• The Journal of Korean Academy of Prosthodontics
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• v.52 no.4
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• pp.352-358
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• 2014

They have been recently introduced many aesthetic implant prosthesis using with zirconia and CAD/CAM. However, there are many limitations in their gingival and occlusal region. In this case, submucosal zirconia implant prosthesis were fabricated with CAD/CAM system. The connection of these screw cement retained prosthesis and titanium abutment was designed to 1mm above the fixture. The clinical results were satisfactory on the aesthetics and function.

• The Journal of Korean Academy of Prosthodontics
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• v.46 no.3
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• pp.280-289
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• 2008

STATEMENT OF THE PROBLEM: Recent data regarding the effects the cement type and abutment heights on the retentive force of a prosthetic crown are inconsistent and unable to suggest clinical guidelines. PURPOSE OF THE STUDY: This study evaluated the effects of different types of temporary cements and abutment heights on the retentive strength of cement-retained implant-supported prostheses. MATERIALS AND METHODS: Prefabricated implant abutments, 4 mm in diameter, $8^{\circ}$taper per side, and light chamfer margins, were used. The abutment heights of the implants were 4 mm, 5.5 mm and 7 mm. Seven specimens of a single crown similar to a first premolar were fabricated. Six commercially available temporary cements, TempBond, TempBond NE, Cavitec, Procem, Dycal, and IRM, were used in this study. Twenty-four hours after cementation, the retentive strengths were measured using a universal testing machine with a crosshead speed of 0.5 mm/min. The cementation procedures were repeated 3 times. The data was analyzed using two-way analysis of variance and a Tukey test (${\alpha}$=0.05). RESULTS: The tensile bond strength ranged from 1.76 kg to 19.98 kg. The lowest tensile strengths were similar in the TempBond and Cavitec agents. Dycal showed the highest tensile bond strength (P<0.01). More force was required to remove the crowns cemented to the long abutments (P<0.05). CONCLUSION: TempBond and Cavitec agents showed the lowest mean tensile bond strength. The Dycal agent showed more than double the tensile bond strength of the TempBond agent.

• The Journal of Korean Academy of Prosthodontics
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• v.60 no.1
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• pp.119-126
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• 2022

Mini-implant has been reported as an alternative method to conventional diameter implants in the treatment of mandibular anterior region with narrow ridge. However, one-piece type mini-implant showed biological and technical complications, such as peri-implantitis by residual cement and prosthetic detachment. Recently, one-piece type mini-implant with additional retentive structure has been introduced to increase the retention and stability of the mini-implant. The mini-implant is based on spreading the upper retentive structure with a spreader and connected it with the inner surface of the zirconia prosthesis. In two cases, we tried to reduce these complications through the mini-implant on the narrow mandibular anterior region, and it was possible to reduce the overall treatment period through a digital system. In this case report, restoration using the digital mini-implant system showed improvement of patient satisfaction on the aspect of function and esthetic in the narrow mandibular anterior region.

• The Journal of Advanced Prosthodontics
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• v.8 no.2
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• pp.150-157
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• 2016

PURPOSE. The modified lateral-screw-retained implant prosthesis (LSP) is designed to combine the advantages of screw- and cement-retained implant prostheses. This retrospective study evaluated the mechanical and biological complication rates of implant-supported single crowns (ISSCs) inserted with the modified LSP in the posterior region, and determined how these complication rates are affected by clinical factors. MATERIALS AND METHODS. Mechanical complications (i.e., lateral screw loosening [LSL], abutment screw loosening, lateral screw fracture, and ceramic fracture) and biological complications (i.e., peri-implant mucositis [PM] and peri-implantitis) were identified from the patients' treatment records, clinical photographs, periapical radiographs, panoramic radiographs, and clinical indices. The correlations between complication rates and the following clinical factors were determined: gender, age, position in the jaw, placement location, functional duration, clinical crown-to-implant length ratio, crown height space, and the use of a submerged or nonsubmerged placement procedure. RESULTS. Mechanical and biological complications were present in 25 of 73 ISSCs with the modified LSP. LSL (n=11) and PM (n=11) were the most common complications. The incidence of mechanical complications was significantly related to gender (P=.018). The other clinical factors were not significantly associated with mechanical and biological complication rates. CONCLUSION. Within the limitations of this study, the incidence of mechanical and biological complications in the posterior region was similar for both modified LSP and conventional implant prosthetic systems. In addition, the modified LSP is amenable to maintenance care, which facilitates the prevention and treatment of mechanical and biological complications.

• Journal of Dental Rehabilitation and Applied Science
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• v.31 no.1
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• pp.50-59
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• 2015

It is hard to restore and manage anterior teeth esthetically and functionally; because of peri-implantitis, not only hard and soft tissue problem such as alveolar bone resorption and interdental papilla loss but also esthetic problem caused by metal abutment exposure can occur. This case presents patients using customized abutment made of Co-Cr alloy that can be made by conventional casting and compensate the shortcomings of prefabricated titanium abutments, and cement-retained prosthesis.

• Journal of Korean Dental Science
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• v.15 no.1
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• pp.92-99
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• 2022

This case report describes the immediate loading of narrow diameter implants in the mandibular incisor area using full-digital flow. The 3-dimensional position of the implants was planned using digital software, and the corresponding surgical template was fabricated. The implants were inserted immediately after extraction and on the same day, the interim abutment and bridge were placed. At 8 weeks after surgery, the stability of the implants was measured and a digital impression was made using a scan body. Customized titanium abutments and a cement-type full zirconia bridge were delivered. At 36 weeks' follow-up, no clinical or radiographic complications were detected, and the patient was satisfied with the results.

