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DISCUSSION<br />

In this study, the zirconia abutment assemblies were analyzed<br />

in static and linear conditions. Figure 5 details the<br />

comparison between a zirconia abutment with geometry<br />

not optimized for zirconia and an otherwise identical zirconia<br />

abutment with connection geometry optimized for<br />

zirconia. The mating surface factors of safety for both<br />

abutments are nearly identical. However, when the abutment<br />

connection geometry contacts the implant connection<br />

geometry, the minimum factor of safety drops to 0.903 on<br />

the non-optimized zirconia abutment, compared to 2.125<br />

on the Inclusive ® All-Zirconia Custom Abutment from<br />

<strong>Glidewell</strong> Laboratories. The Inclusive All-Zirconia Custom<br />

Abutment achieves the higher factor of safety by optimizing<br />

the connection geometry for the material properties of the<br />

zirconia. Specifically, the connection height is reduced to<br />

minimize the potential transmission of tensile loads, sharp<br />

corners are removed from the connection, and the implant<br />

mating surface is undercut to provide clearance.<br />

The shanks of zirconia abutments screws are smaller compared<br />

to those used for titanium abutments. The smallerdiameter<br />

shanks stretch more and generate higher preload<br />

in the screw from the same amount of torque. This increased<br />

The Inclusive All-Zirconia<br />

Custom Abutment achieves<br />

the higher factor of safety by<br />

optimizing the connection<br />

geometry for the material<br />

properties of the zirconia.<br />

Increased preload improves<br />

the performance of the<br />

connection between the<br />

implant and abutment,<br />

inhibiting risk of the screw<br />

loosening over time.<br />

preload improves the performance of the connection between<br />

the implant and abutment, inhibiting risk of the screw<br />

loosening over time.<br />

The fracture toughness of fully sintered zirconia is about<br />

13 MPa(m ½ ) compared to titanium alloys, which are about<br />

75 MPa(m ½ ). This makes zirconia vulnerable to cracks<br />

and faults. The manufacturing process for zirconia abutments<br />

requires very precise, repeatable machinery and a<br />

well-controlled sintering process to produce abutments that<br />

fit and perform well.<br />

CONCLUSION<br />

Zirconia is an engineering ceramic with great potential for<br />

implant abutments. Zirconia has good esthetics and high<br />

compressive strength, but lower tensile strength and fracture<br />

toughness relative to titanium. Because of this, zirconia<br />

abutments have to be designed with these material properties<br />

in mind. The material properties of zirconia require a<br />

specially designed prosthetic connection to minimize the<br />

potential for breakage.<br />

– Optimizing the Design of Zirconia Implant Abutments: A Finite Element Analysis – 25

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