Comparison of Pull-Out Resistance Different Lutıing Cements at Implant Supported Fixed Prosthesis

Year 2014, Volume: 41 Issue: 3 - Volume: 41 Issue: 3, 151 - 157, 01.10.2014

Fehmi Gönüldaş Derya Öztaş Deniz Gürsoy Ayalp

Abstract

Purpose: One of the most important factors that effects retention of cement-retained implant supported fixed prosthesis is used the type of the luting cement. The resistance of the luting cements against the displacing forces on the fixed prosthesis directly influence the success of the restorations. The purpose of this study is to compare the retentive properties of three different dental luting cements that are being used routinely on cement retained implant supported fixed prosthesis. Material and methods: Resin based, glass ionomer and zinc phosphate luting cements, widely used inclinically, were used in this study. 21 dental implant abutment and 21 dental implants laboratory analogs were used. Metallic crowns per abutment was obtained by casting. Dental implant laboratory analogs were mounted in autopolimmerization acrylic resin blocks. They were divided into three groups according to types of luting cements. Dental implant laboratory analogs were paired with abutments and cast metallic crowns. Dental implant laboratory analogs incorporated with abutments and using a dental surveyor were aligned vertically and centrally positioned within acrylic blocs. Three different types of luting cements were prepared according to manufacturer’s recommendation and in uniform concistency and metallic crowns cemented using finger pressure. After 24 hours, the specimens were subjected to a pull-out test using an universal testing machine. Results: According to this study, zinc phosphate luting cement showed the highest pull-out resistance and glass ionomer luting cement showed the lowest. Conclusion: In order to increase the retention of cement-retained implant supported fixed prosthesis, the use of zinc phosphate luting cement is recommended

Keywords

Cementable implant supported crowns, Retantion forces, Surface Topography of Abutments

İmplant destekli sabit protezlerde farklı yapıştırma simanlarının çekme dirençlerinin karşılaştırılması

Abstract

Amaç: Siman ile yapıştırılan implant destekli sabit protezlerin tutuculuğu üzerinde etkili olan önemli faktörlerden biri, kullanılan yapıştırma simanının tipidir. Sabit protezi yerinden çıkarıcı kuvvetlere karşı yapıştırma simanlarının gösterdiği direnç restorasyonun başarısını direkt etkilemektedir. Bu çalışmanın amacı; implant destekli sabit protezlerde simante edilebilen sistemlerde klinikte rutin olarak kullanılan üç farklı yapıştırma simanının retantif özelliklerinin birbirleriyle kıyaslanmasıdır. Gereç ve Yöntem: Bu çalışmada, klinikte yaygın olarak kullanılan rezin esaslı yapıştırma simanı, cam iyonomer ve çinko fosfat yapıştırma simanları kullanılmıştır. 21 dental implant abutmentı destek ve 21 adet dental implant laboratuvar analoğu kullanılmıştır. Her abutment için ayrı metal kronlar döküm yoluyla elde edilmiştir. Dental implant laboratuvar analogları otopolimerizan akrilik rezin bloklar içerisine gömülmüştür. Bu metal kronları farklı yapıştırma simanlarına göre üç gruba ayrılmıştır. Laboratuvar implant analogları abutmentlarla ve döküm metal kronlarla eşleştirilmiştir. İmplant analogları abutmentlarla birleştirilmiş ve paralelometre yardımıyla akrilik kalıpların merkezine dik şekilde yerleştirilmiştir. Her üç yapıştırma simanı da üretici firmaların tavsiyelerine göre hazırlanmış ve metal kron kopingleri parmak basıncı ile simante edilmiştir. Örnekler 24 saat bekletildikten sonra, universal test cihazı kullanılarak çekme testine tabi tutulmuştur

Keywords

Simante edilen implant destekli kronlar, Tutucu kuvvetler, Abutmentlerin yüzey morfolojisi

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