Role of Circumferential Grooves in Improving the Retentive Properties of Cemented
Implant Supported Crowns-An In-vitro Evaluation
Nimy Rajan Lukose1, Pradeep C Dathan2, Shyam Mohan A3, Smitha Raveendran4 and K Chandrasekharan Nair5*
1Specialist Prosthodontist and Implantologist, Al Rabeeh Medical Center, Manama, Bahrain
2Professor and Head of the Department of Prosthodontics, Sri Sankara Dental College, Akathumuri, Thiruvananthapuram, Kerala, India
3Professor of Prosthodontics, PMS Dental College, Thiruvananthapuram, Kerala, India
4Assistant Professor of Prosthodontics, Government Dental College,
Thiruvananthapuram, Kerala, India
5Professor Emeritus, Department of Prosthodontics, Sri Sankara Dental College, Akathumuri, Thiruvananthapuram, Kerala, India
*Corresponding Author: K Chandrasekharan Nair, Professor Emeritus, Department of Prosthodontics, Sri Sankara Dental College, Akathumuri, Thiruvananthapuram, Kerala, India.
Received: January 09, 2024; Published: January 25, 2024
Abstract
Introduction: Short implant abutments which have less than 6mm height pose a problem of limited retention and the present study evaluates the effect of circumferential grooves in improving the retentive quality. A comparative evaluation of Zinc phosphate cement and Non eugenol provisional cement in providing adequate retention for implant crowns is also undertaken
Methodology: 80 implant analogues with abutments were fabricated and they were grouped into four. In group 1 no groove was milled and in the other three groups circumferential grooves were fabricated in the order of 1, 2 and 3. Cobalt chromium copings with loops were fabricated and cemented with phosphate and non eugenol cement in equal number of specimens in each group. Retention test was conducted with Instron universal testing machine using a pullout method. The retention values, tensile stress and tensile strain were calculated and subjected to statistical analysis – One way ANOVA.
Results: Retention values of phosphate cement were higher when compared to those of non eugenol cement. When luting was done with non eugenol cement, on incorporating one groove, the retention value increased by 73%, with two grooves by 181% and with three grooves by 242%. With phosphate cement, the retention values increased by 35%, 70% and 120% with each groove. The values obtained were statistically significant (<0.001).
Conclusions: 1. Phosphate cement exhibited superior retention, stress and strain values when compared to non eugenol cement. But this does not deny the usefulness of non eugenol cement in cemented implant crowns because of its facilitation of retrievability.
2.Circumferential grooves definitely improve the retentive qualities of cemented implant crowns irrespective of the luting agents used.
Keywords:Implant Supported Crowns; Retention; Circumferential Grooves; Luting Cements; Retrievability; Short Abutments
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