Effect of Luting Agents on Retention of Dental Implant-Supported Prostheses

2015 ◽  
Vol 41 (5) ◽  
pp. 596-599 ◽  
Author(s):  
Yu-Hwa Pan ◽  
Tai-Min Lin ◽  
Perng-Ru Liu ◽  
Lance C. Ramp

To evaluate the retentive strength of 7 different luting agents in cement-retained implant abutment/analog assemblies. Fifty-six externally hexed dental implant abutment/analog assemblies and cast superstructures were divided randomly into 7 groups for cementation with each of the 7 luting agents. Five definitive cements tested were zinc phosphate cement, All-Bond 2, Maxcem, RelyX Luting cement, HY-Bond, and two provisional cements, ImProv and Premier. Cast superstructures were cemented onto the implant abutments and exposed to 1000 thermal cycles (0°C–55°C) and 100 000 cycles on a chewing simulator (75 N load). A universal testing machine was used to measure cement failure load of the assembled specimens. Cement failure load was evaluated with 1-way ANOVA and Duncan's multiple range analysis. Significant differences in cement failure loads were measured (P < .0001). Post hoc testing with Duncan's multiple range indicated 4 separate groupings. Maxcem and All-Bond 2 were comparable, having the greatest load failure. RelyX and zinc phosphate cement were analogous, and higher than HY-Bond. Improv and Premier constituted a pair, which demonstrated the lowest retentive values. Within the limitations of this in vitro study, Maxcem and All-Bond 2 are good candidates for cement-retained implant prostheses while concerning retention.

2017 ◽  
Vol 11 (01) ◽  
pp. 058-063 ◽  
Author(s):  
Vini Rajeev ◽  
Rajeev Arunachalam ◽  
Sanjna Nayar ◽  
P. R. Arunima ◽  
Sivadas Ganapathy ◽  
...  

ABSTRACT Objective: This in vitro study was designed to assess shear bond strength (SBS) of ormocer flowable (OF) resin as a luting agent, ormocer as an indirect veneer material with portrayal of modes of failures using scanning electron microscope (SEM). Materials and Methods: Sixty maxillary central incisors were divided into Group I, II, and III with 20 samples each based on luting cement used. They were OF, self-adhesive (SA) cement, and total etch (TE) cement. These groups were subdivided into “a” and “b” of ten each based on the type of veneering materials used. Veneer discs were fabricated using Ormocer restorative (O) and pressable ceramic (C). Specimens were thermocycled and loaded under universal testing machine for SBS. The statistical analysis was done using one-way ANOVA post hoc Tukey honest significant difference method. Results: A significant difference was observed between the Groups I and II (P < 0.05). The highest mean bond strength when using ormocer veneer was obtained with the Group Ia (19.11 ± 1.92 Mpa) and lowest by Group IIa (8.1 ± 1.04 Mpa), whereas the highest mean bond strength while using ceramic veneer was of similar range for Group Ib (18.04 ± 4.08 Mpa) and Group IIIb (18.07 ± 1.40 Mpa). SEM analysis revealed OF and TE presented mixed type of failure when compared with SA where failure mode was totally adhesive. Conclusion: OF was found equally efficient like TE. Bond strength of ormocer as a veneer was not inferior to ceramic making it one of the promising additions in the field of dentistry.


2016 ◽  
Vol 42 (6) ◽  
pp. 464-468 ◽  
Author(s):  
Anuya Patankar ◽  
Mohit Kheur ◽  
Supriya Kheur ◽  
Tabrez Lakha ◽  
Murtuza Burhanpurwala

This in vitro study evaluated the effect of different levels of preparation of an implant abutment on its fracture resistance. The study evaluated abutments that incorporated a platform switch (Myriad Plus Abutments, Morse Taper Connection) and Standard abutments (BioHorizons Standard Abutment, BioHorizons Inc). Each abutment was connected to an appropriate implant and mounted in a self-cured resin base. Based on the abutment preparation depths, 3 groups were created for each abutment type: as manufactured, abutment prepared 1 mm apical to the original margin, and abutment prepared 1.5 mm to the original margin. All the abutments were prepared in a standardized manner to incorporate a 0.5 mm chamfer margin uniformly. All the abutments were torqued to 30 Ncm on their respective implants. They were then subjected to loading until failure in a universal testing machine. Abutments with no preparation showed the maximum resistance to fracture for both groups. As the preparation depth increased, the fracture resistance decreased. The fracture resistance of implant abutment junction decreases as the preparation depth increases.


