Effect of axial wall modification on the retention of cement-retained, implant-supported crowns.
BACKGROUND
Compromised angulation of implants may result in abutment preparation that is less than ideal. Compromised abutment preparation may affect the retention of implant-retained crowns.


OBJECTIVE
The purpose of this study was to investigate the effect of 5 implant abutment designs on the retention of cement-retained crowns by varying the number and position of the axial walls.


METHODS
Five prefabricated abutments were attached to an implant analog and embedded in an acrylic resin block. The first abutment was left intact without modification. Axial walls were partially removed from the remaining abutments to produce abutments with 3 walls, 2 adjacent walls, 2 opposing walls, and 1 wall. Five crowns were made for each group. The screw access channel for the first abutment was completely filled with composite resin and the rest were partially filled. The retentive surface area of each abutment was calculated. Crowns were cemented with zinc phosphate cement. Tensile force was applied to separate the castings from the abutments. Peak load to dislodgment was recorded. A 1-way ANOVA was used to test for a significant difference followed by the Tukey Honestly Significant Difference test (α=.05).


RESULTS
The abutment with 2 opposing axial walls had significantly higher retention than that of all other groups (F=149.9, df =24, P<.001). The abutment with 3 walls exhibited the second highest retention and was significantly greater than abutments with 2 adjacent walls, 1, and 4 walls. Abutments with 2 adjacent walls and 1 wall were not significantly different from each other. The unmodified abutment with 4 walls exhibited the lowest retention despite having a large retentive surface area.


CONCLUSIONS
The retention of cemented crowns on implant abutments is influenced by the number and position of axial walls.
Department of Head and Neck Surgery, Section of Oncologic Dentistry and Maxillofacial Prosthodontics, University of Texas M.D. Anderson Cancer Center, Houston, Texas, USA.
Kian M
KM
Tan
Radi
R
Masri
Carl F
CF
Driscoll
Penwadee
P
Limkangwalmongkol
Elaine
E
Romberg
D000537:Aluminum Oxide / Q000737:chemistry; D002484:Cementation / Q000379:methods*; D002858:Chromium Alloys / Q000737:chemistry; D003188:Composite Resins / Q000737:chemistry; D003442:Crowns; D045662:Dental Etching / Q000379:methods; D059605:Dental Implant-Abutment Design; D015921:Dental Implants; D018772:Dental Marginal Adaptation; D003764:Dental Materials / Q000737:chemistry; D017267:Dental Prosthesis Design; D017268:Dental Prosthesis Retention; D019094:Dental Prosthesis, Implant-Supported; D003799:Dental Stress Analysis / Q000295:instrumentation; D006801:Humans; D008422:Materials Testing; D013314:Stress, Mechanical; D013499:Surface Properties; D015036:Zinc Phosphate Cement / Q000737:chemistry
D002858:Chromium Alloys; D003188:Composite Resins; D015921:Dental Implants; D003764:Dental Materials; C036884:Rexillium III; D015036:Zinc Phosphate Cement; D000537:Aluminum Oxide