics, Dental ; Crowns
Language	English
Publishing date	2022-10-03
Publishing country	Germany
Document type	Journal Article
ISSN	2198-591X
ISSN	2198-591X
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Article: Results at the 1-Year Follow-Up of a Prospective Cohort Study with Short, Zirconia Implants.

Balmer, Marc / Fischer, Carolin / Pirc, Miha / Hämmerle, Christoph H F / Jung, Ronald E

Materials (Basel, Switzerland)

2022 Volume 15, Issue 16

Abstract: The objective of this study was to clinically and radiologically evaluate the performance of a short (8 mm), 1-piece, zirconia implant after an observation period of 1 year in function. A total of 47 patients with 1 missing tooth in the position of a ... ...

Abstract	The objective of this study was to clinically and radiologically evaluate the performance of a short (8 mm), 1-piece, zirconia implant after an observation period of 1 year in function. A total of 47 patients with 1 missing tooth in the position of a premolar or molar were recruited. Short (8 mm), 1-piece, zirconia implants were placed and loaded after a healing period of 2 to 4 months with monolithic crowns made of 3 different materials. Implants were followed up for one year and clinically and radiologically assessed. A total of 46 implants were placed. One was excluded since no primary stability was achieved at implant placement. At the 1-year follow-up, mean marginal bone loss 1 year after loading was 0.05 ± 0.47 mm. None of the implants showed marginal bone loss greater than 1 mm or clinical signs of peri-implantitis. A total of 2 implants were lost during the healing phase and another after loading, resulting in a survival rate of 93% after 1 year. All lost implants showed a sudden increased mobility with no previous signs of marginal bone loss or peri-implant infection. The short, 8 mm, zirconia implants showed stable marginal bone levels over the short observation period of 1 year. Although they revealed slightly lower survival rates, they can be suggested for the use in sites with reduced vertical bone. Scientific data are very limited, and long-term data are not yet available, and therefore, they are needed.
Language	English
Publishing date	2022-08-15
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2487261-1
ISSN	1996-1944
ISSN	1996-1944
DOI	10.3390/ma15165584
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Article: Zahnverlust in der modernen Zahnmedizin – was jetzt?

Gasser, Thomas J W / Balmer, Marc / Hämmerle, Christoph H F

Praxis

2019 Volume 108, Issue 5, Page(s) 315–320

Abstract: Tooth Loss in Modern Dentistry Abstract. The Swiss population follows the trend of other industrialized countries and shows an increased life expectancy compared to previous generations. Old age is reached increasingly with one's own teeth. Older ... ...

Title translation	Tooth Loss in Modern Dentistry.
Abstract	Tooth Loss in Modern Dentistry Abstract. The Swiss population follows the trend of other industrialized countries and shows an increased life expectancy compared to previous generations. Old age is reached increasingly with one's own teeth. Older restorations of teeth must be replaced and produced anew. Previous reconstructions often have the disadvantage that they are invasive and reinterventions or new fabrications are only possible to a limited extent. Advances in material technology allow new minimally invasive therapies. Adhesive bridges have become possible due to material developments in material science and allow aesthetic, non-invasive, long-term stable solutions. The specialist dentist SSO for Reconstructive Dentistry is the expert for the rehabilitation of teeth after tooth loss. He takes care of the careful restoration of the teeth according to functional and aesthetic criteria and draws on a sound knowledge of therapy options, techniques and materials acquired in many years of additional training.
MeSH term(s)	Dental Restoration, Permanent ; Humans ; Tooth Loss
Language	German
Publishing date	2019-04-11
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	209026-0
ISSN	1661-8165 ; 1661-8157 ; 0369-8394
ISSN (online)	1661-8165
ISSN	1661-8157 ; 0369-8394
DOI	10.1024/1661-8157/a003210
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Article ; Online: Clinical outcomes of all-ceramic single crowns and fixed dental prostheses supported by ceramic implants: A systematic review and meta-analyses.

Spitznagel, Frank Akito / Balmer, Marc / Wiedemeier, Daniel B / Jung, Ronald Ernst / Gierthmuehlen, Petra Christine

Clinical oral implants research

2021 Volume 33, Issue 1, Page(s) 1–20

Abstract: Objective: To analyze the clinical outcomes of all-ceramic single crowns (SCs) and fixed dental prostheses (FDPs) supported by ceramic implants.: Materials and methods: Based on a focused question and customized PICO framework, electronic (Medline/ ... ...

