3078 Effect of Height and Taper of Implant Abutments on Retention
A. ABUALSAMH, M.E. RAZZOOG, and M. SIERRAALTA, University of Michigan, Ann Arbor, USA

Retention of any prosthesis is affected by height and taper. Many practitioners use temporary cements for the cementation of implant supported prosthesis. Objective: To determine the effect of height and taper on the tensile strength needed to dislodge Al2O3 copings luted to titanium abutments using two different provisional cements. Methods: Four titanium abutments were fabricated using ProceraŽ CAD/CAM system, sample A- 8mm height / 8° taper, B- 8mm height / 3.9° taper, C- 4mm height / 8° taper, and D- 4mm height / 3.9° taper. Al2O3 copings were cemented with Temp BondŽ and ImprovTM. Samples were stored in 100% humidity for 24 hours prior to applying tensile force until dislodgement. Results: Removal forces were: Temp BondŽ cement: Sample A- 13.7 kg (SD 2.2 kg), sample B- 11.16 kg (SD 2.2 kg), sample C- 6.85 kg (SD 1.8 kg), Sample D- 4.07 kg (SD 0.35 kg). ImprovTM cement: Sample A-20.6 kg (SD 4.2 kg), sample B- 15.67 kg (SD 5.0 kg), sample C- 9.22 kg (SD 1.9 kg), Sample D- 8.3 kg (SD 3.3 kg). A two-way ANOVA test revealed a statistically significant difference between: sample A and B (p=0.04), sample C and D (p=0.01), sample A and C (p=0.003), and sample B and D (p=0.001) when cemented with Temp BondŽ. With ImprovTM, no significant difference was seen between sample A and B (p=0.03), sample C and D (p=0.30). A significant difference occured between sample A and C (p=0.007), and between sample B and D (p=0.01). Comparing both cements, the largest difference was (p=0.008) between abutment A ImprovTM (20.6 kg) and the same abutment cemented with Temp BondŽ (13.7 kg). Conclusion: Removal force was affected by height followed by cement. ImprovTM cement resulted in tensile strength twice that achieved by Temp BondŽ.Supported by NobelBiocare/University of Michigan Center for Excellence

Seq #333 - Implant Prosthodontic Research
10:15 AM-11:30 AM, Saturday, 13 March 2004 Hawaii Convention Center Exhibit Hall 1-2

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