1. Effect of materials on axial displacement and internal discrepancy of cement-retained implant-supported prostheses
- Author
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Chan-Jin Park, Kyung-Ho Ko, Lee-Ra Cho, and Yoon-Hyuk Huh
- Subjects
Materials science ,medicine.medical_treatment ,Abutment ,Dental Cements ,Polymethylmethacrylate resin ,chemistry.chemical_element ,Dental Abutments ,Prosthesis ,Dental Materials ,03 medical and health sciences ,0302 clinical medicine ,Axial displacement ,medicine ,Dental Implants ,Cement retained ,technology, industry, and agriculture ,030206 dentistry ,Dental Prosthesis Design ,chemistry ,Computer-Aided Design ,Chromium Alloys ,Dental Prosthesis, Implant-Supported ,Zirconium ,Implant ,Oral Surgery ,Implant supported ,Biomedical engineering ,Titanium - Abstract
Statement of problem How axial displacement may be affected by the mechanical properties and internal discrepancy of a cement-retained implant-supported prosthesis is unclear. Purpose The purpose of this in vitro study was to assess the difference in internal discrepancy and axial displacement according to the prosthesis material in cement-retained prostheses splinting nonparallel implants. Material and methods Computer-aided design and computer-aided manufacture (CAD-CAM) titanium abutments were fabricated for a vertically placed implant and a 15-degree tilted implant. Three types of prostheses, in zirconia, cobalt-chromium (Co-Cr) alloy, and polymethylmethacrylate resin (PMMA), were fabricated (n=10). The internal discrepancy between the CAD-CAM titanium abutment and the prosthesis was measured by using the replica technique. After luting with an interim cement, they were mounted in Type IV gypsum. The specimens were cyclic loaded, and axial displacement of the prosthesis was measured after 3, 10, 100, and 106 cycles. The internal discrepancy and cumulative axial displacement were assessed by using a 3-way analysis of variance and repeated measures analysis of variance (α=.05). Results The internal discrepancy of the prosthesis did not differ based on the prosthesis material (P=.869); however, it was significantly different based on the measurement location, with the occlusal discrepancy (224 ±29 μm) being greater than the axial discrepancy (21 ±10 μm) (P Conclusions Prostheses made with high-elastic moduli materials exhibited less axial displacement than PMMA prostheses, even though the internal discrepancy was not different. Moreover, vertically placed implants presented a greater axial displacement of the prosthesis than implants with angled placement.
- Published
- 2022