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The influence of the cementation margin position on the amount of undetected cement. A prospective clinical study

Identifieur interne : 003E06 ( Istex/Corpus ); précédent : 003E05; suivant : 003E07

The influence of the cementation margin position on the amount of undetected cement. A prospective clinical study

Auteurs : Tomas Linkevicius ; Egle Vindasiute ; Algirdas Puisys ; Laura Linkeviciene ; Natalja Maslova ; Alina Puriene

Source :

RBID : ISTEX:7D5AF6E79954C7D6AA2ABE21EF199387FA758287

English descriptors

Abstract

To evaluate the amount of undetected cement after cementation and cleaning of implant‐supported restorations.

Url:
DOI: 10.1111/j.1600-0501.2012.02453.x

Links to Exploration step

ISTEX:7D5AF6E79954C7D6AA2ABE21EF199387FA758287

Le document en format XML

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<div type="abstract">To evaluate the amount of undetected cement after cementation and cleaning of implant‐supported restorations.</div>
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Materials and methods
<p>Fifty three patients were treated with 53 single implant‐supported metal‐ceramic restorations. The subgingival location of the margin of each implant was measured with a periodontal probe mesially, distally, buccaly, and lingually
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resulting in 212 measurements. The data were divided into four groups: equally with tissue level (14 samples), 1 mm subgingivally (56), 2 mm (74), and 3 mm (68) below tissues contour. Metal‐ceramic restorations were fabricated with occlusal openings and cemented on standard abutments with resin‐reinforced glass‐ionomer. After cleaning, a radiograph was taken to assess if all cement had been removed. Then the abutment/crown unit was unscrewed for evaluation. All quadrants of the specimens and peri‐implant tissues were photographed and analyzed with Adobe Photoshop. Two proportions were calculated: (1) the relation between the cement remnants area and the total area of the abutment/restoration and (2) the relation between the cement remnants and the total area of implant soft tissue contour. Significance set to 0.05.</p>
Results
<p>Excess on the crown groups: 1 (0.002 ± 0.001); 2 (0.024 ± 0.005); 3 (0.036 ± 0.004); 4 (0.055 ± 0.007). Undetected excess increased when the margin was located deeper subgingivally (
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Conclusions
<p>The deeper the position of the margin, the greater amount of undetected cement was discovered. Dental radiographs should not be considered as a reliable method for cement excess evaluation.</p>
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<p>Fifty three patients were treated with 53 single implant‐supported metal‐ceramic restorations. The subgingival location of the margin of each implant was measured with a periodontal probe mesially, distally, buccaly, and lingually
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resulting in 212 measurements. The data were divided into four groups: equally with tissue level (14 samples), 1 mm subgingivally (56), 2 mm (74), and 3 mm (68) below tissues contour. Metal‐ceramic restorations were fabricated with occlusal openings and cemented on standard abutments with resin‐reinforced glass‐ionomer. After cleaning, a radiograph was taken to assess if all cement had been removed. Then the abutment/crown unit was unscrewed for evaluation. All quadrants of the specimens and peri‐implant tissues were photographed and analyzed with Adobe Photoshop. Two proportions were calculated: (1) the relation between the cement remnants area and the total area of the abutment/restoration and (2) the relation between the cement remnants and the total area of implant soft tissue contour. Significance set to 0.05.</p>
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<p>Excess on the crown groups: 1 (0.002 ± 0.001); 2 (0.024 ± 0.005); 3 (0.036 ± 0.004); 4 (0.055 ± 0.007). Undetected excess increased when the margin was located deeper subgingivally (
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<namePart type="given">Algirdas</namePart>
<namePart type="family">Puisys</namePart>
<affiliation>Vilnius Research Group, Vilnius, Lithuania</affiliation>
<affiliation>Vilnius Implantology Center, Vilnius, Lithuania</affiliation>
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<name type="personal">
<namePart type="given">Laura</namePart>
<namePart type="family">Linkeviciene</namePart>
<affiliation>Institute of Odontology, Faculty of Medicine, Vilnius University, Vilnius, Lithuania</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
