{"id":14384,"date":"2026-11-12T17:08:53","date_gmt":"2026-11-12T16:08:53","guid":{"rendered":"https:\/\/eacim-ceramic-implantology.com\/comportement-a-la-fracture-des-protheses-dentaires-fixes-tout-ceramique-sur-implants-et-sur-implants-dento-portes\/"},"modified":"2026-11-12T17:11:07","modified_gmt":"2026-11-12T16:11:07","slug":"comportement-a-la-fracture-des-protheses-dentaires-fixes-tout-ceramique-sur-implants-et-sur-implants-dento-portes","status":"publish","type":"post","link":"https:\/\/eacim-ceramic-implantology.com\/fr\/comportement-a-la-fracture-des-protheses-dentaires-fixes-tout-ceramique-sur-implants-et-sur-implants-dento-portes\/","title":{"rendered":"Comportement \u00e0 la fracture des proth\u00e8ses dentaires fixes tout c\u00e9ramique, sur implants et sur implants dento-port\u00e9s"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1144px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-1\"><div id=\"eng-abstract\" class=\"abstract-content selected\">\n<div id=\"abstract\" class=\"abstract\">\n<div id=\"eng-abstract\" class=\"abstract-content selected\">\n<header id=\"heading\" class=\"heading\">\n<div id=\"full-view-heading\" class=\"full-view\">\n<h1 class=\"heading-title\"><span dir=\"auto\">Comportement \u00e0 la fracture des proth\u00e8ses dentaires fixes tout c\u00e9ramique, sur implants et sur implants dento-port\u00e9s<\/span><\/h1>\n<\/div>\n<\/header>\n<div id=\"abstract\" class=\"abstract\">\n<h2 class=\"title\"><span dir=\"auto\">R\u00e9sum\u00e9<\/span><\/h2>\n<div id=\"eng-abstract\" class=\"abstract-content selected\">\n<p><strong class=\"sub-title\"><span dir=\"auto\">Objectifs : <\/span><\/strong><span dir=\"auto\">\u00c9tude in vitro des effets des conditions de support et de charge des proth\u00e8ses dentaires fixes (PDF) sur le comportement \u00e0 la fracture des PDF enti\u00e8rement en c\u00e9ramique \u00e0 base de zircone recouvertes de c\u00e9ramique de disilicate de lithium fabriqu\u00e9e par conception assist\u00e9e par ordinateur\/fabrication assist\u00e9e par ordinateur (CAD\/CAM).<\/span><\/p>\n<p><strong class=\"sub-title\"><span dir=\"auto\">Mat\u00e9riels et m\u00e9thodes\u00a0: <\/span><\/strong><span dir=\"auto\">\u00c0 partir d\u2019un mod\u00e8le de proth\u00e8se partielle fixe (PPF) de trois unit\u00e9s dans la r\u00e9gion molaire (dent en position 15, implant en position 17), 16 armatures en zircone identiques ont \u00e9t\u00e9 fabriqu\u00e9es et recouvertes de c\u00e9ramique de disilicate de lithium usin\u00e9e. 16 autres PPF ont \u00e9t\u00e9 fabriqu\u00e9es de la m\u00eame mani\u00e8re, \u00e0 partir d\u2019un mod\u00e8le o\u00f9 la dent \u00e9tait remplac\u00e9e par un implant. Les \u00e9chantillons ont subi 10\u00a0000 cycles thermiques entre 6,5 et 60\u00a0\u00b0C et 1\u00a0200\u00a0000 cycles de mastication avec une force de 100\u00a0N. Ils ont ensuite tous \u00e9t\u00e9 soumis \u00e0 des essais de rupture sur une machine d\u2019essai universelle. La moiti\u00e9 des PPF a \u00e9t\u00e9 soumise \u00e0 une charge axiale et centr\u00e9e sur le pontique, l\u2019autre moiti\u00e9 \u00e0 une charge excentr\u00e9e et oblique sur une cuspide du pontique.