2015 ◽  
Vol 41 (5) ◽  
pp. 537-541 ◽  
Author(s):  
Rashmi Biyani ◽  
Mohsin Ali ◽  
Donald Belles ◽  
John M. Powers

Purpose: Reducing the height of the implant abutment due to limited interarch space decreases the surface area for retention of cemented restorations. The purpose of this in vitro study was to see whether engaging the screw access channel with metal extension compensates for the loss of retention of posterior crowns cemented on shorter abutments. Material and Methods: Four identical prefabricated abutments were mounted on implant replicas embedded in acrylic resin blocks. Three of these abutments were reduced in height by 1 mm, 2 mm, and 3 mm respectively and one was left unmodified. Two sets of base metal crowns were fabricated for each abutment, one without and one with the metal extension inside the screw access channel. The crowns were cemented using Tempbond NE. The tensile forces required to separate the cemented crowns from abutments were measured using an Instron testing machine. Statistical analysis of the data was performed using a 2-way analysis of variance and Fisher's protected least significant difference at 0.05 level of significance. Results: An increase of 24% to 261% in retentive forces was observed for the group having metal extension in the screw access channel. Statistically significant differences (P &lt; .001) were found among 2 types of crowns and four heights of abutments. Generally, the retentive forces were reduced in magnitude as the abutment height was reduced. Conclusion: The retention of a casting cemented to posterior implant abutments is influenced by the height of the abutment and the metal extension engaging the screw access channel. The crowns made with a metal extension showed superior retention values.


Author(s):  
Dr. Ravi Nag ◽  
Dr. Jagjeet Singh ◽  
Dr. Abhilasha Masih Gottlieb ◽  
Dr. Ponnanna A. A. ◽  
Dr. Nikhil Verma ◽  
...  

Background: Prolonged retention of provisional restoration is depends upon the long term affinity between restoration and teeth structures which depend upon the use of good mechanical characteristics, low solubility, and superior adhesion  quality of luting cement which also resist bacterial and molecular penetration. Hence, assessment of marginal leakage of provisional restorative materials sealed with provisional cements using the standardized procedures is essential. Aim: This study aimed at in vitro study of microleakage of 4 provisional cements, a cavity base compound and a zinc-phosphate luting cement in provisional acrylic resin crowns fixed on extracted human teeth. Material & Methods:  The teeth with acrylic restorations were randomly divided into 6 groups of 6 specimens each. Each group received different types of temporary cement. Acrylic resin crowns were made and fitted on intact human premolars with the 4 cements. All restorations were applied in a standardized manner. Specimen were submerged in a 2% methylene blue solution, then sectioned and observed under a stereomicroscope for the detection of marginal microleakage. Obtained data were subjected to ANNOVA and Chi –square test to know statistical significant difference between different groups.  P value less than 0.05 was considered significant. Results and observation: Mean frequency of microleakage was statistically significant among all the groups under study with Pvalue<0.017. Conclusion: Among all the temporary cement, Zinc-phosphate cements has the best property with reduced microleakage. Even it is used as cavity base but can be used as good temporary cement as far as microleakage is concerned. Key words, Microleakage, provisional cement, restorations, crowns, in vitro


2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Jose Rosas ◽  
Frank Mayta-Tovalino ◽  
Violeta Malpartida-Carrillo ◽  
Arnaldo Munive Degregori ◽  
Roman Mendoza ◽  
...  

Aim. Vertical marginal discrepancy (VMD) influences the success of implant-supported restorations. However, there is little literature that has investigated the influence of geometry and cementing agent on changes in VMD of metal copings on implant abutments. The objective was to evaluate the effect of the geometry of the abutment and cementing agents on VMD. Methods. Cast copings were cemented on implant abutments customized cylindrical (4, 5.5, and 7 mm) and on hexagonal implant abutments (4 mm) cemented or uncemented molded copings were placed (n = 4, totally 64 samples) with different luting agents. The VMD of the copings were measured in the coping-abutment interface at three reference points using a stereomicroscope. The independent Student’s t test was used for comparison between the two different abutment walls. The post hoc statistical analysis was performed by the Tukey test. Results. There was a significant VMD increase between noncemented and cemented cast copings using different luting agents. Abutment geometry and luting agents significantly influenced the VMD p ≤ 0.05 . Cylindrical abutment at 7 mm in height cemented with different luting agent tested showed significantly higher VMD values than cylindrical abutments of 4 mm p = 0.019 . Hexagonal abutments with a 4 mm height showed significantly higher VMD values than cylindrical 4 mm abutments using zinc oxide noneugenol and glass ionomer cements p = 0.032 . Conclusions. Abutment geometry and luting agents influence the VMD of cast copings cemented on implant abutment. The higher the cylindrical abutment, the greater the VMD, and hexagonal wall abutments promote greater marginal gap.