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</name>
<name type="personal">
<namePart type="given">Natalja</namePart>
<namePart type="family">Maslova</namePart>
<affiliation>Vilnius Implantology Center, Vilnius, Lithuania</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Alina</namePart>
<namePart type="family">Puriene</namePart>
<affiliation>Institute of Odontology, Faculty of Medicine, Vilnius University, Vilnius, Lithuania</affiliation>
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<publisher>Blackwell Publishing Ltd</publisher>
<dateIssued encoding="w3cdtf">2013-01</dateIssued>
<dateCreated encoding="w3cdtf">2012-03-12</dateCreated>
<dateValid encoding="w3cdtf">2012-02-25</dateValid>
<edition>Linkevicius T, Vindasiute E, Puisys A, Linkeviciene L, Maslova N, Puriene A. The influence of the cementation margin position on the amount of undetected cement. A prospective clinical study.Clin. Oral Impl. Res. , 2012, 1-6. doi: 10.1111/j.1600-0501.2012.02438.x</edition>
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<abstract>To evaluate the amount of undetected cement after cementation and cleaning of implant‐supported restorations.</abstract>
<abstract>Fifty three patients were treated with 53 single implant‐supported metal‐ceramic restorations. The subgingival location of the margin of each implant was measured with a periodontal probe mesially, distally, buccaly, and lingually, resulting in 212 measurements. The data were divided into four groups: equally with tissue level (14 samples), 1 mm subgingivally (56), 2 mm (74), and 3 mm (68) below tissues contour. Metal‐ceramic restorations were fabricated with occlusal openings and cemented on standard abutments with resin‐reinforced glass‐ionomer. After cleaning, a radiograph was taken to assess if all cement had been removed. Then the abutment/crown unit was unscrewed for evaluation. All quadrants of the specimens and peri‐implant tissues were photographed and analyzed with Adobe Photoshop. Two proportions were calculated: (1) the relation between the cement remnants area and the total area of the abutment/restoration and (2) the relation between the cement remnants and the total area of implant soft tissue contour. Significance set to 0.05.</abstract>
<abstract>Excess on the crown groups: 1 (0.002 ± 0.001); 2 (0.024 ± 0.005); 3 (0.036 ± 0.004); 4 (0.055 ± 0.007). Undetected excess increased when the margin was located deeper subgingivally (P = 0.000), significant difference was found among all groups (P ≤ 0.05). Remnants in the soft tissue groups: 1 (0.014 ± 0.006); 2 (0.052 ± 0.011); 3 (0.057 ± 0.009); 4 (0.071 ± 0.012). The increase of the remnants was statistically reliable (P = 0.0045), significant difference was found between group 1 and 2 (P ≤ 0.05). Radiographic evaluation showed that cement remnants mesially were visible in four cases of 53 or 7.5%, and in six cases of 53 distally (11.3%).</abstract>
<abstract>The deeper the position of the margin, the greater amount of undetected cement was discovered. Dental radiographs should not be considered as a reliable method for cement excess evaluation.</abstract>
<subject>
<genre>keywords</genre>
<topic>cement cleaning</topic>
<topic>cement excess</topic>
<topic>cement‐related peri‐implantitis</topic>
<topic>cement‐retained implant restorations</topic>
<topic>subgingival margins</topic>
</subject>
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<title>Clinical Oral Implants Research</title>
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<titleInfo type="abbreviated">
<title>Clin. Oral Impl. Res.</title>
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<subject>
<genre>article-category</genre>
<topic>Original Article</topic>
</subject>
<identifier type="ISSN">0905-7161</identifier>
<identifier type="eISSN">1600-0501</identifier>
<identifier type="DOI">10.1111/(ISSN)1600-0501</identifier>
<identifier type="PublisherID">CLR</identifier>
<part>
<date>2013</date>
<detail type="volume">
<caption>vol.</caption>
<number>24</number>
</detail>
<detail type="issue">
<caption>no.</caption>
<number>1</number>
</detail>
<extent unit="pages">
<start>71</start>
<end>76</end>
<total>6</total>
</extent>
</part>
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<identifier type="ark">ark:/67375/WNG-0TGDBLN0-J</identifier>
<identifier type="DOI">10.1111/j.1600-0501.2012.02453.x</identifier>
<identifier type="ArticleID">CLR2453</identifier>
<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2013 John Wiley & Sons A/S© 2012 John Wiley & Sons A/S</accessCondition>
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