Abstract	Objective: To analyze the clinical outcomes of all-ceramic single crowns (SCs) and fixed dental prostheses (FDPs) supported by ceramic implants. Materials and methods: Based on a focused question and customized PICO framework, electronic (Medline/EMBASE/Cochrane) and manual searches for studies reporting the clinical outcomes of all-ceramic SCs and FDPs supported by ceramic implants ≥12 months were performed. The primary outcomes were reconstruction survival and the chipping proportion. The secondary outcomes were implant survival, technical complications, and patient-related outcome measurements. Meta-analyses were performed after 1, 2, and 5 years using random-effect meta-analyses. Results: Eight of the 1,403 initially screened titles and 55 full texts were included. Five reported on monolithic lithium disilicate (LS2) SCs, one on veneered zirconia SCs, and two on veneered zirconia SCs and FDPs, which reported all on cement-retained reconstructions (mean observation: 12.0-61.0 months). Meta-analyses estimated a 5-year survival rate of 94% (95% confidence interval [CI]: 82%-100%) for overall implant survival. Reconstruction survival proportions after 5 years were: monolithic LS2, 100% (95%CI: 95%-100%); veneered zirconia SCs, 89% (95%CI: 62%-100%); and veneered zirconia FDPs 94% (95%CI: 81%-100%). The chipping proportion after 5 years was: monolithic LS2, 2% (95%CI: 0%-11%); veneered zirconia SCs, 38% (95%CI: 24%-54%); and veneered zirconia FDPs, 57% (95%CI: 38%-76%). Further outcomes were summarized descriptively. Conclusions: Due to the limited data available, only tendencies could be identified. All-ceramic reconstructions supported by ceramic implants demonstrated promising survival rates after mid-term observation. However, high chipping proportions of veneered zirconia SCs and, particularly, FDPs diminished the overall outcome. Monolithic LS2 demonstrated fewer clinical complications. Monolithic reconstructions could be a valid treatment option for ceramic implants.
MeSH term(s)	Ceramics ; Crowns ; Dental Implants ; Dental Porcelain ; Dental Prosthesis Design ; Dental Prosthesis, Implant-Supported ; Dental Restoration Failure ; Humans ; Metal Ceramic Alloys ; Zirconium
Chemical Substances	Dental Implants ; Metal Ceramic Alloys ; Dental Porcelain (12001-21-7) ; Zirconium (C6V6S92N3C)
Language	English
Publishing date	2021-11-05
Publishing country	Denmark
Document type	Journal Article ; Meta-Analysis ; Review ; Systematic Review
ZDB-ID	1067626-0
ISSN	1600-0501 ; 0905-7161
ISSN (online)	1600-0501
ISSN	0905-7161
DOI	10.1111/clr.13871
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Article: A Prospective Clinical Cohort Investigation on Zirconia Implants: 5-Year Results.

Kohal, Ralf-Joachim / Spies, Benedikt Christopher / Vach, Kirstin / Balmer, Marc / Pieralli, Stefano

Journal of clinical medicine

2020 Volume 9, Issue 8

Abstract: Mid-term data on zirconia oral implants is very rare. Therefore, the aim of this prospective clinical investigation was to evaluate the survival rate and the marginal bone loss of a one-piece zirconia implant after five years. Patient-reported outcomes ... ...

Abstract	Mid-term data on zirconia oral implants is very rare. Therefore, the aim of this prospective clinical investigation was to evaluate the survival rate and the marginal bone loss of a one-piece zirconia implant after five years. Patient-reported outcomes were also recorded. Zirconia implants to support single crowns (SC) or a 3-unit fixed dental prosthesis (FDP) were placed and subsequently restored. After the insertion of the implants, at prosthetic delivery, and after five years, standardized radiographs were taken to evaluate marginal bone loss (MBL). For bone tissue evaluation, linear mixed models with random intercepts were fitted. Twenty-seven patients received one implant for an SC and 13 patients received two implants for a 3-unit FDP. Three patients each lost one implant for an SC before prosthetic delivery. Thirty-five patients were seen after five years, and no further implant was lost. The cumulative five-year implant survival rate was 94.3%. The MBL from implant installation up to five years was 0.81 mm. The MBL from implant installation to prosthetic delivery was statistically significant (
Language	English
Publishing date	2020-08-10
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2662592-1
ISSN	2077-0383
ISSN	2077-0383
DOI	10.3390/jcm9082585
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Article ; Online: Influence of zirconia implant surface topography on first bone implant contact within a prospective cohort study.

Rohr, Nadja / Balmer, Marc / Jung, Ronald E / Kohal, Ralf J / Spies, Benedikt C / Hämmerle, Christoph H F / Fischer, Jens

Clinical implant dentistry and related research

2021 Volume 23, Issue 4, Page(s) 593–599

Abstract: Background: Although 5-year clinical data exist for different zirconia implants, no analysis has yet been performed focusing on how the surface topography of the implant affects clinical parameters.: Purpose: To analyze the influence of zirconia ... ...

