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This article describes a simple, quick, and economical technique that makes use of a light-polymerized resin system to facilitate the retention and removal of cement-retained implant prostheses. 相似文献
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Guichet DL Caputo AA Choi H Sorensen JA 《The International journal of oral & maxillofacial implants》2000,15(2):239-246
The relationship of stress generation upon placement of cement-retained or screw-retained implant restorations has not been thoroughly investigated. Passivity of fit and marginal discrepancies of screw- and cement-retained implant fixed partial denture (FPD) designs were determined using a photoelastic model of a partially edentulous posterior mandibular arch with 3 screw-type implants. Buccal and lingual marginal openings, measured with a traveling microscope before cementation or screw tightening, revealed no statistical difference in adaptation between designs. Screw tightening caused a reduction in marginal opening (changes significant, P < .05). The opening with the cemented FPDs was similar before and after cementation. Photoelastic evaluation of the FPDs showed that cement-retained FPDs exhibited a more equitable stress distribution than did their screw-retained counterparts. 相似文献
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This article describes a new technique for fabricating cement-retained implant-supported prostheses. The technique involves cementation of the prostheses over customized gold cylinders. Access channels are incorporated in the prostheses to allow future access of the gold screws. This technique can be used in various clinical situations to achieve total passive fit of the framework without compromising retrievability. The technique overcomes the problems encountered with other previously advocated methods for constructing such prostheses. In addition, maintenance of the resulting prostheses is uncomplicated. 相似文献
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Predictable retrievability of cement-retained prostheses has been a clinical concern. This article presents a technique that describes an implant restoration design which will allow predictable removal of cement-retained implant-supported prostheses. 相似文献
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Statement of problem
Cement-retained implant-supported prostheses eliminate screw loosening and enhance esthetics. However, retrievability and the possibility of removing extruded excess cement (EEC) have been problematic.Purpose
The purpose of this systematic review was to analyze the effects of modifying the screw access channel (SAC) on the amount of EEC and the retention of cement-retained implant-supported prostheses.Material and methods
PubMed, Web of Science, Scopus, and Google Scholar databases were searched with appropriate key words. Related titles and abstracts published up to June 2017 were screened and selected on the basis of defined inclusion criteria. Full texts of all studies were read and subjected to quality assessments. After the initial search, 1521 articles were included in the study. Of these, 11 studies were subjected to critical appraisal, and 10 of them were reliable enough in methodology to be systemically reviewed.Results
All the studies were in vitro and described a total of 260 specimens. According to the interpreted results, closed SACs caused lower retention with a higher amount of EEC, whereas open SACs caused the reverse. Also, as the abutment height decreased, retention decreased.Conclusions
Extending the crown’s margin into the SAC, leaving the SAC open, and using internal vents in the SAC space are possible methods of modifying the SAC to gain higher retentive values. Also, the use of internal vents in the SAC system and open or partially filled SAC space reduce the amount of EEC. 相似文献7.
Mirfazaelian A 《The Journal of prosthetic dentistry》2002,87(6):692-694
This article describes a time-saving method for impression making and abutment preparation performed as a laboratory procedure on multiple cement-retained ITI implants. 相似文献
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Pietrabissa R Gionso L Quaglini V Di Martino E Simion M 《Clinical oral implants research》2000,11(5):448-457
In common practice a perfect fit of the prosthetic framework with the implant abutments is almost impossible to achieve. The mismatch, which is principally induced by the technological process adopted to manufacture the fixed prostheses, strains the framework thus generating constraint reactions. These are static forces that load the implant components and the bone at the implant–bone interface and may cause the bone remodelling. Depending on the magnitude of such forces, i.e. depending on the magnitude of the mismatch, the bone remodelling may lead to the loosening of the screws and of the implant–bone interface and hence cause implant failure. The present study shows an in vitro comparison of 3 different connecting abutments (standard, EsthetiCone and CerAdapt, Nobel Biocare AB, Göteborg, Sweden) with relation to the mechanical stresses induced by geometrical mismatches (technology induced errors). Two experimental devices were purposely realized and used to assess the ability of the different abutments to compensate errors. One was designed for translation errors and the other for rotation errors. The experimental apparatus set‐up includes 2 freestanding implants supporting a prosthetic structure and the connecting abutments. The implants and the abutments were used as delivered by the manufacturer, while the prostheses were purposely realized and instrumented with strain gauges. The data obtained with the error devices do not give quantitative information on what happens in clinical applications where the implants are connected to living bone, which is a tissue much more deformable than the steel used for the error devices. Results allow direct comparisons of the behaviour of the different investigated abutments with respect to position errors. The CerAdapt system (cement retained ceramic abutments) showed the least strain in presence of translation errors. The standard system (screw retained abutments) showed the least strain in presence of rotation errors. 相似文献
