Int J Oral Maxillofac Implants 27 (2012), No. 5 15. Sep. 2012
Int J Oral Maxillofac Implants 27 (2012), No. 5 (15.09.2012)
Page 1106-1115, PubMed:23057023
Influence of Abutment Height and Thermocycling on Retrievability of Cemented Implant-Supported Crowns
Mehl, Christian / Harder, Sönke / Shahriari, Ahoo / Steiner, Martin / Kern, Matthias
Purpose: To evaluate the influence of abutment height and thermocycling on the retrievability of cemented implant crowns.
Materials and Methods: Ninety tapered titanium abutments (6 degree taper, 4.3 mm diameter, 8.5 mm height) were shortened to 2, 3, or 4 mm, respectively. Ninety crowns were designed and manufactured using CAD/CAM techniques and laser sintering a CoCr alloy. The crowns were cemented either with a glass-ionomer, a polycarboxylate, or a composite resin cement followed by 3-day storage in demineralized water without thermocycling or 150-day storage with 37,500 thermal cycles. The force (in N) and the number of attempts needed to remove the crowns using a universal testing machine (UTM) or a clinically used removal device (Coronaflex) were recorded. Statistical analysis at a level of significance of P <= .05 was conducted using the Kruskal-Wallis and Mann-Whitney U tests (Coronaflex) and three-way and two-way ANOVA, Tukey's HSD post hoc tests, and t tests (UTM).
Results: Regardless of whether the crowns were retrieved with Coronaflex or UTM, the crowns cemented with the glass-ionomer cement were significantly easier to retrieve followed by the polycarboxylate and the resin cement, both of which differed significantly from each other (P <= .001). With both retrieval methods, the cement, abutment height, and thermocycling were significantly influential (P <= .0001). Significant interactions could be found for retrieval with UTM between the abutment height and thermocycling, between the cement and thermocycling, and between all three factors (P <= .05).
Conclusions: Glass-ionomer cement may be used for retrievable cementation of implant restorations, whereas polycarboxylate cement and especially composite resin cement should be used for a nonretrievable permanent cementation.
Keywords: abutment, cement, crown, implant, retention, retrievability