Pull-off Force of Four Different Implant Cements Between Zirconia Crowns and Titanium Implant Abutments in Two Different Abutment Heights

Volkmann, Hanna and Rauch, Angelika and Koenig, Andreas and Schierz, Oliver (2022) Pull-off Force of Four Different Implant Cements Between Zirconia Crowns and Titanium Implant Abutments in Two Different Abutment Heights. INTERNATIONAL JOURNAL OF PERIODONTICS & RESTORATIVE DENTISTRY, 42 (3). E67-E74. ISSN 0198-7569, 1945-3388

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Abstract

This study evaluated the pull-off force between titanium abutments and zirconia crowns that were bonded using four different cements and two abutment heights (AHs). In total, 24 titanium abutments (3-mm AH: n = 12; 5-mm AH: n =12; taper: 7.5 degrees) and 24 zirconia crowns were designed, manufactured, cemented with one of four dental cements (one temporary, two semi-permanent, one permanent), stored in water for 24 hours, and thermocycled (37,500 cycles, equal to similar to 4 years in vivo). The pull-off force needed to separate the abutment and crown in each combination was determined eight times per combination of cement type and abutment height. Statistical analysis was conducted at a significance level of P < .05. The permanent self-adhesive composite cement showed a high pull-off force with a risk for crown fracture (mean: 381 N for 3-mm AH; 617 N for 5-mm AH). In contrast, the temporary zinc-oxide cement showed frequent premature decementation after thermocycling (mean: 14 N with 3-mm AH; 28 N with 5-mm AH). Both semi-permanent methacrylate-based cements ranked between the other cements (mean: 31 N/37 N for 3-mm AH; 120 N/72 N for 5-mm AH). Statistically significant differences were found between all cements (ANOVA P < .001). The abutment heights differed significantly for all cements (P < .005) except for the temporary zinc-oxide cement. Methacrylate-based cements were the most reliable cements for semi-permanent mounting of zirconia crowns on titanium abutments. They provide sufficient retention to avoid unintended loosening and are weak enough to remove the crown without causing damage.

Item Type: Article
Uncontrolled Keywords: LUTING AGENTS; SURROUNDING BONE; RETENTION; RETRIEVABILITY; STRENGTH;
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Zahnärztliche Prothetik
Depositing User: Dr. Gernot Deinzer
Date Deposited: 20 Feb 2024 15:00
Last Modified: 20 Feb 2024 15:00
URI: https://pred.uni-regensburg.de/id/eprint/57711

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