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Fernando Zarone Roberto Sorrentino Tonino Traini Donato Di lorio Sergio Caputi 《Dental materials》2007,23(3):296-301
OBJECTIVES: The present in vitro study aimed at evaluating the fracture resistance of both implant-supported screw- and cement-retained porcelain fused to metal (PFM) single crowns. A scanning electron microscope (SEM) evaluation of the mode of failure of the specimens was also performed. METHODS: Forty PFM premolar-shaped identical single crowns were realized. The restorations were divided into two groups: cement-retained (group 1) and screw-retained (group 2) prostheses. Compressive loading tests and SEM fractographic analyses were performed. The data were statistically analysed by means of the Student's t-test, with a confidence interval of 95%. RESULTS: The mean fracture load value was 1657 (+/-725) N in group 1 and 1281 (+/-747) N in group 2; the statistical analysis pointed out no significant differences between the two groups (p=0.115). The mean work at maximum load value was 0.775 (+/-0.619) J in group 1 and 0.605 (+/-0.526) J in group 2; the statistical analysis pointed out no significant differences between the two groups (p=0.355). All the samples were affected by cohesive fractures of the porcelain. Screw-retained crowns showed microcracks at the level of the occlusal access to the screw and extensive fractures in the whole thickness of the ceramics. On the contrary, cement-retained restorations were affected by less wide paramarginal fractures of the porcelain. SIGNIFICANCE: A stronger implant-prosthetic connection was noticed in cemented restorations group than in screw-retained single crowns. Even though negatively influenced by the presence of the occlusal access to the screw, the metal-ceramics bond can be considered predictable in both the implant-prosthetic connection systems analysed. 相似文献
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van Waas MA Kalk W Jonkman RE van 't Hof MA Letteboer EW de Dreu M 《Nederlands tijdschrift voor tandheelkunde》1993,100(10):474-477
In a randomized controlled clinical trial 74 patients who required immediate dentures were randomly treated with immediate overdentures on 2 lower canines or immediate complete dentures. Mandibular bone reduction was measured using oblique lateral cephalometric radiographs made at base-line and the results compared with those of one year and two years after denture treatment. Analysis of the data showed that the average bone reduction in the lower canine regions in the first year was 0.75 in the immediate overdenture group and 1.90 mm in the immediate complete denture group. In the posterior parts of the mandible the bone reduction was respectively 0.77 and 1.77 mm. The differences were statistically significant in all measured regions. The differences in the first two years were significant in all regions except the molar region. Retention of roots of canines beneath a mandibular denture in immediate denture patients, even when they were in poor condition, reduced the collapse of the alveolar processes in all region of the mandible. 相似文献
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Strassburger C Kerschbaum T Heydecke G 《The International journal of prosthodontics》2006,19(4):339-348
PURPOSE: To review the influence of prosthodontic and dental implant treatment on patient satisfaction and oral health-related quality of life (OHQOL) based on a systematic search of the literature. MATERIALS AND METHODS: A systematic literature search was carried out for articles published between 1960 and February 2003. Details of the search process and results were reported in Part 1 of the study (Int J Prosthodont2004;17:83-93). The included studies were categorized and evaluated according to their level of evidence, following the guidelines of the Agency for Health Care Policy and Research. The characteristics and content of the studies were analyzed and tabulated. RESULTS: Among the 114 included studies, there were 76 publications reaching evidence level III. The results showed that the effects of compromised oral health are not limited to traditional clinical aspects, but can considerably affect patients in various activities of daily life. Twenty-four of the 38 investigations with evidence levels I and II dealt with implant stabilization of complete mandibular prostheses, comparing implant prostheses to conventional complete dentures. Fully edentulous patients experience negative impacts on OHQOL from their condition. They benefit significantly from the use of dental implants to support mandibular prostheses. However, support by more than 2 implants does not appear to further significantly increase patient satisfaction and OHQOL. CONCLUSIONS: To date, research in the field of patient-based outcomes has concentrated on dental implant treatment for the edentulous patient. Other prosthetic treatments such as single crowns, fixed and removable partial dentures, or further treatment concepts (eg, the shortened dental arch concept) are not well represented. The use of patient-centered outcome measures can help to find an individual, patient-oriented prosthetic solution. 相似文献
