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KMID : 1023820180100050381
The Journal of Advanced Prosthodontics
2018 Volume.10 No. 5 p.381 ~ p.387
Influence of abutment height and convergence angle on the retrievability of cement-retained implant prostheses with a lingual slot
Choi Kyu-Hyung

Son Keunbada
Lee Du-Hyeong
Lee Kyu-Bok
Abstract
PURPOSE: Cement-retained implant prostheses can lack proper retrievability during repair, and residual cement can cause peri-implantitis. The purpose of this in vitro study was to evaluate the influence of abutment height and convergence angle on the retrievability of cement-retained implant prostheses with lingual slots, known as retrievable cement-type slots (RCS).

MATERIALS AND METHODS: We fabricated six types of titanium abutments (10 of each type) with two different heights (4 mm and 6 mm), three different convergence angles (8¡Æ, 10¡Æ, and 12¡Æ), a sloped shoulder margin (0.6 mm depth), a rectangular shape (6 mm ¡¿ 6.5 mm) with rounded edges, and a rectangular ledge (2 mm ¡¿ 1 mm) for the RCS. One monolithic zirconia crown was fabricated for each abutment using a dental computer-aided design/computer-aided manufacturing system. The abutments and crowns were permanently cemented together with dual-curing resin cement, followed by 24 hours in demineralized water at room temperature. Using a custom-made device with a slot driver and torque gauge, we recorded the torque (N¡¤cm) required to remove the crowns. Statistical analysis was conducted using multiple regression analysis and Mann-Whitney U tests (¥á=.05).

RESULTS: Removal torques significantly decreased as convergence angles increased. Multiple regression analysis showed no significant interaction between the abutment height and the convergence angle (Durbin-Watson ratio: 2.186).

CONCLUSION: Within the limitations of this in vitro study, we suggest that the retrievability of cement-retained implant prostheses with RCS can be maintained by adjusting the abutment height and convergence angle, even when they are permanently cemented together.
KEYWORD
Lingual slot, Cement-retained implant prostheses, Abutment, Computer-aided design and computer-aided manufacturing (CAD/CAM), Retrievability
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