<\/span><\/p>\n<p><strong class=\"sub-title\"><span dir=\"auto\">R\u00e9sultats\u00a0: <\/span><\/strong><span dir=\"auto\">Aucune d\u00e9faillance n\u2019a \u00e9t\u00e9 observ\u00e9e apr\u00e8s vieillissement artificiel. Les charges de fracture des restaurations sur implants \u00e9taient de 1\u00a0636 \u00b1 158 N et 1\u00a0086 \u00b1 156 N pour les charges axiales et obliques, respectivement\u00a0; les proth\u00e8ses partielles fixes sur implants se sont fractur\u00e9es \u00e0 1\u00a0789 \u00b1 202 N et 1\u00a0200 \u00b1 68 N, respectivement. Les diff\u00e9rences \u00e9taient significatives selon le mode d\u2019application de la charge (p &lt; 0,001) et le type de support (p = 0,020). Pour les deux modes d\u2019application de la charge, le mode de fracture diff\u00e9rait sensiblement\u00a0: une fracture compl\u00e8te a \u00e9t\u00e9 observ\u00e9e pour les charges axiales et excentr\u00e9es, tandis qu\u2019une rupture mixte (coh\u00e9sive\/adh\u00e9sive) a \u00e9t\u00e9 observ\u00e9e pour de nombreuses proth\u00e8ses partielles fixes soumises \u00e0 des charges excentr\u00e9es et obliques.<\/span><\/p>\n<p><strong class=\"sub-title\"><span dir=\"auto\">Conclusions : <\/span><\/strong><span dir=\"auto\">La fr\u00e9quence \u00e9lev\u00e9e d&rsquo;\u00e9caillage des restaurations tout c\u00e9ramique sur implants plaqu\u00e9es manuellement pourrait \u00eatre r\u00e9duite par l&rsquo;utilisation de facettes en disilicate de lithium fabriqu\u00e9es par CFAO.<\/span><\/p>\n<p><strong class=\"sub-title\"><span dir=\"auto\">Pertinence clinique\u00a0: <\/span><\/strong><span dir=\"auto\">Les proth\u00e8ses partielles fixes (PPF) recouvertes de disilicate de lithium r\u00e9sistent \u00e0 des forces occlusales de 500\u00a0N, ind\u00e9pendamment de la charge appliqu\u00e9e et du type de support. La r\u00e9sistance \u00e0 la fracture des PPF sur implants est toutefois sup\u00e9rieure \u00e0 celle des PPF mixtes (dents et implants). Leur utilisation clinique semble justifi\u00e9e.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"fusion-button-wrapper fusion-align-inline-medium\"><a class=\"fusion-button button-flat fusion-button-default-size button-default fusion-button-default button-1 fusion-button-default-span fusion-button-default-type\" target=\"_self\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29196948\/\"><span class=\"fusion-button-text awb-button__text awb-button__text--default\">LIRE L&rsquo;ARTICLE<\/span><\/a><\/div>\n<\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":14393,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"link","meta":{"_price":"","_stock":"","_tribe_ticket_header":"","_tribe_default_ticket_provider":"","_tribe_ticket_capacity":"","_ticket_start_date":"","_ticket_end_date":"","_tribe_ticket_show_description":"","_tribe_ticket_show_not_going":false,"_tribe_ticket_use_global_stock":"","_tribe_ticket_global_stock_level":"","_global_stock_mode":"","_global_stock_cap":"","_tribe_rsvp_for_event":"","_tribe_ticket_going_count":"","_tribe_ticket_not_going_count":"","_tribe_tickets_list":"[]","_tribe_ticket_has_attendee_info_fields":false,"footnotes":""},"categories":[63],"tags":[858,856,505],"class_list":["post-14384","post","type-post","status-publish","format-link","has-post-thumbnail","hentry","category-nouveaute","tag-comportement-a-la-fracture","tag-etude-in-vitro","tag-implants-ceramiques-fr","post_format-post-format-link"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - 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