• Journal of Dental Rehabilitation and Applied Science
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• v.40 no.2
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• pp.64-71
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• 2024

Purpose: The purpose of this study is to evaluate Ti-base abutment's three different heights and three different cement types on the pull-off force of zirconia-based restorations. Materials and Methods: A total of 90 fixture lab analogs were embedded in auto polymerizing resin bloack. 90 Ti-base abutments heights of 3 mm, 5 mm, 7 mm were scanned and zirconia restoration were prepared from scanned files. Zirconia restoration were cemented with three different types of cements (temporary, semi-permanent, permanent) following manufacturer's instructions. All 90 specimens were placed and tested in a universal testing machine for pull-out testing. Retention was measured by recording the force at load drop. Statistical analysis was performed using Kruskal-Wallis test for detecting whether there are any statistical significance along cement types or abutment heights. After that, Mann-Whitney test was used for figuring out differences regarding abutment height and the comparison between 3 cements. Results: Temp bond showed significantly lower pull-off force compared to Fujicem regardless of any abutment height. However, there were significant differences between Cem-implant and Fujicem in abutment height of 3 mm and 7 mm, but there was no significant difference in 5 mm. Temp bond and Cem-implant had significant differences only in abutment height of 5 mm. Conclusion: Although Ti-base abutment height did not influenced zirconia restorations' retentiveness, cement types showed significant differences.

• The Journal of Korean Academy of Prosthodontics
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• v.59 no.1
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• pp.71-78
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• 2021

Implant treatment, which was first attempted in fully edentulous patients, is now widely used in partially edentulous, and a single tooth missing patients. Moreover, implant treatment has become an essential treatment modality in modern dentistry. The material of fabricating implant prostheses has also become more diverse than before, one of which is the use of high-performance polymers. The frequency of using high-performance polymers, which have been used in the medical field, is also increased in the dental field compared to the past. In the first case, a PEKK abutment and a PFG crown (cement-screw-retaining type) were fabricated in the lower left second premolar, and in the second case, a PEKK abutment and a monolithic zirconia crown (cement-screw-retaining type) were fabricated in the missing upper left first molar, and in the third case two PEKK abutments and a splinted PFM crowns (cement-screw-retaining type) were fabricated and connected to the upper right first and second molar implants. Through these procedures the patients obtained esthetically and functionally satisfactory results after 4 years of follow-up.

• Journal of Periodontal and Implant Science
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• v.50 no.4
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• pp.209-225
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• 2020

Purpose: Marginal bone loss (MBL) is an important clinical issue in implant therapy. One feature that has been cited as a contributing factor to this bone loss is peri-implant mucosal thickness. Therefore, in this report, we conducted a systematic review of the literature comparing bone remodeling around implants placed in areas with thick (≥2-mm) vs. thin (<2-mm) mucosa. Methods: A PICO question was defined. Manual and electronic searches were performed of the MEDLINE/PubMed and Cochrane Oral Health Group databases. The inclusion criteria were prospective studies that documented soft tissue thickness with direct intraoperative measurements and that included at least 1 year of follow-up. When possible, a meta-analysis was performed for both the overall and subgroup analyses. Results: Thirteen papers fulfilled the inclusion criteria. A meta-analysis of 7 randomized clinical trials was conducted. Significantly less bone loss was found around implants with thick mucosa than around those with thin mucosa (difference, -0.53 mm; P<0.0001). Subgroups were analyzed regarding the apico-coronal positioning, the use of platform-matched vs. platform-switched (PS) connections, and the use of cement-retained vs. screw-retained prostheses. In these analyses, thick mucosa was found to be associated with significantly less MBL than thin mucosa (P<0.0001). Among non-matching (PS) connections and screw-retained prostheses, bone levels were not affected by mucosal thickness. Conclusions: Soft tissue thickness was found to be correlated with MBL except in cases of PS connections used on implants with thin tissues and screw-retained prostheses. Mucosal thickness did not affect implant survival or the occurrence of biological or aesthetic complications.

• Journal of Korean Dental Science
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• v.17 no.3
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• pp.112-120
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• 2024

Purpose: The objective of this study was to investigate the impact of blood contamination on the compressive strength and surface morphology of both conventional and newly developed calcium silicate cements (CSCs). Materials and Methods: Compressive strengths of Endocem MTA Premixed Regular (EMPR) and ProRoot MTA (PMTA) were assessed after immersion in fetal bovine serum (FBS), saline, and deionized water (DW). Surface morphology was examined using scanning electron microscopy (SEM). Results: The compressive strength of EMPR samples immersed in FBS for both 1 and 7 days was significantly lower compared to those in saline and DW, with no significant differences between the saline and DW groups. The PMTA group exhibited the lowest compressive strength after 1 day in FBS, although it did not significantly differ from that of saline and DW groups. SEM images revealed significant differences in crystalline formation between FBS and the other experimental groups. Conclusion: Minimizing blood contamination during vital pulp therapy (VPT) is crucial to ensure optimal CSC setting. PMTA may be preferred over EMPR for resisting high occlusal forces in the presence of blood contamination.