Abstract	Background: Although 5-year clinical data exist for different zirconia implants, no analysis has yet been performed focusing on how the surface topography of the implant affects clinical parameters. Purpose: To analyze the influence of zirconia implant topography on first bone implant contact (fBIC). Materials and methods: In a prospective two-center cohort investigation 63 zirconia implants were evaluated at implant placement, prosthetic delivery, 1, 3, and 5 years. The distance (DIB) between implant shoulder and fBIC was measured at each time point in periapical radiographs at mesial and distal sites. Two-way ANOVA/Bonferroni was used to analyze the effects of time and center (α < 0.05). Results: Between the centers, the mean DIB varied significantly at implant placement (Freiburg [FR]: 1.4 ± 0.6 mm; Zurich [ZH]: 0.8 ± 0.5 mm). Thereafter, no statistically significant difference in DIB was observed, neither between centers nor between time points (prosthetic delivery: FR: 1.9 ± 0.6 mm, ZH: 1.7 ± 0.8 mm; 1 year: FR: 1.8 ± 0.6 mm, ZH: 1.6 ± 0.8 mm; 3 years: FR: 1.9 ± 0.8 mm, ZH: 1.7 ± 0.8 mm; 5 years: FR: 1.9 ± 0.8 mm, ZH 1.8 ± 0.6 mm). The overall mean DIB at prosthetic delivery to 5 years of both centers (1.8 ± 0.7 mm) is located within the transition zone between the smooth neck and the moderately rough intraosseous part (1.6-2.0 mm from the implant shoulder). However, individual DIB values are ranging from 0.1 to 4.2 mm overlapping the transition zone. Conclusions: The standard deviation of the DIB indicates that the fBIC establishes on moderately rough and smooth surfaces. Consequently, soft tissue adapts to both topographies as well.
MeSH term(s)	Dental Implantation, Endosseous ; Dental Implants ; Dental Prosthesis Design ; Humans ; Prospective Studies ; Surface Properties ; Zirconium
Chemical Substances	Dental Implants ; Zirconium (C6V6S92N3C) ; zirconium oxide (S38N85C5G0)
Language	English
Publishing date	2021-05-27
Publishing country	United States
Document type	Journal Article
ZDB-ID	2094300-3
ISSN	1708-8208 ; 1523-0899
ISSN (online)	1708-8208
ISSN	1523-0899
DOI	10.1111/cid.13013
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Article ; Online: Chewing simulation of zirconia implant supported restorations.

Rohr, Nadja / Balmer, Marc / Müller, Johannes A / Märtin, Sabrina / Fischer, Jens

Journal of prosthodontic research

2019 Volume 63, Issue 3, Page(s) 361–367

Abstract: Purpose: To test three potential prosthetic material options for zirconia implants in regard to their mechanical properties, loading and retention capacity as well as to record abrasion after chewing simulation followed by thermocyclic aging.: Methods! ...

Abstract	Purpose: To test three potential prosthetic material options for zirconia implants in regard to their mechanical properties, loading and retention capacity as well as to record abrasion after chewing simulation followed by thermocyclic aging. Methods: Molar crowns (n = 96) of three different computer-aided design/computer-aided manufacturing (CAD/CAM) materials were produced and cemented on zirconia implants (ceramic.implant, Vita) with a diameter of 4.5 mm. Monolithic zirconia (Vita YZ [YZ] with RelyX Unicem 2 Automix [RUN], polymer-infiltrated ceramic (Vita Enamic [VE]) with Vita Adiva F-Cem [VAF] and acrylate polymer (CAD Temp [CT]) with RelyX Ultimate [RUL]. Fracture load and retentive force of the crowns were measured after 24 h water storage at 37 °C and after a chewing simulation followed by thermocyclic aging. Abrasion was recorded by matching stereolithography-data of the crowns obtained before and after chewing simulation. Additionally, the mechanical properties and bonding capabilities of the crown and cement materials were assessed. Results: Fracture load values were significantly highest for YZ > VE = CT. Retention force values did not differ significantly between the materials. The aging procedure did not affect the fracture load values nor the retention force significantly. Abrasion depth of the crowns was lowest for YZ followed by VE and CT. On unpolished crowns, abrasion of YZ and VE tended to be higher than on polished specimens. Conclusions: Based on the obtained in-vitro results, all tested materials can be recommended for the use on zirconia implants, although CT is only approved for temporary crowns. The loading and retention capacity of the materials were not significantly affected by aging.
MeSH term(s)	Ceramics ; Computer-Aided Design ; Crowns ; Dental Porcelain ; Dental Stress Analysis ; Mastication ; Materials Testing ; Zirconium
Chemical Substances	Dental Porcelain (12001-21-7) ; Zirconium (C6V6S92N3C) ; zirconium oxide (S38N85C5G0)
Language	English
Publishing date	2019-03-08
Publishing country	Japan
Document type	Journal Article
ZDB-ID	2470657-7
ISSN	2212-4632 ; 1883-1958
ISSN (online)	2212-4632
ISSN	1883-1958
DOI	10.1016/j.jpor.2019.02.002
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