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Mandibular resection guidance prostheses: a literature review 总被引:1,自引:0,他引:1
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The purpose of this study was to determine whether varying the preload on the implant-abutment complex would affect screw loosening under simulated loading conditions. Abutment screws in sample models were tightened to 25, 30, 35, and 40 N-cm. One group of samples was allowed to stand for 3 hours after being torqued and then loosened. Another group of samples was retorqued after 10 minutes with the same initial torque value and then allowed to stand for 3 hours before loosening. For the load group of samples, the abutments were torqued into place, retorqued after 10 minutes, and a load applied for 3 hours before loosening. Cyclic loading was carried out using a servo-hydraulic testing machine with the values cycled between 1 and 26 pounds and the load applied directly to the abutments. Analysis of variance, analysis of covariance, and linear regression analysis was performed. Within the parameters of this in vitro investigation, the following recommendations can be made: (1) retightening abutment screws 10 minutes after the initial torque applications should be routinely performed and (2) increasing the torque value for abutment screws above 30 N-cm can be beneficial for abutment-implant stability and to decrease screw loosening. 相似文献
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Ameloblastoma is an odontogenic tumor of epithelial origin that manifests itself in the maxillofacial area with marked deformity. After removal of the tumor, prosthetic reconstruction may be challenging because of extensive tissue loss, which necessitates careful treatment planning. We describe a case in which a patient lost considerable supporting tissue after excision of the tumor. The mandible was grafted with autogenous corticocancellous bone harvested from the left anterior iliac crest in a delayed manner. After healing, six implants were placed. After second-stage surgery, a new method was used to reduce thickness of the soft tissue around the implants. A cement-retained nine-unit fixed partial denture was fabricated in three clinical visits. The patient has been monitored for 5 years with no complications despite the use of cement to retain the prosthesis and the unfavorable crown-to-root ratio. 相似文献
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R D Mazurat 《Journal (Canadian Dental Association)》1992,58(6):500-504
A review of the dental literature reveals a lack of consensus as to the longevity of conventional prosthodontic therapy. The reasons for this are suggested and best estimates of the longevity of partial, complete and fixed prostheses are presented based on the available literature. A renewed interest in survival studies, hopefully based on sound parameters that outline the reasons for failure, as well as replacement indicators, is required to update our knowledge of survival rates. 相似文献
19.
In vitro stress analyses of dental implants supporting screw-retained and cement-retained prostheses
A photoelastic and strain gauge analysis was performed to evaluate the stress transferred to implants through the provisional-cement-retained, the permanent-cement-retained, and the screw-retained prostheses. The deflections of the prostheses at the time of the loading were also measured. In the single crown test, the provisional-cement-retained crowns transferred less stress. In the two-unit fixed partial denture test, there were no differences between the three different prostheses. In the two-implant supported distal cantilevered prostheses, the screw-type and the permanent-cement-retained prostheses developed more stress around the apex of both implants. The permanent-cement-retained prostheses acted almost the same as the screw-type. 相似文献
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Purpose: The aims of this review are to determine the effect of mandibular flexure on the “implant‐framework system,” and analyze the existing literature on the topic. Materials and Methods: A MEDLINE and PubMed search was conducted to identify any articles in English related to the topic published up to May 2010 using the search words “mandible,”“dental implants,”“dental impression technique,”“jaw movement,”“dental stress analysis,” and “mechanical stress.” Results: The search identified 40 and 36 articles from MEDLINE and PubMed, respectively. Twenty articles met the inclusion criteria. Conclusions: Mandibular flexure is a multifactorial phenomenon, and the effect of the implant‐framework system in this is unclear. Studies have focused mainly on the fully edentulous mandible. These have found that mandibular flexure should be taken into consideration when designing a prosthesis and have suggested that dividing the prosthesis at the symphysis region, or into multiple implant fixed dental prostheses, may minimize the effect of mandibular flexure on the implant prosthesis. At this time, no studies have investigated the effect of mandibular flexure on long‐span, unilateral, implant fixed prostheses. The clinical significance of mandibular flexure on the success of dental implant treatment is at this time unclear, and further research is needed. 相似文献