The Precision Between Implant Fixture and Titanium Base Abutment Connection and Cement Gap between Titanium Base Abutment and Zirconia Crown

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Daraporn Sae-Lee
Pitpern Chanatepaporn
Subin Puasiri
Cholaporn Raunglertpanyakul

Abstract

The purposes of this study were to verify the precision between implant fixture and internal abutment connection and to compare the cement gap between commercial titanium base abutment (Osstem TS link abutment, Osstemo, Korea) and customized titanium base abutment produced by third party (Zirkonzahn parallel cemented titanium base HEX, Zirkonzahn, Italy). The implant-abutment connection gap between titanium base abutment and fixture analog, and cement gap between titanium base abutment and zirconia crown were recorded with light body silicone. The thickness of the gap, obtained by imprinted silicone, was
stabilized and cross-sectionally cut and then measured in 4 different levels, i.e., (1) at a middle level of internal connection gap, (2) at a middle level of upper part of abutment surface, (3) at a middle level of lower part of abutment surface in which antirotations were presented, and (4) at antirotations gap, by using polarized microscope. All measurement points were re-evaluated 3 times and the mean value was calculated by independent T-test. The statistical analysis revealed that, for the connection gap, the mean gap value of customized titanium base abutment (88.48 + 6.64 micrometers) was significantly lower than that of the commercial titanium base abutment (124.67 + 16.26 micrometers) (P<0.05), while, for the cement gap at the antirotation points, the mean cement gap value of customized titanium base abutment (76.19 + 21.23 micrometers) was significantly higher than the commercial titanium base abutment (24.83 + 12.96 micrometers) (P<0.05). It can be concluded that the customized titanium base abutment
could be used as an alternative option as it can provide a comparable connection with the commercial one.

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Sae-Lee D, Chanatepaporn P, Puasiri S, Raunglertpanyakul C. The Precision Between Implant Fixture and Titanium Base Abutment Connection and Cement Gap between Titanium Base Abutment and Zirconia Crown. Khon Kaen Dent J [Internet]. 2018 Dec. 28 [cited 2024 Jul. 18];21(2):83-9. Available from: https://he01.tci-thaijo.org/index.php/KDJ/article/view/162999
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References