2021 ◽  
Vol 45 (3) ◽  
pp. 171-176
Author(s):  
Brent Lin ◽  
Amit Khatri ◽  
Michael Hong

The purpose of this study was to determine and compare the shear force (N) required to fracture or dislodge an all-ceramic zirconia-based crown using different luting cement with those of polycarbonate crown and strip crown for the primary anterior teeth in vitro. Study design: Four groups of esthetic restoration for primary anterior teeth were tested for fracture strength: 1) Fifteen all-ceramic zirconia-based crowns cemented with glass ionomer cement, 2) Fifteen all-ceramic zirconia-based crowns bonded with a self-adhesive resin cement, 3) Fifteen polycarbonate crowns cemented with a polymer reinforced zinc-oxide eugenol and 4) Fifteen resin strip crowns. All restorations were placed and cemented on reproductions of dies in an independent laboratory at Delhi, India. All samples underwent loading until fracture or dislodgement with the Universal Testing Machine. The force in Newton (N) required to produce failure was recorded for each sample and the type of failures was also noted and characterized. One-way analysis of variance (ANOVA) test and the Tukey and Scheffe’s post hoc comparisons were used for statistical analyses. Results: In this invitro study, results were measured in Newtons (N). Group 1 (410.9±79.5 N) and Group 2 (420.5±57.8 N) had higher fracture strength than Group 3 (330.3±85.6 N) and Group 4 (268.4±28.2 N). These differences were statistically significant at P≤.05 among the sample groups. No significant difference was found between groups 1 and 2 (P = 0.984) nor between groups 3 and 4 (P =0.104). Among type of failures, majority of restoration fractures for zirconia-based crowns and resin strip crowns were due to cohesive failures and polycarbonate crowns had predominantly mixed failures. Conclusions: Under the limitations of this in vitro study, it could be concluded that all-ceramic zirconia-based crowns attained the highest fracture strength among all restorative samples tested regardless of the type of luting agent employed (P&lt;.01). Cohesive failures were commonly observed in the zirconia crowns and resin strip crowns, whereas polycarbonate crowns revealed predominately mixed failures.


2008 ◽  
Vol 02 (01) ◽  
pp. 23-28 ◽  
Author(s):  
Necdet Adanir ◽  
Sema Belli

ABSTRACTObjectives: The purpose of this in vitro study was to evaluate the influence of different post lengths upon root fracture resistance.Methods: 78 maxillary central teeth with similar dimensions were mounted in acrylic blocks with artificial silicone periodontal ligaments. Combinations of post lengths of 6 mm (shorter than 1/1 clinical crown length), 9 mm (1/1 clinical crown length), and 12 mm (longer than 1/1 clinical crown length) made up 6 different groups consisting of 13 teeth each. The glass fiber posts (Snowpost) were cemented with Super-Bond C&B and Panavia F luting cement. Composite-resin cores were made with Clearfil PhotoCore. The specimens were tested in a universal test machine. The testing machine applied controlled loads to the core, 2 mm from its incisal edge, on the palatal side at an angle 135 degrees to the long axis of the root. The testing machine was set at a crosshead speed of 5mm per minute. All samples were loaded until failure.Results: There was no statistically significant difference between cements (P>.05). Posts shorter than clinical crown length, demonstrated root fracture under significantly lower loading forces (P<.05).Conclusion: Usage of posts shorter than clinical crowns should be avoided to eliminate clinical failure. (Eur J Dent 2008;2:23-28)


BDJ Open ◽  
2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Jazmin Hidalgo ◽  
Desirée Baghernejad ◽  
Anders Falk ◽  
Christel Larsson

Abstract Aim To compare the amount of remaining cement excess after cementation of implant-supported zirconia crowns with zinc phosphate or calcium aluminate glass ionomer cement. MATERIALS AND METHODS Twenty zirconia crowns were cemented on dental implant abutments using a calcium aluminate glass ionomer cement (n = 10) and zinc phosphate cement (n = 10). After removal of cement excess, remaining cement excess were measured with pixel area calculation method and by weighing. Differences in amount of remaining cement excess were analyzed using Independent Samples t-Test. Level of significance was set at p = 0.05. Results Zinc phosphate cement had a significantly greater amount of remaining cement excess than calcium aluminate glass ionomer cement in terms of total number of pixels (p = 0.002) and amount in grams (p = 0.005). Conclusion The study suggests that the amount of remaining cement excess can be affected by the type of cement. Calcium aluminate glass ionomer cement may be a more suitable choice for cement-retained dental implant restorations, and possibly reduce the risk of complications related to cement excess such as peri-implant disease. Further studies are needed to verify the results from the present study.


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