1. Anonymous. The glossary of prosthodontic terms. J Prosthet Dent 2005;94(1):10-92.
2. Manawar A DB, Aparna I.N, Naim H. Factors influencing success of cement versus screw-retained implant restorations: a clinical review. Osseointegr 2012;3(4):43-7.
3. Agar JR, Cameron SM, Hughbanks JC, Parker MH. Cement removal from restorations luted to titanium abutments with simulated subgingival margins. J Prosthet Dent 1997;78(1):43-7.
4. Abichandani SN KA. Abutment selection, designing, and its influence on the emergence profile: A comprehensive review. Eur J of Prosthodont 2013;1(1):1-10.
5. Shadid R SN. A comparison between screw- and cementretained implant prostheses. A literature review. J Oral Implantol 2012;38(3):298-307.
6. Watanabe F, Uno I, Hata Y, Neuendorff G, Kirsch A. Analysis
of stress distribution in a screw-retained implant prosthesis.
Int J Oral Maxillofac Implants 2000;15(2):209-18.
7. Weber HP, Kim DM, Ng MW, Hwang JW, Fiorellini JP. Peri-implant soft-tissue health surrounding cement- and screw-retained implant restorations: a multi-center, 3-year prospective study. Clin Oral Implants Res 2006;17(4):375-9.
8. Binon PP. Implants and components: entering the new millennium. Int J Oral Maxillofac Implants 2000;15(1):76-94.
9. Finger IM, Castellon P, Block M, Elian N. The evolution of external and internal implant/abutment connections. Pract Proced Aesthet Dent 2003;15(8):625-32.
10. Byrne D, Houston F, Cleary R, Claffey N. The fit of cast and premachined implant abutments. J Prosthet Dent 1998;80(2):184-92.
11. Carlsson L. Built-in strain and untoward forces are the inevitable companions of prosthetic misfit. Nobelpharma News 1994;8(5).
12. Boeckler AF, Stadler A, Setz JM. The significance of marginal gap and overextension measurement in the evaluation of the fit of complete crowns. J Contemp Dent Pract 2005;6(4):26-37.
13. Jemt T, Book K. Prosthesis misfit and marginal bone loss in edentulous implant patients. Int J Oral Maxillofac Implants 1996;11(5):620-5.
14. Jemt T, Lie A. Accuracy of implant-supported prostheses in the edentulous jaw: analysis of precision of fit between cast gold-alloy frameworks and master casts by means of a three-dimensional photogrammetric technique. Clin Oral Implants Res 1995;6(3):172-80.
15. Kan JY, Rungcharassaeng K, Bohsali K, Goodacre CJ, Lang BR. Clinical methods for evaluating implant framework fit. J Prosthet Dent 1999;81(1):7-13.
16. Klineberg IJ, Murray GM. Design of superstructures for osseointegrated fixtures. Swed Dent J Suppl 1985;28:63-9.
17. Besimo CE, Guindy JS, Lewetag D, Meyer J. Prevention of
bacterial leakage into and from prefabricated screw-retained crowns on implants in vitro. Int J Oral Maxillofac Implants 1999;14(5):654-60.
18. Binon PP, McHugh MJ. The effect of eliminating implant/ abutment rotational misfit on screw joint stability. Int J Prosthodont 1996;9(6):511-9.
19. Boggan RS, Strong JT, Misch CE, Bidez MW. Influence of hex geometry and prosthetic table width on static and fatigue strength of dental implants. J Prosthet Dent 1999;82(4):436-40.
20. Jansen VK, Conrads G, Richter EJ. Microbial leakage and marginal fit of the implant-abutment interface. Int J Oral Maxillofac Implants 1997;12(4):527-40.
21. Sakaguchi RL, Borgersen SE. Nonlinear finite element contact analysis of dental implant components. Int J Oral Maxillofac Implants 1993;8(6):655-61.
22. Steinebrunner L, Wolfart S, Bossmann K, Kern M. In vitro evaluation of bacterial leakage along the implant-abutment interface of different implant systems. Int J Oral Maxillofac Implants 2005;20(6):875-81.
23. Campbell SD. Comparison of conventional paint-on die spacers and those used with the all-ceramic restorations. J Prosthet Dent 1990;63(2):151-5.
24. Emtiaz S, Goldstein G. Effect of die spacers on precementation space of complete-coverage restorations. Int J Prosthodont 1997;10(2):131-5.
25. Passon C, Lambert RH, Lambert RL, Newman S. The effect of multiple layers of die-spacer on crown retention. Oper Dent 1992;17(2):42-9.
26. Ebert A, Hedderich J, Kern M. Retention of zirconia ceramic copings bonded to titanium abutments. Int J Oral Maxillofac Implants 2007;22(6):921-7.
27. Beuer F, Schweiger J, Edelhoff D. Digital dentistry: an overview of recent developments for CAD/CAM generated restorations. Br Dent J 2008;204(9):505-11.
28. Tsun Ma JIN, Jeffrey E. Rubenstein. Tolerance measurements of various implant components. Int J Oral Maxillofac Implants 1997;12:371-5.
29. Sorensen JA AS, Tomas C. Comparison of interface fidelity of implant systems [abstract 2191]. J Dent Res 1991;70:540.
30. Kaufman EG CA, Colin L. Factors influencing the retention of cemented gold castings. J Prosthet Dent 1961;11:487-502.
31. Strong SM. What’s your choice: cement- or screw-retained implant restorations? Gen Dent 2008;56(1):15-8.
32. Saleh Saber F, Abolfazli N, Nuroloyuni S, Khodabakhsh S, Bahrami M, Nahidi R, et al. Effect of Abutment Height on Retention of Single Cement-retained, Wide- and Narrow-platform Implant-supported Restorations. J Dent
Res Dent Clin Dent Prospects 2012;6(3):98-102.
33. Wu JC, Wilson PR. Optimal cement space for resin luting cements. Int J Prosthodont 1994;7(3):209-15.
34. Pan YH, Ramp LC, Lin CK, Liu PR. Comparison of 7 luting protocols and their effect on the retention and marginal leakage of a cement-retained dental implant restoration. Int J Oral Maxillofac Implants 2006;21(4):587-92.
35. Pan YH, Ramp LC, Lin CK, Liu PR. Retention and leakage of implant-supported restorations luted with provisional cement: a pilot study. J Oral Rehabil 2007;34(3):206-12.
36. Santosa RE, Martin W, Morton D. Effects of a cementing technique in addition to luting agent on the uniaxial retention force of a single-tooth implant-supported restoration: an in vitro study. Int J Oral Maxillofac Implants 2010;25(6):1145-52.
37. Squier RS, Agar JR, Duncan JP, Taylor TD. Retentiveness of dental cements used with metallic implant components. Int J Oral Maxillofac Implants 2001;16(6):793-8.
38. Karakoca S, Yilmaz H. Influence of surface treatments on surface roughness, phase transformation, and biaxial flexural strength of Y-TZP ceramics. J Biomed Mater Res B Appl Biomater 2009;91(2):930-7.
39. Zhang Y, Lawn BR, Rekow ED, Thompson VP. Effect of sandblasting on the long-term performance of dental ceramics. J Biomed Mater Res B Appl Biomater 2004;71(2):381-6.